Annual Report - Adelaide to Outback GP Training Program

Annual Report
2010

© Adelaide to Outback GP Training Program 2011
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Published by
Adelaide to Outback
GP Training Program
Lower Level,
183 Melbourne Street
NORTH ADELAIDE
5006
Annual Report
2010

Business Context
Tenet
AOGP’s core purpose is to educate
postgraduate doctors in the speciality of
General Practice.
High quality Training Posts and Trainers are
critical to the delivery of General Practice
speciality training.
AOGP is committed to the provision of high
quality General Practice speciality education
and training in both rural and urban regions
within SA.
AOGP has an essential role to play in the
delivery of training to other learners placed in
General Practice Training Posts.
GP Stakeholders are pivotal in the conduct of
integrated multi-level learner teaching within
General Practice.
Imperatives
AOGP rules of association
AOGP business objectives
GPET contract/s
Colleges’ curricula and standards
SA Associations Incorporation Act (1985)
Vision
AOGP is recognised as a provider of premier
postgraduate training and, General Practice
and Rural Medicine is a first career choice for a
significant proportion of Junior Medical Officers.
Mission
To provide an exciting, diverse and excellent
education experience that creates confident
and competent General Practitioners who are a
dynamic and passionate force in primary health.

Contents
Chairperson’s Report 1
Board 2
Board Sub-Committees 3
Chief Executive Officer’s Report 7
Management 9
Education 10
GP Training - summary 11
Education Innovations 12
Education Highlights 14
Other Education programs 14
Education Weekend 16
Liaison Officers 17
Registrar Liaison Officers 17
Supervisor Liaison Officers 18
Practice Manager Liaison Officer 19
Research & Publishing 20
Research activity at AOGP 20
Early GP Exposure & Recruitment 21
Promoting General Practice 21
2011 Cohort Recruitment 21
AOGP Graduates 22
Financial Statements 2010 23

Key Result Area 4
Leadership
The AOGP Board governs the training
organisation so that it meets regional
contemporary General Practice and
Primary Care training needs
Key Objective # 1
Preparing AOGP GP Registrars to
provide safe and effective high quality care
as independent GPs.
Key Objective # 4
Creating community based learning
environments for multi-level learning that
reflect local needs.
Key Result Area 5
Stakeholder Value
In collaboration with academic partners,
AOGP is increasing general practicerelated
academic research activity, and the
involvement of the AOGP community in
academic research and teaching.
AOGP is establishing constructive links
with federal and state government health
departments.
Key Objective #5
Expanding AOGP’s evidence-based
decision-making capacity, regarding GP
education, training and workforce issues.
Key Objective #6
Engaging stakeholder groups as and when
appropriate.
‘I would like to express
the Board’s pleasure
with the commitment,
expertise, and support
given to AOGP by all the
staff.’
Dr Peter Joyner
Chair

Chairperson’s Report
This last year has—as always—been an
exciting but challenging time. As Chairman
I would like to express the Board’s
pleasure with the commitment, expertise,
and support given to AOGP by all the
staff. Their ability to both take care of the
routine work that is anticipated each year,
as well as rise to the challenges that come
our way, provide the Board with a real
sense of security regarding the function
of our organisation. This is the main
reason that while our Registrar numbers
increase we can still maintain the level of
training support that has characterised
our organisation. We are seen as a
high quality, high performing and highly
respected RTP all of which is essentially
due to the talented and hard working staff
that makes up AOGP. I want to personally
thank each staff member for his or her
work this last year.
There have been particular highlights
continuing on the success of the ‘for love
or money’ three-part study released in
2009. Dr Caroline Laurence and Linda
Black (together with other collaborators,
internal and external to AOGP) published
in 2010 what has been universally
accepted as a landmark study into the
costs associated with practice based
teaching and learning. Also in 2010
AOGP was sub-contracted to replicate
the full three-part study for WAGPET - the
best compliment that could be expressed
regarding the authenticity and rigor of
the methodology AOGP used to explore
these important questions.
Another highlight in 2010 was the
completion of the new module covering
‘The Business of General Practice’. All
AOGP core stakeholders, attending
education forums throughout the second
half of 2010, were introduced to this inpractice
teaching tool. AOGP Registrars,
Supervisors and Practice Managers alike,
have applauded this as a high calibre
piece of work. The positive feedback
continued with the receipt of the GPET
Innovation Award at the GPET conference
in Alice Springs. Deb Docking and Danny
Haydon, AOGP’s Practice Manager
Liaison Officers (PMLOs), together with
a series of AOGP personnel, deserve our
special thanks for successfully producing
an oft-requested module.
Finally, AOGP can be justly proud of
its national contribution in 2010, which
culminated in the RACGP and ACRRM
endorsement of a delegated Training Post/
Supervisor Accreditation framework. The
foundation work undertaken by AOGP
significantly informed the development
of a national delegated accreditation
framework. It is encouraging to see that
the strong partner relationship between
AOGP staff and Supervisors/Training
Posts continues to produce outcomes
that are simultaneously beneficial to
ourselves, our stakeholders and like
entities beyond our region. As a further
example of this, AOGP, together with a
cross-section of its network of Training
Posts successfully submitted a proposal
to HWA, to deliver clinical training for
primary qualification students in Medicine,
Psychology and Nursing. All AOGP
partners are to be congratulated on taking
an early adopter perspective with regard
to delivering a vertically and horizontally
integrated model of clinical training.
On a broader note, HWA and GPET,
as discrete Commonwealth created
independent organisations, have
been presented with different but
complementary challenges. One of
these involves the development of a
bolstered vertical as well as a horizontal
clinical training system within primary
care environments. In 2010, as the
Chair representative on the RTP/GPET
Council, I participated in a national
GPET-coordinated panel that included
HWA, DoHA and national Division
representatives. This meeting was
attended by RTP and GPET senior
management and board members –
to determine the principles for RTP
involvement in primary care-based
training. This conversation is fledgling and
will be ongoing.
From a Chairman’s governance
perspective, I feel reassured that AOGP
is in good hands with the committed staff
we have. I would like to make specific
mention of the continued dedication and
overall expertise that our Chief Executive,
Linda Black brings to her role. I also want
to thank Carolyn Cheah, our Business
Manager, for all her efforts in managing
our financial affairs. As a Board, she
gives us security and understanding
with regard to the overall financial health
of our organisation, a critical part of our
governance responsibilities.
At this point I would also like to welcome
our newest Board Member, Dr Rebecca
Morgan, who joined the Board in mid
2010. She brings to the Board a broad
base of pertinent skills and experience
that have been deemed suitable for
inclusion on the Board. Equally Rebecca
is currently an AOGP Registrar and this
ensures the Board perspective remains
inclusive of the all-important active
Registrar voice.
The new year will bring many challenges,
most anticipated but some that will be
a surprise. However I feel confident
that with the support and commitment
shown by the Board and the continued
professional input from the staff at all
levels, I, as Chairman, can face the future
with positive anticipation that AOGP will
continue to grow and prosper.
1

Board
1
2
3 4
2
5 6

8
7
9
11
1. AOGP Board Chair, Dr Peter
Joyner - Education Weekend, Barossa
2. AOGP CEO Ms Linda Black,
RACGP Chair Prof Nigel Stocks
and AOGP Deputy Chair Dr Chris
Holmwood - CSRG meeting
3. AOGP Board March Meeting
- Strategic review with Senior
Management
4. AOGP Board Member Prof Justin
Beilby
- CSRG meeting
5. AOGP Board Member Dr Rebecca
Morgan - Education Weekend, Barossa
6. AOGP Board Members Ms Pamela
Martin, Dr Tony Cocchiaro, Dr Peter
Joyner, Ms Linda Black, Prof Justin
Beilby and Dr Mandy Ayres
- AOGP Graduation Dinner
7. AOGP Board Member Dr Scott Lewis
- Opening of his solo Practice at Wudinna
8. AOGP Board Member Prof Justin
Beilby and AOGP Graduate Dr Adam
Storey
- Presenting the Justin Beilby Medal for
highest AOGP RACGP Exam result at
the 2010 AOGP Graduation Dinner
9. AOGP Board Chair Dr Peter
Joyner and Board Member Ms
Linda Black - AOGP Graduation
Dinner
10. AOGP Board Member Dr
Rebecca Morgan with other
Registrars - Dermatology RDL
activity
11. AOGP Supervisor Dr Neville
Witford and Board Members
Dr Gerard Quigley and Dr
Peter Joyner - AOGP Supervisor
Workshop
3

Board Sub-Committees
Community Stakeholder
Reference Group (CSRG)
Adelaide to Outback’s Community
Stakeholder Reference Group (CSRG)
is comprised of representatives of
a number of significant stakeholder
groups, including Consumers, GP
Colleges and Associations, Universities,
Workforce Agencies, State and
Federal Governments, GP Supervisors,
Registrars, Doctors in Training, Medical
Students, and Practice Managers.
CSRG’s role is to discuss and debate
issues of current relevance and to report
its discussions to the board of AOGP.
The 2010 meeting of the CSRG was held
on 22nd October at the National Wine
Centre. Prior to the meeting, members
had been asked to consider the following
questions in relation to the Federal
Government’s proposed Primary Health
Care reforms:
• What do you see as the key
factors, which will impact upon your
organisation under the proposed
Primary Health Care Reform?
4
• How do you see your organisation’s
stakeholder relationship with AOGP
changing in the proposed new
environment?
• How do you see AOGP positioning
itself in the proposed new Primary
Health Care environment?
Members of the group each presented
their organisation’s views in relations to
these questions and it was interesting
to observe the conformity of views from
people representing different aspects of
the health system. There was, however,
general agreement that the detail of the
proposed reforms has not been well
communicated to relevant stakeholders.
GP Registrars, Doctors in Training and
Medical Students in particular feel that
they are not being adequately informed or
involved in discussions.
Members agreed that the proposed health
care reforms present opportunities as
well as challenges for GPs and patients.
The overriding view was that no matter
how the system changes, old fashioned
values must remain paramount – the
privacy and confidentiality of the doctorpatient
relationship and comprehensive
whole patient care given by GPs to their
patients. More than ever we need an
emphasis on valuing people, whether
they be teachers, students, clinicians,
allied health workers, other members of
the practice team, or patients from every
background and ability. Under the new
Primary Health Care reforms, AOGP must
strive to enable GPs to thrive as providers
of whole patient care in a system that
fosters mutual respect and caring.
Adelaide to Outback’s education of
GPs must include all aspects important
to delivering excellence in patient care.
As well as learning the diagnostic and
procedural skills of a good GP, education
must include team work, relationship
building, practice management, finance,
and IT skills. GPs must be taught the
importance of valuing all people and
how to be inclusive of all members of the
treating team and all patients. Knowledge
and skills in these areas can not be
assumed. There must also be a focus
on chronic disease management and the
important role of the generalist. AOGP
must work to ensure that changes in the
Primary Health Care system facilitate
comprehensive education.

