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GP Registrar Placement Feedback
An initiative of the Registrar Liaison Officers this feedback is provided by GP Registrars who have recently completed a placement.
As part of the feedback process information sent is reviewed by Medical Educators and GP Trainers. Comments regarding the placement are the opinion of the GP Registrar not NTGPE.

Community / Town:
Galiwin’ku, Elcho Island
Placement Location:
Ngalkanbuy Health Service
Placement Dates:
Jan 2005 to Jan 2006
Local Attractions:
Traditional indigenous community. Friendly and open people, no alcohol and 100km of pristine beaches to visit with permission of traditional landowners. There are over 100 balanda (non-indigenous people) on the Island
Accommodation / relocation arrangements:
"Registrars" house is new (3 years old) large and comfortable with Air-conditioning etc, no swimming pools on the Island. NTGPE pays rent and relocation for advanced term. Child care and Pre-School Yrs 1-2 are available in the community.
Hours actually worked:
45 hours per week, with one afternoon for teaching.
After hours & oncall:
As above
Pay Rate:
Pay is salaried. Currently THS calculated salary (depending on year level) plus $25,000 for on call. The Council (who employ all clinical staff at the clinic) have a $15,000 salary sacrifice package. There are also 2 FOILs (flight out of Isolated location) each 6 month period to the place you were recruited from. The
Contract is very much like that of a nurse, but seems to be flexible and can be negotiated
Supervision:
Currently (for 2005) my supervision has been remotely. However this situation can change at any time and with obviously change how registrars are able to access this placement. The council is aiming to employ 2 full time GPs (trying for last 12 months). The supervision and hours worked with depend significantly on the number of doctors employed. I am not sure if NTGPE are willing to continue remote supervision. The job is massive and exhausting as a solo GP, so unless there is at least one GP working then I would only recommend the position to a work-a-holic - I'm not sure what the NTGPE stance is on this except that it "depends".
Patient Demographics / Clinic Special Interests:

2000 traditionally oriented Yolngu, typical indigenous health issues. A small group (and hopefully getting bigger) group of adults with chronic disease who are engaged with the health service and getting good control of their health problems, but lots more to be done. Lots of paediatrics, some mainstream consultations with Balanda. There are a huge variety of clinical presentations and work is NEVER boring. No alcohol related medical care, apart from palliation of chronic liver disease and brain injured people who occasionally return to Galiwin'ku. Not much physical violence, so not much chance to practice your suturing!

Suitability:
You need to enjoy living in a small community, away from the luxuries of the city. If you are interested in any aspects of indigenous health or culture, than a placement in Galiwin'ku is endlessly rewarding. It is easy to camping on the weekends to pristine beaches and of course you can catch lots of fish if you want to. Registrars may do Advanced and Subsequent GP terms or Specialist Skills and Advanced Rural Skills placement.
Feedback by:
Sara Renwick-Lau - November 2005
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