DEPARTMENT OF RURAL HEALTH
DEPARTMENT OF RURAL HEALTH
FACULTY OF MEDICINE, DENTISTRY AND HEALTH SCIENCES
ANNUAL REPORT 2015
FUNDED BY THE COMMONWEALTH DEPARTMENT OF HEALTH AND AGEING UNDER HEALTH WORKFORCE PROGRAMS
CONTENTS
Mission...... 2 Report from the Head of the Department of Rural Health...... 3 Rural Clinical School...... 4 Extended Rural Cohort (ERC)...... 5 Student Awards...... 6 Student Presentations...... 7 Report from the Director of the University Department of Rural Health (UDRH)...... 8 Multidisciplinary Training Program Nursing and Allied Health...... 9 Aboriginal Health Workforce...... 10 Dental Science...... 12 Pharmacy...... 12 Centre for Excellence in Rural Sexual Health (CERSH)...... 13 Murray to the Mountains Intern Training Program North East Victoria.... 14 Research and Research Training...... 15 Aboriginal Health...... 15 Medical Education...... 15 Mental Health...... 16 Rural Health Academic Network (RHAN)...... 16 Research Training...... 16 Research Grants...... 17 Publications...... 17 Community Engagement and Partnerships...... 19 Partnerships...... 20 Seminars and Public Lectures...... 25 Rural Student Health Clubs...... 27 Student Community Engagement...... 28 Staffing Academic Staff...... 29 Professional Staff...... 31 Honorary Staff...... 32
DEPARTMENT OF RURAL HEALTH
Department of Rural Health - Annual Report 2015 1 MISSION - STRATEGIC GOALS
Mission Excellence and equity in Rural Health through education, research and engagement Strategic Goals
• The Department of Rural Health has established a set of indicators of rural health workforce outcomes* for its students, to evaluate its health workforce programs and activities
• The Department of Rural Health will increase the duration and quality of supported allied health and nursing placements. Interdisciplinary training is established and is an important element of teaching and learning at the Department of Rural Health
• A communication and partnership strategy will be developed, and implemented, to efficiently engage! with our staff, communities and organisational partners
• The Department of Rural Health will promote greater excellence in rural medical education through enhanced teacher skill development and accreditation of clinical teachers
• An all-inclusive program of cultural safety training and development for the Department of Rural Health staff will be implemented
• There will 15 indigenous graduates in health sciences from, or supported by, the Department of Rural Health in 15 years
• The Department of Rural Health will support the establishment of a Yorta Yorta research ethics advisory committee
• A program of research into rural chronic ill-health will be undertaken
• A program of research into culturally inclusive rural health will be undertaken
* These will include, to the extent possible, location of practice of former students. And short term assessment of impact of placements on the student intent in regard to rural practice
! Engagement includes sustaining good working relationships, appropriate information transfer and maximising the benefits to all parties of effective collaboration
2 Department of Rural Health - Annual Report 2015 REPORT FROM THE HEAD OF DEPARTMENT DEPARTMENT OF RURAL HEALTH
2015 was the final year of our last Federal Government funding A second achievement in 2015 was the growth of all three of our cycle and for the first time since the Rural Clinical School (RCS) research themes. In the areas of chronic rural ill health, culturally and University Department of Rural Health (UDRH) programs were inclusive rural health care and rural health workforce, we had many established, significant changes to our contracts and Key Performance conference presentations and published papers. It was exciting when Indicators were proposed by the Government. I have to say that the Professor David Simmons, who was the first Director of the UDRH, proposals put forward were all sensible and we were able to enter into suggested revisiting the Crossroads Undiagnosed Disease Study a very constructive dialogue with the Department of Health about the approximately a decade after this study was first conducted. Professor proposed changes to our programs as a whole, as well as detailed Lisa Bourke and Dr Kristen Glenister worked with David and many negotiations about our department’s funding and outcome measures. others in our department to develop a grant proposal, and were awarded a NHMRC Partnership grant of over $1,000,000 to carry out The RCS and UDRH programs have been combined into one Rural the study in partnership with many of our local health services and Health Multidisciplinary Training program. For some universities, health providers. this will be the first time their RCS and UDRH teams will be working together. For our department, which has always had RCS and UDRH We have also had a successful year in promotions for our academics, programs working with joint administration and facilities, this will Dr Christina Malatzky and Dr Daniel Terry were promoted to Research not lead to any major changes in the way we work. Based largely Fellow, Rev Dr Helen Malcolm was promoted to Associate Professor on the success of Professor Lisa Bourke and her team in increasing and Lisa Bourke was promoted to Professor, these are fantastic the number of our nursing and allied health placements during 2015, achievements. Particularly for Helen and Lisa this represents fitting we have also been able to secure a significant amount of additional recognition for many years of sustained success in their work and funding to further increase our support to nursing and allied health commitment to the university. students in our regions. This is a major focus of our new contract and I look forward to 2016 as a time of further growth and challenges. we have set an extremely ambitious target for our support of a total number of nursing and allied health students by 2018. Professor Julian Wright Head of Department, Department of Rural Health
Rural Clinical School graduating class of 2015
Department of Rural Health - Annual Report 2015 3 RURAL CLINICAL SCHOOL (RCS)
Our Rural Clinical School (RCS) students continue to perform very well The relationship between the Murray to Mountain (M2M) PGY1 academically compared to their metropolitan clinical school peers. program and the RCS was strengthened by the Dean of the RCS undertaking the role of Director of Clinical Training for M2M. This 2015 in some ways has been a challenging one for the RCS, with provides a strong base to enhance rural postgraduate training a major restructure of the professional staff workforce of the pathways for our students. University and a restructure of the Melbourne Medical School. Fortunately, 2015 has been a year of consolidation of the changes The University of Melbourne Shepparton Medical Centre continues following these restructures. After some uncertainty the internal RCS to provide a valued teaching resource for the RCS, while providing academic management structure is now in place, improving teaching much needed high quality care to the community. In 2015 the medical staff management and development. The initiation of a teacher centre delivered circa approximately 700 teaching sessions for accreditation program has stimulated many teachers to consider medical students, of three hours or more. This was achieved, despite their continuing professional development. A number of innovations the Medical Centre being limited to an average of 2.3FTE of senior designed to provide quality education in a setting with limited access clinicians. to clinical teachers, have proved successful. Their benefits have been validated by the Melbourne Medical School implementing initiatives such as clinical education facilitators throughout the school. RCS Student Numbers Site MD2 students MD3 students MD4 students Ballarat 22 7 14 Bendigo 12 10 Shepparton 21 5 10 Wangaratta 14 9 Extended Rural Cohort 22 TOTAL 69 34 43
MD1 Rural Health Dinner 2015
4 Department of Rural Health - Annual Report 2015 Extended Rural Cohort (ERC) 2015 was a year of tremendous achievement for our ERC students. involved in the program and we are already in negotiations with The end of year results reflected some outstanding performances by several practices that have shown an interest in being part of the ERC ERC students. To achieve these results requires exceptional students over the coming years. but is also a reflection of excellent clinical placements. Our Extended Rural Cohort GP practices for 2015 were: ERC students spent 60% of available teaching time at their general Church St Surgery Benalla practice locations and also had intensive 1-3 week hospital specialty Cobram Medical Clinic blocks. This model seems to suit our ERC primary care practices well Central General Practice Mansfield as students are embedded in to practice team throughout the year. Corowa Medical Centre Many students involved themselves with sporting and other activities Echuca Moama Family Medical Practice in their practice locations which I am sure enhanced their general Kialla Medical Clinic learning experience. Several of the ERC practices also hosted interns Lister House, Shepparton from the Murray to Mountains program which provided additional Mansfield Medical Clinic opportunities for peer feedback and learning. Mt Beauty Medical Centre During 2015, a two-year academic evaluation of the learning Ovens Medical Group, Wangaratta experience of ERC students compared to third year MD students Rich River Health Group, Echuca completing traditional rotations was completed. We hope to publish Shepparton Medical Centre the results of this evaluation in due course but early analysis of the Wyndham House Clinic, Shepparton results seems to indicate that ERC students certainly feel confident in Yarrawonga Denis Medical Group patient assessments and well-practiced in their communication and I am extremely grateful to all of the ERC general practice educators patient presentation skills by the end of their time in their primary care and supervisors, their practice administration teams, all the RCS placement. professional staff and ERC Hub educators for their hard work ensuring In the future we intend to expand this program to include 30 students; our students are well supported. We can all take pride in the success this will mean an expansion in the number of primary care practices of the 2015 ERC student cohort.
ERC Tour 2015
Department of Rural Health - Annual Report 2015 5 RURAL CLINICAL SCHOOL (RCS)
Student Awards The 12th RCS Graduation Celebration Dinner of the Rural Clinical Awards were handed out to students for professionalism and School (RCS) graduating class of 2015 was held in Ballarat on commitment to community, among others. A gift was given to each 31st October 2015. The Master of Ceremonies for the evening was student from the RCS in the form of a book by Dr John Murtagh, Megan Dynan and the event was attended by graduating students, ‘Cautionary Tales – Authentic Case Histories for Medical Practice’. The RCS staff and many community representatives. The keynote speaker evening was enjoyed by students, staff, friends and family. for the evening was Dr Lydia Putra-Johns, a Urologist from Ballarat.
