UNSW in the South West 2008-2010

Never Stand Still Faculty of Medicine South Western Sydney Clinical School

UNSW in the South West 2008-2010 Acknowledgment of Country

We would like to acknowledge the traditional custodians of the lands on which the south western Sydney UNSW campuses are located including the Darug, Gandangara and Tharawal peoples. We offer our sincere respect to Elders both past and present.

Acknowledgments

Thank you to all the staff, students and patients who have contributed content to this report. Photography by Craig Smith, Christopher Shain (2008) and Bubblegum Films (2011). Design of the Ian Webster Medal by Leo Carol. Design and production support by Wild Mind Studio.

South Western Sydney Clinical School Locked Bag 7103 LIVERPOOL BC NSW 1871 Australia

T: +61 2 9828 3844 F: +61 2 9828 3850 E: [email protected] U: http://swscs.med.unsw.edu.au Ta b le o f C o n te n t s

Short History of UNSW in the South West ...... 1

Our People ...... 3

Teaching ...... 23

Skills and Simulation ...... 26

Academic Infrastructure ...... 27

Prizes and Awards ...... 29

Best Overall Conjoint Teacher ...... 30

Research Groups ...... 31

Ingham Institute ...... 45

Postgraduate Students ...... 49

Independent Learning Projects ...... 49

Grants ...... 51

Papers ...... 55

2010 Papers of the Year ...... 84

Staff List ...... 85

Becoming a Conjoint ...... 87

Short History of UNSW in the South West

UNSW established its presence in south western Sydney in 1989 following an agreement signed by the Vice Chancellor of UNSW and the Chairman of the Board of the South Western Sydney Area Health Service (SWSAHS). The agreement was to create a teaching Area Health Service and not simply a teaching hospital. It included the public hospitals of Liverpool, Fairfield, Bankstown, Campbelltown and Bowral as well as the associated community and public health services.

In 1990, the first students commenced terms in south western Sydney as an integral part of their fourth year program involving community medicine and general medicine and surgery. All of UNSW’s medicine students rotated for a period of six weeks and were accommodated on the campuses across the south west. In 1991, approximately 20 were allocated for all of their clinical teaching in fourth, fifth and sixth years. Up to one hundred students were accommodated in facilities at any time in the south west. Emeritus Professor Ian Webster UNSW made a number of appointments including professorships in community medicine, pathology (conjoint), psychiatry, medicine, surgery, obstetrics and gynaecology and intensive care. The first UNSW Chair in General Practice was established in an academic unit at Fairfield Hospital. This was followed by appointments of senior lecturers in medicine and surgery and conjoint appointments at senior academic levels in all the disciplines.

The initial organisational steps involved joint planning and management committees with the Area Health Service and within the Clinical School and establishment of a Clinical School Committee, a committee for teaching, a Board of Medical Studies and a Research Advisory Committee. The Board of Medical Studies was responsible for oversight of undergraduate and postgraduate education and the Overseas Doctors Training Program.

In the early period, Clinical School meetings were held on different hospital campuses of the Area Health Service so that the whole of the health service in the south west of Sydney could be part of the new academic enterprise.

The transition from purely clinical services to an environment of teaching, research and clinical endeavour was achieved harmoniously. The leadership and collaboration of senior clinicians was outstanding as they welcomed the new academics and specialists to this part of Sydney.

1 One of the most important early tasks was to promote resources to support research development. This was achieved through collaboration of academics with the Area Health Service in founding the Health Research Foundation Sydney South West and the Ingham Institute. There were other research initiatives in medicine, cancer, trauma, epidemiology, general practice, health services research and psychiatry.

The Area Board of Directors were enthusiastic about research and sponsored many community events to raise funds for research. Also there were joint arrangements with the University of Western Sydney to share teaching areas and to support research. The teaching efforts were supported by the establishment of an excellent medical library, a Clinical Skills Centre and audiovisual resources.

The University continues to work with the South Western Sydney Local Health District to further develop academic medicine in south western Sydney including large infrastructure investments in the Ingham Institute, clinical skills and simulation and videoconferencing equipment to connect the campuses across Kensington and south western Sydney.

2 dementia care, cell biology (neuronal apoptosis), clinical pharmacology and nursing research. Her Our People key areas of research include projects in cognitive impairment and delirium in advanced cancer and palliative care, pharmacological clinical trials for symptom management in palliative care, health service intervention evaluation in palliative care, and end of life care Senior UNSW appointments have in advanced dementia. Meera is also the Clinical Director of the Braeside Hospital Palliative Care been made across a range of Service, the Clinical Trials Director of the Ingham disciplines in the south west of Institute for Applied Medical Research and coordinates palliative care teaching for Phase 2 Sydney. Here are a few of their UNSW students in south western Sydney. stories and a complete list is Meera’s team has received 15 peer reviewed available on page 85. competitive grants totaling more than $6.5m since 2008. Funding sources have included NHMRC, Department of Health and Ageing, Cancer Councils of NSW and Queensland, and Cancer Institute NSW. In 2011 the South West Sydney Palliative Care Clinical Trials Unit that she leads won the Premier’s Cancer Research Award for Innovations in Clinical Trials. Meera also won the Palliative Care New South Wales Award for Significance in Palliative Care Research. The Palliative Care for People at Home project for which she was the chief investigator also won the Palliative Care NSW Innovation in Palliative Care Award.

Meera is the chief investigator and Chair for ImPACCT: Improving Palliative Care Through Clinical Trials - the NSW Palliative Care Clinical Trials Collaborative Group. She is a member of the Palliative Care Clinical Studies Collaborative Meera Agar (PaCSCC, a national trials group in palliative care) - Trials Management Committee, Scientific Committee and Management Advisory Board and is the lead chief investigator for one of the Associate Professor Meera Agar national clinical sites. She is the Chair of the Palliative Care Group, and member of Council, Meera Agar leads a collaborative research team Clinical Oncological Society of Australia; Deputy with significant expertise in developing clinical Chair of the Cancer Institute NSW Human research in challenging and under-studied Research Ethics Committee; Board Member of clinical areas of palliative care, with outcomes the European Delirium Association and a easily translatable into palliative care practice. member of the Scientific Advisory Committee for The team has strong collaborations with national the Cooperative Trials Group – Neurooncology and international groups within palliative care, (COGNO). oncology, aged care psychiatry, geriatrics,

3 Professor Minoti Apte Minoti Apte Minoti Apte is the Director of the Pancreatic Research Group which has received continuous research support from the National Health and Medical Research Council (NHMRC)/ Department of Veterans Affairs (DVA) since 1987. The Group has also received funding from the Australian Research Council (ARC) and the NSW Cancer Council.

Minoti is internationally acknowledged as a leading researcher in the field of alcohol-induced pancreatic injury and pancreatic fibrogenesis and was the first in the world to isolate pancreatic stellate cells, the key effect on cells in pancreatic fibrosis. The international recognition of her work is reflected in the more than 2100 citations of her papers, in the invitations that she has received to speak at meetings worldwide and in the travel and research awards that she has received.

Minoti is Editor-in-Chief of the journal Pancreatology and a member of the Editorial Boards of several eminent journals in the digestive diseases field including Gastroenterology (as International Consultant), American Journal of Physiology, Journal of Gastroenterology and Hepatology and World Journal of Gastroenterology. She was recently invited to the Editorial Board of Gut. She is a founding member and immediate Past President of the Australasian Pancreatic Club (established She also actively contributes her services to the in 2002 to provide a forum for clinicians and University in her positions as Presiding Member scientists with research interests in pancreatic of the Faculty of Medicine, Chair of the Higher pathobiology), a founding member of the Asian Degree Committee, member of the UNSW Oceanic Pancreatic Association (an organisation Academic Board, member of several senior committed to fostering research and education Faculty committees and Postgraduate Research in the pancreas in the Asia-Oceanic region), a Coordinator for South Western Sydney Clinical member of the Biological Subcommittee of the School. Australian Gastrointestinal Trials Group (AGITG) and the Research Committee of the Gastroenterological Society of Australia. Professor Bryanne Barnett In 2011, she was invited as the Comfort Visiting Professor at the Mayo Clinic, Rochester USA. Bryanne Barnett AM is a conjoint Professor in She was made a Fellow of the American the School of Psychiatry at UNSW, where she Gastroenterology Association in February 2011, previously held the Chair of Perinatal and Infant in recognition of her leading contribution to Psychiatry. She is currently Clinical Director of pancreatic research. the perinatal psychiatry service at Karitane Early Parenting Services and the perinatal and infant

4 mental health service at St John of God Health Research and Evaluation (CCORE) at Liverpool Care in Blacktown. Hospital. He is the Research Director of the Ingham Institute of Applied Medical Research Her key interest in mental health is early which is constructing a new five-storey research intervention to enhance the well-being of infants, building, clinical skills and simulation centre and children and their parents. To that end, she has research linear accelerator at Liverpool. established various collaborative programs and Professor Barton has been involved in state, services aiming to identify problems and national and international strategic planning promote resilience in primary care and to projects for cancer services. These involvements provide relevant secondary specialised services have included the Victorian Cancer Services to support such initiatives. Framework Report, the Papua New Guinea Cancer Services Report and feasibility studies Bryanne was for many years a Director and then for radiotherapy services in Darwin and in Burnie Chair of the Board at Karitane. She is a Tasmania. He currently chairs the National Brain foundation member and Past President of the Tumour Guidelines Committee of the Australian Australian Association for Infant Mental Health, Cancer Network which published the first the Australian Society for Psychosocial Australian guidelines for professionals in 2009 Obstetrics and Gynaecology and the Australian and a patient and carer version in 2011. Branch of the Marcé Society. She has also been President of the International Marcé Society. She Michael has a strong track record in established the Department of Infant, Child and undergraduate and postgraduate education. In Adolescent Psychiatry in Sydney’s south west. 2000, he received a Professional Excellence Award from the New South Wales Cancer In 2007, Bryanne was awarded Membership of Council, Australia, for his work in professional the Order of Australia in recognition of her education. During 2007, he was appointed as services to women, families and the profession. the Rohan Williams Traveling Professor by the Royal College of Radiologists, London, completing a month long lecture tour of the United Kingdom in September of that year. He has developed a distance learning course in the Applied Sciences of Oncology for the International Atomic Energy Agency that has been downloaded over 2000 times.

Associate Professor Roy Beran

Roy Beran is a consultant neurologist with over 15 years of experience in clinical trials run from private practice. His research interests include epilepsy, multiple sclerosis, stroke, headache, sleep medicine, legal medicine and Parkinson’s disease.

Michael Barton Roy has published approximately 250 peer- reviewed journal articles, review articles, letters and book chapters; presented more than 300 papers at national and international meetings; Professor Michael Barton published 15 books on the subject of epilepsy, law, neurology and 8 book reviews in peer- Michael Barton OAM is Professor of Radiation reviewed journals. Oncology at UNSW, and Research Director of the Collaboration for Cancer Outcomes

5 His memberships include the Australasian complex paraoesophagheal hernia and single- Academy of Forensic Sciences, Australasian port cholecystectomy. Stroke Society, Australasian Sleep Association, Epilepsy Society of Australia and International Christophe has one of the world’s largest series League Against Epilepsy. Roy is also a member on laparoscopic repair of inguinal hernia using of the editorial board of Journal of Forensic and exclusively fibrin glue for mesh fixation, with over Legal Medicine and Epilepsy and Behavior. He 650 cases successfully completed. As a has been President of the Australasian College Supervisor of Surgical Education and Training of Legal Medicine (2002-2011) and has been for General Surgery, and Committee Member of Secretary General of the World Association for the New South Wales Regional Board in General Medical Law since 2008. Surgery, he has a strong interest and commitment to the teaching of laparoscopic skills to surgical trainees. Associate Professor Christophe Berney Since being awarded a PhD from UNSW in 1999 for fundamental research into predictors of Christophe Berney is General Surgeon with a liver metastasis in sporadic colorectal cancer, wide expertise in minimally invasive surgery, Christophe has maintained strong links with the especially in hernia repair. Since his appointment academic world of surgery. He still offers his as a Visiting Medical Officer at Bankstown- services to UNSW through his role as Lidcombe Hospital in 2002, Christophe has Coordinator of Undergraduate Surgical Teaching continued to develop and implement new at Bankstown-Lidcombe Hospital, and also with techniques in the field of advanced laparoscopic his ongoing contribution to publications in peer surgery and has been at the forefront of practice reviewed journals and national and international in a number of areas including the laparoscopic surgical conferences. He is an associate repair of congenital diaphragmatic hernia, member of the Australian and New Zealand laparoscopic distal pancreatectomy, Endocrine Surgeons, member of the General laparoscopic excision of mid-thoracic Surgeons Australia, member of the European diverticulum, laparoscopic mesh repair of Hernia Society, member of the European

Christophe Berney

6 Association for Transluminal Surgery and epidemiological studies, surveying over 7000 member of the Obesity Surgery Society of households for prevalence of Parkinson’s Australia and New Zealand. disease and interviewing identified Parkinson’s patients in metropolitan Sydney.

Professor Daniel Chan Daniel has also been involved with stroke service related research and stroke Daniel Chan is the Director of Aged Care and epidemiological research projects. He and his Rehabilitation at Bankstown-Lidcombe Hospital team won the Baxter Finalist Award from NSW and a conjoint Professor of Geriatrics with the Health for an innovative approach to stroke care School of Public Health and Community in 2002. In 2007, Daniel was awarded NHMRC Medicine. Daniel has multiple qualifications funding for a comprehensive stroke care model which support his current roles – as a manager, trial. Daniel has over 50 publications in peer- a staff specialist and an enthusiastic medical reviewed journals in the past five years. He has researcher. also been successful in securing in excess of $2 million from various competitive granting bodies He has broad research interests ranging from including the NHMRC, Hong Kong Research basic science to health care service related Council, NSW Health, the Australian Council for topics. One of Daniel’s main interests is finding Safety and Quality in Health (ACSQH) and the the genetic and environmental risk factors for a Royal Australasian College of Physicians number of neurodegenerative diseases such as (RACP). He has published one textbook on Parkinson’s disease and vascular dementia. Geriatrics (Chan’s Practical Geriatrics, in second National and international collaborations have edition) which has been translated and been established for studies of the genetic published in Chinese by Peking University associations within Australia, mainland China, Medical College Press. Hong Kong, Singapore and Japan. In addition, he has been involved with large-scale

David Davies

7 Professor David Davies service delivery at a national and international level.

David Davies is the Joint Area Director of Geoff also chairs the NSW Cancer Institute Area Pathology for SSWAHS and has been a conjoint Cancer Registry Steering Committee. His main Professor of Pathology at UNSW since 1995. clinical and research interests include breast and Having studied medicine at the University of lung cancer, effective models in radiotherapy Liverpool in the United Kingdom (UK), David has treatment service delivery, patterns of care and held a number of academic and clinical the role of information technology in radiation appointments in the UK, Victoria and NSW. oncology. David is a member of the Panel of Advisers for the Health Care Complaints Commission Professor Hugh Dickson (HCCC) of NSW and a councillor on the Australian Council on Healthcare Standards (ACHS). He has also made a significant Hugh Dickson is Director of Ambulatory Care contribution to the development of the (PIXI) at Liverpool Hospital, a service supporting pathology elements of Phase 3 in the New outpatient and domiciliary medical procedures, Medicine Program at UNSW. investigations and infusions. He has a particular interest in neuropathic foot disease and lower David has a number of research interests limb ulceration. including the pathogenesis of renal medullary necrosis and its relationship to the cortical lesion He is a collaborating researcher with the of chronic interstitial nephritis; mechanisms of Braeside Rehabilitation Research Group which proteinuria with particular reference to protein focuses on basic measurement in rehabilitation overload proteinuria; and immunopathology, and the psychometric properties of particularly that of necrotising glomerulonephritis measurement scales. He is currently assisting in and small vessel vasculitis. In 1981, David was a project with the WHO to develop a core set for the first to recognise cytoplasmic antineutrophil amputees using the International Classification cytoplasmic antibody (cANCA) in microscopic of Functioning, Disability and Health. polyarteritis nodosa. This has now become a He has served two terms as President of the test in general use internationally for diagnosis of Australian Faculty of Rehabilitation Medicine and small vessel vasculitis. Currently he is Chair of as a member of the Board of Directors of the the national quality assurance program in Royal Australasian College of Physicians. He Anatomical Pathology provided by RCPA Quality has been Chairman of the Human Research Assurance Programs Pty Ltd. Ethics Committee of the South Western Sydney In recognition of his efforts, David was awarded Local Health District, as well as being a member the Centenary Medal in 2003 for services to of Hospital and District administrative Australian society and medicine. In 2011, the committees. UNSW Faculty of Medicine named David the Overall Conjoint Tutor of the Year in recognition Associate Professor of his commitment to training medical students, Rebecca Dignan junior doctors and senior staff. Rebecca Dignan is a senior staff specialist in Cardiothoracic Surgery and Supervisor of Professor Geoff Delaney Training with an active practice at Liverpool Hospital. She has supervised medical students Geoff Delaney is the Director of Cancer Services during their cardiothoracic surgery rotation since for the South West Sydney Local Health District, 2004, including supervision of a student and conjoint Professor of Radiation Oncology at independent learning project into pain and chronic pain after cardiothoracic surgery. This UNSW. Geoff has also been a member or Chair of many committees involved with radiotherapy project is now in the pilot phase of a large, multicentre clinical trial.

8 Rebecca has been the principal investigator of a Head of the Academic Unit of Child Psychiatry, recently completed large, multicentre controlled South West Sydney (AUCS) based at Liverpool. trial into patient home testing and self management of warfarin in collaboration with Valsa is a member of the Executive Committee the University of Sydney, National Health and of the International Neuropsychiatric Association Medical Research Council Clinical Trials Centre (INA); founding member of the Australasian and Baird Institute. This trial was supported by Autism Research Collaboration (AARC) and the industry and a grant from the Australian and interim committee of the newly formed New Zealand Society of Cardiothoracic Surgery. Australasian Society for Autism Research The data have been presented internationally (ASFAR); member of the bi-national committee and are being prepared for publication. of the Australia New Zealand Society of Social psychiatry; Scientific Advisor to Rett Syndrome Rebecca has also actively contributed to the Association, India; Professional Expert for the University by lecturing on cardiac surgery and as Tourette Syndrome Association Australia; an examiner. She has also supervised honours Reviewer for the Positive Partnership: Australian students whose work has been the basis for Autism Education and Training Consortium presentations and manuscripts. (AAETC); member of the Editorial Board of the Journal Autism Research and Treatment; and Sentinel Reader for the McMaster Online Rating Professor Valsamma Eapen of Evidence.

Valsamma Eapen is Professor & Chair of Infant, As a child psychiatrist with special expertise in Child and Adolescent Psychiatry at the neurodevelopmental disorders, her research University of New South Wales (UNSW) and interests include Tourette Syndrome, Autism, and ADHD. Other areas of research interest include neurobiological underpinnings of attachment and separation anxiety disorder as Valsa Eapen well as metabolic syndrome in adolescents. She is a collaborator on the Obsessive Compulsive Foundation Genetics Collaborative, USA and the Autism Homozygosity Mapping Collaborative USA. Prof. Eapen holds both Australian Research Council (ARC) and National Health & Medical Research Council (NHMRC) grants. She has published four books, 15 book chapters and over 125 peer-reviewed papers.

Professor John French

John French is Director of Cardiovascular Research at Liverpool Hospital and is a conjoint Professor at UNSW. After basic physician training, he undertook a PhD at the University of Adelaide, further cardiology training at Green Lane Hospital New Zealand and a Wellcome Trust Postdoctoral Fellowship at University College London, UK. Prior to his current position, John was appointed to Green Lane Hospital and the University of Auckland from 1992-2003.

9 John has been an investigator and co- relevance and acceptability of interventions investigator in numerous randomised controlled aimed at improving cancer care and outcomes. trials and was on the steering committees of the SHOCK, OAT, HERO-2 and CRISP-AMI trials. Afaf’s national and international standing in Professor French has served on the clinical behavioural science and psycho-oncology is endpoints committees (CECs) of several major demonstrated by appointments to undertake trials, and chaired the ACROSS (Australian independent scientific reviews of cancer control Coronary Research OutcomeS Scientific) Group programs and behavioural research centres in 2007-11. He has co-authored more than 150 Australia and New Zealand; and invitations to peer-reviewed publications and over 200 short serve on key committees in behavioural and communications (abstracts and letters). Dr psychosocial research, professional training, French’s current major research interests include cancer control and public health. the acute coronary syndromes especially ST elevation MI, and cardiac biomarkers especially Afaf also has a strong commitment to teaching, student supervision and mentoring junior high sensitivity troponins. researchers; and has supervised 9 PhD and 5 Masters students to completion, taught Professor Afaf Girgis communication skills in the Bachelor of Medicine program at the University of Newcastle for many years and mentored a number of early Afaf Girgis is Executive Director of the to mid-career researchers who now hold Post- Translational Cancer Research Unit at the Doctoral Fellowships and senior research Ingham Institute for Applied Medical Research, appointments. South Western Sydney Clinical School, UNSW. She also holds the positions of Research Associate in the BC Cancer Agency Socio- Professor Bruce Hall behavioural Research Centre; Honorary Professor in the School of Medicine at the University of Queensland and Adjunct Professor Bruce Hall was appointed by UNSW as the in the School of Psychology at Griffith University. Foundation Professor of Medicine at Liverpool Hospital in 1991. He trained in internal medicine Afaf is an internationally renowned behavioural and renal medicine at Royal Prince Alfred (RPA) scientist, with over 22 years of experience in Hospital and completed his PhD in transplant cancer control and psycho-oncology research. immunology related to the mechanisms of She has an H-index of 21, with more than 120 rejection at the University of Sydney. Prior to publications, more than $27 million in coming to UNSW and Liverpool Hospital he held collaborative research funding and numerous a number of senior appointments in Canada, the invitations to speak at national and international United States and Australia. At Liverpool meetings. She has extensively researched and Hospital he established undergraduate and published in areas related to the prevention and graduate teaching programs in Medicine, and early detection of cancer; development and developed the Division of Medicine, with a full psychometric testing of measures to assess array of clinical services. cancer patients’, caregivers’ and health care professionals’ unmet needs; strategies for Bruce’s research interests include the study of improving psychosocial outcomes in clinical the immune mechanisms of organ allograft practice using rigorous research designs; and rejection and immune tolerance to allografts. He communication skills training for the oncology has an interest in clinical research in renal workforce. Afaf has a demonstrated track transplantation and in glomerulonephritis. In record of effective engagement with service autoimmune diseases, he is interested in the providers, end-users of research and the mechanisms of acquired immune tolerance and community (eg health professionals, cancer studies models of renal disease. He collaborates treatment centres, palliative care services, with Dr Suzanne Hodgkinson in research into DOHA, Cancer Councils, Cancer Voices, Breast the mechanisms of injury and tolerance in Cancer Network Australia) to ensure the neurological autoimmune diseases.

