QRME Griffith University Rural Health Program
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QRME Griffith University Rural Health Program
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QRME Griffith University Rural Health Program
- 1. GRIFFITH RURAL HEALTH PROGRAM Professor Scott Kitchener s.kitchener@griffith.edu.au
- 2. Griffith Rural Stream Rural Health Seminars Rural Skills weekends - H4H, Surgia Rural GP blocks Rural Selectives Longlook Year 3 Longlook Year4
- 4. Queensland Rural Medical Longlook in 2017-18 Clifton Blackbutt Cherbourg Gympie Maleny QEII Hospital + Nathan Campus University Hospital Sunshine Coast University Pre-Med Continued comprehensive LIC Rural Centre
- 5. Queensland Rural Medical Longlook in 2017-18 Clifton Blackbutt Cherbourg Gympie Maleny QEII Hospital + Nathan Campus Dalby Clinical Education Centre University Hospital Sunshine Coast University Pre-Med Continued comprehensive LIC Rural Centre
- 6. Queensland Rural Medical Longlook in 2017-18 Clifton Blackbutt Cherbourg Gympie Maleny QEII Hospital + Nathan Campus Opening Gympie Hospital with a comprehensive LIC Dalby Clinical Education Centre University Hospital Sunshine Coast University Pre-Med Continued comprehensive LIC Rural Centre
- 7. Queensland Rural Medical Longlook in 2017-18 Clifton Blackbutt Cherbourg Gympie Maleny QEII Hospital + Nathan Campus Opening Gympie Hospital with a comprehensive LIC Dalby Clinical Education Centre University Hospital Sunshine Coast University Pre-Med Continued blended LIC Continued comprehensive LIC Rural Centre
- 8. Queensland Rural Medical Longlook in 2017-18 Clifton Blackbutt Cherbourg Gympie Maleny QEII Hospital + Nathan Campus Opening Gympie Hospital with a comprehensive LIC Expanding blended LIC to Maleny and Jandowae Dalby Clinical Education Centre University Hospital Sunshine Coast University Pre-Med Continued blended LIC Continued comprehensive LIC Rural Centre
- 9. Queensland Rural Medical Longlook in 2017-18 Clifton Blackbutt Cherbourg Gympie Maleny QEII Hospital + Nathan Campus Opening Gympie Hospital with a comprehensive LIC Expanding blended LIC to Maleny and Jandowae Opening an amalgamative LIC between Goondiwindi + Nambour Dalby Clinical Education Centre University Hospital Sunshine Coast University Pre-Med Continued blended LIC Continued comprehensive LIC Rural Centre
- 10. Queensland Rural Medical Longlook in 2017-18 Clifton Blackbutt Cherbourg Gympie Maleny QEII Hospital + Nathan Campus Opening Gympie Hospital with a comprehensive LIC Expanding blended LIC to Maleny and Jandowae Opening an amalgamative LIC between Goondiwindi + Nambour Dalby Clinical Education Centre University Hospital Sunshine Coast University Pre-Med Continued blended LIC Continued comprehensive LIC Rural Centre Devolve Hub teaching to Warwick and Kingaroy (MMM4)
- 11. The original Longlook on the Darling Downs Yrs 1 & 2 at GSOM Metro Yr. 3 Blended Longlook (Yr. 4), Darling Downs MD with a rural clinical year Yrs 1& 2 at GSOM Longlook (Yr 3), Darling Downs Metro 4th Year MD with a rural clinical year 4th Year Longlook 3rd Year Longlook
- 12. Kingaroy Hospital 2016 3rd Year Longlook Students
- 13. Hinterland Longlook Yrs 1 & 2 at GSOM Metro Yr 3. Blended Longlook (Yr 4), Hinterland or Cooloola MD with a rural clinical year Yrs 1 & 2 at GSOM Longlook (Yr. 3), Gympie Hospital Metro 4th Year MD with a rural clinical year 4th Year Hinterland Longlook 3rd Year Hinterland Longlook
- 15. The new 4th Year Amalgamative Longlook Yrs 1 & 2 at GSOM Metro Yr. 3 EM/Crit Care Hinterland GP + Selective Goondiwindi MD with a Rural Clinical Year
- 16. With Dr Dan Halliday 4th Year Longlook Student at Farm Day
- 17. A short look? Rural General Practice placements Yrs. 1&2 at GSOM Metro Yr. 3 Metro, EM and Crit Care Rural General Practice MD
- 18. Griffith University, Darling Downs Clinical Training Centre 3rd Year Longlook Education HUB
- 19. A short look? Rural Indigenous Health placements Yrs. 1&2 at GSOM Metro Yr. 3 Metro, EM, Crit Care and GP Rural Indigenous Health MD
- 20. Kingaroy Hospital 3rd Year Longlook Student
- 21. An international look? Placements in Papua New Guinea Yrs. 1&2 at GSOM Metro Yr. 3 Metro, EM, Crit Care and GP Rural PNG MD
- 22. 2016 Block 11 PNG Health Project
- 23. Experience PNG Watch PNG video: https://youtu.be/zt7Jq_VNinc Student Testimonials: http://www.qrme.org.au/medical-students/png- health-project/png-testimonial/
- 24. A short and international look? Placements in PNG and Rural Australia Yrs. 1,2&3 at GSOM & Metro Rural GP term Metro, EM & Crit Care Rural PNG Selective MD Yrs. 1,2&3 at GSOM & Metro Rural Indigenous health Metro, EM, Crit Care & GP Rural PNG Elective MD Yrs. 1&2 at GSOM Longlook (Yr. 3), Gympie Hospital Metro EM, Crit Care & GP Rural PNG Selective MD with a Rural Clinical Year
- 25. Griffith University, Darling Downs Clinical Training Centre 2016 4th Year Alumni
- 26. Contact General Enquiries qrmlp@qrme.org.au Prof. Kitchener s.kitchener@griffith.edu.au 07 4638 7999
Editor's Notes
- The Rural Health Stream is not just one placement at one hospital to work through the same old terms. There are many combinations of experiences depending on your interests. Rural experiences can be as short as one term or as long as two years. This slide builds to go through the various Longlook options. In the following slides these are explained as to how they could fit into a MD program. Then there are some slides about shorter experiences in rural available through the Rural Health Stream.
