Table 3 Barriers to remote GP training and practice

Workplace Challenges

The challenging work environment and accessibility of additional educational opportunities and services are seen as deterrents and career limiting by some.

“The hours and the on-calls can be very challenging.” (Registrar, R1E)

“Lack of services is a big issue. Having to refer someone for something as basic as an ultrasound - it’s a 2-hour drive for patients to do that.” (Manager, K1J)

“That expectation and stress without having the skillset and training is really difficult.” (Supervisor, S3G)

“Access to education sometimes can be a bit frustrating but you try to make up for it and plan ahead.” (Registrar, R3G)

Family Needs

Limited schooling, extra-curricular activities, distance from family and friends and opportunities for partners were also perceived barriers

“The biggest impact for us at the moment is that we have two teenage sons who are both high school age and are both at boarding school.” (Supervisor, S1F)

“The job prospects for partners, that’s the big issue.” (Registrar, R2I)

Geographical Isolation

Limited community services and the isolation were considered barriers.

“The cultural stuff and things that you miss out on a bit here.” (Registrar, R3G)

“The professional and personal isolation is not great, and part of the reason why I enjoy getting to the city.” (Supervisor, S4I)