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* 1. Please indicate your age range.

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* 2. Your gender

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* 3. Are you a current RDASA member?

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* 4. Which MMM category do you predominantly work in?

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* 5. Please estimate the number of hours per week spent in clinical work at your practice (i.e. face to face, paperwork, follow up etc)

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* 6. Please estimate the number of hours per week spent at hospital on ward rounds, consultations in A&E and admitting inpatients.

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* 7. Please estimate the number of hours per week spent at hospital providing obstetrics, theatre and anaesthetic services.

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* 8. What is the current average time between a patient's request for an appointment with THEIR USUAL GP and being offered that appointment?

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* 9. At your practice do you bulk bill

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* 10. Do you usually charge a gap fee after hours?

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* 11. How many additional full time equivalent (FTE) doctors would you seek to engage in your practice during the next five years to meet your community needs?

  None 1 2 3 4 5 6 or more
Primary Health GP Care GPs
Anaesthetists
Surgeons
Obstetricians
A & E

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* 12. Do you provide after hours and weekend emergency services for your local hospital or community?

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* 13. How often per month are you ON FIRST CALL for Emergencies and A & E for your practice/town?

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* 14. How often are you on call WEEKENDS for A & E?

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* 15. If you do procedural work (e.g. obstetrics, surgery, anaesthetics) how often are you on call for the procedural rosters in a month?

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* 16. If you have procedural skills, where did you obtain these?

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* 17. As a procedural GP providing obstetrics, anaesthetics or surgery, are you responsible for providing a replacement doctor for procedural work in your absence? 

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* 18. How much leave would you use a procedural locum for each year?

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* 19. How easy is it to obtain a procedural locum?

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* 20. Do you intend to continue your procedural work in 5 years time?

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* 21. Do you intend to continue your same level of on call A & E commitment in 5 years time?

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* 22. Do you intend to continue your provision of Primary General Practice in rural SA in 5 years time?

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* 23. How likely is it that you will be working in your current practice in the future?

  Very likely Likely Somewhat likely Unsure
1 year
2 years
5 years
10 years

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* 24. How many GPs provide services to the local hospital or provide on call A & E services for your local community?

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* 25. Does your hospital have an annual formal process involving the local doctors to determine the required medical workforce?

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* 26. Has your practice participated in teaching any of the following in the past 12 months?

  No Yes, 1 this year Yes, 2 this year Yes, 3 this year More than 3 this year
Medical Students
Interns
Registrars

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* 27. How many weeks per year do you teach students, interns and registrars?

  0 weeks 1 - 4 weeks 5 - 20 weeks > 20 weeks
Medial Students
Interns
Registrars

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* 28. If you supervise registrars in procedural skills, please indicate which specific procedural skill you could supervise registrars in?

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* 29. Do you intend to continue teaching and training in the next 5 years?

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* 30. Do you have the capacity to increase your teaching commitments in your rural practice and hospital?

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* 31. What are the limitations to increasing teaching and training?

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* 32. If you are a procedural doctor, would you be in favour of GPs supervising registrars and signing off on their procedural skills in your rural environment?

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* 33. Do you supervise IMGs who are on limited registration? 

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* 34. Have you signed the 2014 - 2017 contract to provide services in rural Country Health SA hospitals?

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* 35. Please rate your interest against the following items in view of the upcoming CHSA industrial negotiations. 1 is little interest - 5 is highly interested.

  1 2 3 4 5
Review of call payments
SAMSOF item number review
Access to IT resources
Availability of procedural locum support
Payment for attendance at hospital meetings (including audit and quality meetings)
Financial recognition in lieu of Long Term Service Leave
Provision of safe working hours
Roll out of EPAS
Hospital nursing staff numbers
Rural generalist registrar pathway
Recognition of rural forensic medical examinations
Financial recognition of teaching and training or registrars and junior doctors in country hosptials

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* 36. Are there any other issues you would like RDASA to be specifically involved in? Please record them below.

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