Key Result Area 5
AOGP is establishing constructive links
with federal and state government health
departments
Key Objective #6
Engaging stakeholder groups as and
when appropriate
Vertical integration of GP teaching was
discussed by a number of the presenters.
A reformed Primary Health Care system
must encourage and facilitate teaching
of GP Registrars by their Supervisors,
Junior Registrars by Senior Registrars,
as well as Students by Registrars and
GP Supervisors. AOGP must advocate
for the time, money and skills to enable
this. Integration of the teaching of GPs
with Allied Health has some significant
potential benefits, however not all GP
education can be multi-disciplinary.
A reformed Primary Health Care system
must embrace part time GPs and ageing
GPs, allowing them to participate in a
meaningful way. AOGP has a role in
facilitating the contribution of these GPs
to education of the next generation of
doctors.
Discussion of the proposed Super Clinics
centred around ensuring that these clinics
involve existing local GPs and that they
contribute in a very constructive, meaningful
way to teaching at all levels, including Allied
Health and Nursing. The size and breadth
of Super Clinics should make them ideal
teaching environments, but funding must
allow this and bureaucracy must not stifle it.
The role of the proposed Medicare Locals
was discussed, and it was agreed that
these could contribute to the improvement
of Primary Health Care, but pose a risk of
additional red tape and ‘managed care’ if
they do not have sufficient local GP input.
AOGP has a role to play in working with
the relevant Medicare Local(s) to ensure
improvement in GP education and that
the input of GPs into areas such as Aged
Care, Aboriginal Health, Mental Health
and After Hours care is improved, not
diminished by intrusion.
These main messages were delivered
to the AOGP Board at their meeting in
November 2010. A consistent theme
throughout my presentation was that the
system under which we all operate does
not matter as much as continuing good
education, professional values, product
and service – elements that AOGP
currently provide, and elements we
expect them to continue to provide. The
AOGP Board has agreed to include these
recommendations in its next review of the
AOGP strategic plan, scheduled to occur
in late 2011.
This was the liveliest CSRG meeting
that we have had to date. All attendees
participated actively and there was
positive and enthusiastic support for
AOGP and the work it is doing. My
thanks to all those who attended,
and to AOGP, for encouraging active
participation of its stakeholders in
determining AOGP strategic directions.
Dr Jill Maxwell
CSRG Chair
5

Key Result Area 5
Stakeholder Value
In collaboration with academic partners,
AOGP is increasing general practicerelated
academic research activity, and the
involvement of the AOGP community in
academic research and teaching.
AOGP is establishing constructive links
with federal and state government health
departments.
Key Objective #5
Expanding AOGP’s evidence-based
decision-making capacity, regarding GP
education, training and workforce issues.
Key Objective #6
Engaging stakeholder groups as and when
appropriate.
Research Committee
The Research Committee is in place
to progress and manage AOGP’s
involvement in research and to
provide support and mentoring to
Staff, Registrars, and Supervisors
who are involved in this research. This
subcommittee meets every six weeks and
reports to the Board through its Chair
annually.
In 2010, the AOGP Research Committee
consisted of:
Research and Development Manager
(Chair)
Dr Caroline Laurence, AOGP
Director of Medical Education
Dr Lawrie McArthur, AOGP
Medical Educator – Research Portfolio
Dr Moira McCaul, AOGP
Education Team Coordinator – Quality
Assurance & Research
Dr Taryn Elliott, AOGP
GP Supervisor representative
Dr Peter Donohoe (from July 2010)
GP Registrar representative
Dr Andrew Linn
Academic Skills Post Registrar
Dr Annie Lin (3 Feb 10 – 2 Feb 11)
In July 2010 we saw a new GP
Supervisor representative on the AOGP
Research Committee.
AOGP Research Program
A large project commissioned by the
Board in 2010 was the development of a
three year research plan that incorporates
a range of strategic, educational and
developmental research. This involved a
consultation process with the broader
AOGP community to identify research
ideas and broaden the participation
in research beyond key staff. This has
resulted in a priority list of studies that will
be the focus of AOGP resources and will
provide a range of participation levels from
leading a project, to being part of a team
or steering group. This priority list was
endorsed at the November 2010 Board
meeting ready for implementation in 2011.
The Research Panel
Held at the AOGP Education Weekend,
the panel was entitled ‘The Faces of
Research at AOGP’. Feedback was
extremely positive and a suggestion was
put forward that AOGP should look
into launching a Research Foundation
to support research locally. This will be
further developed and presented to the
Board for consideration in 2011.
Dr Caroline Laurence
Research Committee Chair
Appeals and Grievance
Committee
An independent subcommittee
structure is in place to enable the
effective processing of local appeals
and grievances. This subcommittee is
convened as required.
The Appeals and Grievance
Subcommittee includes, but is not
limited to:
• an independent chair (preferably
a GP or health professional
independent of the training program).
• the RLO and/or an independent
AOGP Registrar nominated by the
complainant.
• the SLO and/or an independent
AOGP Supervisor accepted by the
complainant.
• an independent medical education
expert.
The Chief Executive Officer of AOGP
provides secretariat support for the
conduct of this committee. To date, all
concern and issues have been effectively
resolved with early intervention and
localised mediation.
AOGP is pleased to report that this
committee has not been required to meet
since the organisation’s inception in 2002.
6

Chief Executive Officer’s Report
Key Result Area 4
AOGP is implementing a best practice
vertically integrated teaching framework
within the AOGP region that is reflective of
local needs
AOGP is exploring the feasibility of
horizontally integrated teaching and
international opportunities to deliver
general practice training
Key Objective #4
Creating community based learning
environments for multi-level learning that
reflect local needs
Conversations held with Supervisors,
Registrars, Practice Managers – and
AOGP staff, throughout 2010, has led
me to reflect on the AOGP approach
to education and training. The words
customised, personalised and specialised
feature across Adelaide to Outback
documentation and physical space.
These three words first appeared regularly
in feedback offered by Registrars about
how they interpreted their education
and training from AOGP. They were
then adopted as a way to encapsulate
the three principles that reflect AOGP’s
education philosophy. Customised is
about making the Registrar’s training
relevant and real for them – whilst
also meeting all the relevant college/s’
requirements. Personalised is about
AOGP communicating to the best effect
for all parties, specifically with AOGP core
stakeholders as the focus. Specialised is
about recognising General Practice as
a speciality, and delivering a robust and
quality training program that reflects this
level of expertise.
In adopting this philosophy the AOGP
education framework aims to foster easy
access to well supported teachers and
experts, as well as provide targeted
training, information and resources. As
part of this framework a major emphasis is
placed on the building of the Supervisor’s
teaching skills and investing in the
Registrar’s main teaching environment visà-vis
the practice.
Equally, this philosophy and framework
informs the innovations that we pursue
at AOGP. We continue to challenge
ourselves, and our training collaborators,
to ensure any innovations are well
researched, supported and that their
implementation will advance the goals
that have been set for AOGP. The strong
working relationship between AOGP and
its Liaison Officers – who represent the
core stakeholders, namely Registrars,
Supervisors and Practice Managers –
ensures AOGP and its core stakeholders,
work as partners to achieve these goals.
Formal evaluation throughout AOGP’s
nine years of experience confirms that
we have constructed a unique approach
to training, whilst continuing to use the
standard training components that make
up most training programs. In 2010 this
approach has been applied to our 122
Registrars – 50 Junior Doctors and 35
IMG doctors, with the goal of ensuring
that they have maximum opportunity for
success through the training they are
offered at AOGP.
The AOGP staff - who all are integral to
the delivery of this training program - are
noted by their passion and pursuit of
excellence across education, research,
strategy and business. This year
allowed the AOGP team as a whole to
operationally review the AOGP Strategic
Plan. They determined operational
improvements that would assist the Key
Result Areas (KRA) to be met within
the timelines that have been set by the
Board. Specifically in 2010 the AOGP
Management Team benefited from the
inclusion of a Strategic Operations
Manager, namely Dr Sarah Meertens.
Whilst Sarah’s brief is to manage the
operational implementation of the
Strategic Plan, she also has key portfolio
responsibility for GP Early Exposure,
Community Stakeholder relations as well
as Registrar Recruitment and Selection.
Both AOGP management and staff
concur that her contribution to the AOGP
team in 2010 has been outstanding.
Moving to Liaison Officer personnel, in
2010, Dr Roly Vinci, through his role as
the AOGP urban Supervisor Liaison
Officer (SLO), stepped up to become
the chair of the national SLO group as
well as be a member of the National
GP Supervisors Association (NGPSA).
During this same time Dr Ben Abbot, in
his capacity as rural SLO, helped drive
many of the local AOGP initiatives,
7

Key Result Area 1
Competent and Confident GP
Registrars
AOGP’s GP graduates are deemed to
be competent and confident GPs against
evidence based benchmarks.
Key Objective #1
Preparing AOGP GP Registrars to
provide safe and effective high quality care
as independent GPs.
not least the delegated Training Post/
Supervisor accreditation process. Dr
Holly Deer and Dr Michael Sobotta ably
picked up the Registrar Liaison Officer
(RLO) role at the beginning of 2010.
Holly is set to continue into 2010 whilst
Michael is due to conclude his training
at the end of the 2010 education year
and will therefore hand over the reins to
a new urban RLO incumbent in 2011.
Again it is important to acknowledge the
enthusiastic and constructive contribution
AOGP receives from its Registrars in
this role. Ms Deb Docking and Mr Danny
Haydon as our Practice Manager Liaison
Officers (PMLO) continue to excel in
their roles. Most notably their dedication
to completing the Business Module was
exemplary and this body of work will
be appropriately mentioned across the
different articles in this Annual Report.
To broader strategic matters, in 2010
GPET accepted responsibility for the
national management of PGPPP and
as part of their early action confirmed
AOGP as one of the PGPPP providers
for 2011. With this early notification,
AOGP invested a significant amount
of resource in 2010 - together with its
local collaborative partners - to address
the challenges that had been set for this
area of training as it relates to General
Practice. As the national PGPPP numbers
increase, AOGP’s ongoing aim has been
to ensure PGPPP numbers within South
Australia equally increase. The continuing
goal is to have the majority of SA intern
and prevocational doctors gain their core
8
elements of early training within a primary
care environment (ie private General
Practice). At this point in time around 50%
of these Junior Doctors gain primary care
experience across South Australia.
The costing work with regards to practicebased
teaching, published in 2010 by
Dr Caroline Laurence and myself, clearly
identified the need for a different approach
to funding in the area of medical student
teaching. In 2010 Health Workforce
Australia (HWA) presented an opportunity
to apply for funding to support the
increase in growth of clinical placements
for health-related primary qualification
students, from 2011-2013.
In discussions with representative
Supervisors and Practice Managers there
proved a keen interest in AOGP pursuing
this opportunity. On this basis AOGP—
in alliance with a network of interested
Practices—and in partnership with the
University of Adelaide, successfully
submitted a proposal to provide additional
clinical training places within the AOGP
network over the next four years. The
disciplines in the application included
Medicine, Nursing and Psychology.
Whilst at the time of this report financial
negotiations are continuing with HWA,
it is important to note that through this
work good preliminary discussions have
been held with all the collaborative parties.
In principle agreement is in place by all
parties for the conceptual clinical training
model submitted a funding proposal has
been developed, that if supported, would
allow General Practice to sustainably
assist in meeting the increased clinical
training demands of primary qualification
students, in medicine and allied health
areas.
I would like to conclude this report with
a big thanks to all who contribute to
strengthening AOGP year on year - most
particularly staff, Registrars, Supervisors
and Practice Managers. I would also like
to thank Peter Joyner as the Chairman,
and the AOGP Board Members, who
provide management and staff with
genuine encouragement, clear guidance
and unswerving support. Our collective
intent remains to create GPs who are
specialists and leaders in primary care
across the urban, rural and remote
AOGP region. I am confident that as a
combined force we are well established
to maintain this intent, regardless of the
contextual changes that may occur as
a consequence of the upcoming health
reform agenda. The AOGP Graduates
that we celebrate at the end of each year,
confirm this view.
Ms Linda Black
Chief Executive Officer

