RHM in New Zealand is relatively new as a distinct vocational scope. The curriculum is divided into six domains encompassing the rural hospital context, communication, clinical expertise, professionalism, scholarship and leadership and management.

Key performance areas as a rural hospital doctor

Key performances areas are assessed through a variety of methods such as academic papers, reflective portfolios, supervisor reports, StAMPS and fellowship assessment visits.

  • Understand the context of rural hospital care
  • Communicate with patients and other professionals in ways that facilitate optimal patient care
  • Use clinical judgement to assess, diagnose, treat and manage patients in a rural hospital context
  • Demonstrate cultural competency in the rural context
  • Manage clinical uncertainty
  • Work effectively with others to facilitate optimal care in a rural setting
  • Make appropriate and safe decisions regarding referral and transfer of patients and recognise the limits of personal expertise
  • Use available resources wisely to maximise health outcomes
  • Recognise and address inequities in health access and outcomes
  • Develop and maintain personal and professional integrity and behaviours that support effective patient care
  • Participate in and contribute to the development of systems for the provision of quality care
  • Contribute to population health
  • Demonstrate leadership and management skills in the rural hospital context
  • Undertake continued professional development as a rural hospital specialist
  • Contribute to the profession of rural hospital medicine.