There's a line that distinguishes Rural Generalists from General Practitioners. It's a line that starts on a map and ends with a deep commitment to providing above and beyond healthcare for diverse communities across rural and remote Australia.
At ACRRM we know about that line because we have continued to follow it for more than 25 years, leading us to where we are today - a College with direction and purpose; a College which inspires, supports and guides its members to a meaningful career which plays an integral role in the vitality and wellbeing of the communities they serve.
In 1987, the Rural Doctors Association of New South Wales was formed. Its national counterpart, the Rural Doctors Association of Australia (RDAA) was incorporated in 1991. In that year, RDAA was instrumental in convening the first National Rural Health Conference (NRHC) the recommendations from which, led to establishment of the original Rural Health Training Units, the National Rural Health Alliance (NRHA), and to Government support for a dedicated rural medical training program.
In 1992 the RDAA procured a Government grant to develop a rural medical training pathway to incorporate advanced curricula in the specialist fields of anaesthesia, surgery and obstetrics.
Following negotiations to secure a ‘Faculty of Rural Medicine’ and a ‘Fellowship of the Faculty of Rural Medicine’ within the RACGP, RDAA in a plebiscite, agreed to hand over its advanced skills curricula to the RACGP to form the basis for a discrete rural training pathway incorporating these skills.
A series of decisions by the RACGP Council however overturned this approach and resulted in the disillusionment and resignation of many rural RACGP members, eventually including eight of the ten RACGP Rural Faculty board members. In particular, the title, ‘Faculty of Rural Medicine’ was rejected in favour of ‘Rural Faculty’ and the proposed dedicated Rural Fellowship training pathway was replaced with a ‘Graduate Diploma of Rural General Practice’, a 12-month “add-on” qualification on top of the generic RACGP Fellowship.
In 1995 a second national plebiscite of rural medical practitioners voted by a ratio of 2:1 to establish a separate college to foster Rural and Remote Medicine as a distinct model of medical practice. The Australian College of Rural and Remote Medicine (ACRRM) was incorporated in March 1997.
The ACRRM Primary Curriculum in Rural and Remote Medicine (Edition 1) was published in 1998. Fellowship criteria were advertised to foundation members in 1998 and, in the same year, ACRRM’s rural training pathways and the commencement of a continuing development program in Rural and Remote Medicine were established.