Management
Staff changes
Chloe Thomas
Reception / Administration Assistant
Chloe is the lovely, friendly voice that
answers our main phones and we welcome
her to the team. Whilst her primary role is
reception duties she has quickly become
an integral team member and also assists
across many administrative areas within the
Education and Program Support teams.
Caroline Cullen
Education Team Coodinator - GP
Community-based Training (ETC-
GPCT)
As the Education Team Coordinator –
GP Community-based Training Caroline
is responsible for a significant proportion
of the operation delivery of AOGP
programs. Caroline also has responsibility
for the IMG Fellowship Support Program
portfolio and together with the other
ETCs, is responsible for the supervision
of the Education Officers in the Medical
Education Team.
Dr Christel Burton
Medical Educator (ME) - urban
Christel is an AOGP alumnus who
began as a PGPPP ME and in 2010
transitioned into the broader ME Team.
As part of her increased role she
has taken on Registrar pastoral care
responsibilities, Registrar and Junior
Doctor Medical Education Visits (MEVs)
as well as the coordination and facilitation
of the hospital Registrars’ Registrar
Directed Learning ‘RDL’ groups.
Dr David Griswood
Medical Educator - rural
An AOGP alumnus with GP
anaesthetic and rural practice
experience throughout Australia,
David returned to South Australia and
joined us as an ME in 2010. In his
role, he assists with the coordination
and delivery of Registrar out-ofpractice
rural-based training as
well as conducts rural MEVs and a
proportion of Registrar pastoral care
responsibilities.
2010 saw the Medical Education Team
expand to include two new Medical
Educators, Dr David Griswood and Dr
Bryan Robertson; as well as welcome into
the broader group the previous PGPPP
MEs, namely Dr Christel Burton, Dr Helen
Mullner and Dr Brenton Wait. Dr Romany
Topsfield also joined the AOGP Medical
Education Team, as a casual Medical
Educator, with a specific focus on exam
preparation. This youthful injection into
the Medical Education Team makes up
a complement of 33 people (FTE 16) in
this team. The ME role, which at AOGP is
made up of part-time staff, comprises the
majority of this group. The ME role includes
pastoral care responsibility for a proportion
of Registrars, an allocation of Medical
Education Visits, assistance with out-ofpractice
training, and delegated portfolios
relevant to the ME’s interest. Casual MEs
have generally chosen to focus on one of
these components of work.
In November, Brenton Wait, PGPPP
Medical Educator, and an AOGP alumnus,
resigned from AOGP and departed from
Australia to pursue new professional
horizons overseas with his family. AOGP
would like to thank Brenton for his
dedication to our junior doctors over
the past 5 years, and we wish the Wait
family all the best in their new adventures.
Also new to the Education Team in
2010, was Kate Curtis, Education Team
Coordinator with the PGPPP, Hospital
and Online learning portfolios. Kate further
progressed AOGP’s interactive online
learning environment before departing at
the end of 2010. Kate needed to move
interstate because of her husband’s work
commitments. Our thanks go to Kate for
her important start-up work in this area.
9

Key Result Area 1
Competent and Confident GP
Registrars
AOGP’s GP graduates are deemed to
be competent and confident GPs against
evidence based benchmarks.
Key Objectives #1
Preparing AOGP GP Registrars to
provide safe and effective high quality care
as independent GPs.
Key Objectives #2
Delivering RACGP and ACRRM college
training pathways effectively within the
AOGP region.
10

Education
Key Result Area 2
Sustainable Community Benefits
AOGP has an over-subscription of
applicants for rural and urban pathway GP
training.
AOGP has a sufficient and stable number
of high quality training posts across its rural
and urban region.
Sustainable Community Benefits –
Rural
AOGP is recruiting and retaining GP
registrars entering the rural training
pathway to its rural regions.
Key Objective #3
Building sustainable supervisory
infrastructure and educational capacity.
GP Training - summary
The Medical Education Team, together
with other AOGP teams, continue to build
on an already established high quality of
training through challenging ourselves
to continuously do better. 2010 saw
AOGP involve 122 Registrars across
various levels of training, including a good
proportion of Registrars being assisted
to complete extended or advanced skills
training. AOGP had the only ACRRM
Registrar throughout Australia doing
advanced skills training in surgery.
Registrar feedback in 2010 confirmed
that overall they felt confident that they
could apply the knowledge and skills
learnt in out-of practice training back into
their practice context.
This year also saw the largest ever
group of Registrars sitting the FRACGP
exam, with 96% success. It was also
marked by an increasing number of
AOGP Registrars preparing to sit the
FACRRM exam. This expected increase
has initiated a review of the structure of
our exam support program, which we
expect to conclude in 2011. The intent
of the review is to determine whether
our support program addresses both
college/s’ exam preparation requirements,
and if not, identify the gaps and address
these appropriately. AOGP’s Formative
Assessment Framework and out-ofpractice
education activities have been
reviewed and newly reconciled to both
the RACGP and ACRRM curricula. As
part of this review it was discovered that
the professional and ethical domains
were sparsely assessed. On this basis
in 2010, it was determined that this
finding could be redressed through the
use of the Multi-Source Feedback—an
ACRRM assessment tool—for second
term community Registrars. A pilot
was commenced, with a view to this
information contributing to the assessment
of Registrars against these domains. The
revised Formative Assessment Framework
also saw the pilot introduction of a formal
mid-training review for Registrars. This
has allowed for a timely stock-take of
the Registrars’ progress, the provision
of appropriate feedback and the offer of
provisions to facilitate further progress
prior to their formal entry into senior levels
of training. It also provides training advice
and planning toward their future training,
exam preparation and/or extended
learning support, as required.
In 2010 the findings from the formal review
of AOGP’s evaluation methodology were
implemented. There were two goals for
this review: one, was to streamline the
feedback gathering and measurement
process; and two, determine the
information required to assist AOGP to
target its training activity and ensure a
quality training experience. Both were met.
One of the enhancements in the newly
revised evaluation process included the
introduction of the ‘Turning Point Response
Card’, as an electronic evaluation tool.
This expedited the process of feedback
collection – whilst providing immediate
collation and feedback of findings. The core
stakeholders have positively critiqued the
new process and the new electronic tool.
Adding Value to rural South
Australia—through education
AOGP Registrars provide a significant
boost to primary care clinical services—
whilst undertaking their GP Training—
across urban, outer-metro, rural and
remote communities within our region.
Specifically in 2010 with regard to rural
regions, 31 Registrars trained across 22
rural teaching practices in the first half of
the year and 27 Registrars trained across
20 rural teaching practices in the second
half of the year.
The pilot virtual study group for rural
based registrars in 2009, translated
in 2010 into an ongoing educational
activity. It continues to prove to be both
an invaluable exam preparatory activity as
well as provide regular peer support and
interaction for Registrars placed across
the more remote parts of the AOGP. Two
AOGP rural based Supervisors continue
to take on a shared expert facilitator role
for this group.
In 2010, AOGP continued its support
of Registrars’ interest in various subspeciality
areas. Fourteen Registrars
pursued enhanced training in a wide
range of areas (eg ATSI mental health).
A further seven completed advanced
specialised training in obstetrics, surgery,
palliative care or anaesthetics. Three
registrars were undertaking a formal
Academic Skills Training post, benefitting
from collaborative research partnerships
with Universities.
11

Education Innovations
To see AOGP staff and core stakeholders
from many different roles and perspectives
come together, is no better illustrated than
in the ideas, vision, planning, preparation,
and delivery of what AOGP presents to a
newly selected registrar:
AOGP Registrar Reference Manual
makeover
2010 saw the well-established AOGP
Registrar Reference Manual go through a
major overhaul, in its presentation, content
and layout. The new format and revised
content addressed the following needs:
• A consistent reference to RACGP
and ACRRM training requirements.
• A comprehensive reconciliation
between the AOGP online education
management resource (GPRime
information and tools) and hard-copy
reference tools.
• A refreshed style and format for
communicating the AOGP education
framework
• Meet the perennial challenge of
simplifying the user’s navigation (with
particular focus on the Registrar
as the main user) through the
comprehensive information offered
in this manual and other companion
documents.
• Incorporate the newly developed
AOGP Blueprint training map
structure into the ‘Training Information’
section of the Manual.
• Provide a common language and
structure for AOGP staff, Registrars,
Supervisors and Practice Managers
to use throughout the Registrar’s
AOGP training.
The new edition was introduced to all
core stakeholders as part of out-ofpractice
education forums during the
second half of 2010 and distributed to
all current cohorts of Registrars, as well
as Supervisors and Practice Managers. It
was also used to guide the 2011 cohort’s
pre-entry meeting, formally introduced as
a reference resource, and provided to the
new Registrars as part of their Orientation
in December 2010. To date the manual
has been received very positively by all
stakeholders.
Orientation
Another regular activity that was
comprehensively reviewed and creatively
updated was the annual Orientation
program, conducted in December 2010.
The AOGP teams decided to meet the
challenge of a larger cohort (36 Registrars
in the 2011 cohort) with the development
of an innovative, informative, yet
interactive and stimulating program. This
new approach to introducing incoming
Registrars to the training program was
met with overwhelming positive feedback.
The Registrars confirmed that it met
all their objectives and most notably
feedback suggested the event served to
excite them about embarking on speciality
training in General Practice.
iPad pilot for 2011 cohort
AOGP prides itself on being an early
adopter of new ideas and opportunities.
To this end we have put in place a pilot
integrating the use of the iPad as a
training resource tool specifically with
the 2011 cohort of Registrars. This pilot
began as part of their out-of-practice
training during their Orientation workshop
in December 2010 and will continue over
the course of 2011 with the iPad being
used for in-practice and out-of-practise
learning. An evaluation plan is in place to
assess the outcomes of this pilot at the
conclusion of the 2011 education year
to determine the feasibility of rolling it out
beyond the new cohort of Registrars.
The Business of General Practice
The Business of General Practice
in-practice teaching modules is the
culmination of significant work that began
in 2008 as the ‘brain-child’ of Dr Sam
Smart who at the time was working with
AOGP in the role of MEC (Rural). In
2010 we are proud to see the realisation
of this foundation work through the
significant efforts of Deb Docking and
Danny Haydon, in their roles as AOGP
Practice Manager Liaison Officers
(PMLO) as well as Sarah Meertens,
Roberta Morris and Carolyn Cheah.
This work will meet an important need
identified by Registrars, Supervisors and
Practice Managers alike.The Modules as
summarised, are due to be implemented
in 2011.
12

