Australia’s Rural Doctor Shortage

Admissions

26/10/23

In rural Australia, access to medical services remains a significant challenge. According to the Australian Institute of Health and Welfare:

  • Approximately 20% of Australians in remote areas don’t have GP services nearby.
  • Almost 60% of Australia’s rural population don't have access to specialists in their region.

Consequences of reduced access to health care in rural communities include fewer cancer screenings and more potentially preventable hospitalisations. In 2021, people living in remote areas had a mortality rate 1.2 times as high when compared to all of Australia.

Additionally, the proportion of Indigenous people in rural areas is much higher (32% compared to 1.8% in major cities). Indigenous Australians on average have lower life expectancy, increased disease risks, and a higher likelihood of hospitalisation.

The COVID-19 pandemic has further highlighted the importance of health services in rural and remote communities. For example, COVID-19 can impact people with chronic conditions more. These long term illnesses are more prevalent in rural and remote regions.

The shortage of doctors negatively impacts the quality of care, wellbeing, and life expectancy in the rural Australian population. 

Why do many doctors avoid rural regions?

A doctor in metropolitan area

Doctors who train in Australia mostly come from a metropolitan background and are accustomed to the city lifestyle. Even with financial incentives, many are reluctant to go rural as their family, friends and social networks are in metropolitan areas.

A survey by the Australian Medical Association found that lack of staffing, level of responsibility, and poor infrastructure deter doctors from working in rural and remote regions.

Incentives for doctors to work in rural areas

The Australian government runs several programs to boost the number of doctors working in rural areas, thereby improving access to these health professionals:

Why become a rural doctor?

There are a number of benefits that a career in rural medicine can offer, such as:

  • Diverse training and experiences – there’s a wide range of opportunities to develop your skill set and broaden your experiences. These include mentoring, training programs, and personalised career support.   
  • Connecting with local communities – you’ll get to improve health and wellbeing in culturally diverse, close-knit and welcoming communities like Aboriginal and Torres Strait Islander populations.
  • Higher earning potential – rural doctors are in high demand so these positions tend to be better paid. The lower cost of living in remote areas means you can save more too.

What are the most recent developments in rural health in Australia?

A person in a rural area in Australia

Exposure to rural practice during medical training increases the chances of medical graduates working in rural areas

In 2018, the Australian government launched the Murray-Darling Medical Schools Network. It comprises seven universities from New South Wales and Victoria which aim to immerse medical students in extensive rural clinical experience.

What do I need to know about rural medicine for my medical school interview?

The rural doctor shortage may come up during your medical school interview. It’s important for aspiring medical students to have an understanding of the issue, especially when applying to schools that have a strong emphasis on rural medicine (University of New England, Charles Sturt University and James Cook University).

Understand the reasons behind the shortage, its consequences, and the government's efforts to address it. Be prepared to discuss your willingness to work in rural areas and how this aligns with your strengths and weaknesses. A rural medical career offers greater autonomy, a supportive community, financial incentives, and opportunities for further training.

Rurality and medical school admissions

A smiling doctor

If you are from a rural area, check if you are eligible:

  • To apply for a rural entry stream, which has a lower entry requirement
  • For rural adjustment points that improve your selection rank
  • To apply for any scholarships specifically for rural students

Different universities use different criteria to determine your rurality (e.g. ASGC-RA and RRMA), so check with each university that you apply to. 

You can apply for the Bonded Medical Place (BMP) scheme even if you’re not from a rural area. The government helps pay for your education, and in return, you’ll work in rural areas for a few years after you graduate. This is called the Return of Service Obligation.

How can I find out more about rural health?

Medify – widening access to medical schools

Medify is committed to widening access to medicine. 

Our UCAT ANZ Online Course is accessible 24/7 with various budget-friendly payment options starting from just $35. It provides 20,000+ questions, 24 mocks, 40+ mini-mocks and 50+ hours of video tutorials. 

What should I do one month before my UCAT?

Graphic of calendar showing one month left

Keep practising! A month sounds like a long time, but time will quickly vanish. Set SMART  (Specific, Measurable, Achievable, Realistic, and Timely) goals such as reaching a certain score by a certain date or time. 

