Aims:
In Australian rheumatology, where the majority of patients receive treatment in community-based private practices, the need for training in such settings is increasingly evident. Despite this, there is a notable gap in institutional support for training in private practice environments. This initiative aims to explore the feasibility and outcomes of a self-funded advanced trainee (AT) position in a private practice setting, offering insights that could guide rheumatology groups in developing sustainable business models for similar initiatives.
Methods:
BJC Health, a Sydney-based rheumatology group with 14 rheumatologists and a diverse allied health team, pioneered a non-core AT position following consultations with key stakeholders. This initiative, born from discussions at the ARA ASM Hobart 2023, encounters various challenges, including logistical, financial, and potential reputational risks, which are being systematically addressed.
Results:
The AT position commenced on 5th February 2024. We will present preliminary findings from the first six months, covering aspects such as a patient logbook, operational issues, gap analysis, patient feedback on the dual-consult model (particularly as patients are charged private fees), and an interim financial viability analysis.
Conclusions:
This trial in BJC Health serves as a crucial case study in private practice-based training for rheumatologists. The insights gained from this experience may help shape future training models in private practices, emphasizing the need for innovation and self-reliance in the absence of institutional funding.