Department of Rural Health Faculty of Medicine, Dentistry & Health Sciences
Annual Report 2020 Contents
Department of Rural Health 3
Strategic Goals 4
Report from the Head of Department 7
Report from the Manager of the Department of Rural Health 8
People and Culture 9
People 10
Engagement 11
Facilities and Infrastructure 14
Financial Management 16
Rural Clinical School 18
Report from the Director, University Department of Rural Health 34
Going Rural Health 36
Aboriginal Health 38
Research at the Department of Rural Health 40
Rural Dental Program 42
Murray to the Mountains Hume Region Rural Generalist Intern Training Program 43
Goulburn Valley Regional Training Hub 44
Centre for Excellence in Rural Sexual Health 46
Appendix 1 - 2020 Department of Rural Health Timeline Summary of Activity 48
Appendix 2 - Staff 50
Appendix 3 - DRH Publications 2020 58
FRONT COVER: Mr Chris Thorne, Going Home, 2010, Acrylic on canvas
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.
2 | DRH - Annual Report 2020 Department of Rural Health
The Rural Clinical School (RCS): Centre for Excellence in Rural Goulburn Valley Regional Providing students with an excellent Sexual Health (CERSH): Training Hub (GVRTH): medical education and a rewarding Improving sexual and reproductive Providing support and education to medical students, interns and trainees rural experience. health in the regions that we serve. to help create a sustainable future rural medical workforce.
Mildura Swan Hill Campuses Shepparton, Ballarat, Bendigo and Wangaratta.
Yarriambiack Gannawarra
Buloke Hindmarsh Moira Wodonga Campaspe Loddon Greater Indigo Shepparton Towong Wangaratta Northern Greater Benalla Bendigo Strathbogie West Horsham Grampians Alpine Wimmera Central Goldfields Mount Alexander Mitchell Mansfield HepburnMacedon Murrindindi Ranges Ballarat East Gippsland Southern Ararat Grampians Pyrenees Moorabool Golden Glenelg Plains Wellington Greater Geelong Baw Baw Moyne Corangamite Surf Coast Latrobe Colac Otway Bass Coast South Gippsland
University Department of Rural Health (UDRH): • Going Rural Health (GRH): Supporting allied health, nursing and health science WORKING IN THESE AREAS students to complete rural clinical placements. TO SUPPORT LOCAL HEALTH • Aboriginal Health: Providing education and research in Aboriginal Health with SERVICES AND WORKFORCE Aboriginal people. • Research: Undertaking research with impact for rural communities in our Note: not all programs cover all areas highlighted region.
DRH - Annual Report 2020 | 3 Strategic Goals
The mission of the University of Melbourne Department of Rural Health is excellence and equity in Rural Health through education, research and engagement.
• The Department of Rural Health has established a set of indicators of rural health workforce outcomes1 for its students, to evaluate its health workforce programs and activities • The Department of Rural Health aims to increase the duration and quality of supported nursing and allied health placements. Interdisciplinary training is established and is an important element of teaching and learning at the Department of Rural Health • A communication and partnership strategy will be developed, and implemented, to efficiently engage2 with our staff, communities and organisational partners • The Department of Rural Health will promote greater excellence in rural medical education through enhanced teacher skill development and accreditation of clinical teachers • An all-inclusive program of cultural safety training and development for the Department of Rural Health staff will be implemented • There will be 15 Aboriginal graduates in health sciences from, or supported by, the Department of Rural Health in 15 years • A program of research into rural chronic ill-health will be undertaken • A program of research into culturally inclusive rural health will be undertaken
1 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. 2 Engagement includes sustaining good working relationships, appropriate information transfer and maximising the benefits to all parties of effective collaboration.
4 | DRH - Annual Report 2020 Department of Rural Health Executive Team L-R: Professor Julian Wright – Head of the Department of Rural Health, Ms Linda Ladd – People and Culture Business Partner, Professor Jane Tomnay – Director of the Centre for Excellence in Rural Sexual Health (CERSH), Ms Andreia Marques – Department of Rural Health Manager and Professor Lisa Bourke – Director of the University Department of Rural Health (UDRH)
DRH - Annual Report 2020 | 5 6 | DRH - Annual Report 2020 Report from the Head of Department DEPARTMENT OF RURAL HEALTH
The Department of Rural Health (DRH) is funded by the • The continued success of the Rural Clinical School and M2M Australian Government to provide both a Rural Health programs in stimulating interest in rural health careers for our Multidisciplinary Training (RHMT) Program and an students. 2020 saw several of our graduating students take up internships in the M2M program, as well as others who took Integrated Rural Training Program (IRTP) for postgraduate up intern positions in the hospitals in which they have studied Medical Training, by the Moira Health Alliance to provide medicine in Ballarat, Bendigo, Shepparton and Wangaratta. training and supervision to the Murray to Mountains (M2M) • 2020 saw the continuation of detailed planning to host the four- Intern Training Program, the Victorian Government to host year rural stream of the Doctor of Medicine degree in Shepparton a Centre of Excellence in Rural Sexual Health (CERSH), by and across Northeast Victoria from 2022. We look forward grants from external research funding bodies, and by other to the commencement of the building of new teaching and rural health related consultancies. accommodation facilities to support this initiative in early 2021.
The work of the department was significantly affected by the • The department’s research team continued to produce research coronavirus pandemic which required the closure of department publications despite the disruption caused by the pandemic. campuses, adapting to working from home for most the year, These achievements reflect the hard work and dedication of and adapting non-clinical teaching to an online format. Whilst our staff, and also the support of the Head of the Melbourne doing this, the department continued supporting students both in Medical School, Professor John Prins, and staff of the University of Department of Rural Health accommodation and those at home. Melbourne’s Faculty of Medicine, Dentistry and Health Sciences. I thank all those who left the department in 2020 for their work and For a timeline summary of the year’s activity, commitment to our rural training mission. We welcomed many new please see appendix 1 appointees to the department in 2020 and I am grateful to all new department staff for commencing their work in unusual working circumstances. Professor Julian Wright Head of Department, Department of Rural Health The RHMT program consists of the ‘Rural Clinical School’ (RCS), which educates medical students in three years of their four- year postgraduate Doctor of Medicine course and a ‘University Department of Rural Health Program’ encompassing rural training and experience for dental, nursing and allied health students, health promotion, rural research, and Indigenous Health. More details of the substantial achievements in all these activities are detailed in separate reports. Highlights for 2020 include:
• The continued success in nursing and allied health placement support, including many novel placements in 2020. The Going Rural Health Team consolidated current partnerships with local health services and other Victorian universities to achieve a high level of student support.
DRH - Annual Report 2020 | 7 Report from the Manager of the Department of Rural Health
2020 was a year like no other. With the unexpected arrival In 2020 there were a number of new staff that commenced in the of the coronavirus pandemic, almost overnight staff had to department who were recruited and inducted virtually. Existing staff adopt new ways of working from home including learning did what they could to make these team members feel as welcome as possible, including friendly welcome messages and pictures on how to effectively collaborate using technology. The way the new department Microsoft Teams chat room or introducing staff that staff delivered day to day work changed dramatically to the broader team at the monthly Staff Communication Forums. including; lecture delivery, tutorials, clinical skills training and celebratory events such as graduations! At the end of the year staff came together at theStaff Connect Day to reflect on the year that was and plan for the coming year. Although there was non-stop change occurring, it was wonderful to To make this virtual get together as interesting and engaging as observe how committed staff were to making things run smoothly. possible, the day included video presentations, a panel discussion, Many professional staff and academics put in extra hours to make keynote speaker and social activities. sure that students could continue to have a positive learning experience. I’d like to thank all students, staff, alumni, partners and community members that helped to make 2020 a success. We couldn’t have Managers created regular virtual check ins to support team done it without you. members and invested more energy and time into making sure that team members were coping in isolation. Staff got to know their team members, supervisors and peers in a more personal Ms Andreia Marques way including meeting children, pets and partners during work meetings. Manager, Department of Rural Health
8 | DRH - Annual Report 2020 People and Culture
During 2020 the Department of Rural Health established a Values Working Group. This group includes representatives from across the department’s various teams and sites and provides a forum for staff to explore the ways we work with an aim to continually develop our values-based culture.
Current initiatives within the department include a monthly Staff Recognition Program as well as a monthly spotlight opportunity within the Staff Communication Forum to get to know different teams and areas of work. We call these segments ‘Who? What? How?’ These initiatives have provided us with the opportunity to get to know each other better and have increased our appreciation of the valuable work we all contribute to the department.
Ms Linda Ladd People and Culture Business Partner
DEPARTMENT OF RURAL HEALTH STAFFING PROFILE 2020:
Academic Professional Total FTE Academic Professional Total FTE FTE Headcount Headcount Headcount Medical 11.8 11.3 23.1 Medical 50 11 61 Multidisciplinary 15.4 12.4 27.8 Multidisciplinary 21 17 38 CERSH 1 3.4 4.4 CERSH 1 4 5 Corporate Support 10.7 10.7 Corporate Support 12 12 TOTAL 28.2 37.8 66 Casual staff 62 31 93
In 2020 the Department had 178 honorary appointments of academics located TOTAL 134 75 209 across our geographic footprint and abroad. For a list of staff see appendix 2
DRH - Annual Report 2020 | 9 People
Professor Bill Adam OAM retired as Towards the end of 2020, Mr David Chew Andreia Marques was appointed as the Deputy Head of the Department of resigned as the Shepparton Deputy Director the Manager of The Department of Rural Health at the end of 2020 after a of Medical Education. David joined the Rural Rural Health in October 2020. Andreia long association with the University of Clinical School team in 2019 and has made joins the University of Melbourne with Melbourne going back to 1960. an immense contribution to the work of the over 16 years of experience in tertiary team with his energy, ideas and enthusiasm. education management. A stakeholder For 51 of those years he was actively involved relationship specialist with a commercial in the Melbourne Medical School, as either His support for the students over such a focus, Andreia’s key area of speciality is a student or clinician/educator/researcher: difficult year has been greatly valued. David building and motivating teams to support 28 years at the Austin and Repatriation is an Orthopaedic Surgeon and leaves us to organisational capacity. Hospitals, and the last 17 years at the relocate to Northern New South Wales. Department of Rural Health in Shepparton As Manager of the Department, Andreia oversees the operations of the department Mr David Chew which has sites based in Shepparton, Professor Bill Adam OAM Shepparton Deputy Director of Ballarat, Bendigo and Wangaratta. The Medical Education key operational areas that Andreia is responsible for include; Student Accommodation, Student Administration, Student Health and Wellbeing, Events and Engagement.
Prior to working at the University of Melbourne, Andreia spent 9 years working at Monash University and 7 years working La Trobe University. Andreia holds a Master of Business degree and a Bachelor of Arts degree with specialisations in Marketing and Events.
Ms Andreia Marques Department of Rural Health Manager
10 | DRH - Annual Report 2020 Engagement
In 2020 we were able to engage with a larger audience, with a total of 3635 attending or viewing our public lectures and webinar series due to COVID-19. We were able to provide four Public Lectures early in the year with a total of 285 people attending before COVID-19 arrived in Victoria in mid- March. The Department of Rural Health held a series of COVID-19 webinars which was very informative and well received with a total of 3350 people attending.
Ms Di Doyle Professor Dr Marcia Langton AO provided a public webinar on The Success of the Indigenous Health Sector During the COVID-19 Pandemic Events Coordinator
Final year medical students Zac Rundell-Gordon and Kadison Michel with Professor Julian Wright on ABC radio
DRH - Annual Report 2020 | 11 PUBLIC LECTURES SERIES Most COVID-19 webinars were recorded and are available on the Department of Rural Health website medicine.unimelb.edu.au/school-structure/rural-health
Presenters Topic Ms Jenny Walsh x 3 (Shepparton, Bendigo and Ballarat) Approaching Issues of Online Porn with Teenagers Relationships and Sexuality Education Expert Professor John Prins (Shepparton) The Obesity Problem Head, Melbourne Medical School The University of Melbourne
Professor John Prins provided a Public Lecture on ‘The Obesity Problem’, pictured with Professor Prins is the Head of the Department of Rural Health Professor Julian Wright who was the MC.
