School of Rural Health

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1 Medicine, Nursing and Health Sciences School Health Year in Review 2012 Australia China India Italy Malaysia South Africa

2 Contents From the School Health...3 Highlights for the Year...3 Rural medical and health education...5 Medical education...5 Extended Rural Cohort...5 Year A graduate entry medical program...5 Rural nursing and allied health education...5 Division 1 Nursing...5 Educational projects...6 Indigenous health education...6 Rural MBBS graduate tracking study...6 Graduate entry MBBS Year A review...6 Innovations...7 Simulated learning environments projects...7 Electronic logbook...7 Educational Technology Inservice series...7 East Gippsland new rural clinical teaching facility...7 WILDFIRE...8 Community engagement...9 Indigenous health...9 Open days...9 New collaborations and partnerships...10 Emergency planning day...10 Governance Research...11 Research highlights...11 Grants...12 Marking 20 years of rural health...15 What does rural health look like?...17 A multi-vocal history of the first 20 years...18 Rural innovations curriculum conference...18 Staff Publications Cover Image: From left, Dr Suri Hariprakash, Dr Chellam Kirubakaran, Dr Dan Turner, Associate Professor Fiona Wright at an intubation simulation training session in the Mildura Regional Clinical School simulated learning environment

3 The School Health The overarching role of the School Health is to improve the health of rural and regional communities through targeted education, research, advocacy and community engagement, using resources in a focussed, effective and efficient way. The school has a footprint extending across Victoria from Mildura in the west to Orbost in the east. There are regional clinical schools at Mildura and Bendigo and in west Gippsland, Latrobe Valley, east and south Gippsland. Year A of the rural graduate entry MBBS program is based at Monash s Gippsland campus at Churchill and the Department and Indigenous Health (MUDRIH) has its hub at Moe. The Office of the Head of School provides leadership and direction across the school and includes a secretariat, the Clayton campus Rural Education Office and the Research Office. The school is funded from a variety of income streams, including a major block grant from the Commonwealth Department of Health and Ageing through the Rural Health Multidisciplinary Training Programs (Rural Clinical Training and Support and University Department Health). The funding parameters have specific KPIs, and contractual expenditure and reporting requirements. Professor Judi Walker Head, School Health The Monash School Health is an exemplar of academic rural health, nationally and internationally. It has a unique distribution of the rural graduate entry MBBS and the Extended Rural Cohort / direct entry MBBS, with regional clinical schools that are responsive to their communities delivering distinctive and innovative models of rural medical training; a university department of rural health that is carving a defined niche as academic lead in rural mental health, population health and interprofessional health programs; and a research hub with a nationally-funded Centre of Research Excellence and a growing reputation for research training in rural health. The year 2012 marked the school s twentieth anniversary and, while we looked back with pride, we also looked forward to continuing to broaden the school s outlook and processes of engagement as the national and international lead in academic rural health. Mildura Swan Hill Kerang Elmore Bendigo Maryborough Castlemaine Kyneton Omeo Woodend Gisborne Neerim South Bairnsdale Orbost Clayton Heyfield Lakes Entrance Maffra Drouin Moe Paynesville Warragul Traralgon Yarragon Morwell Sale Korumburra Trafalgar Churchill Cowes Wonthaggi Leongatha Foster Yarram School Health sites Community placement sites Mallacoota 3

4 Highlights of 2012 Successful events organised across the whole of school in celebration of the School Health s 20th anniversary since establishment Strong continuing support for the graduate entry MBBS program within the School of Rural Health Rural medical graduate outcomes study begun and will be priority for 2013 Excellent community engagement across the School Health sites resulting in strong partnerships Strong continuing relationships between all units in the School Health including the Research Office and the Department and Indigenous Health Completion of major capital works at Bairnsdale New capital works at Bendigo in collaboration with Bendigo Health Care Group and La Trobe University Review of the School s committee governance framework New budget principles based on the concept of funding following students Establishment within the School Health of one of the first three Centres of Research Excellence in Australian Primary Health Care Research. The continued interest and uptake of rural interprofessional placements by Allied Health and Nursing students into the UDRH s Integrated Student Supervised Clinic; this now includes the participation of University of Melbourne s 5th and 6th year Medical Students. a unique partnership with University of Melbourne s University Department Health resulting in a successful bid, with Monash as fund holder, for the Rural Pharmacy Liaison Officer (RPLO) Program. Commencement of the Retention of Allied Health Professionals at Retirement Age in Rural Victoria (RETAINR) project. A cultural safety plan adopted across the school. Professor Judi Walker Head, School Health Faculty of Medicine, Nursing and Health Sciences Monash University 4

5 Rural medical and health education Medical education In 2012, 313 Australian students (not including full-fee paying or international students) began their MBBS studies at Monash University through the direct entry and graduate entry programs. Of those, 77 declared a rural origin. In the same year, 279 students graduated and of those, 277 had completed at least four weeks of rural clinical placements. Monash medical students spend three years in clinical training. Across all School of Rural Health sites in Years 3B and 4C, 127 students undertook a full-year placement and 30 students a half-year placement. The final year is constructed of seven, six-week placements, with the school sites providing training for 260 students undertaking at least one rotation. The sites also hosted 26 international students who undertook placements ranging from six weeks to a full year. Extended Rural Cohort The Extended Rural Cohort is a stream within the Monash direct entry MBBS course. Students enrolled in this stream undertake the majority of their clinical education in hospitals and community-based medical practices in northern rural and regional Victoria. This option is provided to students interested in practising medicine in a rural or regional location. In 2012, 30 Commonwealth Supported Places were available and filled in the Extended Rural Cohort stream. Year A graduate entry medical program Year A is the foundation year of the graduate entry medical program and is delivered at Monash s Churchill campus. There is particular emphasis on clinical issues which are illustrated through cases presented in problem-based learning sessions. Clinical and communication skills are developed with students undertaking early clinical placements in rural hospitals. Students participate in a rural community-based practice program and participate in learning activities in Indigenous health. In 2012, 75 Commonwealth Supported Places were available and filled in the graduate entry MBBS course including 9 international students. Rural nursing and allied health education The School Health provides rural clinical placement opportunities for not only medical, but nursing and allied health students to experience rural practice in hospital and community-based placements across Victoria. MUDRIH coordinated and facilitated rural placements and/or provided accommodation for medical, nursing, and allied health students from a range of universities and education providers. Allied health disciplines included dentistry, dietetics, medical radiation, occupational therapy, paramedic, pharmacy, podiatry, radiography, social work and speech therapy. Student placements continued to be an important feature of MUDRIH activity in In 2012, 212 nursing and allied health students completed placements of at least two weeks in duration. The number of allied health students increased from 87 students in 2011 to 192 in This significant increase was predominantly a result of the Integrated Student Supervised Clinic (ISSC) program through MUDRIH s Placement, Education and Research Unit (PERU) in partnership with Latrobe Community Health Service. The ISSC involves students from two different disciplines interviewing either a simulated or real client and developing a treatment and referral plan for the client. Simulated client scenarios are developed from real but anonymous clients and students and are supervised by an Interprofessional Educator. Together, the supervisors support and guide students in clinical-decision making, treatment planning, imitation of treatment and follow-up for the individual client. The unique partnership with University of Melbourne s University Department Health continued placing Pharmacy students in locations throughout Victoria, through the Rural Pharmacy Liaison Officer (RPLO) Program. MUDRIH facilitated the placements for Pharmacy students from the Monash Faculty of Pharmacy and Pharmaceutical Sciences across Gippsland. The students value both personal and educational components as they become aware of the advantages of working in a rural area. Division 1 Nursing The Monash Gippsland Bachelor of Nursing program offers rural placements to students in Years 2 and 3. Placements, including mental health and community health centres, are available in Bairnsdale, Sale, Traralgon, Orbost and Lakes Entrance. The placements, coordinated by the East Gippsland RCS, proved so popular after their first year in 2011, that numbers had to be capped for

