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. |
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Community / Town: |
Galiwin’ku,
Elcho Island |
|
Placement Location: |
Ngalkanbuy
Health Service |
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Placement Dates: |
Jan
2005 to Jan 2006 |
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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
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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.
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Hours actually worked: |
45
hours per week, with one afternoon for teaching. |
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After hours & oncall: |
As
above |
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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
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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".
|
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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!
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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.
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Feedback by: |
Sara
Renwick-Lau - November 2005 |