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fellowship of the Australian college ofrural and remote medicine to find you asa generalist practitioner who has theskills confidence and the attitude topractice safely anywhere in Australiaparticularly in rural and remotelocations solo or in a team as a leaderor collaborator with fellowship of akramyou're entitled to recognition as ageneral practitioner with Medicare withaccess to a-1 rebate items and torecognition as a specialist generalpractitioner which enables you to workunsupervised as a general practitioneranywhere in Australia the broader baseof professional skills and competencerequired by fellows of akram isdeveloped and verified in the college'svocational training program the Akramprimary curriculum describes thestandards learning outcomes andcertification required for fellowshipvocational training for fellowship ofAkram has three stages of learning andexperience generally the programme willtake a registrar four years to completethe program may be shortened for doctorswho receive recognition of priorlearning or RPL this is where thecollege agrees that a doctor's workexperience is relevant to the curriculumI've been working as a doctor for six toseven years before entering into thetraining program and Akram recognizedthose past skills I'd accrued over thattime and they've also accepted to lookinto crediting some of the training thatI've already done in the past some of mysurgical training etc so that itshortens the time of training I wasfortunate enough to get three yearsrecognition of prior learning towards myfellowship they've been very friendlyand they've also been very helpful inassessing things in a logical fashionwhich I found very simple and that's notalways the case sometimes when you'redealing with fellowship colleges Akramencourages you to pursue learningopportunities that are of specialinterest to you this opportunity totailortraining is designed to help maintainyour interest in training and match yourskills to your current or future careerdirection you can start on an akronvocational training pathway aftercompleting one intern year you apply fora government subsidized place withaustralian general practice training aGPT or the remote vocational trainingscheme rvtsa GPT and rvts call for applicationsonce a year usually in May or June thecollege also offers places each year onthe Akram independent pathway this is afull fee pathway and is best suited toexperience doctors who preferself-directed learning on any pathway tofellowship you need to set up a learningplan in consultation with your trainingprovider you can do this online with thecollege's education and trainingplatform Romeo this secure portal allowsyou to record and track your training tofellowship and beyondinterprofessional development a doctortraining towards fellowship is referredto as a registrar the Fellowship ofAkram begins with core clinical trainingthis stage is 12 months working in ahospital accredited by Akram where youcomplete required terms in generalinternal medicine general surgerypediatrics emergency medicine obstetricsand gynecology and anesthetics thisshould provide you with sufficientclinical cases and opportunisticlearning to form a good foundation tobegin work in rural and remote practicewhen you have completed your coreclinical training you can choose tobegin either or both of the other twostages primary rural and remote trainingcomprises 24 months in rural or remotesettings accredited by Akram such as ahospital general practice aboriginalmedical service royal flying doctorservice or community center this will1build your clinical and procedural1skills1in the rural and remote context you may1choose to complete your primary rural1and remote training in one location1enabling you to build a strong1relationship with colleagues and your1community alternatively you may1undertake your primary rural and remote1training in two or more locations if1that will better match your posting1opportunities or your career plans the1other stage is advanced specialized1training this requires 12 months1training in one of the 10 disciplines1specified by the College Aboriginal and1Torres Strait Islander health adult1internal medicine anesthetics emergency1medicine mental health obstetrics and1gynecology pediatrics population health1remote medicine surgery advanced1specialized training is an opportunity1to extend your skills and knowledge in1one discipline area beyond what is1required in the primary curriculum this1advanced skill will enable you to1contribute to the specialized medical1services in your community1advanced specialized training1disciplines have individual curricula1and assessment requirements1as mentioned earlier you can complete1your advanced specialized training1before during or after undertaking1primary rule and remote training so I1did my post intern Hospital year in a1combination of Public Health and1emergency departments then did a year of1primary rule and remote did my advanced1skills here and then when I'm back now1doing my final year of primary rule and1remote sitting my exams this year and1fingers crossed will have completed my1training by January next year whatever1the order of your training all stages1must be undertaken under the guidance of1supervisors accredited by Akram and in1training posts a creditor by Akram1training also includes completing four1modules from the college's teaching and1learning resource rural and remote1medical education online often referred1to as Romeo your training must also1include a minimum of two courses in1emergency medicine the assessment of1registrar's is conducted at in divorce1through our training this stage process1does away with the pressure of one final1exam and provides you with regular1feedback and encouragement the college1uses a number of assessment types1reflecting the multi-faceted character1of rural medicine there are traditional1types such as multiple choice questions1and logbooks as well as assessments by1medical colleagues and patients1wherever practical the college conducts1assessment within your local community1we use a mix of online exams and1videoconference technology I've done my1exams up here1I haven't had to leave Thursday Island1to go and undertake examinations I had1to walk two hundred meters to my1multiple-choice question down the road I1had to walk five hundred meters down to1the hospital to do my stamps exam as1opposed to taking two airplanes ferry1rides and traveling for a whole day to1undertake an exam but it certainly is1convenient for us as trainees not to1have to travel and take you know1potentially time out of work or or1professional development leave to go and1do exams I don't know of any other1assessment process that's more flex1Thulin Akram's Akram's assessment1process allows people to do their MC1cues in their hometown allows them to do1their stamps in their hometown allows1them to do their mini CX in their own1town I don't think any other college has1that flexibility so Akram's really1sitting the way you can go and do your1exam in the morning I mean back to lunch1and you know that's been a real real1important to me anyway there is a1separate short video on the akram1assessment process when the mandatory1requirements are met you apply for2completion of training when this is2granted by the college you are awarded2fellowship of the Australian College of2rural and remote medicine with2fellowship you are entitled to2vocational recognition by Medicare and2to work unsupervised as a general2practitioner anywhere in Australia2you may also work in a range of other2settings such as hospitals retrieval2medicine fly-in fly-out locums military2postings foreign aid programs and2expeditionary teams you can use your2fellowship qualification to gain2positions in academia and on advisory2bodies and of course you are entitled to2use the post-nominal FAC RRM to maintain2your fellowship of akram you need to2maintain membership of the college and2to continue your medical education2through participation in the college's2professional development program or PDP2it's still a cradle-to-grave medicine2it's still it's still very rewarding2it's so wonderful to be part of a2community it's still good to be looking2after complicated patients by yourself2it's there's very good backup now2there's very good training for you2you're going to go out into it really2well trained it's very easy to be2independent it's it's a wonderful2lifestyle and a wonderful way of2practicing medicine if you want job2satisfaction challenge a range of skills2exercise a range of skills stretch2yourself find out what you're capable of2and find out who you are2then rural practices for you if you've a2leash a challenge and value professional2independence consider the lifelong scope2and variety that Fellowship of akram2offers you big cities and small towns2coastal and country temperate and2tropical solo or in a team self-employed2or on staff trained for fellowship with2a college that shares your passion for2medicine and be rewarded every day for2life2you

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