Guidelines for remote supervision

Remote supervision training minimum requirements

Guidelines for safe and effective general practice training using remote supervision
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  1. Acknowledgements
  2. Why we need remote supervision of GP registrars
  3. Background
  4. References
  5. Appendix 1: Guideline development
  6. Appendix 2: RACGP remote supervision documents and forms
  7. Appendix 3: Remote supervision placement example

Last revised: 02 Aug 2023

Remote supervision training minimum requirements

Remote supervision is not just traditional supervision occurring remotely. There are challenges that will need to be addressed, as well as extra time, logistics, guidelines, support and payment that will be required to ensure the supervision is serving its purposes. Virtual contact will always take longer than ad hoc face-to-face support and will need to be more organised, and often pre-emptive. Remote supervision needs to encompass the full spectrum of ‘supervision’ activities, including clinical oversight, teaching, mentoring, role modelling, coaching, career support, advocacy and nurturing.21

The table below lists key remote supervision activities and the indicative resourcing required for the registrar, depending on their general practice and remote supervision experience. This table should be used to determine the appropriate plan for the registrar’s placement. Considerations include the registrar experience, remote supervisor availability, the onsite team and the context of the training site. Flexibility is also required to respond appropriately to the needs of the registrar.

Note: Registrars undertaking a remote supervised placement will participate in all training and education activities as required by their training program.