2015 Rural Clinical School Graduation Dinner Nicholas Wilson receiving the RCS Prize for Professionalism from Professor Julian Wright
Congratulations to the following students who won Rural Clinical School Awards in 2015: Student Award Nicholas Wilson Rural Clinical School’s Student Prize for Professionalism Robert Holian The Rural Communities Award Nicholas Wilson Dr Bill Quilty Memorial Prize for Academic Merit Julian Dascalu The Rural Clinical School Specialty Health Prize Pieter Neef The Shepparton Surgeons and Physicians Prize for Academic Merit Ellie Bowditch & Sir Albert Coates Surgical Scholarship Brendon McCarthy Marlee Watson & Rural Travel Fellowship to Shimane School of Medicine (Izumo, Japan) Zara La Roche Priyanka Goradia & Dawn De Witt Award for Grand Rounds Presentation Zara La Roche
6 Department of Rural Health - Annual Report 2015 Student Presentations
Conference Presentation/Attendance On Country 4 Health camp Attended Hosting a workshop for incoming PhD in Neuroscience students currently undertaking the Attended NEUR90011/12 subject Department of Rural Health Aboriginal Health Conference Attended LIME Connection Conference in Townsville Attended Global Health Conference (AMSA) in Perth Attended 2015 AMSA National Leadership Development Seminar (NLDS) in Canberra Attended Australian Indigenous Doctors Association Conference in Adelaide Attended National Rural Health Student Network GP Conference for the Royal Australasian College of General Practitioners Attended Attending the National Rural Health Student Network GP Conference for the Royal Australasian College of General Practitioners Attended Attend GP15 Conference Melbourne Attended Attend the AMSA National Convention as a member of the Publications and Promotions Sub-committee Involved Involvement in organisation of AMSA Convention in Melbourne Involved Global Health Conference in Perth. Current member of the Australian Medical Students Association Global Health Sub-committee and will be involved in running workshops at the GHC and taking part in Train New Trainers workshop Involved Medical Medleys rehearsals and performances Involved AOFAS Conference to present results from Scholarly Selective research Presenting Poster presentation at IMSANZ Conference Presenting Presenting abstract at IMSANZ Conference Presenting Presenting scholarly selective project at RAGGP15 conference in Melbourne Presenting Presenting Abstract at Australian Gastroenterology Week Conference Presenting Presenting Scholarly Selective research at Australian Orthopaedic Association ASM in Brisbane Presenting Presenting Scholarly Selective research at RACS Vic/Tas Annual Scientific Meeting in Tasmania Presenting Selected to represent for AMSA Australia at the IFMSA General Assembly in Macedonia Representative
Department of Rural Health - Annual Report 2015 7 REPORT FROM THE DIRECTOR OF THE UNIVERSITY DEPARTMENT OF RURAL HEALTH (UDRH)
In 2015, the University Department of Rural Health (UDRH) program We supported extended nursing training: 12 nurses completed supported 1,029 students undertake a short-term placement the Rural Critical Care Graduate Certificate in either Shepparton or in our regions. Students were supported in a range of ways, Wangaratta; four nurses completed an Advanced Practice Certificate including facilitating university students to come to our regions, of Nursing (RIPERN) at Cobram District Health; and 13 aged care providing tutorials, financial support for student costs of travel and workers were supported through on-line dementia training. Four accommodation, training in cultural competency and rural health, final year medical students were intensively supported through a full support to supervisors and health services and feedback to health semester research project for their Scholarly Selective. We also spoke services from student evaluations. to secondary students about health careers, university education generally and supported cadetships for students to gain experience In addition to supporting students, the University Department of Rural in the health sector. Health team engaged in new ways of providing placements, providing rural health experiences and facilitating students to ‘go rural’. An Finally, we facilitated 10 community lectures on the topics of Mental online introduction to rural health was completed to provide students Health, Chronic Disease Management, Disadvantage, Workforce and with an understanding of the context and avoiding the pitfalls of rural Population Health in Shepparton, Wangaratta, Ballarat, Cobram and practice. The team trialled a model of ‘service learning’; this placed Maryborough. We also took our education to Melbourne - all 307 physiotherapy students in two Shepparton primary schools to support second year University of Melbourne medical students completed disadvantaged children with their physical health. An evaluation found online training in rural practice developed by the team. As such, strong support from the schools to continue this model. A range of our educational activities are vast, extending from general topics planning activities identified new directions for student support, health to the public to specific training for university students and health service support and regional approaches to enhance the rural health professionals. workforce in the future. Professor Lisa Bourke In addition to education for university students on placement, the Director of University Department of Rural Health Department of Rural Health brings The University of Melbourne to our regions to provide education in diverse ways.
UDRH Team
8 Department of Rural Health - Annual Report 2015 MULTIDISCIPLINARY TRAINING PROGRAM
Nursing and Allied Health report The UDRH supported 841 Australian nursing and allied health In early February 2015, the www.goingruralhealth.com.au website students to undertake a rural, clinical placement of two weeks or was launched. The objective of the website is to create a ‘one stop more. Some of these students indicated that they are now considering shop’ for students undertaking a clinical placement in the Hume a rural career: “I can’t wait to work in a rural community.” Another Region. Over 450 students have registered with the website. Through stated: “The support I have received has made me re-think, and I have the site students could register for a session in Cultural Competency in applied for only rural positions.” A third said: “Before commencing Aboriginal Health, access an online Introduction to Rural Practice, seek this placement I would have never comprehended a career working in information about accommodation and/or apply for financial support. rural health. I’ve always been content with my lifestyle in Melbourne, Cultural competency training was provided in all our regions and however… I’ve always been a person who seeks serenity and my 3 health services were supported with student education. In addition, week experience in Swan Hill enabled me to forget about the clutters we supported regional initiatives to enhance placements through of Melbourne. The... experience [was] such a valuable learning curve participation in Clinical Training Networks and support to regional in my life that I will take away - not just as a memory but as a future Allied Health conferences. These multiple approaches to student prospect.” support facilitated students to undertake a rural placement and to receive a quality education while on placement.
Student Numbers Discipline/Course Total Students Total Student Weeks Allied Health Assistant 5 16 Audiology 3 10 Dentistry 77 393 Dentistry - Oral Health 19 98 Dietetics 12 59 Medical Imaging 11 15 Medical Radiation 11 42 Medicine – Rural Clinical School 71 661 Neuropsychology 2 6 Nursing 522 1448 Nutrition 1 2 Occupational Therapy 23 131 Optometry 7 14 Paramedic 3 9 Pharmacy 45 133 Physiology 1 4 Physiotherapy 51 194 Podiatry 4 24 Social Work 12 168 Speech Pathology 21 94 TOTAL 912 3580
Department of Rural Health - Annual Report 2015 9 MULTIDISCIPLINARY TRAINING PROGRAM
Our highlight was the Ngar-wu Wanyarra Aboriginal Health Conference, Aboriginal Health Workforce attended by 108 delegates and facilitating national and local speakers. The Department of Rural Health has three full-time Aboriginal staff The conference was an opportunity for sharing information and members who are engaged in education, community engagement and connecting people that are committed to reforming the practice and research. research of Aboriginal health and celebrated Aboriginal knowledge systems and strength based approaches to improving the health Among the educational activities in 2015, the Aboriginal team outcomes of local Aboriginal communities. supported 6 local Aboriginal students enrolled in the Master of Public Health degree through the School of Population and Global Health The Aboriginal team established an Aboriginal Advisory Group, at The University of Melbourne. These students were provided with comprised of established and emerging leaders to oversee Aboriginal tutoring, mentoring and some travel support to Melbourne. The team activities and plan future programs in Aboriginal Health. The role of the also received approval from the University of Melbourne to develop Aboriginal Advisory Board was to provide cultural advice and to assist a Graduate Certificate in Aboriginal Rural Health, as a prelude to the in setting a culturally responsive research agenda which aligned with Masters of Public Health. In addition, the team worked in collaboration community priorities. with the Academy of Sports, Health and Education (ASHE), The Department of Rural Health Aboriginal staff is engaged in committees University of Melbourne and Goulburn Ovens TAFE to develop a with other organisations. Mr Peter Ferguson was elected to the ARHEN pathway for Aboriginal students in Shepparton into nursing. Aboriginal Aboriginal Staff Alliance National Chair and was also elected Chair of students in other programs at the Department of Rural Health also Yorta Yorta Nations – which is an Aboriginal Community Controlled received support from the Aboriginal team. Traditional Owner Organisation that has 600 members locally as All of the students who are undertaking the Master’s degree live and well as being the Chair of the Yorta Yorta Traditional Owner Land work within the local Aboriginal community and so their increased Management Board of Barmah National Park. Ms Karyn Ferguson was knowledge and skills sets will be a valuable contribution to all on-going selected to represent the local Aboriginal community on the newly programs. The current cohort draws from several diverse Aboriginal formed Community Advisory Committee to oversee the redevelopment health areas within the community like dialysis, dental health, health of Goulburn Valley Health. Karyn is also a member of the Academy of management and nursing which means the Masters students will Sport Health and Education (ASHE) Advisory Board and is an Executive have greater impact across a variety of areas. Director of the Rumbalara Football Netball Club. Ms Raelene Nixon has been invited onto a regional drug and alcohol committee. The Work is progressing on the development of a Graduate Certificate in team also maintain strong connections and engagement with a Aboriginal Health and Rural Communities which will become a part of a range of Aboriginal elders, key organisations (Rumbalara Aboriginal nested health pathway which will see the development of an Aboriginal Cooperative, Rumbalara Football Netball Club, Yorta Yorta Nations driven research agenda. It is expected that student numbers for the Aboriginal Corporation and Kaiela Institute) and community members. Graduate Certificate will greatly boost Aboriginal participation into Graduate research programs through the Department of Rural Health. The DRH has also been involved in the delivery of Cultural Immersion Training generally for health staff across the region with many in-service sessions being facilitated by Robynne Nelson – a local Yorta Yorta woman who has a vast background in nursing, cultural education and consultancy. During NAIDOC week The Department of Rural Health in collaboration with GV Health in Shepparton arranged a guided walk along the “Flats”, bushland between Shepparton and Mooroopna for the community. This is a particularly significant area for the local Aboriginal community as it was the site where Aboriginal people first settled after the Cummerugunja Walk Off in 1939. The site and the living conditions came to light most notably when the Queen visited the area in 1956. As her entourage drove across the highway between the two towns the local council decided to put up a hessian bag wall so that the sight of Aboriginal living conditions wouldn’t offend the monarch. Site visits today are a reminder of past events and pay tribute to the history and struggle of local Aboriginal people.
