Faculty of Medicine, Dentistry and Health Sciences
Department of Rural Health ANNUAL REPORT 2019
Department of Rural Health Annual Report 2019 | 1 Contents
Strategic Goals 4 Report from the Head of Department - Department of Rural Health 5 DRH 20 Year Celebrations 6 Department of Rural Health Update 10 People and Culture 10 Staff Recognition 11 Engagement 13 Facilities and Infrastructure 15 Financial Sustainability and Department Operations 15 Rural Clinical School Report 16 2019 RCS Student Numbers 16 Extended Rural Cohort Report 18 Student Awards 18 2019 RCS Graduating Students 19 Postgraduate Workforce Outcomes 20 RCS Alumni 22 Doctor of Medicine (Rural Stream) Project 22 Rural Health Club 24 Report from the Director of the University Department of Rural Health (UDRH) 26 Going Rural Health 27 Aboriginal Health 29 Research at the Department of Rural Health 30 Rural Pharmacy Liaison Officer Program 32 Rural Dental Program 33 Centre for Excellence in Rural Sexual Health 34 Goulburn Valley Regional Training Hub 35 Murray to the Mountains Intern Training Program 36 Appendix 1 2019 Department of Rural Health Timeline Summary of Activity 37 Appendix 2 2019 Staff 39 Appendix 3 2019 Department of Rural Health Publications 44
Funded by the Commonwealth Department of Health through the Rural Health Multidisciplinary Training Program.
This report may contain the names and images of Aboriginal and Torres Strait Islander people now deceased. We apologise for any distress that may occur.
Front Cover: Ms Rebecca Atkinson ‘Empowering our People’, 2019 Strategic Goals Report from the Head of Department - Department of Rural Health
Excellence and equity in Rural Health through education, research The Department of Rural Health is funded by the Australian In addition to meeting the target for placement weeks, the team and engagement. Government to provide both a Rural Health Multidisciplinary also achieved an average placement length of over 5 weeks. Training (RHMT) Program and an Integrated Rural Training Program • The Department of Rural Health has established a set of • The continued success of the RCS and M2M programs in (IRTP) for postgraduate Medical Training, by the Moira Health stimulating interest in rural health careers for our students. 2019 indicators of rural health workforce outcomes* for its students, to Alliance to provide training and supervision to the Murray to evaluate its health workforce programs and activities saw several of our graduating students take up internships in the Mountain (M2M) Intern Training Program, the Victorian Government M2M program, as well as others who took up intern positions in • The Department of Rural Health aims to increase the duration to host a Centre of Excellence in Rural Sexual Health (CERSH), by the hospitals in which they have studied medicine in Ballarat, and quality of supported nursing and allied health placements. grants from external research funding bodies, and by other rural Bendigo, Shepparton and Wangaratta. Interdisciplinary training is established and is an important health related consultancies. element of teaching and learning at the Department of Rural • 2019 saw the commencement of detailed planning to host Health The RHMT program consists of the ‘Rural Clinical School’ (RCS), the four-year rural stream of the Doctor of Medicine degree in which educates medical students in three years of their four- Shepparton and across Northeast Victoria from 2022. • A communication and partnership strategy will be developed, year postgraduate Doctor of Medicine course and a ‘University and implemented, to efficiently engage° with our staff, Department of Rural Health Program’ encompassing rural training These achievements reflect the hard work and dedication of communities and organisational partners and experience for dental, nursing and allied health students, our staff, and also the support of the Head of the Melbourne • The Department of Rural Health will promote greater excellence health promotion, rural research, and Indigenous Health. More Medical School, Professor John Prins, and staff of the University of in rural medical education through enhanced teacher skill details of the substantial achievements in all these activities are Melbourne’s Faculty of Medicine, Dentistry and Health Sciences. development and accreditation of clinical teachers detailed in separate reports. Highlights for 2019 include: For a timeline summary of the year’s activity, please see appendix 1 • An all-inclusive program of cultural safety training and • The continuing success in nursing and allied health placement included on page number 37. development for the Department of Rural Health staff will be support, exceeding our targets with approximately 7000 implemented placement weeks in 2019. The Going Rural Health Team Professor Julian Wright • There will be 15 Aboriginal graduates in health sciences from, or under the leadership of Keryn Bolte consolidated current and supported by, the Department of Rural Health in 15 years developed new partnerships with local health services and other Head of Department, Department of Rural Health Victorian universities to achieve a high level of student support. • 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.
Professor Julian Wright, Head of Department, Department of Rural Health
4 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 5 DRH 20 Year Celebrations
The University of Melbourne, Department of Rural Health was established on the 1st February 1999 and held their 20th Anniversary celebrations on the 1st February 2019 marking the twentieth anniversary of a successful partnership with our community.
For 20 years the Department of Rural health has been working to teach, train and retain members of the rural health workforce. We have graduated nearly 800 doctors, treated thousands of local people and pursued world-class health research.
Pictures (top to bottom):
Mr Corey Walker provided the crowd with a smoking ceremony
The Department of Rural Health in Shepparton has come a long way in the past 20 years
Professor John Prins, Professor Lisa Bourke, Professor David Simmons, Professor Julian Wright, Professor Duncan Maskell and Professor Shitij Kapur at the Department of Rural Health 20-year celebration
6 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 7 8 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 9 Jan was seconded to work with Wangaratta medical students in 2008 by the then Department of Rural Health update Sub-Dean Ed Poliness – an inspired decision. Immediately Jan transmitted her enthusiasm for clinical learning, in particular simulation-based (she held a Master’s in Clinical Simulation from Flinders University), to the student cohort. In both day-to- day procedural and clinical learning and through her marquee simulation events, she consolidated lifelong skills for those she encountered. The presentation of the 2011 Excellence in Clinical Teaching award for the Wangaratta campus was testament to her abilities.
People and Culture As a colleague Jan inspired the most from her peers in a gentle, encouraging way but Linda Ladd with a will of steel when necessary. She was the glue which held together students, professional administrative university staff, consultant teaching staff and Northeast The achievements outlined in the various Health nursing & hospital medical staff in the teaching environment, always with the sections of this report are the best reflection best interests of the students and University at heart. Her crop-growing, lamb-raising of the essential role of our staff to the Vale Jan Garvey and food-production skills were legendary. department activities. In October 2019 our respected colleague Jan Garvey passed The campus is a less-complete environment in her absence; she will be greatly missed Staff Action Day October 2019 away unexpectedly at work. but never forgotten. The Value Statement of the Faculty of Medicine, Dentistry and Health Science, was the theme for the day. The day also provided an opportunity for staff from all campuses to meet to better get to know each other.
The Department of Rural Health (DRH) staff at the 2019 DRH Action Day People
Dr Steven Bismire
Dr Bev Ferres with Associate Professor Leslie Fisher and Dr Mary Holland
Dr Alwin Hoelzl - Shepparton Deputy Mr David Chew - Shepparton Deputy Ms Linda Ladd – Human Resources Staff Recognition Director of Medical Education Director of Medical Education Business Partner, MDHS (Rural) Congratulations to the 2019 winners of The Rural Clinical School are privileged the AMSA Excellence in Teaching Awards, to have such excellent teachers of our Dr Alwin Hoelzl was a valued teacher of Mr David Chew was appointed as the Ms Linda Ladd joined the Faculty in April celebrating great teachers in medical future doctors and really appreciate the Rural Clinical School medical students Shepparton Deputy Director of Medical 2019 as a member of the People and schools and hospitals around Australia. commitment to our students. for many years, including supporting Education in May 2019. David is an Culture Team. Linda is the dedicated Extended Rural Cohort (ERC) students at Orthopaedic Surgeon based in Shepparton People & Culture Business Partner within The winners of these awards are stand-out Dr Mary Holland received the Bendigo Vale Jan Garvey the University of Melbourne Shepparton and has taught Rural Clinical School the Melbourne Medicine School for the examples of a positive teaching culture who Excellence in Clinical Education Award and Medical Centre. In January 2019 he became students for many years. Department of Rural Health and provides go above and beyond in educating their Dr Bev Ferres received the Excellence in Deputy Director of Medical Education in leadership and support on workforce students and supporting their wellbeing. Clinical Education Award. Shepparton. matters across all sites. As a member of the Executive Committee, Linda guides and Mrs Janice Garvey, Clinical Educator Dr Bev Ferres with Associate Professor Most unfortunate circumstances outside his supports the Department across a range of Facilitator who received the Allied Health Leslie Fisher and Dr Mary Holland or DRH control lead to his resignation and HR initiatives and projects as well as in its Excellence awarded posthumously and Dr return to Germany in March 2019. day-to-day management of portfolio needs. Steven Bismire, Deputy Director of Medical Student Education received the Excellence in Rural Education award.
10 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 11 Dr Giang Nguyen Intern at GV Health Engagement received a Certificate of Appreciation and Di Doyle Monthly Activity Report YTD (2019) Dr Javier Torres Oncologist at GV Health Community Engagement and Partnerships Number of Events 158 received a Certificate of Excellence in continue to be an important feature of the Clinical Education. Thank you both for your work at the Department of Rural Health. Number of Student 2380 contribution to teaching our students. In 2019, 158 events with nearly 9,000 Number of Staff 458 Ms Anna Moran, RHAN Coordinator was participants were supported. Our highlight Number of Public 6112 awarded the ‘Best Rural Allied Health Oral event for 2019 was our 20-year celebrations Presentation’ at the 3rd Victorian Allied which kick started a media campaign Total Number of Participants 8950 promoting the University of Melbourne in Health Research Conference. Anna’s Total Cost $63510 presentation identified that roles such as regional locations ‘Melbourne is our name; complex care coordinators and chronic Shepparton is our home’. Total Media 112 disease practitioners are ideally placed to The University of Melbourne, Department Public Lectures overcome problems in rural health. Dr Giang Nguyen with Dr Javier Torres and Mr David Chew of Rural Health Public Lectures continue to be well received in the community with Dr Tetyana Rocks Wangaratta How to eat your way to happiness over 1500 people attending the lectures Mr Chris Varney Ballarat Empowering Autism in Wangaratta, Shepparton and Ballarat. Professor Peter Doherty Shepparton The Challenges Facing Us We were fortunate to have Nobel Laureate Professor Peter Doherty provide a Public Ms Kathleen Brasher Wangaratta Age Friendly Rural Communities Lecture in Shepparton on ‘The Challenges Aboriginal Mental Health, Social and Facing Us’. Dr Graham Gee Shepparton Emotional Wellbeing Workshops Psych Talks Shepparton Breaking down stigma in mental health Clinical Research in Rural Setting Wangaratta A/Prof Peter Brampton Shepparton What lurks within? Warren Davies Ballarat The Unbreakable Farmer
Warren Davies Wangaratta The Unbreakable Farmer Dr. Rosalie Boyce, Ms Deslie Rosevear, Ms Anna Moran (UoM), Dr Cath Cosgrave (UoM) & Ms Jodie Nolan
Department of Rural Health staffing profile 2019: Academic Professional Total Academic Professional Headcount Headcount Headcount Total FTE FTE FTE Medical 45 7 52
Medical 7.6 5.6 13.2 Multidisciplinary 17 14 31
Multidisciplinary 11.2 9.9 21.1 CERSH 1 4 5 CERSH 1 3.4 4.4 Corporate 10 10 Support Corporate 9.7 9.7 Support Casual staff 67 34 101 TOTAL 19.8 28.6 48.4 TOTAL 130 69 199
In 2019 the Department had 177 honorary appointments of academics located across our geographic footprint and abroad. For a list of staff see appendix 2 include on page number 39.
Ms Angela McLeod, Ms Suzanna Sheed MP, Nobel Laureate Professor Peter Doherty, Mr Robert McLean, Professor Julian Wright and Dr Peter Eastaugh.
12 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 13 2019 GV Rural Health Careers Workshop at the Department of Rural Health DRH Manager Ms Angela McLeod with Jasmine Davis, Krystal Green, Samir Aslam and Nicole Milanko at the University of Melbourne Open Day in Parkville.