10 Bruce has an international reputation for his Professor Ian Harris research. He was the first to describe that CD4+T cells mediate immune tolerance, and Ian Harris is a Clinical Academic based at that the cells expressing CD25 are required to Liverpool Hospital and the South Western mediate this tolerance. This was the first Sydney Clinical School of UNSW. He is the description of the main T regulatory cell, the Professor of Orthopaedic Surgery, the Director CD4+CD25+T cells. His ongoing research is of Orthopaedic Surgery at Liverpool Hospital into how these regulatory cells induce antigen and holds other area-wide research and clinical specific tolerance. Other major contributions positions. include establishing the role of T cells in allograft rejection, that memory T cells do not recirculate Professor Harris’ research activities are based at from blood to lymphoid organs and that grafts Liverpool Hospital and involve clinical research in express MHC molecules during rejection. His the field of surgery and clinical epidemiology research laboratory has also contributed to the including multicentre randomised trials, understanding of how T cells and complement systematic reviews and patient outcome mediate glomerulonephritis. Current research surveys. focuses on antigen specific T regulatory cells, the role of cytokines in inducing these cells and maintaining tolerance, and the efficacy of new Professor Ken Hillman immunosuppressive therapies in transplantation and renal diseases. He holds several patents, Ken Hillman is Professor of Intensive Care at the has written 16 book chapters and over 150 peer South Western Sydney Clinical School, UNSW reviewed scientific papers. He frequently and Director of the Simpson Centre for Health reviews articles for international journals. Services Research. Ken remains an actively practicing Intensive Care clinician which He is an active clinician and has an interest in complements his main research interest which is clinical based teaching. He established many of health services research – developing and the tertiary clinical services at Liverpool Hospital, especially the renal service.

Ian Harris

11 evaluating new and innovative ways of practising health care.

Ken has active research interests in areas such as recognising and responding to seriously ill hospitalised patients in a timely fashion and improving the end-of-life care in acute hospitals. He has published over 120 peer reviewed papers, written 56 chapters, co-written and co- edited two textbooks, written a book – Vital Signs: Stories from Intensive Care and has received over $8 million in peer-reviewed grants.

Professor Bin Jalaludin

Bin Jalaludin holds a medical degree and a doctorate in air pollution epidemiology, both from the University of Sydney and is currently the Director of the Centre for Research, Evidence Management and Surveillance (REMS). He has a conjoint Professorial appointment in the School of Public Health and Craig Juergens Community Medicine at UNSW and is an Honorary Senior Research Fellow at the Woolcock Institute of Medical Research, University of Sydney. Associate Professor He is on the board and the scientific committee Craig Juergens of the Australian Paediatric Surveillance Unit, a Craig Juergens is an Interventional Cardiologist member of the SWSLHD Human Research at Liverpool Hospital where he is Director of the Ethics Committee, a member of the Scientific Cardiac Catheterisation Laboratories and is a Advisory Committee of the Ingham Institute of conjoint Associate Professor with UNSW. Applied Medical Research and on the Editorial Board of Environmental Health. After basic cardiology training at Royal Prince Alfred Hospital in Sydney, he completed an Bin’s research interests are in air pollution and Interventional Fellowship at Stanford University, environmental epidemiology, use of linked California and returned to Australia in 1997 to administrative datasets, spatial epidemiology, establish the coronary interventional service at neighbourhoods and social determinants of Liverpool Hospital. This service has health, as well as in translating research into subsequently become a centre of training for policy. He has published over 130 papers in the interventional cardiologists with numerous peer reviewed scientific literature and has been Australian Fellows and doctors from China, successful in attracting competitive funding for England, Singapore, Malaysia and Myanmar significant research projects from the ARC, learning coronary interventional techniques NHMRC, Ingham Institute of Applied Medical under the supervision of Craig and his Research, Environment Protection and Heritage colleagues. In addition Craig has demonstrated Council, Department of Environment and PCI techniques in centres in Taiwan, China, Heritage, NSW Department of Health, NSW Myanmar and Vietnam. Department of Environment and Conservation and NSW Department of Education and Apart from his interest in Interventional Training. Cardiology, Craig has a major interest in acute coronary syndromes and has been involved in a

12 large number of multicentre, multinational clinical Murray’s research tools include electron trials. He has been invited to speak at a number microscopy, immunocytochemistry and of local and international meetings. computer-based image analysis. He contributes morphological and ultrastructural data to He has been author of over 40 peer reviewed research groups from the University and has papers in local and international Journals and he more than 1350 citations for his papers. In continues to be an active clinician in the 2011, he was awarded a Foundation Fellowship Department of Cardiology at Liverpool Hospital, of the Faculty of Science from The Royal in addition to providing support for the College of Pathologists of Australasia (RCPA). interventional cardiology program at Orange Base Hospital. Associate Professor Friedbert Kohler Associate Professor Murray Killingsworth Friedbert Kohler is Chair of the Braeside Liverpool Fairfield Rehabilitation Research Group Murray Killingsworth is principal hospital which continues to be one of the leading groups scientist of the Electron Microscopy Laboratory, of researchers studying outcomes of Sydney South West Pathology Service. He rehabilitation. completed his PhD in 1990 in UNSW’s School of Pathology (now School of Medical Sciences) He has an international reputation for innovative and his research interests are in the cell biology work in the clinical use of the International of chronic inflammation in macular degeneration Classification of Functioning, Disability and of the retina, renal disease and cancer. Health, (ICF), with regular invitations for

Murray Killingsworth

13 presentations on the developments of clinical a Section Editor of the Journal of applications of the ICF in rehabilitation medicine. Gastroenterology and Hepatology, and former Director of Gastroenterology at Bankstown Friedbert is a member of the editorial board of Hospital. Rehabilitation as well as Prosthetics and Orthotics International. He is the current Rupert is committed to individualised, high- President of ISPO ANMS (Australian National quality patient management, promoting high Member Society of International Society of standards in gastroenterology training and Prosthetics and Orthotics), Co-chair of the ICF practice, fostering novel research and serving to subcommittee of the WHO liaison committee of educate professional colleagues and the public the International Society for Physical and on gastroenterology-related issues. Rehabilitation Medicine and chair of the ICF Special Interest Group of the Australasian Faculty of Rehabilitation Medicine. Professor Dominic Leung

Health facility appointments include Clinical Dominic Leung is a Senior Staff Specialist in Director of Aged Care and Rehabilitation for Cardiology and Director of Echocardiography at South Western Sydney Local Health District, the Liverpool Hospital. Dominic is a Fellow of the Director of Rehabilitation Medicine at Liverpool, Royal Australasian College of Physicians, the Fairfield and Braeside hospitals as well as Royal College of Physicians (Edinburgh), Director of Medical Services at Braeside European Society of Cardiology, American Hospital. College of Cardiology, Hong Kong College of Physicians and The Cardiac Society of Australia Associate Professor and New Zealand. Rupert Leong He is an internationally acknowledged expert in echocardiography and cardiac imaging and has Rupert Leong is a consultant gastroenterologist published more than 100 papers in peer- and conjoint Associate Professor at UNSW and reviewed journals, book chapters, editorials, Macquarie University, Sydney, Australia. His reviews and invited articles in major journals and expertise includes interventional endoscopy more than 200 abstracts. The international (upper GI and colonoscopy), endoscopic recognition of his work is reflected in the more ultrasound, confocal endomicroscopy and than 1600 citations of his papers and frequent management of inflammatory bowel diseases. invitations to speak at major national and international meetings including scientific Rupert has published widely in these fields and meetings of the American College of Cardiology, has received awards and research grants from American Heart Association, European Society national and international bodies including the of Cardiology, World Congress of Cardiology NHMRC and the Gastroenterology Society of and the Cardiac Society of Australia and New Australia. Zealand. After completing his gastroenterology and Dominic is a regular reviewer for international clinical immunology training in Western Australia, journals including The Journal of American he completed a further two years of advanced College of Cardiology, Cardiovascular Imaging, interventional endoscopy and IBD research Circulation, The American Journal of Cardiology, fellowships as the prestigious Amy and Heart, European Journal of Echocardiography, Athelstan Overseas fellow and Visiting Scholar Heart Lung and Circulation, Internal Medicine of the Prince of Wales Hospital in Hong Kong. Journal, Journal of Cardiac Failure, Journal of the American Society of Echocardiography, Rupert is the current Director of Endoscopy at International Journal of Cardiology and Concord Hospital, a member of the Australian Emergency Medicine Australasia. IBD Association and the Asia Pacific Inflammatory Bowel Diseases Working Group of the Asia Pacific Association of Gastroenterology,

14 Dominic Leung

Dominic’s current research interests include Professor Siaw-Teng Liaw valvular heart disease, heart failure, exercise physiology, exercise echo, diabetic heart Siaw-Teng Liaw is Professor of General Practice disease, microvascular dysfunction, acute and Director of the Academic General Practice coronary syndrome and interventional Unit based at Fairfield Hospital. His research cardiology. In addition to his busy clinical program “Information-enhanced integrated care service as a staff cardiologist, Dominic is also of chronic disease” revolves around primary and actively involved in undergraduate and integrated care informatics and information postgraduate medical education and supervises quality and clinical decision support, focusing on a number of BSc (Hons), Masters and PhD chronic disease management and quality use of students. medicines in mainstream and Aboriginal communities. He is nationally and internationally Dominic has also been able to attract research acknowledged as a leading general practice and funding from the National Health and Medical health informatics researcher. Research Council, National Heart Foundation and other funding bodies. Teng sits on the NSW Health Acute Care Taskforce and is currently involved with

15 promoting and standardising activities on clinical Teng is a Professorial Fellow of the University of handover between general practice, community- Melbourne. He sits on the Royal Australian based and hospital-based facilities. He also sits College of General Practitioners National on the Research and Teaching Subcommittee Research Committee and is the current chair of and a number of service-related committees to the RACGP National Research, Evaluation and do with chronic disease management in the Ethics Committee. South Western Sydney Local Health District.

He is a member of the editorial boards of a Professor Patrick McNeil number of family/general practice and health informatics journals, a number of peer-review Patrick McNeil is Professor of Rheumatology at panels for national and international competitive SWSCS based at Liverpool Hospital. He heads grants and scientific conferences, the American a research group exploring the biology of mast Medical Informatics Association (AMIA) cells and their role in non-IgE-mediated International Affairs Committee and the inflammatory rheumatic conditions, as well as International Medical informatics Association novel inflammatory pathways in rheumatoid (IMIA) Academy Task Group. He is a Foundation arthritis and autoimmune connective tissue Fellow of the Australian College of Health diseases. He is an author on more than 85 Informatics and was President from 2005-2007. scientific publications in biomedical science,

Patrick McNeil

16 clinical medicine and medical education which Association Research Trust, and NHMRC Grant have been cited more than 4,500 times to date, Review Panels. with 17 papers cited more than 50 times including seven papers with over 100 citations. Professor Guy Marks From 2001-2005, Patrick served as the Faculty of Medicine’s Associate Dean (Education) at Guy Marks is a respiratory physician at Liverpool UNSW, where he was the central architect of a Hospital and a respiratory epidemiologist, based new and highly innovative outcomes-based at the Woolcock Institute of Medical Research. medical education program which began in His research interests include obstructive lung 2004, from which a number of research disease (asthma and COPD), health effects of air publications have arisen. He currently chairs the pollution and tuberculosis as well as Faculty’s Program Evaluation and Improvement epidemiological research methods. He is the Committee. Director of the Australian Centre for Asthma Monitoring, a collaborating unit of the Australian Patrick is recognised as a national leader in Institute of Health and Welfare (AIHW) academic rheumatology in Australia and is responsible for collating, reporting and currently the President of Arthritis Australia, the interpreting national data on asthma trends and peak national body for consumers with arthritis. outcomes. He has been a long-standing member of Scientific Assessment Committees for Arthritis Guy is the chief investigator on the Childhood Australia, the Australian Rheumatology Asthma Prevention Study (CAPS), a long-term

17 study investigating risk factors for asthma in Bin’s main research interests are in acute children born in south western and western geriatric medicine, thromboembolic disease and Sydney. His interest in tuberculosis has included models of care including hospital in the home, policy-related epidemiological studies of ambulatory care and medical assessment units. tuberculosis in NSW and international He has published in national and international collaborations, particularly involving Vietnam. He peer reviewed journals on these topics. He is a is Principal Investigator of a study investigating member of the Australia and New Zealand the effectiveness of active case finding in Society of Geriatric Medicine, Hospital in the household contacts of patients with TB in Home Australia and American Academy of Vietnam. Home Care Physicians. Bin is also actively involved in the NSW Health Alternatives to Acute He has undertaken a number of studies Hospital Admission Program working group and investigating health effects of various air the Therapeutics Advisory Group. pollution sources including road traffic and unflued gas heaters. From 1994 to 2007, he was head of the Department of Respiratory Associate Professor Michael Parr Medicine at Liverpool Hospital and he continues his role as an active clinician within that Michael Parr is Director of Intensive Care at department. He is Chair of the NSW TB Liverpool Hospital and trained in Anaesthesia Advisory Committee and of the NSW Chief and Intensive Care in the UK, New Zealand, Heath Officer's Expert Advisory Committee on USA and Australia. Michael is author of two Air Pollution. books, numerous book chapters and scientific papers, and maintains Liverpool Hospital Intensive Care Unit as a lead research unit within Associate Professor the Australian and New Zealand Intensive Care Catherine O’Connor Society Clinical Trials Group.

Catherine O’Connor is Director of Sexual Health Michael is an Editor of the journal Resuscitation, Services for South West Sydney Local Health an executive member of the Australian District and Sydney Local Health District. Her Resuscitation Council, a member of the major research interest are HIV and STI clinical International Liaison Committee on management & epidemiology. Resuscitation (ILCOR) Advanced Life Support committee and Past president of International Key achievements include participation in the Trauma Care. Australian HIV Observational Database and the Australian Collaboration for Chlamydia Enhanced Sentinel Surveillance (ACCESS) Associate Professor project both run through the Kirby Institute at Chris Pokorny UNSW. She also actively contributes her services to the University through clinical Christopher Pokorny is a practicing teaching of medical students. gastroenterologist and Visiting Medical Officer at Liverpool and Sydney Hospitals. He also holds a conjoint appointment as Associate Professor at Associate Professor Bin Ong UNSW. His clinical and research interests include inflammatory bowel disease, coeliac Bin Ong is Director of the Ambulatory Care Unit disease and iron deficiency anaemia. and Medical Assessment Unit in Bankstown Hospital. He is also practising as a staff Chris is also actively involved in both specialist in Geriatric and General Medicine. He undergraduate and postgraduate education and is actively involved in the medical undergraduate currently is a member of the senior examining programs linked with general medicine, Society panel of the Royal Australasian College of and Health and geriatric medicine in Physicians, the Joint Divisional Continuing Bankstown-Lidcombe Hospital. Professional Development Committee (RACP)

18 and the Specialist Advisory Committee in first breakthrough in the description of an adult Gastroenterology (RACP). In addition, he is on form of separation anxiety disorder. the editorial boards of the Internal Medicine Journal and Medicine Today. Derrick has attracted numerous NHMRC grants including two Program Grants (2004-2008; 2010 -2014) in collaboration with a team of Associate Professor John Quin leading trauma researchers in Australia. More recently, he has been awarded ARC grants for John Quin is the Director of Immunology in research in Timor Leste and with Professor Liverpool Hospital and consultant Immunologist Valsa Eapen, involving women attending the for South Western Sydney Local Health Distrct. antenatal clinic. Key collaborating centres are He is the current Chairperson for the the Harvard Program in Refugee Trauma, the Antiretroviral Study Group in the National HIV Karolinska Institute where he is a Visiting Research Association and has been a member Professor, Public Health at UNSW with since 1990. Professor Anthony Zwi and Sydney University with Professor Adrian Bauman, and Psychology, John’s current research interests are in therapies UNSW with Richard Bryant. for HIV infection and chronic hepatitis B and C as well as autoimmune disease and allergy. The Derrick has published over 350 journal articles, unit has two clinical trials in progress and has books, book chapters and major reports. completed 28 clinical trials in the last 15 years. Several of his publications have appeared in the He has more than 60 peer reviewed world’s leading peer review journals such as the publications. Lancet, the Journal of the American Medical Association, the British Medical Journal, the Archives of General Psychiatry, the American Professor Derrick Silove Journal of Psychiatry, the British Journal of Psychiatry and Social Science and Medicine. Derrick Silove was appointed to the Foundation Key articles in recent years include a meta- Chair in Psychiatry in 1990 soon after the analysis of the entire field of refugee and post- establishment of the UNSW Clinical School in conflict mental health led by Unit Deputy Director, Dr Zachary Steel, and an analysis of the SWSAHS. For a time, he was also the Area Director of Mental Health. He established the national mental health data focusing on gender Psychiatry Research and Teaching Unit and later based violence led by Dr Susan Rees, ARC the Centre for Population Mental Health Queen Elizabeth II Fellow, both published in Research. JAMA. He is also a co-author on a review of research in humanitarian emergencies to be Derrick has had a longstanding interest in the published in the prestigious second round of the mental health and psychosocial well-being of Global Mental Health Series in the Lancet. refugees, asylum seekers and other populations exposed to mass violence and human rights He received the Dean’s Award for Lifetime violations. His focus has extended to the Achievement in 2010. development of mental health services in low- income countries recovering from conflict such as Cambodia, Vietnam, and Timor Leste where Associate Professor he led an AusAID funded national program in John Smoleniec mental health for five years. John Smoleniec is Director of the Feto-Maternal His team is also involved in projects with other Medicine Unit at Liverpool Hospital. His clinical marginalised and disadvantaged groups, with a research interests are in fetal therapy and the large collaborative NHMRC study being initiated outcomes in the early years. He is a member of in the Broken Hill area amongst indigenous the Early Years Research Group which were communities. The team also has a general awarded a seeding Ingham Institute grant in interest in stress and anxiety, making a world 2010. He has a particular research interest in

19 Shalini Vinod monochorionic twin pregnancy with respect to Associate Professor Shalini Vinod antenatal care, management of complications and placental anastomosis. Shalini Vinod is a radiation oncologist at the Liverpool Cancer Therapy Centre. Her clinical John is a founding member of the NSW fetal interests are in lung and gynaecological cancers. surgery team for the intrauterine treatment of She has developed the Lung Cancer twin to twin syndrome. He has represented this Multidisciplinary Team at Liverpool and team internationally by delivering papers at the Macarthur Cancer Therapy Centres. This group annual Eurofetus Fetal Surgery meeting on a has local protocols for management of lung regular basis. He is involved in RANZCOG and cancer, collects prospective data which have NSW Ministry of Health activities involving been used for research and organises education maternal fetal medicine and obstetrics via sessions for GPs. membership of a number of committees including the NSW Maternal and Perinatal She has a strong commitment to education and Committee and as a maternal fetal medicine is an examiner for the final exams in radiation subspecialty examiner. oncology. She is an advocate for evidence- based medicine and has written guidelines for John is actively involved in teaching, curriculum treatment of gynaecological malignancies for the development and mentoring of UNSW medical Agency for Clinical Innovation, NSW. She is students. He is supportive of the ILP research currently involved in updating the Australian project component of the curriculum. NHMRC guidelines for lung cancer and is also chair of the radiation oncology committee for eviQ (NSW Cancer Institute) which writes evidence-based protocols for radiotherapy.

20 Shalini is active in research and has published abstracts predominately on the subject of the on many topics including lung cancer, pathogenesis of pancreatitis. gynaecological cancers, the use of PET scans in radiotherapy and multidisciplinary care. She is Jeremy has been the recipient of continuous currently supervising research undertaken by NHMRC/DVA Project Grant support since 1987. medical students, radiation oncology registrars He has also received research support from the and a PhD student. She is developing an National Institutes of Health (USA), the international profile in lung cancer and was part Ramaciotti Foundations, the Australian Brewers of the International Scientific Committee which Foundation and the RACP as well as internal organised the World Lung Cancer Conference in grant support from Prince Henry and Prince of 2011. Wales Hospitals and UNSW. He has supervised or co-supervised a number of candidates for doctoral degrees (MD or PhD). Associate Professor Philip Ward Jeremy is recognised as an international authority on the pathogenesis of alcoholic Philip Ward is Director of the Schizophrenia pancreatitis and pancreatic stellate cells. He is a Research Unit in the Division of Mental Health, member of Council and the Honorary Secretary and has received continuous research support of the International Association of Pancreatology from the National Health and Medical Research and is also a member of the Editorial Board of Council (NHMRC)/Australian Research Council the journal Pancreatology. His work has received since 1984. Philip has also received competitive more than 3000 citations attesting to his funding from the Australian Rotary Health international recognition in the field. In 2001, he Research Foundation and the Michael J Fox was awarded a Fellowship by the Royal College Foundation. of Physicians, UK on the basis of his Philip is internationally recognised as a leading distinguished achievements in pancreatology. In researcher in the field of neurocognitive deficits 2007, Jeremy was made a Fellow of the in schizophrenia and in the use of neuroimaging American Gastroenterological Association (AGA) to investigate a range of neuropsychiatric and was one of the first non-American syndromes. The international recognition of this researchers to be awarded this honour. work is reflected in the more than 2200 citations As Clinical Associate Dean of SWSCS and of his papers. Professor and Director of Medicine at Liverpool Philip is a member of the Scientific Advisory Hospital, Jeremy has major responsibilities in the Board of the Australian Brain Donor Program, area of administration, clinical service, teaching and serves as the Postgraduate Research (undergraduate and postgraduate) and research Coordinator for the School of Psychiatry, at SWSLHD and UNSW. University of New South Wales. He was a In 2004, he led the development of ‘The Way founding member of the Australasian Society for Forward’, the strategic plan for the development Biological Psychiatry, and served as president of clinical services for the south west of Sydney. from 1998-2005. He also served as Scientific Director of the Neuroscience Institute of He is currently involved in a range of strategic Schizophrenia and Allied Disorders (now the projects for SWSLHD and NSW Health including Schizophrenia Research Institute) from as a member of the Clinical Council of the 1998-2004. Clinical Excellence Commission and as Co-chair of the Acute Care Taskforce of NSW Health Professor Jeremy Wilson which has responsibility for advising the Department on matters relating to best practice and efficient care of acute medical patients in Jeremy Wilson founded the Pancreatic the NSW Health system. Research Group and has been involved in pancreatic research for over 20 years. He has more than 120 publications and over 138

21 John Worthington

Associate Professor carried out in an established collaboration with John Worthington cardiologists, neurosurgeons, biostaticians, academic nurses, epidemiologists and public John Worthington is a lead investigator on two health specialists. Most of these projects are current NHMRC research projects as well as under the auspices of the Ingham Institute and projects funded by the BUPA Foundation and South Western Sydney Clinical School. John the Clinical Excellence Commission. His established the research group with Melina research work spans randomised control trials Gattellari to investigate atrial fibrillation and to improve stroke prevention in atrial fibrillation, stroke (DESPATCH and STOP-STROKE), and neuroepidemiology and data linkage studies of the group’s research has successfully expanded stroke and TIA outcomes. He is a member of to include funded studies of stroke and TIA the Stroke Services NSW Co-ordinating (PRISM), including sub-arachnoid haemorrhage Committee and several of its sub-committees, (OASIS) and epidemiology studies of rare such as the Strategic Working Party and neurological disorders such as Myasthenia Thrombolysis Committee. He has been a Gravis. neurologist at Liverpool for over 15 years, John has presented his research internationally advises the National Prescribing Service (NPS) and has been a co-author of two recent Stoke on antithrombotics and is the author of post- journal editorials. He is a reviewer for several graduate education materials for both the NPS academic journals including Stroke, and National Stroke Foundation. Cerebrovascular Diseases, BMJ and the Journal John’s particular interests include acute stroke of Clinical Neurosciences. He has a strong and sub-arachnoid haemorrhage management, commitment to post-graduate education and management of atrial fibrillation and of neuro- the translation of research into clinical practice. respiratory failure. John has specialist training in In addition to conference scientific session both neurology and thoracic/sleep medicine. presentations, John has, in the last few years, given more than 40 invited talks on evidence- Current projects include DESPATCH (NHMRC), based use of antithrombotics, dementia and OASIS (NHMRC), PRISM (CEC), STOP-STROKE management of stroke and TIA. (BUPA) and SWS –TIA. These projects are being

22 Te a c h i n g

UNSW in the south west of Sydney provides learning opportunities across all Phases to more than a quarter of all UNSW medical students. Students undertake placements at Liverpool, Bankstown-Lidcombe, Fairfield, Braeside, Bowral, Campbelltown and the 1st Health Support Battalion hospitals and at a range of primary care and population health centres.