Niche down even further on your weaknesses – by this stage you should just be focusing on what you find hardest. Make sure you factor in breaks and days off into your schedule, as well as any important events which you need to attend.

Read the 'Good medical practice' by the Medical Board of Australia if you haven’t already. It will inform you about the different duties of healthcare professionals and how they should respond to different scenarios, which is essential for the Situational Judgement Test section of the UCAT.

Try Medify's Skills Trainers, such as inference scanning for Verbal Reasoning, to maximise your score (these are included in our UCAT ANZ Online Course). Make sure you've also completed plenty of UCAT practice tests.

The UCAT exam is two hours with no breaks in between, so practise at least two hours each time to build your mental stamina. You should also simulate the exam environment as closely as possible – this means treating every mock test as if it were a real one. 

For instance, you should sit mock exams at the same time of the day as your actual UCAT exam and ensure there are no distractions. By mirroring the test conditions, not only will it prepare you for what to expect on test day, it should also help to decrease any anxiety leading up to the exam. Otherwise, your brain has to process the ‘new’ way of completing the test.

What should I do one week before my UCAT?

Graphic of calendar showing one week left

At this point, you'll know the format of the exam inside out and will have practised the questions enough times to get used to UCAT timings. Don’t give up – keep preparing in an environment where you cannot be interrupted.

Remember, a lot of your preparation will have been done in the weeks and months before this final week, so be careful not to overdo it and become too fatigued. Your motivation may drop or you might ‘peak’ before the test. Your body needs rest too. 

Now is a great time to introduce or increase self-care in your regime. Whether it’s watching Netflix, gaming, or just running a bath, it’s important to detach yourself from UCAT revision from time to time to avoid the risk of burnout.

In this week you should also prioritise your nutrition and sleep. Eat well, do not miss meals and keep hydrated. Make sure you get a good night’s sleep in the days before the test by avoiding late night cramming or staying awake into the early hours.

If it puts your mind at rest, you can check last year’s UCAT scores, but remember that this is all about your personal journey and performance, so don't get hung up on that information!

What should I do one day before my UCAT?

Graphic of calendar showing one day left

We do not advise doing a mock this close to the exam. Revision won't help you much at this stage and can actually leave you worse off. Instead, use this time to wind down and get yourself into a relaxed state. This will enable you to perform at your best on test day.

Try to get to bed early and avoid things that can affect sleep, such as looking at your phone before bed. If you think that you will struggle to sleep on time, you could try doing some exercise during the day to tire yourself out. 

Exercise can boost your brainpower by oxygenating your brain, helping you learn and aid sleep. Plus, activity makes your body release endorphins, which can reduce anxiety and stress levels.

Make sure you double check your UCAT test centre information, the travel route to the test centre, the time of your UCAT exam, and so on, so you’re well prepared for test day. If someone else is giving you a ride to the test centre, it’s worth reminding them.

What should I do on the day of my UCAT?

Graphic of calendar circling today's date

You should start the day off with a nutritious breakfast and give yourself enough time to arrive early to the test centre to avoid feeling flustered, rushed or stressed.

Remember that buses and trains can be late and that traffic may be heavier than you had hoped, so allow extra time whichever way you are travelling. Find out how to choose a UCAT test centre.

Make sure you know how to get to the test centre – for instance you could consider taking a map with you. If you’re using your phone for directions, make sure it’s sufficiently charged and that you have spare data (otherwise you can download the map ahead of time to use offline).

On test day you will be expected to arrive 30 minutes before your scheduled test time to complete the check-in process.

You need to bring:

  • Your test confirmation email
  • Photographic ID from the approved list

When you arrive at the test centre, it’s likely that you’ll be experiencing a heightened sense of adrenaline. his is completely normal, but it could be helpful to learn some strategies for adopting a winning mindset on test day to reduce your stress levels, and enable you to perform at your best. For instance, you could focus on your breathing to help you relax.

Don’t forget, during your test there are one minute introductions between each subtest. You can skip these, but we recommend using the time to mentally refresh yourself.

If you’ve stuck to your revision plan, and followed our advice above, the best thing you can do on test day is to try and keep as calm as possible. Take solace in the fact that you have prepared for weeks/months to get to this point, and channel any nervous energy into doing the best you can during your UCAT test. 