Facilities and Infrastructure The Rural Living Portal is now supporting Financial Sustainability and Sally Gill medical and allied health students to Department Operations obtain accommodation across our sites In February 2019 the Facilities and Ankush Sharma and gain Going Rural Health support, for Services management moved away from In 2019 the Department appointed a eligible candidates. The portal continues Cornerstone Facilities Management, to Management Accountant, Ankush Sharma, to provide the DRH guidance with an internal team, after 13 years. This was who has carried on with the monthly occupancy rates, and a number of reporting a major adjustment and meant a new reports to the executives. In addition, the options that provide us with knowledge structure for the team needed to be put into contracts register project is now being and understanding of our work. New place as quickly as possible. Service Now, updated with Vu Trinh’s assistance, a newly accommodation was leased in Cobram, an online platform which allows staff to log developed contracts spreadsheet will allowing the ERC program to continue maintenance jobs, as well as Information enable in-time management of the expiry there, with one extra bedroom for allied Technology, commenced in January 2019 and expenditure associated with multiple health students. contracts and agreements entered by the The Facilities and Management team Department. It will also shrink down the was fully staffed and active in July. The On the facilities front, Phase 2 of the AV list of contractors to current (relevant) department was very supportive in upgrades took place, with a new system contracts which will add efficiencies in the developing the skills of the new team as being placed into the Lecture theatre in management of contracts long term. At they undertook a tour around all of the DRH Shepparton. the end of 2020 DRH began to take active sites. This placed the team in a positive The long-awaited interior painting of the steps in preparing a 2020 budget, to avoid position to be able to understand the of the Chalet building in Wangaratta, took large deficit or surplus in the future due portfolio and scope of the work they were place. to range of uncertainties related to vacant undertaking. salary positions and specific non-salary In Ballarat, the Balanada Crescent expenditure. Some of the steps include A definitive relationship with University accommodation received upgrades to the quarterly budget meetings with executives Business Services was also entered into. heating and cooling system, with reverse to discuss the initial planned commitments This provides the Facilities and Services cycle air conditioners installed in each of and revise the budgeted figures. team with a link to the UoM to be able to the eight units. keep abreast of initiatives and standards and to ensure contractor management A new roll over plan was created for the and management of the contracts are DRH, where equipment is now being rolled completed within University guidelines. over in a methodical process, spreading the spend equally over the years. This allows Engagement continued. students interested in a career in health. Ms MC’s of this event and were able to arrange items to be replaced such as tables, chairs, The staff and students at the Department Anne Thewlis our Clinical Skills Laboratory a fantastic selection of presenters with a carpet, mattresses, fridges, beds etc in a of Rural Health support many career events Manager led a team of medical students record number of delegates attending. (See planned manner and the first iteration took in our region. Our Events, Community who provided interactive scenarios to the Aboriginal Health section for details) place at the end of 2019. Engagement and Alumni Administrator, Ms VCE students. 2019 The Dhungala Kaiela Batja Mainigan Di Doyle, is on the committee for GV Rural A highlight event for 2019 was the Dancers performed for a record audience Health Careers Workshop, which is held at Aboriginal and Torres Strait Islander Health at the Ngar-wu Wanyarra Aboriginal & the University of Melbourne, Department of Conference which was held in October. Torres Strait Islander Health Conference in Rural Health and GV Health in Shepparton Our Aboriginal team Ms Leah Lindrea- Shepparton. and was attended by over 150 secondary Morrison and Ms Gwenda Freeman were
14 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 15 Rural Clinical School Report
The aim of the Rural Clinical School (RCS) students. The ERC program particularly has of postgraduate students in their training is to provide students with an excellent seen graduates take up intern positions in posts, and in time, facilitating the provision medical education and a rewarding rural regional Victoria. of specific training. Training hub activities in experience. 2019 included provision of ongoing educator Achieving the aim of increasing the rural supervisor training support at Echuca The achievement of a rewarding rural medical workforce does not, and should Regional Health, Goulburn Valley Health experience involves both general not, stop at the students’ graduation. and Northeast Health Wangaratta, improved student support and engagement in the Postgraduate rural training is seen as an community and professional mentoring issues of rural health. Student support important component of rural health opportunities for our students through the commences before students begin their workforce enhancement. The RCS is actively incorporation of Mentorloop by the hub. rural placements. Whilst prospective engaged in providing and supporting rural 2019 MD2 RCS students with Professor Julian Wright RCS students are still in their MD1 year postgraduate employment and training Planning for the commencement of the full based in Parkville, the RCS Dean and opportunities. The RCS is involved in four-year, end-to-end Rural MD degree, in Sub-Deans, along with RCS professional the training component of the Murray to Shepparton and across Northeast Victoria staff members, and RCS students, spend Mountain (M2M) intern (Postgraduate Year from 2022, began in 2019. Fifteen of the 30 two evenings in Melbourne meeting with 1) program, in which 15 interns are based places in the Rural MD degree are allocated future RCS students to provide information for 20 of the 52 weeks in rural general to students who successfully complete La on their future year(s) at the RCS. This is practices, many of them collocated with Trobe University’s Bachelor of Biomedical then followed by support for students in students undertaking the ERC program. Sciences (Medicine) degree. In January their time at the RCS: by encouragement The M2M program provides both a natural 2019 Melbourne University staff were for students to be involved in community progression into rural training, and by involved in the interviews for the selection activities both directly and by support for colocation of the interns with the ERC of these students who the commenced their the student run club ‘Moovin Health’, by students it provides the students with a course at Latrobe University: Anticipating provision of the opportunity to access both visible rural training pathway, as well as graduation in 2021 and then entry into community and professional mentors, by educational support. The M2M program, the Melbourne MD, with 15 Melbourne the rural Health and Wellbeing Officers together with North East Health Wangaratta University students, all of whom will be and the site-specific student ombudsmen has further enhanced rural training from a rural background. (see Doctor of proactively engaging with the students. The pathways by facilitating access for M2M Medicine (Rural Stream) Project page 22 for 2019 student retreat was well attended by 7 interns into Postgraduate Year 2+ training details) 2019 Ballarat MD2 RCS students with Dr Shabna Rajapaksa 2019 Bendigo MD2 RCS students staff and 73 students. posts, as a component of their training in general practice. The success of the RCS depends on Engagement in the issues of rural health academic and professional staff of the comes from students’ clinical work with 2019 saw continued work by the federally University, but, importantly, also the time patients supported by rural clinicians. The funded Integrated Rural Training Hub given to students’ education, and their Extended Rural Cohort program (ERC), in based in Shepparton, the aim of which is own training in educational skills, by which selected students in MD3 are based to enhance rural postgraduate training, busy clinicians. I would like to record my predominantly in rural general practices both by increasing the skills of clinician gratitude for their contributions in 2019. enhances the rural experience for these educators, and the recruitment and support
2019 RCS Student Numbers
Site MD2 students MD3 students MD4 students
Ballarat 24 13 11
Bendigo 11 - 9
Shepparton 24 - 8
Wangaratta 16 - 10
Extended Rural Cohort - 22 -
TOTAL 75 35 38 2019 Shepparton MD2 RCS students 2019 Wangaratta MD2 RCS students
16 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 17 2019 Rural Clinical School Student Retreat at the Grange Cleveland Winery in Lancefield L – R Natalie Nguyen, Krystal Green, Anna Wang, Celest Dines Muntaner and Jordan Crawford.
Extended Rural Cohort Report Affiliated Hospitals and Health Services Our Extended Rural Cohort GP practices for 2019 Rural Clinical School The aim of the Rural Clinical School (RCS) The Department of Rural Health medical 2019 were: Graduation Celebration is to provide students with an excellent education programs are undertaken in Church St Surgery - Benalla The 16th RCS Graduation Celebration medical education and a rewarding rural close collaboration with regional health Central General Practice - Mansfield Dinner of the Rural Clinical School (RCS) experience. service partners as well as smaller health Corowa Medical Centre - Corowa graduating class of 2019 was held at held at services and general practices throughout Echuca Moama Family Medical Practice - Silks Function Centre, Bendigo Racecourse Engagement in the issues of rural health Victoria. Echuca on Friday 25th October 2019. The Master of comes from students’ living and studying Lister House - Shepparton Ceremonies for the evening was graduating in a rural community, and in particular Our Affiliated Hospitals for 2019 were: Mansfield Medical Clinic - Mansfield medical student Celeste Dines Muntaner clinical work with patients supported by Alpine Health – Mt Beauty Mt Beauty Medical Centre - Mansfield and Jamie Nicholls, the Valedictory rural clinicians. The Extended Rural Cohort Benalla Hospital – Benalla Ovens Medical Group – Wangaratta speaker was Kristen Hamilton and a program (ERC), in which selected students Corowa District Hospital – Corowa Wangaratta Medical Centre - Wangaratta commemoration by the students for the in MD3 are based predominantly in rural Echuca Regional Health – Echuca Rich River Health Group - Echuca late Jan Garvey. The event was attended general practices enhances the rural Goulburn Valley Health – Shepparton Shepparton Medical Centre - Shepparton by graduating students, staff and Monash experience for these students. The ERC Mansfield District Hospital – Mansfield Wyndham House Clinic - Shepparton University staff. The keynote speaker for the program particularly has seen graduates Northeast Health Wangaratta – Wangaratta Yarrawonga Denis Medical Group - evening was Ms Lucy Mayes and Dr Richard take up intern positions in regional Victoria. 2019 ERC MD3 students Yarrawonga Health – Yarrawonga Yarrawonga Mayes.
Student Awards Awards were given to students for professionalism, academic excellence and commitment to community, among others. Congratulations to the following students who received Rural Clinical School Awards in 2019:
Student Award
Ms Jordan Crawford Rural Clinical School’s Student Prize for Professionalism
Ms Krystal Green The Rural Communities Award
Ms Kristen Hamilton The Valedictorian Award
Ms Jodie McDonald The Principles of Clinical Practice 2 Award
Ms Rebecca Stirk The Principles of Clinical Practice 3 Award
Mr Daniel Lindholm Dr Verena Veth Award
Krystal Green Rural City of Wangaratta Graduating Student Award L: Kristen Hamilton, Krystal Green, Professor Julian Wright, Jordan Trevaskis, Rebecca Stirk and Jodie McDonald receiving their award at graduation. R: Cr Dean Rees and Cr Ashlee Fitzpatrick recently presented MD4 student Krystal Green the ‘Rural City of Wangaratta Graduating Student Award’
18 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 19 Longer term Graduate workforce location
2019 RCS Graduating Students Rural Clinical School - Class of 2019 Back Row: Laura Remyn, Alish Quinless, Catherine Mannering, Jodie Tester, Julia Barrington, Jodie McDonald, Celest Dines Muntaner, Jordan Crawford, Jacqueline Nguyen Khuong, Grace Hannan. Standing: Zia Sass, Zixuan (Anna) Wang, Georgia Koroneos, Jessica Wynn, Priya Sunder, Srishti Dhir, Kristin Andrew, Frances Weichelt, Blake Cooper, Since the Rural Clinical School commenced 866 students have graduated. The long term outcomes of Rural Clinical School students in Thomas Cloney, Joshua Hilton, Jamie Nicholls, Phillip Pattie, Pooya Sabeti, Andrew van Agtmaal, James Maguire, Samir Aslam, Kristen Hamilton, Holly Sizer, Hannah Sawkins, Samantha Neaves, Isabelle Urbano, Heather Pagram, Nadia Moore. terms of practice destination are illustrated in the figure above. Seated: Johnny Wu, timothy Neeskens, Nicholas Doumtsis, William Soon, Rebecca Stirk, Sarah Wilkinson, Dr Steven Bismire, Associate Professor Leslie The Modified Monash Model (MMM) is a recently developed geographical classification system, using up-to-date population data, which Fisher, Professor Julian Wright, Professor Bill Adam, Dr Shabna Rajapaksa, Natalie Nguyen, Rebecca Ho, Krystal Green, Benjamin Dent, Andrew Kis-Rigo, Samuel Johnston, Thanh Truong. the Government can use to better address the maldistribution of medical services across Australia. Absent: Nicholas Adams, Warwick Cann, Emma Fancett, Nicole Grant, Phu Ha, Elly Layton, Kathy Lui, Adrienne Lui, Lucy McDougall, Rosalind Quincey O’Neill, Leon Rothberg, Lauren Stammers, Callum Tarleton, Justin Verrocchi, Grantley Ward, John Xie. MM 1 All areas categorised ASGS-RA1
MM 2 Areas categorised ASGS-RA2 and ASGS-RA3 that are in, or within 2-km road distance, of a town with a population greater than 50,000.
Postgraduate Workforce Outcomes MM 3 Areas categorised ASGS-RA 2 and ASGS-RA 3 that are not in MM 2 and are in, or within 15km road distance, of a town with a population between 15,000 and 50,000. 2019 RCS graduating students’ internship position preference MM 4 Areas categorised ASGS-RA 2 and ASGS-RA 3 that are not in MM 2 or MM 3 and are in, or within 10km road distance, of a town Internship Preference No. Number of Students Percentage with a population between 5,000 and 15,000. 1 39 64% MM 5 All other areas in ASGS-RA 2 and 3. 2 8 13% MM 6 All areas categorised ASGS-RA 4 that are not on a populated island that is separated from the mainland in the ABS geography 3 5 8% and is more than 5km offshore. 4 2 3% Islands that have an MM 5 classification with a population of less than 1,000 (2019 Modified Monash Model classification only).