In addition a number of south west Sydney based UNSW academics and conjoint appointees contribute to teaching on the Kensington campus in Phase 1 Scenario Facilitation, Phase 2 case method tutorials and the Year 4 biomedical science program.

Medicine and Surgery

At any given time, Medicine and Surgery have approximately 80 Phase 2 and 100 Phase 3 students allocated across the Liverpool, Bankstown and Fairfield campuses.

23 Phase 3 teaching consists of student integration into the clinical team, weekly therapeutic and technique lectures, professorial viva tutorials, specialist viva tutorials, bedside tutorials, presentation at Grand Rounds and attendance at team meetings. Phase 3 students also undertake a variety of skills sessions during their medical and surgical terms.

All final year students also undertake PRINT (Preparation for Internship) which allows students to integrate into a team of their chosen discipline and operate at a sub-intern level. During the PRINT term, various case method tutorials are facilitated and these are aimed at providing students with experiences they can expect to encounter as an intern. Case method tutorials include topics such as postoperative conditions, medication charts, communication with nursing and senior medical staff and dealing with unexpected deaths.

Phase 2 sees students undertaking various medical and surgical activities during their adult medicine terms. Weekly themes include exercise and health, respiratory medicine, cardiology, nephrology, gastroenterology and trauma. Students gain broad exposure to medicine and surgery during these structured weeks.

Aged care and oncology terms also give students exposure to the broad spectrum of medicine, oncology, rehabilitation medicine, palliative care, allied health and general surgery. The Adult Medicine component of the course also incorporates several skills sessions for students.

The number of Phase 1 students placed in the south west of Sydney has increased from 84 in 2005 to more than 140 in 2010 and will continue to grow. These students, as part of their introduction to the clinical environment, undertake fortnightly tutorials as part of placements at Liverpool, Bankstown- Lidcombe and Fairfield hospitals.

Critical Care

The Critical Care term encompasses emergency medicine, intensive care and anaesthetics with students allocated across the hospitals of south western Sydney. Each year approximately 46 Phase 3 students undertake four weeks in the Emergency Department, one week of intensive care and one week of anaesthetics. Students are expected to integrate into the team and perform at sub-intern level. Teaching within the term includes a weekly tutorial timetable and several skills sessions. Emergency and anaesthetics exams are held at the end of the term. This level of integration ensures that SWSCS critical care terms are highly sought after by students.

Obstetrics and Gynaecology

The Discipline of Obstetrics and Gynaecology facilitates teaching for students across all Phases. In 2010, more than 50 Phase 3 students undertook an eight week term in south western Sydney. These terms included clinical attachments, attendance at antenatal clinics, clinical skills sessions, attendance at the birthing unit and an end of term objective structured clinical examination (OSCE).

Approximately 60 Phase 2 students also undertook a two and a half week term within SWSLHD in 2010.

Paediatrics

Since 2005, the number of students allocated to south western Sydney for Phase 3 paediatrics attachements has increased from 72 to 79. With the implementation of Phase 2, there are also 12

24 students per term allocated to SWSLHD hospitals. During this term, students spend one week at the Neonatal Intenstive Care Unit (NICU), a general paediatrics ward, Fairfield Hospital and a community health setting.

Pathology

Pathology and therapeutics teaching continues to occur at the south western Sydney hospital sites, facilitated mainly by conjoint staff. Alongside weekly tutorials delivered to the hospital sites via videoconference from Liverpool Hospital, students also attend diagnostic laboratories, dissection of surgical specimens and autopsies in the Department of Anatomical Pathology, as well as scheduled visits to the NSW Institute of Forensic Pathology.

Primary Care

Since the introduction of Phase 2, students undertaking primary care terms through Society and Health have been allocated to Braeside Hospital, 1HSB at Holsworthy, community health and general practices across the south west of Sydney for community clinical attachments and course tutor sessions. The GP Unit at Fairfield Hospital also makes a very significant contribution to teaching of Phase 1 Clinical and Communication groups allocated to the Hospital.

Psychiatry

The School of Psychiatry allocates approximately 50 Phase 3 students per year for an eight week psychiatry term in the south western Sydney hospitals. During these eight weeks, students undertake a full time clinical attachment, receive weekly tutorials and perform supervised patient interviews. Viva and written examinations are held at the end of the term.

Examinations

Liverpool Hospital continues to host a range of student examinations throughout the year including the Phase 1 Integrated Clinical Examination (ICE), Phase 2 ICE and the Phase 3 Clinical, Viva and Portfolio examinations.

The staff at the SWSCS wish to thank the academics and conjoint appointees who have contributed to these examinations by acting as examiners and supervisors and by helping to recruit patients.

The School is also grateful to the students who have acted as surrogates and the patients who have given their time to assist in the execution of exams in the south west.

25 Skills and Simulation

The Stephen Deane Clinical Skills Centre at Liverpool Hospital provides a unique learning facility for a variety of health professionals to learn techniques and clinical skills using medical simulators and models. This contributes to better safety and outcomes for patients.

The Stephen Dean Clinical Skills Centre, currently in temporary accommodation as a result of the Liverpool Hospital redevelopment, is a multidisciplinary training facility hosting skills training for UNSW medical students as well as a variety of SWSLHD programs including nursing and medical orientation, Medical Emergency Team (MET) training and other educational programs.

Centre utilisation is shared almost equally between medical students and Health District staff with an average of 3500 student hours of training conducted annually. In addition to these programs in the Skills Centre, staff have also been involved in the coordination and/or delivery of a range of special education days.

UNSW has invested more than $2m into staffing and equipping the Centre with low fidelity simulation equipment suitable for undergraduate training. Most recently the South Western Sydney Clinical School added a range of equipment to the Centre including MegaCode Kelly, VitalSim, Stat Baby, airway management trainers, tracheostomy tube observation models, injection trainers, eye examination simulators and ear examination simulators.

Ingham Institute Skills and Simulation Centre

In 2009, the South Western Sydney Clinical School was successful in gaining $4.6m in funding for the development of the new Ingham Institute Skills and Simulation Centre as part of a submission to the Health and Hospitals Fund by the Institute. These funds will be utilised to construct a new two-storey 900 sqm facility alongside the existing education facilities at Liverpool Hospital. Once completed in August 2012, the Centre will include a simulated operating theatre, simulated outpatient clinic rooms, anaesthetic and scrub bays, clinical skills laboratories and didactic teaching rooms.

The Centre will be a partnership between the Ingham Institute, the Local Health District, UNSW and UWS and will be governed by a steering committee consisting of the partners and reporting to the Ingham Institute Board. The Centre will continue to be managed by UNSW as a resource for all the partners in health professional training in south western Sydney and available as a bookable resource for partners to bring in their own training staff supported by the Centre staff.

26 Academic Infrastructure

The South Western Sydney Clinical School has commenced an ambitious program to improve the educational infrastructure in the south western Sydney hospitals with funding of more than $10.8m for capital works and major research equipment.

AARNet

In 2010, the South Western Sydney Clinical School was successful in gaining funding from the Department of Education, Employment and Workforce Relations (DEEWR) to expand the UNSW videoconferencing and data network to hospitals across south western Sydney using the Australian Academic and Research Network (AARNet).

This $3.66m project will include the installation of high-speed broadband links to Liverpool, Bankstown-Lidcombe, Fairfield and Braeside Hospitals and the establishment of a network of videoconferencing facilities using this network. A total of seventeen new videoconference units will be installed on the network in the south western Sydney hospitals along with the campuses of UNSW at Kensington and UWS at Campbelltown.

In addition to the videoconferencing network, UNSW will install wireless access points for the UNSW network in a range of educational facilities at each of the south western Sydney hospitals.

Teaching Hospital Grant

Each year UNSW contributes approximately $120,000 to the development of teaching facilities in the south western Sydney hospitals. In recent years these funds have been directed to the enhancement of library resources, purchasing new equipment for student accommodation at Bankstown-Lidcombe

27 Hospital and audiovisual equipment for teaching Infrastructure Grants departments across the south western Sydney campuses. Department of Education, Employment and Workforce Relations In addition to this annual grant, UNSW also contributed South Western Sydney Clinical School, UNSW more than $530,000 for the renovation of the Liverpool Medical and Nursing Education Network for South Western Sydney Hospital auditorium and the purchase of new furniture and $3.66 million audiovisual equipment for the Thomas and Rachel Moore Education Centre at Liverpool. Health and Hospitals Fund South Western Sydney Clinical School, UNSW and Ingham Institute for Applied Medical Research Ingham Health Research Institute: Clinical Skills Research Infrastructure and Simulation Centre $4.2 million

UNSW has been active in developing the research UNSW Capital Grants infrastructure in south western Sydney in a number of ways. South Western Sydney Clinical School, UNSW Contribution to construction of Ingham Institute This has included support for the employment of a number building of research support positions including the recruitment of a $2 million Research Coordinator for the Ingham Institute of Applied South Western Sydney Clinical School, UNSW Redevelopment of Liverpool Auditorium and Medical Research. This position, with responsibility for Thomas and Rachel Moore Education Centre supporting the Institute in the development of systems such $534,991 as those required for occupational health and safety has UNSW MREII been crucial to establishment of processes for the Institute. Pancreatic Research Group LAS-400 luminescent image analyser UNSW was instrumental in the development of the Health $86,700 and Hospitals Fund application for the Ingham Institute and committed $2m to the project. UNSW has also made a Arthritis Research Unit Guava easyCyte 8HT Flow Cytometry System number of strategic purchases of major research equipment $95,250 during the report period. These include key pieces of equipment for luminescent image analysis, flow cytometry Pancreatic Research Group Ingham Health Research Institute Research and real-time PCR. Coordinator $99,500 UNSW continues to work with the Ingham Institute to UNSW NHMRC Equipment Funds develop grant applications for additional funds in order to Pancreatic Research Group develop research infrastructure for the researchers of south Applied Biosystems ViiA7 Real-Time PCR western Sydney. System $115,000

28 Each year this medal is presented to the student who achieves the highest grades in the final year Prizes and barrier examinations. Recipients of the award in the period of this report were:

Awards 2008 Timothy Eviston 2009 James Lee 2010 Catherine Tang Between 2008-2010 a number of prizes and awards have been Tom Gibian Prize distributed to UNSW staff and students. The Tom Gibian Prize, named in honour of the foundation warden of the Bankstown campus of South Western Sydney Clinical School Ian Webster Medal recognises student leadership amongst final year students. Recipients of this prize during this period were: This medal, named in honour of the inaugural SWSCS Clinical Associate Dean, Professor Ian 2008 Webster, was instituted in 2007 as a means of Ken Liu recognising outstanding performance by a student studying medicine, surgery and critical 2009 Shreerupa Basu care terms in south western Sydney. 2010 Deshan Sebaratnam

Tutor of the Year

Each year students are asked to vote to reward tutors whom they believe have taken innovative and exciting approaches to enhance their tutorials. During this period, teaching awards were presented to:

2008 Zinta Harrington, Tim Spicer, Arvin Damodoran 2009 Shahir Kaithal, Arvin Damodoran, David Rutherford, Robert Rae 2010 John Bui, David Rutherford, Susan Connor, Triet Bui, Tim Spicer, Jens Killian, Navin Niles

29 Best Overall Conjoint Teacher Professor David Davies

Each year the Faculty of Medicine awards three major prizes to conjoint teachers at UNSW. In 2011, the recipient of the Best Overall Conjoint Teacher Prize is Professor David Davies.

Professor Davies is an extremely well respected and familiar face around the Faculty of Medicine, with contribution over many years in SOMS and SWSCS, as well as a number of Faculty-wide committees. David has constantly sought to integrate research and innovation within his teaching, always ensuring relevance to, and engagement of students. He has been instrumental in using videoconferencing to facilitate teaching of pathology and laboratory sciences to students at smaller campuses, all the while maintaining his excellence as a clinician, researcher and role model for many students, junior doctors and senior staff.

The Faculty is proud to count Professor Davies amongst its conjoint staff and recognises his long term contribution with this award.

30 A number of UNSW affiliated Research research groups are based in the south west of Sydney with research Groups interests as diverse as basic science, clinical trials and health systems research. Here are a few of them.

Aged Care - Bankstown

The Aged Care Department of Bankstown- UNSW is a research intensive university and Lidcombe Hospital, led by Professor Daniel member of the Group of Eight. The university is Chan, has been actively involved in a range of host to groundbreaking research in a number of research related to Parkinson’s disease and areas and researchers in south western Sydney vascular diseases including stroke. The main contribute to this research in a number of ways. focus of the Department’s Parkinson's disease research has been in the genetic and UNSW has strong collaborative links with environmental epidemiology of the disease, industry and business, consistently performing particularly in relation to risk factors amongst in the top nationally in Australian Research Chinese populations. Council Industry Linkage Grants. UNSW expertise is also regularly sought by business The Department has conducted a number of and government for a wide variety of geriatric research projects including consultancy and training services. investigations into the prevalence of Parkinson’s disease in Sydney; the genetic and

31 environmental risk factors for Parkinson’s • Publication of several important papers disease including studies on a number of establishing the validity of the Rowland PARK2 and PARK8 polymorphisms; stroke risk Universal Dementia Assessment Scale factors and outcomes in the elderly; compliance (developed at the ACRU) with a newly designed hip protector in elderly in- Publication of a quantitative report hospital patients; and medical compliance and • “Comprehensive assessment and outcome safety in the elderly. data, Aged Care Unit, Liverpool Hospital. In 2007, Professor Chan was successful in 2001-2005” by Dr David Basic. This report obtaining NHMRC funding for a clinical trial to analysed the patient characteristics, functional investigate stroke care models, with the project measures, inpatient care and discharge commencing in 2008. destination for over 3,000 hospital admissions under Aged Care and is being followed up Recent research also examines lifestyle factors with a longer-term outcome study of this and genetic factors in healthy ageing, falls and cohort. dementia. • Publication of a second, more qualitative Members: Dr Nady Braidy, Professor Daniel report: “Preparing for end-of-life in residential Chan, Ms Mandy Ding, Ms Anita Ko, Dr Fintan aged care” by Dr Chris Shanley and Elizabeth O’Rourke, Dr Van Nguyen, Ms Qing Shen and Whitmore. This project explored current Dr Christina Xu practice and opportunities to improve practice in advanced care planning and other aspects of end-of-life care and has provided important Aged Care Research - Liverpool links into service development work within the local health service systems.

The Aged Care Research Unit (ACRU) at • Participation in the Koori Growing Old Study, Liverpool Hospital was established in investigating dementia in the Aboriginal September 2007 to consolidate and build on community the research program that had been undertaken by the Department of Geriatric Medicine at Members: Dr David Basic, Dr Desiree Liverpool Hospital since 1996. Research Boughtwood, Dr David Conforti, Dr Tabitha undertaken by the Unit has focused on Hartwell, Dr Angela Khoo, Ms Margaret Morris multidisciplinary, clinically based research into and Dr Chris Shanley management of geriatric syndromes such as falls prevention and management and cognitive assessments, in particular multicultural cognitive Arthritis Research Unit assessment. Other areas of interest include management of the older person in the The Arthritis Research Unit within the Emergency Department and inpatient settings, Rheumatology Department at Liverpool Hospital and long-term outcomes of service provision. has three active research programs: inflammation basic science; clinical and health Research highlights during the current period of services research relevant to rheumatic diseases reporting include: and medical education and evaluation research.

• A large NHMRC-funded project on dementia The Unit’s research focus is centred on common care-giving in four culturally and linguistically types of arthritis and related autoimmune diverse (CALD) communities in south western diseases, including rheumatoid arthritis (RA), Sydney gout, and systemic lupus erythematosus (SLE). It seeks to explore underlying mechanisms • Funding from the Clinical Excellence operating in these diseases and how they are Commission to support an ongoing data managed, with the aim of developing new or linkage project looking at patient outcomes improved treatments. The Unit has following hospitalisation collaborations with basic science researchers in

32 the Inflammation and Infection Research Centre Members: Dr Katherine Bryant, A/Professor (IIRC) at UNSW, and with health services Kathy Gibson, Dr Geraldine Hassett, Professor researchers at University of Sydney. Patrick McNeil, Ms Natalia Margarinos and Dr Sean O’Neill Currently, the following research activities are underway: Centre for Health Equity Training, • Basic science programs studying the role of Research and Evaluation mast cell tryptases in inflammatory arthritis, in particular how tryptases mediate cartilage (CHETRE) breakdown; structure/function studies of a The Centre for Health Equity Training Research mast cell tryptase splice variant; the role of and Evaluation (CHETRE), was established in S100 calgranulin proteins in RA and SLE; the 1998 in collaboration with the Division of role of leukocyte immunoglogulin-like Population Health of SWSAHS, through a receptors (LILRs) in RA and SLE; and the Research and Development Infrastructure Grant significance of autoantibodies to lipoproteins from NSW Health. CHETRE’s mission is to in SLE. provide leadership and focus in training, research and evaluation in the area of health equity, with a particular emphasis on the development and evaluation of interventions to reduce health inequities.

CHETRE’s work focuses on the description and measurement of health inequalities and health equity, development and evaluation of policies, programs and other actions that aim to achieve health equity, and developing the capacity of the health system to more effectively address health equity through policy and program development. CHETRE’s work includes projects in the areas of community and primary health care service development, disadvantaged communities and populations, early childhood, • Health services research studying the impact Aboriginal health, unemployment, and Health of electronic medical records on rheumatology Impact Assessment (HIA) and health public outpatient work practices. policy. • Clinical research, currently examining the in- Members: Mrs Monica Aburto, Ms Cheryl hospital management of gout; the place of Anderson, Ms Henna Aslam, Ms Fiona Byrne, vertebroplasty as a new treatment for Dr Elizabeth Comino, Ms Rebekah Grace, osteoporotic crush fractures; and the Mr Stephen Green, Ms Liz Harris, Mr Patrick evidence base underpinning clinical Harris, Mr Ben Harris-Roxas, Dr Lynn Kemp, Ms rheumatological practice. Mary Knopp, Ms Anna Jones, Mrs Catherine Members of the Unit are also involved in Kaplun, Dr Jennifer Knight, Ms Karen Larsen, Dr educational research stemming from design and Jane Lloyd, Ms Fakhra Maan, Ms Sharon evaluation of UNSW’s innovative MBBS Nicholson, Ms Vanessa Rose, Ms Heidi program. Sainsbury, Ms Sheryl Sharkie, Ms Joan Silk, A/ Professor Marilyn Wise, Ms Vana Webster, Ms The Unit’s basic science research program is Cheryl Woodall and Ms Siggi Zapart currently housed in the IIRC within the School of Medical Sciences at UNSW’s Kensington campus.

33 Centre for Research, Evidence Members: Dr Roy Byun, Dr Shanley Chong, Management and Surveillance Professor Bin Jalaludin and Ms Elizabeth Lobb (REMS) Collaboration for Cancer Health outcomes of a community can be maximised through effective and efficient Outcomes Research and population health programs, interventions and Evaluation (CCORE) services. The Centre for Research, Evidence Management and Surveillance (REMS) was The Collaboration for Cancer Outcomes established in 2004 and has a team of Research and Evaluation (CCORE), established epidemiologists and biostatisticians to conduct in 1999, is affiliated with the Cancer Therapy research, evaluation and surveillance in Centre, Liverpool Hospital and the Ingham population health, promote an evidence-based Institute. The Liverpool Hospital Cancer Therapy approach to population health programs, and Centre is a tertiary referral centre for the support graduate and postgraduate learning in treatment of cancer patients in south western population health and epidemiology. Sydney.

REMS has a strong track record of collaborating CCORE aims to improve cancer outcomes with units within Population Health as well as through research and the implementation of with other research centres and services within best practice measures into routine clinical the Health District. Current research areas are in practice in the treatment of cancer. The CCORE environmental health and air pollution unit has particular expertise in radiotherapy but epidemiology, social epidemiology, also has broad interests in all areas of cancer neighbourhoods and health, health services management. Staff members include radiation utilisation, and in the use of spatial methods and oncologists, a medical oncologist, linked data for epidemiological research.

34 epidemiologist, data managers and project • New South Wales Cancer Council’s officers. Radiotherapy Summit and Working Party

CCORE has a wide range of activities that • Overview of Cancer Treatment Services in extend from the individual cancer patient to the Western Australia organisation of cancer services at state, national • Optimum radiotherapy utilisation and international levels. Our research covers the broad spectrum of clinical cancer including • A feasibility study of radiotherapy in the surgery, medical and radiation oncology, and is Northern Territory achieving these aims through the following • Radiotherapy in low and middle income strategies: countries establishment, implementation and evaluation • • Southern NSW Radiation Oncology Training of best practice guidelines and evidence Network for Registrars summaries; • Optimal chemotherapy utilisation in cancer • exploration of methods by which best practice guidelines may be implemented locally; • Adult Glioma guidelines

• cancer clinical outcomes research; Members: Mr Stuart Allen, Professor Michael Barton, Professor Geoff Delaney, Dr Gabriel • refining of methodologies of clinical research Gabriel, Dr Timothy Hanna, Dr Susanna Jacob, including quality of life, economic and Dr Eng-Siew Koh, Dr Weng Ng, Dr Jesmin qualitative programs; and Shafiq and Dr Karen Wong • establishment of partnerships and linkages between clinicians, universities and other clinical research groups locally and Community Paediatrics and internationally. Child Health

Many members of CCORE hold conjoint The Departments of Community Paediatrics and appointments at UNSW and four staff are Child Health have been active participants and currently enrolled in PhDs under the supervision leaders in state-wide, metropolitan, Area and of Professor Michael Barton OAM. Three PhDs local initiatives for children, young people and have been awarded in the last year. their families. This has included a range of population needs assessments, research and The CCORE unit has been very productive with evaluation projects as well as the training of the many peer-reviewed publications, contributions next batch of medical students and paediatrics to National Tumour Guidelines and trainees. commissioned reports. Following the publication of a report on the optimal utilisation of Key areas of focus include work with vulnerable radiotherapy as a series of papers in Cancer the populations, including the local Aboriginal and benchmark developed is currently being used refugee populations, children in out-of-home and acknowledged worldwide. Led by care or situations similar, youth populations and Professor Barton, a number of large in child protection. Recently, projects have collaborative studies that have had a major included a collaboration with general practice to impact on policy and practice in relation to investigate the diagnosis and management of state, national and international strategic childhood obesity in South Western Sydney; risk planning projects for cancer services have been factors for not breastfeeding; contribution to the completed, including: Cochrane reviews into the prevention of domestic lead exposure in children; prevalence • Victorian Cancer Services Framework Report of iron deficiency in developmentally delayed • Applied Sciences of Oncology Course and/or autistic children; developing headline indicators for measuring the status of the • Papua New Guinea Cancer Services Report community in which the children of our region

35 are living; needs assessments of the children in geographically vulnerable populations and school-based education programs for the prevention of child sexual abuse.

