AGPT registrar training handbook

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Four mandatory hospital rotations

        1. Four mandatory hospital rotations

Last revised: 16 Feb 2024

Four mandatory hospital rotations

You must have successfully completed the four mandatory hospital rotations below in the five years prior to starting in core vocational training:

  • general medicine,
  • surgery,
  • emergency medicine, and
  • paediatrics.

These rotations are generally between 8 and 12 weeks (FTE) each in duration, can be completed at intern or post-intern level and must be undertaken in accredited Australian or New Zealand hospitals.

For each rotation, you will be required to provide a statement of service from the Junior Medical Officer Manager (or equivalent) confirming:

  • the dates of the rotation,
  • any period of leave during the rotation, and
  • satisfactorily completion of the rotation.

Where the statement of service does not confirm satisfactory completion of the rotation, you must provide an end-of-term assessment form for the rotation. Where this is not possible, please speak to your training coordinator for advice.

If you completed any hospital rotation more than five years prior to starting GPT1, you will have to provide a reflective case-based essay demonstrating how you have maintained competency in that specific discipline. Contact your training coordinator for more information.

Further specific information about each rotation can be found in the Mandatory Hospital Term Requirements guide.


You cannot start in GPT1 until you have successfully completed all four hospital rotations.

There are different ways in which you can meet the mandatory rotation requirement, eg:

  • If you completed none or only some of the required rotations before you were accepted into AGPT, you will need to complete any missing rotation as part of your hospital training term (Year 1 of the program).
  • If you have already successfully completed all the mandatory rotations at intern or post-intern level before you were accepted into AGPT, you may be able to start in GPT1 directly upon entry into AGPT provided you meet all other readiness requirements (such as being eligible for RPLE).
  • If you have satisfactorily completed UK hospital-based term/s in the mandatory discipline/s of medicine and/or surgery within the 5 years prior to starting community based general practice in GPT1, this may be accepted by the RACGP as meeting the mandatory term requirement in that discipline. Please contact your training coordinator for more information.

If you believe you will be unable to meet the mandatory rotation requirements, please contact your training coordinator to discuss your specific circumstances and to identify alternative ways the mandatory rotation requirements can be met.