5 1 2% MM 7 All other areas; that being ASGS-RA 5 and areas on a populated island that is separated from the mainland in the ABS geography and is more than 5km offshore. 6-12 6 10%
Total 61 There is some increase, since 2015, in the number of rural placements, but probably reflects the increased number of medical students Unknown 2 graduating across Australia, with greater competition for urban positions and more rural positions available. Because of the substantial restriction of (prolonged) specialty training pathways to urban areas the final location a RCS graduates practice may not be known for 10+ years: At which stage we would hope that up to 50% were in rural practice. This has not been achieved. The introduction of the Rural MD, first students in 2022, may improve these outcomes.
20 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 21 RCS Alumni Achievements Dr Luke Campbell (2009 RCS Alumni), along with Dr Dragan Petrovic, were awarded the Prime Minister’s Science Prize for his adaptable (to each individuals characteristic), noise cancelling headphones Nuraphone.
Dr Seb Kirby (2018 RCS Alumni) was awarded the Medical Student Award at the 2019 Victorian Rural Health Awards. Seb, is an intern in the popular and unique Murray to the Mountains Intern Program and his placement for 2019 is Northeast Health, Mansfield Medical Centre and Central General Practice Mansfield.
2018 RCS Alumni Sarah Marshall received L-R: Dr Seb Kirby Alumni 2018 was awarded the Medical Student Award, Dr Sarah Marshall 2018 Alumni the CREATE award for the dedication and professionalism that she exhibits at work. Sarah is an intern at who is based at GV Health in Shepparton.
Doctor of Medicine (Rural Stream) During 2019, the project has progressed Project through the initial planning stage with The Doctor of Medicine (Rural Stream) the establishment of a strategic view of project is part of the Commonwealth current and potential future use of the Government’s Murray-Darling Medical Shepparton Campus site. The design stage Schools Network. This project will enable of the project also commenced following the first year of the post graduate Doctor the successful tender and appointment of of Medicine (MD) degree to be delivered at Vincent Chrisp Architects. the Shepparton Campus for the first time from 2022. In collaboration with La Trobe Conclusion University, the project also facilitates an end The success of the RCS depends on to end rural pathway to the MD. academic and professional staff of the University, but, importantly, also the time The main component of the project is the given to students’ education, and their construction of student accommodation own training in educational skills, by for 30 new students and a new teaching busy clinicians. I would like to record my and learning space. Other components Mr Darren Grossmann gratitude for their contributions in 2019. of the project include the appointment of appropriate teaching and support staff and a review of content delivery options for the first year of the MD curriculum.
22 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 23 Wangaratta what he achieved. I would just like to say And: We are very grateful for the work our Rural Health Club In the far northern reaches of Victoria, a Huge Thankyou to ALL. He came home site representatives, subcommittees and there was never a dull moment among the with hope in his heart and for that l am promotion officer Dhilini put in this year. medical students of Wangaratta. A hands- truly grateful. It is as if a weight has been We would like to say a massive thank you on day on the wards was never complete lifted. He even asked me to ask you if it also to Di and the Department of Rural without a coffee from the local iconic were possible to do a 2nd night. I have not Health and also wish the new team the cafe – Flagpole before then heading off to seen him so enthusiastic. He seems like a best of luck. spin class at the YMCA! The crew nurtured different boy, reinvigorated like he can see their own quaint little vegetable patch at a light at the end of the tunnel. So thank the Worland Rd residence with several you so very much. I truly appreciate what 2019 has been an exciting year, seeing the Ballarat Bendigo relaxing dinners and special events such you are doing”. continuation of the partnership between Moovin’ health events in Ballarat have Bendigo hosted events ranging from eating as Halloween enjoyed by the students. Outlook Rural Health Club, Department proven very popular with a wide variety of out to eating in to supplying crazy socks Many thanks to Aharon and Simran for of Rural Health and the University of activities ensuring all interests were catered for our future docs, raising mental health their hard work!! Melbourne Medical Students’ Society, for! Earlier in the year we attended Jekyll awareness. They sought to include important working on creating a nurturing and socially & Hyde, a fantastic musical production in annual landmarks such as International ERC engaging student atmosphere at the Ballarat. We also organised BBQ lunches Women’s Day home-baked scones, a week of Our ERC cohort, although spread out far various rural sites. for Harmony week, NAIDOC week and a NAIDOC celebration and Australia’s Biggest and wide, were able to stay connected with delicious morning spread for the Cancer Morning Tea as well as social events including Each main site (Ballarat, Bendigo, local communities through free gym passes Council’s ‘Biggest Morning tea’ event. On films, meals and coffee catchups. The year Shepparton and Wangaratta) and during their rotations and yoga. While the theme of food, Moovin’ Health funded was capped off with a career’s dinner with the Extended Rural Cohort elected 2 everyone was congregated in Shepparton a number of formal and informal dinners, consultants and students as well as laser tag representatives, who were responsible at various points throughout the year, they including dinner at Forge Pizza, a music and a coffee adieu! Thanks to Nicole and for planning and carrying out events. The had some lovely food catchup’s and also bingo event at the local Hop Temple Emily for the great year!! Moovin’ Health team was supported by a held very useful OSCE preparation and a bar and BBQ and fish & chip nights at Wellbeing Officer and a Promotions Officer. Domino’s feast during the lock down period the student residential houses. We have Shepparton This year, we delivered a varied social for exams. Congratulations on finishing MD3 continued to provide weekly snacks for program, tailored to suit each site, which Shepparton had a great time, with lots of and thank you for Georgia and Kimberly for the common room as well as monthly RCS Rural Ball was promoted on social media and through different events ranging from social events, their fantastic work!! birthday celebrations with cake! Ballarat word of mouth. We continued to partner to sporting and educational activities. For also hosted a cocktail night in conjunction with Melbourne University Sports to hold some relaxation and fun, they held an Easter Smith Family Tutoring with Deakin and Notre Dame University, team-based activities such as yoga, pilates egg hunt and a Toy Story movie night. For RCS students in Shepparton and Ballarat had a well-attended careers night as well as and boxing which were free for students to those with a more competitive side they had volunteer to provide multiple tutoring running several Teddy Bear Hospital events participate in. Each of the sites has been a trivia night and a lawn bowls competition. sessions for year 11 and 12 secondary at primary schools. Thank you to Tom and busy running events throughout the year, They also had a great long case information school students from disadvantaged Ben our site reps!! with a snapshot of the happenings below: night with pizza to start the year. We also backgrounds, organised by The Smith held our Rural Ball in Shepparton this year to Family Charity. These are appreciated bring everyone together, which was a huge by the students, and their families as success. Thanks to our site reps Molly and evidenced by: “Lachlan was so excited Michelle as well as Jasmine for co-ordinating with the tutoring he had last night and rural ball with her team.
Wangaratta students promoting Respect Week
L-R: RCS students ran an emergency scenario at the University of Melbourne Open Day. Teddy Bear Hospital L-R: MD2 Bendigo medical student Aaron Bhat celebrating ‘Crazy Socks for Docs’ day raising awareness and start the conversation around mental health, depression and anxiety among health professionals around the world. RCS medical students volunteer to tutor disadvantaged Smith Family VCE students in Ballarat, Bendigo and Shepparton.
24 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 25 Report from the Director of the University Department of Rural Health (UDRH)
In October, our annual Ngar-wu Wanyarra further research reports and conference Aboriginal Health Conference was held presentations. A greater number of research in Shepparton and was a marvellous grants were received in 2019 than in the example of the strength of Aboriginal previous few years. Thus, our education and Health in Aboriginal hands. 220 delegates research programs remain strong. from across Australia came to share their stories, experiences and programs that Of particular excitement was teaching our illustrate success in Aboriginal health. Pat new Aboriginal Health course; a one-year Anderson, AO, talked about the need for postgraduate course that would accept Aboriginal empowerment, truth telling and students with significant work experience for Aboriginal voices to be heard, while Dr rather than an undergraduate degree. Kalinda Griffiths spoke about the use of Six Aboriginal students enrolled in the Specialist Certificate in Empowering data to better understand the diversity and UDRH MOU signing, L-R back - Professor Warren Payne, Professor Darryl Maybery, Associate Professor Vincent Versace, Professor Lisa Bourke, Jennie complexity in Aboriginal health. Archie Aboriginal Health in Rural Communities and Della. Front – Professor Alister Ward, Ms Susan Waller and Professor John Prins Roach sang at the conference dinner four of these students, local to Shepparton, and talked about his life, of which early completed and graduated in November. GRH has been setting up new placements we have developed systems to partner This program will be run in 2020 and leads in health services, community organisations with universities, health services and other Prof Lisa Bourke years were spent in Shepparton. It was a wonderful celebration of the resilience of into a Graduate Certificate and then the and in-service learning settings for some stakeholders. It was an exciting, celebratory and Australia’s First Nation people. Master of Public Health. We continued time and now has some really tangible productive year in 2019! Kicking off our support to Aboriginal and Torres Strait outcomes, not only for the students but also In 2018 we established two allied health with our 20-year celebration, there was The UDRH team then came together in Islander nursing students, Master of Public the communities they work within. These educator roles based in small rural health an evening event in Shepparton that Wangaratta in December to talk about their Health students and PhD students in directly result in more placements being services in an effort to increase the brought together community leaders, past activities and plan our programs for the Shepparton, who all live, work and study in offered across the regions and we have seen allied health services to those regions employees and leaders of the University of future. The team are investigating student their own community. a number of students take up roles in rural and contribute diversity to student rural Melbourne to celebrate the achievements clinics, support to early career nurses and health upon qualifying from their degrees, a placement opportunities. In 2019 we The team have worked hard to deliver of the Department of Rural Health. As a allied health professionals, and strategies wholly satisfying outcome for the region and added a third position and strengthened diverse and successful programs that staff member here for 19 of those 20 years, for better cultural safety among the team. the team. relationships with other educators within provide training to students in tertiary it was a wonderful opportunity to reflect on These initiatives will be taken up in 2020. the Moira region. These programs have health courses as well as workforce support the growth and change of the department— Our annual targets of Master of Psychology demonstrated a marked increase in the All the usual programs ran in 2019 and to health professionals, partnerships with from a few staff working from a couple of student support have been exceeded every number of allied health students taking met their targets. We supported over Aboriginal health services, and programs offices at Goulburn Valley Health to now year of the program (more than 20 annually). up a rural placement as well as valuable 1,500 students to come to a rural area to encourage recruitment, retention and over 100 staff, multiple offices and extensive This program has been successful for both educator support and mentoring for and undertake a placement of more than enhancement of health professionals Ms Keryn Bolte student accommodation from Corryong to the students we have supported and the practitioners who supervise students. As two weeks. We provided these students across rural Victoria. I would like to Ballarat and Mansfield to Echuca. Going Rural Health communities they have been able to provide a testament to this success, the health with a supported placement, education, personally thank all those who have worked In its fourth year in 2019, the Going Rural services for as these students carry a case services have collaborated with GRH to We had another celebration in June in cultural training, accommodation and/or in the team to achieve these outcomes Health (GRH) program has continued load. Many of these students have also gone partially fund the programs in 2020 to Ballarat to formally sign a Memorandum of financial support. Some of these students as well as our many partners who work to expand and support programs on to work in rural areas after graduation. ensure their continuance. Understanding with the Victorian University provided health promotion, assessments with, and support the UDRH, in our many across our footprint: The Ovens, Murray We have worked hard to keep connecting The GRH team are very proud of what has Departments of Rural Health (UDRHs). or services (counselling, speech therapy, activities. Goulburn, Goulburn Valley and Ballarat with all students on placements in the been achieved and the relationships that This agreement documents our intention occupational therapy and physiotherapy), Grampians regions. Our team of health and Professor Lisa Bourke regions. As part of this, we provide a have been fostered across the regions. We to work collaboratively to deliver our under supervision, to members of our administration professionals have worked Director, University Department comprehensive education program that know the program will continue to advance student, research and Aboriginal Health local communities so as to address health in collaboration with health and community of Rural Health we deliver across rural Victoria to provide and innovate in the field of rural health as programs. The four Victorian UDRHs needs and alleviate workforce pressures service providers and our higher education students with placement orientation, we work with our many partners to provide (Melbourne University in Shepparton/ in our regions. We provided eight public partners to create a suite of education, resilience and wellbeing training, an quality training for the incoming workforce. Wangaratta/Ballart, Monash University in lectures in Shepparton, Wangaratta and wellbeing, financial, accommodation and introduction to rural practice, on-country Bendigo/Traralgon, Deakin University in Ballarat as well as research presentations social activities to make rural student training in Aboriginal health, communication Warrnambool and La Trobe University in to health services and community groups. placement practicums as valuable and as skills and clinical skills. We also provide Mildura/Bendigo/Shepparton/Wodonga) The team were also engaged in 52 research diverse as possible. The student feedback support to health service educators through cover the entire state and agreed to work projects, co-authored almost 50 peer has been consistently positive with an overall co-funding of educator roles and providing together regardless of location. reviewed research papers and provided satisfaction rate of 91% with their rural extensive supervisor training. In addition, placement experiences.
