cetiscape                     newsletter of the Clinical Education and Training Institute       Issue 6  July 2011  Pro...
... New beginnings for allied health clinicaleducation and training (continued from page 1)                       Allied H...
New CETI Nursing and Midwifery DirectoratePamela BloomfieldNursing and Midwifery Learning and Teaching Coordinator         ...
Expanding prevocational medical training program gets a newnetworkBlacktown, Mt Druitt and Bathurst Hospitals haveseparate...
... Team Health: building teamwork for safer patient care (continued from page 1)Team Health will consist of four distinct...
DICAST upskills rural workforce in diabetes, cardiac and stroke care                                                      ...
TSU celebrates International Midwives Day — 5 MayThe Training and Support Unit for AboriginalMothers, Babies and Children ...
Northern lights                                                       — Medical Education and Training Information        ...
Clinical leadership graduates show their skillsJan DentFacilitator, Leadership and Management Programs , CETIEighteen heal...
Clinical practice improvementClinical Team Leadership Program participants                                 projectDr Ken M...
Coming events                                                                   For program information and               ...
Coming events                                                         Department of Psychological Medicine Childrens Hospi...
BHI releases two new reportsDr Diane WatsonChief Executive, Bureau of Health Information                   Hospital Quarte...
Worth a look                                                                                  Regional, rural or remote?  ...
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Cetiscape 6 July 2011

  1. 1. cetiscape newsletter of the Clinical Education and Training Institute  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 1 New beginnings for allied health clinical education and trainingJacqueline Dominish and Daniella PfeifferAllied Health Learning and Teaching CoordinatorsThe creation of CETI andthe Allied Health Directorate Allied Health in NSWgives new leadership and NSW Health categorises the following tertiary qualified professions as ‘Allied Health’.coordination to clinical Audiology Hospital Pharmacy Radiation Therapyeducation and training for allied Clinical Dietetics & Nutrition Physiotherapy Radiographyhealth professionals in NSW. Occupational Therapy Podiatry Social WorkThe Allied Health Directorate Orthoptics Psychology Speech Pathologyrepresents 23 allied health Orthotics & Prosthetics Nuclear Medical Technology Counsellingdisciplines working within the NSW Diversional Therapy Play Therapy Music Therapyhealth system. While there are Genetic Counselling Exercise Physiology Welfare Officermarked differences across these Art Therapy Sexual Assaultprofessions, there is a commonthread. Allied health professionalsare ‘allied’ or aligned to each otherand other members of the health professional workforce to In this issueprovide a range of therapeutic ... (continued page 2)  beginnings for allied health clinical education New and training 1  Team Health: building teamwork for saferTeam Health: building patient care 1teamwork for safer patient care  cetiscape survey 2  CETI Nursing and Midwifery Directorate New 3Rob Wilkins and Danielle Byers  Emerging careers in health 3Program Coordinators, Team Health, CETI  Expanding prevocational medical training programTeam Health, based at the CETI Centre for Learning gets a new network 4and Teaching, is a new program which aims to improve  for new interns Tips 4teamwork, communication and collaboration for safer  DICAST upskills rural workforce in diabetes,patient-centred care and better staff experiences. cardiac and stroke care 6The program will draw on the substantial interprofessional  International Health Professionals (IHP)learning literature, including the World Health Organization’s Orientation Project 6Framework for Action on Interprofessional Education and  celebrates International Midwives Day–5 May 7 TSUCollaborative Practice.1 Northern lights (METIF Queensland) 8The WHO Framework promotes some of the key benefits Breakfast with the NSW Health Director General 8of implementing team-based or interprofessional learningactivities. These include: Clinical leadership graduates show their skills 9 increased staff motivation, well-being and retention Coming events 11 reduced staff turnover increased patient and carer satisfaction  Rural GPs satisfied 12 increased patient safety  releases two new reports BHI 13 reduced patient mortality and critical incidents.1 Worth a look (online resources): 14 (... continued page 5)
  2. 2. ... New beginnings for allied health clinicaleducation and training (continued from page 1) Allied Health Directorate staffand diagnostic services to restore and maintain optimal Jacqueline Dominish (née Gregor) hasphysical, sensory, psychological, cognitive and social nine years clinical experience workingfunction. Allied health professionals play a critical role in the as an occupational therapist in bothdelivery of patient care as members of the multidisciplinary Australia and the United Kingdom (UK)team within NSW Health. specialising in neurological rehabilitation. Jacqueline was the senior occupationalThe Allied Health Directorate is developing clinical therapist in neurological rehabilitation ateducation and training for allied health through innovation the Prince of Wales Hospital until earlyand collaboration, building partnerships to promote 2009. After completing a Masters inexcellence in clinical education and training and is open Health Management, Jacqueline took up a role within CETI’sand transparent in conducting its work. Medical Division in prevocational workforce and accreditationOur specific objectives are to build capacity, infrastructure where she has worked for the past two years. Havingand governance to support education and training and to obtained an Advanced Certificate in Continuing Professionaladapt existing and develop new educational resources for Development and a Certificate IV in Workplace Assessment andallied health professionals. We will collaborate with other Training, Jacqueline has a strong commitment to the educationCETI directorates and stakeholders throughout