6 Educational projects Gippsland Health Education Model (GHEM) Traversing the continuum of medical training from undergraduate through to postgraduate, vocational and continuing is a major focus of the School Health. It continues to work actively towards developing vertically integrated rural medical training through the Gippsland Health Education Model. This is a five-stage project that will develop a platform for delivery of an exemplary rural and regional MBBS program linking with postgraduate intern, rural generalist and rural specialist training programs, with a focus on training in teams and interprofessional learning. It will align rural graduate and direct entry MBBS programs at Monash, but will be regionally specific and responsive to future rural and regional medical workforce needs. The model will be easily marketed and understood by prospective students, supervisors and stakeholders. Importantly, the model incorporates the values of innovation, social accountability, collaboration, community engagement, inclusiveness and respect. Based as it is in Gippsland, it contextualizes learning objectives so they are responsive to that region s population health needs. It is also important to demonstrate consistency in student recruitment, support and assessment across the region; and address succession planning and clinical academic leadership. The first stage of the project will shape existing activities and initiate new activities to ensure GHEM is implemented in a timely manner. It will be completed mid Whole of System Student Placement (WoSSP) project Traditionally, training institutions have established and maintained individual relationships with health agencies to arrange placements for their students. Increasing need for clinical training places is putting pressure on health agencies, so Health Workforce Australia and the Victorian Department of Health funded a number of projects to develop better models. The WoSSP project is a partnership between Monash University, La Trobe University and Castlemaine Health to develop and pilot a whole-of-system student clinical placement model for medical, nursing and allied health students in the Mount Alexander Shire. The aim of the initial 18-month project was to test whether students from multiple health disciplines could achieve important educational objectives by moving between agencies and learning from different health professionals across the different levels of the primary health care system (including the local hospital, general practice and community health settings). A model developed from the pilot project will then be prepared for use by other training institutions and health agencies. Indigenous health education Indigenous health is a major component of rural health training. The Indigenous Health Unit within MUDRIH provides training to the University and external organisations, as well as selectives for medical students, including final year medical students from Monash Malaysia. In 2012 the unit ran a series of lectures on Indigenous health for approximately 80 Year A medical students. It also conducted a cultural awareness excursion after which, students were required to write an academic research essay. The Namalata Willum selective introduced students to many facets of Aboriginal life and culture, when 20 nursing and 20 medical students visited the Aboriginal Cultural Centre (Bunjilaka) at the Melbourne Museum. The medical director of the Victorian Aboriginal Health Service also spoke to the students. Gulligee Ngarra took 21 students for a week-long selective in and around Broken Hill and Mildura including Mungo National Park. Here, students learned first-hand about Aboriginal customs and history, as well as health related experiences, from Aboriginal community members and guides. Other selectives involving medical students included Aboriginal and Torres Strait Islander mental health first aid certification, and experiential Aboriginal history and custom tuition. Approximately 20 WILDFIRE students (mainly medical students) received mental health first aid instruction. The Indigenous Health Unit also worked with external organisations in Gippsland. Forty community mental health staff from the Latrobe Regional Hospital and 32 local general practitioners from Traralgon, Moe and Warragul attended cultural safety training in The course has Practice Incentives Program (PIP) accreditation which gives professional development points for the participants. Forty-seven staff members of the Ramahyuck District Aboriginal Corporation attended cultural safety and cross cultural communications training. Medical students are placed at Morwell and Sale, and the unit provided two-day training workshops in each location. Rural MBBS graduate tracking study In late 2012, the school established the Rural MBBS Graduate Tracking Study Working Group which has scoped a series of projects. Knowing where medical graduates go for postgraduate training and future practice is vital in determining the effectiveness of the school s rural programs. The group has been set up to oversee these projects which will establish the evidence base required as a condition of Commonwealth funding. The group will be using the Medical Schools Outcomes Database (MSOD) and Federation Australian Medical Educators (FRAME) sub-studies to track medical graduates. Graduate entry MBBS Year A review In 2012 the Faculty began a review of Year A of the graduate entry medical program. This is the foundation year of the graduate entry program and is delivered at Monash s Churchill campus. The review committee investigated how the program can continue to be delivered sustainably and meet Monash University s rural and regional education, research and medical workforce mandate. The committee was tasked with recommending how the program can be delivered most efficiently and ranged across the educational model, curriculum content, supporting organisational structure, the best locations for delivery and how the program aligns with Monash s metropolitan, rural and regional clinical schools. The committee reported in early

7 Innovations Simulated learning environments projects Loddon Mallee The Loddon Mallee Clinical Placement Network received a $2 million state government grant in January Over two years, the grant will cover the expansion of simulated learning environments at the Bendigo and Mildura RCSs as well as some additional staff, including a facilities coordinator. Programs like these are fostering closer ties between training institutions and the communities in which they are based, which allows the University to expand its reach and influence. The facilities will be used by medical and health sciences students from Monash University, La Trobe University and Bendigo TAFE. The facilities will also enable the University to conduct outreach programs for rural health services. Staff will be running training workshops at 19 health services across the region. Gippsland Two simulation suites were developed as part of the new education precinct at Traralgon for the Latrobe Regional Hospital, Monash Gippsland School of Nursing and Midwifery and the Monash School Health. These suites and other facilities in the new training complex will provide an excellent resource for the training of health professionals and students to gain experience in working as a team, in much the same way they would when working in a hospital. With support from a Health Workforce Australia simulation grant, new simulation facilities were established at Bairnsdale. The grant funded the purchase of simulation equipment and will support students and healthcare professionals to undertake additional activities from rural and remote areas of East Gippsland. Gippsland Regional Interprofessional Partnership in Simulation (GRIPS) project Health Workforce Australia, through its Clinical Training Reform Program, provided significant funding for the UDRH GRIPS project. During 2012 the GRIPS team delivered more than 500 hours of training for 15 interprofessional collaboration facilitators and 16 simulated patients in Gippsland. They also undertook technical training, along with our partners, in the operation of the SimView system. Ramahyuck, our Indigenous health service partner, nominated their Morwell site as the location for installation of the SimView system. In the short term the project will deliver extensive training to practitioners, facilitators and patients. The training facilities, skills and knowledge will be embedded and will further develop in the region over time. The project has also fostered the development of collaborations that should lead to improvements in treatment and health benefits for many Gippsland residents. Electronic logbook In 2012, the school introduced an e-logbook that enables Gippsland-based Year 4C students to record their clinical learning experiences in the community, outpatient clinics, on hospital wards, and on discipline-specific placements in obstetrics, gynaecology, paediatrics and psychiatry. It also allows students to record their attendance at and reflection on, formal classroom activities. The e-logbook provides a wealth of data for the school. In general practice, 27 students recorded more than 2,600 patient encounters over 13 weeks. The data show that students experience in the training clinics mirrors the workload of the typical Australian GP, and reflects curriculum objectives. Educational Technology Inservice series MUDRIH initiated a monthly seminar series looking at the uses of technology in education. Run across multiple sites Entry to the new Bairnsdale campus. by videoconference, the seminars range from theoretical discussions to hands-on instruction with presenters drawn from across the school and the University. Topics covered during 2012 included: the pedagogy-androgogy-heutagogy continuum in Health Sciences Education the use of enterprise social media application, Yammer using Qualtrics in research, education and administration VotApedia (Audience Response System) and IF-AT (Immediate Feedback Assessment Technique) Twitter technology-based simulations for health care education, and e-learning options for teaching and learning. East Gippsland new rural clinical teaching facility Staff and students at the Bairnsdale campus of the East Gippsland RCS moved into a new $1.5 million extension mid-year. Funded by the Victorian Department of Health, the new areas include a student common room, two more tutorial rooms, eight new offices, reception area, hot desks and office space and reception room for the East Gippsland School for Aboriginal Health Professionals. Victorian Minister for Health and Ageing, David Davis, officially opened the building in August. 7