- The Rural Health Stream is not just one placement at one hospital to work through the same old terms. There are many combinations of experiences depending on your interests. Rural experiences can be as short as one term or as long as two years. This slide builds to go through the various Longlook options. In the following slides these are explained as to how they could fit into a MD program. Then there are some slides about shorter experiences in rural available through the Rural Health Stream.
- The Rural Health Stream is not just one placement at one hospital to work through the same old terms. There are many combinations of experiences depending on your interests. Rural experiences can be as short as one term or as long as two years. This slide builds to go through the various Longlook options. In the following slides these are explained as to how they could fit into a MD program. Then there are some slides about shorter experiences in rural available through the Rural Health Stream.
- The Rural Health Stream is not just one placement at one hospital to work through the same old terms. There are many combinations of experiences depending on your interests. Rural experiences can be as short as one term or as long as two years. This slide builds to go through the various Longlook options. In the following slides these are explained as to how they could fit into a MD program. Then there are some slides about shorter experiences in rural available through the Rural Health Stream.
- The Rural Health Stream is not just one placement at one hospital to work through the same old terms. There are many combinations of experiences depending on your interests. Rural experiences can be as short as one term or as long as two years. This slide builds to go through the various Longlook options. In the following slides these are explained as to how they could fit into a MD program. Then there are some slides about shorter experiences in rural available through the Rural Health Stream.
- The Rural Health Stream is not just one placement at one hospital to work through the same old terms. There are many combinations of experiences depending on your interests. Rural experiences can be as short as one term or as long as two years. This slide builds to go through the various Longlook options. In the following slides these are explained as to how they could fit into a MD program. Then there are some slides about shorter experiences in rural available through the Rural Health Stream.
- The Rural Health Stream is not just one placement at one hospital to work through the same old terms. There are many combinations of experiences depending on your interests. Rural experiences can be as short as one term or as long as two years. This slide builds to go through the various Longlook options. In the following slides these are explained as to how they could fit into a MD program. Then there are some slides about shorter experiences in rural available through the Rural Health Stream.
- The Rural Health Stream is not just one placement at one hospital to work through the same old terms. There are many combinations of experiences depending on your interests. Rural experiences can be as short as one term or as long as two years. This slide builds to go through the various Longlook options. In the following slides these are explained as to how they could fit into a MD program. Then there are some slides about shorter experiences in rural available through the Rural Health Stream.
- Longlook began with 4th year students working and learning in rural hospitals. In the current model of 4th year rotations at GSOM, Longlook students all complete their Elective in Block 7 immediately following their summer holiday. Orientation to 4th year and to Longlook occur together at the beginning of Block 8. We will be in contact with you during Block 7 to ensure you are progressing with your DLEEP final assessment which is due in Block 8. One of the distinctive features of 4th year Longlook is the integration of medicine rather than the term-based approach. Unfortunately, patients don’t read the textbook prior to presenting or have specifically medical, surgical, obstetric or mental health issues for doctors to manage, so the integrated approach more approaches the reality of practice. This also does mean that Longlook students are mentored, supervised and administered by the same people throughout the year. We are told by students that they like having a 4th year home base, particularly for exam preparation. During 4th year Longlook you are based in an Emergency Department and a General Practice (blended). Selective attachments also occur weekly throughout the year and Critical Care occurs in association with the two main placements. Much Orthopaedics occurs in GP and in EM, but students also visit Ortho services. Rural placements used include Anaesthetic services. Critical Care itself is part of a continuum, so in addition to seeing an ICU/CCU, students are able to follow patients from GP/EM up to ICU and back to see how Crit Care fits into medical services. Third year Longlook was the natural progression after our first year. Further to the point above that patients don’t read the textbook before presenting, rural generalist hospitals in which Longlook is based perfectly match this model of care. Rural Generalist supervisors and their hospitals in which the Longlook program are the backbone to the program. Students are able to readily move through the curriculum of 3rd year usually addressing multiple learning objectives across several terms (as metro students would be doing it) in the one patient. The great advantage of this for your learning in medicine is not only to see and learn from patients as they actually present, but also to see that medical conditions, which we artificially silo into specialties, actually present as co-morbidities; that drugs for different conditions interact, that families and communities are part of individual health, that doctors are only one part of a health team, and, with the longitudinal nature of Longlook, you also get to see how health conditions evolve for better and for worse and how the health care system joins up (or not) in response.
