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The Pilot Remote Vocational Training Stream (PRVTS) was established in late 1999 as a joint initiative of the Royal Australian College of General Practitioners (RACGP) and Australian College of Rural and Remote Medicine (ACRRM).

Its goal was to provide vocational training to general practitioners in remote areas, who would otherwise have difficulty accessing training. 

The PRVTS was an outstanding success and in 2003 the program was renamed the Remote Vocational Training Scheme (RVTS). In 2006 an independent company, Remote Vocational Training Scheme Ltd, was established to manage the program and deliver training. The then Department of Health and Ageing provided funds for RVTS Ltd to expand its training cohort to 15 registrars per year. In late 2007, the department announced a further expansion to 22 registrars per intake from 2011.

An extension of the program occurred in 2014 to include an annual intake of 10 doctors working in Aboriginal Community Controlled Health Services (ACCHSs). The extension is supported by the National Aboriginal Community Controlled Health Organisation (NACCHO).

Since its inception, RVTS has delivered training to more than 267 doctors from more than 205 communities. The organisation is accredited as a training provider for the delivery of training toward the FRACGP/FARGP and FACRRM qualifications by RACGP and ACRRM respectively.

From its humble beginnings, RVTS has become an integral part of the general practice vocational training structure in Australia and is recognised as an important component of the Australian Government's rural healthcare strategy.