Activity GPT2/second term GPT3/third term GPT4/fourth term
Remote supervision orientation
(per placement/site)
Registrar and remote supervisor spend one to two weeks together to build education alliance and assess appropriateness of the training site
This is crucial for a successful remotely supervised placement		 Two weeks, mostly supernumerary  Two weeks, mostly supernumerary  One to two weeks, mostly supernumerary, based on registrar’s experience
Weekly remote supervision
This includes all teaching, registrar support, ad hoc communications, assessment and some regular quarantined time for the remote supervisor and the registrar
It also includes in-practice teaching time requirement		 Three to four hours per week  Three hours per week  Two to three hours per week 
Mid-term site visits
A site visit is ideally conducted by the remote supervisor 		 One to two visits One to two visits At least one visit
Onsite team meetings
Regular check-ins between the onsite supervision team (or team representative), registrar and remote supervisor		 Every one to two months Every one to two months  Every two months 
  1. Young L, Peel R, O’Sullivan B, Reeve C. Building general practice training capacity in rural and remote Australia with underserved primary care services: A qualitative investigation. BMC Health Serv Res 2019;19(1):338. doi: 10.1186/s12913-019-4078-1.
  2. Australian Institute of Health and Welfare (AIHW). Rural and remote health. AIHW, 2022. Available at
    [Accessed 9 March 2022].
  3. The Royal Australian College of General Practitioners (RACGP). General practice: Health of the nation 2019. RACGP, 2019.
  4. Harrison C, Britt H. General practice – workforce gaps now and in 2020. Aust Fam Physician 2011;40(1–2):12–15.
  5. doi:" target="_blank"> Wearne SM. Is it remotely possible? Remote supervision of general practice trainees Maastricht University, 2015. Wearne SM, Teunissen PW, Dornan T, Skinner T. Physical isolation with virtual support: Registrars’ learning via remote supervision. Med Teach 2015;37(7):670–76. doi: 10.3109/0142159X.2014.947941.
  6. Varela SM, Hays C, Knight S, Hays R. Models of remote professional supervision for psychologists in rural and remote locations: A systematic review. Aust J Rural Health 2021;29(2):211–25. doi: 10.1111/ajr.12740.
  7. Hays RB. Remote supervision of health professionals in areas of workforce need: Time to extend the model? Rural Remote Health 2012;12:2322. doi: 10.22605/RRH2322.
  8. https://www.amc.org.au/wp-content/uploads/accreditation_recognition/specialist_edu_and_training/assessment/standards_for_assessment.pdf" target="_blank"> Australian Medical Council (AMC). Standards for assessment and accreditation of specialist medical programs and professional development programs by the Australian Medical Council 2015. AMC, 2015. Available at Worley PS, O’Sullivan B, Ellis R. From locum-led outposts to locally led continuous rural training networks: The National Rural Generalist Pathway. Med J Aust 2019;211(2):57–59.e1. doi: 10.5694/mja2.50225.
  9. Wearne S. Remote supervision during general practice training. Educ Prim Care 2016;27(4):333–34. doi: 10.1080/14739879.2016.1207103.
  10. Kanakis K, Young L, Reeve C, Hays R, Gupta TS, Malau-Aduli B. How does GP training impact rural and remote underserved communities? Exploring community and professional perceptions. BMC Health Serv Res 2020;20(1):812. doi: 10.1186/s12913-020-05684-7.
  11. Thomson JS, Anderson KJ, Mara PR, Stevenson AD. Supervision – growing and building a sustainable general practice supervisor system. Med J Aust 2011;194(11):S101–04. doi: 10.5694/j.1326-5377.2011.tb03139.x.
  12. Wearne SM. In-practice and distance consultant on-call general practitioner supervisors for Australian general practice? Med J Aust 2011;195(4):224–28. doi: 10.5694/j.1326-5377.2011.tb03288.x.
  13. Wearne SM. Remote supervision in postgraduate training: A personal view. Med J Aust 2013;198(11):633–34. doi: 10.5694/mja13.10296.
  14. Ingham G, Fry J. A blended supervision model in Australian general practice training. Aust Fam Physician 2016;45(5):343–46.
  15. Wearne S, Dornan T, Teunissen PW, Skinner T. Twelve tips on how to set up postgraduate training via remote clinical supervision. Med Teach 2013;35(11):891–94. doi: 10.3109/0142159X.2013.805878.
  16. Hays R, Peterson L. Distant supervision in training for remote medical practice. Educ Gen Pract 1997;8:123–27.
  17. Moran AM, Coyle J, Pope R, Boxall D, Nancarrow SA, Young J. Supervision, support and mentoring interventions for health practitioners in rural and remote contexts: An integrative review and thematic synthesis of the literature to identify mechanisms for successful outcomes. Hum Resour Health 2014;12(1):10. doi: 10.1186/1478-4491-12-10.
  18. Bayley SA, Magin PJ, Sweatman JM, Regan CM. Effects of compulsory rural vocational training for Australian general practitioners: A qualitative study. Aust Health Rev 2011;35(1):81–85. doi: 10.1071/AH09853.
  19. Pront L, Gillham D, Schuwirth LW. Competencies to enable learning-focused clinical supervision: A thematic analysis of the literature. Med Educ 2016;50(4):485–95. doi: 10.1111/medu.12854.
  20. Campbell N, Wozniak H. A guide to creating a culture of quality supervision: work-based peer review of clinical supervision practice. Greater Northern Australia Regional Training Network with Flinders University, 2014., Available at
    [Accessed 3 July 2023].
  21. Wearne SM, Dornan T, Teunissen PW, Skinner T. Supervisor continuity or co-location: Which matters in residency education? Findings from a qualitative study of remote supervisor family physicians in Australia and Canada. Acad Med 2015;90(4):525–31. doi: 10.1097/ACM.0000000000000587.
  22. Ingham G, Plastow K, Kippen R, White N. A ‘call for help’ list for Australian general practice registrars. Aust J Gen Pract 2020;49(5):280–87. doi: 10.31128/AJGP-07-19-4997.
  23. Valentine N, Wignes J, Benson J, Clota S, Schuwirth LW. Entrustable professional activities for workplace assessment of general practice trainees. Med J Aust 2019;210(8):354–59. doi: 10.5694/mja2.50130.
  24. Telio S, Ajjawi R, Regehr G. The ‘educational alliance’ as a framework for reconceptualizing feedback in medical education. Acad Med 2015;90(5):609–14. doi: 10.1097/ACM.0000000000000560.
  25. Costello S, Benson J, Burns J, Bentley M, Elliott T, Kippen R. Adaptation and initial examination of the psychometric properties of the Short Supervisory Relationship Questionnaire (SSRQ) for use with general practice registrars. Educ Prim Care 2020;31(6):341–48. doi: 10.1080/14739879.2020.1806114.
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