This document provides information about rural opportunities available through Griffith University's medical program, including a rural stream, rural skills weekends, short and long rural placements, and rural research options. It outlines the learning objectives and content of the rural and agricultural medicine lecture series delivered each year. Details are given about longlook placements in year 3 and 4, including principles, benefits, and feedback from rural doctors. Rural selectives and electives are also described.
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Jeevana the Ayurvedic Healthcare centre Run and owned by Dr. Vinod Nair. It provides ancient Ayurvedic treatments that not only cure ailments but also improve the overall health of the patients. You can get all types of Ayurvedic treatments including the Panchkarma.
Harvesting Health: Growing Our Own Health Care ProfessionalsGreat Valley Center
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In partnership with Pwani University, Zahanati Ventures Ltd is set to host its first summer school from 11th – 14th July, 2017 in Kilifi County, Kenya. The program is an innovative, fun and interactive five-day training in Tropical Medicine for local and international students with a relevant healthcare background. The afternoons will be spent in relevant laboratory sessions with the assistance of local training staff. The final day will culminate with a “Hot topics in Global Health” Day, a quiz and a certificate-awarding ceremony.
School health program
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سيف الفرطـــوســــــــــــي
A former participant in PBS’ Doctors’ Diaries, Dr. Elliott Bennett-Guerrero serves as the director of Perioperative Clinical Research at the Duke Clinical Research Institute. Dr. Elliott Bennett-Guerrero concurrently hosts lectures as a professor of anesthesiology at the Duke University School of Medicine.
In partnership with Pwani University, Zahanati Ventures Ltd is set to host its first summer school from 11th – 14th July, 2017 in Kilifi County, Kenya. The program is an innovative, fun and interactive five-day training in Tropical Medicine for local and international students with a relevant healthcare background. The afternoons will be spent in relevant laboratory sessions with the assistance of local training staff. The final day will culminate with a “Hot topics in Global Health” Day, a quiz and a certificate-awarding ceremony.
School health program
community nurse health prepared by saif musadaq hasan al fartoosi / nursng master student / university of kufa
سيف الفرطـــوســــــــــــي
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4. Lecture series by Year
1. Introduction to Rural Medicine
2. Rural Medicine in practice – Year 2
3. Introduce Agricultural Medicine – Year 3
5. Overall learning objectives Yr. 1
Introduction to Rural Medicine
Defining Rural Medicine
Become aware of the socio-economic
issues in rural communities
Appreciate the epidemiology of Rural
Australians
Understand the nature of health care in
Rural Australia including briefly discussing
current issues
Outline of further lectures
6. Learning objectives Year 2
Rural Medicine in practice
Socio-economic issues of rural and
agricultural health updated
Contemporary issues in Rural Medicine &
health care delivery, that you should know
Rural Mental Health
Cancer in Rural Australia
Preventive health in rural generalist
practice
QRMLP
7. Learning objectives Year 3
Contemporary issues in Rural and Agricultural
medicine
Introduction to Agricultural Medicine
Agricultural occupational health and safety
Clinical agricultural medicine
Zoonoses; Agricultural Respiratory disease
Training pathways to Rural Medical practice
The Rural Generalist Pathway; FARGP
8. Rural & Ag Hlth Seminars
Rural Skills weekends
- H4H, Surgia
Short looks
- Rural GP placement options
- Rural Selectives
Longlooks
- Year 3 &/or Year4
- Amalgamated, Blended,
Comprehensive
Rural research options
Griffith Rural Stream
9.
10.
11. How do I go rural?
Longlook
Preference “Rural”
Rural GP term
Request “Rural GP term” from any of the non-rural
clinical schools
Rural Specialist and Indigenous Health Selectives
Contact QRME with your Selective block (7-11)
and your preferences
12. Longlook – what is it?
Longitudinal placement,
In a rural hospital and practice,
Become part of the medical team, with
Local and central teaching (at the Griffith, Darling Downs Clinical
Training Centre)
13. Principles of the program
1. Context of learning in rural hospitals and
practices
2. Curriculum is more continuous than
artificially compartmentalised
3. Resourced and supported
4. Vertically integrated
14. Why do Longlook?
Students become functional active members of
the hospital health team across a range of
rotations – as patient present,
Provides students with a real look at rural &
regional career choices
More procedural opportunities
Increase chances of QH RG and AGPT place
Subsidised and free accommodation
15. Am I disadvantaged?
Longlook students have no academic
disadvantage
Smaller student numbers, more patients
Registrars, Supervisors, Medical Educators local
Accommodation provided in town.