8 WILDFIRE WILDFIRE is the Monash rural health club for medical, nursing and allied health students. The University and School of Rural Health provide financial, academic and management support, in addition to the support provided by the National Rural Students Network (NRHSN). The club s largest subcommittee is based at Clayton campus with others at Parkville and Churchill campuses; and Bendigo, Mildura, Gippsland and East Gippsland regional clinical schools. WILDFIRE members promote rural education and health to school and community groups, and encourage their fellow students to undertake long-term rural clinical placements. Activities during 2012 included: Promoting the club at O-Week at Monash University, Clayton campus O-Week welcome dinner at the Mildura RCS Teddy Bear Hospitals in both the South East and North West Close the Gap Mildura Hospital Campaign Close the Gap lecture at Clayton campus Bendigo Hospital Trivia Night Matthew Campbell Memorial Evening held at Clayton campus Allied Health versus Medical Student soccer match High school visits in high school visits in Gippsland and East Gippsland Indigenous Mental health first aid courses, and A concerned teddy owner discusses her bear s ailments with a Year 3B medical student at the Teddy Bear Hospital run by WILDFIRE in Traralgon. Presentation at the school s end-of-year conference. 8

9 Community engagement Indigenous health MUDRIH s Indigenous Health Unit mentors and supports Indigenous medical students, assists in recruitment of Indigenous students and build relationships with Indigenous communities. During 2012, the unit held three community information sessions about courses and the support available through Monash. The local Aboriginal Community Controlled Health Organisation, Ramahyuck District Corporation, hosted the events for approximately 60 local staff and Aboriginal community members. The unit worked with high schools and communities to reach Indigenous students and their families, communities, teachers and career counsellors. Open Days at community health services and University events provided opportunities to promote increased awareness and participation in tertiary education for Indigenous students in the health field. The East Gippsland RCS has been working with the local East Gippsland Aboriginal community over the past four years, with support for the establishment and activities of the East Gippsland School of Aboriginal Health Professionals. This organisation is led by a committee of local Aboriginal elders, with the specific purpose of increasing recruitment of local Aboriginal students into tertiary health-related courses. The East Gippsland RCS provides administrative support and office space within the expanded campus at Bairnsdale. The Mildura RCS has been working with the Mallee District Aboriginal Services in order to establish further student placements across Years 2 to 5. Discussions have been ongoing in order to canvass other joint ventures with regard to research and usage of the Mildura RCS skills laboratory. Open days Gippsland campus The MBBS graduate entry program held its annual information day for prospective students on the Churchill campus in early April. This event was timed to coincide with the opening of GEMSAS for applications for 2013 and attracted over 100 prospective applicants. Applications closed in June with applicants placing their preferences for schools within the consortium of Graduate Medical Schools Australia wide. Applicants included students from the Gippsland Medical Bio Science program. The School Health also took part in Monash Gippsland Open Day activities in August. Prospective students learned about options to study medicine in Gippsland for both school leavers and graduates. East Gippsland RCS East Gippsland RCS opened its doors to residents of Sale and Bairnsdale when both campuses held a Community Open Day in July. The emphasis was on community involvement with lots of fun things organised for children, teenagers, youth and adults. Staff and students from both medicine and nursing were on hand to talk to everyone and let them know the school has a presence in the towns and what happens there. One of the main aims was to encourage young people to study for a career in rural health. Clayton campus Monash Open Day at Clayton campus was held on Sunday 5 August and was well attended by prospective students and families. School Health staff and students spoke with hundreds of potential medical students to promote direct-entry and graduate entry rural education and placements in the North West and the South East. Rural students also presented at the official MBBS information sessions which were very well attended. Mildura RCS Mildura RCS hosted a public information session in May for high school students interested in medicine and health careers. Over 35 high school students and their families attended the information evening with students also experiencing some hands-on exercises in the simulation laboratory. Mildura RCS also opened its doors to local hospitals, health centres, general practices and Mildura residents in December. The aim was to showcase the function and resources of the clinical school. This event was reported in both the local newspaper and television news bulletins. Plastered: kids at the Open Day got hands-on experience of medicine at work. 9

10 New collaborations and partnerships A number of new collaborations and partnerships were established in 2012, including: provision of learning resources and facilities for Partners in Training Australia capital works project associated with the Rural Health Multi-disciplinary Training Program (Department of Health and Ageing) East Gippsland School of Aboriginal Health Professionals collaboration with Royal Flying Doctor s Service of Australia (Victorian Section) student placement agreements with various health providers Simulated Learning Environment Project with La Trobe University, Bendigo TAFE Bendigo Health and other health services collaborative research agreement Simulated Learning Environment Integration, and Development Project for the Loddon Mallee Region with La Trobe University, Bendigo TAFE and Bendigo Health. Governance Emergency planning day Gippsland RCS organised an emergency exercise involving major emergency services from around Gippsland and school students at the Woorabinda School Camp just north of Moe. It was the first full-on emergency simulation exercise in the Latrobe Valley for some years and involved police, CFA, SES, ambulance, Latrobe City Emergency Management team, and the Department of Education and Early Childhood Development. The scenario involved 46 people in a school bus which overturned while evacuating the school camp in the middle of a bushfire. The injuries ranged from cuts and bruises to broken limbs and a pregnant woman with internal injuries. Latrobe City Council s Emergency Management Coordinator, Lance King, welcomed the involvement of the School Health. Ambulance Victoria and School Health Gippsland Regional Clinical School, did a great job in the management of an area (medical treatment) that most of we other responders never get to be involved in. Triage: Year 4C student, Terence Ting, assesses a young patient brought into the simulated emergency department. Patient transfer: Year 4C student, Jacob Lees, oversees the transfer of a simulated patient during the emergency exercise. In late 2012, the school s Executive Committee endorsed a new committee structure which emphasised the importance of effective communication between the Executive and its committees. Better timing of meetings and staff with membership of multiple committees will effect better links between the committees. 10