NSW and training of allied health professionals to build confidence inHealth to achieve these outcomes. clinical practice and the delivery of safe patient care.CETI held a consultation forum on 20 June 2011 with Daniella Pfeiffer has nine years’allied health directors and leaders nominated by the chief clinical experience as a social worker inexecutives of each local health district to gather information neurological rehabilitation, with specialistand ideas regarding future development and investment knowledge and skills in adult brain injuryin clinical education and training for allied health in NSW. rehabilitation. Daniella worked as aThis forum helped develop the Allied Health Directorate’s senior social worker at the Brain Injuryoperational plan for 2011 and 2012. Rehabilitation Unit, Westmead Hospital,Further meetings with key stakeholders are planned for the before joining CETI in May 2011.rest of 2011. By collaborating with our stakeholders, we Daniella completed a Masters of Coupleaim to ensure that CETI is working to meet the education and Family Therapy in 2007. She has applied her expertiseand training needs of clinical staff and facilitating high as a social worker and couple and family therapist to clinicalquality patient care for the people of NSW. intervention research projects exploring couple counselling and developing resilience in family members who support relatives who have sustained a traumatic injury. Daniella has a particularCETI Allied Health Clinical Education and interest in promoting clinical research, education and trainingTraining Advisory Committee within the allied health profession.The Allied Health Directorate is establishing a Clinical Jacqueline and Daniella are looking forward to working withEducation and Training Advisory Committee to provide the innovative and dynamic allied health professionals instrategic advice and direction regarding the delivery of NSW to build strong partnerships and create excellence inclinical education and training initiatives for the allied health clinical education and training.workforce in NSW. We sought representatives fromallied health clinicians and managers working across a Contact:variety of settings within NSW Health via an expression Jacqueline Dominish, jdominish@ceti.nsw.gov.au,of Interest (EOI) for committee membership. Successful (02) 9844 6514applicants will be notified soon. Daniella Pfeiffer, dpfeiffer@ceti.nsw.gov.au, (02) 9844 6518 cetiscape survey A big thank-you to those of you filled out our cetiscape survey last month! We were encouraged by the level of response and very happy to send off a packet of Tim Tams to our winner. You’ll see a few changes to cetiscape in response to your feedback and we hope to make it an even more robust and valuable resource for you in the future. Feedback is always welcome — you can send us an email at info@ceti.nsw.gov.au any time. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 2 
  3. 3. New CETI Nursing and Midwifery DirectoratePamela BloomfieldNursing and Midwifery Learning and Teaching Coordinator Pamela Bloomfield comes to theIt’s my pleasure to be the first Nursing and Midwifery Learning Nursing and Midwifery Directorateand Teaching Coordinator in CETI’s new Nursing and Midwifery with extensive experience inDirectorate. The new directorate is working with the Nursing andMidwifery Office (NaMO), NSW Health and other stakeholders both nursing and midwifery. Sheto identify and respond to resource gaps and development has worked across a numberopportunities in nursing and midwifery training. of specialty areas including paediatrics, remote area nursing,The CETI Nursing and Midwifery Directorate will work closely midwifery, health promotion andwith the other CETI directorates, including the Centre for education. She completed generalLearning and Teaching and the Interprofessional Practice nursing education at Sydney’s Royal Alexandra HospitalUnit, to contribute to the Team Health Program. for Children, midwifery education at Nepean HospitalThe Chief Nursing and Midwifery Officer, Adjunct Professor and later completed a Bachelor of Nursing degree and aDebra Thoms, met with CETI’s Chief Executive, Professor Masters of Business Administration.Steven Boyages, earlier this year. Several possibilities for Pamela has gained experience in medical workforcecollaboration were identified, including the need to developresources to support nurses and midwives involved in management in a number of senior roles in health. Shesupervising junior staff. previously worked in the Institute of Medical Education and Training in the field of prevocational workforce andHelp create the Nursing and Midwifery Superguide accreditation, and has now moved to the role of Nursing and Midwifery Learning and Teaching Coordinator.Our first collaborative project with NaMO will be developinga supervision guide. Working with key stakeholders, we Pamela is looking forward to engaging with nurses,will revise and adapt the CETI publication The Superguide: midwives and other clinical professions to support inter-a handbook for supervising doctors in training for the professional education and training initiatives. Pamelanursing and midwifery workforce. The guide includes many can be contacted at CETI via the details below:of the core elements common to sound, evidence-basedsupervision of health professionals in a clinical setting. A Contact:steering committee is being formed to help develop this Pamela Bloomfield, pbloomfield@ceti.nsw.gov.au,resource for use by nurses and midwives. Please contact me (02) 9844 6557if you are interested in being part of this committee (Pamela www.ceti.nsw.gov.au/nursingBloomfield, 02 9844 6557, pbloomfield@ceti.nsw.gov.au).Emerging careers in healthAn information and expo day for NSW High School Career AdvisersCETI recently collaborated withthe Department of Education andCommunities and the Centre forHealth Innovation and Partnership togive High School Career Advisers aninsight into the huge range of careersavailable and emerging in health care.The information day was held on30 May at the John Loewenthal Young health professionals at the info day gave careers advisors an inside look at the realAuditorium, Westmead Hospital. world of health care in the 21st century. Left to right: David Pennington, Health Service Management Trainee; Sarah Benaud, Social Worker; Kevin Tyler, Population Health ProgramMore information is available at Officer; Daniel Daly, Registrar; Amelia Robertson,Speech Pathologist; Mia Parmar, Diversional<http://ceti.moodle.com.au/course/ Therapist; Samm Mc Evoy, Nurse; and Vikas Gupta, Resident Medical Officer.view.php?id=290>. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 3 