10 Department of Rural Health - Annual Report 2015 The Aboriginal Advisory Group first founding meeting at The Department of Rural Health
Ngar-Wu Wanyarra Aboriginal Health Conference – ‘Flats Walk’
Department of Rural Health - Annual Report 2015 11 MULTIDISCIPLINARY TRAINING PROGRAM
Dental Science Pharmacy In 2015, The Melbourne Dental School and the Department of Rural The Rural Pharmacy Liaison Officer (RPLO) program is a collaboration Health entered into its ninth year of the Rural Dental Program in the between The University of Melbourne and Monash University. The Goulburn Valley and the second year for students from the Doctor of project provides support for undergraduate pharmacy students in the Dental Science. Hume, Loddon-Mallee, Grampians and Gippsland regions of Victoria. The program is delivered across central and northern Victoria by Student satisfaction for the program remained extremely high with The University of Melbourne from the Department of Rural Health, the 75 Doctor of Dental Science and 19 Bachelor of Oral Health Shepparton; and in the Gippsland region by Monash University from undergraduate students completing the Rural Dental Rotation. Groups its School of Rural Health in Moe. of 12 - 16 students were based in Shepparton for a 5 – 6 week block, with the majority of the placement undertaken at Goulburn Valley The program is delivered by pharmacist Kevin de Vries. Kevin is based Health Shepparton, Rumbalara Dental Clinic and Cobram Medical in Bendigo, allowing him to cover pharmacy placements across the Clinic. region, which range from Beaufort to Swan Hill to Wangaratta. Experience was gained in all facets of dentistry including preventative, The program assists students from the Faculty of Pharmacy and general restorative, extractions (simple and surgical), endodontics, Pharmaceutical Sciences Monash University, Parkville who are periodontics, paedodontics and removal prosthodontics. undertaking Professional Experience Placements (PEP) during their third or fourth year of studies. Placements are generally for a period of All students also visited one private practice in Shepparton for a three weeks. Where possible assistance is also provided to students at session of observing senior dentists at work in a rural setting. Thanks the School of Pharmacy, La Trobe University in Bendigo. needs to be extended to all the dentists and staff at Goulburn Valley Dental Group, Knight Street Dental & Insight Dental for providing the A key objective of the RPLO program is to supporting pharmacy students with this great opportunity. Some students were also able to students to have a safe and stimulating rural placement experience observe general dental treatment provided under General Anaesthetic and to enhance their understanding of rural health and health care. by dentists, including Dr David Whelan, from Goulburn Valley Health During their rural PEP students are placed in a community pharmacy Shepparton. or hospital pharmacy department and live in nearby accommodation for the period of the placement. A typical placement experience Continuing from the previous years, some students had the opportunity involves visits to local medical and health care providers including to observe dental specialists that included Mr Kevin Spencer (Oral & hospitals, emergency departments and services, bush nursing Maxillofacial Surgeon at Shepparton Private Hospital) and Dr Robert facilities, and pharmacy depots. Students are provided with a specific & Roslyn Mayne (Goulburn Valley Orthodontics). Thanks must be rural and regional health care and pharmacy practice tutorial delivered expressed to all the specialists for providing their time and experience by the pharmacist academic, and an introduction to Aboriginal culture, to aid the Rural Dental Program. Aboriginal health the provision of health care services to Aboriginal Bachelor of Oral Health students continued to participate in oral health people and an introduction to inter-professional collaboration in the promotion covering areas such as Aboriginal oral health practice, provision of health care services in rural centres and communities. special needs dentistry and the impact of systemic disease on oral The program has seen growth of 13% in students assisted by the health to name a few. All students continued to play a vital role in University in the past 12 months. the ‘Smiles for Miles’ oral health education program for pre-school aged children, an initiative headed by Ms Karen Shanahan of Goulburn Undergraduate Pharmacy Students supported by The Valley Health. University of Melbourne: The medical emergency simulation in dental practice educational Calendar year 2014 2015 program headed by Ms Anne Thewlis from the Department of Rural Undergraduate pharmacy students 47 53 Health provided all students with an update on the management of medical emergencies focusing on issues that may present in a dental Achievements during the project period include: situation. The partnership supported placements for 53 undergraduate Other initiatives of the curriculum included participation in inter- pharmacy students equating to 159 placement weeks. disciplinary treatment planning sessions at Rochester as part of the • Newsletters and email updates provided to local pharmacists, local Australian Dental Association Northern Group. pharmacies and pharmacy departments. Thanks once again goes to the staff from the Department of Rural • Contribution to a pool of CPD articles with a rural practice Health, Goulburn Valley Health, Rumbalara, Cobram and District Health perspective, published in Australian Pharmacist. Services, Melbourne Dental School, and the local private practitioners • Collaboration and sharing with Rural Pharmacy Liaison & specialists who continue to make this program a successful and Officers across Australia through the Australian Rural Health rewarding experience for all the students. Education Network (ARHEN), allowing for the best ideas from across Australia to be delivered in rural and regional Victoria.
12 Department of Rural Health - Annual Report 2015 CENTRE FOR EXCELLENCE IN RURAL SEXUAL HEALTH (CERSH)
The Centre for Excellence in Rural Sexual Health (CERSH) at The Another highlight during 2015 reported in this document is the University of Melbourne, Department of Rural Health (DRH) had success in the development and delivery of pregnancy termination another successful year in 2015. The vision, purpose, priorities and services to local rural communities. A large number of professionals key objectives for the Centre, as outlined in the strategic plan 2012 – came together across sectors and locations in genuine partnership to 2016, were the guiding principles of focus for all activities. share expertise, resources and commitment to building accessible, affordable medical termination of pregnancy services into the existing The key achievements for CERSH in 2015 are reported in the rural service system. By all measurements the outcomes achieved CERSH annual report (http://www.cersh.com.au/wp-content/ through this work are an example of ‘best practice’ and authentic uploads/2014/08/CERSHAnnualReport2015-WEB.pdf) under six partnerships. A special mention should be afforded to the Royal broad headings: Training the rural workforce, Coordinating initiatives Women’s Hospital for the leadership, time and commitment to this with local communities, Improving the rural sexual health service work that was provided by Dr Paddy Moore and her colleagues. systems, Creating new knowledge, Providing Leadership and advocacy for rural issues, and Co-ordinating communication about rural sexual Into the future…2016 and beyond health. The work undertaken by CERSH in 2015 demonstrates the 2016 is an exciting year that will bring with it a new service agreement broad range of activities as well as the volume of work delivered by between the University of Melbourne and the Department of Health our small, hardworking team. and Human Services Victoria to fund CERSH for another 4 years A highlight of the year was the very successful SEXrurality 2015 from June 2016 – June 2020. Our activity and focus will align with conference which was held in Bendigo and attended by more than a newly developed strategic plan and we look forward to consolidating 100 rural workers and Melbourne based colleagues. The two days the tremendous work already undertaken by CERSH since 2009 and were filled with interesting presentations and workshops and the taking on exciting new opportunities where ever they arise. feedback was extremely positive.
SEXruality 2015 Conference
Department of Rural Health - Annual Report 2015 13 MURRAY TO THE MOUNTAINS INTERN TRAINING PROGRAM NORTH EAST VICTORIA
The Murray to the Mountains (M2M) Intern Program is now in its fourth Of the 10 interns in the 2014 cohort five have remained in the region. year after an extremely successful first three years. The program These interns are currently completing their year as a HMO 2 at currently has 10 EFT interns placed at Albury Wodonga Health for a Northeast Health Wangaratta, Albury Wodonga Health or Goulburn core rotation in emergency medicine, Northeast Health Wangaratta Valley Health. for core rotations in emergency medicine, medicine and surgery and Of the five 2013 interns two interns are undertaking GP registrar for non-core rotations in Cobram, Yarrawonga, Benalla, Bright and Mt training in the region a further intern has spent the past 6 months Beauty. This program is providing the region with great exposure to overseas and will be returning to the region to commence GP registrar young doctors working, training and living in Northeast Victoria for a training in 2016. sustained period of time increasing opportunities for recruitment. An intern from the 2012 cohort is currently completing her Advanced In 2015 The University of Melbourne, Rural Clinical School has Diploma in Obstetrics (DRANZCOG) at Northeast Health Wangaratta. supported the Murray to the Mountains Intern program by providing This intern has spent time in Yarrawonga as an intern and GP registrar. Director of Clinical Training services and education program This intern will return to Yarrawonga to complete GP registrar training governance support. The strengthening of this alliance has provided and provide obstetrics services to the community in 2016. the program with access to high quality and experienced medical education specialists. Professor Julian Wright and Professor Bill Adam The Murray to the Mountains Intern Program continues to take a have become increasingly involved in the assessment of interns and regional approach to medical education and training. All towns the continuing improvement process of the Murray to the Mountains involved in community placement rotations have hosted various Intern Program education. education events for interns, general practitioners, medical students, nurses, ambulance officer and allied health professionals. This All ten interns in 2015 have been extremely impressive. These interns multidisciplinary approach to education and training is a highlight of have provided exceptional services to the communities where they are the development of the program. The increased involvement of The placed for the 20 weeks general practice rotation. The high quality University of Melbourne, Rural Clinical School has seen two Extended education and teaching provided by the general practices practice has Rural Cohort students selected as M2M Interns for 2016. This has been a highlight of the program. All interns have provided extremely been a high priority for the Murray to the Mountains Intern Program positive feedback for their supervisors and practice manger support and University of Melbourne, Rural Clinical School for several years. and the experience provided in the general practice, health service and community.