The Business of Gneeral Practice:
Module 1: Practice Management Basics
• General Practice Business Structures
• Finance 1
• Negotiating Contracts
Module 2: Sustainable General Practice
• Finance 2- Part 1
• Finance 2- Part 2
• Managing People
• Strategic Business Planning
• Quality and Risk Management
Online Learning
An area of special interest to AOGP
in 2010 was online learning, and this
was reflected through the dedication of
resources and personnel into a review
and the development of an On-line
Learning Enhancement project. Dr
Michael Notley, in his capacity as an
AOGP ME, is responsible for this portfolio
of work. In 2010 he was charged with
the responsibility for exploring ways to
improve AOGP’s use of GPRime, and
to integrate the current online learning
opportunities. Late last year is was agreed
that AOGP will use the Moodle platform,
enabling integration of already existing
(and new) in-practice learning resources
with newly developed interactive activities.
This aim is to ensure the suite of on-line
tools is user-friendly and easily accessible
for Registrars, Supervisors, practices
and educators alike. This will be actively
progressed in 2011.
ATSI Training
2010 planning of the ATSI Health
Immersion training, for junior Registrars
undertaking their first 6 months of
training, resulted in a more collaborative
approach that increased the involvement
of key stakeholders (eg Divisions of
General Practice, Aboriginal Community
Controlled Health Organisations etc). It
was determined that a regional balance
of training was required to ensure existing
relationships could be enhanced whilst
simultaneously taking the opportunity to
establish new relationships within the
Aboriginal community. To complement
previous rural based training, the most
recent ATSI Immersion training was
organised around the Kaurna lands in
Adelaide, involving the inspirational and
esteemed Dr Lowitja O’Donoghue. The
ATSI Team continues to seek to improve
the quality and diversity of the training
to ensure it meets Curricula learning
objectives as well as the specific learning
needs of the participants. It simultaneously
works hard to be relational and community
building. AOGP is very fortunate that Kali
Hayward, an AOGP alumnus, has agreed
to join AOGP as an ME in 2011. Kali is a
Yamitji woman from the Warnman peoples
of Western Australia. She has been
contracted educator with the ATSI team
since 2009 but at the end of 2010 agreed
to formally become a staff member and as
part of her duties share the ATSI portfolio
with Dr David Dunn. Welcome Kali.
The Person-Program-Post Placement
Process
Core stakeholder representatives were
provided the opportunity to review
the AOGP placement process in
2010. They confirmed that AOGP’s
placement process appropriately takes
into account personal, professional,
training and regional considerations from
all parties when determining Registrar
allocation. They also affirmed that the
Special Consideration Committee, in
its consideration of applications from
Registrars who believe they have new
circumstances that need to be considered
during the placement process, and
which is independently chaired by Dr
Deb Turnbull, conducts its work in a fair,
equitable and transparent manner.
2010 also saw a national change in
training requirements for general pathway
Registrars in GP training. In the second
semester AOGP also successfully
integrated into its placement framework,
the requirements of the new GPET policy,
with regard to the expanded options for
General Pathway Registrars to meet their
outer metro and/or rural obligations. This
was achieved without disadvantage to the
rural regions of AOGP.
13

Key Result Area 3
Quality Educators
AOGP has an over-subscription of
registrars and alumni seeking to become
educators and supervisors.
AOGP has a professional educator
development program that is widely
recognised.
Key Objective #3
Building sustainable supervisory
infrastructure and educational capacity.
Key Objective #5
Expanding AOGP’s evidence-based
decision-making capacity, regarding GP
education, training and workforce issues.
Education Highlights
Quality Educators
Throughout 2010, there have been
a variety of activities designed to
professionally develop educator qualities
and skills with registrars, supervisors,
alumni, and medical educators working
with AOGP.
With specific focus on the development
of Registrars as Teachers, 2010 saw
an increasing number of Registrar
alumni employed as AOGP Medical
Educators (MEs) – always balanced
against an equal number of MEs drawn
from the Supervisor pool. We also
further developed the opportunity for
Registrars to access teacher training
through attendance at ‘The AOGP Skilled
Teacher course’ which in 2010 was able
to be recognised as meeting part of their
training requirements. In 2010 the small
group Registrar Directed Learning events
were reviewed to further strengthen and
increase the opportunities for Registrars
to teach, facilitate and learn from peers
in a supported environment - always with
AOGP Medical Educators as mentors.
Finally a pilot opportunity was created for
Registrars to be involved in the delivery of
an AOGP-facilitated vertically integrated
teaching module, in partnership with the
Discipline of General Practice. This has
been reviewed and will be rolled out as an
ongoing opportunity in 2011.
Delegated Training Post/Supervisor
Accreditation process
A new look delegated Training Post/
Supervisor Accreditation process that
was nationally approved in 2010 builds
on an initial workshop held at AOGP
in mid 2009. At the time SA local
stakeholders agreed in principle with
the need to develop an alternative way
to accredit Supervisors and Training
Posts. The new process will enable
AOGP, as an accredited RACGP and
ACRRM education and training body,
to be delegated the responsibility for the
accreditation of new training practices, and
re-accreditation of existing practices. Our
Supervisors and Practice Managers have
been very positive about this opportunity to
streamline the accreditation process, as it
allows this activity to be incorporated into
the Quality Assurance Framework that they
already commit to as a partner with AOGP.
We worked closely with the national
and local offices of RACGP to enable
this to be implemented within our region
in the 2010–2012 triennium. AOGP
leadership was evident as this streamlined
accreditation gained acceptance and
momentum nationally. I would also like to
acknowledge Roberta Morris for her role
in this work. In her capacity as the Medical
Education Coordinator – Supervisors/
Practices she assisted the AOGP
Management to develop a framework that
was both relevant for AOGP and more
broadly across the nation.
Other education programs
Integration of PGPPP with
AGPT
An exciting development in 2010 was
the AOGP integration of the education
management of the Prevocational GP
Placement Program (PGPPP) for interns
and prevocational doctors, with the
Australian General Practice Training
(AGPT) program for Registrars. Whilst
this integration is new AOGP has been
delivering PGPPP training since 2005,
and last year was asked by GPET to
pick up responsibility for three of the six
public PGPPP posts previously managed
by SAIMET. This brings the number of
PGPPP posts in the AOGP region to 3
rural-based intern posts, 3 urban-based
intern posts, 2 urban-based private RMO
posts, 3 urban-based public RMO posts.
Throughout 2010, 30 interns and 20
RMOs have had overwhelmingly positive
PGPPP experiences. For AOGP there
continues to be a dual objective in
the delivery of PGPPP to interns and
prevocational doctors: one, the delivery of a
quality training experience that contributes
to their medical practitioner competencies
regardless of their intended speciality
focus; and two, exposure to contemporary
and high quality General Practice, as a
medical rotation, to provide them with
an opportunity to test this as a speciality
career option.
14

It is pleasing to report that 100% of the
AOGP PGPPP participants report that
they would recommend a PGPPP rotation
to other junior doctors and in 2011, 32%
of the first round of applicants for the 2011
selection intake had previously undertaken
a PGPPP rotation.
In 2010 we formed a Hospital-focused
group within the Medical Education Team.
This allowed for the vertical integration of
the good work AOGP has been doing
with prevocational doctors and AOGP
Registrars working in South Australian
hospitals. For the previous five years that
AOGP has been involved with PGPPP,
this work had been happening as part of
separate teams, mainly to ensure PGPPP
was clearly delineated and well established
as a distinct program.
The hospital focused-group now enables
the relevant doctors to establish a coherent
and coordinated sense of the vertical
continuum of training that exists in General
Practice. Whether it be an intern doing
a GP placement at Clare, a groups of
doctors being trained in a hospital RDL
group learning session, or GP Registrars
gaining specialised skills through enhanced
training terms, the AOGP Hospital group
now have the opportunity to liaise with all
these learners according to their identified
need. The goal is to allow a larger group
of AOGP personnel to be fully informed
and thereby more able to assist the total
spectrum of AOGP-related learners,
who are largely hospital-based. Together
with their relevant Supervisors and
stakeholders, this will ensure AOGP is in a
position to maximise the learner’s capacity
to meet their intended learning outcomes
regardless of where they sit in the training
continuum.
International Medical
Graduate Fellowship
Support Program
AOGP welcomed 12 new IMG doctors
into the Fellowship Support Program in
2010, taking the total number of supported
IMG doctors to 27. Ahna Holland and
Caroline Cullen underpin the great work
of our valued Medical Educators, many of
whom are IMG alumni and experienced
rural GPs, as well as GP Supervisors.
Workshops were held throughout the
year, with content based on the common
learning needs identified in IMG Learning
Plans and during Medical Education
Visits. These areas included indigenous
health, mental health, difficult patients, and
women’s health.
As an added bonus the workshop held
in July was accredited as an RACGP
Category 1 education activity, offering
participants 40 CPD points for their full
participation. Dr Mark Miller’s assistance,
in his role as State Censor, was much
appreciated as he both co-facilitated
the workshop and also provided exam
technique advice to participants.
The IMG Fellowship Support Program was
internally reviewed this year, with a view to
identifying the key successes to date and
building upon these into the future. As part
of this review, all IMG Medical Educators
were invited to participate in a round-table
discussion to put forward their suggestions
as to the various strengths of the Support
Program. They also provided valuable
feedback that contributed to the Program
review and informed how the Program
could be shaped for the future.
Following this review, in November 2010
the AOGP Board endorsed a newly
developed model for the IMG Fellowship
Exam Preparation Program (IMG FEPP).
This revised AOGP model will be divided
into three modules to begin in 2011.
The first module will determine the most
appropriate assessment pathway (ACRRM
or RACGP), and provide an exam
needs analysis, with view to developing
a personalised exam learning plan. The
second module will involve regular and
structured medical educator mentoring
including facilitated support and access to
a virtual study group, and the third module
will involve final preparation and simulation
of Fellowship exams.
Discussions have been scheduled with
RDWA to occur in early 2011.The
aim will be to consolidate our current
collaboration in equipping this cohort of
doctors—who provide a critical service to
rural communities in SA—to successfully
gain their Australian General Practitioner
qualifications.
15

Education Weekend
Nature Vs Nurture
The 2010 AOGP Education Weekendheld
in the beautiful Barossa Valley-asked
the question ‘Are we by nature what
we are, or can we be influenced and
nurtured by the environment around us?’
From exploring cutting-edge advances in
clinical genetics with Dr Chris Barnett, to
being mindful of a multimodal approach
to healthy lifestyles and management of
obesity with Dr Caroline West.
Participants spent the afternoon in a
variety of hands-on skill stations delivered
by enthusiastic presenters, many of
whom were AOGP Supervisors and
Medical Educators. Sheep’s noses were
poked, prodded and packed; CPR
was practiced on dummies and fellow
16
colleagues; dummy knees and shoulders
were injected; Registrars and Supervisors
taught each other a variety of non-clinical
skills; cameras and phones were used to
take photographs for clinical purposes
and participants were challenged to a
mock ‘Who wants to be a millionaire?’
session using interactive keypads to
answer questions.
The two masterclasses -held concurrently
with the skill stations- invited participants
to delve deeper into the role of general
practice in both palliative care and
weight management. Through shared
experiences and robust discussions,
participants came away with new insights
in both of these very important areas.
After a day of learning it was time to wind
down and participants did this very well!
While children were entertained with
multiple activities, the adults were taken
back in time to the music of the Beatles.
Some sore muscles and sore heads
were engaged Sunday morning with the
variety of ‘self-care’ sessions available.
The energy and vibe at the completion of
these sessions confirmed that fun was
had by all!
To ensure that AOGP continues to deliver
Education Weekends of outstanding
educational quality, the Board has
decided that they will now move to a
biennial arrangement. They will now be
held only in rural locations within the
AOGP region every second year, with
extra out-of-practice education sessions
programmed for the interim year. During
2011, five extraordinary educational
events are planned and the next AOGP
Education Weekend will be held in
Whyalla in 2012.