  4. 4. Expanding prevocational medical training program gets a newnetworkBlacktown, Mt Druitt and Bathurst Hospitals haveseparated from the massive Westnet prevocationaltraining network to form a new network — CentralWest.The new network is aiming to employ forty new interns in2012, representing a large increase in training capacity in thewestern Sydney area. Westnet, which includes the largestprevocational training site in New South Wales (WestmeadHospital) is only slightly reducing its own intern numbers.The network split was achieved by mutual agreement ofall parties. Westnet was becoming too large for practicaladministration of the training program and rotations, while Blacktown Hospitalclinical leaders at Blacktown Hospital were keen to capitaliseon their expanding training capacity. Bathurst Hospital The first graduates of the University of Western Sydney clinical school, located at Blacktown, are starting internships in 2012. The hospital is also home to a state-of-the-art simulation centre. Mt Druitt and Blacktown are closely related clinical units, while Bathurst provides a valuable opportunity for rural training terms. The new network also includes general practice training terms at sites in Bathurst and Blacktown.Tips for new interns The Doctor’s CompassCETI and the JMO Forum have revised The Doctor’s Compass, a survival guidefor new interns.The new guide will be distributed to new interns starting in June 2011 and January2012. CETI is also giving a copy to the medical students attending the AustralianMedical Students Association National Convention in Sydney 3–10 July.From the foreword by Dr Lucy Cho, Chair of the NSW JMO Forum: Internship is the start of a new set of challenges and rewards, with what can often feel like a landslide of new and ever- changing responsibilities, situations, colleagues, career decisions and uncertainties. There is no doubt that many of a guide to you will feel overwhelmed at times, but be assured every new doctor starts out this way and that you will find your feet with prevocational training time and practice. developed by the The Doctor’s Compass is a guide to help junior doctors find their way through NSW JMO Forum this often daunting time. It was developed by the NSW JMO Forum (an elected body of junior doctors from each network in NSW). It not only includes advice from JMOs but also points out many avenues for guidance and assistance in your workplace. Doctors_compass_2011.indd Sec3:2-Sec3:3 7/06/2011 5:57:01 PM cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 4 
  5. 5. ... Team Health: building teamwork for safer patient care (continued from page 1)Team Health will consist of four distinct program components:  System Integration ntegration System integration is a tem about working in partnership w CETI artnership with Starters Program New Directorates, local he rectorates, health districts, tertiary educatio providers ts, educationThis is a dedicated transition program for new clinical graduates and government ag nd agencies (the Clinical Excellenc Commission e Excellence sion(doctors, nurses, midwives and allied health professionals) [CEC], the Agency for Clinical Innovation [ACI] and the Bureau CEC], al [ACI], Buspanning the first two years of their employment in the of Health Informat [BHI]) to take advantage of training InformationNSW Health system. Its aim is to better prepare new clinical initiatives alread being developed locally, to p ives already oped prevent dupl plication,graduates for work by providing both online and face-to-face and to build a common purpose.education. The program is being developed in consultation withlocal health districts. It will prepare graduates to work in teamsand inform them about new policies relevant to their clinical Team Health consultssetting. Learning modules will cover topics such as collaborativedecision-making, team work and interprofessional conflict We recently provided a brief overview of Team Hea to the rview Healthresolution skills. The program will encourage learners to better JMO Forum, and the JMOs provided plenty of live feedbac vided lively ck.understand their own roles and the roles of those around them. Some concerns related to how these extra educaeducational interventions would fit with an already busy workload. Other ready work ers Clinical Team Education Modules were about the priority given to communication-based educat ommunication cationThis component is aimed at both new and current employees strategies compared with the need for more applied, clinicalwithin a clinical team. It will employ a re-design methodology training, and how team-based approaches to patient care can fitand use trained facilitators to explore aspects of team function with issues of medical responsibility for patient well-being.and to generate solutions which improve staff experiences. Some ideas for Team Health stemmed from positive Policy Development experiences JMOs have had with interdisciplinary teams orThis program component is about influencing health policies through interprofessional education. These included keepingand implementation plans towards collaborative decision- the curriculum applied and clinical; job-shadowing alliedmaking and team-based patient-centred care. health professionals for a day and clinical placement activities; occasions to learn specific clinical skills through allied healthEmbedding principles of interprofessional practice within policy staff (eg, plastering from physiotherapists); and providing rolestatements is a way of formalising and sustaining our program descriptions of allied health staff during Orientation Week.components, as well as highlighting implications for training andeducation. On 17 June, we held the Inaugural Team Health Consultation Forum with directors of workforce, learning and development managers, clinical redesign managers, workforce design managers, and representatives from the CEC, BHI and ACI. There was robust discussion of the need to undertake Team Health’s work in partnership with these