Workshops with QRME at DDCTC
Regular hub days
OSCE prep
Summer scholarships and research
16. Feedback from the Rural Doctors
• Very positive feedback
• Enjoy quarantined
teaching time
• Good prep for exams
• Boosts confidence
• Longlook students are
sought after
18. Year 3
Medicine
Stream
Medicine Aged/Cancer Care Mental Health Break
(Stream 1) 7 weeks 7 weeks 7 weeks 1 week
Surgery
Stream
Surgery Women’s Health Children’s Health SWOT VAC Written
(Stream 2) 7 weeks 7 weeks 7 weeks 1 week Exam
Children’s Health
Written
Exam
Break
1 week
Children’s Health
Written
Exam
Year 3
Medicine Medicine
Surgery Surgery
Aged & Cancer Care Aged & Cancer Care
Women’s Health Women’s Health
Mental Health Mental Health
Griffith postgraduate MD
program Year 3
Longlook
19. Longlook
Year 4 1 2 3 4 5
Term General
Practice
Elective Emergency
Medicine
Critical
care/Ortho
Selective Exams
Year 4 1 2 3 4 5
Rural Elective
– all
Longlook
students
General Practice
Emergency Medicine
Critical care/Ortho (including at St. Andrews)
Advanced Rural Selective
Exams
Griffith postgraduate MD program Year 4
20. Queensland
Rural Medical
Stream in 2017-
18-19
Clifton
Blackbutt
Cherbourg
Gympie
Maleny
QEII
Hospital
+ Nathan
Campus
Opening Gympie Hospital
with a comprehensive LIC
Expanding LIC to Maleny and
Jandowae
Opening an amalgamative
LIC at Nambour
Rural GP terms, Year 4
Dalby Clinical Education
Centre
University
Hospital
Sunshine
Coast
University
Pre-Med
Continued amalgamated LIC
Continued comprehensive LIC
Rural Centre
21.
22. Every month, everyone
At Toowoomba Hub
Sims, Specialist lectures
Accommodation prov.
Students often stay on,
eg. Food and Wine
Festival
Longlook Hub Days
28. Rural Selectives (and Electives)
Indigenous Health
Rural and Remote Medicine
Specialties in Regional Centres
Academic medicine
29. Rural Selectives (and Electives)
Indigenous Health
Locations
Palm Island
North Stradbroke
Goolburri (Toowoomba)
Certificate in Rural Indigenous Health
30. Rural Selectives (and Electives)
Indigenous Health
Rural and Remote Medicine
Jandowae, Millmerran, Oakey
Quilpie, Dirranbandi
31. Selectives (and Electives)
available through the
Rural Stream
Indigenous Health
With Griffith First Peoples Health Unit
Remote Medicine
Specialties in Regional Centres
Pathology, Radiology, Mental health, ICU,
Paeds
Academic medicine
32. Current Research Projects
Agricultural injuries presenting to rural hospitals
Chronic disease experience in agricultural
communities
Skin cancer in agricultural workers and communities
Student investigator studies (2016)
Rural C.A.P.
Rural end of life care
Surgical complications
High risk pregnancies
BMI in rural paeds patients
Rural ortho referrals
33.
34. Research opportunities in the
Rural Program
Longlook research projects
Year-long in supervised research groups
Report to the HHS – can go on your CV
Presentation at RDAQ or other conferences
Publication
Summer Scholarships (also look good on your CV)
Can begin in first year summer if available
Longitudinal across summers if you wish
Presentable, publishable
Free accommodation
Some are funded scholarships
There are several ways in which Griffith medical students can experience rural medicine beyond the rural health seminars in each of the first three years of the program.
Skills weekends are commonly run. Joining Hope4Health is the easiest way to get access to these great weekends. Many of these are run using the Griffith rural campuses.
Fourth year students can choose Rural GP Terms or Rural Selectives from any of the clinical schools.
Students can preference “Rural” for third or fourth year clinical school placement. These are programs conducted based at the Griffith rural campuses on the Darling Downs and Sunshine Coast hinterland.
Rural Medicine is presented over all four years in the MBBS program. Years One to Three include lectures and seminars on the topic. Content of these lectures and seminars builds and is related to the learning objectives of the themes in each year.
The broad titles of Lectures and Seminars in each year are:
Introduce Rural Medicine
Rural Medicine in practice
Introduce Agricultural Medicine
It is necessary to introduce Rural Medicine as a distinct specialty area of medical practice beginning with a definition of the specialty. As in most specialty areas of medicine, an appreciation of the epidemiology, or a study of the diseases of the relevant population is an essential foundation. To practice or even appreciate Rural Medicine, each medical graduate must have an appreciation of the nature of health care in rural Australia which is intimately linked with the health of rural Australians.
Another element of the Griffith MBBS Program is the opportunity to study, experience and practice Rural Medicine in the actual context. The Longlook program is a stream on offer to Griffith Medical students in third and fourth year for longitudinal placements working in rural hospitals and practices.