In 2010, under the leadership of Associate Professor John Eastwood, a multi-disciplinary Early Years Research Group was formed which brings together a number of perinatal, paediatric and child health researchers in south western Sydney. The focus of this research group is to improve the prognosis and outcomes of children, particularly those residing in south western Sydney, and to deliver improved health services to these children and their families. Recently, Dr Eastwood has been extensively involved in realistic theory building for social epidemiology and several of his papers in this area are under review for publication.

In 2011, Community Paediatrics in conjunction with South West Sydney Families NSW planned the “Hubs” project designed to meet the needs of vulnerable families focussing on those with children 0-8 years. This initiative aims to improve uptake, access and co-ordination of services by those in most need and often least likely to engage with services. The hub-like projects aim to operate multiple services from a central location that is easily accessible to the local community and will provide a continuum of Ross McLeod, Dr Tania May, Dr Jacky Pollack, services. Ms Tracey Popham, Dr Shanti Raman, Dr The Department of Community Paediatrics is Douglas Thenuwara, Dr Suky Yim and Dr also involved with several other projects Terence Yoong including new directions childhood obesity research; TB exposure investigation; strong fathers strong families; hearing promotion; Injury Electron Microscopy Laboratory Prevention and assisting with statistical advice (SSWPS) for projects and teaching interagency committee members how to use Australian Early The Electron Microscopy Laboratory (EML) is Developmental Index reports effectively etc. primarily responsible for diagnostic examination Staff at Campbelltown are also involved in the of surgical specimens in Anatomical Pathology. Gudaga project in collaboration with CHETRE. Research activities include nanoparticle-cell Several other programs that meet the needs of interactions, ultrastructural changes in renal local communities addressing vulnerabilities disease and quantification of angiogenesis in identified and building on strengths are in prostate cancer. Dr Yuri Bobryshev from the development. Department of Anatomy, UNSW is appointed as Honorary Visiting Senior Research Officer in the Members: Dr Sunil Adusumilli, Dr Roger laboratory. Blackmore, Dr Margaret Brown, A/Professor John Eastwood, Dr Kate Fisher, Dr Romy Members: Dr Yuri Bobryshev, Professor David Hurwitz, Dr Alaric Koh, Dr Jenny McDonald, Dr Davies, A/Professor Murray Killingsworth and Professor Jim Yong

36 Gastroenterology and Liver research at the Garvan Institute on colorectal Services - Bankstown cancer biomarkers and was a Young Investigator of the Year finalist at Australian Gastroenterology and Liver Services at Gastroenterology Week. Associate Professor Bankstown-Lidcombe Hospital have a strong Rupert Leong was one of five Australians to track record in the areas of radiofrequency be awarded an NHMRC clinical level 2 Career ablation of Barrett’s oesophagus, endoscopic Development Fellowship for research on ultrasound, enteroscopy, confocal confocal endomicroscopy in Crohn's disease. endomicroscopy, colorectal and pancreatic He is also the recipient of several research cancer and inflammatory bowel grants from the Gastroenterological Society of diseases management and research. Australia.

Established projects include the identification Dr Payal Saxena was awarded the poster prize and use of protein biomarkers in IBD, genetic at the 13th Annual Australiasian GI Trials Group markers in pancreatic cancer, endoscopic meeting on outcomes research of HALO ultrasound and fine needle biopsy, confocal radiofrequency ablation of Barrett’s oesophagus endomicroscopy and functional imaging of the dysplasia (supervised by Dr Darren Pavey). Dr gastrointestinal tract, optical biopsies Ken Koo continues his PhD research on of dysplasia and clinical drug trials for colorectal cancer epidemiology in southwestern inflammatory bowel diseases in NSW. Sydney and his expertise in the field has resulted in membership of the Asia-Pacific Recent achievements include Dr David Chang’s Colorectal Cancer Working Party. receipt of the Premier's Scholar of the Year Award as well as the Pfizer Oncology In 2010, Professor Shan Rajendra joined the International Scholarship for breakthrough Gastroenterology Department as the Professor research on pancreatic cancer biomarkers of Medicine at Bankstown-Lidcombe Hospital. (Bankstown Hospital and the Garvan Institute). Professor Rajendra's research on the role of infective agents in the cause of Barrett’s Genomic sequencing of pancreatic cancer is in oesophagus has received much media progress and conducted by PhD student and attention. Gastroenterology VMO Dr Jeremy Humphris under the leadership of Professor Andrew Members: Dr Ahmad Alrubaie, Dr Sam Al- Biankin. Dr Sam Al-Sohaily continues his PhD Sohaily, Professor Andrew Biankin, Dr David

37 Chang, Dr Jeremy Humphris, Dr Ken Koo, A/ Professor Rupert Leong, Dr Chris Meredith, Professor Neil Merrett, Dr Darren Pavey, Professor Shan Rajendra, Ms Diane Redmond, Dr Christian Selinger, Dr Terrence Tydd and A/Professor Cyril Wong

General Practice Unit

The academic General Practice Unit is a teaching practice of the UNSW School of Public Health and Community Medicine (SPHCM) and Centre for Primary Health Care and Equity (CPHCE) as well as the Division of Complex Primary Care and General Practice in South West Sydney Local Health District (SWSLHD).

Our research and evaluation activities are focused on systematic and integrated care of high prevalence chronic illness, prevention and management of chronic disease risk factors, health services research and health systems with a focus on information systems. Examples include chronic disease management with a focus on diabetes, CVD and asthma/COPD; With funding and other support from the UNSW multidisciplinary primary care with a focus on the Faculty of Medicine, MREII and SSWAHS, we practice nurse; multidisciplinary integrated care established the required equipment, with a focus on the interface between primary infrastructure and protocols. The ePBRN will and acute care; Aboriginal health with a focus enhance the existing PHReNet-GP by including on culturally and clinically appropriate care in area health services units based in the general practice and the interface with community and hospitals and adding the ability Aboriginal Community Controlled Organisations to extract and link data from electronic and Health Services; and the quality and use of information systems in the participating routinely collected electronic data in general practices and health service units. This network practice and community-based specialist of general practices and health services units, services for research and evaluation. and their information systems will enable the efficient support of our current research The GP Unit also hosts the UNSW Primary program in integrated health services research, Health Care Research Network (PHReNet), clinical translational research, clinical trials, established with funding from the Primary Care cohort studies, association studies and Research Capacity Building Program. The longitudinal studies in the context of high network has a membership of more than 50 prevalence chronic diseases. We plan to include GPs (PHReNet-GP) and approximately 200 cancer and acute health problems such as other health researchers from community and infectious diseases. The ePBRN will also allied health and staff of Divisions of General support GP registrar teaching with the ability to Practice (PHReNet). conduct patient audits. The electronic Practice Based Research Members: Dr Jeremy Bunker*, Dr Sarah Network (ePBRN) project was established to take this network infrastructure to the next level. Dennis, Mr Alireza Rahimi Khorzoughi, Professor

* Passed away May 2011

38 Siaw-Teng Liaw, Ms Jane Taggart and Dr of HBV infection in pregnancy which is Sanjyot Vagholkar suspected to be different from that described in standard liver clinic cohorts, which are dominated by males. Hepatitis Research Group The Group is also taking a leadership role in the The busy clinical hepatitis service at Liverpool NSW Cancer Council funded pilot study of Hospital has formed the platform for significant coordinated liver cancer surveillance in patients clinical hepatitis research and the establishment with HBV infection. of the Hepatitis Research Group (HRG) under The Group has been responsible for the the leadership of Dr Miriam Levy. purchase of one of only three Fibroscan Research has included investigation of hepatitis machines available in Australia and this cutting B Virus (HBV) infection in pregnancy. The HRG edge technology will be used to non-invasively has defined, for the first time in Australia, the identify liver fibrosis, which is a significant risk rate of HBV perinatal transmission despite factor for cirrhosis. We are using this tool to passive/active immunoprophylaxis and identified further characterise our viral hepatitis B cohort that high maternal load is the most significant and determine its role in algorithms of chronic risk for transmission. The Group has HBV. demonstrated that the use of antiviral therapy in The HRG is also participating in a number of the last trimester can reduce the transmission of clinical trials using new agents for chronic HBV HBV infection. The safety and efficacy of and HCV infection. This reflects the rapid different agents is under examination in changes in therapeutics in this field and will collaboration with the national virological allow patients to access new therapies. reference laboratory, VIDRL. Investigator-led research in viral hepatitis will The impact of pregnancy, and the post partum include examination of the role of vitamin D in period, because of its unique immunological and HCV therapy outcomes and a sub-study by hormonal milieu, on HBV replication is under A/Professor John Quin examining the role of examination. The HRG has examined the rate immune stimulation in inducing HBV treatment and character of post partum flares of hepatitis, responses. to understand their impact on the natural history Members: Dr Scott Davison, Ms Anne Glass, Dr Joe Lawler, Dr Miriam Levy, Ms Louise Smith and Dr Elke Wiseman

Liverpool Renal Clinical Research Centre

The Liverpool Renal Clinical Research Centre (LRCRC) was established in 1998 under the leadership of Associate Professors Michael Suranyi and Josephine Chow and continues to support an active clinical research program within Renal Services. The selected studies are supported by all the accredited nephrologists of South Western Sydney Local Health District. The Centre actively participates in a number of clinical trials, unit based research initiatives and projects, quality management projects and educational initiatives.

39 Clinical research studies currently being Informing Stroke Management (PRISM) using undertaken range from management of renal data linkage to assess care and outcomes in disease, hypertension, diabetes, hyperlipidemia, ischaemic stroke, intracerebral haemorrhage, anaemia, iron therapy, dialysis (haemodialysis subarachnoid haemorrhage and transient and peritoneal dialysis), hypertension in ischaemic attack. In collaboration with members pregnancy and psychological aspects of of the Neurosurgery Department at Liverpool the dialysis. Many of the studies are internationally group is involved in a state-wide study of conducted multi-centre, randomised, double subarachnoid haemorrhage - patterns of care blind, placebo-controlled studies. In addition to and outcomes for subarachnoid haemorrhage: a externally funded studies, there has been a data linkage study (OASIS) with funding from the continuous increase in in-house research NHMRC. studies in the disciplines of nursing, medicine and allied health. The Departments have also worked with the Department of Aged Care at Bankstown- At completion, the results from research projects Lidcombe Hospital on a number of projects are disseminated to all stakeholders. As part of addressing stroke risk factors and outcomes in the research activities, patients who participate the elderly; the South-West Sydney TIA study in any of the research studies receive additional (SWS-TIA), anticoagulation usage for stroke visits by the research coordinators. This prevention amongst general practitioners; and produces additional benefit for the patients' the quality of life measures for older people living welfare. Their clinical parameters such as in the community with essential tremor. physical status, pathological data and quality of life status are monitored in a more regular way Members: A/Professor Dennis Cordato, Dr than usual practice, by both the research Melina Gattellari, Mr Chris Goumas, A/Professor coordinators and the study doctors. In most Matthias Jaeger, Professor Bin Jalaludin, cases, existing and potential problems that may Professor Dominic Leung, Dr Mohammed adversely affect the participants’ health status Mohsin, A/Professor Mark Sheridan, A/ are identified in a timely fashion and subsequent Professor James van Gelder, A/Professor John referral and intervention attended. Worthington and Professor Nick Zwar

Members: Dr Ananthakrishnapuram Aravindan, Ms Veronica Britos, A/Professor Josephine Orthopaedics Chow, Dr Bruce Cleland, Ms Margaret Gilbert, Professor Bruce Hall, Dr Ken Howlin, Dr Andrew Research activities are conducted through the Jefferys, Ms Gaksoo Lee, Dr Angela Makris, Ms Whitlam Orthopaedic Research Centre (WORC) Dawn Purdue, Ms Glenda Rayment, Ms Noella (located at Liverpool Hospital) and the Whitlam Sheerin, Dr Tim Spicer, A/Professor Michael Joint Replacement Centre (WJRC) (located at Suranyi, Dr Govindarajan Suryanarayanan, Dr Fairfield Hospital), both of which are entities Jeff Wong, Ms Mary Wong and Ms Rose Wong within the Combined Liverpool-Fairfield Orthopaedic Departments. The Group comprises personnel supported by the Neurology SWSLHD, South Western Sydney Clinical School or both. Staff working in Neurology at Liverpool and Bankstown-Lidcombe Hospitals have been The Orthopaedic Research Group has research active in a number of research projects in recent expertise in multi-centre randomised controlled years. trials, in particular, investigating rehabilitation options after knee replacement and orthopaedic These have included collaborative research with surgical interventions following trauma-related the GP Unit and REMS on the Bupa and injury. Other research activities include NHMRC funded STOP-STROKE and epidemiological studies such as surveys and DESPATCH projects to reduce stroke risk in systematic reviews. The Group has very active atrial fibrillation and the Program of Research post-graduate and undergraduate elements. It

40 has several PhD students and many limiting illness was conducted in collaboration undergraduate medical students have with Professor Ken Hillman. completed their ILP (Independent Learning A prospective study of predictors of delirium in Project) year with the Group. • advanced cancer. Although most of the Group’s research activities • Examining organisational complexity to relate to musculoskeletal conditions, the WORC improve hospital patients' safety-healing is involved in research in other areas. environments.

Members: Dr Sam Adie, Ms Shirley Cross, • Efficacy of elastic compression stockings in Professor Ian Harris, A/Professor John Ireland, treatment of chronic oedema in palliative care Ms Vicky Ko, Dr Rajat Mittal, Ms Darnell patients. Murgatroyd and Dr Justine Naylor The team has continued to be a lead site for the Palliative Care Clinical Trials Collaborative Palliative Care (PaCCSC) on six randomised control clinical trials in the areas of ketamine for cancer pain, The research team for SWSLHD Palliative Care octreotide for bowel obstruction, risperidone for Services spans projects based in acute care, delirium, sertraline for dyspnoea, morphine and community based care and palliative care oxycodone for dyspnoea, and megestrol acetate for appetite. The ketamine trial has been inpatient services. In the period of 2008-2010, completed and a report is underway. expansion of research activity and funding has occurred across clinical sites and disciplines. Other investigator-led collaborative clinical trials The team has received over $5 million in to which the Unit is recruiting include: competitive research funding. methylphenidate for fatigue and pilocarpine for dry mouth, both studies utilising unique n of 1 Projects have been undertaken under the methodology; levomepromazine versus umbrella of ImPaCCT (Improving Palliative Care through Clinical Trials), a newly formed NSW ondansetron for refractory nausea in palliative collaborative trials group of which A/Professor care; an NHMRC funded cluster randomised Meera Agar is Chair. Projects conducted within controlled trial comparing the severity of constipation symptoms experienced by palliative SWSLHD during this period have included: care patients receiving usual care compared to • A phase II randomised controlled trial (RCT) of those diagnosed and managed according to the Palliative Extended Approach to Care at underlying pathophysiology; helping family Home (PEACH), a rapid-response community- caregivers of palliative care patients manage based intervention aimed at enabling patients their role: evaluation of a hospital based group to be cared for and die at home. education intervention; randomised controlled trial of the timing of dosing of dexamethasone • A pilot study developing and testing feasibility and effect on sleep; and an NHMRC funded and acceptability of a case conferencing randomised controlled trial of guideline driven approach and accompanying education treatment for nausea versus single agent aimed at promoting person-centred palliative haloperidol. care for people with advanced dementia living in residential aged care (RAC) was completed Priorities for the future include the development in collaboration with six RAC facilities. The of further capacity for research across the team is seeking funding for a definitive cluster clinical team, mentoring junior researchers and randomised trial to evaluate the efficacy of the continuing to build on track record to achieve intervention. further competitive funding in palliative and supportive care research. Collaborative bids for A qualitative study aimed at understanding the • funding are underway with the Psycho-oncology decision processes undertaken by Medical Co-operative Research Group (PoCoG), the Emergency Teams (MET) when attending Cooperative Trials Group for Neuro-Oncology medical emergencies in patients with life

41 (COGNO) and the newly funded South West stellate cells (PSCs), now established as key Sydney Translational Cancer Research Unit. effector cells in pancreatic fibrosis. This technique provided a much needed in vitro Members: A/Professor Meera Agar, Dr Megan model for research into the pathogenesis of Best, Mr Mark Buhagiar, Ms Aileen Collier, Dr pancreatic fibrosis, a topic that has become the Elspeth Correy, Dr Louise Elliott, Dr Jackie focus of pancreatologists worldwide. Kerfoot, Dr Lynne Kuwahata, Ms Jane Hunt, Dr Tim Luckett, Ms Nichole Petrie, Dr Fiona The international recognition of the Group’s Stafford-Bell, Dr Rebecca Strutt, Ms Edite Tang, work is reflected in the over 2300 citations of its Dr Amanda Walker, Ms Julie Wilcock and Dr papers and in the invitations that the Group’s Jennifer Wiltshire members have received to speak at international meetings worldwide. The impact of the Group’s research is also reflected in the visits to the PRG Pancreatic Research Group laboratory by overseas scientists for training and in the collaborations established with renowned The major research interests of the Pancreatic researchers in Australia as well as in the United Research Group include alcohol-induced States, UK and Germany. pancreatic injury, pancreatic stellate cell biology, pancreatic fibrosis and tumour-stromal Members: Professor Minoti Apte, Professor interactions in pancreatic cancer. The Pancreatic Andrew Biankin, Ms Eva Fiala-Beer, Professor Research Group has received continuous David Goldstein, Ms Jie Liu, Dr Phoebe Phillips, research support from the NHMRC/DVA since A/Professor Ron Pirola, Professor Jeremy 1987 and is internationally acknowledged as the Wilson, Mr Zhihong Xu, Ms Susan Yang and Ms leading research group in the field of alcoholic Janet Youkhana pancreatitis and pancreatic fibrogenesis.

This group was the first in the world to develop a method to isolate and culture pancreatic

42 other sites. The Centre is regarded nationally and internationally as a leading research and training centre in the interrelated fields of transcultural, refugee, post-conflict, post- traumatic and disaster mental health and the mental health of developing countries.

Aboriginal mental health, the impact of gender- based violence on mental health and perinatal aspects of separation anxiety are more recent areas of study.

Members: Ms Tien Chey, Dr Lorraine Ivancic, Ms Ana Ladesic, Ms Sebia Losurdo, Ms Claire Marnane, Ms Thuy Phan, Dr Susan Rees, Professor Derrick Silove, Dr Zachary Steel, Mr Alvin Tay and Ms Qing Xia

Rehabilitation

Braeside Liverpool Fairfield Rehabilitation Research Group (BLF RRG) has been very productive in outcome based rehabilitation research over the last three years, averaging 20 to 25 conference presentations and several Psychiatry Research and published articles per year. Teaching Unit The research of the BLF RRG concentrates on The Psychiatry Research and Teaching Unit clinical applications of the International (PRTU) was established in 1991, following the Classification of Functioning, Disability and appointment of the Foundation Chair in Health (ICF), comparisons of models of care, the Psychiatry, UNSW and SSWAHS, in 1990. The use of outcome measurements including short unit currently consists of 5.8 FTE staff with and long-term outcomes of rehabilitation competitive funding supporting a number of patients. Projects have involved: additional positions. Since its establishment, the Development of ICF based activity of daily PRTU has attracted over 50 collaborative • research and project grants exceeding $10m living assessment tool. and has published over 350 papers, many in • Development of ICF based mobility high-ranking journals such as the Lancet and assessment tool. Journal of the American Medical Association (JAMA). • Development of an ICF Core set for patients following a lower limb amputation. With the Centre for Population Mental Health Sensitivity of the brief ICF Stroke Core set in a Research, PRTU is a partner in an ongoing • day hospital setting. NHMRC Program Grant, involving all the leading researchers in the country, in traumatic stress. • Interrater reliability of the functional The PTRU is the leading research unit in the field independence measure in various settings. of refugee and post-conflict mental health as indicated by publications in high-ranking peer • Intrarater reliability of the functional reviewed journals and citations. Collaborative independence measure. work continues in countries across the Asia Pacific including East Timor, Vietnam, Aceh and

43 • Usefulness and predictive value of cohort, continues as a cohort study and is now rehabilitation patient classifications and other investigating changes in respiratory, allergic and variables. cardiovascular characteristics during puberty.

• Comparison of rehabilitation outcomes in A number of clinical trials are underway different rehabilitation settings/models of care. including investigations of new treatments to prevent exacerbations of chronic obstructive • Incidence of amputations in Australia. pulmonary disease, for severe asthma and for • Activities of patients in a rehabilitation ward. bronchiectasis. In sleep medicine, our researchers are engaged in studies on new Effects of time of transfer to rehabilitation ward • approaches to early diagnosis of obstructive on outcomes for patients who have had a sleep apnoea. Researchers will also be stroke. examining methods for early detection of • Use of outcome measures in group settings in mesothelioma. the rehabilitation day hospital. Members: Dr Melissa Baraket, Dr Peter The BLF RRG is also collaborating with a Buchanan, Dr Hamish Crawford, Dr Peter number of others groups: ISPRM (International Collett, Dr Claudia Dobler, Ms Karen For, Dr Society for Physical and Rehabilitation Zinta Harrington, Dr Anthony Johnson, Ms Medicine); ISPO (International Society for Christina Madzinga, Professor Guy Marks, Dr Prosthetics and Orthotics); ICF Research Stephen Parsons, Dr Graham Radford, Dr Hima Branch, Nottwil, Switzerland; an international Vedam, Mr Craig Wainwright and Dr Jonathon consortium of rehabilitation specialists; Aged Williamson Care at Bankstown-Lidcombe Hospital; and the Whitlam Joint Replacement Centre/Department of Orthopaedics at Liverpool/Fairfield Hospitals. Simpson Centre for Health These collaborations involve a variety of Services Research projects. The Simpson Centre was one of the first centres Members: Dr Carol Connolly, Professor Hugh to be established in Australia to conduct Dickson, Associate Professor Friedbert Kohler, research around health services or systems. Dr Helen Redmond and Dr Roger Renton This type of research involves reorganising the way we deliver health services. The Simpson Centre developed the concept of day-of-surgery Respiratory Medicine admission and the perioperative ward which has changed the way elective surgery is conducted Researchers within the Department of by preparing patients for surgery in the Respiratory Medicine at Liverpool Hospital are community rather than as a hospital inpatient working on a wide-range of problems in and admitting them on the day of surgery, even respiratory and sleep medicine and science for major surgery requiring several days or including asthma, COPD, sleep disorders and weeks of hospital admission. tuberculosis. Research on tuberculosis has examined the outcomes of treatment for The Centre also developed and evaluated the tuberculosis in NSW, the risk for tuberculosis first rapid response system for seriously ill at-risk among people with diabetes and with renal patients – MET system. The Centre has failure in Australia and the effectiveness of published over 140 peer-reviewed articles, been contact tracing in people exposed to patients successful in achieving over $8 million in peer- with tuberculosis in south-western and western reviewed grants and has supervised many Sydney. postgraduate students.

