Rural and Remote Medical Services was established as a Charity in 2001 to overcome the clinical and financial barriers experienced by doctors working in rural and remote practice.  The 'Walk-In, Walk-Out' model implemented by RARMS aims to make general practice in 'difficult to service' rural and remote areas more attractive.  GPs are able to work as clinicians without the cost and risk of having to buy or establish their own medical practice in a rural and remote town or become a small business owner.  Domestic and surgery accommodation, experienced nurses and practice staff, a full practice infrastructure and equipment, patient records and community networks are all maintained by RARMS - even when there is no permanent GP in town and no revenue from medical care.  The success of the model relies on RARMS retaining and managing funds in good years to enable it to fund Locums, nurses and other activities beneficial to our communities during periods of workforce shortage while we recruit and train new permanent GP VMOs for rural and remote practice.