Celebrating 20 years of rural medical training

Stethoscope wrapped around pink and yellow flowers

Image: Adobe Stock/Nastya

Image: Adobe Stock/Nastya

2022 is a milestone year for The University of Queensland Rural Clinical School as it marks 20 years since its doors opened with the objective of improving the regional, rural and remote medical workforce in Australia.

20 years if the Rural Clinical School

In 2002, the Rural Clinical School was established to train medical students – giving them valuable experience with a little taste of life in a regional community – and increase the likelihood they would return to rural areas as general practitioners, specialists and academic specialist staff.

That year, 28 medical students in total crossed the thresholds of the Toowoomba and Rockhampton sites.

The cohort has grown considerably since then, with 164 third-year and fourth-year medical students studying across four Regional Clinical Units in 2022.

Since the Rural Clinical School’s humble beginnings, more than 1500 students have become UQRCS alumni, after completing at least one year of learning in regional, rural and remote locations. Many have chosen to stay in these areas to complete internships and reside long-term.

It’s not only the student population that has increased. The Rural Clinical School has also grown and now boasts three Regional Training Hubs that connect junior doctors to rural career pathways to improve the retention of medical
graduates in our regions.

In the past three years, UQ has partnered with other universities to establish two Rural Medical Pathways.

These pathways will educate even more future doctors to help achieve that important end goal of increasing and sustaining a skilled medical workforce in rural and regional areas.

The University of Queensland Rural Clinical School’s 20 year celebrations are also a time to thank staff, students, and partners who have been a part of the incredible journey so far.

Passion for rural practice

On the 20th anniversary of UQRCS, it is only fitting to check in with one of its first students.

As a kid growing up on a Tenterfield property in New South Wales, Dr Dan Halliday witnessed first-hand how valued rural medical practitioners were in regional communities.

So, when he headed off to study, the idea of returning to a regional town was always in the back on his mind.

“I suppose you could say I was on the path to rural medical practice from the beginning,” Dr Halliday reflects.

“When I started to question the accepted premise of rural, remote and Indigenous communities having to accept poorer health outcomes and levels of care just because of where they lived, my direction was set.

“Also, the perception by many around me that my idea of becoming a doctor wasn’t really feasible for a kid from the bush, was like fanning a fire.”

Coming out of the harsh drought of 1993-94, farming didn’t offer a secure future, so Dr Halliday’s parents supported him to pursue a professional career.

“Basically, they encouraged me to use my brains, experience the world beyond Tenterfield, and if I wanted to return to a rural area, that was my decision,” he adds.

After completing a Biomedical Science degree at Griffith University, Dr Halliday was accepted into the UQ Bachelor of Medicine, Bachelor of Surgery (MBBS) program in 1999. As he progressed through his studies, he married his wife Cathy in the break between second and third years.

In his fourth year of studying medicine, Dr Halliday was in the first cohort of UQ’s Rural Clinical School at the Toowoomba Regional Clinical Unit.

“While some students may have been reluctant to venture into the rural clinical school space at the time, UQRCS offered me the order and diversity of rotations that suited my preferences,” he says.

“It also provided me with the ability to re-engage with a rural and regional practice and patient base.

“I was very fortunate to undertake obstetric and subspecialty terms based out of Toowoomba in 2002, which built on my rural terms in Charleville and Cunnamulla the year before.

“Those remote placements were quite formative for me – I was exposed to rural icons such as Dr Jim Baker and Dr Chester Wilson.”

After graduating in 2002, Dr Halliday moved to Central Queensland for his internship and residency at the Rockhampton Base Hospital. Since late 2007, he and his family have called the regional town of Stanthorpe home.

“The variety and overwhelming appreciation from the community is what I love most about working in rural practice,” Dr Halliday says.

“I hope my work will encourage more rural, remote and Indigenous kids to dream big and one day contribute to providing the excellent health care regional communities deserve.

“I would love to think that they develop the same appreciation I have for rural and remote medicine, and one day they too will call me a colleague.”

Dr Halliday with students

Dr Halliday with students

Dr Halliday with students

Dr Daniel Halliday on graduation day in 2002

Dr Daniel Halliday on graduation day in 2002

Dr Daniel Halliday on graduation day in 2002

Celebrating 20 years with a focus on the future

In 2002, Associate Professor Srinivas Kondalsamy-Chennakesavan was a researcher at UQ’s Centre for Chronic Disease when the UQ Rural Clinical School was established. Little did he know then that he would not only join the Rural Clinical School in 2012, but also be its Head of Research in 2022.

Dr Kondalsamy-Chennakesavan has been a part of the Rural Clinical School as it’s grown to be the largest rural clinical school in Australia hosted by a single university, with four sites across regional Queensland.

“I have seen a lot of changes over the years. In fact, change has been the only constant,” he says.

As Head of Research at the Rural Clinical School, Dr Kondalsamy-Chennakesavan has led UQRCS’s vital research into clinical medicine, medical education, health workforce, Indigenous health and rural/remote health.