11 Research The school research program grew substantially in 2012 and continued to be recognised for its high quality contribution to understanding and improving the health of rural Australians. In particular, the school s research programs maintained strong contributions into national rural health policy. The Office of Research leads a whole-ofschool strategic direction across its sites from Mildura in the North West to Bairnsdale in the South East of the state. The school s research is guided by five themes: health services and workforce, health education and training, Indigenous health, population health, and clinical research. Research endeavours as diverse as identifying rural areas of need, using simulation in rural medical education, and models of rural mental health interventions exemplify the broad interest and research expertise of the school s researchers. The increasing productivity of the research program was evidenced by a substantial increase in peer-reviewed publications in 2012 and ongoing success in obtaining nationally-competitive research funding. School-led projects have been funded by many agencies, including the National Health and Medical Research Council; the Australian Primary Health Care Research Institute; Australian General Practice Training, the Department of Health and Ageing; Health Workforce Australia; the Victorian Departments of Health, and Education and Early Childhood Development; and various philanthropic groups. In addition, the school maintains formal research links with other faculties in the University, and other universities across Australia and overseas. Capacity building and support for earlycareer researchers continues to be an important focus for the school. A number of forums were conducted throughout the year bringing together researchers from within the school and other universities. Successful initiatives such as targeted publications workshops, regular journal club meetings, and interactive research seminars along with the appointment of new researchers supported improvements in productivity and quality. The higher degrees research program continues to attract talented, committed students that add great value to our research program. These students play an important role in providing a foundation for our competitive track record and, given the upcoming retirement of some of Australia s leading rural health researchers, are pivotal to maintaining research capacity in rural Australia. Research highlights Centre of Research Excellence The Centre of Research Excellence in Rural and Remote Primary Health Care demonstrated its indispensable role in generating new evidence, and translating its research into the policy and practice arenas. A collaboration between Monash University s School Health, Flinders University s Centre for Remote Health in Alice Springs and the University of Sydney s Department Health in Broken Hill, the centre published in 2012 more than 20 peerreviewed publications and made more than 25 keynote presentations and submissions to government. Among these was a submission to the Senate Committee on Community Affairs inquiry into The factors affecting the health services and medical professionals in rural areas. The submission argued that using the Australian Standard Geographical Classification Remoteness Area (ASGC- RA) categories alone is inequitable and ineffective because the system treats very diverse locations as equal. The submission presented an alternative model that takes factors other than geographic location into account. In its report, the Senate Committee recommended adopting this model and the Department of Health and Ageing was consulting with stakeholders about implementing a revised model for resource allocation in rural and remote areas. In late 2012, the Victorian Government awarded funding of $1,855,891 to the School Health - MUDRIH for the project Developing an Australian-first recovery model for parents in Victorian mental health and family services. The project relies upon a close collaboration with eleven agency and University partners across Victoria. Over the next four years the project will work with rural and urban parents with mental health problems, to develop a recovery model for parents but with the added benefit of aiming to prevent, where possible, mental illness in children. JBI Chronic Disease Management Node The JBI Chronic Disease Management Node was established in 2012 and won the JBI Evidence Transfer International Award for the development of the node. A collaboration between MUDRIH and the School of Nursing and Midwifery, the centre is affiliated with the Joanna Briggs Institute, and partners with Latrobe Regional Hospital and Latrobe Community Health Service. The Joanna Briggs Institute is based at the Faculty of Health Sciences at the University of Adelaide and works with over 70 entities across the world. It supports the synthesis, transfer and use of evidence through identifying feasible, appropriate, meaningful and effective healthcare practices to assist in improving global healthcare. The institute maintains a free database of evidencebased resources JBI COnNECT+ to help practitioners with clinical decision-making. The Chronic Disease Management Centre aims to promote the development and implementation of evidence-based health care in chronic disease. It has a special interest in the impact of chronic disease in regional and rural communities and health services. 11

12 Grants A number of new grants were obtained in Table 1 New research grants awarded to school staff during 2012 Title of project (and ERA grant category) Investigators Lead agency Funding source/s (if any) Funding period Value to SRH Total value Evaluation of Simulation spaces in Hong Kong ERA Category 3 Prof D Nestel* Dr M Bearman School Health, Monash University Third Horizon, Hong Kong April - August 2012 $51,818 $51,818 Centre of Research Excellence in medical workforce dynamics ERA Category 1 Prof A Scott A/Prof C Joyce Prof J Humphreys* Prof G Kalb Dr M McGrail* Melbourne Institute of Applied Economic and Social Research, University of Melbourne NHMRC January December 2016 (5 years) $328,374 $2,496,645 Mobile wound care extension project ERA Category 3 Prof J Walker* Dr H Khalil* Ms H Chambers* Dr M McGrail* Dr E Mitchell* School Health, Monash University Department of Health, Victoria July June 2013 (1 year) $30,000 $30,000 Using natural interfacing technology to provide rehabilitation services to clients with transport difficulties ERA Category 3 Mr B Haigh* A/Prof H McBurney Dr C Haigh* School Health, Monash University Baw Baw Shire December June 2013 $42,500 $42,500 Leading the re-birth of the rural GP obstetrician ERA Category 3 A/Prof L Kinsman* Dr D Simon Dr J Brown Ms J Rogalsky School Health, Monash University Southern GP Training December 2012 December 2013 (1 year) $70,840 $70,840 Building health literacy awareness with health care professionals ERA Category 3 Dr A Robinson* School Health, Monash University Central West Gippsland Primary Care Partnership 2012 $12,500 $12,500 * School Health researchers 12

13 Title of project (and ERA grant category) Investigators Lead agency Funding source/s (if any) Funding period Value to SRH Total value Access to dementia care and support services in rural Victorian communities PhD Top Up Scholarship ERA Category 3 Ms M Chisholm* School Health, Monash University Alzheimer s Australia Dementia Research Foundation January 2013 December 2014 (2 years) $15,000 $15,000 Enabling the Rural Academic Practice extension on original project ERA Category 3 Dr J Brown Prof D Nestel* Dr M Bryant A/Prof E Villanueva* School Health, Monash University Australian GP Training July 2012 October 2012 $18,000 $18,000 The Victorian Simulated Patient Network (VSPN) ERA Category 2 Prof D Nestel* Ms D Kiegaldie Ms L English School Health, Monash University Department of Health (Victoria) February 2012 June 2013 $184, $184, Mental Health Tertiary Curriculum Project ERA Category 3 A/Prof D Maybery* School Health, Monash University Australian Rural Health Education Network January 2012 December 2012 (1 year) $44,545 $44,545 Evaluation of the families where a parent has a mental illness (FAPMI) strategy ERA Category 2 A/Prof D Maybery* School Health, Monash University Department of Health (Victoria) January 2012 February 2012) $63,930 $63,930 Gippsland Regional Interprofessional Partnerships in Simulation ERA Category 3 Prof J Walker* Ms M Burley* Prof D Nestel* Mrs J Taylor* Ms F McCook* Mr H Gruis* Mr B Haigh* School Health, Monash University HWA Distribution simulation University Department Health specific 1 year $440,000 $440,000 Rural Pharmacy Liaison Officer program Prof J Walker* Dr H Khalil* School Health, Monash University The Pharmacy Guild of Australia $305,000 $450,200 * School Health researchers 13

14 Marking 20 years of rural health The School Health was established as the Centre for Rural Health in Gippsland in It has grown significantly since then. A year of celebrations across all the school s sites, a photography competition and a commemorative book marked the twentieth anniversary. March Traralgon - The Latrobe Regional Hospital Fun Run launches the School Health s year of celebrations. After runners and walkers worked up an appetite helping to raise funds for the hospital, the Gippsland RCS staff put on a BBQ lunch and the official launch of our twentieth year. Professor Roger Strasser joined the launch via video link from Canada. April Clayton - The seventeenth annual Matthew Campbell memorial evening dedicated to Indigenous health was themed Indigenous Culture: Celebrations and Proposed Integrations. Named for the second year medical student who organised the first such evening and was tragically killed in a car accident just a few days later, the event is organised by the student organisation, WILDFIRE. August Bairnsdale - The new $1.5 million west wing of East Gippsland RCS s Bairnsdale campus was officially opened by the state Minister for Health and Ageing, David Davis. The Dean, Professor Christina Mitchell, visited East Gippsland, Bairnsdale campus to meet with staff and key health service stakeholders and to view the new building. Mildura - Mildura RCS hosted a commemorative dinner for past and present staff, students and associates. Multi-talented students serenaded guests during the evening. October Thunder Bay, Canada - The School Health sent 13 delegates to the Rendez-Vous 2012 conference. Traralgon - Prizes were awarded to winners of the photographic competition. MUDRIH held a commemorative dinner with the theme, The MUDRIH story: Past, present and future; a dedicated journal of discovery, innovation and relevance to rural health. Guest speaker was former Head of School, Professor Elaine Duffy. 14