26 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 27 Student Numbers *not including international students We also provided a public lecture in Shepparton by Dr Graham Gee, an Discipline Number of placements Weeks of placement Average placement length, in weeks* Aboriginal Clinical Psychologist and Senior Dietician 55 317 5.8 Research Fellow at the Murdoch Children’s Exercise Physiology 16 67 4.2 Research Institute. Graham discussed Aboriginal mental health and social and Health Information Management 2 5 2.5 emotional wellbeing – Can community Medical Radiography/Imaging 40 300 7.5 driven research help us understand some Medicine 16 608 38 of the complexities? Aboriginal mental Nursing- Enrolled 167 512 3.1 health and wellbeing is an area of huge Nursing – Midwifery Only (Single degree) 6 24 4.0 importance to Aboriginal people and this Nursing - Patient Care Assistance 1 40 40 presentation provided an opportunity to share current thinking and research from Nursing - Registered Nurse 766 2714 3.5 a highly regarded Aboriginal psychologist. Nursing - Rural Critical Care Course (RCCC) 19 760 40 Thank you Graham! Nursing / Midwifery (double degree) 6 26 4.3 Nursing / Paramedicine (double degree) 67 243 3.6 In addition to events, we provide and support a range of education programs. Occupational Therapy 62 452 7.3 This includes education on Aboriginal Optometry 22 52 2.4 and Torres Strait Islander health for Oral Health 10 56 5.6 non-Indigenous students as well as Other 2 11 5.5 education designed for Aboriginal and Pharmacy 102 306 3 Torres Strait Islander students. The team provided multiple lectures to medical, Physiotherapy 127 529 4.2 Ms Gwenda Freeman, Ms Leah Lindrea-Morrison and Ms Trudie Newman nursing and allied health students about Podiatry 2 13 6.5 Aboriginal health and health practice in Prosthetics/Orthotics 1 7 7.0 Aboriginal Health We held our fifth Aboriginal Health Aboriginal communities. We facilitate Public Health 4 15 3.8 Conference. In October, our one-day cultural training for students coming Social Work 14 201 14.4 2019 was another successful year for the Ngar-wu Wanyarra - Aboriginal and Torres into our regions (provided in Wangaratta, Aboriginal health team! The small team Speech Therapy/Pathology 58 314.9 5.4 Strait Islander Health Conference was held Benalla, Shepparton and Ballarat). This works with a range of Aboriginal and Torres in Shepparton. As registrations exceeded training is provided by local Aboriginal Strait Islander people, organisations and our campus facilities (220 participants), educators, Robynne Nelson and Bonnie traditional groups to support their activities this was held at Eastbank. We are grateful Chew, to hundreds of students each and empower their community. We provide to Greater Shepparton City Council and year. Two Speech therapist students education (led by Gwenda Freeman), Murray Primary Health Network (MPHN) for attend Lulla’s Children and Family Centre community events (led by Leah Lindrea- their sponsorship. The conference featured (Shepparton) for their placement. Through Morrison) and undertake research (Trudie Ms Patricia Anderson AO and Dr Kalinda these and other initiatives, we encourage Newman and Gwenda Freeman) to advance Griffithsas keynote speakers who provided non-Indigenous students to learn about Aboriginal and Torres Strait Islander health thought-provoking and inspiring talks culturally safe and secure practice and to with these partners. related to empowering Aboriginal voices have the experience of clinical practice with and speaking truth throughout Australia. A Aboriginal and Torres Strait Islander clients. Every July, we celebrate NAIDOC week. In range of other presentations were given by the spirit of the 2019 NAIDOC theme “VOICE Aboriginal and Torres Strait Islander health We also provide a range of education TREATY TRUTH, Let’s work together for a professionals, academics and community programs for Aboriginal and Torres Strait shared future,” we hosted a community members who shared local stories of Islander students. For many years, DRH presentation and lunch in Shepparton. successful programs and innovations has supported students to undertake Our guest speaker was Kimberley Moulton, in Aboriginal health and wellbeing. A the Master of Public Health at The Senior Curator at Bunjilaka Melbourne dinner concluded the conference with Mr University of Melbourne by providing Museum, who discussed ‘Voice and Truth: Archie Roach providing entertainment. In travel, accommodation, tutoring, South eastern First Peoples collections in evaluation of this conference, one delegate assistance with enrolment and access to museums and the importance of connection’. commented: “I learnt so much to take back university systems. In 2019, one student We simultaneously sponsored Ballarat to my health service, thank you so much. completed their Master of Public Health and District Aboriginal Co-operative’s Some great presentations that provoked and graduated. Another student was NAIDOC week family day by supporting an ‘thought’.” Another delegate: “Co-presenting awarded the Faculty of Medicine, Dentistry Indigenous Hip Hop Dance Workshop. It with two Aboriginal Elders I found myself and Health Sciences – Rural Health was wonderful to see both these events in a place where the work we do is deeply Scholarship. very well attended and enjoyed by understood, valued and welcomed”. Aboriginal and Torres Strait Islander, as well as non-Indigenous, participants. Emily Clout (CSU Physiotherapy student), Charlotte Cleary (CSU Physiotherapy student), Alexandra Blackburn (CSU Physiotherapy student), Kylie Boscolo (Physiotherapy supervisor, Going Rural Health). Front: Aaron Sullivan (CSU Physiotherapy student)
28 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 29 Caygill progressed her PhD on medical a range of stakeholders. A/Prof Ravi Bhat In addition, DRH hosts the Rural Health student mental health and wellbeing. In progressed his PhD and received funding Academic Network (RHAN). This is a addition, a range of projects continued for Alzheimer’s research while A/Prof James network of academics based in rural to receive feedback from our students Hurley has continued his medical research health services that are co-funded by the about the rural training provided by DRH in Ballarat with strong publications in 2019. health service and DRH. These academics and also tracking student careers after Together, these identify breadth of topics support students, quality programs and training at DRH. Senior staff contributed and diverse settings of DRH research that undertake research projects within and to the health workforce review undertaken works with health services to improve relevant to the services and communities in the Goulburn Valley. Prof Lisa Bourke health care in our regions for people living they are based in. These projects assist to continued her work on short-term (fly-in/fly- with chronic illness. improve clinical care through translational To aid enrolment in the Master of Public DRH continues to support three PhD Research at the Department of out) health workforce in remote Northern research, evaluating local programs, Health and acknowledge the experience Fellows who are undertaking their research Rural Health Territory and the team, lead by Prof John The third stream is the Culturally Inclusive implementing evidence-based approaches, of Aboriginal and Torres Strait Islander in Shepparton and supported by DRH, The Department of Rural Health conducted Wakerman, received another Australian Rural Health Care stream. Lisa Bourke, Dr and supporting student projects within health professionals, DRH began a Kaiela Institute and Melbourne Poche a range of research in 2019 to advance its Research Council research grant. In these Olivia Mitchell and Ms Zubaidah Mohamed the service. Key projects for this team in new postgraduate course in 2019—a Centre for Indigenous Health. Raelene research plan. The aim of the research ways, our researchers and educators are Shaburdin are undertaking a large study 2019 included antimicrobial stewardship, Specialist Certificate in Empowering Nixon is investigating how communities program is to undertake research with working to identify how to improve our funded by the Australian Research Council a training needs analysis, allied health Health in Aboriginal Communities. This can engage in or deliver a prosperity plan impact for rural communities in our region. training, understand the impact of our (with Prof Jane Farmer (Swinburne) and workforce tools, Nurse Practitioners in is a two-subject course delivered in one for the Yorta Yorta region. Karyn Ferguson Our studies have provided evidence-based training and develop strategies to enhance Dr Christina Malatzky (QUT)) to develop a rural aged care services, food insecurity, an year where students can enter based on is undertaking The Gana Burrai Research recommendations to health services on a the rural and remote medical, nursing and framework that will prepare mainstream, appropriate intake model for a new rural professional experience rather than an which aims to establish unique and range of issues, including improving models allied health workforce. rural health services to engage in inclusive service and studies of health promotion. undergraduate degree. In 2019 we taught comprehensive data to accurately describe of service delivery, staff retention and the practices. There was significant data The team felt the loss of Dr Helen Haines, our first cohort of Specialist Certificate Aboriginal maternal, infant and child health health needs of particular members of our Another key research stream concentrates collection undertaken in 2019 with the RHAN Director (based in Wangaratta), students to 5 Shepparton-based students outcomes in the Goulburn Murray Region. communities. In 2019, the team worked on Rural Chronic Illness. Dr Rebecca diverse consumers as well as with staff of who was elected to Parliament representing and one interstate student. All six students Finally, Tui Crumpen is pursuing a common on 27 different research projects, of which Disler was very active in leading research participating local health services. Reports the electorate of Indi. Kaye Ervin (Cobram), completed the first semester. One student agenda for Indigenous Health policy for eight were funded externally. Further, on chronic obstructive pulmonary disease have been drafted for health services and Dr Anna Moran (Albury-Wodonga) and Carol deferred and four students graduated Australia. All three collected and analysed 42 peer-reviewed research papers were (COPD), palliative care, and cognitive will be developed to report on the feedback Reid (Numurkah) continued to maintain the in November with this postgraduate data in 2019 and are working towards published along with another 11 reports decline with Dr Kristen Glenister, Prof Julian from diverse consumers about their access network with input from new staff including qualification. Their graduation was writing their PhD theses. and 23 presentations at conferences Wright and others. Dr Disler also received to health care in the Goulburn Valley. Dr Dr Stephen Joseph and Dr Nadine Glanville celebrated at the local Academy of Sports, and other forums. Research at DRH is a Discovery Early Career Research Award Mujibul Anam joined the team in November (Numurkah). In addition to the PhD research, a research Health and Education student’s graduation conducted by a small team of researchers (DECRA) from the Australian Research and inspired further development of this report on ‘Student intentions and practice ceremony. This course enables Aboriginal who undertake research in four key teams, Council to undertake the project Equity in framework. In addition, Trudie Newman The research team worked hard in 2019 to after they have completed cultural safety and Torres Strait Islander people to live each described below. Dying Well: Designing Rural Palliative Care completed her study of Aboriginal health advance the research plan, address local and work on their traditional country while training’ (Dr Alan Crouch, Gwenda Freeman Services for Chronic Disease. Kristen and professionals that identified strategies to health issues and work with local partners. gaining university qualifications. and Bonnie Chew) was completed and One of the key research streams focuses Rebecca undertook further research with ‘Keep our Workers Strong.’ Dr Alan Crouch, Our researchers have specific interests while presented at the National Rural Health on Rural Health Workforce. In this health services to design interventions Gwenda Freeman and Bonnie Chew are also working as generalists to undertake The team also support Aboriginal and Conference in March 2019 in Hobart. stream, researchers undertook a range relating to integration of care, avoidable investigating the impact of Aboriginal and support projects relevant to local Torres Strait Islander students to undertake This report explored the impact of the of projects in 2019. Dr Tegan Podubinski hospitalisations, self-management and cultural training and intention to practice services and stakeholders. All our research nursing studies in Shepparton. In a Aboriginal cultural training on current continued to evaluate the model of Child biopsychosocial elements of complex, among health professionals and students. is undertaken in partnership with rural partnership with the Academy of Sports, practice and future practice intentions and Adolescent Mental Health at Goulburn chronic diseases (COPD, heart failure and The Department of Rural Health, together health services and communities, ensuring Health and Education, support is provided of students and health professionals. In Valley Health (GVH) and developed her diabetes). This led to further work with the with Melbourne Poche Centre and the the work is relevant and constructive to Aboriginal and Torres Strait Islander addition, Trudie and Gwenda completed project on the competencies required Murray Primary Health Network in another Kaiela Institute, are supporting three locally. We thank all our collaborators for students to apply, complete the necessary a project on ‘Making workers strong’ and for rural mental health practice. Dr Cath rural health service and also the trialling Aboriginal women to undertake their PhD their partnership and trust our research testing, enrol in, study and complete a Trudie completed her report on Aboriginal Cosgrave completed her project with GVH of Remote Patient Monitoring. Kristen research. The Gana Burrai research is led by continues to be used to improve local Diploma of Nursing at Goulburn Ovens TAFE Health and Wellbeing in the Goulburn and East Grampians Health Service on and Lisa Bourke completed the reports Karyn Ferguson to establish comprehensive health care. and/or a Bachelor of Nursing at La Trobe Valley. Support was provided to Aboriginal the retention of allied health practitioners from the Crossroads II population health data that will assess Aboriginal maternal University in Shepparton. Due to growth in organisations and researchers in the using her whole-of-person approach. Dr study that was funded by the National infant and child health outcomes in the For a full List of DRH Publications 2019 student numbers, further Aboriginal staff Goulburn Valley to assist them in meeting Claire Quilliam completed her study on the Health and Medical Research Council and Goulburn Murray region. Raelene Nixon is See Appendix 3 include on page number were recruited to provide student support, their research and evaluation needs. This impact of the NDIS on student placements supported by 10 local partners. These investigating how to reposition the value 44. Amanda Firebrace and Shanara Stewart, research program promotes Aboriginal across rural Victoria and encouraged the reports were written for each participating of Indigenous people and build a shared in addition to the academic tutoring health research by Aboriginal researchers. National Disability Insurance Agency to community (Cobram, Benalla, Seymour and vision based on rights and prosperity. Tui provided by Helen Everist. This program facilitate increased student placements Shepparton & Mooroopna) and presented Crumpen is critically analysing Indigenous Overall, this small team has achieved a has supported students to study locally and in rural services funded by the NDIS. orally in each community, distributed to health policies in Australia to examine great deal in partnership with others. We gain employment in health. Claire also supported the nursing and local community members and health Indigenous assemblies and reform of thank all the Aboriginal partners and allied health student placement team professionals, and made publicly available Indigenous health policy. DRH is proud to organisations in our regions for their (Going Rural Health) to evaluate their online (see https://medicine.unimelb.edu. support these three researchers complete support of the team and this work. In placement programs (eg, the embedded au/research-groups/rural-health-research/ their PhD and contribute to our body of December, we farewelled Trudie Newman; speech pathology program at Mooroopna rural-chronic-ill-health/crossroads). Papers work on how rural health services can we thank her for her contributions and wish Park Primary School with Claire Salter and further analysis from this study are provide more inclusive care for all health her well in future endeavours. Parry) and seek feedback from student progressing. Dr Alan Crouch advanced a consumers. supervisors (with Trish Thorpe). Rebecca skin cancer project in Western Victoria with
30 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 31 Rural Dental Program
Rural Pharmacy Liaison Officer A key objective of the RPLO program is to Students, in groups of twelve, are placed “I can see I will gain a lot of valuable Program support pharmacy students to have a safe on five-week rotations, during which they experience in rural practice”. It is common Pharmacist Kevin de Vries is employed as and stimulating rural placement experience have the opportunity to not only improve to see drastic improvements in the an academic by the University to assist and and to enhance their understanding of rural their clinical skills, but also strengthen clinical skills and confidence of students support undergraduate pharmacy students health, its drivers, and the delivery of health relationships, especially between DDS and throughout their rotation. Some were also on rural placement. Kevin delivers the Rural care outside of capital cities. BOH students who may not have much able to observe general dental treatment Pharmacy Liaison Officer (RPLO) program interaction otherwise. Students enjoy the provided under general anaesthetic in GV In 2019, 84 students were placed in 27 on behalf of The University of Melbourne social aspect of the rotation, with many Health Shepparton, where they received different pharmacies and pharmacy across central and northern Victoria. The taking the opportunity to explore local one-on-one mentorship. departments across 13 rural towns RPLO program is a collaboration between towns, restaurants, gyms and even famous and regional cities extending from During their rotation, students have also The University of Melbourne and Monash wineries. This has not only enriched their Ararat to Boort to Wodonga. During collaborated on research projects on topics University and is funded by the Australian experience but also their understanding of their rural PEP students are placed in around oral health issues including cultural Government as part of the Sixth Community rural communities, encouraging them to a community pharmacy or hospital competency, use of recreational drugs, Pharmacy Agreement. later apply for and take on jobs in the local pharmacy department and live in nearby regions. In fact, there has been consistently recruitment and retention of staff in rural In 2019 the program primarily assisted accommodation for the period of the high demand for graduate dental positions settings, mental health, early childhood students from the Faculty of Pharmacy placement. A typical placement experience in the Goulburn Valley and surrounds, and caries and domestic violence. Students Mr Kevin de Vries Dr Rose Macdonald and Pharmaceutical Sciences Monash involves visits to local medical and health many have chosen to work in the same have not only improved their understanding University, Parkville undertaking care providers including hospitals, GP The Rural Dental Program continued to clinics after their experience as a student. of these issues but have also contributed Professional Experience Placements clinics, emergency departments or urgent receive positive feedback from students, innovative and useful thoughts and ideas to (PEP) during their fourth year of study. care services, bush nursing facilities, and patients and staff alike in 2019. Delivered by One of the main reasons for the popularity overcome some of these major issues. Placements are generally for a period of pharmacy depots. the University of Melbourne in partnership of the Rural Dental Program among Thanks goes out to the Department of Rural three weeks. Assistance is also provided with the Department of Rural Health, students is of course the clinical experience Health, Goulburn Valley Health, Rumbalara to students of the School of Pharmacy, the program has over the years brought it provides. Students across all clinics Aboriginal Cooperative, Cobram District La Trobe University Bendigo where this is hundreds of final-year students from see a vast number of patients and have Health, Northeast Health Wangaratta, possible. the Doctor of Dental Surgery (DDS) and the opportunity to provide a variety Echuca Regional Health, Melbourne Dental Bachelor of Oral Health (BOH) into the of treatments including preventative, School, and the local private practitioners Goulburn Valley Community. One measure general restorative, extractions (simple and specialists who continue to make of the success of this program is the and surgical), endodontics, periodontics, this program a successful and rewarding consequent employment of graduates at paedodontics and removal prosthodontics. experience for all the students. the Goulburn Valley Health Dental Service. In feedback from students, this was Undergraduate pharmacy students supported by The University of Melbourne: consistently highlighted with many saying, Due to the success of the program, it has Calendar year 2014 2015 2016 2017 2018 2019 this year expanded to Wangaratta and Undergraduate pharmacy students 47 53 57 78 95 84 Echuca. Dr Anil Ragade, Senior Dentist at Echuca Regional Health, stated, “Having students has been a very enriching experience for the entire dental team. I believe it was very beneficial for students to have this exposure and understand what we can offer, from a learning experience now and a possible career opportunity in the future”. This program has provided students with a unique opportunity to experience a variety of dental clinics across multiple locations including Goulburn Valley Health Shepparton, Rumbalara Aboriginal Cooperative, Cobram District Health, Northeast Health Wangaratta and Echuca Regional Health. Dr Filomena Perri and Dr Thomas Mackey were both part of the Rural Dental Program in 2019 and have recently been appointed graduate dentist positions at GV Health.
32 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 33 Centre for Excellence in Goulburn Valley Regional Training Hub Rural Sexual Health
A key highlight for CERSH in 2019 was the Our continued commitment to supporting The Hub’s long-term aim is to improve The GVRTH is working with the three other successful delivery of our biennial rural health practitioners through accessible regional training and career opportunities Victorian Hubs (managed by Monash and sexual health conference. SexRurality online learning saw the development of for junior doctors and provide support Deakin Universities) as a consortium to Conference 2019 was attended by over 160 the twelfth module in the Facets of Rural for specialist trainees in the region and achieve our shared goals. delegates, making it the biggest attendance Sexual Health Care – Online Learning improve recruitment and retention of to date. The two-day program was jam Modules series. The module: Syphilis was medical workforce, and thereby improving In 2019 the hub delivered supervisor skills packed with expert speakers, high quality created in response to the recent increase access to regional health services for local training to over 133 clinical supervisors presentations, interactive sessions and in infectious syphilis and congenital syphilis communities. The regional training hub’s across the region. In order to improve networking opportunities. The conference cases in Australia. CERSH also launched an objectives are to: outcomes and create more efficient remains a key professional development online resource hub for health practitioners processes, GVRTH have partnered with and networking opportunity for the rural who work in unintended pregnancy and • Work to increase the number of funded stakeholders across Victoria to turn our workforce and an important platform to abortion. The hub contains over 100 free training positions in the region, and mentoring program into the Victoria discuss and debate rural sexual health resources, tools and materials to support strengthen existing, and develop new, Regional Mentoring Program. The partners issues and achievements. It also provides clinicians in their work. connections with key stakeholders to involved are Murray City Country Coast an important opportunity for Melbourne improve the continuity of training for (MCCC) GP Training, Murray to Mountains based researchers to present the latest Following on from the work in 2019, CERSH medical students/trainees within the Hub Victorian Rural Generalist Intern Training sexual health evidence available from will continue to consult and collaborate region. Program, Lodden Mallee Victorian Rural A/Prof Jane Tomnay Ms Mimi Zilliacus around the globe to rural workers in a with service providers and organisations • Continue to build the mentoring program Generalist Intern Training Program, The Centre for Excellence in Rural Sexual rural setting. Conversely, rural workers and to ensure a needs-based approach to the The