Associate Professor Srinivas Kondalsamy-Chennakesavan

Associate Professor Srinivas Kondalsamy-Chennakesavan

Associate Professor Srinivas Kondalsamy-Chennakesavan

“I’m most proud of the research into the maldistribution of the medical workforce in rural and regional areas,” he explains.

“For the first time, we have robust evidence to say that those who study and train in a regional, rural or remote setting are more likely to return and work in a rural area.

“Our team’s research findings contribute to major policy decisions at a government level and are cited by agencies such as the World Health Organization.

“The overall impact of our work is substantial and has attracted awards at local, national and international levels.

“One of the biggest challenges I have faced was building a research culture in severely under-resourced rural clinical environments.”

While 2022 is a time to celebrate UQRCS, Dr Kondalsamy-Chennakesavan has his eye on the future with a focus on securing sustainable funding for rural health research.

“The Rural Clinical School will continue to offer essential research to identify and address the challenges rural and remote communities face in the area of health care.”

Rural Clinical School in Rockhampton

Rural Clinical School workforce outcomes

644 medical students studied 2 YEARS at the Rural Clinical School (40% working rurally)

917 medical students studied 1 YEAR at the Rural Clinical School (27% working rurally)

Are you a UQRCS alum?

As part of its celebrations, the Rural Clinical School is inviting past students to share their stories.Visit the 20 years website for more details.

20th anniversary ‘thank you’ events

UQRCS wouldn’t be where it is today without its valuable past, current and future partners, staff, students and local communities. It is grateful for everyone’s contribution in supporting students’ learning and living experiences in rural and regional Queensland, for promoting rural medical careers, and working with UQRCS to improve the rural medical workforce maldistribution.

As a thank you for your support over the past 20 years, UQRCS will be hosting celebration events across its footprint in August, September and October.

Please let UQRCS know which event you’d like to be invited to by registering your interest.

Suturing workshop

Suturing workshop, 2003.

Suturing workshop, 2003.

Emergency Service Expo, Rockhampton, 2005.

Emergency Service Expo, Rockhampton, 2005.

Emergency Service Expo, Rockhampton, 2005.

Launch of The Mob Van with Professor Maree Toombs, 2013.

Launch of The Mob Van with Professor Maree Toombs, 2013.

Launch of The Mob Van with Professor Maree Toombs, 2013.

Cutting the cake at the 4th year dinner, 2014.

Cutting the cake at the 4th year dinner, 2014.

Cutting the cake at the 4th year dinner, 2014.

The Bow Tie Brigade, 2015.

The Bow Tie Brigade, 2015.

The Bow Tie Brigade, 2015.

Dr George Tucker, Linda Stewart and Ben Vialle at Awards Night, 2016.

Dr George Tucker, Linda Stewart and Ben Vialle at Awards Night, 2016.

Dr George Tucker, Linda Stewart and Ben Vialle at Awards Night, 2016.

Dr Bruce Meibusch with Erin, Sky, Marcella and Bev, 2015.

Dr Bruce Meibusch with Erin, Sky, Marcella and Bev, 2015.

Dr Bruce Meibusch with Erin, Sky, Marcella and Bev, 2015.

Student LifeFlight visit, 2019.

Student LifeFlight visit, 2019.

Student LifeFlight visit, 2019.

R U OK? Campaign, 2021.

R U OK? Campaign, 2021.

R U OK? Campaign, 2021.

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Suturing workshop

Suturing workshop, 2003.

Suturing workshop, 2003.

Emergency Service Expo, Rockhampton, 2005.

Emergency Service Expo, Rockhampton, 2005.

Emergency Service Expo, Rockhampton, 2005.

Launch of The Mob Van with Professor Maree Toombs, 2013.

Launch of The Mob Van with Professor Maree Toombs, 2013.

Launch of The Mob Van with Professor Maree Toombs, 2013.

Cutting the cake at the 4th year dinner, 2014.

Cutting the cake at the 4th year dinner, 2014.

Cutting the cake at the 4th year dinner, 2014.

The Bow Tie Brigade, 2015.

The Bow Tie Brigade, 2015.

The Bow Tie Brigade, 2015.

Dr George Tucker, Linda Stewart and Ben Vialle at Awards Night, 2016.

Dr George Tucker, Linda Stewart and Ben Vialle at Awards Night, 2016.

Dr George Tucker, Linda Stewart and Ben Vialle at Awards Night, 2016.

Dr Bruce Meibusch with Erin, Sky, Marcella and Bev, 2015.

Dr Bruce Meibusch with Erin, Sky, Marcella and Bev, 2015.

Dr Bruce Meibusch with Erin, Sky, Marcella and Bev, 2015.

Student LifeFlight visit, 2019.

Student LifeFlight visit, 2019.

Student LifeFlight visit, 2019.

R U OK? Campaign, 2021.

R U OK? Campaign, 2021.

R U OK? Campaign, 2021.

This story is featured in the Winter 2022 edition of UQmedicine Magazine. View the latest edition here. Or to listen, watch, or read more stories from UQ’s Faculty of Medicine, visit our blog, MayneStream.