15 May Bendigo - Bendigo RCS staff and students formed a choir, Vocal Fremitus, and performed in the atrium of the St John of God Hospital to launch the hospital s annual art show. Mildura - Mildura RCS hosted a public information evening, principally for secondary school students and their families. The event was enthusiastically received by the community. July Bendigo - Professor John Humphreys long association with the School Health was acknowledged at a farewell dinner in Bendigo. Over 80 guests from all over Australia joined Monash staff to say goodbye. Bairnsdale and Sale - East Gippsland RCS held a Community Open Day on its two sites Bairnsdale and Sale. November Moe - MUDRIH s courtyard at Moe was officially named in honour of Associate Professor Marlene Drysdale. Bendigo - Bendigo RCS hosted its inaugural facilitated Community Conversation over Dinner. December Yarra Valley - Rural Health Curriculum Innovations conference looked at learnings in health professions teaching and trends into the future. 15

16 What does rural health look like? We invited staff, students and associates of the University to enter their vision of rural health literal or metaphorical in a photography competition. Three prizes and a people s choice award were on offer. First prize Second prize Third prize Wood for the fire, Claire Kent Bare footprints, Georgina Taylor Second prize went to Georgina Taylor who was studying for an honour s degree in Georgina says she took the photo on the street outside her door in a Northern Territory town the morning after a rain, inspired by the foreign image of bare footprints in the mud. It is a small detail but shows some of the differences seen in rurality. Hand therapy, Claire Kent First and third prizes went to Claire Kent who works at Latrobe Regional Hospital. She submitted a suite of images which depicted the wide variety of practice available working in a regional health service such as Latrobe Regional Hospital. The two winning images feature Sarah French, a Grade 1 Occupational Therapist. In Wood for the fire she conducts a functional assessment during a home visit to a community rehabilitation client. In Hand therapy she treats a patient while teaching an undergraduate student. People s choice Carolyn Lade is a maternal and child healthcare nurse in Gippsland. A home visit to a mother with her newborn became a surreal experience when she needed to return later with a breast pump. It was milking time, so the pump operating instructions were explained between her taking the cows off their breast pumps. Bare footprints, Georgina Taylor 16

17 A multi-vocal history of the first 20 years As well as organising a year of celebrations, we wanted to capture the learnings and contributions of the people whose hard work built the school we have today. So we invited people inside and outside the University to contribute to a commemorative publication. Its first twenty years have seen Australia s first rural academic unit, located in a former broom cupboard at the Latrobe Valley Hospital in Moe, evolved into a multi-site school with significant facilities in Mildura, Bendigo, Moe, Traralgon, Sale and Bairnsdale and many smaller facilities dotted elsewhere across Victoria. During this evolution it has been at the forefront of rural health teaching, research, development, advocacy and practice locally, nationally and internationally. Many dedicated people have played significant roles and many events have altered the course of the organisation s development and influence. To be launched at our end-of-year conference, the book is a multi-vocal recollection of the School Health s history. When read together, their contributions provide a rich collage of the school s development. Edited by former school manager, Robert Clough and with a foreword by Monash Vice Chancellor, Professor Ed Byrne, AO, the book s contributors include: Roger Strasser, AM Elaine Duffy Janice Chesters Peter O Meara Mollie Burley Jo Wainer, AM Nicholas Saunders, AO Michael Wooldrige Robert Wells Di Wyatt Dane Huxley John Humphreys John Togno David Campbell Gordon Whyte Geoff Solarsh Marlene Drysdale Ryan Spencer Elyssia Bourke and John Clark William Hart and Shane Bullock Judi Walker Cover design: Steve Kirkbright Rural innovations curriculum conference What advances have been made in rural health education in the last 20 years? Here and overseas, innovative and creative solutions have met the challenges of delivering health education programs in rural and remote areas. Over 90 Monash and external delegates registered for the December conference which drew together those learnings and innovative solutions in the design and delivery of rural health education programs. Our aim was to foster further innovation, sustainable academic practice and a sustainable rural health workforce into the future. The final program and copies of presentations have been published on the conference website: med.monash.edu.au/srh/conference2012 Keynote speaker, Professor Roger Strasser (Dean, Northern Ontario School of Medicine), set the scene at our welcome dinner examining the foundation, vision and development of a university school of rural health. The conference then explored four themes: Innovations in rural health curriculum across the learning continuum Innovations in curriculum evaluation and research Innovations in student support The future: sustaining innovative practice 17