agencies and local health districts. We also discussed the need for an established governance structure for education and training across the state, the resources required for local implementation in local health districts, what programs were already available, and how we would know if the program was really making a difference to both patient and staff experience. Our next consultation will take place on 24 August and will target a range of senior clinicians with educational responsibilities from each local health district. Contact: If you would like to keep up to date with program developments or to get involved you can visit our Team Health webpage (www. ceti.nsw.gov.au/teamhealth), join the online CETI Team Health discussion group on LinkedIn (contact us to find out how) or call Danielle Byers (02 9844 6527, dbyers@ceti.nsw.gov.au) or Rob Professor Steven Boyages, Chief Executive, and Dr Gaynor Wilkins (02 9844 6564, rwilkins@ceti.nsw.gov.au), Program Heading, General Manager, CETI at the Inaugural Team Health Coordinators for Team Health. Consultation Forum in June 2011. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 5 
  6. 6. DICAST upskills rural workforce in diabetes, cardiac and stroke care study to highlight the essential elements of evidence-based practice in the management of complex patients. ACI Stroke Service Networks member John Worthington, neurologist at Liverpool and Manly Hospitals, and MartinThe Rural Directorate of the Clinical Education and Training Jude, VMO Neurologist, Wagga Wagga Base Hospital,Institute (Rural CETI) strongly supported the Agency for Clinical spoke on stroke and TIA (transient ischaemic attack).Innovation’s first DICAST (DIabetes, CArdiac and STroke)workshops held at Dubbo in March and Cooma in June. An educator from the Ambulance Service of NSW provided information on the pre-hospital management of the patientDICAST is a collaboration between the ACI’s Endocrine, and clinical nurse educators presented on depression inCardiac and Stroke Networks designed to help clinicians cardiac rehabilitation and the management of diabetes.in regional, rural and remote areas identify and respond to The program also included information on the Hospital insignificant causes of ill-health in their communities. the Home program, community nursing, general practice,Rural CETI helped promote the Dubbo and Cooma palliative care and diabetes in Indigenous populations.workshops to rural general practitioners (GPs) and other The second day was dedicated to building on currentclinicians and the results were outstandingly successful. knowledge and upskilling clinicians in a range of practicalRural CETI Executive Director Linda Cutler said rural and remote skills including neurological assessment, screening forclinicians often were required to practice without the peer diabetes and interpreting echocardiography and pathologysupport and specialist referral services available in the city. results.“The practical educational and support program developed An evening educational meeting was held in conjunctionfor the workshops by ACI is a great initiative and Rural CETI with the workshops for GPs. The same complex case studywas delighted to get behind it.” was used throughout the evening. The specialists and clinical nurse educators spoke to small groups of GPs andMore than 130 doctors, nurses and allied health staff described how they managed the patient throughout theparticipated in the two-day Dubbo workshops and it was disease trajectory. Speakers rotated after 20 minutes, in aparticularly pleasing to note the high attendance rate by format similar to speed dating, to allow closer engagementAboriginal Health workers. with each of the attending GPs. At the end of the session,The local lead clinician from Dubbo, cardiologist Dr every GP had participated in a discussion with each of theKamaladasa Kanishka, also welcomed the ACI initiative and speakers, Feedback from the local doctors was very positive,said bringing specialists to the bush to upskill local clinicians particularly relating to the interaction with specialists in theon best practice models of care could only benefit patients. small group sessions.The Dubbo workshops were opened by Lynne Weir, Acting Both meetings were sponsored by an unrestrictedChief Executive at Western Local Health District and the educational grant from Sanofi-aventis.Cooma workshops were opened by Elizabeth Mendes, Health The DICAST workshops will be repeated at Tweed HeadsServices Manager, Cooma Hospital. A case study used on Day on 10–11 November. The program for these workshops is1 followed a patient with multiple co-morbidities throughout available on the ACI website (www.health.nsw.gov.au/gmct/the continuum of care. A range of specialists used the case events.asp).International Health Professionals (IHP) Orientation Project The IHP Orientation Project is a new venture for CETI. employed in New South Wales but have not yet arrived We are developing an online resource for internationally- in Australia to take up their position. The resource will trained medical, nursing and midwifery, and allied health supplement existing orientation processes and we hope professionals. NSW Health has asked us to undertake it will ease the transition for IHPs as they enter a new this project as part of the Caring Together response to the professional environment. If you have any questions or Garling Report recommendations relating to improving comments, please contact Sharyn Brown (02 9844 6559, induction processes. It will be aimed at IHPs who are sbrown@ceti.nsw.gov.au). cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 6 