Liaison Officers
Key Result Area 1
Competent and Confident GP
Registrars
AOGP’s GP graduates are deemed to
be competent and confident GPs against
evidence based benchmarks.
Key Objective #6
Engaging stakeholder groups as and when
appropriate.
Registrar Liaison Officers
In March 2010 Dr Holly Deer and Dr
Michael Sobotta accepted the roles
of RLO rural and urban, respectively.
They both come to the role with strong
opinions, enthusiasm and sleeves rolled
up ready to contribute—an attitude much
encouraged at AOGP.
Soon into her role Holly attended the
GPET & GPRA workshop in Canberra
in March 2010, bringing back important
national updates and discussion points for
AOGP. In September 2010, both Holly
and Michael attended the follow-up RLO
meeting in Alice Springs as part of the
GPET convention. At the meeting support
groups/councils for GPRA to provide
support for all GP Registrar groups was
implemented. Also at this time the new
GPRA website was released and a review
of GPRA policy drafts were considered.
The revised national Minimum Terms
& Conditions document for 2011 was
released in September and the AOGP
RLOs worked locally with AOGP to
ensure the AOGP Terms & Conditions
document appropriately reoconciled
with the national conditions. No material
changes were made.
A highlight for this year was the excellent
group discussion that was held during the
Education Weekend RLO Forum in May
2010. From this the RLOs gained ideas
regarding the best methods for keeping
Registrars up to date with important
AOGP, GPET and GPRA releases;
suggested areas for AOGP to improve,
from a Registrar perspective, and plans for
Registrar driven social events in the future.
Nationally and locally, the RLOs have
kept up to date with issues facing
GP Registrars and were involved
with a number of AOGP initiatives,
including the development of a new
online learning portal due for release in
2011; attendance as a Registrar voice
for the AOGP accreditation advisory
group; the Community Stakeholders
Reference Group meeting; review of
the AOGP Registrar Reference Manual;
and reordering of the library into a more
functional and useful space for Registrars
and their study groups.
Holly and Michael have also been involved
with the promotion of GP training to
medical students and trainees interested
in applying for GP training; and attended
several information sessions for GPSN
and SA hospital career information
evenings during the application process.
In a follow-up to this RLOs were also
involved in the 2011 Orientation and
welcoming of new registrars to AOGP.
2010 has seen some significant training
time and pathway policy changes from
GPET, and with the Commonwealth
Government health reform agenda, more
changes are on the way in terms of GP
Registrar training. The RLOs will continue
to be involved in forums and working
groups with different training stakeholders
to ensure the AOGP Registrar voice is
heard for future training and workforce
development.
Holly and Michael coordinated and
participated in two social events for
the year: a social drinks night held in
September and a combined AOGP and
Sturt Fleurieu bowling night in October.
All attendees had great fun and the RLOs
were very pleased to report AOGP were
clearly the better bowlers!
Michael has now completed his training
and the end of 2010 sees the end of
his RLO time, with a new urban RLO
to be commencing in 2011. Editorial
note—AOGP would like to offer both
RLOs a sincere thanks for their dedication
and genuine interest throughout 2010.
Holly has agreed to stay on in the role as
she heads out to begin the community
element of her GP training whilst we
congratulate and bid adieu to Michael
who finishes his training to head off for an
extended overseas trip with his family.
Drs Holly Deer and Michael Sobotta
17

Key Result Area 4
Leadership
AOGP is implementing a best practice
vertically integrated teaching framework
within the AOGP region that is reflective of
local needs.
Key Objective #6
Engaging stakeholder groups as and when
appropriate.
Supervisor Liaison Officers
Both Dr Ben Abbot and Dr Roly Vinci
accepted their SLO roles with multiple
professional aspirations for their time
in the role. These keenness to achieve
these ambitions has helped them to
be focused when providing SLO input
over the past year. They have enjoyed
their roles, whilst concurrently gaining a
better understanding of the context of
Supervisors within the larger picture of
General Practice training through AOGP
and nationally.
The primary formal function of the SLOs
is to coordinate and run the SLO forums
held at all events involving Supervisors.
There have been numerous topics
discussed and participation in these
forums has helped shape thinking in
relation to some of the other committees
and focus groups of which they have
been involved over the course of the year
(eg delegated Training Post/Supervisor
accreditation Steering Committee,
Special Considerations Committee, RTO
Feasibility study).
One of the main forums of this kind was
held at the AOGP Education Weekend
in May 2010. This year it was held at
the Barossa Valley and was another
opportunity to continue building and
strengthening relationships between
Registrars, Supervisors and AOGP staff,
management and Board. The SLOs,
through the views expressed at this
forum, confirmed that Supervisors alike
18
felt that this Education Weekend was
one of the most successful weekends
they had attended—the site and facilities
were excellent and the presentations and
workshops were both stimulating and
diverse. The SLOs noted that the large
turnout of all the people involved with
AOGP at this event included an extra
large contingent of Supervisors. Both
Ben and Roly personally commented that
they came away feeling energised after
spending time with others who are equally
passionate about medical education.
Ben, with his rural SLO perspective, was
involved in the Special Considerations
Committee and has been impressed
with the one mindedness of the group –
despite the diversity of personnel profile in
the committee.
In 2010 Ben also represented AOGP in
discussions with SA Country Health in
relation to the newly developed contracts
for doctors, and in the latter part of the
year has been an active participant in the
workshops being run by the Rural Doctors
Workforce Agency into the development
of a new rural training pathway model.
Roly has been actively involved with the
national GP Supervisors Liaison Network
and is currently chairing this group and
some of the associated subcommittees.
As part of this role he is also a member of
the National GP Supervisors Association
(NGPSA), the national organisation set up
to represent Supervisors.
Both Roly and Ben were involved in the
review of the AOGP Placement process
and the local Reference Committee with
regard to the AOGP implementation of
the delegated Training Post/Supervisor
accreditation model. Both of the SLOs
also provided input in to the newly
developed Business Modules and also
Dr Caroline Laurence and Linda Black’s
research regarding the financial costs
involved in training medical students,
interns and Registrars.
With an even clearer understanding of the
role and the opportunities therein, Ben
and Roly, as Supervisor representatives
look forward to what they can further
contribute in 2011.
Dr Ben Abbot and Dr Roly Vinci

Key Result Area 4
Leadership
AOGP is implementing a best practice
vertically integrated teaching framework
within the AOGP region that is reflective of
local needs.
Key Objective #6
Engaging stakeholder groups as and when
appropriate.
Practice Manager Liaison
Officers
Practice Manager Workshop
This year we had 38 attendees—13
rural and 25 urban and the program
had a major focus on reviewing and
experiencing ‘The Business of General
Practice’ modules. As Practice Managers
are likely to be involved with the delivery of
some units in the Modules, there was also
a workshop session on basic teaching
skills.
Ongoing support
The PMLOs have also continued to
provide ongoing support to Practice
Managers across the teaching practices.
PMLOs provide this support through
availability for phone discussions, network
opportunities and workshops. The main
focus of this ongoing support relates to
interpretation of Terms and Conditions of
Registrar training and has resulted in the
PMLOs being able to provide feedback
to AOGP and seek clarification. The
orientation of new teaching practices is
a priority with support provided either by
onsite visits or teleconference to 90%
of new teaching practices; providing
training in GPRime, advising on training
practice responsibilities, assistance with
paperwork and contract requirements.
PMLOs have also provided onsite visits
or teleconferences to new practice
managers as they join teaching practices.
Looking ahead to 2011
The PMLOs plan to conduct a needs
analysis to identify the type of support
and resources required by practices.
There will also be a big focus on the roll
out of ‘The Business of General Practice’
for Registrars and assisting practices to
deliver these education units as part of
their in-practice teaching program.
The Business of General Practice
The PMLOs Danny Haydon and Deb
Docking, have been very busy this year
with the completion and launch of ‘The
Business of General Practice’. This
in-practice teaching tool is designed to
provide Registrars with the fundamental
concepts of business, applied to the
private practice setting. The aim is to
assist their transition into independent
general practice as they seek to determine
the type of practice in which they wish
to work and enable them to make a
contribution to the management of their
practice.
The two modules comprising this tool
can be delivered at any stage of Registrar
training. Module 1 is targeted at GPT2
Registrars and Module 2 continues
into the GPT3 phase of training. GPT3
Registrars in particular will be starting
to think about their future as Fellowed
practitioners and Module 2 will enable
them to make informed decisions about
how they wish to be engaged in general
practice.
It is envisaged that ‘The Business of
General Practice’ will be a useful inpractice
teaching tool, delivered by
practice managers and/or Supervisors.
‘The Business of General Practice’
was presented at AOGP Supervisor
and Practice Manager workshops
during 2010 and the response has
been overwhelmingly positive. It was
also presented at the national RACGP
Conference and General Practice
Education and Training (GPET) Forum,
where it won the GPET Regional Training
Program Innovation Award 2010.
The next and most significant step is
to promote the teaching tool to the
Registrars and encourage them to access
the modules and learn more about the
business aspects of general practice.
Deb Docking and Danny Haydon
19

Research & Publishing
Key Result Area 5
Stakeholder Value
In collaboration with academic partners,
AOGP is increasing general practicerelated
academic research activity, and the
involvement of the AOGP community in
academic research and teaching.
AOGP is establishing constructive links
with federal and state government health
departments.
Key Objective #5
Expanding AOGP’s evidence-based
decision-making capacity, regarding GP
education, training and workforce issues.
Key Objective #6
Engaging stakeholder groups as and when
appropriate.
Reflecting on 2010, it has been a year that
has included the strategic development
of a research program for the long term
(Research Committee report) whilst
continuing to deliver high quality and
robust research activity that benefits the
whole organisation.
Held at the AOGP Education Weekend,
the panel was entitled ‘The Faces of
Research at AOGP’. It introduced the
AOGP research framework, launched
the Academic Skills Post handbook
and showcased AOGP Registrar and
Supervisor research. A highlight from the
panel was hearing from AOGP Supervisor
Dr Moni, about how he balances General
Practice and research in his day-to-day
practice. Feedback was extremely positive
and the Panel will continue to be a feature
of future Education Weekends.
Two Registrars in 2010 completed their
posts funded in 2009, and one new post
was funded in 2010. The Registrars
undertaking these posts were:
• Dr Kirsty Anderson, University of
Adelaide. Kirsty concluded her post
with attendance at the GPET research
workshop held in Alice Springs in
August 2010.
• Dr Kate Wylie, University of Adelaide
continued her teaching activity for
the remainder of 2010 through the
provision of SCAP training to 6th year
Medical Students.
• Dr Annie Lin, Flinders University. Her
research on smoking cessation has
been presented at the Public Health
Association Conference in Perth.
While the AOGP research team
continued its own work, it also supported
and provided expert advice to other teams
within the organisation. Some examples
and outcomes include:
• Dr Ben Abbot undertook a study
exploring the initial and ongoing
training available to Rural GP
Proceduralists.
• Completion of contract research
for WAGPET that replicated the
Sustainable Teaching in community
General Practice study in WA.
• AOGP, along with WAGPET,
RRQC and ACRRM formed the
industry partners, for a successful
ARC Linkage Grant with University
of Queensland, University of
Adelaide and Flinders University.
This 3-year study will research new
methodologies for increasing the
number of rural doctors in Australia.
Following a number of requests, AOGP
held a workshop on ‘How to write a
paper’, for Registrars, Supervisors and
staff. The success of the workshop will
see more workshops become part of the
AOGP calendar in the new year.
AOGP presented at several conferences
during 2010:
• PHC Research Conference, Darwin
• GPET Convention, Alice Springs
• GP10 Conference, Cairns
• 15th Prevocational Medical Education
Forum, Melbourne
Dr Caroline Laurence and Linda Black
were invited to present their work on the
costs and benefits of teaching to several
organisations in 2010:
• GPET Prevocational Training Policy
Advisory Committee, Adelaide, 25
February 2010
• General Practice Forum, GPSA, 19
March 2010
• National Supervisor Liaison Group
Meeting, GPET Alice Springs, 7th
September 2010
AOGP staff were successful in
publishing two articles based on research
undertaken at AOGP in peer-reviewed
journals in 2010. Details are shown
below:
‘To teach or not to teach?’ A cost-benefit
analysis of teaching in private practice.
Laurence CO, Black LE, Karnon K, Briggs NE.
Med J Aust 2010;193:608-613
‘Fostering Registrar research: a model to
overcome barriers.’
Elliott T, Laurence C, McCaul M. Aust Fam
Physician 2010;39(12)
20