What should I eat and drink leading up to the UCAT?

You should think about your diet well ahead of UCAT test day. Focus on foods that release energy slowly (that is, which have a low glycaemic index, or GI) which will stop you from feeling hungry. These are ideal for UCAT preparation, as well as on test day itself.

Try eating protein and low-GI carbohydrates, such as meat or baked beans, brown (whole grain) rice or pasta, or wholegrain breakfast cereals or muesli. However, do not stray far from your usual diet on the day of the test in case you feel sick. You may want to try these foods out at the same time of day a few weeks in advance.

Be wary of energy drinks and coffee. If you’re not used to them then don’t drink them, especially in large quantities. Caffeine can acutely increase anxiety, and the sugar rush of an energy drink is soon followed by insulin slamming on the brakes, leaving you feeling worse than before. These products are no substitute for a good night’s sleep, eating properly and exercising.

No food or drink is allowed in the test room so eat a healthy meal before your UCAT test and ensure you’re hydrated. While you should make sure you’re drinking enough water, do not overdo it, otherwise you might need the toilet while the timer is ticking.

Please note, access arrangements are available if you have a disability, learning difficulty or long-term medical condition. You may be entitled to extra time and/or rest breaks, and allowed certain items, such as water, at your test centre workstation. 

What happens at the UCAT test centre?

  1. At the registration desk, you will be asked to show a valid photographic ID and a printed/electronic copy of your confirmation email from Pearson VUE. 
  2. You will be asked to sign a signature pad and take a photograph.
  3. You will be given a laminated notebook and a black marker pen. You may also request earplugs.
  4. Do not take anything other than your ID into the examination room. A locker or a coat hanger will be available.
  5. Go to the bathroom if you need to.
  6. Once the staff have prepared your exam, you may enter the exam room. You may be asked to undergo a body check (e.g. turning up your pockets and rolling your sleeves).
  7. The staff will guide you to the seat, or you may be able to choose your desk. Take some time to prepare yourself and relax. Your two hours have not yet started.

What is the UCAT test environment like?

This image shows a typical UCAT test environment:

Taking the UCAT at a test centre

There is no audio element to the test, but you can request earplugs to block out any noise that might disrupt your concentration. 

You will have access to a basic onscreen calculator which may be useful for the Quantitative Reasoning and Decision Making sections.

You will be given a laminated notebook and marker pen. Consider using these for:

If you require an additional notebook and pen, you can raise your hand and ask the invigilator. Although the invigilator will check that your pen is working before the test, we advise double-checking this to avoid seeking assistance during the test.

What happens during my UCAT test?

  1. Once you are ready, follow the on-screen instructions.
  2. Your exam will be in the following order:
  • Verbal Reasoning
  • Decision Making
  • Quantitative Reasoning
  • Abstract Reasoning
  • Situational Judgement
  1. You will have one minute before each section to read the instructions. You can skip it, but this will not give you an extra minute to answer the questions. Use this time to give your mind a quick break.
  2. If you have any issues, such as requiring a toilet break, you can quietly raise your hand. However, your time will continue running.
  3. After your exam, there may be an opportunity to answer a short optional survey on UCAT ANZ preparation and the quality of the venue.
  4. Raise your hand when you've finished and the examiner will guide you out of the exam room. You need to return your laminated board and marker pen.
  5. Collect your belongings and leave the test centre.
  6. Your UCAT ANZ results will be available in your Pearson VUE account within 24 hours. You will receive an email with instructions to access your score report through your account. All results will be delivered to UCAT ANZ Consortium universities automatically.
  7. If you’ve achieved the scores that you desire, well done.
  8. Even if you haven’t achieved the scores you wanted, congratulate yourself for getting through a really tough process. You've done exceptionally well just to get to this point. Plus, you can always take the UCAT again next year or consider graduate entry to medicine – do not give up on your dream!

Do you need help preparing for the UCAT ANZ? Head over to our UCAT ANZ Online Course and we’ll get you signed up to guide you through the whole process.

We provide a huge bank of 20,000+ questions, 24 unique full mock exams, 40+ mini-mock exams, 50+ hours of video tutorials, and performance feedback. We've also upgraded our UCAT mock exams 13-24 and revised our practice question bank to enrich your preparation journey.

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