Is it remotely possible? : remote supervision of general practice registrars

GP registrars learning and work in practice is usually supervised by co-located, experienced general practitioners. An alternative is needed in outback Australia and northern Canada for registrars working in solo practice; clinical supervisors use information and communication technology to supervise registrars remotely. This research demonstrated this approach led to comparable outcomes in national examinations, and considered why it could work and for whom. To our surprise some registrars’ learning accelerated because of their clinical responsibilities, their freedom to choose the timing and resources for learning, and seeing the impact of their work through continuity of care with patients and communities. Continuity of remote supervisor meant their learning efficiently built on prior experience and considered the personal challenges and characteristics at the heart of providing effective health care. Responsibility, continuity of care and continuity of supervisor, are key factors in effective and efficient postgraduate learning