12 | DRH - Annual Report 2020 WEBINAR SERIES Presenters Topic Professor Shitij Kapur Rural COVID-19 in Australia Dean Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne Professor John Hattie What We Can Learn from Educating During the COVID-19 Home Laureate Professor of Education Schooling Exercise Melbourne Graduate School of Education The University of Melbourne Prof Lisa Phillips Mental Health and Dealing with COVID-19 in the Rural Setting Professor of Psychology Melbourne School of Psychological Sciences The University of Melbourne Prof Jim Waterston Education During COVID-19 Dean Enterprise Professor, Education Systems Melbourne Graduate School of Education The University of Melbourne Prof Brock Bastian Building Personal and Community Resilience in the Face of COVID-19 Professor in Psychology Melbourne School of Psychological Sciences The University of Melbourne Professor Dr Marcia Langton AO The Success of the Indigenous Health Sector During the Associate Provost, Redmond Barry Distinguished Professor, Foundation COVID-19 Pandemic Chair of Australian Indigenous Studies, Indigenous Studies Unit, Centre for Health Equity Melbourne School of Population and Global Health The University of Melbourne Professor Kanta Subbarao COVID-19 The Virus and Vaccines Director - WHO Collaborating Centre for Reference and Research on Influenza The Peter Doherty Institute for Infection and Immunity Professor Brett Sutton the Long View on COVID-19 Victorian Chief Health Officer
The final public webinar of 2020 attracted a total of 2144 viewers from across regional Victoria including national and international viewers. The webinar presenter was Professor Brett Sutton the Victorian Chief Medical Officer who shared his insights into the state’s response to the COVID-19 pandemic and his hopes for a better 2021. Professor Sutton spoke at length about the response to Victoria’s second wave, which peaked in early August with up to 700 cases a day.
He was in admiration of the rural and regional response to COVID-19, particular efforts of local government and community members to work with the state on any outbreaks and adhering to restrictions to keep the virus out of their communities. This event was in collaboration with the Rotary Club of Ballarat South.
Professor Brett Sutton, Victorian Chief Health Officer
DRH - Annual Report 2020 | 13 Facilities and Infrastructure
In October 2020, the University of OTHER ACHIEVEMENTS Melbourne created the Department of Rural • Solar panels installed on the Health (DRH) Campus Life & Facilities Team. Shepparton campus The team is based in Ballarat, Shepparton and Wangaratta and is responsible for • Refurbishment of ‘the Chalet’ office space the management of all the departments’ • Beautification and landscaping of the property assets and fleet focusing on historic Dunvegan building in Ballarat to the customer engagement for staff and align with the health workers project students at three campus sites and 170 • Transition of cleaning service provider plus accommodation beds across regional with no impact to students and staff in Victoria for more than 1,000 staff and Shepparton students. • New BBQ outdoor area and landscaping While department staff worked from at student accommodation site in home due to COVID-19 restrictions, the Wangaratta Campus Life Team continued to work from • Successful tender process with awarding sites to maintain the office environments of the new project to building a Learning and support the students in the on-site and Teaching space with an additional 30 accommodation. accommodation beds to be completed From December 2020, the team focus December 2021 changed to completing the necessary accommodation maintenance and cleaning for the return of students, with an additional task of having to re-open campus and office spaces under a newly created COVIDsafe management plan. This included a complete reallocation of all Office staff in the Ballarat, Shepparton and Wangaratta offices.
Kirk Edgar Campus Life and Facilities Manager
14 | DRH - Annual Report 2020 Historic Dunvegan, our Ballarat Campus
DRH - Annual Report 2020 | 15 Financial Management
The Management Accountant, Mr Ankush We have carried on the Sharma has carried on with the monthly communicating process from 2019 reports to the executives. In addition, the to 2020 (such as quarterly DRH contracts register project is now completed, budget meetings, monthly finance a newly developed contracts spreadsheet meetings) and looking forward to will enable in-time management of the build on these processes to find expiry and expenditure associated with more improvements in 2021. multiple contracts and agreements entered into by the Department. It has also reduced Mr Ankush Sharma the list of contractors to current (relevant) Management Accountant contracts which has added efficiencies in the management of contracts. The new contracts register also has information on the contact person and account strings. Having contact information for each of the counterparties will assist any of the new staff with contract renewals and account string information will ensure the purchase orders and invoices are paid out of correct accounts. Vu Trinh took over the responsibility to manage the contracts register with Ankush Sharma overseeing the process.
Furthermore 2021 budgets are prepared with increased detail so the actuals vs budget figures are more accurate. The new version of the budgets will also provide more visibility to the executives and it will make the management of financials much easier.
Eric Brown Community / Language Group: Kamilaroi Our Mob, 2014 Our Mob was a collaboration between Eric Brown (painted) and Vipoo Srivilasa (ceramic)
16 | DRH - Annual Report 2020 DRH - Annual Report 2020 | 17 Rural Clinical School
The aim of the Rural Clinical School (RCS) is to provide The achievement of a rewarding rural experience involves both students with an excellent medical education and a general student support and engagement in the issues of rural rewarding rural experience. The coronavirus pandemic health. Student support commences before students begin their rural placements. Whilst prospective students were still in their raised significant challenges for the Rural Clinical School first year of medicine based in Parkville, the Rural Clinical School and Campus Life and Facilities team in 2020. Dean and Sub-Deans, along with professional staff members, For a period of the year, all face to face clinical teaching was and students, met with future students to provide information on withdrawn and all non-clinical teaching moved to an online their year(s) at the Rural Clinical School. This is then followed by format. This led to disruption to students’ clinical learning and will support for students in their time at the RCS: by encouragement for have repercussions on the 2021 academic year. Importantly, we students to be involved in community activities both directly and by managed to adapt our work to allow students due to graduate at support for the student run club ‘Moovin Health’, by provision of the the end of 2020 to do so on time, a remarkable achievement. opportunity to access both community and professional mentors, by the rural Health and Wellbeing Practitioners and the site-specific The Rural Clinical School team worked to continue all possible student ombudsmen proactively engaging with the students. teaching and to provide support for students. The new Rural Clinical School Manager, Kate Kent, joined the team in late Engagement in the issues of rural health comes from students’ February 2020 and led the professional staff team through a year of clinical work with patients supported by rural clinicians. The many challenges to which the team responded successfully. Kate Extended Rural Cohort program (ERC), in which selected students in also led a professional staff team restructure to enable efficient MD3 are based predominantly in rural general practices enhances the and effective support of all students and teaching activities in the rural experience for these students. The ERC program particularly has coming years across all our campuses. seen graduates take up intern positions in regional Victoria.
Students in the clinical skills lab during COVID
18 | DRH - Annual Report 2020 Achieving the aim of increasing the rural medical workforce does students in their training posts, and facilitating the provision of specific not, and should not, stop at the students’ graduation. Postgraduate training. Looking forward to the commencement of the full four- rural training is seen as an important component of rural health year, end-to-end MD degree in Shepparton and across Northeast workforce enhancement. The RCS is actively engaged in providing Victoria from 2022, considerable planning work continued in 2020. and supporting rural postgraduate employment and training Fifteen of the 30 places in the end-to-end rural stream of the MD opportunities. The RCS is involved in the training component degree will be allocated to students who successfully complete of the Murray to Mountains (M2M) intern (Postgraduate Year 1) La Trobe University’s Bachelor of Biomedical Sciences (Medicine) program, in which 15 interns are based for 20 of the 52 weeks in degree. Melbourne University staff were involved in the interviews rural general practices, many of them collocated with students for the selection of students into this undergraduate degree which undertaking the ERC program. The M2M program provides both were held in Shepparton in January 2020. Detailed planning for a natural progression into rural training, and by colocation of the the delivery of MD1 year of the course in Shepparton is now being interns with the ERC students it provides the students with a visible undertaken. rural training pathway, as well as educational support. The M2M program, together with Northeast Health Wangaratta has further The success of the RCS depends on academic and professional staff enhanced rural training pathways by facilitating access for M2M of the University, but, importantly, also the time given to students’ interns into Postgraduate Year 2+ training posts, as a component of education, and their own training in educational skills, by busy their training in general practice. clinicians. I would like to record my gratitude for their contributions in 2020. 2020 saw continued work by the federally funded Integrated Goulburn Valley Regional Training Hub based in Shepparton, the aim of which is Professor Julian Wright to enhance rural postgraduate training, both by increasing the skills of Director of Medical Student Education clinical educators, and the recruitment and support of postgraduate
Education Minister The Hon Dan Tehan visited the Department of Rural Health
DRH - Annual Report 2020 | 19 2020 RURAL CLINICAL SCHOOL STUDENT NUMBERS Site MD2 students MD3 students MD4 students Ballarat 22 13 10 Bendigo 14 8 Shepparton 24 2 Wangaratta 14 10 Extended Rural Cohort 28 TOTAL 74 41 30
2020 Ballarat MD2 RCS students
2020 Bendigo MD2 RCS students with Associate Professor Leslie Fisher
20 | DRH - Annual Report 2020 2020 Shepparton MD2 RCS students with Mr David Chew
2020 Wangaratta MD2 RCS students
DRH - Annual Report 2020 | 21 2020 MD2 RCS students with Professor Julian Wright
22 | DRH - Annual Report 2020 DRH - Annual Report 2020 | 23 EXTENDED RURAL COHORT To achieve these results requires exceptional students but is also a reflection of excellent clinical placements and dedicated clinical The 2020 coronavirus pandemic led to significant teachers. disruption for the Extended Rural Cohort (ERC) students. The Department of Rural Health ERC program is undertaken in close For part of the year, student placements were withdrawn and when collaboration with regional health service partners as well as smaller student placements could recommence, students were unable health services and general practices throughout Victoria. It has been to follow practice staff into clinical environments outside of their our long-term aim to expand the ERC program to include 30 students; primary placement site. I appreciate the ERC practice teams’ and this will mean an expansion in the number of primary care practices students’ willingness and adaptability to comply with the various involved in the program over the next few years. I am delighted that restrictions. Despite some limitations on the clinical educational Carrier Street Practice in Benalla hosted its first ERC students in 2020. experiences of the 2020 ERC students, the end of year results I welcome North East Family Medicine Practice in Wangaratta and reflected good performances by the ERC student cohort. Shepparton Women’s Health Centre Practice to the ERC program and look forward to them hosting their first ERC students in 2021.
2020 ERC MD3 students with Professor Julian Wright
24 | DRH - Annual Report 2020 Our Extended Rural Cohort GP practices for 2020 were: Affiliated Hospitals Benalla: Carrier Street Clinic and Benalla Church Street Surgery The Department of Rural Health medical education programs are Cobram: Cobram Medical Clinic undertaken in close collaboration with regional health service partners as well as smaller health services and general practices Corowa: Corowa Medical Centre throughout Victoria. Echuca: Echuca Moama Family Medical Practice and Rich River Health Group Our Affiliated Hospitals for 2020 were: Mansfield: Central General Practice and Mansfield Medical Clinic Alpine Health – Mount Beauty Mount Beauty: Mount Beauty Medical Centre Benalla Hospital – Benalla Murchison: Murchison Medical Clinic NCN Health – Cobram Shepparton: Shepparton Lister House Medical Centre, Corowa District Hospital – Corowa Shepparton Medical Centre and Wyndham House Clinic Echuca Regional Health – Echuca Wangaratta: Ovens Medical Group and Wangaratta Medical Centre Goulburn Valley Health – Shepparton Yarrawonga: Yarrawonga Denis Medical Group Mansfield District Hospital – Mansfield Northeast Health Wangaratta – Wangaratta The department is extremely grateful to all the ERC general practice educators and supervisors, their practice administration teams, Yarrawonga Health – Yarrawonga all the Rural Clinical School (RCS) professional staff and ERC Hub educators for their hard work ensuring our ERC students are well supported. We can all take pride in the success of the 2020 ERC student cohort.
Claire Demeo is an ERC medical student who has been on placement at the University of Melbourne Shepparton Medical Centre for 2020.
DRH - Annual Report 2020 | 25 26 | DRH - Annual Report 2020 DRH - Annual Report 2020 | 27 Evenlyn Andrews receiving her award by Professor Jane Gunn, Dean of Medicine, Dentistry & Health Sciences
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 2020:
Student Award Mr Varun Kaushik Rural Clinical School’s Student Prize for Professionalism Ms Jenny Pham The Rural Communities Award Ms Kimberly Walker The Valedictorian Award Ms Evelyn Andrews The Principles of Clinical Practice 2 Award Ms Evelyn Andrews The Principles of Clinical Practice 3 Award Ms Tansy Pereira Damian Cleeve Award Ms Courtney Brusamarello Rural City of Wangaratta Graduating Student Award
EVELYN ANDREWS RECEIVES DEAN'S HONOUR AWARD The Dean’s Honour award acknowledges graduates who have During her degree, she provided free high school and VCE tutoring achieved the highest academic performance among their peers in to students from disadvantaged socioeconomic backgrounds. the courses from which they have graduated. The 2020 award was Evelyn tells me that “the people I studied with through my time in presented to RCS student Evelyn Andrews. the RCS are now some of the people I adore the most in the world - if you can leave medical school having found some of those, that’s Evelyn is an exceptional student and compassionate human being better than any academic awards.” who contributed much to others whilst still achieving academic excellence. Evelyn received multiple Dean’s Honour awards She is a great role model for the medical profession and whatever throughout her medical course and was awarded the Katherine she chooses to do in the future will be done with professionalism, Woodruff Prize in Palliative Medicine. compassion and integrity.