GP Early Exposure & Recruitment
Key Result Area 2
Sustainable Community Benefits
AOGP has an over-subscription of
applicants for rural and urban pathway GP
training.
Sustainable Community Benefits –
Rural
AOGP is recruiting and retaining GP
registrars entering the rural training
pathway to its rural regions.
Key Objective #6
Engaging stakeholder groups as and when
appropriate.
Promoting General
Practice
AOGP continues to be active in
promoting Australian General Practice
Training by working with the General
Practice Student Network (GPSN),
the Going Places Network, and other
organisations including RDWA and
Universities. AOGP has continued to
drive and participate in tripartite efforts
in regional recruitment of interested
applicants for GP training. Again, this
has included mentoring, training activities
and direct exposure to General Practice
through hospital intern and RMO round
table discussions, medical students
presentations at both Flinders University
and the University of Adelaide, and
through PGPPP collaborations.
In October 2010, a focus group of key
stakeholders addressed the issues
surrounding online access to information
regarding General Practice training in
South Australia. This resulted in the
engagement of an external agency to
redesign the AOGP website for launch
early in 2011.
2011 Cohort Recruitment
The 2011 recruitment activity conducted
in 2010, was a resounding success. All
Rural and General Pathway positions
were filled at the completion of Round
3, When compared to recruitment of
the 2010 cohort, there was an overall
33% increase in Round 1 applicants
from 30 to 40 applicants, with a large
increase of 61.5% in Rural Pathway
applications from 13 to 21 applicants.
For the first time ever, AOGP saw an
oversubscription in applications for rural
pathway training positions,
Although there was a decline nationally in
the number of interns applying to AGPT,
at AOGP 30 % of applicants applied in
their intern year. 32.5 % of applicants
completed a PGPPP term. Over 50%
of our applicants were in PGY 1-2 and
we will continue to focus efforts targeting
this group through tripartite efforts
outlined above and the peer to peer
program- the Going Places Network.
2010 saw the expansion of the First Wave
Scholarship program. AOGP worked
in collaboration with Flinders University
and the University of Adelaide to recruit
and select First Wave Scholars. A large
number of applications was received for
the six clinical placement scholarships.
21

AOGP Graduates
Key Result Area 1
Competent and Confident GP
Registrars
AOGP’s GP graduates are deemed to
be competent and confident GPs against
evidence based benchmarks
Key Objective #2
Delivering RACGP and ACRRM college
training pathways effectively within the
AOGP region.
New Fellows of RACGP and ACRRM 2010
At the end of each year, we celebrates the AOGP Registars
who graduated from the Program during that year. In December
2010 we had the opportunity to extol 19 Registrars’ success
at a Board-hosted dinner, together with their partners, their
nominated ‘most influential’ Supervisor during their time in the
program, the AOGP staff involved in their training, and local
College personnel from RACGP and ACRRM. This event was
again very well received.
Congratulations to the graduates listed below with special
congratulations to Dr Adam Storey as the Justin Beilby Medal
winner for Semester 1 2010.
Dr Kirsty Anderson
Dr Heidi Arellano
Dr Dawit Berhe
Dr Stephen Davis
Dr Robert Douglas
Dr Jemma Elliott
Dr Meaghan Field
Dr Vishi Goonewardene
Dr Kali Hayward
Dr Stephen Hobson
Dr Azka Kajani
Dr Rizwan Kajani
Dr Mahliyo Khasanova
Dr Tonia Mezzini
Dr Stella Prescott
Dr Collette Richards
Dr Adam Storey
Dr Anthony Todd
Dr Kate Wylie
22

Financial Statements
for the year
ended 31 Decmeber 2010
23

Board report
The Board of Adelaide to Outback GP Training Program Incorporated submits the financial report for the year
ended 31 December 2010.
1. BOARD MEMBERS
The names of the Members of the Board in office at the date of this report are as follows:
Dr Peter Joyner (Chair)
Prof Justin Beilby
Ms Pamela Martin
Prof Nigel Stocks
Dr Mandy Ayres
Ms Linda Black
Dr Chris Holmwood (Deputy Chair)
Dr Scott Lewis
Dr Gerard Quigley
Dr Tony Cocchiaro
Dr Rebecca Morgan
2. PRINCIPAL ACTIVITIES
The principal activities of Adelaide to Outback GP Training Program Incorporated in the course of the financial
year were to provide high quality training and education in urban and rural areas for GP Registrars. Its secondary
activities were the ongoing delivery and expansion of the Prevocational GP Placement Program in rural and urban
areas for allocated Intern and RMO doctors; and the provision of IMG fellowship support to identified rural based
IMG doctors.
3. SIGNIFICANT CHANGES
During the year there were no significant changes in the nature of the activities of the Association.
4. OPERATING RESULT
The amount of operating deficit was $352,658 (2009: Deficit $101,867).
5. MATTERS SUBSEQUENT TO THE END OF THE FINANCIAL YEAR
No matter or circumstance has arisen since the end of the financial year that has significantly affected or may
significantly affect the operations of the Association, the results of those operations or the state of affairs of the
Association in the subsequent financial year.
6. OFFICERS AND AUDITORS INDEMNIFICATION
Adelaide to Outback GP Training Program Incorporated has not, during or since the financial year, in respect of
any person who is or has been an officer or auditor of Adelaide to Outback GP Training Program Incorporated or
a related body corporate:
- indemnified or made any relevant agreement for indemnifying against a liability incurred as an officer, including
costs and expenses in successfully defending legal proceedings; or
- paid or agreed to pay a premium in respect of a contract insuring against a liability incurred as an officer for
the costs or expenses to defend legal proceedings; with the exception of the following matter.
During or since the financial year Adelaide to Outback GP Training Program Incorporated paid a premium of
$348 (2009: $282) to insure all officers against liabilities for costs and expenses incurred by them in defending
any legal proceedings arising out of their conduct while acting in capacity of officer, other than conduct involving
wilful breach of duty. A further premium of $2,565 (2009: $1,863) was paid to ensure that AOGP is covered
against any claims made against the organisation in the conduct of its work against its three major contracts.
26

7. BOARD OFFICERS’ BENEFITS
In accordance with section 35(5) of the Associations Incorporation Act, (SA) 1985, the Board of Adelaide to
Outback GP Training Program Incorporated hereby states that during the financial year ended 31 December 2010:
(a) (1) no officer of Adelaide to Outback GP Training Program Incorporated;
(2) no firm of which the Board Director is a member; and
(3) no body corporate in which the Board Director has a substantial financial interest,
has received or become entitled to receive a benefit as a result of a contract between the Board Director, firm
or body corporate and Adelaide to Outback GP Training Program Incorporated except for the following:
Compensation received by way of an annual stipend to Board Directors in conducting their duties where the
board director is not a State or Commonwealth government employee nor an employee of the Association.
The Chair, Finance Director and Deputy Chair receive a slightly higher annual stipend as office bearers within
the Board.
Payments made to the Board Directors were as follows:
2010
$
2009
$
Dr Peter Joyner (Chair)
23,425 12,000
Re-appointed 29 November 2009
Dr Chris Holmwood (Dep Chair)
3,500 6,000
Re-appointed 30 April 2009
Dr Mandy Ayres
3,500 -
Appointed 26 November 2009
Prof Justin Beilby
3,500 3,000
Re-appointed 1 June 2008
Dr Tony Cocchiaro
3,500 -
Appointed 26 November 2009
Dr Scott Lewis
3,795 3,470
Re-appointed 29 November 2009
Ms Pamela Martin
- -
Re-appointed 29 October 2009
Dr Rebecca Morgan
3,500
Appointed 11 March 2010
Dr Gerard Quigley
4,545 3,301
Appointed 5 September 2007
Prof Nigel Stocks
3,500 3,000
Re-appointed 31 August 2009
Ms Linda Black (non-voting
Re-appointed 1 March 2009
- -
(b) no Board Director of Adelaide to Outback GP Training Program Incorporated has received directly or
indirectly from Adelaide to Outback GP Training Program Incorporated any payment or other benefit of a
pecuniary value except as disclosed in Note 12 of the financial statements.
Signed in accordance with a resolution of the Board.
CHAIR
BOARD MEMBER
Adelaide
Dated this 10th day of March 2011.
27

Statement of comprehensive income
for the year ended 31 December 2010
Note 2010
$
Revenue 2 7,885,354 6,822,038
Employee Benefit Expense 3a (2,710,761) (2,534,016)
Depreciation and Amortisation Expense 3b (188,805) (217,563)
Education Costs 3c (3,875,361) (3,486,237)
Other Operating Expenses 3d (757,770) (686,088)
2009
$
Surplus/(Deficit) Before Income Tax 3 352,658 (101,867)
Income Tax Expense 1a - -
Surplus/(Deficit) For The Year 352,658 (101,867)
Total Comprehensive Income 352,658 (101,867)
The above Statement of Comprehensive Income should be read in conjunction with the accompanying notes.
28

Statement of financial position
as at 31 December 2010
Assets Note 2010
$
2009
$
CURRENT ASSETS
Cash and Cash Equivalents 6 1,165,119 1,667,717
Trade and other receivables 7 58,137 202,428
TOTAL CURRENT ASSETS 1,223,256 1,870,145
NON-CURRENT ASSETS
Property, Plant and Equipment 8 427,100 487,918
TOTAL NON-CURRENT ASSETS 427,100 487,918
TOTAL ASSETS 1,650,356 2,358,063
CURRENT LIABILITIES
Trade and Other Payables 9 1,055,785 2,116,150
TOTAL CURRENT LIABILITIES 1,055,785 2,116,150
TOTAL LIABILITIES 1,055,785 2,116,150
NET ASSETS 594,570 241,912
EQUITY
Retained Surplus 594,570 241,912
TOTAL EQUITY 594,570 241,912
The above Statement of Financial Position should be read in conjunction with the accompanying notes.
29

Statement of changes in equity
for the year ended 31 December 2010
Retained
Surplus
$
Balance at 1 January 2009 343,779 343,779
Total
$
Deficit for the year (101,867 ) (101,867 )
Other comprehensive income - -
Total comprehensive income (101,867 ) (101,867 )
Balance at 31 December 2009 241,912 241,912
Surplus for the year 352,658 352,658
Other comprehensive income - -
Total comprehensive income 352,658 352,658
Balance at 31 December 2010 594,570 594,570
The above Statement of Changes in Equity should be read in conjunction with the accompanying notes.
30