Goulburn Valley Regional Training Hub to support medical students, interns and Goulburn Valley Health, Echuca Regional Health (CERSH) is funded by the Victorian researchers are provided an opportunity to training offerings and resources created. (GVRTH) was established in September junior doctors by linking them to social Health, Northeast Health Wangaratta, Hume Government Department of Health and showcase innovative successful initiatives The team will remain focused on enabling 2017 and is located in Shepparton and sits and professional support and working Regional Midwifery Education Group, and Human Services. CERSH has a lot to to Melbourne colleagues. and encouraging the rural workforce to with the University of Melbourne Faculty of with all health services in the region to Going Rural Health. This collaboration be proud of with the work delivered in increase capacity and skill development in Medicine, Dentistry and Health Sciences; improve access to teaching and learning will still utilise the MentorLoop portal to 2019. It was a year of record conference In addition to the SexRurality Conference, sexual and reproductive health. Department of Rural Health. The hub is environments. register and case manage participants in attendance, new network opportunities CERSH also delivered sexual health part of a national program which includes • Identify medical students with an interest the program. and collaborations, successful health network events in four locations across 26 Regional Training Hubs (RTH) Australia in practising rurally, provide support by With the new collaboration the program promotion campaigns and enabling more our designated regions; Benalla, Bendigo, wide that were developed through the Rural offering one-on-one career guidance aims to provide career-focused support rural workers to build capacity and skills in Swan Hill and Mildura. These localised Health Multidisciplinary Training (RHMT) sessions, and facilitate access networked for health workforce trainees and sexual health. events allow for attendees to connect and program of the Australian Government rural training opportunities at an early professionals in rural and regional Victoria share with local workers across sectors, and Department of Health. stage in their careers. and improve efficiency and effectiveness of topics are delivered based on a needs- • Improve coordination of medical training Now in its second year, the GVRTH program individual mentoring activities by creating based approach for each area. to enable students and junior doctors has continued to expand and support a structure and platform for coordination intending to practise rurally to complete programs across its footprint: Echuca, and collaboration. Having these different as much of their medical training as Shepparton, Wangaratta and smaller mentoring activities coordinated in possible within regional and rural areas. outlying towns. one place provides more continuity for • Develop regional medical training mentoring relationships and help achieve capacity after identifying medical the aims of retaining trainees in rural areas. workforce needs. • support current supervisors of clinical training, assisting health services to
obtain accreditation for new training positions, and supporting local medical practitioners to become clinical supervisors. • Strengthen existing, and develop new, connections with key stakeholders to improve the continuity of training for medical students/trainees within their region. CERSH staff and keynote speakers at the conference
34 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 35 Murray to the Mountains Appendix 1 - 2019 Department of Rural Health Timeline Summary of Activity Intern Training Program
The M2M Hume RGITP is providing the The Murray to the Mountains Hume Region region with great exposure to young Rural Generalist Intern Training Program January – Rural Clinical School (RCS) March – Specialist Certificate in May – RCS Student Retreat doctors working, training and living in continues to take a regional approach Students Arrive Empowering Health in Aboriginal The Rural Clinical School (RCS) held their Northeast Victoria for a sustained period to medical education and training. All The Rural Clinical School was a hive of Communities annual retreat at the Cleveland Grange increasing opportunities for recruitment. towns involved in community placement activity with 75 MD2 and 22 MD3 Extended This new part time course commenced Winery at Lancefield. The Retreat provides The retention rate of M2M Hume RGITP rotations have hosted various education Rural Cohort (ERC) students in Shepparton with a group of six Aboriginal students, an opportunity to bring together all RCS continues to be at an extremely high level events for interns, general practitioners, for orientation, arriving the same day. participating in a week of intensive study medical students and key academic staff with 8 of the 15 interns continuing their medical students, nurses, ambulance at the Shepparton campus, followed by from all sites to get to know each other and medical careers in the region. The program officers and allied health professionals. semester work on-line, enabling students enjoy an interesting program of activities still has approximately 50% of graduates This multidisciplinary approach to to continue to work in their regular job. The supporting student success. continuing to work as doctors in the region education and training is a highlight study provides advanced understanding after 8 years of graduates. of the development of the program. of how both Aboriginal and Western Disappointingly only two of the University knowledges can be applied to the field The University of Melbourne, Rural of Melbourne, Rural Clinical School of health in rural communities, as well as Clinical School and the Goulburn Valley graduates accepted positions in the M2M learning community development and Rural Training Hub has supported the Hume RGITP in 2019. M2M will continue to project management skills. Murray to the Mountains Intern program work with Rural Workforce Agency Victoria, Mr Shane Boyer with Professor Julian Wright providing Murray City Country Coast and the Victorian February – 20 Year Celebrations The Murray to the Mountains (M2M) Intern Director of Clinical Training services and Department of Health and Human Services VC Prof Duncan Maskell and MDHS Program is an initiative of the Moira education program governance support. to expand the GP procedural training Dean Prof Shitij Kapur celebrated with Health Alliance, funded by the Victorian The University of Melbourne, Rural Clinical and career pathways in the region. M2M over 100 members of the community, Government Department of Health and School involvement in the Murray to the Hume RGITP is currently working with the the Department of Rural Health 20 year Human Services, and supported by the Mountains Intern Program assessment Victorian Department of Health and Human celebrations. Department of Rural Health. M2M is now in of interns and education program has Services and the Postgraduate Medical its eighth year after an extremely successful supported the continuing improvement Council of Victoria to establish multiyear first seven years. In 2019 the program was process of the program. rural generalist pathways for young doctors May – GV Rural Health Careers Workshop re-branded as the Murray to the Mountains The Department of Rural Health and GV Health All 15 interns in 2019 have been extremely pursuing a career in procedural rural Hume Region Rural Generalist Intern hosted the GV Rural Health Careers Workshop impressive. These interns have provided generalist into the future. This exciting Training Program (M2M Hume RGITP). The where around 150 high school students exceptional services to the communities initiative will provide secured pathways for April – Public Lecture Laureate Professor 15 M2M interns are still placed at Albury interested in a career in health attended. where they are placed. The high-quality young doctors seeking a career and lifestyle Peter Doherty Wodonga Health and Northeast Health education and teaching provided by the in the small rural towns in the Hume region. A full house at the Department of Rural Wangaratta for core rotations in emergency June - The new Facilities and services experienced general practitioners continues Health in Shepparton with a Public Lecture medicine, medicine and surgery. M2M now structure was implemented with several ex-interns working as general on the ‘Challenges Facing Us’ and the have interns placed in six small rural towns These Services are now provided by a new practitioners in the region providing February – Flag raising ceremony importance of our youth to have the courage in eight general practices for 20-week non- team, working from within the Department supervision and support for the current Staff students and members of the and the will to change and move forward. core rotations: and located in Shepparton, Wangaratta M2M interns. All interns in 2019 have community attended a flag raising and and Ballarat, who are closely aligned with • Cobram – 2 Interns provided extremely positive feedback about smoking ceremony on at The University of Business Services in Parkville and are using the supervisor and practice manger support Melbourne, Department of Rural Health in • Yarrawonga – 5 interns the Service Now system. and the experience provided in the general • Benalla – 4 interns Ballarat. practice, health service and community. • Kyabram – 2 interns • Mansfield – 1 intern • Mount Beauty – 1 intern
36 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 37 Appendix 2 - Staff
Academic Staff
Name Title Location Prof William (Bill) Adam Deputy Head - Department of Rural Health Shepparton Dr Mujibul Anam Research Fellow - Culture and Rural Health Shepparton Dr Andreas Baisch Senior Lecturer - Medicine Wangaratta Dr Laurel Bennett Senior Lecturer - Obstetrics and Wangaratta Gynaecology June – UDRH MOU signing July – NAIDOC event October – Ngar-wu Wanyarra Aboriginal and A/Prof Ravi Bhat Associate Professor - Psychiatry Shepparton Memorandum of Understanding signing The University of Melbourne, Department Torres Strait Islander Health Conference Dr Steve Bismire Deputy Director of Medical Student Wangaratta with the Victorian University Departments of Rural Health held their NAIDOC week The Department of Rural Health held the 5th Education Prof Lisa Bourke Director - University Department of Rural Shepparton of Rural Health (UDRHs). The four celebration in Shepparton. Titled in the Annual Aboriginal and Torres Strait Islander Health Program Victorian UDRHs (Melbourne University in spirit of this year’s NAIDOC theme, Voice. Health Conference in Shepparton. This Dr Siobhan Bourke Senior Lecturer - Sexual Health Education Melbourne Shepparton/Wangaratta/Ballart, Monash Treaty. Truth. Let’s work together for a brought together Aboriginal and Torres Strait CERSH University in Bendigo/Traralgon, Deakin shared future, with keynote speaker Ms Islander health experts from across Australia Dr Robert Campbell Senior Lecturer - General Practice Ballarat University in Warrnambool and La Trobe Kimberley Moulton – Senior Curator at to discuss key issues in Indigenous health. Ms Rebecca Caygill Research Assistant - Rural Medical Education Shepparton University in Mildura/Bendigo/Shepparton/ Bunjilaka Melbourne Museum. Ms Susan Chalker Lecturer - Nursing Shepparton Wodonga) cover the entire state and agreed Mr David Chew Deputy Director of Medical Student Shepparton to work together regardless of location. Education Ms Vicki Clowes Clinical Trials Nurse Shepparton Ms Catherine Cosgrave Research Fellow - Nursing and Allied Health Shepparton Dr Penelope Cotton Deputy Director of Medical Student Ballarat Education Dr Heather Crook Senior Lecturer - Emergency Medicine Ballarat Dr Alan Crouch Senior Research Fellow Ballarat Dr Jaycen Cruickshank Senior Lecturer - Emergency Medicine Ballarat Ms Sharni Crumpen Research Support Shepparton October – RCS Students Graduate Dr David Dalton Senior Lecturer - Surgery Shepparton Dr Katherine Davey Senior Lecturer - General Practice Wangaratta The RCS held their graduation celebration August – CERSH Conference Mr Kevin de Vries Academic Educator/Mentor - Pharmacy Bendigo Over 160 delegates attended the Centre for at the Mercure in Bendigo on Friday 25th June – Crossroads Research Study findings Dr. Johann De Witt Oosthuizen Senior Lecturer Emergency Medicine Wangaratta Excellence in Rural Sexual Health (CERSH) October 2019, with 63 RCS graduates Dr Rebecca Disler Research Fellow - Rural Chronic Ill Health Shepparton Professor Lisa Bourke and Dr Kristen Conference which was held in Creswick. commencing internships in 2020. Ms Kaye Ervin Lecturer - Research Coordinator Rural Health Shepparton Glenister held a Crossroads II Research Academic Network (RHAN) Study key findings presentation to the August – University of Melbourne ‘Open Day’ A/Prof Leslie Fisher Deputy Director of Medical Student Bendigo public. The Crossroads Project is one of the Education A team of dedicated staff and students most detailed health studies undertaken Mr Stephen Franzi Senior Lecturer - Surgery Wangaratta promoted everything rural at the University in rural Australia, designed to understand Ms Gwenda Freeman Associate Lecturer - Aboriginal Health Shepparton of Melbourne Open Day in Parkville. the prevalence of chronic health conditions Education in the Goulburn Valley area. Around 1800 Ms Sue Garner Simulation and Clinical Skills Lecturer Ballarat households were randomly selected in Coordinator Shepparton and Mooroopna to take part Dr Danny Garrick Senior Lecturer Paediatrics Shepparton Dr Kristen Glenister Senior Research Fellow - Rural Chronic Ill Wangaratta in the study. Crossroads II also covered Health Cobram, Seymour and Benalla. November – DECRA – Award $427,115 Dr Mark Guirguis Senior Lecturer - Otorhinolaryngology Ballarat Dr Rebecca Disler, our Senior Research Dr Suzanne Harrison Senior Lecturer - Extended Rural Cohort Echuca Fellow in Rural Chronic Ill Health, was (ERC) Hub Educator successful in an ARC Discovery Early Dr Andrew Haughton Senior Lecturer - Simulation Education Wangaratta Researcher Award (DECRA) if for 3 years, Dr. Alwin Hoelzl Deputy Director of Medical Student Shepparton total value $427,115. This project aims Education September – Shimane University Exchange Dr Alana Hulme Research Fellow CERSH Wangaratta to understand how existing rural service Students A/Prof James Hurley Associate Professor - Medicine Ballarat The Rural Clinical School support Shimane structures impact access to end-of-life Dr Tunde Ibrahim Senior Lecturer - Medicine Shepparton University medical students every year, support in chronic conditions. Dr Mahesh Iddawela Senior Lecturer - Oncology Shepparton there is also the opportunity for our Mr Jayasinghe Jayasinghe Senior Lecturer - Medicine Ballarat students to attend Shimane University in November – AV Upgrades Mr Stephen Joseph RHAN Coordinator Numurkah Dr Judith Krones Senior Lecturer - Obstetrics and Wangaratta Japan on exchange in December. Stage 2 of the AV upgrades saw the Lecture Theatre in Shepparton, have a new Gynaecology Mr Robert Krones Senior Lecturer - Medicine Wangaratta system installed, bringing it into line with Dr Raju Lakshmana Senior Lecturer - Mental Health Shepparton the University of Melbourne Operating Dr Andrew Lovett Lecturer - Paediatrics Shepparton Environment. A/Prof Helen Malcolm Associate Professor - Rural General Practice Shepparton Dr David McKenna Senior Lecturer - Medicine Ballarat
38 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 39 Prof Richard McLean Professorial Fellow - Rural Health Wangaratta Professional Staff Dr Olivia Mitchell Research Fellow - Culture and Rural Health Shepparton Name Title Location Dr Zubaidah Mohamed Shaburdin Research Assistant – Inclusive Rural Health Shepparton Ms Bree Attwood Communications and Administration Officer Wangaratta Care Mr Murray Bardwell Education Coordinator Ballarat Dr Anna Moran Tutor/Lecturer Research Coordinator – Rural Albury Mr Clint Bathman Operations Officer – Rural Health Shepparton Health Academic Network Ms Keryn Bolte Student Placement Manager Shepparton Ms Trudie Newman Research Assistant – Aboriginal Health Shepparton Ms Kylie Boscolo Community Placement Coordinator Wangaratta Ms Raelene Nixon Research Assistant – Aboriginal Health Shepparton Ms Sarah Brackenridge Student and Programs Administrator Ballarat Dr Fiona Noble Senior Lecturer - Paediatrics Ballarat Ms Helen Burgess Clinical Education Facilitator Shepparton Dr Alfredo Obieta Senior Lecturer - Geriatrics Ballarat Ms Elly Burley Facilities and Services Coordinator Shepparton Dr Tegan Podubinski Research Fellow – Rural Mental Health Wangaratta Ms Emma Burr Nyberg Facilities and Services Officer Shepparton Dr David Prentice Senior Lecturer - Neurology Shepparton Ms Louise Bush Clinical School Officer Shepparton Ms Claire Quilliam Research Assistant Shepparton Ms Rachael Cooper Project Worker – Nursing and Allied Health Dr Shabna Rajapaksa Deputy Director of Medical Student Ballarat Ms Katie Corboy Student and Programs Administrator Shepparton Education Ms Bianca Davies GV Regional Training Hub Administrator Shepparton Ms Carol Reid Tutor/Lecturer Research Coordinator – Rural Numurkah Ms Amanda Di Bella Clinical School Officer Shepparton Health Academic Network Mr Gordon Dosser Utilities Officer Shepparton Mr Senthil Rengasamy Senior Lecturer – Surgery Shepparton Dr Peter Shea Senior Lecturer Anaesthetics Ballarat Ms Dianne Doyle Events, Community Engagement and Alumni Shepparton Dr Rosemarie Shea Senior Lecturer - Geriatrics Ballarat Administrator Mr Kontoku Shimokawa Lecturer – Surgery Ballarat Ms Jane Doyle Education Support Coordinator Shepparton Dr Penelope Smith Senior Lecturer - Rehabilitation Wangaratta Ms Karyn Ferguson Aboriginal Partnerships and Community Shepparton Dr Margareet Stegeman Senior Lecturer - Obstetrics and Shepparton Engagement Gynaecology Extended Rural Cohort (ERC) Ms Linda Foottit Executive Assistant Shepparton Hub Educator Ms Sally Gill Interim Facilities and Services Manager Shepparton Mr Bruce Stewart Senior Lecturer - Surgery Ballarat Ms Kirsten Green Sexual Health and Wellbeing Project Officer Bendigo Dr Lynette Thevathasan Senior Lecturer - General Practice Ballarat Mr Darren Grossmann Project Manager – Rural Doctor of Medicine Shepparton Dr Peter Thomas Senior Lecturer - Surgery Wangaratta Ms Nina Hakamies Sexual Health and Wellbeing Project Officer Bendigo A/Prof Jane Tomnay Director - Centre for Excellence in Rural Shepparton Ms Mary Heke-Davis Clinical Education Facilitator Shepparton Sexual Health Mr Ash Howden Facilities Coordinator Dookie Dr Jarvier Torres Corredor Lecturer – Medicine Shepparton Ms Donna Jackson Facilities and Services Manager Shepparton Dr Catherine Turnbull Lecturer - Rural Medicine Shepparton Ms Cathy Jarred Student Placement Administrator Shepparton Dr Kylie Waller Senior Lecturer Obstetrics and Gynaecology Wangaratta Ms Linda Ladd People and Culture Business Partner Shepparton Dr Ian Wilson Senior Lecturer - Emergency Medicine Wangaratta Ms Leah Lindrea-Morrison Aboriginal Partnerships and Community Shepparton Dr Zee Wan Wong Senior Lecturer - Oncology Shepparton Engagement Prof Julian Wright Head - Department of Rural Health and Shepparton Mr Sean Leaver Management Accountant Shepparton Director of Medical Student Education Ms Kathy Lynch UDRH Project Officer Ballarat A/Prof Mark Yates Executive Director of Ballarat Innovation and Ballarat Ms Angela McLeod Department Manager Shepparton Research Collaboration for Health (BIRCH) Mr Scott Middleton Support Officer Research Technology Shepparton Ms Natel Neilly Clinical Education Facilitator/Clinical Skills Shepparton Laboratory Assistant Ms Rebecca-Kate Oates Community Placement Coordinator Wangaratta Ms Cathy O’Brien Education Coordinator Shepparton Ms Natalie Reid Clinical Skills Laboratory Educator Shepparton Ms Claire Salter Community Placement Coordinator Shepparton Mr Alistair Scott Facilities and Services Officer Ballarat Ms Melissa Seymour Rural Clinical School Manager Shepparton Mr Ankush Sharma Management Accountant Shepparton Ms Alison Sinclair Health and Wellbeing Practitioner Shepparton Mr Kevin Singh Health and Wellbeing Practitioner Shepparton Ms Hannah Sloan Health and Wellbeing Practitioner Shepparton Ms Kylie Stephens Senior Health Promotion Manager Wangaratta Ms Shanara Stewart UDRH Administration Shepparton Ms Charmaine Swanson Community Placement Coordinator Ballarat Ms Anne Thewlis Clinical Skills Laboratory Manager Educator Shepparton Ms Louise Thomas Student and Programs Administrator Ballarat Ms Tricia Thorpe Education Support Coordinator Ballarat Mr Vu Trinh Facilities and Services Officer Wangaratta Ms Nyssa Watson Sexual Health and Wellbeing Project Officer Bendigo Ms Kay Williams Administration and Campus Officer Wangaratta Ms Mimi Zilliacus Manager – GVRTH Shepparton
40 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 41 Honorary Staff
Name Title Name Title Name Title Name Title Prof Peter Disler Professorial Fellow Dr David Tickell Senior Fellow Dr Michael Kamenjarin Fellow Dr Cameron Knott Clinical (Senior Fellow) Prof Alexander Pitman Professorial Fellow Dr Hugh Turner Senior Fellow Dr Paul Kelly Fellow Dr Salvatore Rambaldo Clinical (Senior Fellow) Prof David Simmons Professorial Fellow Dr Rupesh Vittalraj Senior Fellow Dr Samuel Kennedy Fellow Dr Ram Singh Clinical (Senior Fellow) A/Prof Andrew Crowden Principal Fellow Dr Peter Wearne Senior Fellow Ms Gloria Kilmartin Fellow Dr Sivakumar Subramaniam Clinical (Senior Fellow) A/Prof James Hurley Principal Fellow Dr Max Wellstead Senior Fellow Mr John Kilmartin Fellow Dr Joseph Tam Clinical (Senior Fellow) Dr Graeme Jones Principal Fellow Dr Andrew Wettenhall Senior Fellow Dr Andrew Kingston Fellow Dr Anil Xavier Clinical (Senior Fellow) A/Prof Francis Miller Principal Fellow Dr Elizabeth Williams Senior Fellow Dr John Lambert Fellow Dr Gerard Dalgleish Clinical (Fellow) A/Prof Julie Pallant Principal Fellow Dr James Wong Senior Fellow Dr Dominic Last Fellow Dr Priyanka Gahlot Clinical (Fellow) A/Prof David Pierce Principal Fellow Dr Zee Wan Wong Senior Fellow Dr Mary Lou Loughnan Fellow Dr Margaret Gould Clinical (Fellow) Mr Muhammad Abdullah Senior Fellow Dr Derek Wooff Senior Fellow Mr Andrew Lowe Fellow Dr James Hillis Clinical (Fellow) Dr Adebayo Adeyemi Senior Fellow Dr Adam Zagorski Senior Fellow Dr John Mackellar Fellow Dr Mariusz Kulik Clinical (Fellow) Dr Ian Alexander Senior Fellow Mr Timothy Adam Fellow Dr Andrew McLeod Fellow Dr Manisha Mishra Clinical (Fellow) Dr Arunasalan Ambikapathy Senior Fellow Dr Hamid Ahmadi Fellow Dr Vinit Mathur Fellow Dr Saif Aswad Clinical (Lecturer) Dr John Azzopardi Senior Fellow Mr Barry Alexander Fellow Ms Teresa McMahon Fellow Dr Myron Klevansky Clinical (Lecturer) Dr Arnold Beeton Senior Fellow Dr Ghassan Alhami Fellow Dr Peter Mortensen Fellow Dr Liam Tjia Clinical (Lecturer) Dr David Ball Fellow Dr Peter Nesbitt Fellow Dr Monika Trivedi Clinical (Lecturer) Dr Jack Best Senior Fellow Dr Nancy Bikhu Fellow Dr Gary O’Brien Fellow Dr Anju Tyagi Clinical (Lecturer) Dr Don Bradley Senior Fellow Dr Charlotte Brewer Fellow Dr Johann De Witt Oosthuizen Fellow Dr Anthony Carpenter Clinical (Tutor) Dr Adrian Buncle Senior Fellow Dr Gerard Brownstein Fellow Dr Wasantha Palawela Fellow Dr Alasdair Thomas Clinical (Tutor) Dr Robert Campbell Senior Fellow Dr Matt Byrne Fellow Dr Chee Pang Fellow Dr Roger Coates Senior Fellow Dr Adele Callaghan Fellow Dr Lisa Panozzo Fellow Dr Maddalena Cross Senior Fellow Dr Gidhad Chabbou Fellow Dr Elena Pascoe Fellow Dr Lakshmi prasad Dhakal Senior Fellow Dr Ramesh Chandra Fellow Dr Bala Pillai Fellow Dr Ruth Drohan Senior Fellow Dr Kelvin Chapakwenda Fellow Ms Merrin Prictor Fellow Dr Peter Eastaugh Senior Fellow Dr Lean Peng Cheah Fellow Dr Jeffrey Robinson Fellow Dr John Edington Senior Fellow Dr Yue Chen Fellow Dr Marian Robinson Fellow Dr Shiromali Ekanayake Senior Fellow Dr Wil Chong Fellow Dr David Rogers Fellow Mr Michael Falkenberg Senior Fellow Dr Chik Chua Fellow Dr James Ross Fellow Mr John Fisher Senior Fellow Mr Adam Cichowitz Fellow Dr Digant Roy Fellow Dr Stephen Flew Senior Fellow Ms Sandra Coutts Fellow Dr Glen Russell Fellow Dr Jane Gall Senior Fellow Ms Elizabeth Crock Fellow Dr Arvind Sahu Fellow Dr John Gough Senior Fellow Ms Christine Cunningham Fellow Dr Kathryn Schultz Fellow Dr Helen Haines Senior Fellow Dr Amol Daware Fellow Dr Thomas Schulz Fellow Dr Abu Haque Senior Fellow Ms Julie Day Fellow Dr Timothy Shakespeare Fellow Dr Gregory Harris Senior Fellow Dr Richard De Crespigny Fellow Dr Muhammad Sheikh Fellow Dr Khalid Hassan Senior Fellow Dr Elizabeth Crock Fellow Dr Robert Shepherd Fellow Dr Rafiqul Islam Senior Fellow Dr Ioana Dumitrescu Fellow Dr Simon Sneyd Fellow Dr Dugal James Senior Fellow Dr Siddhartha Dutta Fellow Ms Kim Stevens Fellow Dr Mira Kapur Senior Fellow Dr John Dyson Fellow Dr Terrence Stubberfield Fellow Dr Elizabeth Kennedy Senior Fellow Dr John Elcock Fellow Dr Anthony Sutherland Fellow Dr Michael Love Senior Fellow Dr Jenny Ellix Fellow Dr Mozna Tahhan Fellow Dr Peter McClelland Senior Fellow Dr s.Ajit Emmanuel Fellow Dr Rajul Tandon Fellow Dr Tracey Merriman Senior Fellow Dr Peter Farrell Fellow Dr James Teh Fellow Dr Graham Miller Senior Fellow Dr Gavin Frawley Fellow Dr Alex Traill Fellow Dr Nihal Nanayakkara Senior Fellow Ms Brenda Freeman Fellow Dr William Twycross Fellow Mr Matthew Oliver Senior Fellow Dr Elizabeth Garoni Fellow Dr Pauline Tyndall Fellow Dr Kathryn Over Senior Fellow Dr Sonia Ghai Fellow Dr Amber Van Dreven Fellow Dr Scott Pearce Senior Fellow Dr Tejas Golhar Fellow Dr Catherine Waite Fellow Dr Vivek Phutane Senior Fellow Dr John Guymer Fellow Dr Jennifer Walker Fellow Dr Vibhay Raykar Senior Fellow Dr John Hall Fellow Dr Suzanne Wallis Fellow Dr Ursula Read Senior Fellow Dr Sarah Hancock Fellow Dr Luke Wilson Fellow Dr Rifat Rifat Senior Fellow Dr Gregory Hay Fellow Dr Sue Wilson Fellow Dr Ursula Russell Senior Fellow Dr Fady Henry Fellow Dr Matthew Wong Fellow Dr Margaretha Sanders Senior Fellow Dr Alwin Hoelzl Fellow A/Prof Lesley Bolitho Clinical (Associate Professor) Dr Rosemarie Shea Senior Fellow Dr Brian Hollins Fellow A/Prof Leslie Fisher Clinical (Associate Professor) Dr Robert Sheen Senior Fellow Dr Stephen Hook Fellow Dr Tunde Ibrahim Clinical (Associate Professor) Dr Satpal Singh Senior Fellow Dr Alana Hulme Fellow A/Prof Philip Raesbeck Clinical (Associate Professor) Dr Jacqueline Smith Senior Fellow Dr Olga Ilic Fellow Dr Bronwyn Burt Clinical (Senior Fellow) Dr Tejraj Tawde Senior Fellow Dr Jude James Fellow Dr Alby Elias Clinical (Senior Fellow) Dr Alan Taylor Senior Fellow Dr Anandaram Jothibabu Fellow Dr Ahmedullah Khan Clinical (Senior Fellow)