18 Staff 2012 Office of Head of School Judi Walker, Professor, Head of School Graham Allardice, Senior Operations Manager Melanie Craig, Administrative Officer, Rural Education Program Helen Cronin, Communications Project Officer Jenny Donelly, South East Operations Manager Laura Major, Manager, Rural Education Program Melissa McNicol, Executive Project Manager Cathy Wheel, Senior Administrative Officer Office of Research John Humphreys, Emeritus Professor, Rural Health Research Cathy Ward, Research Administration Manager Ann Allenby, Dr, Research Fellow Penny Buykx, Dr, Senior Research Fellow Marita Chisholm, Research Assistant Jayantha Dassanayake, Dr, Research Fellow Leigh Kinsman, Associate Professor, Rural Health Research Lisa Lavey, CRE Project Manager Janelle McGrail, Administration Officer Matthew McGrail, Dr, Research Fellow Sandra Paschkow, Administration Officer Deborah Russell, Research Fellow Rachel Tham, Dr, Research Fellow Bernadette Ward, Dr, Senior Research Fellow Sari Young, Research Assistant Bendigo Regional Clinical School Geoff Solarsh, Professor, Director Kerrie Thomsen, Regional Manager Adele Asaid, Dr, Adjunct Senior Lecturer Pauline Blake, Student Services Administrator Robert Blum, Dr, Teaching Associate Gary Bourke, Dr, Sessional Teacher Alan Bradshaw, Dr, Adjunct Lecturer Lyndsey Brown, Year 4 Manager Peter Burt, Mr, Teaching Associate Adele Callaghan, Graeme Campbell, Mr, Teaching Associate Katherine Carroll, Dr, Teaching Associate Leanne Cheney, Receptionist/Administrative Assistant Regina Clark, Dr, Adjunct Lecturer Damien Cleeve, Dr, Adjunct Senior Lecturer Patrick Cooney, Dr, Teaching Associate John Cullen, Dr, Teaching Associate Peter Disler, Professor, Deputy Director Di Draper, Receptionist/Administrative Assistant Jon Edington, Dr, Adjunct Lecturer Gillian Fallon, PA to Professor Geoff Solarsh Bev Ferres, Dr, Teaching Associate Les Fisher, Dr, Teaching Associate Terri Galea, Lecturer John Gault, Dr, Teaching Associate John Gorey, Dr, Teaching Associate Safwat Hanna, Dr, Adjunct Senior Lecturer William Hanna, Mr, Teaching Associate Greg Harris, Dr, Teaching Associate Pam Harvey, Lecturer Mary Hatzis, Dr, Senior Lecturer Chris Holmes, Clinical Associate Professor Louise Hope, Dr, Teaching Associate Elspeth Horn, Dr, Teaching Associate Mark Jalland, Dr, Adjunct Senior Lecturer Debbie Kesper, Dr, Teaching Associate Steve Lindsay, Dr, Teaching Associate Anthony Gray, Mr Terry Luscombe, Dr, Adjunct Senior Lecturer Karen Martens, Dr, Teaching Associate Tony McCarthy, Dr Teaching Associate John McLennan, Dr, Senior Lecturer Joris Mekel, Dr, Teaching Associate Alan Mills, Dr, Adjunct Senior Lecturer Michelle Moon, Yr 1 & 2 Academic Manager Robin Munro, Dr, Teaching Associate Mike Moynihan, Dr, Adjunct Senior Lecturer Vince Murdolo, Dr, Teaching Associate Dennis O Connor, Dr, Senior Lecturer Matt Oliver, Mr, Teaching Associate Elizabeth Penington, Associate Professor, Adjunct Lecturer Natalie Radomski, Head, North West Rural Medical Education Unit Peter Roessler, Dr, Teaching Associate Al Rudock, Dr, Teaching Associate Gary Russell, Dr, Teaching Associate Dianna Sherriff, Dr, Adjunct Senior Lecturer Lindsay Sherriff, Dr, Adjunct Senior Lecturer Danny Silver, Dr, Adjunct Senior Lecturer Sonya Steve, Program Administrator Richard Summers, Dr, Teaching Associate Cheryl Sutherland, Yr 3 Academic Manager Helen Tom, Dr, Adjunct Senior Lecturer Phillip Tune, Clinical Associate Professor Jocelyn Wainwright, Sessional Teacher Peter Wearne, Teaching Associate Huw Williams, Dr, Teaching Associate Jenny Wood, Dr, Teaching Associate East Gippsland Regional Clinical School David Campbell, Associate Professor, Director Debra Johnston, Regional Manager Jessica Adams, Dr, Sessional Teacher Adrian Aitken, Dr, Senior Lecturer Stuart Anderson, Dr, Sessional Teacher Laurea Atkinson, SLE Coordinator Prudence Berry, Sessional Teacher Elizabeth Boyd, Dr, Senior Lecturer Bradley Casey, Sessional Teacher Jennie Casey, Lecturer Ruth Chantler, Dr, Senior Lecturer Elizabeth Christie, Dr, Adjunct/Honorary Appt Marnie Connolly, Student Placement Coordinator Howard Connor, Dr, Senior Lecturer Fiona Davies, Administration PTE, David Emonson, Dr, Sessional Teacher Margaret Gardner, Affiliate - Librarian Suzanne George, Dr, Sessional Teacher Jane Greacen, Dr, Senior Lecturer Lynne Hammond, Sessional Teacher Deborah Hewetson, Student Coordinator Hugo Huygens, Dr, Sessional Teacher Carole Ingwersen, Affiliate - Librarian Bob Irungu, Dr, Senior Lecturer David McConville, Dr, Sessional Teacher Robert McKimm, Dr, Senior Lecturer Ann Miller, Sessional Teacher Ian Miller, Dr, Senior Lecturer Iain Nicolson, Dr, Senior Lecturer Margaret Niemann, Dr, Sessional Teacher Ros Pearce, Administrative Officer Loy Perryman, Sessional Teacher Mark Pritchard, Dr, Senior Lecturer Donna Reed, Administration Casual Tony Richards, Dr, Senior Lecturer Helen Ried, Honorary Associate - Librarian Anamitra Sarkar, Mr, Senior Lecturer Anu Sarkar, Dr, Senior Lecturer Catherine Teed, Sessional Teacher Lyndee Walden, Administration Casual Lloyd Waters, Dr, Sessional Teacher Elizabeth Wearne, Dr, Sessional Teacher Robin Widdowson, Dr, Sessional Teacher Antony Wong, Dr, Sessional Teacher Rob Ziffer, Senior Lecturer Gippsland Regional Clinical School Elmer Villanueva, Associate Professor, Acting Director Elaine Evans, Regional Manager Paul Ah-Tye, Sessional Teacher Marlene Archbold, Clinical Site Administrator Sudesh Arora, Dr, Lecturer Gordon Arthur, Sessional Teacher Anna Baldassa, Sessional Teacher Asra Bechaz, Clinical Site Administrator Deidre Bentley, Sessional Teacher David Birks, Senior Lecturer Kaye Birks, Senior Lecturer Elizabeth Boast, Adjunct Lecturer (preferred first name Joanna) Anne Boyle, Affiliate Gerald Busch, Senior Lecturer Paul Brougham, Adjunct Senior Lecturer Geoffrey Campbell, Sessional Teacher Kenneth Ch ng, Sessional Teacher Leticia Clarke, Sessional Teacher Natalie Coveney, Sessional Teacher Hellen Creighton, Affiliate Dennis Danso, Senior Lecturer Jennifer Eury, Senior Lecturer Brett Forge, Sessional Teacher Gloria Forys, Sessional Teacher Mamdouh Georgy, Sessional Teacher Susan Greig, Senior Lecturer Catherine Haigh, Dr, Senior Lecturer William Haigh, Assistant Lecturer Fahad Hanna, Senior Lecturer Letitia Harris, Sessional Teacher Phillip Harris, Sessional Teacher Deborah Hewetson, Lecturer James Howe, Sessional Teacher David Iser, Senior Lecturer Therese Jenkins, Lecturer Brioney Klason, Sessional Teacher Michael Kunze, Senior Lecturer Renee Laidlaw, Lecturer Chris Lampel, Adjunct Senior Lecturer Judy Lawless, Clinical Site Administrator 18