  7. 7. TSU celebrates International Midwives Day — 5 MayThe Training and Support Unit for AboriginalMothers, Babies and Children (TSU) celebratedInternational Midwives Day at the Centre for Ruraland Remote Mental Health in Orange.The TSU, a relatively new service being managed by CETI –Rural, is being established to provide targeted education to staffworking in Aboriginal Maternal Infant Health Services (AMIHS)and Building Strong Foundations for Aboriginal Children,Families and Communities (BSF) projects across the state.This virtual team boasts more than fifty years of collective Karen Beattie (Kempsey), Julie George (Taree), Kylie Williamsexperience working with Aboriginal communities. (Orange), Jennifer Wannan (Orange), Lynette Bullen (Orange) and Rachel Smith (Gladesville).Karen Beattie, Midwifery Educator, was the ClinicalNurse Consultant/Community Midwife at Durri AboriginalCorporation, Kempsey, for 12 years before joining the TSU.Karen brings a wealth of clinical experience as well as Lynette Bullen, Smoking Cessation Coordinator, has workedknowledge of state working groups. extensively in rural and remote NSW delivering drug and alcohol education. As well as her expert clinical knowledge, Lynette hasJulie George, Nurse Educator, Child & Family Health, worked strong established networks with Murdi Paaki and Maari Ma.with Biripi Aboriginal Medical Service, Taree, as the ClinicalCoordinator for the BSF program and complements the team Kylie Williams, Administration Officer, moved from TAFE towith her understanding of child and family health. work with the team and has made a seamless adjustment to working in the health industry.Rachel Smith, Midwifery Educator, was a lecturer in midwiferystudies at the University of Technology Sydney for six years Jennifer Wannan, Manager, has worked in rural health forbefore joining the TSU. Rachel is an active member of the more than 20 years and has always had a passion to improveAustralian College of Midwives and has delivered education the health of Aboriginal people.across the state. The team is eagerly awaiting the recruitment of three Aboriginal Health Educators who will bring the essential ingredient of cultural knowledge and understanding. Since commencing at the beginning of March, the team has Training and Support Unit for Aboriginal Mothers travelled to different locations to work together. This face- and Babies (TSU): a virtual team located across NSW to-face time has helped build the strength of the team and consolidate communication. Site visits to services are being planned and the team hopes to commence the delivery of Gladesville: Maitland (Taree): education towards the end of July 2011. Midwifery Educator Nurse Educator CAFH Contact: Karen Beattie, 02 6562 0373 karen.beattie@ncahs.health.nsw.gov.au CETI Julie George, 02 6592 9645 Rural Directorate julie.george@hnehealth.nsw.gov.au Rachel Smith, 02 9844 6521 rsmith@ceti.nsw.gov.au Orange: Lynette Bullen, 02 6360 7847 Kempsey: Manager, Lynette.Bullen@gwahs.health.nsw.gov.au Midwifery Educator Administration Kylie Williams, 02 6360 7727 Officer kylie.williams@gwahs.health.nsw.gov.au Jennifer Wannan, 02 6360 7726 jennifer.wannan@gwahs.health.nsw.gov.au cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 7 
  8. 8. Northern lights — Medical Education and Training Information Forum (METIF) held by Queensland MedicalCraig Bingham Education and Training (QMET), Cairns,Prevocational Program Coordinator, CETI Wednesday 25 MayWhat improvements in medical education will lead to better Many of the presentations and discussions followinghealth for individuals and populations? That was the key Professor Murray’s address picked up on these themes. Forquestion for this year’s METIF. example, the Northern Clinical Training Network has been established in North Queensland (with nodes at Cairns,In his keynote address, Professor Richard Murray, Dean of Townsville and Mackay) to create a vertically integratedMedicine and Head of the School of Medicine & Dentistry at training network to develop workforce from student toJames Cook University went back to fundamentals. “What is the specialist level. The network is a collaboration of Queenslandproblem to which health care is the answer?” he asked. When Health, health service districts, the private sector and Jamesit comes to reducing sickness and death, actions to provide Cook University. It aims to create “a high-quality, self-clean food, clean water, safe environments, and equality in social sustaining and research-focused workforce for Northernopportunity are more important. Health care steps in where Queensland which is responsive to regional health needs.”these actions have reached their limits. Health is protected bysocial equity, and effective health care is another contributor There were also interesting presentations on e-learningto social equity. So, to promote this purpose, Professor Murray from the Australasian College of Emergency Medicine and James Cook University. ACEM is rolling out new Certificatesuggested we need “socially accountable medical education”. and Diploma courses in Emergency Medicine to supportIn this context, Professor Murray discussed Australia’s output non-specialist training, and it is using the moodle platform toof new doctors, observing that we already have a high provide much of the content online. Some of the examplesproportion of doctors per capita and the highest output per shown at METIF looked terrific.capita of new medical graduates in the world. The lack of Dr Vincent Ho and colleagues from James Cook Universitymedical workforce in rural and disadvantaged areas is not presented a prototype virtual hospital simulation, whicha matter of numbers, but more a function of how medical promised to bring online learning into the age of the techno-practice and medical education has developed to serve the gamer. This ambitious project has a long way to go, but inspecialised needs of metropolitan society. future may make it relatively easy for clinicians to create patient“At James Cook University,” Professor Murray said, “we have care scenarios to test trainees in a simulated environment.written a curriculum reflecting rural, tropical and indigenous It was fascinating attending METIF as an observer from Newhealth needs, selected students with backgrounds likely to serve South Wales. Many of the issues in medical education are thethose communities, and made an explicit effort to address the same, but each state has its own innovations and strengths.priority health care needs of local populations.” An important Diversity is an advantage when the best way ahead is yetpart of this process is conducting training as close as possible to be discovered. It was great to bring back some brightto the community. In rural settings, this frequently means training ideas from Far North Queensland. I hope we can return thegeneralist doctors rather than specialists, and training doctors to favour when we host visitors from Queensland at the NSWwork in teams with other health professionals. Prevocational Medical Education Forum in August.Breakfast