42 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 43 Appendix 3 - DRH Publications 2019 (by Research Theme)
WORKFORCE - Publications WORKFORCE - Reports CULTURALLY INCLUSIVE RURAL HEALTH RURAL CHRONIC ILL-HEALTH - Publications Opie, C.A., Glenister, K., Wright, J. (2019) RURAL CHRONIC ILL-HEALTH - Reports Dunbar, T., Bourke, L., Murakami-Gold, L. Cosgrave, C., Jeffery, V., Lowe, K. (Dec. CARE - Publications Disler, R. T., Inglis, S. C., Newton, P., Is social exposure to obesity associated Bourke, L., Glenister, K., & Simmons, D. (2019). More than just numbers! Perceptions 2019). Goulburn Valley Health 2019 Project Bourke,L., Malatzky, C., Terry, D. (2019). Currow, D. C., Macdonald, P. S., Glanville, with weight status misperception? (2019). Crossroads II: A repeated population of remote area nurse staffing in Northern Implementation Report –Whole-of-Person Experiences of Health Care among Refugee A. R.,Donesky, D, Carrieri-Kohlman, V and Assessing Australians ability to identify health study in Shepparton and Mooroopna Territory Government health clinics. Retention Improvement Project – Allied and Asylum Seeker Residents in Regional Davidson, P. M. (2019). Older Patients’ overweight and obesity. BMC Public Health, 2016-2018. Shepparton, Vic.: Department of Australian Journal of Rural Health, 27(3), health Workforce. Wangaratta,Vic.: The Victoria. Journal of Community Medicine and Perspectives of Online Health Approaches 19(1): 1222. Rural Health, The University of Melbourne. 245-250. 10.1111/ajr.12513 University of Melbourne, Department of Health Education, 9(3): 658-665. in Chronic Obstructive Pulmonary Disease. Glenister, K., Haines, H., Disler, R. (2019). Rural Health. Telemedicine and e-Health, Sep 2019, 840- Glenister, K., Bourke, L., & Simmons, D. Benefits of the ‘village’: a qualitative Cosgrave, C., Malatzky, C., & Gillespie, J. Crouch, A., Bourke, L., & Pierce, D. 846. http://doi.org/10.1089/tmj.2018.0098 (2019). Benalla Crossroads II Study Report. (2019) Social determinants of rural health Cosgrave, C., Cooper, R. (2019). East (2019). The Health of Rural Peoples. In P. exploration of the patient experience Shepparton, Vic.: Department of Rural workforce retention: A scoping review. Grampians Health Service 2019 Project Liamputtong (Ed.), Public Health; Local and Janjua, S., Threapleton, C .J. D., of COPD in rural Australia. BMJ Open Health, The University of Melbourne. International Journal of Environmental Report- Allied Health and Nursing Rural Global Perspectives (Second ed., pp. 343- Prigmore, S., & Disler, R. T. (2019). Digital Respiratory Research, 9: e030953. Research and Public Health, 16(3) 314. Workforce - Whole-of-Person Retention 358). UK: Cambridge University Press. interventions for the management of Glenister, K., Bourke, L., & Simmons, D. Glenister, K., Bourke,L., Terry, D., https://doi.org/10.3390/ijerph16030314 Improvement Project, Wangaratta, Vic.: The chronic obstructive pulmonary disease. (2019). Seymour Crossroads II: A repeated Simmons, D. (2019). Chronic Ill Health University of Melbourne, Department of Opie, C.A., Gibson-Thorpe, B. Lees, C. Cochrane Database of Systematic Reviews, population health study 2016-2018. in a Regional Victoria setting: a 13-year Malatzky, C., Cosgrave, C., & Gillespie, J. Rural Health and Haines, H. M. (2019). ‘Believe in 2019(1). doi:10.1002/14651858.CD013246 Shepparton, Vic.: Department of Rural (2019). The utility of conceptualisations of me and I will believe in myself’, a rural comparison. Australian Journal of Rural Health, The University of Melbourne. place and belonging in workforce retention: Cosgrave, C., (2019). Churchill Fellowship Australian health service learns how to Disler R.T., Spiliopoulos, N., Inglis S. Health, 00 1-8. A proposal for future rural health research. 2018 - Investigating new approaches to mangan dunguludja ngatan (build strong C., Currow D. C., Davidson. PM. (2019) Wright, S., Bourke, L., Glenister, K., & Simmons, D., Glenister, K., Magliano, Health and Place, (accepted 17.12.19 strengthen social connection of newly- employment) for Aboriginal and Torres Cognitive screening in chronic obstructive Simmons, D. (2019). Cobram Crossroads D. J., Bourke, L. (2019). Changes in the available online). https://doi.org/10.1016/j. arrived health workers in rural Australia – Strait Islander people: a qualitative study. pulmonary disease: patient’s perspectives. II Report. Shepparton, Vic.: Department of Prevalence of Diabetes, Its Management, healthplace.2019.102279 Canada. A Report for the Winston Churchill Human Resources for Health, 17:44. https:// Disability and Rehabilitation, Jan 26:1-7. doi: Rural Health, The University of Melbourne. and Complications over 15 Years in a Memorial Trust of Australia, Cath Cosgrave. doi.org/10.1186/s12960-019-0384-2 10.1080/09638288.2018.1519046. Rural Australian Population. Diabetes, 68, Disler, R. T., White, H., Franklin, N., https://www.churchilltrust.com.au/fellows/ (supp1): 1629. Armari, E., & Jackson, D. (2019). Reframing detail/4407/Catherine+Cosgrave Hildingsson, I., Karlstrom, A., Rubertsson, Ervin, K., Clark, M., Haines, H., Blackberry, evidence-based practice curricula to C., & Haines, H. (2019). Women with fear I. (2019). Time for Australia to revisit Malatzky, C., & Glenister, K. (2019). Talking facilitate engagement in nursing students. Ervin, K. (Dec 2019). Training needs of childbirth might benefit from having antipsychotic use in dementia in residential about overweight and obesity in rural Nurse Education in Practice, 41, 8 pages. analysis CDH – 2019/20: Identifying a known midwife during labour. Women aged care. Australasian Medical Journal. Australian general practice. Health and doi:10.1016/j.nepr.2019.102650 opportunities for training and education and Birth, 32(1), 58-63. doi:10.1016/j. 12(5):138-142 Social Care in the Community, 27(3), 599- through triangulation. Cobram, Vic.: wombi.2018.04.014 608. doi:10.1111/hsc.12672 Ervin, K., Reid, C., Moran, A., Opie, C., Department of Rural Health, The University van Weel, J. M., Renehan, E., Ervin, K. E., Haines, H. (2019). Implementation of an of Melbourne. & Enticott, J. (2019). Home care service older person’s nurse practitioner in rural utilisation by people with dementia—A aged care in Victoria, Australia: a qualitative Ervin, K. (2019). Staff get message on retrospective cohort study of community study. Human Resources for Health, BMC. urgent care patient experience. Health nursing data in Australia. Health and Social 17:80 https://doi.org/10.1186/s12960-019- Victoria. March 2019 Care in the Community, 27(3), 665-675. 0415-z doi:10.1111/hsc.12683 Moran, A., Cosgrave, C., Nancarrow, S., Reid, C., Ervin, K., Kelly, L. (2019). Boyce, R., Memery,R., King, O., Malatzky, Ervin, K., Opie, C., Koschel, A., Jeffreson, L., Doctors in secondary schools program: C., (2019). Year 1 report to the Department Haines, H. (2019). Unmet supportive needs the first year of program implementation of Health & Human Services, East Division: of rural men with cancer: A qualitative in a rural Victorian school. Rural and Remote The role, function and value of “non- study. Australian Journal of Cancer Nursing, Health, 19:4. traditional” allied health roles in rural and 20(1):19-24. https://doi.org/10.33235/ regional health services. Shepparton, Vic.: ajcn.20.1.19-24 McGirr, J., Seal, A., Barnard, A., Cheek, C., The University of Melbourne, Department of Garne, D., Greenhill, J., . . . Wright, J. (2019). Rural Health. Glenister, K., Disler, R., Hulme, A., The Australian Rural Clinical School (RCS) Macharia, D., & Wright, J. (2019). The program supports rural medical workforce: Quilliam, C., Bourke, L. (2019) The mosaic of general practice bulk billing in evidence from a cross-sectional study of perspectives of National Disability regional Victoria. Australian Journal of 12 RCSs. Rural and Remote Health, 19(1), 9 Insurance Scheme service providers on General Practice, 48(1-2), 77-78. Retrieved pages. doi:10.22605/RRH4971 student placements in rural Victoria. from http://gateway.webofknowledge.com/ Shepparton: Department of Rural Health, The University of Melbourne.
44 | Department of Rural Health Annual Report 2019 Department of Rural Health Annual Report 2019 | 45 CLINICAL/OTHER - Publications Hurley, J. C. (2019). Worldwide variation Siriratnam, P., Kraemer, T., & Sahathevan, Winterton, R., Chambers, A.H., Farmer, in Pseudomonas associated ventilator R. (2019). Stroke in malignancy: J., Munoz, S-A. (2019). Considering the associated pneumonia. A meta-regression. complexities of diagnosis and implications of place-based approaches Journal of Critical Care, 51, 88-93. management: a case report. Journal for improving rural community wellbeing: doi:10.1016/j.jcrc.2019.02.001 of Medical Case Reports, 13(1), 260. The value of a relational lens. Rural Society, doi:10.1186/s13256-019-2183-8 Hurley, J. C., Ostrosky-Zeichner, L., & 5249-5265. Slavin, M. (2019). Preface. Journal of Terry, D. R., Nguyen, H., Kim, J. A., & Islam, Chimunda T, Subramanian R, Smith J, Antimicrobial Chemotherapy, 74, III1. M. R. (2019). Factors contributing to Mahony A. (2019) First reported case of doi:10.1093/jac/dkz157 COPD hospitalisations from 2010 to 2015: Human Parechovirus encephalitis in an Variation among rural and metropolitan Sheikh, M., Tiruvoipati, R., & Hurley, J. C. adult patient complicated by Refractory Australians. Clinical Respiratory Journal, (2019). Non-invasive ventilation of patients Status Epilepticus. IDCases, 15 e00475. 13(5), 306-313. doi:10.1111/crj.13012 with acute asthma. Internal Medicine https://doi.org/10.1016/j.idcr.2018.e00475 Journal, 49(2), 262-264. doi:10.1111/ Iturrieta-Guaita, N. G., Temple-Smith, M. Al-Bassam W, Dade F, Bailey M, Eastwood G, imj.14208 J., & Tomnay, J. (2019). Using electronic Osawa E, Eyeington C, Anesty J, Yi G, Ralph communication technologies for improving Yang, T. W. W., & Islam, M. R. (2019). Quality J, Kakho N, Kurup V, Licari E, King EC, Knott syphilis partner notification in Chile: of acute stroke care in a regional Victorian C, Chimunda T, Smith J, Subramaniam healthcare providers’ perspectives - a hospital, Australia. Australian Journal of A, Reddy M, Green C, Parkin G, Shehabi Y, qualitative case study. Sexual Health, 16(4), Rural Health, 27(2), 153-157. doi:10.1111/ Bellomo R (2019) “Likely overassistance” 377-382. doi:10.1071/SH19007 ajr.12491 during invasive pressure support ventilation Bilardi, J.E., Hulme-Chambers, A., Chen, in patients in the intensive care unit: A Kelly, J., Minoda, Y.,…...Kannourakis, G., . . . M.Y., Fairley, C.K., Huffam, S.E.,Tomnay, J.E. multicentre prospective observational Berzins, S. P. (2019). Chronically stimulated (2019) The role of stigma in the acceptance study. Critical Care and Resuscitation, human MAIT cells are unexpectedly and disclosure of HIV among recently 21(1):18-24. potent IL-13 producers. Immunology and diagnosed men who have sex with men Cell Biology, 97(8), 689-699. doi:10.1111/ Hurley, J. C. (2019). How the Cluster- in Australia: A qualitative study. PLoS ONE, imcb.12281 randomized Trial “Works”, Clinical Infectious 14(11): e0224616. https://doi.org/10.1371/ journal.pone.0224616 Diseases, 70(2), 341–346. https://doi. Dowsett, J., Humphreys, R., & Krones, R. org/10.1093/cid/ciz554 (2019). Normal Blood Glucose and High Blood Ketones in a Critically Unwell Patient Hurley, J. C. (2019). Studies of selective with T1DM Post-Bariatric Surgery: a Caseof digestive decontamination as a natural Euglycemic Diabetic Ketoacidosis.Obesity experiment to evaluate topical antibiotic Surgery, 29(1), 347-349. doi:10.1007/s11695- prophylaxis and cephalosporin use 018-3548-6 as population-level risk factors for enterococcal bacteraemia among Moran, A., Haines, H., Raschke, N., ICU patients. Journal of Antimicrobial Schmidt, D., Koschel, A., Stephens, A., . . Chemotherapy, 74(10), 3087-3094. . Nancarrow, S. (2019). Mind the gap: Is it doi:10.1093/jac/dkz300 time to invest in embedded researchers in regional, rural and remote health services Hurley, J. C. (2019). Is selective to address health outcome discrepancies decontamination (SDD/SOD) safe in the for those living in rural, remote and regional ICU context? Journal of Antimicrobial areas? Australian Journal of Primary Health, Chemotherapy, 74(5), 1167-1172. 25(2), 104-107. doi:10.1071/PY18201 doi:10.1093/jac/dky573 Grose, D., Linger, M., Tinni, S., & Hurley, J. C. (2019). The Role of Endotoxin Sahathevan, R. (2019). Rheumatoid in Septic Shock. JAMA-Journal of the meningitis: A rare cause of unilateral American Medical Association, 321(9), 902- pachymeningitis. BMJ Case Reports, 12(4). 903. doi:10.1001/jama.2018.20874 doi:10.1136/bcr-2018-227905
46 | Department of Rural Health Annual Report 2019