Research Article

Managing Emergencies in Rural North Queensland: The Feasibility of Teletraining

Table 3

Personal considerations.

SubthemeQuote

Technological issues“You could say in theory talk about technological glitches but really they were hardly there in my experience. There is so much support, there’s hardly any technological problem” [RG 7]
I’ve been to lots of courses where - or video conferences that are halfway through and it’s cut out and then they come back and you get a bit of it, and then you’ve lost the rest of it. So you just end up chatting and not really engaging” [PF 2]

Interacting with the technology“Places like [Health Service A], Tele-health is what we did. Everyone knew how to work the machines, everyone knew what the limitations of the technologies were. I am not convinced that in [Health Service B] that is the case yet. I think we can still do a little more work to improve our access to utilisation of videoconferencing as a medium of education. I think if you compared the people from [A] and people from [B], I think you would get very different answers. [A] is more tele-health engaged then [B] is” [RG 6]
“That’s something that really frustrates us as people who are really adept at using technology, that they’re using platforms that are really not user friendly” [PF 3]

Work hours versus out of work hours“I find it very hard to imagine squeezing anything into workhours here, because we are so flat out” [PF 6]
“I’ve got three kids so often when I come home from work; I am home from work” [PF 4]
The referral hospital sends an emergency consultant up once every few months to do training. But if it is busy, or you are in theatre you cannot go. So you miss out on that. [PF 1]
“People tend to make the time [for EMET] because it is such a valuable learning experience” [PF 4]

Paid time versus own time“Then you’ve got issues then is that paid or unpaid time, because it’s work-related or not work-related…So do you then do extra hours at the hospital, do your kind of video conference and not being paid for them. You know, that that becomes a big thing” [PF 2]
“SMOs get paid incredible well, they have all these bonuses which I think as long as it is not every night, doing it once a week or once a fortnight they should suck it up” [PF 6]

Reducing professional isolation“The fact that is keeps you connected with equivalent peers in the region, has been really good” [GPRNH]
“They are very helpful because more so when you are working in a remote area it’s so easy to feel isolated… At least you know that there are other people out there in a similar situation as you. It is really good and it is quite effective”…I think their welfare is important in terms of professional and personal health [RG 7]

[RR] rural reliever; [PHO] GP Registrar Primary House Officer; [GPRNH] non-hospital based GP registrar; [PF] Provisional Fellow; [FACEM] Fellow of Australasian College of Emergency Medicine; [RG] rural generalist.