The Childhood Asthma Prevention Study, a Members: A/Professor Jack Chen, Dr Roberto long-term clinical trial of preventive interventions Forero, Professor Ken Hillman, Dr Hadis Nosrati for asthma implemented in a high-risk birth and Dr Lixin Ou

44 Initiated by its founding benefactor Bob Ingham AO, the Institute is a unique collaboration Ingham between the South Western Sydney Local Health District, Sydney Local Health District, the University of New South Wales (UNSW) and the Institute University of Western Sydney (UWS). This collaboration brings together some of Australia’s finest research talent to conduct medical research focused on core research areas including:

• Translational Cancer Research • Injury • Early Years • Population Health • Brain Science and Mental Health

The Ingham Institute for Applied Medical Over the past three years, the Ingham Institute Research has not been short of milestones over has actively supported the growth of medical the past three years, with many important research in the south west by contributing events taking place that have helped shape the $800,000 to help build research capacity in the Institute into the rapidly growing organisation it areas of population health, cardiology, allied is today. health and in early years research relating to infants and children. With these funds, the Located at Liverpool Hospital, the Ingham Institute injected more than $600,000 into Institute is a charitable organisation that clinical and health research through Ingham conducts and supports medical research on a Institute infrastructure support grants. These range of disease areas affecting south West grants were used by research groups to build Sydney, with this research also having research capacity and to stimulate and applications nationally and on the world stage. coordinate clinical research amongst a range of

45 clinical and non-clinical groups including a This enabled the Institute to commence number associated with the University of New biomedical research on the Liverpool Hospital South Wales. campus. Laboratories were commissioned in 2010. The Ingham Institute Board committed To help raise the profile of the high-quality $640,000 towards the acquisition of research research talent in the south west, the Ingham equipment for this facility, which houses Institute has continued to host the annual South UNSW’s Pancreatic Research Group and Western Sydney Research Showcase. The Arthritis Research Unit along with groups from Showcase Organising Committee, chaired by UWS. This laboratory floor will link to the the Institute Research Director Professor Institute’s adjacent new building (due for Michael Barton, has put great efforts into completion in 2012) with the result being making the Showcase a success, resulting in a 2000m2 of continuous laboratory space. double digit growth in the number of submitted research presentations over the past three When completed, the Ingham research campus years. will comprise Level 4 of the Health Services Building, Liverpool Hospital; an adjacent five In 2009, the Federal Government announced storey Ingham Research Building; a research that the Institute’s $46.9 million application to MRI-Linac bunker facility and a Clinical Skills fund its new premises had been successful – and Simulation Centre. making the vision of a state of the art research precinct for the Institute a reality. This was a The MRI-Linac facility will be the first of its kind result of considerable efforts by the Ingham in Australia and one of only three in the world. It Institute Board, chaired by Mr Terry Goldacre, will enable research into the development of and by SSWAHS Director of Clinical Operations more accurate radiotherapy for cancer patients, Dr Teresa Anderson as well as considerable with better outcomes. input by staff from UNSW. 2009 also saw Bob Ingham AO commit to further generous funding The Clinical Skills and Simulation Centre will of $3 million and Lady Mary Fairfax to $450,000 enhance procedural training for medical, nursing over a three year period. and allied health students, postgraduate students and all hospital clinical staff. Another significant development was the allocation of Level 4 of the Health Services Building on the grounds of Liverpool Hospital for the Institute’s initial office and laboratory space.

46 9 July 96 The State Government makes a commitment to match the founding funds donated by Jack and Bob Ingham dollar for dollar. 18 February 97 The Institute is incorporated under the control of the South Western Sydney Area Health Service (SWSAHS). 1 August 03 Funds from the Sydney Southwest Bowel Cancer Foundation, which started in 1998, are merged with the Ingham Institute’s corpus. 14 February 08 The Institute appoints its Board Members including Terry Goldacre (Chairman), Glenda Cleaver, David 1996 – 2008 Hazlett, John Hexton, Amanda Larkin, Professor 22 January 96 Peter Smith, Arnold Vitocco, Mike Wallace and Professor Neville Yeomans. The Ingham Institute’s Founding Benefactors, Jack and Bob Ingham of Inghams Enterprises send a letter 11 December 08 of commitment to establish and support the Ingham The Institute changes it Constitution to become an Institute. This marked the beginning of their independent legal entity. continuous generous support year after year. 2009 13 January Dr Teresa Anderson and UNSW Clinical Dean SWSCS Professor Jeremy Wilson drive to Canberra to submit an application to the Federal Government’s Health and Hospital Fund for $46.9M to build a new research precinct linking the Institute with Liverpool Hospital. 13 March A key turning point. It is announced that the Ingham Institute has been successful in its application for $46.9M from the Federal Government. 16 April The Institute appoints additional Board Members including Tim Bryan, Debbie Killian, Jim Marsden, and Tony Perich. 24 April A Project Manager (Capital Insight) is appointed for the construction of the Institute’s new research building. 1 August Bob Ingham commits to further funding of $3M over three years, while Lady Mary Fairfax commits $450K over three years. 2 November Architects (McConnel Smith & Johnson) appointed.

47 2010 1 October Demolition and site clearance commences. 15 January The Minister for Health Nicola Roxon formally signs 2011 the Commonwealth Funding Agreement for the Institute. 5 January 1 February Construction of the Institute’s new main building begins. Liverpool Hospital’s Health Services Building is refurbished with state of the art laboratories, laying 14 April the foundation to begin to house Ingham Institute The Institute’s new identity is launched: The Ingham researchers. Institute for Applied Medical Research. 13 April 19 July A billboard is erected to mark the construction site of The Institute’s South West Sydney Translational the new building. Deputy Prime Minister Julia Gillard Cancer Research Unit (SWSTCRU) wins a prestigious and Premier of NSW Kristina Keneally turn the first $1.8 million grant from the Cancer Institute NSW. sod at the site, officially opening it. 14 April 24 August The Ingham Institute’s documentary ‘The Journey’ The Institute submits its first milestone report to the premieres. Federal Government. 26 May 2012 An Expression of Interest is issued to building contractors. June 17 June Planned completion of the new Ingham Institute building including the completion of the Clinical Skills Preferred contractors are shortlisted. and Simulation Centre and Research Radiation 17 August Oncology Bunker. Tenders close for contractors. July 1 September Research groups begin moving into the new building. Ingham Institute researchers start to move into new October laboratory space in the Health Services Building. Official opening planned to launch the new building. 23 September November Building contract awarded to Richard Crookes Completion of the installation of the MRI coupled Construction. linear accelerator.

48 disparities in health services utilisation and the health status between Indigenous and different ethnic Postgraduate groups in the national representative sample of the Longitudinal Study of Australian Children (LSAC).

Students Masters (Research)

Christine ALLMAN SWSCS offers a number of degrees Doxorubicin induced changes in left ventricular function by research including MSc, BSc Supervisors: Dominic Leung and Michael Harvey (Honours), MD and PhD. In 2010, This research focussed on using echocardiographic techniques to assess cardiac function in a group of SWSCS had a total of nineteen adult patients undergoing treatment with doxorubicin enrolled postgraduate research for haematological malignancies. Reema HADI students. Developing assays to detect biofilm removal in biomedical devices The following projects have recently been Supervisors: Anand Deva, Karen Vickery and Tim completed: Charlton Crystal violet staining and protein assay were Doctor of Philosophy (PhD) investigated as reliable correlates for the detection of biofilm. Acidic agents, alkaline agents, oxidising Chin Tse Arnold NG agents, surfactants and enzymatic agents were then Left ventricular myocardial mechanics and tested for efficacy of biofilm removal. Results were synchrony in patients with coronary artery disease confirmed with confocal microscopy. Supervisors: Dominic Leung and Liza Thomas Project sought to define and determine the utility of myocardial mechanisms, define normality and determine the utility of left ventricular synchrony in patients with coronary artery disease. Independent Stephen THOMPSON Estimating the optimal utilisation of brachytherapy Learning for the treatment of cancer from a review of evidence-based clinical guidelines and comparison with patterns of care Projects Supervisors: Michael Barton and Geoff Delaney Sought to determine the optimal brachytherapy utilisation rate for malignancy, assess the actual brachytherapy utilisation rate for malignancy, The Independent Learning Project, compare the optimal and actual rates of utilisation and investigate the reasons for these differences. undertaken by all Phase 2 students, Lixin OU aims to enable students to gain Assessment of disparities in health status and health some insight into how medical services utilisation among Indigenous and ethnic Australian children knowledge is acquired through the Supervisors: Jack Chen and Ken Hillman completion of a research-related This study aimed to provide a comprehensive understanding of the epidemiology and aetiology of project.

49 In 2010, south western Sydney based Between 2006 and 2010, more than 64 papers academics and conjoints hosted twenty three have been authored by ILP students, the ILP projects, as follows: following represents a small sample of the papers produced by SWSCS students: • The cost-benefit of using a new endoscope (Confocal endoscope) in replacing the need to Improved management of acute gout do forceps biopsies during hospitalization following • Autistic symptoms in tic disorders and tic introduction of a protocol symptoms in autism spectrum disorders Kamalaraj N, Gnanenthiran SR, • Phenotypic characterisation and quality of life Kathirgamanathan T, Hassett GM, Gibson KA, in Tourette Syndrome McNeil HP. Int J Rheum Dis. 2011; In Press. • Community safety research project Aim: To determine whether implementation of a • Anti-serum amyloid α antibodies in patients protocol to manage in-hospital acute gout has with systemic lupus erythematosus. improved the care of patients by non- • Outcomes after spine surgery for low back rheumatologists. pain in a workers compensation population • Trends in arthroscopic surgery in Australia Long-term outcomes of vertebroplasty for osteoporotic compress fractures • A systematic review of physical examination tests in orthopaedics Thillainadesan J, Schlaphoff G, Gibson KA, • Evidence levels in surgical procedures in Hassett GM, McNeil HP. J Med Imaging Radiat Australia Oncol. 2010 Aug;54(4):307-14. • Association between metal allergy and chronic Introduction: This study aimed to determine pain after ankle fracture fixation outcomes of percutaneous vertebroplasty for • Complications of hip and knee arthroplasty: a osteoporotic vertebral compression fractures systematic review and meta-analysis (VCFs). • Patient preferences in orthopaedic trauma Acute gout management during • Operative versus non-operative treatment of hospitalization: a need for a protocol type B ankle fractures: a retrospective study and prospective multicentre cohort study Gnanenthiran SR, Hassett GM, Gibson KA, • Revision spine surgery rates in Australia McNeil HP. Acute gout management during hospitalization: a need for a protocol. Intern • High flow versus CPAP non-acute respiratory Med J. 2011 Aug;41(8):610-7. support from 30 weeks corrected gestation • The detection of unexpected pre-malignancy/ Aim: To review systematically the management second malignancy on staging FDG PET-CT of acute gout during hospitalization. scans in patients with lung, head and neck and oesophageal cancers • How much radiation exposure are Evaluation inflammatory bowel disease patients receiving from medical imaging procedures: are we In 2009-2010, 118 ILP students completed an contributing to malignancy? online questionnaire about their experience of • Does the presence of liver disease increase undertaking an ILP. The key messages about the risk of adverse effects of inhaled steroids students’ experience of the ILP are: • Emergency department re-presentations • 65% of students had a good ILP experience • Cryotherapy following total knee replacement: A Cochrane systematic review • the key factors associated with having a good • Oseltamivir and zanamivir for influenza A experience were feeling that the project was treatment valued by the research team and being interested • Effectiveness of vaccines for preventing in the project influenza in pregnant women • students in allocated projects had similar ILP • The epidemiology of inflammatory bowel experiences disease • students that had a supportive supervisor were more likely to have a good ILP experience

50 Neurology Pancreatic Research Group Patterns of care and Alcoholic chronic pancreatitis: outcomes for subarchnoid induction, progression and Grants haemorrhage: a data linkage reversal study $609,500 $122,904 Psychiatry Research and Projects with participation by south Neurology, Cardiology and Teaching Unit Centre for Research Evidence western Sydney conjoints and Management and Surveillance Community safety DESPATCH: Delivering stroke $1.65 million academics that operated during prevention for atrial fibrillation: assisting evidence-based Psychiatry Research and 2008-10 choice in primary care Teaching Unit $561,447 The role of trauma related anger and the cycle of Whitlam Orthopaedic Palliative Care violence in post conflict NHMRC Research Centre Randomised control trial of countries: a follow up study in Timor Leste The association between oral risperidone, oral Cancer Australia Grants quality and effect estimation in haloperidol, and oral placebo $540,125 surgical research with rescue subcutaneous Collaboration for Cancer midazolam in the Psychiatry Research and Outcomes Research and $80,938 management of delirium in Teaching Unit Evaluation palliative care inpatients Building resilience in Aceh Project Grants Modelling multiple $50,000 $630,000 radiotherapy treatment Aged Care - Bankstown episodes for benchmarking Palliative Care Schizophrenia Research Unit and service planning Health services research: a randomised controlled trial to Providing the evidence to Neurocognitive correlates of $503,415 evaluate a model of improve the care of patients transition from ultra-high risk comprehensive stroke care with refractory dyspnoea at mental state to schizophrenia Collaboration for Cancer the end-of-life through Outcomes Research and $476,000 systematic research $1.5 million Evaluation Arthritis Research Unit $245,586 Schizophrenia Research Unit Referral pathways in colorectal cancer: general practitioners' Inflammation-associated S100 Palliative Care The effect of oxytocin on patterns of referral and factors proteins –links between social cognition in that influence referral arthritis and atherosclerosis Longitudinal cohort study of schizophrenia gut transit correlated with $658,625 $454,692 constipation in people with $182,500 advanced cancer Arthritis Research Unit Career Development Award $506,900 Simpson Centre Gastroenterology and Liver Expression and functions of The impact of introducing Services - Bankstown leukocyte immunoglobulin-like Palliative Care medical emergency team on (LIR)-6 and LIR-4 in the reduction of hospital Proteomics and confocal inflammatory arthritis Longitudinal cohort study of mortality and other adverse endomicroscopy in the gut transit correlated with events in NSW. 3 years; evaluation of inflammatory $290,366 constipation in people with bowel disease advanced cancer $581,827 Arthritis Research Unit $424,900 $1.14 million Alternative splicing of tryptase ARC Health Professional genes regulates their Palliative Care specificity. Research Training A double-blind randomised Fellowship $289,142 controlled multi-state study of Discovery Grants sertraline compared with Bankstown Surgery Cardiology and Palliative Care placebo in people with Centre for Health Equity Genetics of adrenocortical refractory breathlessness Training Research and Oxygen to relieve dyspnoea in Evaluation tumorigenesis non-hypoxaemic patients with $585,000 $139,500 end-stage heart failure Early childhood sustained Palliative Care home visiting outcomes at 4 $206,350 years and the transition to Preventive Healthcare n-of-1 trials of pilocarpine vs school (MESCH II) Grants Centre for Health Equity placebo from dry mouth in Training Research and palliative care patient $452,900 Centre for Research, Evidence Evaluation Management and Surveillance $298,675 Centre for Health Equity (REMS) Health and development of Training Research and Aboriginal infants in an urban Palliative Care and Simpson Evaluation Understanding the impact of environment (Gaduga II) Centre social, economic and The effectiveness of health geographic disadvantage on $1.3 million Prospective study of Medical impact assessments the health of Australians in mid Emergency Team calls to conducted in Australia and to later life: Where are the Centre for Health Equity define issues of end of life New Zealand opportunities for prevention? Training Research and decision-making, symptoms $190,000 $1.8 million Evaluation and transition in goals of care Early childhood sustained $48,700 Pancreatic Research Group Postgraduate Research home visiting for families of Scholarships Aboriginal infants Pancreatic Research Group Do pancreatic stellate cells play a role in exocrine Cardiology $2.1 million Epithelal - stromal interactions pancreatic secretion? in pancreatic cancer: role of Cardiovascular risk in CKD Centre for Health Equity pancreatic stellate cells $263,000 $80,938 Training Research and Evaluation; and Centre for $419,750 Psychiatry Research and Research Evidence Teaching Unit Cardiology Pancreatic Research Group Management and Surveillance Psychosocial and mental Left ventricular contractile Investigating best practice Alcoholic pancreatitis: role of health policy in countries reserve and microvascular primary care for older alcohol, endotoxin and emerging from conflict and disease in diabetic Australians with diabetes pancreatic stellate cells natural disaster cardiomyopathy using record linkage $482,000 $390,000 $107,750 $524,750

51 Psychiatry Research and Project Grants Feasibility study of an patients in the undergraduate Teaching Unit oncology nurse practitioner medicine program Collaboration for Cancer model of care in a rural cancer Understanding anger and its Outcomes Research and setting $177,600 consequences amongst Evaluation women in conflict-effected $557,634 Arthritis Research Unit Timor Leste: implications for Development of cancer- Review and alignment of enhancing sustainable specific multi-attribute health assessments with graduate development states from the QLQ-C30 for capability outcomes. use in economic evaluation UNSW $634,220 $46,000 $47,814 Data Linkage Grant Psychiatry Research and Medicine Research Grants Teaching Unit Collaboration for Cancer Neurology and Centre for Outcomes Research and Research Evidence Neurology Enhancing mental health in Evaluation Management and Surveillance Aboriginal children Pilot analyses for the Radiotherapy training network Benefits and morbidity: carotid Australian Epidemiological $999,000 $80,000 endarterectomy and carotid Study Of Parkinson’s Disease stenting compared: A data- (AESOP). Schizophrenia Research Unit linkage project. Collaboration for Cancer $3,500 Cognitive neuropsychiatry: Outcomes Research and $2,290 understanding delusional Evaluation Neurology and General belief and delusional hallucination from a cognitive Medicare Benefit Scheme Neurology and Centre for Practice Unit (MBS) revenues for radiation Research Evidence neuropsychological Management and Surveillance The identification and perspective oncology services data management of symptomatic extraction project The PRISM study: a program and asymptomatic non- $410,825 $44,000 of research informing stroke valvular atrial fibrillation (NVAF): management using linked examining the evidence- Linkage Grants hospital and death data. practice gap amongst general Collaboration for Cancer practitioners. Centre for Research Evidence Outcomes Research and $18,300 Management and Surveillance Evaluation $20,000 Development and Goldstar Awards Planning and building healthy NewSouth Innovations communities: a implementation of an Arthritis Research Unit multidisciplinary longitudinal integrated electronic Patient Immune Tolerance Group study of the relationship Reported Outcomes (PRO) Mast cell proteases in between the built environment measurement tool inflammatory arthritis. Proposal to develop a test for and human health inducing tolerance and testing $80,000 $40,000 tolerance to autoimmune $354,897 antigens Collaboration for Cancer Centre for Health Equity Infant, Child and Adolescent Outcomes Research and Training Research and $196,300 Mental Health Evaluation Evaluation; Centre for Research Evidence Separation anxiety in Chemotherapy in Cancer Management and pregnancy: associations with Care: estimating the optimum Surveillance; and Diabetes Ingham oxytocin releases, attachment utilisation from a review of and Endocrinology styles and mother-infant evidence based guidelines Infrastructure Grant interactions Investigating best practice $247,500 primary care for older Community Paediatrics; $232,767 Australians with diabetes Centre for Research Evidence Collaboration for Cancer using data linkage Management and Outcomes Research and Surveillance; Neonatology; Cancer Institute Evaluation $30,000 Psychiatry NSW melanoma patterns of Emergency Medicine Early Years Research Group: NSW care Research Unit measuring the outcomes and $340,000 prognosis of children in South Early Career Development Sound and silence in the West Sydney through linking Fellowships emergency department: an Collaboration for Cancer clinical care, research and exploration of noise in relation service delivery. Pancreatic Research Group Outcomes Research and to patient stress responses Evaluation $200,000 Role of heat shock proteins in $8,663 Linking radiation oncology tumour-stromal interactions in OSMR Research Support pancreatic cancer databases to NSW inpatient statistics collections Immune Tolerance Group $598,507 Adaptive T regulatory cells in Psychiatry Research and $201,695 neurological autoimmune Teaching Unit Equipment Grants diseases OSMR Medical Research Palliative Care $40,000 Support Program Bankstown Surgery Randomised control trial of $124,154 In-vivo multispectral imaging oral risperidone, oral Neurology FX-system: small animal haloperidol, and oral placebo with rescue subcutaneous The PRISM study: a program Psychiatry Research and imaging for multi-modal Teaching Unit molecular signal localisation in midazolam in the of research informing stroke live animals management of delirium in management using linked OSMR Medical Research palliative care inpatients hospital and death data, Support Program $250,000 $50,000 $60,000 $24,577 Collaboration for Cancer Outcomes Research and Palliative Care Pancreatic Research Group Psychiatry Research and Evaluation Palliative Care Service Clinical Desmoplasia in pancreatic Teaching Unit Making radiotherapy safer and Trials Unit cancer: role of pancreatic OSMR Medical Research more accurate: Developing $173,448 stellate cells in cancer Support Program detector technology for the progression $17,025 next generation in treatment Research Innovation $40,000 verification systems Grants $198,000 Simpson Centre Pancreatic Research Group Other Research The impact of introducing Do stromal pancreatic stellate Infrastructure Grants medical emergency team on Abbott Australia cells contribute to the inpatient safety of care Palliative Care chemoresistance of pancreatic outcomes in NSW hospitals Gastroenterology and Liver cancer cells via alteration of Services - Bankstown Palliative Care Clinical Trials multidrug resistant proteins $40,000 Collaborative Research Group Proteomics in fistulising $50,000 Learning and Teaching $528,507 Crohn’s disease Translational Health Arthritis Research Unit $75,000 Service Research Grants Piloting the use of student Psycho-oncology generated low fidelity virtual