28 | DRH - Annual Report 2020 2020 RURAL CLINICAL SCHOOL GRADUATION CELEBRATION The 17th Rural Clinical School Graduation Celebration was held via zoom. The 2020 Graduation Celebration committee consisted of Georgia Laidlaw, Maxine Worboys and Courtney Brusamarello. The keynote address was provided by Dr Helen Haines MP, member for Indi and the 2020Ru Valedictorianral C lwasin Msi Kimberlycal S Walker.cho ol - Class of 2020
RURAL CLINICAL SCHOOL – CLASS OF 2020
TOP: Aaron Ch’Ng, Alexander Kilner, Alice Yu, Anne Jian, Anthony Yang, Benjamin Sebastian, Blair Ney, Brett Xu, Cale Johnstone, Callum Russell, Cancho Ong, Coralie Millet. ROW 2: Courtney Brusamarello, Daniel Lindholm, Devona Govender, Edmond Chen, Emily Bishop, Emma Johnston, Evelyn Andrews, George He, Georgia Laidlaw, Hannah Sprod, Harshil Singh, Hugh Fleet. ROW 3: Hussain Alamein, Indiana Cooper, Isabella Eveleigh (nee Richardson), Jack West, Jack Whitelaw, Jang-Ho (Mark) Weon, Jennifer Tran, Jenny Pham, Jesse Ekin, Kadison Michel, Kalin Kempster, Katharine (Kitty) Robertson. ROW 4: Kieren Fahey, Kimberly Walker, Liam Williamson, Lisa Shen, Lucy Hawker, Mark McOwan, Maxine Worboys, Michael Duff, Olivia Elkington, Qianyu (Maggie) Chen, Rebecca Li, Richard Wenham. BOTTOM: Robert (Tom) Ormrod, Roshan Karri, Sarah Whitby, Shaun Macdonald, Sophia Avramoudas, Stephen Nunn, Varun Kaushik, Wallace Jin, Warren Davis, Zachary Rundell-Gordon.
DRH - Annual Report 2020 | 29 POSTGRADUATE WORKFORCE OUTCOMES Since the commencement of the Rural Clinical School 924 medical students have graduated. The above illustration shows practice destinations for the past 6-year of Rural Clinical School students. 2020 Rural Clinical School graduating students’ internship allocation Due to the substantial restriction of prolonged specialty training Preference Number of Students Percentage pathways to urban areas the final location of Rural Clinical School 1 33 57% graduates’ practice may not be known for 10 or more years: At which stage we would hope that far more alumni were in rural 2 6 10% practice. The introduction of the Doctor of Medicine (Rural), which 3 3 5% will be commencing in 2022, may improve these outcomes. 4 2 3% 5 5 9.5% The Modified Monash Model (MMM) is a recently developed geographical classification system, using up-to-date population 6-12 8 14% data, which the Government can use to better address the Unmatched 1st round 1 1.5% maldistribution of medical services across Australia. Total 58 MM 1 All areas categorised ASGS-RA1
2015-2020 Modified Monash Model (MMM) MM 2 Areas categorised ASGR-RA2 and ASGS-RA3 that are in, or within 2-km road distance, of a town with a population greater than 50,000. 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.
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 with a population between 5,000 and 15,000.
MM 5 All other areas in ASGS-RA 2 and 3. 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 and is more than 5km offshore. Islands that have an MM 5 classification with a population of less than 1,000 (2019 Modified Monash Model classification only).
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.
30 | DRH - Annual Report 2020 RCS ALUMNI
Dr Katie Snow – 2013 RCS Alumni Dr Chloe Georgiou – 2013 RCS Alumni Dr Shalley Robins – 2017 RCS Alumni Dr Katie Snow graduated from the Rural Dr Chloe Georgiou, graduated from the Dr Shalley Robins graduated from the Clinical School in 2013, she completed her Rural Clinical School in 2013. Chloe Rural Clinical School in 2017. Shalley has internship at her hometown of Bendigo. She completed her internship at Bendigo just commenced the Anaesthetics Training has spent 12 months as a locum interstate Health, Physician training at Eastern Health Program at Goulburn Valley Health in before returning to the Bendigo Hospital and Oncology training through Eastern, Shepparton. to complete six months of Obstetrics and Western and Bendigo Health. Chloe was Gynaecology and six months of paediatrics, awarded the Bendigo Health Registrar of This is a Victorian first for doctors to be obtaining a Certificate of Women’s Health the year award in 2020. trained in a Regional Anaesthetics training and a Diploma of Child Health. Katie program where the majority of their training completed her General Practice training in Chloe is currently working part time as the will be based in regional locations. clinics in the Bendigo region and became a inaugural Clinical Trials Fellow at Bendigo General Practice fellow in 2020. Health, and part time as a Research Fellow with the Australian Rare Cancer Portal Her last role was at Bendigo Community (arcportal.org.au/meetourteam). Health doing an extended skill in Sexual and Reproductive Health and gaining a Certificate in Sexual and Reproductive Health. For her time in this role and the changes she made to service delivery during COVID she received the RACGP General Practitioner in Training of the Year award.
DRH - Annual Report 2020 | 31 THE DOCTOR OF MEDICINE (RURAL PATHWAY) The Doctor of Medicine (MD) Rural Pathway has been enabled through the Commonwealth Government’s Murray-Darling Medical Schools Network. This project will see the arrival of 30 new first year medical students at our Shepparton campus in 2022. The project will facilitate an end to end rural pathway to the Doctor of Medicine (MD) in collaboration with La Trobe University.
Construction of student accommodation for the 30 new students and a new teaching and learning space to deliver the curriculum will enhance the Shepparton campus. The project also includes the recruitment of teaching and support staff and a review of the curriculum delivery options for the first year of The Doctor of Medicine (MD) Rural Pathway.
During 2020, the project completed the planning stage with Ministerial approval of the proposed current and future use of the Shepparton campus. The design stage of the project was also completed following a series of stakeholder engagement and design meetings. The tender for the construction of the new buildings was released in late 2020 with construction planned to commence in 2021.
Mr Darren Grossmann Project Manager, Doctor of Medicine, Rural Stream
Plan for new student accommodation which is due to commence March 2021
32 | DRH - Annual Report 2020 RURAL HEALTH CLUB What was it like to be a rural student during the year of COVID? Three words: uncertain, unique, but also uniting. We were lucky enough to be able to continue placements for the majority of the year, however this meant that we were also isolated from our metro-based families and friends for the most part. On the upside, this also meant that we managed to gain some incredible bonds with our fellow rural housemates this year.
With all of the excitement that comes with a new year of medicine we kicked off with the annual Outlook Welcome Back BBQ. After settling into the semester things took quite a turn in March with the onset of the pandemic. Our site reps scrambled to come up Outlook Welcome BBQ with creative ways to keep people connected through online game nights, trivia, and coffee deliveries. We saw the abolition of the eminent and much anticipated rural ball, along with many other events. Within Moovin’ Health, we took on the role of advocating for student wellbeing for the first time in recent history.
Despite the multitude of changes, we have managed to keep some semblance of the usual activities going. With private Zoom cooking sessions from our very own Deputy Dean of the Rural Clinical School, to the many photo and baking competitions during #iso. Our site reps organised adorable care packages for each of our students and facilitated a round of ‘guardian angel’ week in which students had to deliver secret gifts in a socially distanced way.
For our small but mighty group of Extended Rural Cohort students, we saw the change from longitudinal placement to Zoom back to General Practice placement - all in a matter of months. This Online chocoholics cooking class year hasn’t been the experience any of us anticipated but I remain awed by our hopeful and resilient cohort. Maintaining connection between all 10 locations, spread throughout NE Victoria, isn’t an easy task but we have managed!
As with the students in Ballarat, Bendigo, Shepparton or Wangaratta - we cannot begin to summarise the microcosm that each site develops from year to year. The enthusiasm and care between your fellow students make the rural experience one to be treasured.
Overall, we can conclude that we were very grateful to have been allocated to the RCS for 2020. It’s fair to say that we’ve all managed to make lifelong friends and some unforgettable memories this year, despite all the uncertainty! MD3 ERC students based at the Shepparton Medical Centre for 2020 L-R Arkan Youssef, Claire Demeo and Isaac Park Sarah Loria and Erene Sakabetis Moovin’ Health Co-Chairs 2020
DRH - Annual Report 2020 | 33 Report from the Director, University Department of Rural Health
The Aboriginal Health team provided the education programs online and were able to maintain retention of these students. Three Aboriginal or Torres Strait Islander students graduated from the Specialist Certificate program and another Aboriginal student graduated from the Master of Public Health course, both postgraduate qualifications from the University of Melbourne. Five Aboriginal and Torres Strait Islander students were supported to continue in their nursing studies through TAFE or La Trobe in Shepparton, despite changes, interruptions and cancelled placements due to COVID-19. In addition, the Aboriginal Health team provided lectures and training to medical students, staff and other groups. Webinars were provided to celebrate NAIDOC and Reconciliation Weeks, and these were well attended and inspiring. In place of our annual Aboriginal & Torres Strait Islander Health Conference, a webinar was led by Professor Marcia Langton. There was significant activity in Aboriginal Health research, with new projects focusing on exercise, publication of a paper on the impacts of cultural training and support to three PhD students nearing What an unusual year 2020 was! With restrictions to travel, completion. health equipment, people per space and working in our Within the many changes, there were some significant innovations offices, all activities in the University Department of Rural in research, education and community engagement. We developed Health (UDRH) program were impacted. Despite this, our some wonderful online teaching sessions, undertook new research program continued most of its education, research and into COVID-19 related issues, and developed new ways to connect, community engagement activities which aim to provide teach, partner and promote. A great success was moving our public rurally based training to strengthen the rural workforce. lecture series online and focusing on COVID-19 related topics to keep our local communities informed about the virus, vaccines The UDRH supported 962 student placements in our regions, and impacts to mental health and education. We had record despite many others being cancelled, particularly in allied health, attendances at these public lectures—over 2,000 people attended and students being unable to travel for many months of the the session with Brett Sutton, Chief Health Officer for Victoria. year. Despite the restrictions, 89% of our students were satisfied with their placement, which is a testament to the support by our It was a year full of change and adaptation and the team managed Going Rural Health team and the work of our local health services. these many changes very professionally. It was also a tiring year and Of these placements, 212 were in non-hospital settings and 65 I thank all UDRH team members for their commitment, hard work were placements where students provided some type of service and perseverance during 2020 as well as our many health service, to the community, such as speech development with primary education and research partners. We look forward to working with all students, mobility sessions for elderly residents, and projects our stakeholders in 2021 to continue our rural training and workforce to enhance health service provision. Some of these placements enhancement programs in these unusual times. were developed as ‘virtual’ placements where students provided clinical and project support to rural services and clients from their Professor Lisa Bourke homes. Our innovative models of placements were published in Director, University Department of Rural Health an international journal and student stories of their placements were shared online. The team also provided a range of education, including face-to-face and online Aboriginal cultural training to over 100 students. Further, 336 students were provided with other types of education relevant to their placement and we also supported 1,078 health professionals with training. This is a remarkable achievement during a pandemic.
34 | DRH - Annual Report 2020 Rebecca Atkinson Community / Language Group: Bangerang Nations Empowering our People, 2019
DRH - Annual Report 2020 | 35 Going Rural Health
students have also gone on to work in rural areas after graduation. With 2020 commencing with devastating bushfires affecting our regions and then a global pandemic, rural mental health support has never been more important, and our team and students are proud to have been able to contribute to the rural communities so tangibly.
We have worked hard to keep connecting with all students on placements in the regions. As part of this, we provide a comprehensive education program that we deliver across rural Victoria to provide students with placement orientation, resilience and wellbeing training, an introduction to rural practice, on-country training in Aboriginal health, communication skills and clinical skills. We also provide support to health service educators through co-funding of educator roles and providing extensive supervisor training. In addition, we have developed systems to partner with universities, health services and other stakeholders.