Finally Agricultural health and medicine is covered for all students as a subspecialty of Rural Medicine. It is however, an important appreciation for all medical graduates regardless of geography of their practice.
Next year we will discuss some of the contemporary social issues in rural and agricultural health as well as in Rural Medicine. We will expand your understanding of Rural Practice discussing cancer in rural Australia and more on rural mental health. I will also expand on the possibilities of studying and practicing in the rural Longlook program.
Thereafter we will discuss more specific clinical matters in Rural Medicine and postgraduate training opportunities in the specialty.
There are several ways in which Griffith medical students can experience rural medicine beyond the rural health seminars in each of the first three years of the program.
Skills weekends are commonly run. Joining Hope4Health is the easiest way to get access to these great weekends. Many of these are run using the Griffith rural campuses.
Fourth year students can choose Rural GP Terms or Rural Selectives from any of the clinical schools.
Students can preference “Rural” for third or fourth year clinical school placement. These are programs conducted based at the Griffith rural campuses on the Darling Downs and Sunshine Coast hinterland.
These are placements for all of third and/or fourth year based around rural hospitals. Centralised teaching also occurs at the Griffith campus in Toowoomba.
The principles of the program are that learning occurs primarily in the rural context. The curriculum of each year is continuously delivered rather than delivered in a silo fashion compartmentalised and completed before moving onto the next subject. Key foundations of the program are that placements are well resourced, vertically integrated with other rural medical education (such as for rural registrars) and that the students choose the rural placement.
Another benefit for Longlook students on the Darling Downs is that accommodation is provided in the rural hospital Griffith campuses at Kingaroy, Dalby, Warwick and Stanthorpe, and in rented houses in Toowoomba.
I mentioned that the program is essentially turning the curriculum on it’s side. Again this is not a new concept. Here I am referring to the Griffith curriculum.
The students still complete their 3rd year in semesters and in 2011 will be examined at the end of each semester. During the semester though they will be working and learning in a rural hospital broadly in the functional areas of the hospital that meet the requirements of the semester. A student beginning their year in the medical ward of the hospital will also conduct rounds and primary care clinics in aged care facilities, see cancer care patients managed at the hospital, follow some of these patients on their diagnostic and management travels to major centres and join the mental health teams in their rural towns again following some of the acutely ill psychiatric cases on their referral to major centres and back to the rural hospital. During the second semester they will then progress through a similar process in surgical, women’s and children’s health, some of which they will have experienced in the first semester.
So what does the program look like? Rural placements are able to provide the experience necessary to complete the curriculum, but not in a way that readily fits into the artificial terms of rotations. Patients just don’t come into rural hospitals and practices having selected their condition to suit the term of the students therein.
The arrangement of the final year Longlook program is to send all students off to seek an elective in the first term. They should explore areas of medicine of interest to them or those areas in which they feel they need more experience. The Rural Stream which conducts the Longlook program can arrange for rural placements or some overseas rural placements. On return from Electives, all students will orient to the Longlook program and to rural practice before starting on their longitudinal placement for the rest of the year.
Selectives are also done longitudinally. So if you were to choose obstetrics as a Selective, each week an antenatal clinic would be attended and a gynae a Caesar list and if one your ladies goes into labour then you would be called to deliver. Similarly, anaesthetics selective would entail a pre-op clinic a week and regular anaesthetic list.
Longlook arranges for regular tutorials locally and in hub days, both of which include exam prep workshops before the midyear and final year exams.
Stanthorpe gets cold.
The Clinic at Palm Island.
Palm Is. sits in the Coral Sea off Tropical North Queensland.
Dr. Ray Blackman is the senior GP in the clinic, showing some Griffith First year students around here.
We are also placing students into the Aboriginal Medical Service on North Stradbroke Island. It is possible to also live here or there is a daily ferry service from the mainland.
Students attending Rural and Remote Medicine Selectives will also have the opportunity to attend the academic program in Indigenous Health and be eligible for the Certificate in Rural Indigenous Health.
Accommodation is provided for all of these rural and remote medicine locations. Assistance is available for travel.
Students wishing to undertake or complete some research are welcome to join research projects in the Rural Stream and with the Agricultural Health and Medicine Research Group based in Toowoomba. Accommodation is subsidised in Toowoomba.
This is a picture of a Longlook student conducting a health and lifestyle assessment on a farmer at a field day.
Agricultural injuries presenting to rural hospitals
Chronic disease experience in agricultural communities
Skin cancer in agricultural workers and communities
Student investigator studies (2016)
Rural community acquired pneumonia
End of life care in rural hospitals
Surgical complications in rural hospitals
High risk pregnancies in rural maternity services
BMI in rural paediatric presentations
Orthopaedic referrals from rural communities
If you have any questions about this topic or further training in Rural Medicine, I can be contacted via my Griffith or QRME email addresses: s.kitchener@qrme.org.au