Murray to the Mountains (M2M) Interns 2015
14 Department of Rural Health - Annual Report 2015 RESEARCH AND RESEARCH TRAINING
Research has continued to be a strong focus of the Department of the status of Aboriginal maternal and child health across the Goulburn Rural Health. Research is undertaken in three key areas, namely rural Murray region. This proof of concept study requires partnership health workforce, rural chronic illness and culturally inclusive rural and collaboration with key agencies such as GVH, Kaiela Institute, health care. Research on the first area, rural health workforce, has Rumbalara Aboriginal Co-operative, City of Greater Shepparton, examined the ways in which we teach and mentor our students as Njernda Aboriginal Co-operative, Echuca Regional Health, and Shire of well as recruitment and retention issues. Papers and posters in rural Campaspe to link data sets. medical education were presented nationally and abroad in 2015, Ms Raelene Nixon and Ms Karyn Ferguson are leading a research contributing to the evidence of rural medical education. We supported project focused on the recent introduction of income management an international guest to facilitate local research into the recruitment policies by the Federal Government. Shepparton is one of six sites and retention of GPs in northern Victoria. Professor David Schmitz across Australia where income management has been introduced as visited from Boise State University, USA to work with Dr Daniel Terry a money management tool for Centrelink recipients. The aim of this to commence this study with 13 small health services in our region. research is to investigate the experiences and give a voice to people Rural chronic illness, the second research area, has begun a range who have been placed both voluntarily and involuntarily on income of projects including studies with health consumers, clinical audits management in the Goulburn Valley. of chronic disease management and projects investigating the care Other research initiatives led by the Aboriginal Health Team currently received by those with a chronic illness. Some have compared urban underway include investigations into the role of sport in education and and rural differences, some have focused on patient experience health and improving the Aboriginal health workforce in the Goulburn or evaluated models of health care and others examined issues Murray region. including obesity, ageing or mental health. In the final research area, culturally inclusive rural health care, issues facing specific groups of health consumers have been examined as well as the ways in which mainstream health services could be more inclusive for diverse Medical Education patients/clients. The study of refugee consumers concluded while There is no doubt that the Rural Clinical School provides a unique new projects working with local health services began, exploring their educational setting for our students. There are specific opportunities journeys to become more culturally inclusive. and challenges for both students and educators which lend themselves In 2015, a total of 35 peer-reviewed papers and 21 non-peer reviewed to evaluation and research. papers and reports were published by staff. Most of the papers focus on In spring of 2014 we appointed Ms Rebecca Caygill and Ms Mia Peardon rural health issues, including chronic illness, ageing, workforce, sexual as medical education researchers and 2015 has seen a significant and reproductive health, youth and food security. A range of reports amount of work in this field of research. With regard to our medical to stakeholders and consumers were also produced and three articles educators, we recognise that rural based medical educators do not were printed in the National Rural Health Alliance magazine Partyline. have the same access to continuing medical education development Staff received 6 new grants in 2015, all focusing on rural health opportunities as their metropolitan based colleagues. In view of this a issues. One was an ARC grant with Flinders NT (Fly-in/fly-out models Teaching Development and Recognition Program was piloted across of healthcare), two focused on cancer in our region, one addressed our Rural Clinical School campuses to accredit our educators for their workforce development in Cobram and one evaluates health promotion work and scholarly achievements in medical education. We have also activities in Shepparton and one is evaluating a mental health program. developed a peer review process for our educators which began to be These grants brought $307,500 to our region. Furthermore, two other rolled out in 2015. funded projects continued (a consultancy to review health services in Violet Town and a Nursing Board grant for Childbirth research in To enhance the support we already offer students at our Rural Wangaratta). In addition, staff developed partnerships with local health Clinical School campuses, a program of community mentoring has services and submitted an NHMRC partnership grant application to been established. This program links students to members of their conduct a large population health study. local communities with similar interests. This has been very much appreciated by participating students and has allowed students to get involved in many community activities they may not have had Aboriginal Health access to otherwise. Rebecca and Mia have also been hosting regular focus groups with Extended Rural Cohort students and other third- At the Department of Rural Health, Aboriginal research has increased. year MD students who have been training in medical specialties in Ms Karyn Ferguson is an Associate Investigator on a $1.5m study traditional hospital rotations, to establish if there are differences in the funded by the NHMRC investigating improved outcomes for Aboriginal learning experience of the two teaching programs. This was a two year women and infants through models of maternity care. It is anticipated evaluation which was completed in 2015. that results from this study will create policy and program changes in In addition to submitting several publications of their work towards local healthcare institutions. the end of 2015, Rebecca and Mia have presented their research at Further, Associate Professor Jane Freemantle and Ms Karyn Ferguson several national and international medical education conferences. I look are leading the development of a population data linkage project which forward to the Rural Clinical School becoming increasingly recognised will provide a baseline of evidence and contribute to a report card on as a centre for medical education research in coming years.
Department of Rural Health - Annual Report 2015 15 RESEARCH AND RESEARCH TRAINING
Health, Women’s Health Goulburn Northeast and the City of Greater Mental Health Shepparton a diverse range of local projects have been initiated and The UDRH mental health project team has undertaken a number of supported; with evidence translating into practice. Some examples initiatives focused on community awareness of mental health issues, include: promoting access to rural mental health services, the development of • Application of best practice guidelines in rural stroke health professional mental health skills and support for student mental rehabilitation health training in rural Victoria. • Supportive care services for rural people experiencing During 2015, 240 members of the community participated in events cancer in Loddon Mallee and Hume regions supporting mental health awareness and wellbeing, by promoting • Evaluation of antimicrobial therapy usage in community mindfulness and awareness of effective ways to address depression. acquired pneumonia In addition, more than 50 health professionals attended workshops • Evaluation of activities in the park program Shepparton addressing the mental health aspects of grief and bereavement. Other workshops held during the year focused on further developing rural • Methods of identification of emotional distress in new fathers mental health practitioners’ therapeutic skills. To further supporting during routine antenatal care mental health wellbeing and early recognition of difficulties, both • Evaluation of primary care domestic violence prevention in Mental Health First Aid training and information sessions for senior Benalla secondary students have been undertaken. • Development of psycho-social interventions for obesity Access to mental health services continues to be a challenge in rural management in Echuca Australia. During 2015 we have contributed to addressing this issue • Connecting care for patients with COPD, Heart and Failure by reviewing a project which involves the assessment of patients and Type 2 Diabetes in Wangaratta and Benalla experiencing significant mental ill-health by a psychiatrist in their own community, avoiding the all too frequent barrier to care associated with In the past twelve months RHAN has succeeded in attracting travel to a larger centre for specialist services. Much of the patient important financial outcomes and national recognition for the partner and psychiatrist engagement was undertaken by video-conference, health services. $200,000 in new grant money came into the region potentially supporting greater access to such services in rural and through RHAN initiatives and collaborations. National recognition remote locations. was achieved by the Telehealth in Rural Emergency Department’s after-hour’s project in the Hume region which was supported by the The mental health project team has also contributed to training a RHAN. The program was highlighted as an exemplar of health service range of students in rural mental health, including medical students, and university partnership in rural health innovation by the Federal psychology students and research higher degree students. Member for Indi who recognised the project in parliament. The speech can be accessed at the following link: https://www.facebook.com/ Rural Health Academic Network (RHAN) CathyMcgowanForIndi/posts/1058104344208802 The Rural Health Academic Network (RHAN) is a direct link between The RHAN appreciates the support of our partners across the region the regional rural health workforce and the university. The RHAN team and applauds their significant leadership in working with the University come from established clinical backgrounds and are embedded in our of Melbourne, through RHAN to improve the health of our communities. partner regional and rural health services in Wangaratta, Benalla and Echuca. RHAN works in a ground-up approach with the staff of these organisations and other health services within the region to develop a Research Training primary evidence base targeting local clinical dilemmas and in doing Not only do we undertake research, but we support others in the so, build knowledge and expertise in rural health. region to conduct their own research. Research training was provided This year RHAN has continued to provided training and support to to 104 health professionals in the region, including 24 allied health nurses completing their Practice Certificate of Nursing (RIPERN) at professionals, 16 nurses and 10 medical staff. Topics covered most Cobram District Health. The RHAN team has also continued to work aspects of how to undertake both a qualitative and quantitative research closely in project development assistance and ethical application project. From project design, collecting data and using statistics and support to rotational medical registrars to undertake research and other methods to analyse the data. The program extended with how to development activities compulsory to vocational general physician write an abstract, present academic work and publish research papers. and general surgical training – an important contribution to assisting Overall, 95% rated the workshops overall as very good or excellent. the development of specialist rural medical care. These medical In addition to this formal training, staff from the Department of Rural registrar projects address identified local clinical issues such as care Health provide training, support and mentoring to individuals and teams of acute coronary syndromes, uptake and success rates before and undertaking research; by providing advice, feedback on projects and after implementation of dedicated VBAC program in secondary rural papers and input into questionnaires. obstetric centre and palliative care of COPD patients. In collaboration with broader community and primary health services including the Murray Primary Health Network, Gateway Community