Our Service Learning programs have proved to be an all the more valuable asset during COVID as placements were able to In its fifth year in 2020, the Going Rural Health (GRH) be adapted to ‘non-clinical’ settings and this has seen a growth program has continued to support programs across our in the number of students able to undertake a Service Learning footprint: The Ovens, Murray Goulburn, Goulburn Valley placement. Even our Snow Service-Learning placement saw a and Ballarat Grampians regions. significant growth in student numbers despite the need to convert it to a virtual placement. This is a wonderful indication of not This has continued to be achieved despite the significant impact of only the strong partnership GRH has with Disability Wintersports COVID which we are very proud of. COVID did mean we just under- Australia (DWA), but that the students can still make a real achieved our Commonwealth targets for placement weeks however it contribution to client outcomes via remote access. also meant we were able to be agile and creative with more flexibility being offered from our partner health services and education providers The Post Graduate Certificate in Rural Critical Care for registered in terms of dates and length of placements, placement settings and nurses has been supported by the UDRH for many years now and remote supervision. We saw a reduction of allied health student it is a genuine recruitment and retention strategy for our partner placements unfortunately however we feel the decision to withdraw health services in our regions, with three health services supporting these students did indicate how much of a gap was left without them eighteen students in 2020. This workplace learning model is highly and we are confident that these students will remain as ‘essential’ if regarded by students, health service leaders and the university as a there are further lockdowns and their placements will be continued, valuable contribution to keeping skilled staff within our rural regions. just as nursing student placements have done. The GRH team are very proud of what has been achieved and the Our team of health and administration professionals have relationships that have been fostered across the regions. We know continued to create a suite of education, wellbeing, financial, the program will continue to advance and innovate in the field of accommodation and social activities to make rural student rural health as we work with our many partners to provide quality placement practicums as valuable and as diverse as possible. The training for the incoming workforce. student feedback has been consistently positive with an overall satisfaction rate of 92.5% with their rural placement experiences Ms Keryn Bolte and this is particularly pleasing given how affected placements Manager Going Rural Health were with cancellations and postponements, but also a very successful transition to virtual and telehealth placements.
Our annual targets of Master of Psychology student support were achieved however, and this program has been successful in supporting the communities they have been located within to provide services as these students carry a case load. Many of these
36 | DRH - Annual Report 2020 Student Numbers
Discipline Domestic Placement numbers Domestic Placement Weeks Domestic Average Placement Dietician/ Nutritionist 25 182 7.3 Emergency Health 1 2 2.0 Exercise Physiology 9 35 3.8 Medical Radiography 28 141 5.0 Midwifery 4 17 4.2 Nursing 661 2295 3.5 Nursing – RCCC 18 720 40 Occupational Therapy 54 306 5.6 Optometry 14 28 2.0 Other 1 7 7.0 Paramedicine 6 12 2.0 Pathology/Laboratory Medicine 1 16 16 Pharmacy 0 0 0 Physiotherapy 107 476 4.4 Podiatry 2 12 6.0 Public Health 1 9 9.0 Social Work 5 52 10.4 Speech Therapy/Pathology 25 125 5.0 TOTAL: 962 4435 4.6
*not including international students
DRH - Annual Report 2020 | 37 ABORIGINAL HEALTH Our annual Aboriginal & Torres Strait Islander Health Conference (Yaniken-werritj) was cancelled avoiding any risk, however this was It was a busy and challenging year for the Aboriginal replaced with a public webinar by Professor Dr Marcia Langton AO who Health team at the Department of Rural Health. lead a panel of Aboriginal health experts who shared the success of The team comprised Leah Lindrea-Morrison (Aboriginal the Indigenous health sector during the COVID-19 pandemic. During Partnerships and Community Engagement Officer), Gwenda National Reconciliation week in May, the team hosted a webinar Freeman (Lecturer in Aboriginal Health Education), Dr Tuguy Esgin from Mr Shane Charles. Over 300 people registered to hear his very (Lecturer, Culture and Rural Health), Helen Everist (Academic insightful talk. During NAIDOC week in November, we hosted a webinar Nursing Tutor), Amanda Firebrace (Student Support for ASHE on Cultural Burning with three panellists, Dr Julie Andrews, Mr Victor Nursing students) and Dr Alan Crouch (Senior Research Fellow). Steffensen and Mr Michael Bourke. There were many questions from over 150 registered participants. These well attended events support The impacts of COVID-19 restricted much of our engagement, community education on specific cultural and Aboriginal Health topics. live events and face-to-face connections. COVID-19 also created difficulties for Aboriginal and Torres Strait Islander people in our There was a focus on research in 2020. Gwenda Freeman, Bonnie regions who were at risk of severe impacts from the virus and many Chew and Alan Crouch published a paper on health professionals’ who were impacted financially and socially from restrictions. We perspectives of Aboriginal Health and cultural training. We also acknowledge the struggles of our communities and admire their supported three Research Fellows to finalise their PhD studies spirit and resilience. We also thank them for support of our events on diverse topics, namely engaging in mechanisms of prosperity, and project and would specifically like to thank our key partners Gana Burrai (child health) in the Goulburn Murray region and in our work: the Academy of Sports Health and Education (ASHE), analysis of Indigenous Health policy making. Other research was Rumbalara Aboriginal Cooperative, Lulla’s Early Learning Centre, the also undertaken on the impact of exercise for Aboriginal people to Aboriginal team at Goulburn Valley Health and the Kaiela Institute. promote using ‘exercise as medicine.’
At the Department of Rural Health, the Aboriginal Health team The team also provided support to a range of other DRH programs. continued their education programs. Three Aboriginal and one Lectures were given to medical students, placements were organised Torres Strait Islander students completed the Specialist Certificate in Aboriginal organisations, support was given for the redevelopment in Empowering Health in Aboriginal Communities. Following the of the MD program and other educational programs (including CREST), first intensive face-to-face in early March, the course moved online and talks were given to Allied Health staff and students at Goulburn for the remainder of the year. These students each undertook a Valley Health. A highlight was the selection of local Yorta Yorta language project which empowered global voices about wellness, developed names for many of the rooms at the Department of Rural Health in cultural training for university students visiting remote Queensland, Shepparton. These have been finalised and door stickers designed with and planned for a possum skin cloak for the Oncology ward at artwork and will be installed on the relevant doors in early 2021. Goulburn Valley Health. Negotiating restrictions, these students The team also contribute beyond our department: Gwenda is persevered to complete their projects and studies. Chair of the Aboriginal Staff Alliance for the Australian Rural Health In addition, the Department of Rural Health supported eight Education Network and Gwenda and Leah are also members of a Aboriginal nursing students to study in Shepparton in partnership range of committees, including the National Rural Health Alliance, with ASHE. Education for these students also moved online and Peter McCallum Cancer Institute and other professional groups. many-faced restrictions of placements. One Aboriginal student Despite lockdown, staff changes and other unsettling impacts of completed her Master of Public Health through the University of COVID-19, this small team undertook a range of teaching, research, Melbourne and the team supported an Aboriginal medical student events and community projects. In December, we farewelled Tuguy in Shepparton. Finally, we organised cultural training to our non- Esgin, Amanda Firebrace and Alan Crouch, and we thank them all for Indigenous staff and students, face-to-face where possible (from their contributions to our local communities and the department. In the Robynne Nelson and Bonnie Chew), and through a new online same month, we welcomed Raylene Nixon to our team and look forward module developed by Robynne Nelson. to working with her in 2021 when we are hoping for a smoother year!
38 | DRH - Annual Report 2020 Trina Dalton-Oogjes Community / Language Group: Wathaurung Everyone’s Journey, 2018 RESEARCH AT THE DEPARTMENT OF RURAL HEALTH Other research has focused on rural health workforce issues. In 2020, the department supported the publication of significant work Our research is diverse as we work with local health in nursing and allied health retention based on interventions in partners to transform health care in our regions. rural health services in Victoria. These publications highlighted the Research projects at the Department of Rural Health (DRH) focus importance of workplace culture, a welcoming workplace and rural on local needs; for example, one project in Benalla is working to community, and attention to the needs of the individual (personally reduce hospital admissions that may be preventable by improving and professionally) in the retention of allied health professionals. The chronic disease management and service integration. Another Department of Rural Health has also undertaken smaller projects project in partnership with Gateway Health is being used to to assess career advancement for nurses at Goulburn Valley Health, inform an active living strategy in Wangaratta. Evaluation of a gaps in research training and investigating the potential to support service-learning program in a disadvantaged primary school led to rurally based mature-age students through health courses. Further, increased funding for the program. Research with Kyabram District DRH has contributed to broader research around rural health Health Service is improving access to the service for Aboriginal workforce in Victoria, the Northern Territory and across Australia people and other minority groups. These projects improve care through collaborations with other universities focusing on retention, locally by working with health services to achieve change. professional development and student needs.
In 2020, DRH staff published 60 peer reviewed research papers. Rural Chronic Illness In addition, staff were involved in a diverse range of research collaborations, supported seven PhD students and achieved The Rural Chronic Illness team undertook a range of projects to almost $800,000 in competitive research grants as well as support improvements in services for people with chronic and long- additional research funding in consultancy projects. The impact term illnesses. This included a range of projects on palliative care, of COVID-19 resulted in research staff working from home with population health needs, skin cancer, avoidable hospitalisations, limited opportunities for face-to-face data collection. While this healthy brain ageing, chronic obstructive pulmonary disease stalled some projects, it also provided opportunity for research into and mental health. Their work was recognised in prestigious COVID-19 issues in rural areas. international, peer-reviewed publications. In addition, Dr Disler was invited to present the ‘Inaugural Year of the Nurse and Midwife’ The Department of Rural Health has four key research areas, which address for the Thoracic Society of Australia and New Zealand and are each described below. In addition, researchers at the DRH also invited by the UK Cochrane Airways group to co-author two pursued research on COVID-19 related topics in 2020. Cochrane systematic reviews on telehealth and mHealth for chronic obstructive pulmonary disease—fantastic recognition! COVID-19 Research Given the rapid changes across the world due to COVID-19, DRH Culturally Inclusive Rural Health Care researchers embraced the opportunity to research the impact of Based on action research over four years in health services in the the pandemic for rural residents, rural health professionals and our Goulburn Valley, this stream of research produced a ‘framework for students. These projects focused on mental health and wellbeing, inclusion’ for rural mainstream health services, outlining a reflective health behaviours, the experience of health professionals, the approach for rural mainstream health services to reduce exclusive preparedness of employees, use of telehealth, attitudes and practices. The framework has an accompanying toolkit to provide behaviours of community members (in collaboration with a health services with resources, activities and further information national team) and the impact to rural student placements during to support its implementation. The framework has a strong focus the pandemic. For most of these studies, data has been collected on Aboriginal and Torres Strait Islander clients as well as new and analysed and publications are in progress. settler, non-English speaking, refugee, young people and LGBTIQA+ groups. As part of the framework’s development, a large report was provided to local services highlighting the experiences of Rural Health Workforce over 100 residents of Shepparton from diverse backgrounds when This area of research works to improve our education and training using local services. While these experiences were mostly positive, as well as focus on rural health workforce development. The improvements for communication were identified. In addition, department continues to evaluate all areas of our student training, several papers were published from this research around inclusion, including medical, nursing and allied health as well as specific racism and language which make clear the importance of positive cultural training, service learning, supervisor/teacher evaluations and interactions. the mental health of students. Using this evidence, we have improved teaching, clinical placements and rural experience for our students.
40 | DRH - Annual Report 2020 Rural Health Academic Network (RHAN) RURAL PHARMACY LIAISON OFFICER PROGRAM Despite working from a distance for many months, RHAN had a The Rural Pharmacy Liaison Officer (RPLO) program is a successful year in research capacity building in its five sites: Echuca, small project implemented in partnership with Monash Cobram, Wangaratta, Numurkah and Albury-Wodonga. Our new University. The program supports students studying RHAN Director, Associate Professor Jennifer Weller-Newton, has led pharmacy to undertake a rural placement as well as a strong focus on evidence-based practice, interprofessional practice and service enhancement. The RHAN team assisted health services provides information and networking opportunities for the in their sites to host clinical trials, improve evidence-based practice pharmacy workforce across rural Victoria. skills, support ethics committees and research strategy, undertake While student placements were not possible in 2020, a range research projects and support clinicians with research, evaluation of other activities were undertaken. Rural pharmacists were and further study. The team celebrated ‘research week’ in Wangaratta supported with current information about medication changes via with Matiu Bush speaking about ‘wicked problems and disruptive a regular newsletter. The program also promoted internships and innovation.’ The RHAN team are involved in many projects within professional development opportunities and advocated on behalf their services as well as multiple projects across the network. of rural pharmacists. In addition, pharmacy careers were promoted For a full List of DRH Publications 2020 See Appendix 3 to rural secondary students and student pharmacy clubs were supported with career advice.
Mr Kevin de Vries coordinated the program for the Department of Rural Health. Kevin resigned in 2020 after seven years of support to pharmacy students and advocacy of rural pharmacy. We wish him well and thank him for his support to rural pharmacists and hundreds of pharmacy students over his seven years who completed their rural placement with Kevin’s support.