Statement of Cash Flows
for the year ended December 31 2010
Note 2010
$
2009
$
CASH FLOWS FROM OPERATING ACTIVITIES
Grant receipts (including GST) 8,728,042 7,700,702
Payments to suppliers and employees (including GST) (9,197,712) (7,935,499)
Interest received 95,059 58,898
Net cash (used in) / provided by operating activities 13 (374,611) (175,899)
CASH FLOWS FROM INVESTING ACTIVITIES
Purchase of property, plant and equipment (127,987) (324,604)
Net cash (used in) investing activities (127,987) (324,604)
Net decrease in cash and cash equivalents (502,598) (500,503)
Cash and cash equivalents at beginning of financial year 1,667,717 2,168,220
Cash and cash equivalents at end of financial year 6 1,165,119 1,667,717
The above Statement of Cash Flows should be read in conjunction with the accompanying notes.
31

Notes to the financial statements
for the year ended December 31 2010
This financial report covers Adelaide to Outback GP Training Program Incorporated (the ‘Association’) as an
individual association. The Association is incorporated under the Associations Incorporations Act (SA) 1985.
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES
Basis of Preparation
The financial report is a general purpose financial report that has been prepared in accordance with Australian
Accounting Standards, Australian Accounting Interpretations and the Associations Incorporation Act (SA) 1985.
Australian Accounting Standards set out accounting policies that the Australian Accounting Standards Board has
concluded would result in a financial report containing relevant and reliable information about transactions, events
and conditions to which they apply. Australian Accounting Standards include Australian equivalents to International
Financial Reporting Standards (AIFRS).Material accounting policies adopted in the preparation of this financial
report are presented below and have been consistently applied unless otherwise stated.
The financial report has been prepared on an accruals basis and is based on historical costs, modified, where
applicable, by the measurement at fair value of selected non-current assets, financial assets and financial liabilities.
The financial information has been presented in Australian Dollars ($) rounded to the nearest dollar.
a. Income Tax
The Association is exempt from income tax under the provisions of Section 50.5 of the Income Tax
Assessment Act 1997.
b. Property, Plant and Equipment
Each class of property, plant and equipment is carried at cost less, where applicable, any accumulated
depreciation and impairment losses.
Plant and equipment
Plant and equipment are measured on the cost basis less depreciation and impairment losses.
The carrying amount of plant and equipment is reviewed annually by directors to ensure it is not in excess of
the recoverable amount from these assets. The recoverable amount is assessed on the basis of replacement
cost.
Costs are included in the asset’s carrying amount or recognised as a separate asset, as appropriate, only
when it is probable that future economic benefits associated with the item will flow to the Association and the
cost of the item can be measured reliably. All other repairs and maintenance are charged to the statement of
comprehensive income during the financial period in which they are incurred.
Depreciation
The depreciable amount of all fixed assets, is depreciated on a straight-line basis over the asset’s useful life
commencing from the time the asset is held ready for use. Leasehold improvements are depreciated over the
shorter of either the unexpired period of the lease or the estimated useful life of the improvements.
33

Notes to the financial statements (continued)
for the year ended December 31 2010
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
b. Property, Plant and Equipment (continued)
The depreciation rates used for each class of depreciable assets are:
Class of Fixed Asset Depreciation Rate
Plant and equipment 20%
Office furniture and fittings 14.3-33.3%
Computers 33.3%
Leasehold improvements 14.3-50%
The assets’ residual values and useful lives are reviewed and adjusted, if appropriate, at the end of each
reporting period.
An asset’s carrying amount is written down immediately to its recoverable amount if the asset’s carrying
amount is greater than its estimated recoverable amount.
Gains and losses on disposals are determined by comparing proceeds with the carrying amount. These gains
and losses are included in the statement of comprehensive income.
c. Leases
Operating Leases
Lease payments for operating leases, where substantially all the risks and benefits remain with the lessor, are
charged as expenses on a straight-line basis over the lease term.
Lease incentives under operating leases are recognised as a liability and amortised on a straight-line basis
over the life of the lease term.
d. Financial Instruments
Initial recognition and measurement
Financial assets and financial liabilities are recognised when the Association becomes a party to the
contractual provisions to the instrument. For financial assets, this is equivalent to the date that the Association
commits itself to either purchase or sell the asset. Financial instruments are initially measured at fair value plus
transaction costs except where the instrument is classified ‘at fair value through profit or loss’ in which case
transaction costs are expensed to the statement of comprehensive income immediately. The Association’s
financial instruments are mainly cash and cash equivalents, receivables and payables.
Classification and subsequent measurement
Financial instruments are subsequently measured at either fair value, amortised cost using the effective interest
rate method or cost. Fair value represents the amount for which an asset could be exchanged or a liability
settled, between knowledgeable, willing parties. Where available, quoted prices in an active market are used
to determine fair value. In other circumstances, valuation techniques are adopted. Amortised cost is calculated
as: (i) the amount at which the financial asset or financial liability is measured at initial recognition; (ii) less
principal repayments; (iii) plus or minus the cumulative amortisation of the difference, if any, between the
amount initially recognised and the maturity amount calculated using the effective interest method; and (iv) less
any reduction for impairment.
34

Notes to the financial statements (continued)
for the year ended December 31 2010
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
d. Financial Instruments (cont)
(i) Financial assets at fair value through profit or loss
Financial assets are classified at ‘fair value through profit or loss’ when they are held for trading for the purpose
of short-term profit taking. Such assets are subsequently measured at fair value with changes in carrying value
being included in profit or loss. The Association has not held any financial assets at fair value through profit or
loss in the current or comparative financial year.
(ii) Loans and receivables
Loans and receivables are non-derivative financial assets with fixed or determinable payments that are not
quoted in an active market and are subsequently measured at amortised cost.
(iii) Held-to-maturity investments
Held-to-maturity investments are non-derivative financial assets that have fixed maturities and fixed or
determinable payments, and it is the Association’s intention to hold these investments to maturity. They are
subsequently measured at amortised cost using the effective interest rate method.
The Association has not held any held-to-maturity investments in the current or comparative financial year.
(iv) Available-for-sale financial assets
Available-for-sale financial assets are non-derivative financial assets that are either not capable of being
classified into other categories of financial assets due to their nature, or they are designated as such by
management. They comprise investments in the equity of other entities where there is neither a fixed maturity
nor fixed or determinable payments.
(v) Financial liabilities
Non-derivative financial liabilities (excluding financial guarantees) are subsequently measured at amortised
cost.
Impairment of financial instruments
At the end of each reporting period, the Association assesses whether there is objective evidence that a
financial instrument has been impaired. Impairment losses are recognised in the statement of comprehensive
income.
Derecognition
Financial assets are derecognised where the contractual right to receipt of cash flows expires or the asset
is transferred to another party whereby the Association no longer has any significant continuing involvement
in the risks and benefits associated with the asset. Financial liabilities are derecognised where the related
obligations are either discharged, cancelled or expire. The difference between the carrying value of the
financial liability extinguished or transferred to another party and the fair value of consideration paid, including
the transfer of non-cash assets or liabilities assumed, is recognised in the statement of comprehensive
income.
35

Notes to the financial statements (continued)
for the year ended December 31 2010
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
e. Impairment of Assets
At the end of each reporting period, the Association reviews the carrying values of its tangible assets to
determine whether there is any indication that those assets have been impaired. If such an indication exists, the
recoverable amount of the asset, being the higher of the asset’s fair value less costs to sell and replacement
cost, is compared to the asset’s carrying value. Any excess of the asset’s carrying value over its recoverable
amount is expensed to the statement of comprehensive income.
f. Employee Benefits
Provision is not made for the Association’s liability for employee entitlements arising from services rendered by
employees to the end of the reporting period.
The Association, at each payroll period, makes payments to the University of Adelaide comprising payment for
annual leave and long service leave oncosts.
When an employee takes their leave entitlements it is the responsibility of the University of Adelaide to assume
this liability.
g. Cash and Cash Equivalents
Cash and cash equivalents include cash on hand, deposits held at-call with banks, other short-term highly
liquid investments with original maturities of three months or less.
h. Revenue and Other Income
Government and other grants and other funding are brought to account as income by the Association to
reflect the extent to which the Association has control of the funding and it is probable that the economic
benefits will flow to the entity.
An element of funding received by the Association is recognised as income in advance until a defined
timetable to provide structured training is completed.
Interest revenue is recognised using the effective interest rate method, which, for floating rate financial assets
is the rate inherent in the instrument. Dividend revenue is recognised when the right to receive a dividend has
been established.
All revenue is stated net of the amount of goods and services tax (GST).
36

Notes to the financial statements (continued)
for the year ended December 31 2010
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
i. Goods and Services Tax (GST)
Revenues, expenses and assets are recognised net of the amount of GST, except where the amount of
GST incurred is not recoverable from the Tax Office. In these circumstances the GST is recognised as part
of the cost of acquisition of the asset or as part of an item of the expense. Receivables and payables in the
Statement of Financial Position are shown inclusive of GST.
Cash flows are presented in the cash flow statement on a gross basis, except for the GST components of
investing and financing activities, which are disclosed as operating cash flows.
j. Comparative Figures
When required by Accounting Standards, comparative figures have been adjusted to conform to changes in
presentation for the current financial year.
k. Key Judgments and Estimates
The Association evaluates estimates and judgments incorporated into the financial report based on
historical knowledge and best available current information. Estimates assume a reasonable expectation of
future events and are based on current trends and economic data, obtained both externally and within the
Association.
l. Accounting Standards Issued But Not Yet Effective
Certain new accounting standards and interpretations have been published that are not mandatory for
31 December 2010 reporting periods. The Association’s assessment is that these new standards and
interpretations will have no material impact on future financial statements.
37

Notes to the financial statements (continued)
for the year ended December 31 2010
2010
$
2009
$
NOTE 2: REVENUE AND OTHER INCOME
Revenue:
AGPT Grant 4,585,856 4,625,560
Specific Project Funds 2,501,902 1,904,762
Reinvestment of extinguished program funding 622,519 191,477
7,710,278 6,721,798
Other revenue:
Interest received 95,059 58,898
Others 80,017 41,341
175,076 100,239
Total revenue 7,885,354 6,822,038
NOTE 3: EXPENDITURE
Surplus/(Deficit) has been determined after the following
expenses:
a) Employee benefits expense
Education related 2,389,492 2,271,245
Administrative related 321,269 262,771
2,710,761 2,534,016
b) Depreciation and amortisation expense
Depreciation of property, plant and equipment 188,805 142,254
Write-down of property, plant and equipment - 75,309
188,805 217,563
c) Education costs 3,875,361 3,486,237
d) Other operating expenses 757,770 686,088
Total Expenses 7,532,696 6,923,904
38

Notes to the financial statements (continued)
for the year ended December 31 2010
2010
$
2009
$
NOTE 4: KEY MANAGEMENT PERSONNEL COMPENSATION
Short-term benefit 676,588 750,652
Other benefits - -
Total compensation 676,588 750,652
NOTE 5: AUDITORS’ REMUNERATION
Remuneration of the auditor of the association for:
Auditing and reviewing the financial report 8,000 11,000
NOTE 6: CASH AND CASH EQUIVALENTS
Cash at bank and in hand 1,165,119 1,667,717
NOTE 7: TRADE AND OTHER RECEIVABLES
Current
Trade receivables 45,445 110,928
Net GST receivable - 75,158
Prepayments 12,692 16,342
Total current receivables 58,137 202,428
Trade receivables are non-interest bearing receivable amounts mainly receivable on Grants. A provision
for impairment is only recognised against such receivables where there is objective evidence that an
individual receivable amount is impaired. No impairment was required at 31 December 2010 (2009: Nil).
Trade and other receivables are considered as Financial assets classified under the classification “Loans
and Receivables”.
Credit risk
There is no main source of credit risk to the entity that is considered significant. Accordingly, the entity
has no significant concentration of credit risk with respect to any single counterparty or group of
counterparties.
Also, the entity does not hold any receivables whose terms have been renegotiated, but which would
otherwise be past due or impaired
Collateral held as security
No collateral is held as security for any of the receivable balances.
39