52 Alcohol Health and The STOP-STROKE trial: Dust Disease Board Study on the use of EFHIA for Research Grants Scheme Supporting Treatment health service planning decisions to Optimise the Palliative Care Pancreatic Research Group $26,425 Prevention of Stroke The efficacy of sustained Alcoholic pancreatitis: $97,209 release low dose morphine in International Atomic induction, progression and the subjective sensation of Energy Agency reversion Cabramatta Community dyspnoea from mesothelioma, asbestosis or other interstitial $25,000 Centre Collaboration for Cancer lung diseases Outcomes Research and Centre for Health Equity $342,880 Evaluation Amgen Incorporated Training Research and Evaluation Developing national oncology Pancreatic Research Group FaHCSIA services Development of mental health Growth factor receptor training DVD for unemployed Infant, Child and Adolescent $1,663 inhibitors: potential therapeutic people Mental Health agents in pancreatic cancer Juvenile Diabetes $17,000 Child and family strategy Foundation International $215,898 evaluation Canberra Hospital Private Immune Tolerance Group Arthritis Foundation of $225,000 Australia Infant, Child and Adolescent Induction of tolerance to islet Mental Health Fairfield Hospital Grant allografts by anti-CD3 and Arthritis Research Unit CD4+CD25+cells Experiences of mothers with 2 Whitlam Orthopaedic Mast cell proteases in year old infants: an Research Centre $300,000 experimental inflammatory investigation of their emotional arthritis RCT – “Investigating Lion Nathan health, perceived stressors rehabilitation strategies $50,000 and access to treatment and support following TKR” Pancreatic Research Group AusAID $6,750 $5,000 Alcoholic pancreatitis: mechanisms of perpetuation Simpson Centre Gastroenterological and reversal of pancreatic Cancer Australia The assessment of the Society of Australia injury Bankstown Surgery capacity and strategies of the Pancreatic Research Group $25,000 infectious diseases The role of microRNAs in the surveillance and alert system Do pancreatic stellate cells Liverpool City Council in the rural areas of China progression of DCIS to play a role in exocrine invasive cancer secretiom? $95,000 Centre for Health Equity $90,000 Training Research and $205,500 Evaluation ACSQH Pancreatic Research Group GE Medical Evaluation of Community 2168 Simpson Centre Role of heat shock proteins in Community Regeneration Cardiology Medical early response the stromal reaction of Interventions intervention and therapy pancreatic cancer Unrestricted educational grant $61,750 MERIT: randomised clinical trial $74,000 $10,000 $600,000 Michael J Fox Foundation Clinical Excellence Genzyme Australasia for Parkinson’s Research Commission Australian Indigenous Schizophrenia Research Unit Doctors Association Immune Tolerance Group Neurology and Centre for Determining the neural Centre for Health Equity Research Evidence A phase 3, randomised, rater- Management and Surveillance and dose-blinded study correlates of freezing of gait in Training Research and Parkinson’s disease using Evaluation comparing two annual cycles functional magnetic resonance Transient ischaemic attack of intravenous low- and high- Health impact of the NT and the risk of stroke: dose Alemtuzamab to three- imaging intervention evaluating the effects of health times weekly subcutaneous $327,820 [USD] service characteristics on interferon beta-1a (Rebif) in $15,000 patient death, disability and patients with relapsing- re-admission Multiple Sclerosis remitting multiple sclerosis Research Australia Australian Orthopaedic who have relapsed on therapy Association $19,500 $131,355 Immune Tolerance Group Whitlam Orthopaedic Clive and Vera Ramaciotti Cytokine promotion of Research Centre Foundation GESA AstraZeneca Career induction of regulatory T cells Development Award in immune mediated Combined randomised and Pancreatic Research Group observational study of surgery demyelinating disease Role of heat shock proteins in Gastroenterology and Liver for type B ankle fracture Services - Bankstown $110,000 treatment (CROSSBAT) tumour-stromal interactions in pancreatic cancer Endoscopic and proteomic $37,000 National Heart Foundation $30,000 biomarkers in Crohns Disease Cardiology Australian Primary Health $255,000 Care Research Institute Department of Education, Right ventricular size, Science and Training Greater Southern Area dynamics and function: its Centre for Health Equity Health Service relevance in health and Training Research and Gastroenterology and Liver disease Evaluation Services - Bankstown Centre for Health Equity Endeavour Executive Award Training Research and $95,503 Implementing nurse home Evaluation visiting programs $25,000 Centre for Health Equity HIA assessment and health $40,000 Training Research and Department of Health and equity project Evaluation Australian Rotary Health Ageing $83,993 Healthy by design case study Foundation Palliative Care Human Capital Alliance $30,000 Schizophrenia Research Unit An integrated care pathway for advanced dementia Centre for Health Equity Centre for Research Evidence Evaluation of health promotion Training Research and and preventative lifestyle $466,309 Evaluation Management and Surveillance intervention programs for Planning and building healthy young patients receiving Palliative Care Audit of current preventative communities: a antipsychotic medication: health workforce in Australia multidisciplinary longitudinal impact on weight gain and Improving the welfare and end $9,409 study of the relationship quality of life of life experience for residents between the built environment families and staff: A case and human health $59,000 conferencing approach for Hunter New England Area older people living with Health Service $180,000 BUPA Foundation advanced dementia or mental illness Centre for Health Equity Neurology; Cardiology and Training Research and General Practice Unit $509,465 Evaluation

53 National Palliative Care NSW Health Primary Health Care Centre for Health Equity Program Research, Evaluation and Training Research and Centre for Research Evidence Development Evaluation Palliative Care Management and Surveillance Centre for Health Equity 10 suburbs project Palliative Extended and Care Program on health built Training Research and $18,000 at Home Packages evaluation environment. Evaluation project $1.5 million Development of a Centre for Health Equity $285,864 comprehensive and integrated Training Research and Centre for Research Evidence early childhood PHC system Evaluation Novartis Pharmaceuticals Management and Surveillance $422,000 Finalisation of CBT Immune Tolerance Group Access to community resources project $20,000 A 12-month double-blind, Queensland Health randomised, multicentre, $100,000 Centre for Health Equity active-controlled, parallel- Centre for Health Equity Training Research and group study comparing the Centre for Health Equity Training Research and Evaluation efficacy and safety of 0.5mg Training Research and Evaluation Points of health influence into and 1.25mg fingolimod Evaluation HIA Learning by doing/ (FTY720) administered orally Housing NSW’s master Capacity Building helpdesk support planning process once daily versus interferon Infrastructure Grant B-1a (Avonex) administered $32,000 $24,039 i.m. once weekly in patients $1.47 million with relapsing-remitting Royal Australasian College Centre for Health Equity multiple sclerosis Centre for Health Equity of Physicians Training Research and $773,249 Training Research and Evaluation Evaluation Arthritis Research Unit Review and consolidation of NSW Cancer Council Capacity Building S100 proteins A8, A9 and A12 work with Directorate of Infrastructure Grant in patients with systemic lupus Population Health Pancreatic Research Group erthematosus $1.75 million $24,800 Desmoplastic reaction in $20,000 pancreatic cancer: role of Centre for Health Equity Centre for Health Equity pancreatic stellate cells in Training Research and Royal Australasian College Training Research and cancer progression Evaluation of Surgeons Evaluation $300,000 Evaluation of Families NSW Influencing health and well Universal Health Home Visiting Gastroenterology and Liver being considerations in Pancreatic Research Group Services - Bankstown $44,122 environmental impact Hitting the right target: use of Sir McCaughey Surgical assessment in SSW Research Scholarship growth factor inhibitors to Centre for Health Equity $24,772 inhibit stromal-epithelial Training Research and $19,622 interactions in pancreatic Evaluation Centre for Health Equity cancer Review of 2004 NSW Health & SA Department of Health Training Research and $97,958 Equity Statement: In All Evaluation Fairness Centre for Health Equity Working with local Pancreatic Research Group Training Research and government to create healthy $26,905 Evaluation Targeting the microtubule environments cytoskeleton in the treatment Centre for Health Equity Rapid equity focus $24,782 of pancreatic cancer Training Research and $15,151 $100,000 Evaluation Simpson Centre From aspiration to reality: South Eastern Sydney Health Services Research with NSW Department of supporting AHS to further Illawarra Area Health a focus on high level statistics Community Services implement their equity Service and health economics agendas Centre for Health Equity Centre for Health Equity $515,477 Training Research and $28,400 Training Research and Evaluation Evaluation Simpson Centre Centre for Research Evidence Literature review on volunteer Management and Surveillance Provision of two-day training Safety and acute care services home visiting program on HIA screening and for older Australians Cost-benefit analysis of air scoping $29,679 pollution in New South Wales $75,000 $9,315 NSW Department of $50,000 UAE Interdisciplinary Fund Education Sydney South West Area and Training Simpson Centre Health Service Infant, Child and Adolescent Respiratory and Centre for Capacity Building Mental Health Aged Care - Bankstown Research Evidence Infrastructure Grant Molecular genetic study of Management and Surveillance $1.7 million Parkinson’s disease: schizophrenia in an Arab Schools and low emission gas epidemiology, genetics and population environmental factors heaters study. Department of Palliative Care Clinical $66,000 Education and Training Studies Collaborative $25,000 $1.25 million Palliative Care Whitlam Joint Replacement Cardiology Centre Randomised control trial of NSW Department of Scholarship Whitlam Orthopaedic Environment and Climate oral risperidone, oral Change haloperidol, and oral placebo $34,000 Research Centre with rescue subcutaneous RCT – “Investigating Effect of heatwaves on midazolam in the Centre for Health Equity rehabilitation strategies mortality and morbidity in New management of delirium in Training Research and following TKR” South Wales palliative care inpatients Evaluation $25,000 $88,000 $365,428 Health Impact Assessment $50,000 Whitlam Orthopaedic NSW Department of Pfizer Research Centre Housing Cardiology Centre for Health Equity Training Research and Whitlam Orthopaedic Centre for Research Evidence Left ventricular contractile Research Centre Management and Surveillance Evaluation reserve and microvascular Scholarship Evaluation of public housing disease in diabetic Development of business case regeneration cardiomyopathy 2168 $120,000 $25,000 $55,000 $37,076

54 8. Barker D, Jairam R, Rocca A, disorder after mild traumatic brain Goddard L, Matthey S. Why do injury. J Int Neuropsychol Soc. adolescents return to an acute 2009 Nov;15(6):862-7. Papers psychiatric unit? Australas Psychiatry. 2010 Dec;18(6):551-5. 17. Bryant RA, Creamer M, O'Donnell ML, Silove D, McFarlane AC. A 9. Barnett B, Austin MP. Reflections multisite study of the capacity of on perinatal depression treatment. acute stress disorder diagnosis to J Clin Psychiatry. 2009 Sep;70(9): predict posttraumatic stress Publications by south 1315-6. disorder. J Clin Psychiatry. 2008 Jun;69(6):923-9. 10. Beltran RO, Llewellyn GM, Silove western Sydney based D. Clinicians' understanding of 18. Bryant RA, Creamer M, O'Donnell International Statistical M, Silove D, McFarlane AC. A Classification of Diseases and multisite study of initial respiration UNSW academics and Related Health Problems, 10th rate and heart rate as predictors of Revision diagnostic criteria: F62.0 posttraumatic stress disorder. J conjoints between enduring personality change after Clin Psychiatry. 2008 Nov;69(11): catastrophic experience. Compr 1694-701. Psychiatry. 2008 Nov-Dec;49(6): 2008-2010 593-602. 19. Bryant RA, Creamer M, O'Donnell M, Silove D, McFarlane AC. A 11. Beltran RO, Silove D, Llewellyn study of the protective function of GM. Comparison of ICD-10 acute morphine administration on diagnostic guidelines and research subsequent posttraumatic stress Medical Sciences criteria for enduring personality disorder. Biol Psychiatry. 2009 Mar change after catastrophic 1;65(5):438-40. experience. Psychopathology. 20. Bryant RA, Creamer M, O'Donnell 1. Loo CK, Wu XJ. Origin of stellate 2009;42(2):113-8. M, Silove D, McFarlane AC. Sleep cells from submesothelial cells in a developing human liver. Liver Int. 12. Blignault I, Bunde-Birouste A, disturbance immediately prior to 2008 Dec;28(10):1437-45. Ritchie J, Silove D, Zwi AB. trauma predicts subsequent Community perceptions of mental psychiatric disorder. Sleep. 2010 2. Maric P, Ali SS, Heron LG, health needs: a qualitative study in Jan 1;33(1):69-74. Rosenfeld D, Greenwood M. the Solomon Islands. Int J Ment Methaemoglobinaemia following Health Syst. 2009 Mar 13;3(1):6. 21. Bryant RA, Felmingham KL, Silove ingestion of a commonly available D, Creamer M, O'Donnell M, food additive. Med J Aust. 2008 13. Brooks R, Bryant RA, Silove D, McFarlane AC. The association Creamer M, O'Donnell M, between menstrual cycle and Feb 4;188(3):156-8. McFarlane AC, Marmar CR. The traumatic memories. J Affect 3. Radhakrishnan K, Tan C, Gallo J. latent structure of the Peritraumatic Disord. 2010 Nov 18. Erythrophagocytosis in hemolytic Dissociative Experiences disease of the newborn. Am J Questionnaire. J Trauma Stress. 22. Bryant RA, O'Donnell ML, Creamer Hematol. 2008 Aug;83(8):679. 2009 Apr;22(2):153-7. M, McFarlane AC, Clark CR, Silove D. The psychiatric sequelae 4. Sivapathasingam V, Harvey MP, 14. Brooks R, Silove D, Bryant R, of traumatic injury. Am J Wilson RB. Helicobacter pylori O'Donnell M, Creamer M, Psychiatry. 2010 Mar;167(3): eradication: a novel therapeutic McFarlane A. A confirmatory factor 312-20. option in chronic immune analysis of the acute stress 23. Bryant RA, O'Donnell ML, Creamer thrombocytopenic purpura. Med J disorder interview. J Trauma M, McFarlane AC, Silove D. Aust. 2008 Oct 6;189(7):367-70. Stress. 2008 Jun;21(3):352-5. Posttraumatic intrusive symptoms 5. Trotman J, Presgrave P, Kwan Y, 15. Broomhall LG, Clark CR, across psychiatric disorders. J Tiley C, Estell J, Watson AM, McFarlane AC, O'Donnell M, Psychiatr Res. 2010 Dec 13. O'Brien TA, Peters D. Consensus Bryant R, Creamer M, Silove D. guidelines for 'rainy day' Early stage assessment and 24. Carr VJ, Lewin TJ, Sly KA, Conrad autologous stem cell harvests in course of acute stress disorder AM, Tirupati S, Cohen M, Ward New South Wales. Intern Med J. after mild traumatic brain injury. J PB, Coombs T. Adverse incidents 2008 Apr;38(4):229-34. Nerv Ment Dis. 2009 Mar;197(3): in acute psychiatric inpatient units: 178-81. rates, correlates and pressures. Aust N Z J Psychiatry. 2008 Apr; 16. Bryant RA, Creamer M, O'Donnell 42(4):267-82. M, Silove D, Clark CR, McFarlane Psychiatry AC. Post-traumatic amnesia and 25. Carragher N, Mills K, Slade T, the nature of post-traumatic stress Teesson M, Silove D. Factor

6. Al-Banna A, Al-Bedwawi S, Al- Saadi A, Al-Maskari F, Eapen V. Prevalence and correlates of conduct disorder among inmates This list of publications is sorted by the School of the affiliation of the first author of juvenile detention centres, and alphabetically. Authors with an appointment based in south western Sydney United Arab Emirates. East Mediterr Health J. 2008 Sep-Oct; are highlighted in bold. 14(5):1054-9. This list relies on public resources and represents research outputs by UNSW 7. Austin MP, Reilly N, Milgrom J, Barnett B. A national approach to academics and conjoint appointees while working in south western Sydney, but perinatal mental health in Australia: may include work with external partners or in previous appointments. While all care exercising caution in the roll- out of has been taken to ensure that this list is complete, it is reliant on the accuracy of a public health initiative. Med J Aust. 2010 Jan 18;192(2):111. these sources.

55 structure of posttraumatic stress disorder symptoms in the Australian general population. J Anxiety Disord. 2010 Jun;24(5): 520-7. 26. Creamer M, O'Donnell ML, Carboon I, Lewis V, Densley K, McFarlane A, Silove D, Bryant RA. Evaluation of the Dispositional Hope Scale in injury survivors. Journal of Research in Personality. 2009;43(4):613-7.

27. Crncec R, Barnett B, Matthey S. Development of an instrument to assess perceived self-efficacy in the parents of infants. Res Nurs Health. 2008 Oct;31(5):442-53.

28. Crncec R, Barnett B, Matthey S. Review of scales of parenting confidence. J Nurs Meas. 2010;18(3):210-40.

29. Crncec R, Cooper E, Matthey S. Treating infant sleep disturbance: does maternal mood impact upon effectiveness? J Paediatr Child Health. 2010 Jan;46(1-2):29-34.

30. Crncec R, Matthey S, Nemeth D. Infant sleep problems and emotional health: A review of two behavioural approaches. J Repro and Inf Psych. 2010;28(1):44-54.

31. Draper B, Reutens S, Subau D.Workforce and advanced training survey of the RANZCP Faculty of Psychiatry of Old Age: issues and challenges for the field. Australas Psychiatry. 2010 Apr; 18(2):142-5.

32. Eapen V, Crncec R. Tourette prevalence of depression among Psychol Rep. 2009 Aug;105(1): syndrome in children and adolescents: special men living with HIV infection in 127-36. considerations. J Psychosom Res. Vietnam. Am J Public Health. 2009 45. Hermens DF, Lubman DI, Ward 2009 Dec;67(6):525-32. Oct;99 Suppl 2:S439-44. PB, Naismith SL, Hickie IB. 33. Eapen V, Jairam R. Integration of 40. Farah LG, Fayyad JA, Eapen V, Amphetamine psychosis: a model child mental health services to Cassir Y, Salamoun MM, Tabet CC, for studying the onset and course primary care: Challenges and Mneimneh ZN, Karam EG. ADHD of psychosis. Med J Aust. 2009 opportunities. Mental Health in in the Arab world: a review of Feb 16;190(4 Suppl):S22-5. Fam Med, 2009;6(1):43-8. epidemiologic studies. J Atten Disord. 2009 Nov;13(3):211-22. 46. Hermens DF, Ward PB, Hodge 34. Eapen V, Mabrouk A, Bin-Othman MA, Kaur M, Naismith SL, Hickie 41. Flynn G, Alexander D, Harris A, IB. Impaired MMN/P3a complex in S. Attitudes, perceptions, and family coping in pediatric cancer Whitford T, Wong W, Galletly C, first-episode psychosis: cognitive and childhood diabetes. Ann N Y Silverstein S, Gordon E, Williams and psychosocial associations. Acad Sci. 2008 Sep;1138:47-9. LM. Increased absolute magnitude Prog Neuropsychopharmacol Biol of gamma synchrony in first- Psychiatry. 2010 Aug 16;34(6): 35. Eapen V, Mabrouk A, Yousef S. episode psychosis. Schizophr Res. 822-9. Metabolic syndrome among the 2008 Oct;105(1-3):262-71. young obese in the United Arab 47. Ivanova MY, Achenbach TM, Emirates. J Trop Pediatr. 2010 Oct; 42. Forbes D, Fletcher S, Lockwood E, Rescorla LA, Harder VS, Ang RP, 56(5):325-8. O'Donnell M, Creamer M, Bryant Bilenberg N, Bjarnadottir G, RA, McFarlane A, Silove D. Capron C, De Pauw SS, Dias P, 36. Eapen V, Robertson MM. Clinical Requiring both avoidance and Dobrean A, Doepfner M, Duyme Correlates of Tourette's Disorder emotional numbing in DSM-V M, Eapen V, Erol N, Esmaeili EM, Across Cultures: A Comparative PTSD: Will it help? J Affect Disord. Ezpeleta L, Frigerio A, Gonçalves Study Between the United Arab 2010 Nov 9 MM, Gudmundsson HS, Jeng SF, Emirates and the United Kingdom. Jetishi P, Jusiene R, Kim YA, Prim Care Companion J Clin 43. Forbes D, Parslow R, Creamer M, Kristensen S, Lecannelier F, Leung Psychiatry. 2008;10(2):103-7. O'Donnell M, Bryant R, McFarlane PW, Liu J, Montirosso R, Oh KJ, A, Silove D, Shalev A. A Plueck J, Pomalima R, Shahini M, 37. Eapen V, Sachdev P. Managing tic longitudinal analysis of Silva JR, Simsek Z, Sourander A, disorders: An update on Tourette posttraumatic stress disorder Valverde J, Van Leeuwen KG, Woo syndrome. Medicine Today. symptoms and their relationship BS, Wu YT, Zubrick SR, Verhulst 2008:9(11):14. with Fear and Anxious-Misery FC. Preschool psychopathology disorders: implications for DSM-V. reported by parents in 23 societies: 38. Eapen V, Trapolini T. Managing J Affect Disord. 2010 Dec; testing the seven- syndrome model adolescent depression. Medicine 127(1-3):147-52. of the child behavior checklist for Today. 2010;11(3):24-32. ages 1.5-5. J Am Acad Child 44. Ghubash R, Eapen V. Postpartum Adolesc Psychiatry. 2010 Dec; 39. Esposito CA, Steel Z, Gioi TM, mental illness: perspectives from 49(12):1215-24. Huyen TT, Tarantola D. The an Arabian Gulf population.

