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1�C89.6%). Barriers to seeking help from doctors and other health professionals were categorised into logistical and personal barriers. Participants agreed more strongly to personal (mean?=?2.86) than logistical barriers (mean?=?2.67, P?Sunitinib mouse Sources of help were divided into three categories: formal, informal and external. Informal sources of help (mean?=?4.02) were identified as more helpful than both formal (mean?=?3.66) and external sources (mean?=?3.72, P?Fossariinae in the study. Advanced trained doctors' PI3K Inhibitor Library experiences of support and their strategy recommendations to improve support. Experiences and strategies to improve support were developed into a framework of support, consisting of three theme areas. Strategies included: provision of training and career advice to allow immediate use of advanced skills; introduction of rural attachments and rural case studies during training to ensure rural orientation; development of GP mentor and peer networks for clinical and non-clinical support; advocacy to improve understanding and recognition of advanced rural skills training. Expanded support is required across the pre-enrolment, training, early practice continuum. A holistic approach to support is required. Training providers, professional bodies, health departments, universities and workforce agencies need to work together to address and resource the support needs of advanced, rural GP trainees before, during and after training. ""Objective:?This paper proposes that there is value in international comparison of rural and remote health-care service delivery models because of practical reasons �C to find ideas, models and lessons to address ��local�� delivery challenges; and for theoretical reasons �C to derive a conceptual framework for international comparison. Methods:?Literature review and commentary.