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GP Vivasrural-health

GP Vivas · rural-health

Procedural scope in rural general practice — structured viva

Structured oral on procedural rural general practice: defending procedural safety with the audit evidence, the attrition problem, training pathways, telementoring, and workforce sustainability.

structured clinical oral2 min readVerification in progress

Target exams

RACGP CCEFRACGP oralsMRCGP SCA
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Study tools

Target exams

RACGP CCEFRACGP oralsMRCGP SCA
Prompt
The examiner opens: 'A colleague says rural GPs should stop doing procedures and just refer — it is safer. Defend or concede.' The viva branches through safety evidence, attrition, training, telementoring and workforce.

Stem

You are the rural generalist. The examiner challenges the procedural model itself. [25]

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the General Practice fellowship library.

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References14ShowHide
  1. [3]Wiegers TA General practitioners and their role in maternity care. Health Policy, 2003.PMID 14499165
  2. [7]Ereso AQ, Garcia P, Tseng E et al. Live transference of surgical subspecialty skills using telerobotic proctoring to remote general surgeons. J Am Coll Surg, 2010.PMID 20800198
  3. [8]Kirke AB How safe is GP obstetrics? An assessment of antenatal risk factors and perinatal outcomes in one rural practice. Rural Remote Health, 2010.PMID 20815656
  4. [9]Wearne S Teaching procedural skills in general practice. Aust Fam Physician, 2011.PMID 21301699
  5. [10]Mills PD, Newbury J Rural anaesthetic audit 2006 to 2010. Anaesth Intensive Care, 2012.PMID 22417029
  6. [12]Kildea S, McGhie AC, Gao Y et al. Babies born before arrival to hospital and maternity unit closures in Queensland and Australia. Women Birth, 2015.PMID 25845486
  7. [17]Glenn IC, Bruns NE, Hayek D et al. Rural surgeons would embrace surgical telementoring for help with difficult cases and acquisition of new skills. Surg Endosc, 2017.PMID 27444835
  8. [19]Rojas-Muñoz E, Cabrera ME, Lin C et al. The System for Telementoring with Augmented Reality (STAR): A head-mounted display to improve surgical coaching and confidence in remote areas. Surgery, 2020.PMID 31916990
  9. [20]McGrail MR, O'Sullivan BG Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value. Int J Environ Res Public Health, 2020.PMID 32605246
  10. [25]Gilchrist PT, Walters L, Ward P The safety of anaesthesia delivered by rural generalist anaesthetists: a scoping review of the literature. Rural Remote Health, 2023.PMID 36724490
  11. [26]Turner S, Isaac V, Lim D A Qualitative Study of Rural and Remote Australian General Practitioners' Involvement in High-Acuity Patients. Int J Environ Res Public Health, 2023.PMID 36901557
  12. [28]Gilchrist PT, Beaton NSM, Atkin JN et al. The new Diploma of Rural Generalist Anaesthesia: Supporting Australian rural and remote communities. Anaesth Intensive Care, 2024.PMID 38006613
  13. [29]O'Sullivan B, Boyer S, Stratton A et al. Employment Models to Attract and Sustain Rural Generalist Doctors: Barriers and Enablers. Aust J Rural Health, 2025.PMID 40084609
  14. [31]Watts R, Gupta D, Watts A et al. Factors contributing to 25-year-long retention of South Australian general practitioners in rural practice: a cross-sectional survey. BMC Health Serv Res, 2026.PMID 41987252
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