Notes to the financial statements (continued)
for the year ended December 31 2010
2010
$
2009
$
NOTE 8: PROPERTY, PLANT AND EQUIPMENT
Plant and equipment:
At cost 470,860 397,451
Accumulated depreciation (377,460) (298,946)
93,399 98,505
Office furniture and fittings:
At cost 209,442 166,344
Accumulated depreciation (110,646 ) (77,343 )
98,796 89,001
Computers:
At cost 423,324 404,145
Accumulated depreciation (342,379) (299,334)
80,945 104,811
Leasehold improvements:
At cost 407,030 414,730
Accumulated depreciation (253,070) (219,129)
153,960 195,601
Total property, plant and equipment 427,100 487,918
Movements in carrying amounts
Movement in the carrying amounts for each class of property, plant and equipment between the
beginning and the end of the current financial year:
Plant and
Equipment
Office
Furniture
and Fittings Computers
Leasehold
Improvements
Total
$ $ $ $ $
Balance at 1 January 2009 131,536 19,021 24,614 195,874 371,045
Additions 11,251 92,912 102,968 117,473 324,604
Depreciation expense (44,283) (22,932) (22,770) (117,747) (207,731)
Balance at the beginning of year 98,505 89,001 104,811 195,600 487,918
Additions 73,409 43,099 19,179 (7,700) 127,986
Depreciation expense (78,513) (33,304) (43,045) (33,942) (188,804)
Carrying amount at the end of year 93,399 98,769 80,945 153,959 427,100
40

Notes to the financial statements (continued)
for the year ended December 31 2010
2010
$
2009
$
NOTE 9: TRADE AND OTHER PAYABLES
Current
Trade payables and accruals 857,479 1,609,789
Other creditors 35,529 33,500
Net GST payable 44,225 -
Income in advance 118,552 472,861
1,055,785 2,116,150
All above liabilities are unsecured.
NOTE 10: COMMITMENTS
Operating Lease Commitments
This lease is in relation to the lease for the buidling from which the
business operates from.
Non-cancellable operating leases contracted for but not provided for
in the financial statements
Payable;
—not later than 12 months 143,476 143,418
—between 12 months and 5 years 155,432 430,254
—greater than 5 years - -
298,908 573,672
NOTE 11: EVENTS AFTER THE BALANCE SHEET DATE
There were no significant events after the end of the reporting period.
41

Notes to the financial statements (continued)
for the year ended December 31 2010
NOTE 12: RELATED PARTY TRANSACTIONS
Transactions with Other Related Parties
2010
$
2009
$
Board Directors who are also AOGP Supervisors are entitled to
payments to their practices for Practice Reimbursement, Teaching
Allowances and Supervisor Upskilling reimbursement detailed as
follows:
Cummins Medical Centre (Dr Gerard Quigley) 22,286 37,096
Mannum Medical Associates (Dr Peter Joyner) 15,762 64,905
Midwest Health (Dr Tony Cocchiaro) 14,062 -
Victoria Road Medical Centre (Dr Steve Holmes) - 4,903
52,110 106,904
Key Management Personnel Compensation
Key Management Personnel Compensation is as disclosed in Note 4 to these financial statements.
NOTE 13: CASH FLOW INFORMATION
Reconciliation of Cash Flow from Operations with Surplus/(Deficit) for
the year
Surplus/(Deficit) for the year 352,658 (101,867)
Cash flows excluded from Surplus/(Deficit) for the year from operating
activities
Non-cash items:
depreciation and write down of value 188,805 217,563
Changes in assets and liabilities:
decrease/(increase) in trade and other receivables 144,291 247,639
(decrease)/increase in trade and other payables (1,060,365) (539,236)
Net cash (used in) / provided by operating activities (374,611) (175,901)
The association has no credit stand-by financing facilities in place.
There were no non-cash financing or investing activities during the period.
42

Notes to the financial statements (continued)
for the year ended December 31 2010
NOTE 14: FINANCIAL RISK MANAGEMENT
The association’s financial instruments consist mainly of
cash, receivables and payables.
The totals for each category of financial instruments,
measured in accordance with AASB 139 as detailed in
the accounting policies to these financial statements,
are as follows:
Note 2010
$
2009
$
Financial assets
Cash and cash equivalents 6 1,165,119 1,667,717
Trade and other receivables 7 58,137 202,428
Financial liabilities
Trade and other payables 9 1,055,785 2,116,150
Financial Risk Management Policies
The association’s directors are responsible for, among other issues, monitoring and managing financial
risk exposures of the association. The directors monitor the association’s transactions and reviews the
effectiveness of controls relating to credit risk, liquidity risk, and interest rate risk. There is no significant
risks perceived in terms of pricing risk and foreign currency risk. Discussions on monitoring and managing
financial risk exposures are held quarterly and minuted by the board of directors. The directors overall risk
management strategy seeks to ensure that the association meets its financial targets, whilst minimising
potential adverse effects of cash flow shortfalls.
Specific Financial Risk Exposures and Management
The main risks the association is exposed to through its financial instruments are interest rate risk, liquidity
risk and credit risk.
(a) Interest rate risk
The association is exposed to interest rate risk since cash balances are maintained at variable rates.
Receivables and payables of the association are non-interest bearing. Please refer Note 14 (b) for further
analysis.
43

Notes to the financial statements (continued)
for the year ended December 31 2010
NOTE 14: FINANCIAL RISK MANAGEMENT (CONTINUED)
(b) Liquidity risk
Liquidity risk arises from the possibility that the association might encounter difficulty in settling its debts
or otherwise meeting its obligations related to financial liabilities. The association manages this risk
through the following mechanisms:
• preparing forward-looking cash flow analysis in relation to its operational, investing and financing
activities;
• only investing surplus cash with major financial institutions; and
• proactively monitoring the recovery of receivables.
The tables below in Note 14 (a) reflects an undiscounted contractual maturity analysis for financial
liabilities.
Cash flows realised from financial assets reflect management’s expectation as to the timing of realisation.
Actual timing may therefore differ from that disclosed. The timing of cash flows presented in the table to
settle finance leases reflect the earliest contractual settlement dates.
(c) Credit risk
Credit risk faced by the association is not considered significant as also discussed in Note 7.
44

Notes to the financial statements (continued)
for the year ended December 31 2010
NOTE 14 (a): FINANCIAL LIABILITY AND
FINANCIAL ASSETS MATURITY ANALYSIS
2010
$
Within 1 Year 1 to 5 Years Over 5 Years Total
2009
$
Financial liabilities due for payment
Trade and other payables 1,055,785 2,116,150 - - - - 1,055,785 2,116,150
Total contractual outflows 1,055,785 2,116,150 - - - - 1,055,785 2,116,150
2010
$
2009
$
2010
$
2009
$
2010
$
2009
$
Total expected outflows 1,055,785 2,116,150 - - - - 1,055,785 2,116,150
Financial assets — cash flows realisable
Cash and cash equivalents 1,165,119 1,667,717 - - - - 1,165,119 1,667,717
Trade and other receivables 58,137 202,428 - - - - 58,137 202,428
Total anticipated inflows 1,223,256 1,870,145 - - - - 1,223,256 1,870,145
Net (outflow)/inflow on financial instruments 1,223,256 1,870,145 - - - - 1,223,256 1,870,145
2010
$
Fixed
Interest
2009
$
Variable Interest Non-interest Bearing Total
2010
$
NOTE 14 (b): INTEREST RATE ANALYSIS
Financial liabilities
Trade and other payables - - - - 1,055,785 2,116,150 1,055,785 2,116,150
Total - - - - 1,055,785 2,116,150 1,055,785 2,116,150
2009
$
2010
$
2009
$
2010
$
2009
$
Financial assets
Cash and cash equivalents - - 1,165,119 1,667,717 - - 1,165,119 1,667,717
Trade and other receivables - - - - 58,137 202,428 58,137 202,428
Total - - 1,165,119 1,667,717 58,137 202,428 1,223,256 1,870,145
45

Notes to the financial statements (continued)
for the year ended December 31 2009
NOTE 14 (c): NET FAIR VALUES
Fair value estimation
The fair values of financial assets and financial liabilities are presented in the following table and can be
compared to their carrying values as presented in the Statement of Financial Position. Fair values are
those amounts at which an asset could be exchanged, or a liability settled, between knowledgeable,
willing parties in an arm’s length transaction. Areas of judgment and the assumptions used have been
detailed below. Where possible, valuation information used to calculate fair value is extracted from the
market, with more reliable information available from markets that are actively traded.
Cash and cash equivalents, receivables and payables are short term instruments in nature whose carrying
values are approximately equivalent to their fair values.
Carrying Value
$
Net Fair Value
$
2010 2009
Carrying Value
$
Net Fair Value
$
Financial assets
Cash and cash equivalents 1,165,119 1,165,119 1,667,717 1,667,717
Trade and other Receivables 58,137 58,137 202,428 202,428
Total financial assets 1,223,256 1,223,256 1,870,145 1,870,145
Financial liabilities
Trade and other payables 1,055,785 1,055,785 2,116,150 2,116,150
Total financial liabilities 1,055,785 1,055,785 2,116,150 2,116,150
NOTE 14 (d): SENSITIVITY ANALYSIS
The Board considers that the only material risk arises in terms of interest rates, and if the interest rates
increase/decrease by +/- 1% (i.e. 100 basis points) the effect to surplus/deficit is estimated to be
$11,651 (2009: $16,677).
NOTE 14 (e): FINANCIAL ASSETS PLEDGED AS COLLATERAL
No financial assets have been pledged as security for any financial liability
NOTE 15: ASSOCIATION DETAILS
The registered office of the association is:
Adelaide to Outback GP Training Program Inc
183 Melbourne Street
North Adelaide SA 5006
The principal place of business is:
Adelaide to Outback GP Training Program Inc
183 Melbourne Street
North Adelaide SA 5006
46

Statement by the Board
In the opinion of the Board the financial report comprising the Statement of Comprehensive Income, Statement
of Financial Position, Statement of Changes in Equity, Statement of Cash Flows and Notes to and forming part of
the financial report:
1. Presents fairly the financial position of Adelaide to Outback GP Training Program Incorporated as at
31 December 2010 and its performance for the year ended on that date in accordance with Australian
Accounting Standards, mandatory professional reporting requirements and other authoritative
pronouncements of the Australian Accounting Standards Board.
2. At the date of this statement, there are reasonable grounds to believe that Adelaide to Outback GP Training
Program Incorporated will be able to pay its debts as and when they fall due.
This statement is made in accordance with a resolution of the Board and is signed for and on behalf of the Board
by:
CHAIR
BOARD MEMBER
Adelaide
Dated this 10th day of March 2011.
47

Lower Level
183 Melbourne Street
North Adelaide
South Australia 5006
Tel +618 8366 3100
Fax +618 8361 8967
enquiries@adelaidetooutback.com.au
www.adelaidetooutback.com.au