with the NSW Health Director GeneralJacqueline DominishCETI Allied Health Program CoordinatorThe Institute of Public Administration Australia (IPAA) holds the the Australian Youth Climate Coalition and Mr Chris Eccles,Annual CEO and Young Professionals Breakfast for staff under Director-General of the NSW Department of Premier andthe age of 35 nominated to attend by their Chief Executives from Cabinet. Mr Eccles’ key messages to us as public servantsNSW government agencies. It provides a fantastic forum for were the importance of young people stepping up as leaders,networking with over 800 attendees, both young professionals ensuring accountability and having a 100% focus on the primaryand senior executives. I attended this year’s breakfast on 20 May goal — serving the needs of the people of NSW.2011 and had the pleasure of sharing a table with Dr Mary This message is closely aligned with CETI’s vision, whichFoley, Director-General of NSW Health. is to achieve better health through education, training andWe spent the morning sharing information among fellow development of a clinical workforce that meets the healthcareattendees about current areas of work and generating ideas needs of the people of NSW. The morning was inspirational andregarding “how we can improve tomorrow’s service delivery reinforced the important contribution young leaders make totoday”. Keynote speakers included Ms Anna Rose, Founder of influencing real change within the NSW Health system. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 8 
  9. 9. Clinical leadership graduates show their skillsJan DentFacilitator, Leadership and Management Programs , CETIEighteen health professionals from a nursing, generalpractice or staff specialist background from across ruralNSW came together in Sydney to graduate from the 2010NSW Rural and Remote Clinical Team Leadership Program.In this leadership program, which is modelled on the ClinicalExcellence Commission program, participants work inteams of two from different service areas to undertake alocally-based clinical practice improvement project whileundertaking leadership development as an individual.The program has delivered clinical improvement outcomeswhich have had district wide, and in some cases state wide,changes to practice that improve patient care.The program aims: increase the participants’ leadership and management to skills and confidence strengthen partnerships between local health services to and GP-VMOs Leanne Wright, Jana Van der Jagt. increase the competence of participants in leading a to team based clinical improvement project. At the graduation, six teams presented their projects with innovation and style. Leanne Wright and Jana Van der JagtOver the last 10 months the participants attended workshops presented as a couple of “master chefs” to share their recipein Sydney, undertook an online 360 leadership/management for streamlining emergency department risk assessments forsurvey, completed a self directed learning program, and blood-borne viruses.developed a personal development plan and a clinicalpractice improvement project focused on a local health issue Individual participants were also asked to present to(see next page). The participants also had regular individual the audience something that represented their personalcoaching with program facilitator, Jan Dent, to support and and professional response to the leadership course.monitor their learning. The presentations showed that participants (and their patients and wider teams) have benefitted professionally and personally from participating in the program and that the process of putting people in teams was successful. Participant comments included: “I felt nurtured by NSW Health” “The Rural Directorate provides programs which meet our needs in rural NSW” “The course was incredibly useful — a great mixture of practicality and theory” CETI-Rural congratulates all graduating members of the 2011 Clinical Team Leadership Program group on their hard work and achievements. CETI-Rural will be running another Clinical Team Leadership Program starting in August 2011. Please contact Linda Cutler, Kerry McKee, Kerrie –Anne Lahrs, Jan Dent the Executive Director of CETI-Rural on (02) 6841 2651 for more information. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 9 
  10. 10. Clinical practice improvementClinical Team Leadership Program participants projectDr Ken Mackey, Rural GP/VMO, Lockhart Optimal care for high care patients at LockhartKaren McPherson, Nurse Manager, Lockhart Health Facility MPSDr Patricia Collie, GP, Coffs Harbour Reduce hospital admissions through home-Susan Saunders, NUM CAPACS, Coffs Harbour based careMichele Greenwood, Clinical Nurse Consultant, Refugee Health Improve Integration of services for newly arrivedKirsty Browne, Clinical Nurse Specialist 2, TB Prevention and Control/Chest refugeesClinic, Coffs Clarence Network/Hastings MacleayJana Van der Jagt, Clinical Nurse Consultant HIV, Hepatitis C and Sexual Streamlining emergency department riskHealth, Port Macquarie assessments for exposure to blood-borne virusesLeanne Wright, Nurse Practitioner, KempseyKerry McKee, Co-ordinator Harm Reduction/NSP, Acting Manager Lismore Offering pharmacotherapy clients the opportunityLiver Clinic, Lismore to assess and address their hepatitis C statusKerrie-Ann Lahrs, Nurse Unit Manager, The Tweed Opioid Treatment ProgramLinda Bootle, MCM AMIHS, Orange Developing an integrated service delivery modelKerry Inder, Maternity Women’s Health Child and Family Health Team Leader, between child health and Aboriginal MaternalDubbo Infant Health Strategy teams and maternity services for women from conception to 8 weeks postpartum birthing for Narromine clientsDenise Green, Nurse Manager, CoomaEileen Watson, Team manager Mental Health/Drug and Alcohol, CoomaCathy Boyle, NUM Critical Care, BegaJenni Sorensen, CNC ASET/AARCS, BegaDr Sivarajasingham Navaneethan, Staff Specialist Obstetrics andGynaecology, GriffithDr Bernard Haasbroek, GP VMO, LeetonClinical Team Leadership Programparticipants with Linda Cutler, ExecutiveDirector CETI Rural Directorate.Top row (left to right):Linda  Bootle, Michele Greenwood,Kerry McKee, Kerrie-Anne Lahrs,Sivarajasingham Navaneethan.Middle row (left to right): LeanneWright, Jana Van Der Jagt, Kerry Inder,Linda Cutler.Bottom row (left to right): Jan Dent,Patricia Collie, Sue Saunders,Kirsty Brown.Not present: Ken Mackay,Karen McPherson, Denise Green,Eileen Watson, Cathy Boyle,Jenni Sorensen, Dr Bernard Haasbroek. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 10 