56 48. Jairam R, Hanstock TL, Cahill 60. Manicavasagar V, Silove D, Bryant R. Assessing the CM, Hazell PL, Walter GJ, Malhi Marnane C, Wagner R. Adult prevalence of trauma exposure in GS. The changing face of bipolar attachment styles in panic disorder epidemiological surveys. Aust N Z disorder: adolescence to with and without comorbid adult J Psychiatry. 2010 Dec 28. adulthood. Minerva Pediatr. 2008 separation anxiety disorder. Aust N Feb;60(1):59-68. Z J Psychiatry. 2009 Feb;43(2): 70. Naismith SL, Lagopoulos J, Ward 167-72. PB, Davey CG, Little C, Hickie IB. 49. Karatas JC, Matthey S, Barnett Fronto-striatal correlates of B. Antenatal psychosocial 61. Matthey S. Using the Edinburgh impaired implicit sequence learning assessment: how accurate are we Postnatal Depression Scale to in major depression: an fMRI study. in determining 'low-risk' status? A screen for anxiety disorders. J Affect Disord. 2010 Sep; pilot study. Arch Womens Ment Depress Anxiety. 2008;25(11): 125(1-3):256-61. Health. 2009 Apr;12(2):97-103. 926-31. 71. Newman LK, Dudley M, Steel Z. 50. Kenny LM, Bryant RA, Silove D, 62. Matthey S. Telephone based peer Asylum, detention, and mental Creamer M, O'Donnell M, support can reduce postnatal health in Australia. Refugee Survey McFarlane AC. Distant memories: depression in women at high risk. Quarterly. 2008;27(3):110-27. a prospective study of vantage Evid Based Ment Health. 2009 point of trauma memories. Psychol Aug;12(3):82. 72. Newman LK, Steel Z. The child Sci. 2009 Sep;20(9):1049-52. asylum seeker: psychological and 63. Matthey S. Women's perceptions developmental impact of 51. Langdon R, Ward P. Taking the of the causes of their postnatal immigration detention. Child perspective of the other distress: development of the Adolesc Psychiatr Clin N Am. 2008 contributes to awareness of illness reasons for postnatal distress Jul;17(3):665-83, x. in schizophrenia. Schizophr Bull. checklist. Depress Anxiety. 2009 Sep;35(5):1003-11. 2009;26(10):938-48. 73. Nickerson A, Bryant RA, Brooks R, Steel Z, Silove D. Fear of 52. Langdon R, Ward PB, Coltheart 64. Matthey S. Are we cultural extinction and M. Reasoning anomalies overpathologising motherhood? J psychopathology among associated with delusions in Affect Disord. 2010 Jan;120(1-3): Mandaean refugees: an schizophrenia. Schizophr Bull. 263-6. exploratory path analysis. CNS 2010 Mar;36(2):321-30. Neurosci Ther. 2009 Fall;15(3): 65. Matthey S, Speyer J. Changes in 227-36. 53. Lee L, Griffiths C, Glossop P, unsettled infant sleep and maternal Eapen V. The Boomerangs mood following admission to a 74. Nickerson A, Bryant RA, Silove D, Parenting Program for Aboriginal parentcraft residential unit. Early Steel Z. A critical review of parents and their young children. Hum Dev. 2008 Sep;84(9):623-9. psychological treatments of Australas Psychiatry. 2010 Dec; posttraumatic stress disorder in 18(6):527-33. 66. Matthey S, White T, Rice S. refugees. Clin Psychol Rev. 2010 Women's responses to postnatal Nov 6. 54. Liedl A, O'Donnell M, Creamer M, self-report mood and experience Silove D, McFarlane A, measures: does anonymity make a 75. Nickerson A, Bryant RA, Steel Z, Knaevelsrud C, Bryant RA. difference? Arch Womens Ment Silove D, Brooks R. The impact Support for the mutual Health. 2010 Dec;13(6):477-84. of fear for family on mental health maintenance of pain and post- in a resettled Iraqi refugee traumatic stress disorder 67. Merom D, Phongsavan P, Wagner community. J Psychiatr Res. 2010 symptoms. Psychol Med. 2010 R, Chey T, Marnane C, Steel Z, Mar;44(4):229-35. Jul;40(7):1215-23. Silove D, Bauman A. Promoting walking as an adjunct intervention 76. Nielssen O, Glozier N, Babidge N, 55. McFarlane AC, Browne D, Bryant to group cognitive behavioral Reutens S, Andrews D, Gerard A, RA, O'Donnell M, Silove D, therapy for anxiety disorders--a Malhi GS, Large MM. Suicide Creamer M, Horsley K. A pilot group randomized trial. J attempts by jumping and psychotic longitudinal analysis of alcohol Anxiety Disord. 2008 Aug;22(6): illness. Aust N Z J Psychiatry. 2010 consumption and the risk of 959-68. Jun;44(6):568-73. posttraumatic symptoms. J Affect Disord. 2009 Nov;118(1-3): 68. Milgrom J, Gemmill AW, Bilszta JL, 77. O'Donnell ML, Creamer M, Elliott P, 166-72. Hayes B, Barnett B, Brooks J, Bryant R, McFarlane A, Silove D. Ericksen J, Ellwood D, Buist A. Prior trauma and psychiatric 56. McKay R, McDonald R. Expensive Antenatal risk factors for postnatal history as risk factors for intentional detour or a way forward? The depression: a large prospective and unintentional injury in Australia. experience of routine outcome study. J Affect Disord. 2008 May; J Trauma. 2009 Feb;66(2):470-6. measurement in an aged care 108(1-2):147-57. psychiatry service. Australas 78. O'Donnell ML, Creamer M, Holmes Psychiatry. 2008 Dec;16(6): 69. Mills KL, McFarlane AC, Slade T, AC, Ellen S, McFarlane AC, 428-32. Creamer M, Silove D, Teesson M, Judson R, Silove D, Bryant RA.

57. McMahon C, Trapolini T, Barnett B. Maternal state of mind regarding attachment predicts HIGHLY CITED persistence of postnatal depression in the preschool years. J Affect Disord. 2008 May;108(1-2):147-57. Epub 2007 Dec 18. J Affect Disord. 2008 Apr;107(1-3): 199-203. Antenatal risk factors for postnatal depression: a large prospective study.

58. Mabrouk AA, Eapen V. Challenges Milgrom J, Gemmill AW, Bilszta JL, Hayes B, Barnett B, Brooks J, Ericksen J, in the identification and treatment Ellwood D, Buist A. of PANDAS: a case series. J Trop Pediatr. 2009 Feb;55(1):46-8. This study measured antenatal risk factors for postnatal depression in the Australian 59. Manicavasagar V, Marnane C, Pini population, both singly and in combination. Risk factor data were gathered S, Abelli M, Rees S, Eapen V, antenatally and depressive symptoms measured via the beyondblue National Silove D. Adult separation anxiety disorder: a disorder comes of age. Postnatal Depression Program, a large prospective cohort study into perinatal Curr Psychiatry Rep. 2010 Aug; mental health, conducted in all six states of Australia, and in the Australian Capital 12(4):290-7. Territory, between 2002 and 2005.

57 Posttraumatic stress disorder after Carr VJ, Ward PB, Thompson PM. and an urban setting in postconflict injury: does admission to intensive Cerebellar grey matter deficits in Timor Leste. Arch Gen Psychiatry. care unit increase risk? J Trauma. first-episode schizophrenia 2008 Oct;65(10):1205-12. 2010 Sep;69(3):627-32. mapped using cortical pattern matching. 99. Silove D, Brooks R, Bateman C, 79. O'Donnell ML, Creamer MC, Steel Z, Hewage K, Rodger J, McFarlane AC, Silove D, Bryant 90. Rasser PE, Schall U, Todd J, Soosay I. Explosive anger as a RA. Does access to compensation Michie PT, Ward PB, Johnston P, response to human rights have an impact on recovery Helmbold K, Case V, Søyland A, violations in post-conflict Timor- outcomes after injury? Med J Aust. Tooney PA, Thompson PM. Gray Leste. Soc Sci Med. 2009 Sep; 2010 Mar 15;192(6):328-33. matter deficits, mismatch 69(5):670-7. negativity, and outcomes in 80. O'Donnell ML, Creamer M, schizophrenia. Schizophr Bull. 100. Silove D, Brooks R, Bateman McFarlane AC, Silove D, Bryant 2011 Jan;37(1):131-40. CS, Steel Z, Amaral ZF, Rodger J, RA. Should A2 be a diagnostic Soosay I. Social and trauma- requirement for posttraumatic 91. Reay R, Matthey S, Ellwood D, related pathways leading to stress disorder in DSM-V? Scott M. Long-term outcomes of psychological distress and Psychiatry Res. 2010 Apr participants in a perinatal functional limitations four years 30;176(2-3):257-60. depression early detection after the humanitarian emergency program. J Affect Disord. 2010 in Timor-Leste. J Trauma Stress. 81. O'Donnell ML, Creamer MC, Aug 26. 2010 Feb;23(1):151-60. Parslow R, Elliott P, Holmes AC, Ellen S, Judson R, McFarlane AC, 92. Rees S, Silove D, Kareth M. Dua 101. Silove D, Momartin S, Marnane C, Silove D, Bryant RA. A predictive sakit (double sick): trauma and the Steel Z, Manicavasagar V. Adult screening index for posttraumatic settlement experiences of West separation anxiety disorder among stress disorder and depression Papuan refugees living in North war-affected Bosnian refugees: following traumatic injury. J Consult Queensland. Australas Psychiatry. comorbidity with PTSD and Clin Psychol. 2008 Dec;76(6): 2009 Aug;17 Suppl 1:S128-32. associations with dimensions of 923-32. trauma. J Trauma Stress. 2010 93. Rees SJ, van de Pas R, Silove D, Feb;23(1):169-72. 82. O'Donnell ML, Holmes AC, Kareth M. Health and human Creamer MC, Ellen S, Judson R, security in West Papua. Med J 102. Silove DM, Marnane CL, Wagner McFarlane AC, Silove DM, Bryant Aust. 2008 Dec 1-15;189(11-12): R, Manicavasagar VL, Rees S. RA. The role of post-traumatic 641-3. The prevalence and correlates of stress disorder and depression in adult separation anxiety disorder in predicting disability after injury. 94. Reutens S, Nielsen O, Sachdev P. an anxiety clinic. BMC Psychiatry. 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88. Priest SR, Austin MP, Barnett BB, Steel Z, Chey T, Silove D, Marnane C, Bryant RA, van Ommeren M. Buist A. A psychosocial risk assessment model (PRAM) for use Uncertainties continue about the roles that methodological factors and key risk with pregnant and postpartum factors, particularly torture and other potentially traumatic events (PTEs), play in women in primary care settings. Arch Womens Ment Health. 2008 the variation of reported prevalence rates of posttraumatic stress disorder (PTSD) Dec;11(5-6):307-17. and depression across epidemiologic surveys among postconflict populations 89. Rasser PE, Schall U, Peck G, worldwide. Cohen M, Johnston P, Khoo K,

58 displacement: a systematic review Physician. 2009 Oct;38(10): Mountains reduces risk of tooth and meta-analysis. JAMA. 2009 826-30. decay. Aust Dent J. 2009 Dec; Aug 5;302(5):537-49. 54(4):368-73. 117. Bunker J, Shadbolt N. Choosing 107. Steel Z, Silove D, Giao NM, Phan general practice as a career - the 129. Garden FL, Jalaludin BB. Impact TT, Chey T, Whelan A, Bauman A, influences of education and of urban sprawl on overweight, Bryant RA. International and training. Aust Fam Physician. 2009 obesity, and physical activity in indigenous diagnoses of mental May;38(5):341-4. Sydney, Australia. J Urban Health. disorder among Vietnamese living 2009 Jan;86(1):19-30. in Vietnam and Australia. Br J 118. Bunker J, Winstock A, Zwar NA. Psychiatry. 2009 Apr;194(4): Caring for patients with opioid 130. Girgis S, Adily A, Velasco MJ, 326-33. dependence. Aust Fam Physician. Garden FL, Zwar NA, Jalaludin 2008 Jan-Feb;37(1-2):57-60. BB, Ward JE. Smoking patterns 108. 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Dennis SM, Zwar N, Griffiths R, SM Zwar NA Roland M, Hasan I, Powell Davies Chronic disease self-management: JR. Attitudes, norms and controls G, Harris M. Chronic disease implementation with and within influencing lifestyle risk factor management in primary care: from Australian general practice. Med J management in general practice. evidence to policy. Med J Aust. Aust. 2008 Nov 17;189(10 BMC Fam Pract. 2009 Aug 2008 Apr 21;188(8 Suppl):S53-6. Suppl):S17-20. 26;10:59. 139. , , Thompson S, 114. Aslam H, Kemp L, Harris E, 126. Dennis SM, Zwar NA, Marks GB. Harris P Harris E Gilbert E. Socio-cultural Diagnosing asthma in adults in Harris-Roxas B, Kemp L. perceptions of sudden infant death primary care: a qualitative study of Human Health and Wellbeing in syndrome among migrant Indian Australian GPs' experiences. Prim Environmental Impact Assessment mothers. J Paediatr Child Health. Care Respir J. 2010 Mar;19(1): in New South Wales, Australia: 52-6. 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59 141. Homer CS, Henry K, Schmied V, lifestyle risk factor management in Gesundheitswesen. 2008 Dec; Kemp L, Leap N, Briggs C. 'It primary healthcare: a grounded 70(12):755-63. looks good on paper': transitions theory study. Implement Sci. 2009 of care between midwives and Oct 13;4:66. 167. Maneze D, Speizer A, Dalton N, child and family health nurses in Dennis S. A descriptive study of New South Wales. Women Birth. 153. Laws RA, Jayasinghe UW, Harris kava use among Tongan men in 2009 Jun;22(2):64-72. MF, Williams AM, Powell Davies G, Macarthur, Sydney South West. Kemp LA; Community Health Aust N Z J Public Health. 2008 142. Jalaludin B, Khalaj B, Sheppeard SNAP Project Team. Explaining the Aug;32(4):314-6. V, Morgan G. Air pollution and ED variation in the management of visits for asthma in Australian lifestyle risk factors in primary 168. Mathias KR, Harris-Roxas B. children: a case-crossover health care: a multilevel cross Process and impact evaluation of analysis. Int Arch Occup Environ sectional study. BMC Public the Greater Christchurch Urban Health. 2008 Aug;81(8):967-74. Health. 2009 May 29;9:165. Development Strategy Health Impact Assessment. BMC Public 143. Kardamanidis K, Kemp L, 154. Liaw ST. Close the Gap: ask the Health. 2009 Apr 5;9:97. Schmied V. Uncovering experts. Comment. Med J Aust. psychosocial needs: perspectives 2009 Nov 16;191(10):582-3. 169. Maxwell M, Harris P, Peters S, of Australian child and family health Thornell M, D'Souza L. A health nurses in a sustained home visiting 155. Liaw ST. Genetics and genomics impact assessment on the trial. Contemp Nurse. 2009 Aug; in general practice. Aust Fam construction phase of a major 33(1):50-8. Physician. 2010 Sep;39(9):689-91. hospital redevelopment. Aust Health Rev. 2008 Aug;32(3): 144. Kemp L, Chavez R, Harris- 156. Liaw ST, Boyle DI. Primary care 509-19. Roxas B, Burton N. What's in the informatics and integrated care. Box? Issues in evaluating Stud Health Technol Inform. 170. Maxwell ML. A health impact interventions to develop strong and 2010;151:255-68. assessment of the Liverpool open communities. Community Hospital redevelopment. N S W Development Journal. 2008; 43(4): 157. Liaw ST, Gray K. Clinical health Public Health Bull. 2007 Sep-Oct; 459-469. informatics education for a 21st 18(9-10):172-3. Century World. Stud Health 145. Kemp L, Harris E, McMahon C, Technol Inform. 2010;151:479-91. 171. Maxwell ML, Adily A, Ward JE. Matthey S, Vimpani G, Anderson Promoting evidence-based T, Schmied V. Miller Early 158. Liaw ST, Lau A, Dennis S. practice in population health at the Childhood Sustained Home-visiting General practice - engaging the local level: a case study in (MECSH) trial: design, method and online social networking revolution. workforce capacity development. sample description. BMC Public Aust Fam Physician. 2010 Nov; Aust Health Rev. 2007 Aug;31(3): Health. 2008 Dec 29;8:424. 39(11):809-10. 422-9.

146. Kervin BE, Kemp L, Pulver LJ. 159. Liaw ST, Peterson G. Doctor and 172. Mohsin M, Jalaludin B. Influence Types and timing of breastfeeding pharmacist - back to the of previous pregnancy outcomes support and its impact on mothers' apothecary! Aust Health Rev. 2009 and continued smoking on behaviours. J Paediatr Child May;33(2):268-78. subsequent pregnancy outcomes: Health. 2010 Mar;46(3):85-91. an exploratory study in Australia. 160. Liaw ST, Pradhan M. Clinical BJOG. 2008 Oct;115(11):1428-35. 147. Kirby SE, Chong JL, Frances M, decision support implementations. Powell Davies G, Perkins DA, Stud Health Technol Inform. 173. Morgan G, Sheppeard V, Khalaj B, Zwar NA, Harris MF. Sharing or 2010;151:296-311. Ayyar A, Lincoln D, Jalaludin B, shuffling - realities of chronic Beard J, Corbett S, Lumley T. disease care in general practice. 161. Liaw ST, Schattner P. Effects of bushfire smoke on daily Med J Aust. 2008 Jul 21;189(2): eConsulting. Methods Mol Med. mortality and hospital admissions 77. 2008;141:353-73. in Sydney, Australia. Epidemiology. 2010 Jan;21(1):47-55. 148. Kirby SE, Dennis SM, Jayasinghe 162. Liaw ST, Sulaiman ND, Barton UW, Harris MF. Patient related CA, Chondros P, Harris CA, 174. Nathan S, Bunde-Birouste A, Evers factors in frequent readmissions: Sawyer S, Dharmage SC. An C, Kemp L, MacKenzie J, Henley interactive workshop plus locally the influence of condition, access R. Social cohesion through adapted guidelines can improve to services and patient choice. football: a quasi-experimental general practitioners asthma BMC Health Serv Res. 2010 Jul mixed methods design to evaluate 21;10:216. management and knowledge: a a complex health promotion cluster randomised trial in the program. BMC Public Health. 2010 149. Knight JA, Comino EJ, Harris E, Australian setting. BMC Fam Pract. Oct 5;10:587. Jackson-Pulver L. Indigenous 2008 Apr 20;9:22. Research: A Commitment to 175. Perusco A, Poder N, Mohsin M, Walking the Talk. The Gudaga 163. Lloyd J, Wise M, Weeramanthri T, Rikard-Bell G, Rissel C, Williams Study—an Australian Case Study. Nugus P. The influence of M, Hua M, Millen E, Sabry M, Journal of Bioethical Inquiry. 2009; professional values on the Guirguis S. Evaluation of a implementation of Aboriginal health 6(4): 467-76. comprehensive tobacco control policy. J Health Serv Res Policy. project targeting Arabic-speakers 150. Joubert J, Prentice LF, Moulin T, 2009 Jan;14(1):6-12. residing in south west Sydney, Liaw ST, Joubert LB, Preux PM, Australia. Health Promot Int. 2010 Ware D, Medeiros de Bustos E, 164. Lloyd JE, Wise MJ. Efficient Jun;25(2):153-65. McLean A. Stroke in rural areas funding: a path to improving and small communities. Stroke. Aboriginal healthcare in Australia? 176. Pierce D, Liaw ST, Dobell J, 2008 Jun;39(6):1920-8. Aust Health Rev. 2010 Nov;34(4): Anderson R. Australian rural 430-4. football club leaders as mental 151. Lam P, Dennis SM, Diamond TH, health advocates: an investigation Zwar N. Improving glycaemic and 165. Lloyd JE, Wise MJ, Weeramanthri of the impact of the Coach the T. Changing shape: workforce and BP control in type 2 diabetes. The Coach project. Int J Ment Health the implementation of Aboriginal effectiveness of tai chi. Aust Fam Syst. 2010 May 19;4:10. health policy. Aust Health Rev. Physician. 2008 Oct;37(10):884-7. 2008 Feb;32(1):174-85. 177. Pradhan M, Liaw ST. Clinical 152. Laws RA, Kemp LA, Harris MF, decision support foundations. Stud Davies GP, Williams AM, Eames- 166. Loss J, Wise M. Evaluation of Health Technol Inform. Brown R. An exploration of how empowerment: health promotion 2010;151:278-95. clinician attitudes and beliefs practitioners' perceptions and influence the implementation of concepts. Results of a qualitative study in Australia.

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Vagholkar S, Ng J, Chan RC, Austr. 2009 Dec;20(3):164-5. efficacy in self-monitoring of blood Bunker JM, Zwar NA. Healthcare glucose. Patient Educ Couns. workers and immunity to infectious 202. Wise M, Harris P, Harris-Roxas 2009 Nov;77(2):260-5. diseases. Aust N Z J Public Health. B, Harris E. The role of health 2008 Aug;32(4):367-71. impact assessment in promoting 180. Roufas A, Jalaludin B, Gaskin C, population health and health McCluskey P. Subconjunctival 192. van Schayck OC, Pinnock H, equity. Health Promot J Austr. triamcinolone treatment for non- Ostrem A, Litt J, Tomlins R, 2009 Dec;20(3):172-9. necrotising anterior scleritis. Br J Williams S, Buffels J, Giannopoulos Ophthalmol. 2010 Jun;94(6): D, Henrichsen S, Kaper J, Korzh 203. Wong SK, Jalaludin BB, 743-7. O, Rodriguez AM, Kawaldip S, Henderson CJ, Morgan MJ, Zwar N, Yaman H. IPCRG Berthelsen AS, Issac MM, 181. Schmied V, Mills A, Kruske S, Consensus statement: tackling the Kneebone A. Direct tumor invasion Kemp L, Fowler C, Homer C. The smoking epidemic - practical in colon cancer: correlation with nature and impact of collaboration guidance for primary care. Prim tumor spread and survival. Dis and integrated service delivery for Care Respir J. 2008 Sep;17(3): Colon Rectum. 2008 Sep;51(9): pregnant women, children and 185-93. 1331-8. families. J Clin Nurs. 2010 Dec; 19(23-24):3516-26. 193. Vohra S, Cave B, Viliani F, Harris- 204. Wong SK, Jalaludin BB, Morgan Roxas BF, Bhatia R. New MJ, Berthelsen AS, Morgan A, 182. Shadbolt N, Bunker J. Choosing international consensus on health Gatenby AH, Fulham SB. Tumor general practice - a review of impact assessment. Lancet. 2010 pathology and long-term survival in career choice determinants. Aust Oct 30;376(9751):1464-5. emergency colorectal cancer. Dis Fam Physician. 2009 Jan-Feb; Colon Rectum. 2008 Feb;51(2): 38(1-2):53-5. 194. Wan Q, Harris M, Zwar N, 223-30. Vagholkar S, Kemp L, Campbell 183. 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809. Tyldesley S, Delaney G, Foroudi F, induced the proliferation and migration, but inhibited the apoptosis, of MiaPaCa-2 Barbera L, Kerba M, Mackillop W. and Panc-1 cells. The proliferative effect of hPSC secretions on pancreatic cancer Estimating the Need for cells was inhibited in the presence of neutralizing antibody to platelet-derived Radiotherapy for Patients with Prostate, Breast, and Lung growth factor. Our studies indicate a significant interaction between pancreatic Cancers: Verification of Model cancer cells and stromal cells (PSCs) and imply that pancreatic cancer cells recruit Estimates of need with Radiotherapy Utilization Data from stromal cells to establish an environment that promotes cancer progression.