19 Anna Leversha, Senior Lecturer Tim Linton, Adjunct Lecturer Michelle Livingstone, Clinical Site Administrator Malcolm McKelvie, Sessional Teacher Neil McMullin, Sessional Teacher Samuel Menahem, Sessional Teacher Sallyanne Middleton, Sessional Teacher Ian Needham, Communications contractor Charles Perry, Adjunct Lecturer Nadine Pollerd, Assistant Lecturer David Polmear, Adjunct Lecturer Meagan Presley, Lecturer Andrew Roberts, Lecturer Steuart Rorke, Adjunct Lecturer Patrick Ruane, Lecturer Sonya Rutherfurd, Sessional Teacher Michelle Ryan, Clinical Site Administrator Amir Safe, Sessional Teacher Milind Sanap, Adjunct Senior Lecturer Fiona Saxon, Sessional Teacher David Scott, Sessional Teacher Kerry Sibson, Assistant Lecturer Jennifer Smith, Sessional Teacher William Straffon, Sessional Teacher Joseph Tam, Senior Lecturer Cyril Tsan, Sessional Teacher Pete Verbeek, Sessional Teacher Jane Weeding, Sessional Teacher Tina Whitney, Administration Mildura Regional Clinical School Fiona Wright, Associate Professor, Director Kendall Livingstone, Regional Office Coordinator Kristy Allen, Skills Lab Technician Beverley Biggs, Sessional Teacher John Buckley, Sessional Teacher Alex Caracatsanis, Senior Lecturer Kevin Chambers, Sessional Teacher Howard Cook, Sills Lab Lecturer Terence Cook, Sessional Teacher Patricia Derrick, Sessional Teacher John Dyson-Berry, Sessional teacher Lloyd Hale, Adjunct Lecturer Mark Heald, Lecturer Linda Henderson, Sessional Teacher Rosalyn Hocking, Administrative Assistant Dennis Joyce, Dr, Sessional Teacher Meshach Kirubakaran, Sessional Teacher Vivek Manda, Sessional Teacher Mark Marrows, Sessional Teacher Robert Meyer, Sessional Teacher Kathryn Murdoch, Administration Assistant Brian Murphy, Sessional Teacher Ian Pettigrew, Associate Professor Trong Pham, Sessional Teacher Desley Reid-Orr, Administrative Assistant Marcella Roman-Miller, Adjunct Lecturer John Russell, Sessional Teacher Douglas Schneider, Sessional Teacher Alan Soward, Sessional Teacher William Sutherland, Adjunct Lecturer Jenny Timmis, Lecturer Nadine Timmis, Administration Assistant Fiona Tipping, Researcher Phillip Webster, Sessional Teacher Monash University Department and Indigenous Health (MUDRIH) Darryl Maybery, Associate Professor, Director Tracey Minster, Senior Administration & Contracts Coordinator Sue Barker, Lecturer, Indigenous Health Unit Cathy Beamish, Administrative & Education Officer Mollie Burley, Senior Lecturer Helen Chambers, Research Assistant, Data Manager Angelo D Amore, Dr, Lecturer Melinda Goodyear, Research Assistant Hilton Gruis, Senior Lecturer, Indigenous Health Unit Adrienne Forsyth, Research Project Assistant Marillyn Harkness, Administrative Officer Julie Irvine, Administrative Officer Anton Isaacs, Dr, Lecturer, Indigenous Health Unit Hanan Khalil, Dr, Pharmacist Academic, Senior Lecturer Fiona McCook, Lecturer Janelle McGrail, Administrative Officer Clare McHugh, Research Assistant Eleanor Mitchell, Dr, Lecturer Jenny Moloney, Lecturer Eli Ristevski, Dr, Lecturer Anske Robinson, Dr, Lecturer Margaret Stebbing, Senior Lecturer Keith Sutton, Research Fellow Pamela Jane Taylor, Education Lecturer Clare Van Den Dolder, Administrative Officer Julie Willems, Dr, Lecturer Gippsland Medical School Shane Bullock, Associate Professor, Acting Director Judy Embleton, Manager Clare Akers, Clinical Nurse Educator Gordon Arthur, Dr, Tutor Biswajit Banik, Dr, PBL Tutor Kim Barnes, Clinical Nurse Educator Patricia Beresford, Dr, Clinical Skills Tutor Prue Berry, Clinical Nurse Educator David Birks, Dr, Tutor Elizabeth Bulling, Dr, Clinical Skills Tutor Sue Butcher, Clinical Nurse Educator Virginia Bolge, Clinical Nurse Educator Marion Bowron, Clinical Nurse Educator Juliusz Buras, Dr, Tutor Peter Burke, Dr, Tutor Kathy Brotchie, Dr, Year A Clinical Skills Coordinator Brian Chapman, Associate Professor, PBL Coordinator and Theme III Coordinator Jane Clarkson, Clinical Nurse Educator Ann Dettrick, Dr, Adjunct Senior Research Fellow Kristy Dibiase, Clinical Nurse Educator Kate Dowling, Clinical Nurse Educator Tracy Ferrari, Clinical Skills Tutor Alison Ford, Clinical Nurse Educator Kelsey Giardina, Administrative Support Christine Henderson, Clinical Nurse Educator Ric Johnston, Dr, Clinical Skills Tutor Jo Kingsley, Senior Administrator/Project Officer Michelle Machado, Lecturer and Assessment Coordinator Agron Mataj, Dr Tutor Adelle McArdle, Dr, Assistant Lecturer/ Population Health Anna McGlade, Administrative Officer Sally Middleton, Dr, PBL Tutor Tracy Morrison, Tutor Fiona Napper, Clinical Nurse Educator Jane O Mara, Clinical Nurse Educator Louise Pratt, Clinical Nurse Educator Meagan Presley, Clinical Nurse Educator Caroline Rossett, Clinical Skills Tutor Sarah Russell, Administrative Trainee Mohammad Satari, Dr, Tutor Kerry Sibson, Clinical Nurse Educator Margaret Simmons, Dr, Coordinator Health and Society Val Shaw, Dr, Clinical Skills Tutor Marion Shutterworth, Dr, Clinical Skills Tutor Sue Smith, Executive Assistant Lauren Snell, Administrative Officer Student Services Toma Stanisic, Dr, Clinical Skills Tutor Anne Traill, Clinical Nurse Educator Nikki Wallis, Dr, Assistant Lecturer Nicole Waterson, Clinical Skills Tutor Kirsten Weinzierl, Clinical Nurse Educator 19

