A Qualitative Evaluation of a Supervisory Rotational Model for Specialist Dermatology Training in the Northern Territory

BACKGROUND/OBJECTIVES: The Australasian College of Dermatologists implemented a supervisory rotational model project funded by the Commonwealth Government to build capacity, quality, and sustainability of specialist dermatology training in the Northern Territory. This project aimed to contribute to evidence-based literature on rural workforce strategies in Australia,; highlight capacity challenges facing dermatology care in the Northern Territory, and identify opportunities to strengthen training and service delivery. METHODS: A qualitative evaluation, including semi-structured interviews and an anonymous online survey, was undertaken with a non-probabilistic purposive sampling strategy. Fourteen interviews were conducted with visiting consultant dermatologists, trainee dermatologists, and local dermatology staff in Darwin, Northern Territory. Two researchers used inductive thematic coding to analyse interview transcripts and triangulate findings with survey results. RESULTS: This project increased supervisory and training capacity, produced a documented reduction in dermatology waitlists, enabled increased remote outreach visits and access, and enhanced educational opportunities for junior doctors. Five main themes emerged: (1) acceptability of the supervisory rotational model across different domains; (2) impacts of administrative processes on acceptability of the model; (3) recognition of an 'invisible' cohort of patients and impact on workload; (4) sustainability; and (5) scalability of the supervisory rotational model. CONCLUSION: This supervisory rotational model was acceptable for both trainee and visiting consultant dermatologists and enhanced the capacity of dermatology service delivery and training in the Northern Territory. With sustainable funding, this model can support longer-term efforts towards building a homegrown rural workforce and facilitate continuity to provide culturally safe care.