- In 2017, Griffith takes responsibility for medical student training on the Sunshine Coast. Sunshine Coast Hospital and Health Service and the Sunshine Coast Local Medical Association and Primary Healthcare Network all include rural sites along the Hinterland and on the Cooloola Coast. The Rural Health Stream is the first opportunity for Griffith students to place on the Sunshine Coast. Third year Longlook at Gympie is a wonderful opportunity to expand the medical training at this large rural generalist hospital. The hospital readily supports the clinical experiences for all of third year. QRME have purchased the Popes Rd. student residence a short walk from the hospital. Fourth year Hinterland Longlook is based around the Emergency Departments of Nambour, Maleny and Gympie Hospitals with General Practice placements throughout the year either in the north of the region at Cooroy, or in the south, around Maleny and Landsborough. Selectives are available at Nambour, Maleny and Gympie Hospitals and potentially also at the Sunshine Coast University Hospital.
- This model is new in 2017. An Amalgamative Longlook includes a 4th year that begins with an Elective of your choice in Block 7. We will be in contact to ensure you are progressing with your DLEEP final assessment that will be due early in Block 8, after you begin Longlook. Orientation for Longlook and the entire 4th year is still at the beginning of Block 8. Block 8 & 9 are then integrated as are Blocks 10 & 11. Students will have an integrated dual (2 blocks) placement for EM & Critical Care at one of our larger hospitals; and an integrated dual placement for GP and Selective at Goondiwindi. The amalgated year then covers the (post-Elective) terms integrated in 2 large blocks. Selectives available in a rural town like Goondiwindi are many, ranging from Indigenous Health, to rural EM, rural GP and rural subspecialties. You can experience more medical imaging. There are visiting and local surgeons and anaethetists. Goondi is also a procedural maternity service.
- Short Looks Rural General Practice placements were piloted in 2016 with great success and are being expanded to be available throughout the year from 2017 onwards. The nature of the GP curriculum is such that teaching is centred around weekly tutorials therefore Rural GP term placements are centred around the Darling Downs Clinical Training Centre in Toowoomba. Choice of GP placements occurs in around the third quarter of Year 3 after zone placements and rotation patterns are provided to students. Knowing which Block in 4th year you are allocated to do GP placement, a preferencing process is opened in which Rural GP is available as an option. Rural GP placements are in the practices around the rural margins of Toowoomba, commutable from the Jellicoe House, the DDCTC and the GyG. Rural GP terms differ somewhat, we are told, from metro placements. They are more procedural. You will see actual rural people.
- Short Looks Rural Indigenous Health (Selective) placement are available as Selective terms throughout the (4th) year. Indigenous Australians make up a greater proportion of the population of rural communities than in cities therefore, Indigenous Health is a major part of rural medicine, but should be a major part of all medical learning and practice. We are fortunate to have several different Indigenous Health Selective placement options available: Palm Island Community Clinic partnered with QRME, Griffith and Hope4Health in 2016 to develop a Selective placement for 2 students per term to live and work on the Island. Travel up to the island is supported by H4H and QRME. Yulli Burra Ba on Stradbroke Is. is a different clinic again, that is also a little closer to home. The clinic also takes a community controlled primary care and preventive health approach to improving indigenous health. Goolburri Health Service is in Toowoomba providing not only primary care but dental and child safety services to indigenous Australians on the eastern Downs and for many further west.
- PNG placements will continue as Selective or Elective terms throughout the (4th) year. Rural health occurs not only in Australia, but is the predominant model of health care internationally as more than half of the global population lives in rural areas. As for Australia, rural health is lesser world-wide with lifestyles that lead to lesser health for which there is lesser health care services available and accessible. Health care in rural developing nations is an even more focused way to remember why you become a doctor and what real health care is about. For several years Hope4Health and QRME have supported elective and selective placements of Griffith final year medical students to work in Kiunga in the poorest province of our nearest neighbour. The privilege of living in Australia comes with the responsibility to work with developing nations. Our closest developing neighbour is PNG. Western Province has mining interests but limited investment in other areas. We have chosen Kiunga as a hospital and community that isn’t first in line for that investment, but is safe for male and female student placements and has very good hospital management, accommodation and links with other organizations. The opportunities for this placement are better told by the students who have had the privilege of working in Kiunga [HYPERLINK TO WEBSITE MP4].
- Mixed Short Looks It is feasible to do both a rural GP term and a PNG Selective or (if available) a PNG Elective and Palm Is. rural Indigenous Health Selective, for example. Longlook students may also do PNG placements either following 3rd year (shown above) or prior to 4th year in Block 7. Be aware that as Longlook students who have through their placement committed to helping rural areas, will be given priority for PNG placements.