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Pancreatic colorectal cancer reduces inferior myocardial infarction. stellate cells: partners in crime with tumourigenicity but increases Circulation. 2010 Aug 3;122(5): pancreatic cancer cells. Cancer metastasis formation. Int J 463-9. Res. 2008 Apr 1;68(7):2085-93. Colorectal Dis. 2009 Feb;24(2): 139-44. 846. Wong CK, Gao W, Stewart RA, 825. Vonlaufen A, Phillips PA, Xu Z, French JK, Aylward PE, White Goldstein D, Pirola RC, Wilson 835. Westbrook JI, Braithwaite J, HD. Relationship of QRS duration JS, Apte MV. Pancreatic stellate Gibson K, Paoloni R, Callen J, at baseline and changes over 60 cells and pancreatic cancer cells: Georgiou A, Creswick N, min after fibrinolysis to 30-day an unholy alliance. Cancer Res. Robertson L. Use of information mortality with different locations of 2008 Oct 1;68(19):7707-10. and communication technologies ST elevation myocardial infarction: to support effective work practice results from the Hirulog and Early 826. Vonlaufen A, Phillips PA, Yang innovation in the health sector: a Reperfusion or Occlusion-2 trial. L, Xu Z, Fiala-Beer E, Zhang X, multi-site study. BMC Health Serv Heart. 2009 Feb;95(4):276-82. Pirola RC, Wilson JS, Apte MV. Res. 2009 Nov 8;9:201. Isolation of quiescent human 847. Wong SK, Jalaludin BB, Morgan pancreatic stellate cells: a 836. White GN, O'Rourke F, Ong BS, MJ, Berthelsen AS, Morgan A, promising in vitro tool for studies of Cordato DJ, Chan DK. Gatenby AH, Fulham SB. Tumor human pancreatic stellate cell Dysphagia: causes, assessment, pathology and long-term survival in biology. Pancreatology. 2010;10(4): treatment, and management. emergency colorectal cancer. Dis 434-43. Geriatrics. 2008 May;63(5):15-20. Colon Rectum. 2008 Feb;51(2): 223-30. 827. Vonlaufen A, Wilson JS, Apte 837. Whitten KE, Leach ST, Bohane TD, MV. Molecular mechanisms of Woodhead HJ, Day AS. Effect of 848. Wong VC, Lim CE, Luo X, Wong pancreatitis: current opinion. J exclusive enteral nutrition on bone WS. Current alternative and Gastroenterol Hepatol. 2008 Sep; turnover in children with Crohn's complementary therapies used in 23(9):1339-48. disease. J Gastroenterol. 2010 menopause. Gynecol Endocrinol. Apr;45(4):399-405. 2009 Mar;25(3):166-74. 828. Vonlaufen A, Xu Z, Phillips PA, Yang L, Pirola RC, Wilson JS, 838. Williams MJ, Bailey MJ, Forstner 849. Wong VW, Garden F, Jalaludin B. Apte MV. Abstinence Promotes D, Metcalfe PE. Multicentre quality Hyperglycaemia following glucose Regression While Continued assurance of intensity-modulated challenge test during pregnancy: Alcohol Intake Promotes radiation therapy planning: beware when can a screening test become Persistence of LPS-Induced the benchmarker. J Med Imaging diagnostic? Diabetes Res Clin Pancreatic Injury in Alcohol-Fed Radiat Oncol. 2008 Jun;52(3):303. Pract. 2009 Mar;83(3):394-6. Rats, Pancreas 2008;37(4):499. 839. Williamson JP, McLaughlin RA, 850. Wong VW, Mardini M, Cheung 829. Wall CJ, Lynch J, Harris IA, Noffsinger WJ, James AL, Baker NW, Mihailidou AS. High-dose Richardson MD, Brand C, Lowe VA, Curatolo A, Armstrong JJ, insulin in experimental myocardial AJ, Sugrue M; Liverpool (Sydney) Regli A, Shepherd KL, Marks GB, infarction in rabbits: protection and Royal Melbourne Hospitals. Sampson DD, Hillman DR, against effects of hyperglycaemia. Clinical practice guidelines for the Eastwood PR. Elastic Properties of J Diabetes Complications. 2010 management of acute limb the Central Airways in Obstructive Mar 3. compartment syndrome following Lung Diseases Measured Using trauma. ANZ J Surg. 2010 Mar; Anatomical Optical Coherence 851. Wong VW, Pape AV. Extreme 80(3):151-6. Tomography. Am J Respir Crit insulin resistance in a patient with Care Med. 2010 Sep 17. pre-existing diabetes during 830. Wan Q, Harris MF, Davies GP, pregnancy: role of U-500 insulin. Jayasinghe UW, Flack J, Georgiou 840. Winberg H, Nilsson K, Aneman A. Med J Aust. 2009 Jun 1;190(11): A, Burns JR, Penn DL. Paediatric Rapid Response 650-1. Cardiovascular risk management Systems: a literature review. Acta

82 852. Wong WS, Lee TC, Lim CE. Novel Increment after Coronary Diagnosis and management of Vaginal "paper roll" uterine intervention in Acute coronary childhood obesity: a survey of morcellation technique for removal Lesions (PRACTICAL) Trial. Am general practitioners in South West of large (>500 g) uterus. J Minim Heart J. 2009 Jan;157(1):60.e1-9. Sydney. J Paediatr Child Health. Invasive Gynecol. 2010 May-Jun; 2008 Nov;44(11):622-9. 17(3):374-8. 862. Yong JL, Killingsworth MC. Acute light chain tubulopathy in 873. Thomson AJM, Abbott JA, Deans 853. Worthington A, Thomas L. myeloma. Pathology. 2009;41(3): R, Kingston A, Vancaillie TG. The Valvular heart disease associated 300-2. management of intrauterine with taking low-dose pergolide for synechiae. Curr Opinion in Obst restless legs syndrome. Eur J 863. Yong JL, Killingsworth MC, and Gyn. 2009:21(4):335-41. Echocardiogr. 2008 Nov;9(6): Spicer ST, Wu XJ. Fibronectin 828-30. non-amyloid glomerulopathy. Int J 874. Vo TM, Gyaneshwar R, Mayer C. Clin Exp Pathol. 2009 Nov 20;3(2): Concurrent sigmoid volvulus and 854. Worthington JM, Gattellari M. 210-6. herniation through broad ligament Dabigatran versus warfarin in defect during pregnancy: case patients with atrial fibrillation. N 864. Young L, Donald M, Parr M, report and literature review. J Engl J Med. 2009 Dec 31;361(27): Hillman K. The Medical Obstet Gynaecol Res. 2008 Aug; 2672-3. Emergency Team system: a two 34(4 Pt 2):658-62. hospital comparison. 855. Worthington JM, Gattellari M, Resuscitation. 2008 May;77(2): 875. Wong FW. Where is end Leung DY. 'Where there's 180-8. expiration? Measuring PAWP when smoke ...': are premature the patient is on pressure support ventricular complexes a new risk 865. Yusuf TE, Ho S, Pavey DA, ventilation. Dynamics. 2010 factor for stroke? Stroke. 2010 Michael H, Gress FG. Spring;21(1):11-6. Apr;41(4):572-3. Retrospective analysis of the utility of endoscopic ultrasound-guided 876. Wong FW, Lim CE, Karia S, 856. Xu Z, Vonlaufen A, Phillips PA, fine-needle aspiration (EUS-FNA) in Santos L. Cervical endometriosis: Fiala-Beer E, Zhang X, Yang L, pancreatic masses, using a 22- case series and review of literature. Biankin AV, Goldstein D, Pirola gauge or 25-gauge needle system: J Obstet Gynaecol Res. 2010 Aug; RC, Wilson JS, Apte MV. Role of a multicenter experience. 36(4):916-9. pancreatic stellate cells in Endoscopy. 2009 May;41(5): pancreatic cancer metastasis. Am 445-8. 877. Wong FW, Lim CE, Smith W. A J Pathol. 2010 Nov;177(5): new bioimpedance research 2585-96. device (BIRD) for measuring the electrical impedance of 857. Yacopetti N, Alexandrou E, acupuncture meridians. J Altern Spencer TR, Frost SA, Davidson Women’s and Complement Med. 2010 Mar; PM, O'Sullivan G, Hillman KM. 16(3):257-64. Central venous catheter insertion Children’s Health by a clinical nurse consultant or 878. Wong FW, Lin L, Lim DC. Drug anaesthetic medical staff: a single- 866. Bai J, Gyaneshwar R, Bauman A. and herb interactions: searching centre observational study. Crit Models of antenatal care and the web. Aust Fam Physician. Care Resusc. 2010 Jun;12(2): obstetric outcomes in Sydney 2009 Aug;38(8):627-33. 90-5. South West. Aust N Z J Obstet 879. Yeoh B, Woolfenden S, Wheeler Gynaecol. 2008 Oct;48(5):454-61. 858. Yang T, Chung SK, Zhang W, D, Alperstein G, Lanphear B. Mullins JG, McCulley CH, 867. Callander I, Jain H, NICUS. Household interventions for Crawford J, MacCormick J, Eddy Neonatal database - An open prevention of domestic lead CA, Shelling AN, French JK, Yang source data framework. J Clin and exposure in children. Cochrane P, Skinner JR, Roden DM, Rees Diagnostic Res, 2009:3(1): Database Syst Rev. 2008 Apr 16; MI. Biophysical properties of 9 1248-54. (2):CD006047 KCNQ1 mutations associated with long-QT syndrome. Circ Arrhythm 868. Crawford BA, Cowell CT, Emder Electrophysiol. 2009 Aug;2(4): PJ, Learoyd DL, Chua EL, Sinn J, 417-26. Jack MM. odine toxicity from soy milk and seaweed ingestion is 859. Yap ML, Vinod SK, Shon IA, associated with serious thyroid Fowler A, Lin M, Gabriel G, dysfunction. Med J Aust. 2010 Oct Holloway LC. The registration of 4;193(7):413-5. diagnostic versus planning fluorodeoxyglucose positron 869. Hameed S, Morton JR, Jaffé A, emission tomography/computed Field PI, Belessis Y, Yoong T, Katz tomography in radiotherapy T, Verge CF. Early glucose planning for non-small cell lung abnormalities in cystic fibrosis are cancer. Clin Oncol (R Coll Radiol). preceded by poor weight gain. 2010 Sep;22(7):554-60. Diabetes Care. 2010 Feb;33(2): 221-6. 860. Yii MF, Lim CE, Luo X, Wong WS, Cheng NC, Zhan X. Polycystic 870. Lee ET, Wong FW, Lim CE. A ovarian syndrome in adolescence. modified technique of LAVH with Gynecol Endocrinol. 2009 Oct; the Biswas uterovaginal elevator. J 25(10):634-9. Minim Invasive Gynecol. 2009 Nov-Dec;16(6):755-60. 861. Yong G, Rankin J, Ferguson L, Thom J, French J, Brieger D, 871. Meriki N, Smoleniec J, Challis D, Chew DP, Dick R, Eccleston D, Welsh AW. Immediate outcome of Hockings B, Walters D, Whelan A, twin-twin transfusion syndrome Eikelboom JW. Randomized trial following selective laser comparing 600- with 300-mg photocoagulation of loading dose of clopidogrel in communicating vessels at the patients with non-ST elevation NSW Fetal Therapy Centre. Aust N acute coronary syndrome Z J Obstet Gynaecol. 2010 Apr; undergoing percutaneous coronary 50(2):112-9. intervention: results of the Platelet Responsiveness to Aspirin and 872. Sivertsen LM, Woolfenden SR, Clopidogrel and Troponin Woodhead HJ, Lewis D.

83 2010 Papers of the Year In 2010 the South Western Sydney Clinical School inaugurated a Paper of the Year Award with prizes awarded in two categories.

Biomedical / Clinical Research

Leong RW, Nguyen NQ, Meredith CG, Al-Sohaily S, Kukic D, Delaney PM, Murr ER, Yong J, Merrett ND, Biankin AV. In vivo confocal endomicroscopy in the diagnosis and evaluation of celiac disease. Gastroenterology. 2008 Dec;135(6): 1870-6.

BACKGROUND & AIMS: Accurate histopathology of endoscopic duodenal biopsy specimens is critical in the diagnosis of celiac disease (CD) but sampling error and poor quality specimens may generate a false-negative result. Confocal endomicroscopy (CEM) is a novel technology allowing real-time in vivo microscopy of the mucosa that may diagnose CD and evaluate its severity and response to treatment more accurately than histopathology. METHODS: Subjects with CD and controls prospectively underwent CEM. Features of villous atrophy and crypt hypertrophy were defined. A CEM score measuring CD severity was devised and validated against the diagnosis of CD and blinded histopathology. Receiver operator characteristics, sensitivity to change after treatment, and reliability of findings were assessed. RESULTS: From 31 patients (6 untreated CD, 11 treated CD, and 14 controls), 7019 CEM images paired with 326 biopsy specimens were obtained. The accuracy of CEM in diagnosing CD was excellent (receiver operator characteristics area under the curve, 0.946; sensitivity, 94%, specificity, 92%) and correlated well with the Marsh grading (R-squared, 0.756). CEM differentiated CD from controls (P < .0001) and was sensitive to change after treatment with gluten-free diet (1787 optical biopsies; P = .012). The intraclass correlation of reliability was high (0.759-0.916). Of the 17 cases with diagnosed CD, 16 (94%) were diagnosed correctly using CEM but only 13 (76%) had detectable histopathology changes. The procedure was safe and well-tolerated CONCLUSIONS: CEM effectively diagnoses and evaluates CD severity in vivo. This promising technique has the potential to improve endoscopy efficiency.

Non-Biomedical / Health Services Research

Chen J, Bellomo R, Flabouris A, Hillman K, Finfer S; MERIT Study Investigators for the Simpson Centre; ANZICS Clinical Trials Group. The relationship between early emergency team calls and serious adverse events. Crit Care. 2009;13(5): 313.

OBJECTIVE: To examine the relationship between early emergency team calls and the incidence of serious adverse events--cardiac arrests, deaths, and unplanned admissions to an intensive care unit--in a cluster randomized controlled trial of medical emergency team implementation (the MERIT study). DESIGN: Post hoc analysis of data from cluster randomized controlled trial. SETTING AND PARTICIPANTS: Twenty-three public hospitals in Australia and 741,744 patients admitted during the conduct of the study. INTERVENTIONS: Attendance by a rapid response system team or cardiac arrest team. MAIN OUTCOME MEASURES: The relationship between the proportion of rapid response system team calls that were early emergency team calls (defined as calls not associated with cardiac arrest or death) and the rate (events/1000 admissions) of the adverse events. RESULTS: We analyzed 11,242 serious adverse events and 3700 emergency team calls. For every 10% of increase in the proportion of early emergency team calls there was a 2.0 reduction per 10,000 admissions in unexpected cardiac arrests (95% confidence interval [CI] -2.6 to -1.4), a 2.2 reduction in overall cardiac arrests (95% CI -2.9 to -1.6), and a 0.94 reduction in unexpected deaths (95% CI -1.4 to -0.5). We found no such relationship for unplanned intensive care unit admissions or for the aggregate of unexpected cardiac arrests, unplanned intensive care unit admissions, and unexpected deaths. CONCLUSIONS: As the proportion of early emergency team calls increases, the rate of cardiac arrests and unexpected deaths decreases. This inverse relationship provides support for the notion that early review of acutely ill ward patients by an emergency team is desirable.

84 John Smoleniec Lecturer/ Michael Suranyi Staff Research Fellow Liza Thomas Mona Asghari-Fard James van Gelder Fiona Haigh Shalini Vinod Ben Harris-Roxas Rob Wilson List Patrick Harris Cyril Wong Vanessa Rose John Worthington

Associate Lecturer Senior Lecturer Gihan Kamalasena Alan Adno Rajat Mittal Christophe Berney Justin Bowra Robert Brooks Peter Buchanan UNSW Emeritus Tram Bui Cecilia Cappelen-Smith appointees in David Chang Professor Peter Collett Ian Webster south western Alison Colley David Conforti Sydney in 2011 Susan Connor Conjoint Arvin Damodaran Scott D'Amours Jennifer Davidson Professor Barbara Depczynski Academic Bryanne Barnett Lindsay Dunlop Andrew Biankin John Eastwood Professor Daniel Chan Phillip Emder Minoti Apte Geoffrey Delaney Louise Evans Michael Barton Hugh Dickson Antonio Fernandes Valsa Eapen John French Frank Formby Afaf Girgis Bin Jalaludin Amanda Goldrick Ken Hillman Dominic Leung Zinta Harrington Bruce Hall Guy Marks Michael Harvey Ian Harris Geraldine Hassett Teng Liaw Associate Professor Ivan Ho Shon Patrick McNeil Meera Agar Seyed Imam Shan Rajendra Anders Aneman Susannah Jacob Derrick Silove Roy Beran Rajeev Jairam Jeremy Wilson Martin Berry Anthony Kaplan Dennis Cordato Eng-Siew Koh Associate Professor Anand Deva Marc Lakos Kien Seng Lee Jack Chen Jeffrey Flack Elizabeth Comino Kathryn Gibson Miriam Levy Elizabeth Harris Iain Gosbell Peter Lin Denise Lonergan Lynn Kemp Graham Gumley Christine Loo Stephen Matthey Raj Gyaneshwar Ian McCrossin Philip Ward Anna Holdgate Alan McDougall Marilyn Wise John Ireland Matthias Jaeger Roderick McKay Angela Makris Senior Lecturer/ Craig Juergens Michelle Maxwell Senior Research Fellow Grigori Kaplan Dan Milder Katherine Bryant Jens Kilian Daniel Moses Rudi Crnec Murray Killingsworth Friedbert Kohler Penelope Motum Sarah Dennis Christian Mussap Suzanne Hodgkinson Rupert Leong Justine Naylor Roberto Ferero Andrew McDonald Karin Obrecht Jennifer Knight Neil Merrett Bin Ong Jude Ng Catherine O'Connor James Parker Sean O’Neill Christopher Pokorny Darren Pavey Phoebe Phillips John Quin Mukesh Prabhuswamy Patsy Soon Michael Parr Kanaka Rachakonda Tim Spicer David Richards Farhad Rahimpanah Zachary Steele Anthony Schembri Mark Sheridan Rohan Rajaratnam Tania Trapolini Shanti Raman

85 Kent Robinson Tushar Halder Richard Thode David Rutherford David Rosenfeld Andrew Hartshorn Steven Thou Conceicao Santos Glen Schlaphoff Sonia Herrera Rod Tobiansky Katharine Scrivener Christopher Shanley Quang-Phu Ho Fleur Trezise Ian Smith Mark Sidhom Andrew Hopkins Sankar Vadali Nicholas John Smith Jing Yu Song Susan Ieraci Sanjyot Vagholkar Subash Srikantha Hui Tie Arthur Jarrett Hima Vedam Arnold Suzuki Alla Waldman Helene Johansen Tai-Tak Wan Sanjeev Taneja Janindra Warusavitarne Charlotte Johnstone Stuart Watkins Vivek Thakkar Desmond Wilson Kevin Johnstone Penelope Weir Winnie Tong Richard Wittal Mariam Joseph David Williams Sanjyot Vagholkar Vincent Wong Frank Keh Bruce Wilson Benoj Varghese Helen Woodhead Chee Khoo Karen Wong Suhirdan Vivekanandarajah Lis Young Ashley Kingston Lisa Worgan Anastasia Volovets George Kirsh Peter Wyllie Lambros Wassef Lecturer Zoe Knights Shu Ching Yang Sai Win Mahmood Alam James Kokkinos Simon Yarrow April Wong Ishrat Ali Jenn Hian Terence Yoong Olataga Alofivae-Doorbinnia Kenneth Koo Evan Alexandrou Tania Leung Associate Lecturer Ahmad Alrubaie Gregory Leslie Sam Adie Other Chrstopher An Michael Lin Shakil Ahmed Jennifer McDonald Craig Andrews Sam Al-Sohaily Research Staff Susheel Manambrakkat Seymour Atlas Mustafa Alttahir Jane Anderson David Massasso Amjed Aziz Frank Arena Alex Apler Sunil Mathew Felicity Bagnall Tamer Naguib Rochelle Boyd Sharon May Luke Baker Bindu Ababuraj Fiona Byrne Ahmed Mayat Deepak Bhonagiri Jarrett Barker-Whittle Eva Fiala-Beer Anthony McGuiness Roger Blackmore Milan Bassan Emma Friesen Ian Meakin David Blomberg Kavita Bhola Rebekah Grace Gregory Melbourne Kathleen Brennan John Bui Gabriel Gabriel Blair Munford Chuong Bui Neil Campbell Iqbal Hasan Anas Natfaji Triet Bui Louis Cheung Oshana Hermiz † Weng Ng Jeremy Bunker Venessa Chin Deborah Johnston Vincent Ngian Brian Burns Ritu Datta Catherine Kaplun Huong Van Nguyen Ross Calcroft Andrew Fong Harrison Ng Chok Phong T D Nguyen Ian Callander Darshan Ghia Kate Piromalli Robert Nguyen Christopher Carmody Saurabh Gupta Catherine Robinson Navindran Niles Felix Chan Roger Haddad Sheryl Sharkie Marwan Obaid Quee Li Louise Chiam Shihab Hameed Joan Silk Aiden O'Loughlin Raymond Chin Eric Hau Vana Webster William O'Regan Carolyn Cooper Allan Hsu Jane Taggart Fintan O'Rourke Peter Cosman Mohammad Hussain Giang Tran Isidor Papapetros Richard Cracknell Ashish Jiwane Zhigong Xu Harry Patapanian Linda Dann Paul Joshua Vana Webster Astrid Przezdziecki Bolsom Darwish Krishna Kadappu Susan Yang Graham Radford Jayker Dave Ahmed Kakkat Siggi Zapart Stephen Della-Fiorentina Helen Redmond Barry Kane Eric Chi Ving Diu Roger Renton Deme Karikios Professional Staff Hugh Dixson Napoleon Reppas Alaric Koh Claudia Calero Claudia Dobler Sharon Reutens John Kok Kylie French Claire Dobson Hamish Russell Trevor Kwok Maribel Helene Pravin Dullur Sharon Rutledge Melissa Leung Robyn Hittman Peter Edwards Jeffrey Sacks Danforn Lim Mary Knopp Sharif Gabr Stuart Saker Ranah Lim Carla LeCordier Robert Guaran David Saxton Arvind Madras Fakhra Maan ElgafiIan Ferguson Jesmin Shafiq Sara Maher Lorinda Masri Nipuna Fernando Albert Shafransky Ram Malhotra Charmaine Rodricks Gary Flynn Aashit Shah Antonia Milner Shalini Saverimuttu Dion Forstner Qing Shen Fazlur Nadri Anthony Frankel Milan Simic Adnan Nagrial Adjunct David Freiberg Brendon Smith Arnold Ng Craig Smith Steven Frost Matthew J Smith Natalie Ong Catherine Dillon Stephen Fulham Timothy Spencer Riona Pais Alan Giles Sujaya Sringeri Alexia Pape Naeshka Govender Jacqueline Stack Nalini Pati Neil Griffith Antony Stewart Archana Rao Andrew Haig Patricia Symons Christopher Reitz

† Passed away May 2011

86 Becoming a Conjoint

Conjoint appointees are individuals who generally hold a relevant position external to UNSW who have contributed to the research and/or teaching effort of the Faculty of Medicine. Conjoint appointments are unpaid positions.

There are a number of benefits of obtaining a conjoint appointment including:

• public recognition of academic standing through use of a conjoint title; • access to over 2.7 million items through the UNSW library; • access to Sirius - the electronic gateway to the UNSW e-journal collection of 23000 titles; • provision of zMail as a separate @unsw.edu.au email address; • access to the UNSW Uniwide network when on campus, in the south western Sydney hospital education facilities and on other university campuses through EduRoam; • eligibility for academic pricing on a range of products including computer software and hardware purchased for non-commercial purposes; • discounts on a range of other products and services using UNSW negotiated rates including restuarants, airline lounge programs, gift vouchers and travel; and • access to research workshops through the Grants Management Office and to research clinics provided by Outreach Library services.

For more information on becoming a conjoint, contact the South Western Sydney Clinical School on +61 2 9828 3844 or download an application form from: www.med.unsw.edu.au/medweb.nsf/pages/Conjoints

87

879 publications $44.7m in research funding $23.6m in NHMRC and ARC projects $10.8m in infrastructure funding 396 staff and conjoints 325 students annually

swscs.med.unsw.edu.au