16 Department of Rural Health - Annual Report 2015 Research Grants Title of project (and Lead agency Funding source/s Funding period Value to UDRH Total value ERA grant category) Fly-in/fly-out Flinders University Australian Research 2015-2017 $6,000 $517,600 workforce Council Evaluation of the Echuca Regional Health Loddon Mallee November 2015 – $12000 $36,500 Ambulatory Cancer / Dept Rural Health Integrated Cancer July 2016 Care Supportive (RHAN) Service (LMICS) Services Program Activities in the Park Dept Rural Health Greater Shepparton City Dec 2015 – $10000 $10000 (RHAN) Council Dec 2016 Mature workers add Cobram District Health/ Nursing and Midwifery June 2015 – $15000 $70000 Value Dept Rural Health Workforce Dec 2016 (RHAN) Cancer Survivorship GVH/ Dept Rural Health HumeRIC’s June 2015 – $10000 $90000 (RHAN) Dec 2016 Evaluation of Leading Dept of Rural Health Beyond Blue and Sept 2015 – $25000 $25000 from Within Leading from Within June 2016 TOTAL $78,000 $749,100 Publications Referred Journal Articles Eaton S, Chubb D, Franzi S. Torsion of Fatty Appendage of Falciform Ligament: Acute Abdomen in a Child, Caroline Maccallum, Case Journal Article Reports in Radiology, vol. 2015 (2015) Adam WR, O’Brien RC. Comment on “A justification for less Haines HM, Baker J, Marshall D. Continuity of midwifery care for restrictive guidelines on the use of metformin in stable chronic renal rural women through caseload group practice: Delivering for almost failure’ Diabetic Medicine 32(11):1528-1528 20 years Australian Journal of Rural Health 23(6):339-345 DeWitt D, Dugdale DC, Adam WR. Nonglycemic Targets in Haines HM, Pallant JF, Fenwick J, Gamble J, Creedy DK, Toohill Diabetes Medical Clinics of North America 99(1):187 J, Hildingsson I. Identifying women who are afraid of giving birth: Anderson R. An Investigation of Psychologists? and Medical A comparison of the fear of birth scale with the WDEQ-A in a large Practitioners? Responses to Overlapping Relationships in the Context Australian cohort Sexual & Productive Healthcare 6(4):204-210 of Mental Health Care Journal of Community Medicine & Health Ternstrom E, Hildingsson I, Haines H, Rubertsson C. Higher Education 05(03 prevalence of childbirth related fear in foreign born pregnant Bourke L, Best JD, Wakerman J, Humphreys JS, Wright JR. women - Findings from a community sample in Sweden Midwifery Reflection on the development of a research agenda in rural 31(4):445-450 health Journal of Research Practice 11(1) Hurley JC, Nowak P, Öhrmalm L, Gogos C. Armaganidis A, Ervin K, Jeffrey V. Do Peer Leaders in the Workplace Improve Giamarellos-Bourboulis, EJ. Endotoxemia as a Diagnostic Tool for Implementation of Self-Management Support Training? Asia Pacific Patients with Suspected Bacteremia Caused by Gram-Negative Journal of Health Management 10(2):52-57 Organisms: a Meta-Analysis of 4 Decades of Studies. Journal of Ervin K, Koschel A, Campi S. Evaluation of preventative screening for clinical microbiology, 53(4), 1183-1191. chronic disease in a rural primary health service Journal of Primary Hurley JC. Is selective decontamination of the digestive tract safe? Health Care 5(2) Clinical Infectious Diseases, civ125. Reid C, Ervin K. Prevalence of adolescent violence in the home and Hurley JC. Ventilator-associated pneumonia prevention methods service system capacity in rural Victoria Australian Journal of Primary using topical antibiotics: herd protection or herd peril? CHEST Health 21(2):132-138 01 Journal, 146(4), 890-898. Ervin K, Reid C, Moore S. What Do Rural Dementia Caregivers Find Hurley JC. SDD and contextual effect. British journal of anaesthesia, Stressful? Open Journal of Nursing 05(04):370-375 115(3), 479-480. Ervin K, Dalle Nogare N, Orr J, Soutter E, Spiller R. Fruit and Hurley JC. ICU-acquired candidemia within selective digestive Vegetable Consumption in Rural Victorian School Children Journal of decontamination studies: a meta-analysis. Intensive care medicine, Primary Health Care5(2) 2015 - Springer
Department of Rural Health - Annual Report 2015 17 RESEARCH AND RESEARCH TRAINING
Rubertsson C, Pallant JF, Sydsjo G, Haines HM, Hildingsson I. Report Maternal depressive symptoms have a negative impact on prenatal Bourke L, Terry D, Ervin K, Pierce D, Crouch A, Glenister K, attachment - findings from a Swedish community sample Journal of Haines H. Health in Central Goldfields Community Report Health in Reproductive and Infant Psychology 33(2):153-164 Central Goldfields Community Report. 2015. Department of Rural Lambert SD, Clover K, Pallant JF, Britton B, King MT, Mitchell Health, Shepparton AJ, Carter G. Making Sense of Variations in Prevalence Estimates Bourke L, Terry D, Ervin K, Glenister K, Pierce D, Crouch A, of Depression in Cancer: A Co-Calibration of Commonly Used Haines H. Health in Greater Shepparton Community Report Health in Depression Scales Using Rasch Analysis Journal of the National Greater Shepparton Community Report. 2015. Department of Rural Comprehensive Cancer Network 13(10):1203-1211 01 Health, The University of Melbourne, Shepparton Victoria Pallant JF, Dixon L, Sidebotham M, Fenwick J. Further validation Bourke L, Terry D, Ervin K, Glenister K, Pierce D, Crouch of the perceptions of empowerment in midwifery scale Midwifery A, Haines H. Health in Moira Shire Community Report Health in 31(10):941-945 0 Moira Shire Community Report. 2015. Department of Rural Health, Costa DSJ, Aaronson NK, Fayers PM, Pallant JF, Velikova G, King Shepparton MT. Testing the measurement invariance of the EORTC QLQ-C30 Bourke L, Terry D, Ervin K, Glenister K, Haines H, Pierce across primary cancer sites using multi-group confirmatory factor D, Crouch A. Health in the Rural City of Wangaratta Community analysis Quality of Life Research 24(1):125-133 01 Report Health in the Rural City of Wangaratta Community Report. Pierce D, Ervin K, Pallant J, Terry D, Bourke L, Glenister 2015. Department of Rural Health, Shepparton K. A descriptive study of health, lifestyle and sociodemographic Haines H. Emotional Health of Mothers and Fathers in a Northern characteristics and their relationship to known dementia risk factors Victorian Cohort Emotional Health of Mothers and Fathers in a in rural Victorian communities. AIMS Medical Science 2(3):246-260 Northern Victorian Cohort. 01 Jul 2015 Reid K, Sutherland R, Dodds A, McNair R, Pierce D. Abdomen Haines H, Dattakumar A, Kealey J, Gray K. Regional Emergency and chest examinations in peer physical examination: Variation in Department Telehealth Support to Urgent Care Centres After Hours participation by gender Focus on Health Professional Education: A in Northeast Victoria, Australia Regional Emergency Department Multi-Professional Journal 16(2):13-13 Telehealth Support to Urgent Care Centres After Hours in Northeast McKenzie K, Pierce D, Gunn J. A systematic review of motivational Victoria, Australia. 30 Aug 2015 interviewing in healthcare: the potential of motivational interviewing Book Chapter to address the lifestyle factors relevant to multimorbidity Journal of Muzoora M, Terry D. African higher education: The renaissance and Comorbidity 5(1):162-174 reformation of language In Linguistics and Language Education in Terry D, Glenister K, Kilmartin J, Kilmartin G, Sands R, Fowler J, New Horizons: The Link between Theory, Research and Pedagogy. Wright J. Glycaemic Control among Rural Health Consumers: A 197-209 Retrospective Study of a Diabetes Center Advances in Diabetes and Terry D, Lê T. Correct or global English: An instrument of social Metabolism 3(2):11-15 control or the great equaliser In Linguistics and Language Education Quynh L, Hoang BN, Terry DR, Dieters S, Auckland S, Long G. in New Horizons: The Link between Theory, Research and Pedagogy. Quantifying and visualizing access to healthy food in a rural area of 3-1 Australia: A spatial analysis Food Security 7(5):1017-1029 Terry D. Critical discourse analysis as a research paradigm in Lê Q, Auckland S, Nguyen HB, Murray S, Long G, Terry DR. The language studies: The 2001 Howard campaign speech In Linguistics socio-economic and physical contributors to food insecurity in a rural and Language Education in New Horizons: The Link between Theory, community SAGE Open 5(1) Research and Pedagogy. 87-99 Terry DR, Lê Q. Challenges of working and living in a new cultural Terry D, Yeoh JSW, Terry M. Language, ideology and identity: environment: A snapshot of international medical graduates in rural Education implications for Afghanistan In Linguistics and Language Tasmania Australian Journal of Rural Health 01 Jan 2015 Education in New Horizons: The Link between Theory, Research and Waite CJ, Bourke L. Rural young people’s perspectives on Pedagogy. 101-111 online sociality: Crossing geography and exhibiting self through Yeoh JSW, Terry D, Terry M. Vocabulary teaching, learning and as Facebook Rural Society 24(2):200-218 a social practice In Linguistics and Language Education in New Waite C, Bourke L. Using the cyborg to re-think young people’s Horizons: The Link between Theory, Research and Pedagogy. uses of Facebook Journal of Sociology 51(3):537-552 01 Sep 2015 219-231 Freyer G, Kalinka-Warzocha E, Syrigos K, Marinca M, Tonini G, Ng SL, Wong ZW, Salar A, Steger G, Abdelsalam M, et al. Attitudes of physicians toward assessing risk and using granulocyte colony- stimulating factor as primary prophylaxis in patients receiving chemotherapy associated with an intermediate risk of febrile neutropenia Medical Oncology 32(10):10
18 Department of Rural Health - Annual Report 2015 COMMUNITY ENGAGEMENT AND PARTNERSHIPS
Community Engagement and Partnerships continues to be an sites in Ballarat, Shepparton and Wangaratta which were targeted at important feature of the work at the Department of Rural Health. The the general public. We also held 7 Research Skills Workshops and 3 Department held a total of 51 events for 2015 with nearly 5,000 Health Professionals Workshops targeted at health professionals. people participating. During 2015 there has been a concerted effort Staff and students ran a Teddy Bear Hospital and Health Checks at to develop a systematic approach to capturing and reporting on the the Shepparton Show which again was very popular. Our Events broad range of community engagement activities of the Department. Community Engagement and Alumni Administrator is on the committee This has resulted in a deeper understanding of the range and breadth for local career events ‘Careers Day Out’ and the ‘GV Rural Health of organisations that we engage with, the number of staff involved and, Careers Workshop’. The GV Rural Health Careers Workshop is held more importantly, gaps in relevant formal and informal partnerships at the Department of Rural Health and GV Health in Shepparton. This and engagement opportunities. was attended by 170 students from within a 100 kilometre radius of Staff commenced participating regularly in ‘Meals on Wheels’ Shepparton who are interested in a career in rural health. providing meals for the elderly. We held 10 public lectures across 3