60 peer $800,000 7 reports 13 conference reviewed in competitive for local presentations/ publications research service invited talks grants providers
DRH - Annual Report 2020 | 41 Rural Dental Program
2020 has been a challenging year for all – students, staff Respecting social distancing and lockdowns, students have still and patients alike. Melbourne Dental School (MDS) was had the opportunity to work together, including collaboration especially impacted from restrictions placed across the between dental and oral health therapy students. As they abided by guidelines to stay in the local area throughout their entire rotation, State on student placements and procedures. they have in fact obtained greater understanding and appreciation Clinics across Metropolitan Melbourne were often limited to for the local rural community. Demand for jobs in the local region Emergency procedures only with no student placements permitted. by the graduating class has maintained at high levels, with many Goulburn Valley Health (GVH), in partnership with the Department also desiring the country lifestyle especially given the COVID-19 of Rural Health and MDS, has continued to support the Rural impacts. Dental Program throughout 2020. This has enabled us to continue In a safe manner and following all protocols, we hope to continue providing critical treatments to patients, as well as continuing the bringing students and thereby future quality clinicians to the local training of next generations of healthcare providers. Goulburn Valley Region by supporting their education throughout The Rural Dental Program has continued to receive positive the coming year. feedback despite the challenges presented through the year. Thanks goes out to the Department of Rural Health, Goulburn Students were consistently given exposure to a variety of patients Valley Health, Rumbalara Aboriginal Cooperative, Cobram District and procedures, and also have learnt new skills to practice in a Health, Northeast Health Wangaratta, Echuca Regional Health, pandemic, including greater focus on minimal intervention and Melbourne Dental School, and the local private practitioners and preventative dentistry. Some were even able to observe treatment specialists who continue to make this program a successful and provided under general anaesthetic at GVH, where they received rewarding experience for all the students. one-on-one mentorship.
Students understand the critical nature of the pandemic and Dr Rose Macdonald appreciate the opportunity given to continue practicing in rural and Senior Dentist regional communities. They have demonstrated excellent infection control, use of personal protective equipment and closely followed all protocols. Any possible infections were swiftly tested on-site here at GVH and we successfully navigated through 2020 without incident.
42 | DRH - Annual Report 2020 Murray to the Mountains Hume Region Rural Generalist Intern Training Program
During 2020, the intern group was a fantastic group of individuals who took on the year and its unforeseen hurdles, including changing guidelines and regulations, with outstanding professionalism. The program continued to see ex-interns providing support and supervision to the current interns, imparting not only professional and clinical knowledge but also welcoming them to their local area. The feedback from supervisors and practice managers throughout the year has been exceptionally positive. Likewise, the feedback from interns about their experience, opportunities and support from the general practices, health services and the communities were extremely impressive.
The University of Melbourne, Rural Clinical School and the Goulburn Valley Regional Training Hub continued to support the Murray to the Mountains RGITP with Professor Julian Wright continuing to provide Director of Clinical Training (DCT) services and education program governance support. Professor Wright also helped with the assessment of interns and the education program. Professor Wright concluded his role as DCT with Murray to the The Murray to the Mountains (M2M) Hume Region Rural Mountains at the end of the 2020 intern year, and Dr Steven Bismire Generalist Intern Training Program had a very successful commenced in the role thereafter. year in 2020, with all interns adapting to the developing pandemic situation, and ensuring all requirements were Another change in workforce for the Murray to the Mountains RGITP met to complete their RG1 Intern year successfully. saw Mr Shane Boyer commence a new role as Statewide Co- ordinator for the Victorian Rural Generalist Program (VRGP), and Ms. The M2M program continued to place interns at Albury Wodonga Lisa Collins commenced as the Manager of M2M in September 2020. Health (at both campuses) and at Northeast Health Wangaratta for core rotations in emergency medicine, medicine and surgery. M2M The Murray to the Mountains Hume Region Rural Generalist Intern interns also continued to be placed at eight general practices in six Training Program navigated its way through the year by adjusting the small rural towns for the 20-week non-core rotations. These were learning environment to include online education sessions wherever located at: possible, and like many other organisations, conducted the graduation ceremony online also. A few adjustments to rosters were required • Benalla (2 interns) during lockdown periods, but the interns successfully adapted to the • Cobram (2 interns) changes, whilst still meeting their training requirements. • Kyabram (2 interns) M2M continues to work with the Rural Workforce Agency of Victoria • Mansfield (1 intern) (RWAV), Murray City Country Coast (MCCC) and the Victorian Department of Health (DH) and the Postgraduate Medical Council • Mount Beauty (1 intern) of Victoria to deliver rural generalist training and career pathways • Yarrawonga (5 interns) across the Hume region for Rural Generalist year 1 (RG1). From 2021 the Murray to the Mountains Hume Region Rural Generalist Whilst navigating their way through the year that 2020 was due to Intern Training Program looks forward to being encompassed into the pandemic situation, the M2M Hume Regional Rural Generalist the Victorian Rural Generalist Program (VRGP) as the RG1 year. Program interns continued to gain exposure to the wonderful The VRGP is going to provide dedicated multi-year pathways for Hume region and its offerings, and likewise the communities Rural Generalists year 2 (RG2) and beyond, with 8 practices already benefited from having young medical doctors working, living accredited by PMCV to provide RG2 community placements, and and training within the region also. This arrangement is designed Goulburn Valley Health coming on board as a new partner in 2021 to encourage young doctors to remain in the area for extended providing lateral entry opportunities for PGY2 doctors. periods of time, and at the end of 2020, 8 of the 15 M2M interns remained in the area to continue their training. Ms Lisa Collins Manager – Murray to Mountains (M2M) Rural Generalist Program
DRH - Annual Report 2020 | 43 Goulburn Valley Regional Training Hub
The Goulburn Valley Regional Training Hub (GVRTH) • Continue to build the Dr JuMP mentoring program to support was established in September 2017 and sits with the medical students, interns and junior doctors by linking them University of Melbourne Faculty of Medicine, Dentistry and to social and professional support and working with all health services in the region to improve access to teaching and learning Health Sciences; Department of Rural Health located in environments; Shepparton. • Identify medical students with an interest in practising rurally, The hub is part of a national program which includes 26 Regional provide support by offering one-on-one career guidance Training Hubs (RTH) Australia wide that were developed through sessions, and facilitate access networked rural training the Rural Health Multidisciplinary Training (RHMT) program. opportunities at an early stage in their careers;
In 2020 the Hub was affected by staff changes and COVID-19 related • Improve coordination of medical training to enable students and restrictions. With the challenging effects of COVID the hub was junior doctors intending to practise rurally to complete as much of forced to think of inventive, and digital learning ways to increase their medical training as possible within regional and rural areas; inclusion and supervisor training using online platforms. • Develop regional training capacity by identifying regional medical workforce needs and use this information to prioritise The Hub’s long-term aim is to improve regional training and career the hub’s activity; opportunities for junior doctors and provide support for students, interns and trainees in the region and improve recruitment and • Support current supervisors of clinical training, assisting health retention of medical workforce, and thereby improving access to services in obtaining accreditation for new training positions, regional health services for local communities. and supporting local medical practitioners to become clinical supervisors; The GVRTH’s hub objectives are to: • Strengthen existing, and develop new, connections with key • Work to increase the number of funded training positions in the stakeholders to improve the continuity of training for medical region, and strengthen existing, and develop new, connections students/trainees within their region. with key stakeholders to improve the continuity of training for medical students/trainees within the hub region;
L-R: Ms Alana Lee – GVRTH Engagement Officer,Ms Keryn Bolte – GVRTH Manager, Ms Louise Pearce – GVRTH Medical Education and Supervision Officer andMs Bianca Davies – GVRTH Program Administrator.
44 | DRH - Annual Report 2020 During 2020 the Hub partnered with the Southern Regional Training Hubs Alliance (SRTHA) and other medical and education training providers to collaboratively develop and deliver a regional mentoring program – Dr JuMP.
Dr JuMP is a coordinated medical mentoring program that is designed to build valuable mentoring relationships that supports all stages of training and professional development including, medical students, junior doctors, rural General Practitioners (GP) and GP proceduralists who live and work in rural communities.
The activities and services encompassed in this collaboration will help Dr JuMP provide career-focused support for health workforce trainees and professionals in rural and regional Victoria and improve efficiency and effectiveness of individual mentoring activities by creating a structure and platform for coordination and collaboration. Having these different mentoring activities coordinated in one place provides more continuity for mentoring relationships and help achieve the aims of retaining trainees in rural areas.
Collaboration between our health partners during 2020 saw an increase in the sharing of resources and knowledge which resulted in further promotion of education opportunities across the region, support for online activities, and enabled efficiencies to be capitalised on. The Goulburn Valley Regional Training Hub also participated in the development of a regionally focused speciality training website, due to be launched in 2021.
Ms Keryn Bolte Manager Goulburn Valley Regional Training Hub
DRH - Annual Report 2020 | 45 Centre for Excellence in Rural Sexual Health
The Centre for Excellence in Rural Sexual Health (CERSH) Despite the unsettling nature of 2020, CERSH continued to showed resilience and perseverance in 2020, overcoming showcase its commitment and support to health practitioners the many obstacles and challenges that came with a global through their RACGP and ACCRM accredited online learning modules. The modules transferred to a new and more accessible pandemic. Having to adapt to the ‘new-norm’ of virtual platform which after several external evaluations was noted as delivery, the team thrived in adapting to online delivery more favourable. The STI treatment and management module and models for network meetings and student learning and Epidemiology presentation were updated and are prepared for had widely successful outcomes in doing so. re-upload in early 2021. Health practitioners also benefited from the CERSH online resource hub that continued to be a valuable A key highlight for CERSH in 2020 was the on-going successful platform for tools and materials to support clinicians who work in delivery of the sexual health network meetings. Due to COVID-19 unintended pregnancy and abortion. CERSH had to manage the meetings move to online which facilitated a new and expansive connection across the country. Following on from the work in 2020, CERSH will continue to The first meeting in June focused on sexual health in the time consult and collaborate with service providers and organisations of COVID-19 and the second in November, on sexual health to ensure a needs-based approach to the training offerings and promotion and practice beyond borders. Over the two meetings, resources created. The team will remain focused on enabling and 150 participants were in attendance and each watched high-quality encouraging the rural workforce to increase capacity and skill presentations from expert speakers. Rural workers were able to development in sexual and reproductive health. connect and share their experiences about working in sexual health and were also given access to an impressive set of resource links. The unexpected events of 2020 proved that through dedication and determination, CERSH was able to continue to reach goals and In addition to the network meetings, CERSH also led two highly innovate in the education of rural sexual health. successful sexual health promotional campaigns. Colourful and impactful social media content from the ‘STI Testing Week’ and Professor Jane Tomnay ‘Be Proud of Your Choices’ campaigns reached over 700,000 young people, delivering positive messaging about contraception and Director of the Centre for Excellence in Rural Sexual Health (CERSH) sexual health care needs. CERSH also engaged the School Nursing Program to deliver ‘Be Proud of Your Choices campaign packs’ to Secondary School Nurses. These resourceful packs included A3 printed posters and condom and lube bundles and were also available for other rural workers, free of charge.
46 | DRH - Annual Report 2020 Key Achievements in 2020
Reached over Reached over 12 Free Online 500,000 young people 200,000 young Modules updated with STI Testing people with the Be and moved to new Week Campaign Proud of Your platform Choices Campaign
Ran Sexual Health Co-ordinated the Reached 360 MD3 Network meetings ‘Sustainability of the students with UoM virtually provision of abortion STI online learning and contraception in the public healthcare system in Victoria throughout COVID-19 pandemic’ - Working Party
DRH - Annual Report 2020 | 47 Appendix 1 - 2020 Department of Rural Health Timeline Summary of Activity
January – Dr Jennifer Critchley plaque unveiling January – Students arrive on campus Dr Jennifer Critchley passed away in 2018 but her legacy with the The Rural Clinical School was a hive of activity with the arrival of the University of Melbourne, Department of Rural Health lives on. In 2020 students. January a plaque unveiling was held in memory of Dr Critchley.
February – Rural Clinical School ‘Feels Like Home’ event! March – Specialist Certificate in Empowering Aboriginal Health Shepparton students got to know what Shepparton has to offer and had commences fun on the way. The 2nd cohort of Specialist Certificate in Empowering Health in Aboriginal communities commenced.
March – COVID-19 lockdown May – National Reconciliation Week Staff commence working at home due to COVID-19 Mr Shane Charles presents at the National Reconciliation Week
48 | DRH - Annual Report 2020 June – First Public Lecture Series Webinar June – Solar panels installed at the Shepparton Campus Professor Shitij Kapur, Dean of the Faculty of Faculty of Medicine, Dentistry and Health Sciences at the University of Melbourne is the keynote speaker for the first public webinar ‘Rural COVID-19 in Australia – What have we learnt about the virus and ourselves?’
July – Mr Dan Tehan visits the Department of Rural Health October – Rural Clinical School Graduation Celebration Federal Minister Mr Dan Tehan MP visits the Department of Rural Health Due to COVID-19 lockdown the Rural Clinical School Graduation was to meet with the leadership team and view the plans for the new performed via zoom. extension.
