Background: The General Surgery training program in Australia and New Zealand mandates 200 gastroscopies and 100 colonoscopies for trainees. Achieving these benchmarks can be challenging, particularly in metropolitan hospitals where gastroenterology trainees may limits access to endoscopy sessions and interventional cases. In contrast, rural hospitals, where both general surgeons and gastroenterologists manage emergency and elective endoscopy, may offer better training opportunities. Collaborative supervision by gastroenterologists further enhances learning. Methods: Endoscopy logbooks from eight general surgical trainees were reviewed over six months: four in rural hospitals with surgeon and gastroenterologist supervision, and four in metropolitan hospitals with surgeon-only training. Procedural exposure, including gastroscopies, colonoscopies, interventional cases, and caecal intubation rates, was analysed. Results: Rural trainees performed a median of 54 gastroscopies and 65 colonoscopies (88% caecal intubation rate), including 18 interventional procedures (10 haemostasis, 3 foreign body removals, 5 variceal bandings). Gastroenterologists supervised 45% of these cases. Metropolitan trainees performed 30 gastroscopies and 45 colonoscopies (75% caecal intubation rate) with 4 interventional procedures. Rural trainees reported higher satisfaction with their experience. Conclusion: Rural hospitals offering combined supervision provide better procedural exposure, more interventional opportunities, and a broader learning environment. Strengthening gastroenterologist collaboration in rural settings enhances training and supports developing models that improve outcomes for trainees and patients.