Ms Di Doyle and Professor Lisa Bourke assisting the elderly with Meals on Wheels
Department of Rural Health - Annual Report 2015 19 COMMUNITY ENGAGEMENT AND PARTNERSHIPS
Partnerships New Partnerships 1 January – 31 December 2015 Partnerships Description of joint projects/activities University Based Student Survey Working Group – National collaboration University Department of Rural Health (UDRH) Student Evaluation University of Melbourne Dept of Speech Therapy and Audiology Student Placements and Service Learning Health workforce recruitment and retention development among rural Center for Health Policy, Boise State University community health organisations Charles Sturt University Dept of Physiotherapy Service Learning Flinders NT, Monash, University of Sydney, NT Government Fly-in/fly-out health care in remote NT (ARC funded research project PhD Project with Cobram RHAN coordinator – Consent and Shared LaTrobe University decision making in dementia care (Irene Blackberry) Mimmini Burri: Provide leadership in a proof of concept in the development of a linked data source that will provide an evidence University of Melbourne, Health Informatics Unit base for the maternal and child Aboriginal population in the Goulburn Murray region Diabetes Complications Screening Initiative (DiScRi) proposal with Dr Herbert Jelinek, CSU Wangaratta State Health Services Diane Ward - NHW Undergraduate Orientation & School Based Student and career pathways into health project Program Coordinator and Nurse Educator Dr Raju Lakshmana, GVH Evaluation of a Consultation Liaison Psychiatry Model in a regional A/Prof Ravi Bhat, GVH General Practice Medical Centre Department of Health – Senior Policy Advisor, Workforce Innovation Advanced Musculoskeletal Physiotherapy Implementation Program – and Allied Health ERH ED Pilot Project Advanced Musculoskeletal Physiotherapy Implementation Program– St. Vincent’s Hospital – Physiotherapy Department ERH ED Pilot Project Kyabram Health Service Culturally inclusive rural health care project Ballarat Health Service Culturally inclusive practice training Northeast Health Wangaratta Summer Cadetship program Advanced Musculoskeletal Physiotherapy Implementation Program– Bendigo Health – Physiotherapy Department and Ethics Committee ERH ED Pilot Project Development of a Goulburn Valley Area Mental Health Community Goulburn Valley Health – Primary Mental Health Reference Group Goulburn Valley Health, Cobram District Health, Benalla Health, Crossroads Population Health and Undiagnosed Disease Study in Seymour Health, Primary Care Connect, Shepparton Access, Northern Victoria NHMRC Partnership Grant with these partners Primary Care Partnerships committing over $500,000 Echuca Regional Health Mimmini Burri: Proof of concept for the development of a linked data Shepparton Medical Centre source that will provide an evidence base for the maternal and child Greater Shepparton City Council Aboriginal population in the Goulburn Murray region Primary Care Connect Aboriginal community controlled organisations 29 members of the Yorta Yorta community in Shepparton Department of Rural Health Aboriginal Advisory Committee Viney Morgan Aboriginal Medical Service Biomedicine Chancellor Scholars student placement Njernda Aboriginal Health Service Rumbalara Aboriginal Cooperative Development of a model of Integrated Care Providing access to health screening for all children at the centre and Lulla’s Early Learning Centre supporting school enrolment and transition of kindergarten children
20 Department of Rural Health - Annual Report 2015 Partnerships (continued) Description of joint projects/activities Mimmini Burri: Provide leadership in a proof of concept in the Kaiela Institute development of a linked data source that will provide an evidence base Rumbalara Aboriginal Health Service for the maternal and child Aboriginal population in the Goulburn Murray region. Aboriginal team at Federation University Cultural competency training Viney Morgan Aboriginal Medical Service RHAN Partnership Other partners (eg community groups, local government, business) Developing links with recently established organisation in approaches WestVic Primary Health Network to rural mental health, population health and training Active partner in the HWA funded HSA which supports the delivery of La Trobe University Hume Simulation Alliance (HSA) simulation education to students and clinicians in multi-disciplinary scenarios as well as simulation education capacity building St George’s Road Primary School Service learning allied health placements Gowrie St Primary School Service Learning and other allied health student placements Mooroopna Park Primary School Allied health student placements Delivery of Advance Care Planning presentation to regional health professionals. Collaboration between Echuca Moama Family Medical Loddon Mallee Murray Medicare Local Practice staff and Echuca Regional Health (ERH) staff. RHAN (CO) one of the presenters Cobram Veterinary Clinic Biomedicine Chancellor Scholars student placement Cobram Physiotherapy Clinic St Joseph’s School Cobram Cobram Farm Gate collaborative Cobram Tourist Information 1.Aboriginal Palliative Care Project Loddon Mallee Integrated Cancer Services 2. Supportive Care Project Indigo Health Consortium Launch of Client Journey Primary Health & Chronic Care, Hume Region Health, Department of Karin Willcox and Bec Murphy Health & Human Services Afghani community through Ethnic Council of Shepparton ‘Know My Culture’ cultural development program Pangarang Community House Community education and cultural awareness Collaboration to encourage secondary school students to further their Shepparton High School education by attending a university and heavily promoting Health McGuire College Careers. All schools have agreed to 45 minute sessions with their yr 10, Wanganui Park Secondary College 11 and 12 students. Sessions aim to educate students about University Goulburn Valley Grammar education and available health career opportunities. Encouraging joining the rural health workforce Refugee Project. Collaboration with Ethnic Council to recruit local refugee members of Ethnic Council of Shepparton and District Inc the Shepparton Community for research purposes. Identifying access to health service barriers for Refugees new to Shepparton. To follow what can be done to address this, as well as community engagement Refugee Project. Collaboration with Catholic Care to recruit local refugee members of Catholic Care Sandhurst the Shepparton Community for research purposes. Identifying access to health service barriers for Refugees new to Shepparton. To follow what can be done to address this, as well as community engagement
Department of Rural Health - Annual Report 2015 21 COMMUNITY ENGAGEMENT AND PARTNERSHIPS
Continuing Partnerships 1 January – 31 December 2015 Collaborators Description of joint project/activities University-based La Trobe University Nursing and Allied Health Student Placements Charles Stuart University GOTAFE Wodonga TAFE Institute for Broad Band enabled Society University of Melbourne Joint partners Telehealth in Rural Emergency Departments (TIRED) project Uppsala University Sweden Department of Women’s and Children’s Joint partners on the Emotional Health of Rural mothers and fathers Health during pregnancy, childbirth and early parenting project Karolinska Institute Department of Women’s and Children’s Health Griffith University Faculty of Nursing and Midwifery Australian and New Zealand Midwifery Workforce Burnout study Monash University Victorian Cardiac Outcomes Registry RHAN Support of training and ongoing compliance and data interpretation at NHW Athabasca University - Canada Professor Sharon Moore - Qualitative analysis of projects and co authoring State health services Northeast Health Wangaratta Nursing and Allied Health Student Placements Goulburn Valley Health Ballarat Health Service Alpine Health Albury Wodonga Health Rochester & Elmore District Health Service Kyabram Health headspace Shepparton Echuca Regional Health Mansfield Health Cobram and District Health Service Benalla Health Indigo Health Upper Murray Health & Community Services Euroa Health Inc. Health workforce recruitment and retention development among Yarrawonga District Health Service rural community health organisations Numurkah District Health Service Benalla & District Memorial Hospital Beechworth Health Service Cobram District Health Kyabram Hospital Waranga Campus, GVH Tallangatta Health Service Violet Town Bush Nursing Centre Rutherglen Hospital Seymour District Memorial Hospital Nagambie Health Care Education Administration support Formal Agreements with health services to provide education • Yarrawonga Health administration to support medical and allied health student • Echuca Regional Health placements, research and professional development opportunities, • Goulburn Valley Health student orientation and local support. Regular meetings are held • Northeast Health Wangaratta with service providers and 6 monthly reports on activity provided to the University
22 Department of Rural Health - Annual Report 2015 Collaborators (continued) Description of joint project/activities Medical Department, East Grampians Health Service Development of research skills through scholarly selective program that focuses on chronic health care conditions Goulburn Valley Health Project regarding needs of the diabetic clinic patients and renal clinic patients at GV Health Goulburn Valley Health and Ethics & Research Committee Fully constitutional ethics committee participation University of Melbourne, Shepparton Medical Centre Development of research skills through scholarly selective program that focuses on chronic health care conditions and Patient journey program Echuca Regional Health Service Partners in the Rural Health Academic Network Northeast Health Wangaratta Benalla District Health Service Moira Health Alliance Alexandra Health Service Goulburn Valley Health Jessica Prentice – Research Project healthy eating for toddlers (RHAN partner) Jessica Orr – Research Project Healthy Eating Hume Goulburn Valley Family Care Carol Reid – Various Research Projects (dementia Carers, Adolescent Violence in the Home, Friendship Program) Violet Town Bush Nursing Hospital Jean McKinnon – Strathbogie Health and Wellbeing Community Project Alexandra Health Service Social Inclusion research project Darlingford Upper Murray Nursing Home Kellock Lodge Hume region Dept Health Ottrey Homes Dementia Friendly environment quality outcomes project St. Vincent’s Hospital – Physiotherapy Department Advanced Musculoskeletal Physiotherapy Implementation Program– ERH ED Pilot Project Primary Care Connect Barriers to inclusion of Refugee health consumers headspace Shepparton Consortium member Bendigo Health – Physiotherapy Department and Ethics Committee Advanced Musculoskeletal Physiotherapy Implementation Program– ERH ED Pilot Project Department of Health – Senior Policy Advisor, Workforce Innovation Advanced Musculoskeletal Physiotherapy Implementation Program– and Allied Health ERH ED Pilot Project GV Rural Health Careers Workshop A collaborative partnership between the Department of Rural Health - University of Melbourne, GV Health, City of Greater Shepparton, La Trobe University, GOTAFE, State Government, CVGT, Goulburn Murray LLEN and Rumbalara Health Service Rural Health Careers Workshop (held 28/5/15). 200 secondary students from Shepparton attended