20 Publications 2012 B1 Book chapters: commercial publisher Beddoe, L., Burley, M. (2012) Social Work in Rural Australia. Ed. J. Maidment and U. Bay. Part II. Ch Humphreys, J. (2012) Rural and Remote Health in Understanding the Australian Health Care System. Ed: E. Willis, L. Reynolds, H. Keleher. Ch Bateman, D., Willems, J., (2012) Facing off: Facebook and Higher Education. Misbehavior Online in Higher Education. Emerald Group Publishing: C1 Refereed articles Ahmed, M., Sevdalis, N., Paige, J., Paragi-Gururaja, R., Nestel, D., Arora, S., (2012). Identifying best practice guidelines for debriefing in surgery: a tricontinental study. The American Journal of Surgery 203(4): Arora, S., Ahmed, M., Paige, J., Nestel, D., Runnacles, J., Hull, L., Darzi, A., Sevdalis, N., (2012). Objective Structured Assessment of Debriefing Bringing Science to the Art of Debriefing in Surgery. Annals of Surgery 256(6): Breen, S., Ristevski, E. and Regan, M. (2012) Enabling supportive care screening and evidencebased referrals for patients with cancer: patient acceptability and clinician implementation of the Supportive Care Resource Kit (SCRK) The Australian Journal of Cancer Nursing 13(1) Bourke, L., Humphreys, J., Wakerman, J. and Taylor, J. (2012) Understanding rural and remote health: A framework for analysis in Australia. Health & Place 18(3) Bourke, L., Humphreys, J., Wakerman, J. and Taylor, J. (2012) Understanding drivers of rural and remote health outcomes: A conceptual framework in action. Australian Journal Health. 20(6): Buykx, P., Cooper, S., Kinsman, L., Scholes, J., McConnell-Henry, T. and Cant, R. (2012) Patient deterioration simulation experiences: Impact on teaching and learning. Collegian: Journal of the Royal College of Nursing Australia 19(3) Buykx, P., Humphreys, J., Tham, R., Kinsman, L., Wakerman, J., Asaid, A. and Tuohey, K. (2012) How do small rural primary health care services sustain themselves in a constantly changing health system environment? BMC Health Services Research 12: Buykx, P., Humphreys, J., Wakerman, J., Perkins, D., Lyle, D., McGrail, M., Kinsman, L. (2012) Making evidence count : A framework to monitor the impact of health services research. Australian Journal Health. 20(2) Buykx, P., Missen, K., Cooper, S. and Porter, J. (2012) Emergency training boosts confidence. Australian Nursing Journal 19(7): 43 Buykx, P., Ritter, A., Loxley, W. and Dietze, P. (2012) Patients who attend the Emergency Department following medication overdose: Self-reported mental health history and intended outcomes of overdose. International Journal of Health and Addiction. 10(4) D Amore, A., James, S. and Mitchell, E. (2012) Learning styles of first-year undergraduate nursing and midwifery students: A cross-sectional study utilising the Kolb Learning Style Inventory. Nurse Education Today 32(5) Demaio, A., Drysdale, M. and de Courten, M. (2012) Appropriate health promotion for Australian Aboriginal and Torres Strait Islander communities: crucial for closing the gap. Global Health Promotion 19(2) Endacott, R., Scholes, J., Cooper, S., McConnell- Henry, T., Porter, J., Missen, K., Kinsman, L. and Champion, R. (2012) Identifying patient deterioration: Using simulation and reflective interviewing to examine decision making skills in a rural hospital. International Journal of Nursing Studies. 49(6): Erbas, B., Akram, M., Dharmage, S.C. and Tham, R. (2012) The role of seasonal grass pollen on childhood asthma emergency department presentations. Clinical and Experimental Allergy 42(5) Forbes, R.J., Jones, R. and Reupert, A. (2012) In the wake of the 2009 Gippsland fires: Young adults perceptions of post-disaster social supports. The Australian Journal Health 20: Greenway-Crombie, A., Snow, P., Disler, P., Davis, S. and Pond, D. (2012) The influence of rurality on diagnosing dementia in Australian General Practice. Australian Journal of Primary Health 18(3) Gupta, A., Paquet, M., Villanueva, E., Brintnell, W., (2012). Interventions for actinic keratosis (Review). Cochrane Database of Systematic Reviews 12 (online): 1-3 Hills, Danny J, Joyce, Catherine M, and Humphreys, John S. (2012) A national study of workplace aggression in Australian clinical medical practice. Medical Journal of Australia 197 (6): Hall, B., Chesters, J. and Robinson, A. (2012) Infantile colic: A systematic review of medical and conventional therapies. Journal of Paediatrics and Child Health 48: Harris, M., Myhill, M., Walker, J., (2012). Thriving in the Challenge of Geographical Dislocation: A Case Study of Elite Australian Footballers. International Journal of Sports Science 2(5): Henshaw, J., Walker, J. and Geraghty, D. (2012) Do transdermal opioids affect the personal socioeconomic costs of healthcare access in an Australian rural pain population? A comparison with oral opioids. Journal of Opioid Management 8(2) Higginbottom, GMA., Morgan, M., Dassanayake, J., Eyford, H., Alexandre, M., Chiu, Y., Forgeron, J., and Korcay, D. (2012) Immigrant women s experiences of maternity-care services in Canada: a protocol for systemic review using a narrative synthesis. Systematic Reviews. 1:27 Hooker, L., Ward, B. and Verrinder, G. (2012) Domestic violence screening in Maternal & Child Health nursing practice: a scoping review. Contemporary Nurse 42(2): Humphreys, J., McGrail, M., Joyce, C., Scott, A., Kalb, G., (2012) Who should receive recruitment and retention incentives? Improved targeting of rural doctors using medical workforce data. Australian Journal Health 20(1): Humphreys, J., and Gregory, G. (2012) Celebrating another decade of progress in rural health: What is the current state of play? Australian Journal Health. 20(3), Isaacs, A., Maybery, D. (2012) Improving mental health awareness among rural Aboriginal men: perspectives from Gippsland. Australasian Psychiatry. 20(2) Isaacs, A., Maybery, D. and Gruis, H. (2012) Mental health services for Aboriginal men: Mismatches and solutions International Journal of Mental Health Nursing 21(5) Jones, M., Humphreys, J. and McGrail, M. (2012) Why does a rural background make medical students more likely to intend to work in rural areas and how consistent is the effect? A study of the rural background effect. The Australian Journal Health 20(1) Jones, M., Humphreys, J., Nicholson, T. (2012) Is personality the missing link in understanding recruitment and retention of rural general practitioners? Australian Journal Health. 20(2) Khalil, H., Tan, L., George, J., (2012). Diabetes management in Australian rural aged care facilities: A cross-sectional audit. Australasian Medical Journal 5(11): Kinsman, L., Buykx, P., Cant, R. and Champion, R. (2012) The FIRST2ACT simulation program improves nursing practice in a rural Australian hospital. The Australian Journal Health. 20(5): Kinsman, L., Rotter, T., Willis, J., Snow, P., Buykx, P., Humphreys, J. (2012) Do clinical pathways enhance access to evidence-based acute myocardial infarction treatment in rural emergency departments? Australian Journal Health. 20(2) Kropmans, R., O Donovan, B., Cunningham, D., Murphy, A., Flaherty, G., Nestel, D., Dunne, F. (2012) An online management information system for objective structured clinical examination. Computer and Information Science. 5(1) Levesque, J. and Maybery, D. (2012) Parental cancer: Catalyst for positive growth and change Qualitative Health Research 22(3) Marshall, A., Goodyear, M., Crewther, (2012) Sequential quantitative X-ray elemental imaging of frozen-hydrated and freeze-dried biological bulk samples in the SEM. Journal of Microscopy. 245(1) Maybery, D., Goodyear, M., Reupert, A. (2012). The Family-Focused Mental Health Practice Questionnaire. Archives of Psychiatric Nursing 26(2): Maybery, D., Goodyear, M., Reupert, A., Harkness, M. (2012) Goal setting within family care planning: families with complex needs. The Medical Journal of Australia. 1(1) McGrail, M. (2012). Spatial accessibility of primary health care utilising the two step floating catchment area method: an assessment of recent improvements. International Journal of Health Geographics 11(online): McGrail, M., Humphreys, J., Joyce C., Scott, A. and Kalb, G. (2012) How do rural GP s workloads and work activities differ with community size compared with metropolitan practice? Australian Journal of Primary Health 18(3) McGrail, M., Humphreys, J., Joyce, C., Scott, A., (2012). International medical graduates mandated to practise in rural Australia are highly unsatisfied: Results from a national survey of doctors. Health Policy 108 (2-3): Nestel, D., Ivkovic, A., Hill, R., Warrens, A., Paraskevas, P., McDonnell, J., Mudarikwa, R and Browne, C., (2012). Benefits and challenges of focus groups in the evaluation of a new Graduate Entry Medical Programme. Assessment & Evaluation in Higher Education 37(1): Nobelius, A. Kalina, B., Pool, R., Whitworth, J., Chesters, J., Power, R., (2012). The Young Ones are the Condom Generation : Condom Use against Outof-School Adolescents in Rural Southwest Uganda. Journal of Sex Research 49(1): O Meara, P. Tourle, V., Stirling, C., Walker, J., Pedler, D. (2012) Extending the paramedic role in rural Australia: a story of flexibility and innovation. Rural and Remote Health online. 12. Online Power, M. (2012). Exploring some elements of an Inter-Cultural space. Catalyst - Pastoral & Socio- Cultural Journal for Melanesia 42(1): Regan, M., Mills, J., Ristevski, E. (2012). Cancer care coordinators relationship with the multidisciplinary team and patients: Everything to everyone. The Australian Journal of Cancer Nursing 13(1): Regan, M., Ristevski, E., Jones, R., Breen, S., Hartney, A. (2012) Examining the introduction of a supportive care screening and referral process for cancer patients: how does practice compare with protocols? Supportive Care Cancer. 20(1) Rickard, C., Webster, J., Wallis, M., Marsh, N., McGrail, M., French, V., Foster, L., Gallagher, P., Gowardman, J., Zhang, L., McClymont, A. and Whitby, M. (2012) Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. The Lancet 380(9847) Ristevski, E., Regan, M., Birks, D., Steers, N., Byrne, A., McGrail, M. (2012) Communicating about breast cancer: Rural women s experience of interacting with their surgeon. Australian Journal Health. 20 (online)

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