  11. 11. Coming events For program information and to register online:NSW Prevocational Medical Education ForumStamford Grand North Ryde 11–12 August 2011 www.ceti.nsw.gov.au/augustforumAt this year’s forum, educators, directors of training and what are the issues that need to be considered? This session will be led by GP training providers and hospitaland administrators will share their experience and DPETs with experience in PGPPP.hear practical advice from leaders in the educationof junior doctors.  competencies for prevocational trainees?: The Core Australian Curriculum Framework for Junior Doctors outlines a comprehensive set of learning outcomes, but is there a setWorkshops of core competencies that should be specifically taught and Teaching on the Run (TOTR): We are offering all six assessed in core terms? This is a brainstorming session for modules on the day: Clinical teaching | Skills teaching people who want to help find the answer. | Feedback and assessment | Supporting trainees | Planning term learning | Effective group teaching. Places Plenary session in the TOTR workshops are already booked out, and CETI will be running them again at a future event. The plenary session brings everyone together: Directors of Prevocational Education and Training, JMO Managers, Online learning: An introductory workshop introducing Education Support Officers, and representatives from Moodle and simple tools that can be used to help create hospital administration, NSW Health, clinical agencies, online learning, with attention to instructional design universities, JMOs, and CETI. principles. Resources and links to further information will be provided. It is a chance to hear reports of new initiatives and best practice in prevocational training. Topics include: Building better prevocational trainee assessment: Exposition of current and potential assessment methods  Update on national registration is followed by a workshop to design effective and efficient  update: interprofessional learning, e-learning, new CETI assessment for prevocational trainees. programs vocational trainee’s role in JMO training: Vocational The  CETI’s principles of network training and prevocational trainees (such as basic physicians trainees, advanced network reform trainees and registrars) play a vital role in prevocational  new DPET guide The training. What should CETI, directors of training and  Reports on innovations and pilot studies from the networks consultants do to support vocational trainees and build their skills as leaders and educators?  Managing the disruptive doctor  Presentations by JMO Forum working groups Prevocational general practice placements program (PGPPP): Hospital DPETs and GP DPETs need to work More information: Craig Bingham (02 9844 6511, together to maximise the effectiveness of general practice cbingham@ceti.nsw.gov.au), or visit the website <www.ceti. placements for prevocational trainees. How does it work nsw.gov.au/augustforum>.Fourth Rural Health Research ColloquiumDubbo, 11–13 October 2011The Colloquium is co-convened by the Australian Rural HealthResearch Collaboration and CETI’s Rural Division.The theme for the Colloquium is “Sustaining Rural Healththrough Research”.Areas of particular interest include Aboriginal health,preventive health and health promotion, community well-being, service delivery and workforce. For additional information, please see <www.rhrc.com.au>. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 11 
  12. 12. Coming events Department of Psychological Medicine Childrens Hospital Westmead  Making the most out of supervision — supervision forStrong foundations on shifting sands: supervisors5th NSW Rural Allied Health Conference Presenter: Professor Roslyn Giles, Senior Lecturer Social Work and Policy Studies, University of Sydney  Toolkit: building and sustaining arts and health Glasshouse programs in primary care, community services, health Entertainment Centre, promotion and evaluation Port Macquarie 1.30pm Presenter: Margret Meagher, Executive Director, Arts and Wednesday 9 November Health Australia and the Australian Centre for Creative Ageing, Port Macquarie to 1pm Friday 11 November 2011  FODMAP dietetics workshop Presenter: Dr Sue Shepherd, Advanced Accredited Practicing Dietitian and Senior Lecturer MonashThis conference is designed to attract rural and remote allied Universityhealth clinicians from new graduates to managers, and offerssomething for everyone. The program promises some  Management of common hand and wrist conditions forinteresting keynote speakers rural generalists Presenter: Angela Carpenter, Senior Physiotherapist andA series of pre-conference workshops has been confirmed Certified Hand Therapist, Hand Clinic, Lismore Basefor Wednesday 9 November from 9.30am to 12.30pm: Hospital multidisciplinary approach to pain management A Registrations are now open, early bird closes 16 September. Presenters: Shelly Barlow, Physiotherapist Ballina Kevin Hansell, Physiotherapist Grafton To view the pre-conference workshop program, draft Anne Kelly, Psychologist Lismore conference program or to register to attend the conference, Demystifying mental health disorders for generalists go to the conference website: www.hotelnetwork.com.au/ Presenter: Dr Stephanie Oak, Senior Staff Specialist conferences/conferences/ruralhealth2011 Psychiatrist, John Hunter Hospital or contact Jenny Preece, Rural and Remote Health Projects, “Counselling the disruptive child” CETI Rural Directorate (02 6692 7716, jenny.preece@ncahs. Presenter: Chris Hardwick, Clinical Psychologist, health.nsw.gov.au).Rural GPs satisfiedGeneral practitioners in rural areas are just as satisfiedas, and earn 11% more than, GPs in metropolitan areas,according to data presented in Mabel Matters, newsletterof the Medicine in Australia: Balancing Employment and Life(MABEL) research project <www.mabel.org.au/newsletter>. Medicine in Australia: Balan t a aThe MABEL project has completed four large surveys (eachwith over 10,000 responses) of Australian doctors, asking Message from the e chief investigators rthem for information about their work, work–life balance andattitudes.Another finding reported from the fourth survey is that hospitalnon-specialist doctors (eg, interns and medical officers) are theleast likely to be satisfied when compared to other groups ofdoctors. However, at least there are some signs of improvement:job satisfaction of this group increased by 1.6 percentagepoints between 2008 and 2009. In particular, increases wererecorded in satisfaction with remuneration, hours of work, andfreedom to choose one’s own method of working.The MABEL dataset is now being made available for others to From left: Professor Anthony Scott, Professor John Humphreys, u h y Dr Catherine Joyce and Associate Professor Guyonne Kalb yuse in their research. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 12 
