Composite pathways
In the composite pathway, registrars undertake a rural GP rotation outside of their home subregion as part of their training.
Applied for the 2023 AGPT program?
Composite pathways

In the 2023 AGPT intake, GP Synergy is offering a number of composite training places:
Central, Eastern and South Western Sydney subregion – composite general pathway
Nepean, Western and Northern Sydney subregion – composite general pathway
Hunter, Manning and Central Coast subregion – composite general pathway
Hunter, Manning and Central Coast subregion – composite rural pathway
Murrumbidgee and ACT subregion – composite general pathway
North Coast subregion – composite rural pathway
Find out more below.
FAQs
If you accept a 2023 AGPT composite pathway position, where you are required to undertake your rural rotation will depend on your training offer:
- Hunter Manning, Central Coast - General Pathway - Composite: In this pathway, registrars will complete six months full-time equivalent of their GP term training in a rural area within the New England/Northwest subregion, with the remainder of GP training time anywhere within the Hunter, Manning and Central Coast subregion.
- Hunter Manning, Central Coast - Rural Pathway - Composite: In this pathway, registrars will complete six months full-time equivalent of their GP term training in a rural area within the New England/Northwest subregion, with the remainder of GP training time in a rural area within the Hunter, Manning and Central Coast subregion.
- North Coast - Rural Pathway - Composite: In this pathway, registrars will complete six months full-time equivalent of their GP term training in a rural area within the New England/Northwest subregion, with the remainder of GP training time anywhere within the North Coast subregion.
- Central, Eastern and South Western Sydney - General pathway - Composite: In this pathway, registrars will complete six months full-time equivalent of their GP term training in a rural area within the New England/Northwest subregion, Western NSW subregion or Murrumbidgee subregion with the remainder of GP training time anywhere within the Central, Eastern and South Western Sydney subregion. Registrars are required to also meet AGPT Training Location Obligations during their GP term and/or Extended Skills training.
- Nepean, Western and Northern Sydney - General pathway - Composite: In this pathway, registrars will complete six months full-time equivalent of their GP term training in a rural area within the New England/Northwest subregion, Western NSW subregion or Murrumbidgee subregion with the remainder of GP training time anywhere within the Nepean, Western and Northern Sydney subregion. Registrars are required to also meet AGPT Training Location Obligations during their GP term and/or Extended Skills training.
- Murrumbidgee and ACT - General pathway - Composite: In this pathway, registrars will complete six months full-time equivalent of their GP term training in a rural area within the South Eastern NSW subregion with the remainder of GP training time anywhere within the Murrumbidgee and ACT subregion. Registrars are required to also meet AGPT Training Location Obligations during their GP term and/or Extended Skills training.
For further details, please request a GP Synergy Applicant Pack.
The rural rotation is be completed during your GP term training (GPT1, GPT2 or GPT3).
You can find the number of available composite pathway positions on the training places page.
Yes. However, registrars must complete six months full-time equivalent GP term training time in the rural rotation.
No. You are required to undertake six months full-time equivalent in GPT1, GPT2 or GPT3 in the subregion/s listed for your composite pathway.
Yes. You can extend your rural placement beyond the six months (full-time equivalent) requirement. If you wish to stay longer than twelve months you may be required to transfer to rural pathway and meet the training location obligations for that subregion.
Yes. GP Synergy (and other bodies) provide a range of supports and subsidies for GP registrars during rural training. See the support and subsidy page for more information.
Composite pathway registrars are still required to meet their GP Synergy and AGPT Training Location Obligation (TLO) requirements as specified.
Exemptions and transfers are uncommon as they require evidence of extraordinary and unforeseen circumstances. If you know of a reason that will prevent you from completing your training location obligations for the subregion that you have been allocated on offer, you should not accept the offer.