Aboriginal community controlled organisations Rumbalara Football Netball Club Nursing and Allied Health Student Placements Support to community engagement and health initiatives Ballarat and District Aboriginal Cooperative Continuing support to the development of a men’s mental health initiative for participants in family violence programs
Department of Rural Health - Annual Report 2015 23 COMMUNITY ENGAGEMENT AND PARTNERSHIPS
Collaborators (continued) Description of joint project/activities Ballarat and District Aboriginal Cooperative Support of NAIDOC Week Showbags and activities for 200+ Aboriginal and Torres Strait Islander people Wathaurong Aboriginal Cooperative Continuing provision of advice to the coordinator of a men’s mental health initiative for people undertaking community service orders Kaiela Institute Support to community based research Professional bodies (eg Divisions of General Practice) Goulburn Valley Primary Health Network Chronic Kidney Disease for GPs QI&CPD program ongoing development post change over from Medicare Local to Primary Health Network Hume Medicare Local RHAN member Director of Board of Governance until June 30, 2015
Other partners (eg community groups, local government, business) Greater Shepparton Health and Wellbeing Advisory Committee Committee member participation regarding ongoing health and (HWBAC) wellbeing needs within the City of Greater Shepparton Rural City of Wangaratta RHAN chair of “Wangaratta Unlimited’ advisory board to council Gateway Community Health Healthy eating project (RHAN partner ) Goulburn Valley Primary Care Partnership Vivienne Jeffrey – Early intervention in Chronic Disease projects (RHAN partner) Renata Spiller & Nicole De Garre – Research Project Healthy Eating Hume (RHAN partner) Kim Turner & Carol Reid – Hume region Aged Care program (RHAN partner) and Multi Agency Network (Chair) Dementia Training Study Centre Kirsty Bennett-Dementia Friendly environment quality outcomes project (RHAN partner) City of Greater Shepparton Belinda Connor/Tony Tranter - Activities in the Park evaluation (RHAN partner) Alexandra Singers Social Inclusion research project (RHAN partner)
MD2 Medical student Logan Denny assisting at the GV Rural Health Careers Workshop 2015
24 Department of Rural Health - Annual Report 2015 Seminars and Public Lectures Date Topic Speaker Location 25th February 2015 Public Lecture Series Ms Michelle Trudgen Department of Rural Health ‘Health Mind, Healthy Life’ Wangaratta 25th February 2015 Chronic Kidney Disease Presentation Prof Julian Wright & Dr Department of Rural Health, Shepparton Robert Campbell 3rd March 2015 Research Skills Workshop A/Prof Julie Pallant Department of Rural Health, Shepparton ‘Conducting Research Interviews’ and Wangaratta 16th March 2015 Research Skills Workshop A/Prof Julie Pallant Department of Rural Health, Shepparton ‘Program Evaluation’ and Wangaratta 26th March 2015 Health Professional Mental Health Department of Rural Health, Shepparton First Aid 14th April 2015 Research Skills Workshop A/Prof Julie Pallant Department of Rural Health, Shepparton Ethics Application and Wangaratta 5th May 2015 Research Skills Workshop A/Prof Julie Pallant Department of Rural Health, Shepparton ‘Questionnaire & Survey Design’ and Wangaratta 28th May 2015 GV Rural Health Careers Workshop Prof Julian Wright Department of Rural Health and GV Health Shepparton 2nd June 2015 Research Skills Workshop A/Prof Julie Pallant Department of Rural Health, Shepparton ‘Understanding the Statistics Reporting and Wangaratta in Journal Articles’ 17th June 2015 Public Lecture Series Dr Peter Eastaugh Department of Rural Health ‘Children in our Society – Do we have Shepparton a problem?’ 24th June 2015 Public Lecture Series Dr Anthony Jorm Museum of Australian Democracy at ‘Depression – Time to Feel Better! Eureka Ballarat What Works?’ 27th July 2015 Maryborough Community Presentation A/Prof David Pierce Maryborough 29th July 2015 Shepparton Community Presentation Prof Lisa Bourke Department of Rural Health Shepparton 6th August 2015 Research Skills Workshop A/Prof Julie Pallant Department of Rural Health, Shepparton ‘Publishing a Journal Article’ and Wangaratta 12th August 2015 Wangaratta Community Presentation Dr Helen Haines Department of Rural Health Wangaratta 19th August 2015 Moira Community Presentation Ms Kaye Ervin Cobram District Hospital 1st September 2015 Research Skills Workshop Dr Helen Haines Department of Rural Health, Shepparton ‘Working with focus groups’ and Wangaratta 16th September 2015 Public Lecture Series Ms Justine Fletcher Department of Rural Health ‘Psychological Treatment of Anxiety Shepparton and Depression’ 13th October 2015 Public Lecture Series Ms Emma Gee Department of Rural Health ‘Health Professional and Stroke Shepparton Survivor’ 14th October 2015 Health Professional Workshop Ms Emma Gee Department of Rural Health ‘Health Professional and Stroke Shepparton Survivor’ 12th November 2015 Rural Medical Education and Dr Dave Schmitz Department of Rural Health Workforce: ‘Think Globally with Local Shepparton Evidence’
Department of Rural Health - Annual Report 2015 25 COMMUNITY ENGAGEMENT AND PARTNERSHIPS
Public Lecture Series ‘Healthy Mind Healthy Life’ Ms Michelle Trudgen in Wangaratta
University of Melbourne staff and medical students assisting at Careers Day Out 2015
26 Department of Rural Health - Annual Report 2015 Rural Student Health Clubs This year the University of Melbourne Rural Health Club Outlook has tutoring of local high school students which is run by The Smith Family been extremely busy. through the senior secondary Learning Club. The three main aims of the club are: Students based in Shepparton and Wangaratta also held a Teddy Bear 1. Informing and motivating rural high school students, Hospital at either their local show or primary school to help youngsters including Aboriginal students, to consider a health course at overcome any anxiety when being seen by a doctor. Fundraising University in a bid to address rural workforce issues events for charities were held such as the Biggest Morning Tea, which was a great success. 2. Supporting rural and Indigenous students during their studies through educational and social events The Outlook student club also assists with the MD1 RCS tour across 3. Engaging with the community where they are living, often all 4 RCS sites, Ballarat, Bendigo, Shepparton and Wangaratta; which through volunteer and charitable activities. is held over 2 days in March. Students were also involved with the 2 day MD2 ERC tour visiting Shepparton, Echuca, Cobram, Yarrawonga, The Rural Clinical school’s students have continued to undertake Corowa, Wangaratta, Mt Beauty, Mansfield and Benalla. rural high school visits and attend careers sessions etc. to encourage students into a health career and ultimately, hopefully, to contribute Rural events continue to be a fantastic way to bring the rural students to the rural workforce. Many of the students attend the local Careers across all sites together and to encourage community involvement. Day Out and run interactive sessions at the GV Rural Health Careers Events that have been held including the Rural Clinical School Rural Workshop which is targeted at high school students interested in a Ball ‘Secret Garden Party’ in Shepparton, which was a fantastic evening rural health career. with students from all rural sites as well as metro students attending. In 2015 saw the inaugural ‘Taste of Country’ series was held over Students across all RCS sites have continued to contribute to their the months of August-October. Wangaratta, Ballarat, Shepparton and local communities with involvement in Orchestras, SES, St Johns, Echuca all hosted picnic style events showcasing local produce. All Theatre groups and sporting clubs. four events were well attended and gave students the opportunity A group of about 25 MD2 & MD3 medical students, based in to share quality regional food that we might not normally be able to Shepparton and Ballarat have volunteered to do weekly one on one afford!
Students assisted with health checks at the Shepparton Show 2015
Department of Rural Health - Annual Report 2015 27 COMMUNITY ENGAGEMENT AND PARTNERSHIPS
Student Community Engagement Campus Activity Ballarat Medical students participated in the Smith Family Tutoring program assisting VCE students one night a week for the entire year Student presented to local community at Meet Melbourne careers event Bendigo Student presented to local community at Meet Melbourne careers event Shepparton Medical students participated in the Smith Family Tutoring program assisting VCE students one night a week for the entire year Participated in the Good Friday Appeal Set up a University of Melbourne stall at the Shepparton Show and gave free health checks and advice to the general public Students spoke to year 10 students at Shepparton High School Speed Careering Attended Careers Day Out and spoke to current Year 10 students about career pathways Assisted at the GV Rural Health Careers Workshop Student presented to local community at Meet Melbourne careers event Several students involved in local STAG production - I love you, you’re perfect, now change! Australia’s biggest morning tea Wangaratta Spoke to high school students about careers in health and being a medical student Medical students introduced ourselves and described our hospital involvement, reasons for coming to the community, and participation in this community service Speaking to high school students about careers in health, being a medical student etc Parkville Students assisted at the University of Melbourne Open Day to around 50,000 prospective students
Rural Clinical School medical student tutor every week for the entire year to VCE Smith Family students in Shepparton and Ballarat.
28 Department of Rural Health - Annual Report 2015 STAFFING
Academic Staff Name Title Location Bill Adam Professor, Chair of Medicine, Assistant Head of Centre Shepparton Rosemary Anderson Research Fellow Rural Mental Health Ballarat Andreas Baisch Senior Lecturer Medicine Wangaratta Ravi Bhat Associate Professor Psychiatry Shepparton Steve Bismire Deputy Director of Medical Student Education Wangaratta Andrea Boudville Sexual Health and Wellbeing Officer Bendigo Lisa Bourke Associate Professor, Director University Department of Rural Health Shepparton Program Siobhan Bourke Senior Lecturer, Sexual Health Education, Centre for Excellence in Melbourne Rural Sexual Health Douglas Boyle Senior Research Fellow Research Informatics Shepparton Robert Campbell Senior Lecturer General Practice Ballarat Rebecca Caygill Research Assistant, Rural Medical Education Shepparton Vicki Clowes Clinical Trials Nurse Shepparton Heather Crook Senior Lecturer Emergency Medicine Ballarat Maddalena Cross Senior Research Fellow, Director Rural Health Academic Network Shepparton Alan Crouch Senior Research Fellow Ballarat Jaycen Cruickshank Senior Lecturer Emergency Medicine Ballarat David Dalton Senior Lecturer Surgery Shepparton Katherine Davey Senior Lecturer General Practice Wangaratta Kevin de Vries Academic Educator/Mentor, Pharmacy Bendigo Kaye Ervin Lecturer Research Coordinator Rural Health Academic Network Shepparton Lionel Evans Research Assistant, Culture and Rural Health Shepparton Peter Ferguson Lecturer Indigenous Rural Health Strategic Development and Re- Shepparton search Leslie Fisher Deputy Director of Medical Student Education Bendigo Stephen Franzi Senior Lecturer Surgery Wangaratta Jane Gall Research Fellow Shepparton Sue Garner Simulation and Clinical Skills Lecturer Coordinator Ballarat Danny Garrick Senior Lecturer Paediatrics Shepparton Kristen Glenister Senior Research Fellow, Rural Chronic Ill Health Wangaratta Mark Guirguis Senior Lecturer Otorhinolaryngology Ballarat Helen Haines Senior Lecturer Director Rural Health Academic Network Wangaratta Mihir Hargovan Lecturer Dental Science Shepparton Sue Harrison Senior Lecturer Extended Rural Cohort (ERC) Hub Educator Echuca Andrew Haughton Senior Lecturer Simulation Education Wangaratta Alana Hulme Chambers Research Fellow, Centre for Excellence in Rural Sexual Health Wangaratta James Hurley Associate Professor Medicine Ballarat Tunde Ibrahim Senior Lecturer Medicine Shepparton Mahesh Iddawella Senior Lecturer Oncology Shepparton Judith Krones Senior Lecturer Obstetrics and Gynaecology Wangaratta Robert Krones Senior Lecturer Medicine Wangaratta Raju Lakshmana Senior Lecturer Mental Health Shepparton