  13. 13. BHI releases two new reportsDr Diane WatsonChief Executive, Bureau of Health Information Hospital Quarterly tracked increased pressure across emergency departments and non-urgent elective surgeryThe Bureau of Health Information released two from January to March 2011. In that time, 526,000 peoplenew reports in June – Chronic Disease Care: A attended NSW emergency departments — 4% more thanpiece of the picture and Hospital Quarterly. last year and 8% more than a year ago.The chronic disease report looked at potentially avoidable At the same time, patient flow into and through hospitalsadmissions for chronic heart and lung disease across 79 changed. The percentage of patients transferred fromNSW public hospitals from July 2009 to June 2010. an ambulance into emergency department care within 30 minutes was down from one and two years ago. TheCongestive heart failure (CHF) and chronic obstructive percentage of patients transferred from the emergencypulmonary disease (COPD) were responsible for nearly department and admitted to hospital was also down from30,000 potentially avoidable admissions and 170,000 bed one and two years ago.days in NSW public hospitals last year. The overwhelmingmajority of these admissions arrived through emergency Elective surgery is increasing in NSW public hospitals and thedepartments. Admissions peaked in winter. median wait for non-urgent surgery was 10 days longer than the same time a year ago and 10 weeks longer than in 2009.In NSW there are about 174,000 people with COPD and83,000 with CHF. In this Hospital Quarterly, the Bureau took a new approach to measuring elective surgery wait times to address differencesThe report gives hospitals information about how these in how hospitals record patients on waiting lists. We did thisconditions affect them compared with their peers on by excluding 3,500 “staged” surgery procedures from themeasures such as number of patients, standardised 46,500 procedures reported on for January to March.admission rates, mode of admission, length of stay and beddays. It also gives hospitals information about the change in A Bureau analysis begun last year found that hospitals hadthese measures over the past five years. There has been a different interpretations of how to record staged patients10% reduction in bed days over the past five years, but there in the surgery booking system. By changing the way weremain opportunities to improve hospital and community care measured wait times, we removed these recording variationsso these people can stay well and at home. and can see more clearly how one hospital compares with another. The change means that some hospitals’ non-urgentThe Agency for Clinical Innovation will use the Bureau’s elective surgery wait times look longer using the new methodreport to identify communities and hospitals most affected than they did under the previous method of measurement.by potentially avoidable admissions to implement a model ofcare to improve patient outcomes. Chronic Disease Care: A piece of the picture and Hospital Quarterly are available at <www.bhi.nsw.gov.au>. cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 13 
  14. 14. Worth a look Regional, rural or remote? For a range of administrative purposes, Australian healthcare professionals need to know whether their location qualifies as metropolitan, regional, rural or remote. An interactive map that helps you define locations according to their Commonwealth government Remoteness Area, District of Workforce Shortage, or Metropolitan and Telehealth status is available at: <www.health.gov.au/internet/otd/publishing.BMC Medical Education nsf/Content/locator>.BMC Medical Education <http://www.biomedcentral.com/bmcmededuc/> Please note that Rural CETI has specificis an open-access (= free to readers) journal publishing original peer- definitions of eligibility for its rural programsreviewed research articles in relation to the training of healthcare — see <www.ruralceti.health.nsw.gov.auprofessionals, including undergraduate, postgraduate, and continuing “Am I eligible?”>.education. The journal focuses on curriculum development, evaluations ofperformance, assessment of training needs and evidence-based medicine.BMC Medical Education (ISSN 1472-6920) is indexed/tracked/covered by PubMed, MEDLINE, CAS, EMBASE,Scopus, Cinahl, CABI, Thomson Reuters (ISI) and Google Scholar.As with the 215 other BioMedCentral online journals, you can sign up for regularupdates to be notified of research relevant to your interests by email. Researchersmight also like to consider publishing in BMC Medical Education, as its online peerreview processes are rapid and its publication lead-times are short.Contributing to cetiscape The submission deadline for each issue is the middle ofcetiscape is published by email and online: the month. Articles can be submitted as Word documents.www.ceti.nsw.gov.au/cetiscape Pictures and logos should be sent separately, using the bestcetiscape invites contributions on all aspects of clinical available file. For logos, this is often an EPS file. Picture fileseducation and training, in particular: should be sent at the highest resolution available. Short news stories: achievements, launches, events. Articles are subject to editing (proofs are shown to the (100 to 300 words, photos and illustrations desirable) authors). Reviews or editorials commenting upon issues related to health workforce education, training and development To subscribe or unsubscribe: (300 to 1000 words, photos and illustrations desirable). email cbingham@ceti.nsw.gov.au cetiscape  Issue 6  July 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 14 