November – Staff Connect Day Department staff gathered to reflect on the achievements on 2020 and plan for a successful 2021.
August – Andy Kindred Remembrance Event The Department of Rural Health holds a remembrance event for much loved and missed student Andy Kindred who sadly passed away in 2019
DRH - Annual Report 2020 | 49 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 Gynaecology Wangaratta A/Prof Ravi Bhat Associate Professor - Psychiatry Shepparton Dr Steve Bismire Deputy Director of Medical Student Education Wangaratta Ms Keryn Bolte Lecturer in Rural Workforce Development Wangaratta Manager Going Rural Health & Goulburn Valley Regional Training Hub Prof Lisa Bourke Director - University Department of Rural Health Program Shepparton Dr Siobhan Bourke Senior Lecturer - Sexual Health Education Melbourne Ms Kylie Browne Associate Lecturer - Rural Placement Education Wangaratta Dr Robert Campbell Senior Lecturer - General Practice Ballarat Miss Rebecca Caygill Research Assistant - Rural Medical Education Shepparton Ms Susan Chalker Lecturer - Nursing Shepparton Mr David Chew Deputy Director of Medical Student Education Shepparton Dr Catherine Cosgrave Research Fellow - Nursing and Allied Health Shepparton Dr Penelope Cotton Deputy Director of Medical Student Education Ballarat Dr Heather Crook Senior Lecturer - Emergency Medicine Ballarat Dr Alan Crouch Senior Research Fellow Ballarat Dr Jaycen Cruickshank Senior Lecturer - Emergency Medicine Ballarat Dr David Dalton Senior Lecturer – Surgery Shepparton Dr Katherine Davey Senior Lecturer - General Practice Wangaratta Mr Kevin de Vries Academic Educator/Mentor - Pharmacy Bendigo Dr. Johann De Witt Oosthuizen Senior Lecturer Emergency Medicine Wangaratta Dr Rebecca Disler Research Fellow - Rural Chronic Ill Health Shepparton Mr Mitchell Dunn Associate Lecturer - Rural Placement Coordinator Shepparton Dr Tuguy Esgin Lecturer – Culture and Rural Health Shepparton Mrs Kaye Ervin Lecturer - Research Coordinator Rural Health Academic Network Shepparton A/Prof Leslie Fisher Deputy Director of Medical Student Education Bendigo Mr Stephen Franzi Senior Lecturer – Surgery Wangaratta Ms Gwenda Freeman Associate Lecturer - Aboriginal Health Education Shepparton Ms Sue Garner Simulation and Clinical Skills Lecturer Coordinator Ballarat Dr Danny Garrick Senior Lecturer Paediatrics Shepparton Dr Kristen Glenister Senior Research Fellow - Rural Chronic Ill Health Wangaratta Dr Mark Guirguis Senior Lecturer - Otorhinolaryngology Ballarat Dr Suzanne Harrison Senior Lecturer - Extended Rural Cohort (ERC) Hub Educator Echuca Dr Andrew Haughton Senior Lecturer - Simulation Education Wangaratta A/Prof James Hurley Associate Professor - Medicine Ballarat Dr Tunde Ibrahim Senior Lecturer - Medicine Shepparton Dr Mahesh Iddawela Senior Lecturer - Oncology Shepparton Mr Jayasinghe Jayasinghe Senior Lecturer - Medicine Ballarat Dr Judith Krones Senior Lecturer - Obstetrics and Gynaecology Wangaratta
50 | DRH - Annual Report 2020 Name Title Location Mr Robert Krones Senior Lecturer - Medicine Wangaratta Dr Raju Lakshmana Senior Lecturer - Mental Health Shepparton A/Prof Helen Malcolm Deputy Director of Medical Student Education Shepparton Associate Professor - Rural General Practice Ms Nicole McGill RHAN Coordinator Echuca Dr David McKenna Senior Lecturer - Medicine Ballarat Dr Clare-Anne McKeon MD1 Coordinator Shepparton Prof Richard McLean Professorial Fellow - Rural Health Wangaratta Dr Olivia Mitchell Research Fellow - Culture and Rural Health Shepparton Dr Zubaidah Mohamed Shaburdin Research Assistant – Inclusive Rural Health Care Shepparton Dr Anna Moran Tutor/Lecturer Research Coordinator – Rural Health Academic Network Albury Ms Raylene Nixon Lecturer in Aboriginal Health Shepparton Dr Fiona Noble Senior Lecturer - Paediatrics Ballarat Ms Rebecca-Kate Oates Associate Lecturer in Rural Health Community Placements Wangaratta Dr Alfredo Obieta Senior Lecturer - Geriatrics Ballarat Ms Cathy O’Brien Associate Lecturer in Rural Placement Education Shepparton Dr Rowan O’Hagan RHAN Coordinator Wangaratta Dr Tegan Podubinski Research Fellow – Rural Mental Health Wangaratta Dr David Prentice Senior Lecturer - Neurology Shepparton Dr Claire Quilliam Research Assistant Shepparton Dr Shabna Rajapaksa Deputy Director of Medical Student Education Ballarat Ms Carol Reid Tutor/Lecturer Research Coordinator – Rural Health Academic Network Numurkah Mr Senthil Rengasamy Senior Lecturer – Surgery Shepparton Dr Peter Shea Senior Lecturer Anaesthetics Ballarat Dr Rosemarie Shea Senior Lecturer - Geriatrics Ballarat Mr Kontoku Shimokawa Lecturer – Surgery Ballarat Dr Penelope Smith Senior Lecturer - Rehabilitation Wangaratta Dr Margareet Stegeman Senior Lecturer - Obstetrics and Gynaecology Extended Shepparton Rural Cohort (ERC) Hub Educator Mr Bruce Stewart Senior Lecturer – Surgery Ballarat Ms Charmaine Swanson Associate Lecturer in Rural Placement Education Ballarat Dr Lynette Thevathasan Senior Lecturer - General Practice Ballarat Dr Peter Thomas Senior Lecturer – Surgery Wangaratta Ms Tricia Thorpe Associate Lecturer in Rural Placement Education Ballarat A/Prof Jane Tomnay Director - Centre for Excellence in Rural Sexual Health Shepparton Dr Jarvier Torres Corredor Lecturer – Medicine Shepparton Dr Kylie Waller Senior Lecturer Obstetrics and Gynaecology Wangaratta A/Prof Jennifer Weller-Newton Director, Rural Health Academic Network Shepparton Dr Ian Wilson Senior Lecturer - Emergency Medicine Wangaratta Prof Julian Wright Head - Department of Rural Health and Director of Medical Student Education Shepparton A/Prof Mark Yates Coordinator of Ballarat Joint Clinical Teaching Ballarat
DRH - Annual Report 2020 | 51 PROFESSIONAL STAFF Name Title Location Mr Tim Adam Health and Wellbeing Practitioner Ballarat & Bendigo Ms Bree Attwood CERSH Manager Wangaratta Mr Murray Bardwell Education Coordinator Ballarat Ms Tracie Bartlett Student and Programs Coordinator Shepparton Rural Clinical School Mr Clint Bathman Operations Officer Shepparton Ms Sarah Brackenridge Student and Programs Officer, Rural Clinical School Ballarat Ms Helen Burgess Clinical Education Educator Shepparton Ms Elly Burley Facilities and Services Coordinator Shepparton Ms Emma Burr Nyberg Facilities and Services Officer Shepparton Ms Louise Bush Student and Programs Coordinator (Student Life) Shepparton Rural Clinical School Ms Bianca Davies Program Administrator, Goulburn Valley Regional Training Hub Shepparton Ms Amanda Di Bella Student and Programs Officer, Rural Clinical School Shepparton Ms Shioban Downing MD1 Project Manager Shepparton Ms Dianne Doyle Events Coordinator Shepparton Ms Jane Doyle Education Support Coordinator Shepparton Mr Kirk Edgar Campus Life and Facilities Manager Shepparton Ms Karyn Ferguson Aboriginal Partnerships and Community Engagement Officer Shepparton Mrs Linda Foottit Executive Assistant Shepparton Ms Sally Gill Project Coordinator Shepparton Mr Darren Grossmann Project Manager, Doctor of Medicine (Rural Stream) Shepparton Ms Nina Hakamies Sexual Health and Wellbeing Project Officer Bendigo Ms Mary Heke-Davis Clinical Education Facilitator Shepparton Mr Ash Howden Operations Officer Dookie Ms Cathy Jarred Student Placement Administrator, Going Rural Heath Wangaratta Ms Kate Kent Rural Clinical School Manager Shepparton Ms Johanna Kyriakou Promotions Coordinator, UDRH Shepparton Ms Linda Ladd People and Culture Business Partner Shepparton Ms Leah Lindrea-Morrison Aboriginal Partnerships and Community Engagement Officer Shepparton Ms Alana Lee Engagement Officer, Goulburn Valley Regional Training Hub Shepparton Ms Natasha Lee Administrative Assistant, Rural Clinical School Ballarat Ms Kathy Lynch Project Officer, UDRH Ballarat Ms Andreia Marques Department Manager Shepparton Ms Angela McLeod Department Manager Shepparton Mr Scott Middleton Field Services Senior Consultant – Life Sciences Shepparton Ms Natel Neilly Clinical Education Facilitator Ms Louise Pearce Medical Education and Supervision Officer, Wangaratta Goulburn Valley Regional Training Hub Ms Lisa Power Health and Wellbeing Practitioner Shepparton & Wangaratta Ms Natalie Reid Clinical Skills Laboratory Educator Shepparton Ms Suzanne Rutherford Partnerships and Promotions Coordinator, UDRH Shepparton Ms Claire Salter Parry Community Placement Coordinator Shepparton Ms Fiona Sawyer Student and Programs Officer, Rural Clinical School Wangaratta Mr Alistair Scott Facilities and Services Officer Ballarat Mr Ankush Sharma Management Accountant Shepparton Ms Kim Shirley Student and Program Administrator Wangaratta Rural Clinical School
52 | DRH - Annual Report 2020 Name Title Location Dr Hannah Sloan Health and Wellbeing Practitioner Ballarat & Bendigo Ms Kim Stephens Program Officer, Goulburn Valley Regional Training Hub Shepparton Ms Kylie Stephens Senior Health Promotion Manager Wangaratta Ms Shanara Stewart UDRH Administrator Shepparton Ms Anne Thewlis Clinical Skills Laboratory Manager Shepparton Mr Vu Trinh Facilities and Services Officer Wangaratta Ms Nyssa Watson Sexual Health and Wellbeing Project Officer Bendigo Ms Mimi Zilliacus Manager, Goulburn Valley Regional Training Hub Shepparton
HONORARY STAFF Name Title Prof Peter Disler Professorial Fellow Prof Kuruthukulangara Jacob Professorial Fellow Prof David Simmons Professorial Fellow A/Prof Andrew Crowden Principal Fellow A/Prof James Hurley Principal Fellow Dr Graeme Jones Principal Fellow A/Prof Francis Miller Principal Fellow A/Prof Julie Pallant Principal Fellow A/Prof David Pierce Principal Fellow Mr Muhammad Abdullah Senior Fellow Dr Adebayo Adeyemi Senior Fellow Dr Ian Alexander Senior Fellow Dr Arunasalan Ambikapathy Senior Fellow Dr John Azzopardi Senior Fellow Dr Arnold Beeton Senior Fellow Dr Jack Best Senior Fellow Dr Don Bradley Senior Fellow Dr Adrian Buncle Senior Fellow Dr Robert Campbell Senior Fellow Dr Roger Coates Senior Fellow Dr Maddalena Cross Senior Fellow Dr Ruth Drohan Senior Fellow Dr Peter Eastaugh Senior Fellow Dr John Edington Senior Fellow Dr Shiromali Ekanayake Senior Fellow Mr Michael Falkenberg Senior Fellow Mr John Fisher Senior Fellow Dr Stephen Flew Senior Fellow Dr Jane Gall Senior Fellow Dr John Gough Senior Fellow Dr Helen Haines Senior Fellow Dr Abu Haque Senior Fellow Dr Gregory Harris Senior Fellow Dr Khalid Hassan Senior Fellow