Department of Rural Health - Annual Report 2015 29 STAFFING
Name Title Location Debbie Skinner-Louis Lecturer Rural Health Academic Network Shepparton Andrew Lovett Lecturer Paediatrics Shepparton Christina Malatzky Research Fellow, Culture and Rural Health Shepparton Helen Malcolm Deputy Director of Medical Student Education Senior Lecturer Rural Shepparton General Practice Peter McClelland Senior Lecturer Nephrology Shepparton David McKenna Senior Lecturer Medicine Ballarat Richard McLean Professorial Fellow Rural Health Wangaratta Olivia Mitchell Research Fellow Culture and Rural Health Shepparton Raelene Nixon Research Assistant, Indigenous Health Shepparton Fiona Noble Senior Lecturer Paediatrics Ballarat Mark Ong Lecturer Anaesthetics Shepparton Cynthia Opie Rural Health Academic Network Research Coordinator Echuca Katy Over Senior Lecturer Rheumatology Shepparton Julie Pallant Associate Professor, Director Research and Graduate Studies Shepparton Mia Peardon Research Assistant, Rural Medical Education Shepparton David Pierce Associate Professor, Rural Mental Health Ballarat David Prentice Senior Lecturer Neurology Shepparton Helen Roberts Lecturer Anaesthetics Shepparton Sathyan Saranathan Senior Lecturer Dental Science Shepparton Rosemarie Shea Deputy Director of Medical Student Education Ballarat Penelope Smith Senior Lecturer Rehabilitation Wangaratta Fran Smullen Research Fellow Shepparton Margareet Stegeman Extended Rural Cohort (ERC) Hub Educator Shepparton Bruce Stewart Senior Lecturer Surgery Ballarat Daniel Terry Research Fellow, Rural Chronic Ill Health Shepparton Peter Thomas Senior Lecturer Surgery Wangaratta Jane Tomnay Associate Professor, Director Centre for Excellence in Rural Sexual Shepparton Health Yen Tran Lecturer Medicine Ballarat Catherine Turnbull Lecturer Rural Medicine Shepparton Verena Veth Senior Lecturer Medicine Wangaratta Ian Wilson Senior Lecturer Emergency Medicine Wangaratta Zee Wong Senior Lecturer Oncology Shepparton Julian Wright Chair Department of Rural Health Shepparton Director of Medical Student Education Mark Yates Associate Professor Coordinator of Ballarat Joint Clinical Teaching Ballarat
30 Department of Rural Health - Annual Report 2015 Professional Staff Name Title Location Shirley Bekirofski Finance Officer Shepparton Louise Bush Clinical School Officer Shepparton Genevieve Comiskey Campus Administration and Education Officer Ballarat Katie Corboy Student and Programs Administrator Shepparton Amanda Di Bella Clinical School Officer Shepparton Gordon Dosser Utilities Officer Shepparton Dianne Doyle Events, Community Engagement and Alumni Administrator Shepparton Anna Dubourg Clinical Education Facilitator/Clinical Skills Laboratory Assistant Shepparton Allan Eade Project Manager, Health Informatics Melbourne Abbey Elliott Clinical Skills Laboratory Educator Shepparton Karyn Ferguson Indigenous Partnerships and Community Engagement Shepparton Linda Foottit Executive Assistant Shepparton Tara Gilbee Sexual Health and Wellbeing Project Officer, Bendigo Centre for Excellence in Rural Sexual Health Herry Hamidjaja Analyst, Programmer Melbourne Donna Jackson Facilities and Services Manager Shepparton Carmel Johnson Community Engagement Officer Shepparton Angela McLeod Campus Relationships Manager Shepparton Anne Marmo Research and Graduate Studies Program Officer Shepparton Scott Middleton Support Officer Research Technology Shepparton Joelene Mitchell Allied Health and Junior Doctor Project Officer Wangaratta Natel Neilly Clinical Education Facilitator/Clinical Skills Laboratory Assistant Lorraine Olsson Student and Programs Administrator Shepparton Chana Orloff Senior Project Officer Shepparton Bhargav Patel Analyst, Programmer Melbourne Natalie Reid Clinical Skills Laboratory Educator Shepparton Sarah Roberts Sexual Health and Wellbeing Project Research Coordinator Wangaratta Lucia Rossi Administration and Campus Officer Shepparton Melissa Seymour Rural Clinical School Manager Shepparton Kylie Stephens Senior Health Promotion Manager, Wangaratta Centre for Excellence in Rural Sexual Health Amit Taneja Technical Support Officer Melbourne Anne Thewlis Clinical Skills Laboratory Manager Shepparton Louise Thomas Student and Programs Administrator Ballarat Yang Wang Junior Analyst/Programmer Melbourne Kay Williams Administration and Campus Officer Wangaratta Sun Yu Technical Support Lead Engineer Melbourne
Department of Rural Health - Annual Report 2015 31 STAFFING
Honorary Staff Name Title Name Title Dawn DeWitt Professorial Fellow Michael McClatchey Senior Fellow Peter Disler Professorial Fellow Tracey Merriman Senior Fellow Alexander Pitman Professorial Fellow Graham Miller Senior Fellow David Simmons Professorial Fellow Nihal Nanyakkara Senior Fellow Ravi Bhat Principal Fellow Matthew Oliver Senior Fellow Andrew Crowden Principal Fellow Kathryn Over Senior Fellow James Hurley Principal Fellow Scott Pearce Senior Fellow Graeme Jones Principal Fellow Salvatore Rambaldo Senior Fellow Robert MacFadyen Principal Fellow Ursula Read Senior Fellow Francis Miller Principal Fellow Leigh Rhode Senior Fellow Julie Pallant Principal Fellow Rifat Rifat Senior Fellow Sam Rambaldo Principal Fellow Ursula Russell Senior Fellow Muhammad Abdullah Senior Fellow Margaretha Sanders Senior Fellow Adebayo Adeyemi Senior Fellow Rosemarie Shea Senior Fellow Ian Alexander Senior Fellow Robert Sheen Senior Fellow Rosemary Anderson Senior Fellow Satpal Singh Senior Fellow Arunasalan Ambikapathy Senior Fellow Tejraj Tawde Senior Fellow John Azzopardi Senior Fellow Alan Taylor Senior Fellow Phillip Bain Senior Fellow David Tickell Senior Fellow Arshad Barmare Senior Fellow Hugh Turner Senior Fellow Arnold Beeton Senior Fellow Rupesh Vittalraj Senior Fellow Jack Best Senior Fellow Peter Wearne Senior Fellow Arup Bhattacharya Senior Fellow Max Wellstead Senior Fellow Don Bradley Senior Fellow Andrew Wettenhall Senior Fellow Adrian Buncle Senior Fellow Elizabeth Williams Senior Fellow Robert Campbell Senior Fellow James Wong Senior Fellow Damien Cleeve Senior Fellow Zee Wan Wong Senior Fellow Roger Coates Senior Fellow Derek Wooff Senior Fellow Maddalena Cross Senior Fellow Timothy Adam Fellow Tihomir Djordjic Senior Fellow Hamid Ahmadi Fellow Ruth Drohan Senior Fellow Barry Alexander Fellow Peter Eastaugh Senior Fellow Ghassan Alhami Fellow John Edington Senior Fellow Mark Ashcroft Fellow Shiromali Ekanayake Senior Fellow David Ball Fellow Michael Falkenberg Senior Fellow Laurel Bennett Fellow John Fisher Senior Fellow Nancy Bikhu Fellow Stephen Flew Senior Fellow Joanne Bowmaker Fellow Jane Gall Senior Fellow Charlotte Brewer Fellow John Gough Senior Fellow Gerard Brownstein Fellow Margie Gould Senior Fellow Matt Byrne Fellow Bill Hanna Senior Fellow Adele Callaghan Fellow Shahid Haque Senior Fellow Gidhad Chabbou Fellow Gregory Harris Senior Fellow Ramesh Chandra Fellow Khalid Hassan Senior Fellow Kelvin Chapakwenda Fellow Islam Rafiqul Senior Fellow Saji Chathanchirayil Fellow Dugal James Senior Fellow Lean Peng Cheah Fellow Mira Kapur Senior Fellow Yue Chen Fellow Hervinder Kaur Senior Fellow Wil Chong Fellow Elizabeth Kennedy Senior Fellow Chik Chua Fellow Amit Lakkaraju Senior Fellow Adam Cichowitz Fellow Mary Lou Loughnan Senior Fellow Penelope Cotton Fellow Michael Love Senior Fellow Sandra Coutts Fellow Peter McClelland Senior Fellow Chris Cunningham Fellow 32 Department of Rural Health - Annual Report 2015 Name Title Name Title Amol Daware Fellow Bala Pillai Fellow Julie Day Fellow Merrin Prictor Fellow Richard De Crespigny Fellow Vibhay Raykar Fellow Ioana Dumitrescu Fellow Jeffrey Robinson Fellow Siddhartha Dutta Fellow Marian Robinson Fellow John Dyson Fellow David Rogers Fellow Gaya Eefting Fellow James Ross Fellow John Elcock Fellow Digant Roy Fellow Jenny Ellix Fellow Glen Russell Fellow Ajit Emmanuel Fellow Kathryn Schultz Fellow Peter Farrell Fellow Thomas Schulz Fellow Gavin Frawley Fellow Timothy Shakespeare Fellow Brenda Freeman Fellow Muhammad Sheikh Fellow Elizabeth Garoni Fellow Robert Shepherd Fellow Sonia Ghai Fellow Simon Sneyd Fellow John Guymer Fellow Margreet Stegeman Fellow John Hall Fellow Kim Stevens Fellow Sarah Hancock Fellow Terrence Stubberfield Fellow Suzanne Harrison Fellow Anthony Sutherland Fellow Gregory Hay Fellow Mozna Tahhan Fellow Fady Henry Fellow Rajul Tandon Fellow Brian Hollins Fellow James Teh Fellow Stephen Hook Fellow Alex Traill Fellow Mahesh Iddawela Fellow William Twycross Fellow Olga Ilic Fellow Pauline Tyndall Fellow Jude James Fellow Amber Van Dreven Fellow Carmel Johnson Fellow Ajit Varghese Fellow Anandaram Jothibabu Fellow Catherine Waite Fellow Michael Kamenjarin Fellow Jennifer Walker Fellow Paul Kelly Fellow Suzanne Wallis Fellow Anthony Kemp Fellow Luke Wilson Fellow Margaret Kendrick Fellow Sue Wilson Fellow Samuel Kennedy Fellow Matthew Wong Fellow Gloria Kilmartin Fellow Adam Zagorski Fellow John Kilmartin Fellow Lesley Bolitho Clinical (Associate Professor) Andrew Kingston Fellow Leslie Fisher Clinical (Associate Professor) John Lambert Fellow Vasudha Iyengar Clinical (Associate Professor) Dominic Last Fellow Philip Reasbeck Clinical (Associate Professor) Mary Lou Loughnan Fellow Alby Elias Clinical (Senior Fellow) Andrew Lowe Fellow Tunde Ibrahim Clinical (Senior Fellow) John Mackellar Fellow Ram Singh Clinical (Senior Fellow) Vanit Mathur Fellow James Hillis Clinical (Fellow) Teresa McMahon Fellow Mariusz Kulik Clinical (Fellow) Janet Miles Fellow Manisha Mishra Clinical (Fellow) Peter Mortensen Fellow Jacqueline Smith Clinical (Fellow) Robyne Nelson Fellow Edward Baker Visitor (Academic) Peter Nesbitt Fellow Barbara Dilley Visitor (Academic) Gary O’Brien Fellow Lisa Gruenberg Visitor (Academic) Cynthia Opie Fellow David Schmitz Visitor (Academic) Derrick Pang Fellow Heather Carmichael Visitor (Non-Academic) Lisa Panozzo Fellow John Law Visitor (Non-Academic) Arno Parolini Fellow Elena Pascoe Fellow Department of Rural Health - Annual Report 2015 33 DEPARTMENT OF RURAL HEALTH
The University of Melbourne Department of Rural Health • Ballarat • Shepparton • Wangaratta
GENERAL ENQUIRIES: PO Box 6500 Shepparton Victoria 3630 I Telephone + 61 3 58 234 500 I Facsimilie + 61 3 58 234 555 For more information visit our website: www.ruralhealth.unimelb.edu.au