From Deprivation to Expertise: Reframing RRR Emergency Medicine Training

Regional, rural and remote (RRR) healthcare is frequently compared to metropolitan models despite fundamental differences in geography, service provision, patient preferences and local cultures. Metropolitan bias is reinforced through educational and professional language and by literature that can perpetuate narratives of deprivation, rather than recognising the expertise required to manage uncertainty and resource limitations. The ACEM Emergency Medicine Education and Training (EMET) programme provides on-site FACEM supervision and multidisciplinary education. This is valuable in strengthening trainee confidence, supporting clinical governance and maintaining high training standards in resource-limited settings. However, challenging metropolitan bias also requires strengthening the status of RRR medicine. With research infrastructure concentrated in metropolitan centres, rural hospitals remain under-represented, highlighting the importance of grassroots research initiatives that generate locally relevant data. Challenging metropolitan bias therefore requires a shift in how RRR emergency medicine is represented, taught, researched and governed. EMET offers an important step towards reframing RRR placements as rigorous, supported, and professionally valuable, with potential implications for workforce recruitment and retention.