DRH - Annual Report 2020 | 53 Name Title Dr Rafiqul Islam Senior Fellow Dr Dugal James Senior Fellow Dr Mira Kapur Senior Fellow Dr Elizabeth Kennedy Senior Fellow Dr Raju Lakshmana Senior Fellow Dr Michael Love Senior Fellow Dr Tracey Merriman Senior Fellow Dr Graham Miller Senior Fellow Dr Nihal Nanayakkara Senior Fellow Mr Matthew Oliver Senior Fellow Dr Kathryn Over Senior Fellow Dr Scott Pearce Senior Fellow Dr Vivek Phutane Senior Fellow Dr Ursula Read Senior Fellow Dr Rifat Rifat Senior Fellow Dr Ursula Russell Senior Fellow Dr Margaretha Sanders Senior Fellow Dr Rosemarie Shea Senior Fellow Dr Robert Sheen Senior Fellow Dr Satpal Singh Senior Fellow Dr Jacqueline Smith Senior Fellow Dr Tejraj Tawde Senior Fellow Dr Alan Taylor Senior Fellow Dr David Tickell Senior Fellow Dr Hugh Turner Senior Fellow Dr Rupesh Vittalraj Senior Fellow Dr Peter Wearne Senior Fellow Dr Max Wellstead Senior Fellow Dr Andrew Wettenhall Senior Fellow Dr Elizabeth Williams Senior Fellow Dr James Wong Senior Fellow Dr Derek Wooff Senior Fellow Dr Adam Zagorski Senior Fellow Mr Timothy Adam Fellow Dr Hamid Ahmadi Fellow Mr Barry Alexander Fellow Dr Ghassan Alhami Fellow Dr David Ball Fellow Dr Nancy Bikhu Fellow Dr Charlotte Brewer Fellow Dr Gerard Brownstein Fellow Dr Matt Byrne Fellow Dr Adele Callaghan Fellow Dr Gidhad Chabbou Fellow Dr Ramesh Chandra Fellow Dr Lean Peng Cheah Fellow
54 | DRH - Annual Report 2020 Name Title Dr Yue Chen Fellow Dr Wil Chong Fellow Dr Chik Chua Fellow Mr Adam Cichowitz Fellow Ms Sandra Coutts Fellow Ms Tui Crumpen Fellow Ms Christine Cunningham Fellow Dr Amol Daware Fellow Ms Julie Day Fellow Dr Richard De Crespigny Fellow Dr Ioana Dumitrescu Fellow Dr Siddhartha Dutta Fellow Dr John Dyson Fellow Dr John Elcock Fellow Dr Jenny Ellix Fellow Dr s.Ajit Emmanuel Fellow Dr Peter Farrell Fellow Dr Gavin Frawley Fellow Ms Brenda Freeman Fellow Dr Elizabeth Garoni Fellow Dr Sonia Ghai Fellow Dr John Guymer Fellow Dr John Hall Fellow Dr Sarah Hancock Fellow Dr Gregory Hay Fellow Dr Fady Henry Fellow Dr Brian Hollins Fellow Dr Stephen Hook Fellow Dr Alana Hulme Fellow Dr Olga Ilic Fellow Dr Jude James Fellow Dr Anandaram Jothibabu Fellow Dr Michael Kamenjarin Fellow Dr Paul Kelly Fellow Dr Samuel Kennedy Fellow Ms Gloria Kilmartin Fellow Mr John Kilmartin Fellow Dr Andrew Kingston Fellow Dr John Lambert Fellow Dr Dominic Last Fellow Dr Mary Lou Loughnan Fellow Mr Andrew Lowe Fellow Dr John Mackellar Fellow Dr Vinit Mathur Fellow Ms Teresa McMahon Fellow Dr Anna Moran Fellow
DRH - Annual Report 2020 | 55 Name Title Dr Peter Mortensen Fellow Dr Peter Nesbitt Fellow Ms Raelene Nixon Fellow Dr Gary O’Brien Fellow Prof Edward Ogden Fellow Dr Rowan O'Hagan Fellow Dr Chee Pang Fellow Dr Lisa Panozzo Fellow Dr Elena Pascoe Fellow Dr Bala Pillai Fellow Ms Merrin Prictor Fellow Dr Jeffrey Robinson Fellow Dr Marian Robinson Fellow Dr David Rogers Fellow Dr James Ross Fellow Dr Digant Roy Fellow Dr Glen Russell Fellow Dr Arvind Sahu Fellow Dr Kathryn Schultz Fellow Dr Thomas Schulz Fellow Dr Timothy Shakespeare Fellow Dr Muhammad Sheikh Fellow Dr Robert Shepherd Fellow Dr Simon Sneyd Fellow Ms Kim Stevens Fellow Dr Terrence Stubberfield Fellow Dr Anthony Sutherland Fellow Dr Mozna Tahhan Fellow Dr Rajul Tandon Fellow Dr James Teh Fellow Dr Alex Traill Fellow Dr William Twycross Fellow Dr Pauline Tyndall Fellow Dr Amber Van Dreven Fellow Dr Catherine Waite Fellow Dr Jennifer Walker Fellow Dr Suzanne Wallis Fellow Dr Luke Wilson Fellow Dr Sue Wilson Fellow Dr Matthew Wong Fellow
56 | DRH - Annual Report 2020 Name Title A/Prof Lesley Bolitho Clinical (Associate Professor) A/Prof Leslie Fisher Clinical (Associate Professor) Dr Tunde Ibrahim Clinical (Associate Professor) A/Prof Philip Raesbeck Clinical (Associate Professor) Dr Bronwyn Burt Clinical (Senior Fellow) Dr Timothy Chimunda Clinical (Senior Fellow) Dr Alby Elias Clinical (Senior Fellow) Dr Ahmedullah Khan Clinical (Senior Fellow) Dr Cameron Knott Clinical (Senior Fellow) Dr Catherine Lees Clinical (Senior Fellow) Dr Salvatore Rambaldo Clinical (Senior Fellow) Dr Ram Singh Clinical (Senior Fellow) Dr Sivakumar Subramaniam Clinical (Senior Fellow) Dr Joseph Tam Clinical (Senior Fellow) Dr Hubert Van Doorn Clinical (Senior Fellow) Dr Margaret Gould Clinical (Fellow) Dr James Hillis Clinical (Fellow) Dr Mariusz Kulik Clinical (Fellow) Dr Manisha Mishra Clinical (Fellow) Dr Stephanie Tabner Clinical (Fellow) Dr Saif Aswad Clinical (Lecturer) Dr Myron Klevansky Clinical (Lecturer) Dr Lit Hiang Lee Clinical (Lecturer) Mr Gaurang Shah Clinical (Lecturer) Dr Liam Tjia Clinical (Lecturer) Dr Anju Tyagi Clinical (Lecturer) Ms Sarah White Clinical (Lecturer) Dr Alasdair Thomas Clinical (Tutor)
DRH - Annual Report 2020 | 57 Appendix 3 - DRH Publications 2020
DRH PUBLICATIONS & REPORTS 2020
WORKFORCE – PUBLICATIONS Forman, D., Dunston, R., Mining, S., Fyfe, S., Bolte, K., Jones, M., Yassin, T., & Turvill, A. GLOBAL APPROACHES TO INTERPROFESSIONAL EDUCATION (2020) In Routledge International Handbook of Nurse Education (1st ed.) Editors: Dyson, S., McAllister, M. 243-257. ROUTLEDGE. https://doi.org/10.4324/9781351121675
Bourke, L., Dunbar, T., & Murakami-Gold, L. (2020). Discourses within the roles of Remote Area Nurses in Northern Territory (Australia) government-run health clinics. HEALTH & SOCIAL CARE IN THE COMMUNITY, 8 pages. doi:10.1111/hsc.13195
Bradley, D., Bourke, L., & Cosgrave, C. (2020). Experiences of Nursing and Allied Health Students Undertaking a Rural Placement – Barriers and Enablers to Satisfaction and Wellbeing. The Australian & International Journal of Rural Education, 30(1), 51-63.
Cosgrave, C. (2020). Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Services. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 17(16), 27 pages. doi:10.3390/ ijerph17165815
Cosgrave, C. (2020). The Whole-of-Person Retention Improvement Framework: A Guide for Addressing Health Workforce Challenges in the Rural Context. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 17(8), 14 pages. doi:10.3390/ijerph17082698
Malatzky, C., Cosgrave, C., & Gillespie, J. (2020). The utility of conceptualisations of place and belonging in workforce retention: A proposal for future rural health research. HEALTH & PLACE, 62, 6 pages. doi:10.1016/j. healthplace.2019.102279
Malatzky, C., Gillespie, J., Couch, D. L., & Cosgrave, C. (2020). Why place matters: a rurally-orientated analysis of COVID-19’s differential impacts. SOCIAL SCIENCES & HUMANITIES OPEN, 100063. https://doi.org/10.1016/j. ssaho.2020.100063
Farquhar, E., Moran, A., & Schmidt, D. (2020). Mechanisms to achieve a successful rural physiotherapy public- private partnership: a qualitative study. RURAL AND REMOTE HEALTH, 20(3), 9 pages. doi:10.22605/RRH5668
Moran, A., Nancarrow, S., Cosgrave, C., Griffith, A., & Memery, R. (2020). What works, why and how? A scoping review and logic model of rural clinical placements for allied health students. BMC HEALTH SERVICES RESEARCH, 20(1), 18 pages. doi:10.1186/s12913-020-05669-6
Quilliam, C., & Bourke, L. (2020). Rural Victorian service provider responses to the National Disability Insurance Scheme. AUSTRALIAN JOURNAL OF SOCIAL ISSUES, 55(4), 439-455. doi:10.1002/ajs4.107
Salter, C., Oates, R. K., Swanson, C., & Bourke, L. (2020). Working remotely: Innovative allied health placements in response to COVID-19. INTERNATIONAL JOURNAL OF WORK-INTEGRATED LEARNING, 21(5), 587-600.
Thistlethwaite, J., Locke, R., Buckley, S., Chandratilake, M., Jensen, G., van Schalkwyk, S., & Weller-Newton, J. (2020). Global perspectives on Covid-19 from the editorial board. CLINICAL TEACHER, 17(3), 234-237. doi:10.1111/tct.13167
Weller-Newton, J. M., & Kent, F. (2020). Community health placements for junior medical and nursing students for interprofessional learning. JOURNAL OF INTERPROFESSIONAL CARE, 4 pages. doi:10.1080/13561820.2020.1760803
58 | DRH - Annual Report 2020 Weller-Newton, J. M., & McCormack, B. (2020). From Nightingale to now: time to rethink clinical education in nursing. CLINICAL TEACHER, 17(5), 461-463. doi:10.1111/tct.13252
Weller-Newton, J. M., Phillips, C., Roche, M. A., McGillion, A., Mapes, J., Dufty, T., . . . Haines, S. (2020). Datasets to support workforce planning in nursing: A scoping review. COLLEGIAN. doi:10.1016/j.colegn.2020.09.001
O'Toole RF, Wright J. Growing the pool of rural general practitioners. (2020) RURAL AND REMOTE HEALTH, 20: 5769. https://doi.org/10.22605/RRH5769
WORKFORCE - REPORTS Ervin, K., Weller-Newton, J. and Phillips, J. (2020). Clinicians’ experience of telehealth at NCN Health. Final report. (Unpublished). The University of Melbourne.
Ervin, K. & Reid, C. (2020). NCN staff knowledge, attitudes and awareness of trauma informed care: Final report. (Unpublished) University of Melbourne, Rural Health Academic Network/NCN Health.
McGill, N., Weller-Newton, J., Lees, C. (2020) Preparedness for COVID-19: Perceptions of employees in a regional healthcare service. Executive Summary. (unpublished) Echuca: Department of Rural Health, The University of Melbourne.
McGill, N., Weller-Newton, J., Glanville, N., Church, C. (2020) Intake Project - Investigating an evidence-based, community-focused intake model for the newly amalgamated NCN Health. Executive Report. 2020. Shepparton: Department of Rural Health, The University of Melbourne.
Salter, C., & Quilliam, C. (2020). Impacts of a rural primary school embedded speech pathology program: Interim report: University Department of Rural Health, University of Melbourne. (unpublished)
CULTURALLY INCLUSIVE RURAL HEALTH CARE - PUBLICATIONS Malatzky, C., Bourke, L., & Farmer, J. (2020). 'I think we're getting a bit clinical here': A qualitative study of professionals' experiences of providing mental healthcare to young people within an Australian rural service. HEALTH & SOCIAL CARE IN THE COMMUNITY, 10 pages. doi:10.1111/hsc.13152
Crouch, A., Chew, B., & Freeman, G. (2020). Practitioner perceptions of the health of Australian First Nations' Peoples: Preliminary findings. AUSTRALIAN JOURNAL OF RURAL HEALTH, 28(4), 351-359. doi:10.1111/ajr.12645
Macniven, R., & Esgin, T. (2020). Exercise motivators, barriers, habits and environment at an Indigenous community facility. MANAGING SPORT AND LEISURE, 12 pages. doi:10.1080/23750472.2020.1810108
Malatzky, C., Shaburdin, Z. M., & Bourke, L. (2020). Exploring the role-based challenges of providing culturally inclusive health care for maternal and child health nurses: Qualitative findings. NURSING OPEN, 7(3), 822-831. doi:10.1002/nop2.457
Shaburdin, Z. M., Bourke, L., Mitchell, O., & Newman, T. (2020). 'It's a cultural thing': excuses used by health service providers on providing inclusive care. HEALTH SOCIOLOGY REVIEW, 15 pages. doi:10.1080/14461242.2020.1846581
CULTURALLY INCLUSIVE RURAL HEALTH CARE - REPORTS Mohamed Shaburdin, Z., Anam, M., Mitchell, O., & Bourke, L. (2020). Interaction Matters! The Experiences of Diverse Residents of Shepparton using Health Services: Interaction Matters! The Experiences of Diverse Residents of Shepparton using Health Services. Shepparton: Department of Rural Health, The University of Melbourne.
DRH - Annual Report 2020 | 59 RURAL CHRONIC ILL-HEALTH - PUBLICATIONS Alston, L., Bourke, L., Nichols, M., & Allender, S. (2020). Responsibility for evidence-based policy in cardiovascular disease in rural communities: implications for persistent rural health inequalities. AUSTRALIAN HEALTH REVIEW, 44(4), 527-534. doi:10.1071/AH19189
Disler, R. T., Spiliopoulos, N., Inglis, S. C., Currow, D. C., & Davidson, P. M. (2020). Cognitive screening in chronic obstructive pulmonary disease: patient's perspectives. DISABILITY AND REHABILITATION, 42(9), 1233-1239. doi:10.1 080/09638288.2018.1519046
Disler, R., Glenister, K., & Wright, J. (2020). Rural chronic disease research patterns in the United Kingdom, United States, Canada, Australia and New Zealand: a systematic integrative review. BMC PUBLIC HEALTH, 20(1), 7 pages. doi:10.1186/s12889-020-08912-1
George, M., Hernandez, C., Smith, S., Narsavage, G., Kapella, M. C., Carno, M., Disler,R., . . . Yorke, J. (2020). Nursing Research Priorities in Critical Care, Pulmonary, and Sleep: International Delphi Survey of Nurses, Patients, and Caregivers An Official American Thoracic Society Workshop Report. ANNALS OF THE AMERICAN THORACIC SOCIETY, 17(1), 1-10. doi:10.1513/AnnalsATS.201909-705ST
Smith, L., Disler, R., & Watson, K. (2020). Physical activity and dietary habits of first year nursing students: An Australian dual-method study. COLLEGIAN, 27(5), 535-541. doi:10.1016/j.colegn.2020.05.002
Ervin, K. E., Tse, K. C., Reid, C., & Smith, E. (2020). Exploring barriers to and enablers of antimicrobial stewardship in rural health services. INFECTION, DISEASE & HEALTH. doi:10.1016/j.idh.2020.08.003
Peck,B., Terry,D., Ervin,K. (2020). A Narrative Synthesis of Childhood Injury Prevention Programs for Pre-school Children. UNIVERSAL JOURNAL OF PUBLIC HEALTH, 8(6), 193 - 197. DOI: 10.13189/ujph.2020.080602.
Glenister, K. M., Guymer, J., Bourke, L., & Simmons, D. (2020). Characteristics of patients who access zero, one or multiple General Practices and reasons for their choices: a study in regional Australia.PREPRINT available at Research Square. doi:10.21203/rs.3.rs-38624/v3
Glenister, K., Archbold, T., Kidd, D., Wilson, S., & Disler, R. (2020). Health professional and patient perspectives of factors associated with potentially avoidable hospitalisations in a rural Australian setting: a qualitative study. PREPRINT (Version 1) available at Research Square. doi:10.21203/rs.3.rs-54114/v1
Glenister, K., Kemp, W., Tomic, D., Simmons, D., & Roberts, S. (2020). Prevalence of Hepatitis C and treatment uptake in regional Victoria. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 44(6), 514-516. doi:10.1111/1753-6405.13040
Malatzky C. & Glenister K. Racism in a place of healthcare: The qualitative case of a rural Australian hospital. JOURNAL OF COMMUNITY MEDICINE & HEALTH EDUCATION, 10(3), (2020).
Simmons, D., Glenister, K., Magliano, D. J., & Bourke, L. (2020). Changes in prevalence of diabetes over 15 years in a rural Australian population: The Crossroads Studies. DIABETES RES CLIN PRACT, 170, 108492. doi:10.1016/j. diabres.2020.108492
Moran, A., Chapman, G., Picard, R., Chapman, J., Squire, S., Threlkeld, G., & Blackberry, I. (2020). Consumer experiences of Chronic Obstructive Pulmonary Disease in regional Australia: A mixed methods study and logic model to identify consumer-experience mechanisms to avoid hospital and enhance outcomes. PATIENT EXPERIENCE JOURNAL, 7(3), 98 - 108. doi: 10.35680/2372-0247.1421
Kelly, L. M., & Reid, C. (2020). Baselines and monitoring: More than a means to measure the end. EVALUATION JOURNAL OF AUSTRALASIA. https://doi.org/10.1177/1035719X20977522
60 | DRH - Annual Report 2020 Zhai, J., Weller-Newton, J. M., Shimoinaba, K., Chen, H., & Copnell, B. (2020). Emerging From the "Ku:" Fluctuating in Adjusting with Breast Cancer-A Post-Traumatic Growth Theory Situated Within Chinese Culture. QUALITATIVE HEALTH RESEARCH, 30(11), 1674-1683. doi:10.1177/1049732320930195
RURAL CHRONIC ILL-HEALTH - REPORTS Glenister, K., & Archbold, T. (2020). Potentially avoidable hospitalisations. Benalla and Wangaratta. (Unpublished Wangaratta: Northeast Health Wangaratta.
CLINICAL/OTHER - PUBLICATIONS Campbell BCV, Mitchell PJ, Churilov L, Bolitho, LE et al. Effect of Intravenous Tenecteplase Dose on Cerebral Reperfusion Before Thrombectomy in Patients With Large Vessel Occlusion Ischemic Stroke: The EXTEND-IA TNK Part 2 Randomized Clinical Trial. JAMA. 2020;323(13):1257–1265. doi:10.1001/jama.2020.1511
Allen, T., Crouch, A., & Topp, S. M. (2020). Community participation and empowerment approaches to Aedes mosquito management in high-income countries: a scoping review. Health Promot Int. doi:10.1093/heapro/ daaa049
Hurley J. C. (2020). Oral Vancomycin Prophylaxis for Clostridioides difficile infection; cause or effect? CLINICAL INFECTIOUS DISEASES : an official publication of the Infectious Diseases Society of America, ciaa1424. Advance online publication. https://doi.org/10.1093/cid/ciaa1424
Hurley, J. C. (2020). Antibiotics in the ICU; benefit or harm? INTENSIVE CARE MEDICINE, 46(9), 1798-1799. doi:10.1007/s00134-020-06060-z
Hurley, J. C. (2020). Candida-Acinetobacter-Pseudomonas Interaction Modelled within 286 ICU Infection Prevention Studies. J FUNGI (Basel), 6(4). doi:10.3390/jof6040252
Hurley, J. C. (2020). Forrest plots or caterpillar plots? JOURNAL OF CLINICAL EPIDEMIOLOGY, 121, 109-110. doi:10.1016/j.jclinepi.2020.01.017
Hurley, J. C. (2020). How the Cluster-randomized Trial "Works". CLINICAL INFECTIOUS DISEASES, 70(2), 341-346. doi:10.1093/cid/ciz554
Hurley, J. C. (2020). Oral Vancomycin Prophylaxis for Clostridioides difficile infection; cause or effect? CLIN INFECT DIS. doi:10.1093/cid/ciaa1424
Hurley, J. C. (2020). Selective Digestive Decontamination Is Neither Safe Nor Efficacious for Critically Ill Patients. CRITICAL CARE MEDICINE, 48(5), 732-735. doi:10.1097/CCM.0000000000004047
Hurley, J. C. (2020). Structural equation modeling the "control of gut overgrowth" in the prevention of ICU- acquired Gram-negative infection. CRITICAL CARE, 24(1), 12 pages. doi:10.1186/s13054-020-02906-6
Song, D., Hurley, J. C., & Lia, M. (2020). Estimated Treatment Effects of Tight Glycaemic Targets in Mild Gestational Diabetes Mellitus: A Multiple Cut-Off Regression Discontinuity Study Design. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 17(21), 14 pages. doi:10.3390/ijerph17217725
Coombe, J., Goller, J., Bittleston, H., Vaisey, A., Sanci, L., Groos, A., . . . Hocking, J. (2020). Sexually transmissible infections, partner notification and intimate relationships: a qualitative study exploring the perspectives of general practitioners and people with a recent chlamydia infection. SEXUAL HEALTH, 7 pages. doi:10.1071/SH20109
DRH - Annual Report 2020 | 61 King, K., Dow, B., Keogh, L., Feldman, P., Milner, A., Pierce, D., . . . Schlichthorst, M. (2020). "Is Life Worth Living?": The Role of Masculinity in the Way Men Aged Over 80 Talk About Living, Dying, and Suicide. AMERICAN JOURNAL OF MENS HEALTH, 14(5), 14 pages. doi:10.1177/1557988320966540
Amir, N. S. S., Kang, L. Z., Mukari, S. A., Sahathevan, R., & Chellappan, K. (2020). CT brain image advancement for ICH diagnosis. Healthcare Technology Letters, 7(1), 1-6. doi:10.1049/htl.2018.5003
Johnson, D., Maylin, E., Hayes, L., Hair, C., Kraemer, T., Lau, M., . . . Sahathevan, R. (2020). A systematic review of the impact of delirium on allied health interventions: A surprising lack of data. NEUROLOGY ASIA, 25(1), 1-5. Retrieved from http://gateway.webofknowledge.com/
Siriratnam, P., Godfrey, A., O'Connor, E., Pearce, D., Hu, C. -C., Low, A., . . . Sahathevan, R. (2020). Prevalence and risk factors of ischaemic stroke in the young: a regional Australian perspective. INTERNAL MEDICINE JOURNAL, 50(6), 698-704. doi:10.1111/imj.14407
Hebbard, P., Thomas, P., Fransch, S.V., Cichowitz, A. and Franzi, S. (2021), Microinvasive Carpal Tunnel Release Using a Retractable Needle‐Mounted Blade. J ULTRASOUND MED. https://doi.org/10.1002/jum.15509
Coombe, J., Kong, F. Y. S., Bittleston, H., Williams, H., Tomnay, J., Vaisey, A., . . . Hocking, J. S. (2020). Love during lockdown: findings from an online survey examining the impact of COVID-19 on the sexual health of people living in Australia. SEX TRANSM INFECT. doi:10.1136/sextrans-2020-054688
Goller, J. L., Coombe, J., Bourne, C., Bateson, D., Temple-Smith, M., Tomnay, J., . . . Hocking, J. (2020). Patient- delivered partner therapy for chlamydia in Australia: can it become part of routine care? SEXUAL HEALTH, 17(4), 321-329. doi:10.1071/SH20024
Wagg, E., Hocking, J., & Tomnay, J. (2020). What do young women living in regional and rural Victoria say about chlamydia testing? A qualitative study. SEXUAL HEALTH, 17(2), 160-166. doi:10.1071/SH19182
Conduit, C., de Boer, R. H., Lok, S., Gibbs, P., Malik, L., Loh, Z., Torres, J. . . Nott, L. (2020). Real-world impact of anti- HER2 therapy-related cardiotoxicity in patients with advanced HER2-positive breast cancer. ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, 16(6), 356-362. doi:10.1111/ajco.13381
Kanjanapan, Y., Lok, S. W., Gibbs, P., De Boer, R., Yeo, B., Greenberg, S., Torres, J. . . Malik, L. (2020). Impact of prior (neo)adjuvant trastuzumab (NAT) exposure on the efficacy of HER2-targeted therapy for metastatic breast cancer. BREAST CANCER RESEARCH AND TREATMENT, 184(1), 87-95. doi:10.1007/s10549-020-05825-w
Nguyen, M., Kin, S. N. Y., Shum, E., Wann, A., Tamjid, B., Sahu, A., & Torres, J. (2020). Anticancer therapy within the last 30 days of life: results of an audit and re-audit cycle from an Australian regional cancer centre. BMC PALLIATIVE CARE, 19(1), 10 pages. doi:10.1186/s12904-020-0517-3
Schmidt, A., Anton, A., Shapiro, J., Wong, S., Azad, A., Kwan, E., Torres, J,. . . Weickhardt, A. (2020). Treatment outcomes for patients with metastatic castrate-resistant prostate cancer following docetaxel for hormone-sensitive disease. ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, 7 pages. doi:10.1111/ajco.13447
62 | DRH - Annual Report 2020 DRH - Annual Report 2020 | 63 Department of Rural Health Faculty of Medicine, Dentistry & Health Sciences
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