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Increasing Medical Students' Capacity To Practice Evidence-Based Medicine Through Improving Student Participation And Interest In Journal Club, Warren C. Rich, Judy Mullan, Kathryn M. Weston, Peter L. Mclennan

Graduate School of Medicine - Papers (Archive)

Research indicates that graduating doctors believe they are deficient in the skills needed to become evidence-based practitioners. To address this the University of Wollongong’s new Graduate School of Medicine has embedded research and critical analysis (RCA) skills into the case-based curriculum. A key component of the RCA curriculum is improving the medical students’ critical appraisal skills by participating in Journal Club during their first phase of the course. Feedback from the first two student cohorts participating in Journal Club suggested that it was not important or interesting.

To increase the level of interest, enthusiasm and participation in Journal Club peer-assessment …

A Scholarly Spin On Practice: The Impact Of Longitudinal Integrated Clerkships On The Development Of Academic Scholarship In General Clinical Practice, Judith N. Hudson, Kathryn M. Weston

Graduate School of Medicine - Papers (Archive)

All senior medical students at the University of Wollongong in Australia undertake a longitudinal integrated community-based clerkship in a regional or rural community. In addition to continuity of patient care and curriculum, the clerkship offers each student individualized professional development by experienced generalist practitioners. These practitioners predicted outcomes from their relationship with the long-term students, including a more scholarly approach to clinical practice (1). In 1990, Boyer outlined the concept of four domains of scholarship: discovery, integration, application and teaching (2). More recently, a working definition of clinical scholarship in academic medicine has been proposed 930. This paper describes the …

Practice Nurses Experiences Of Mentoring Undergraduate Nursing Students In Australian General Practice, Elizabeth J. Halcomb, Kathleen Peters, Susan Mcinnes

Faculty of Science, Medicine and Health - Papers: part A

Internationally, the delivery of health services has shifted from secondary to primary care, necessitating an exponential growth of the nursing workforce and expansion of the nursing role in general practice. This growth, and the subsequent need to develop this workforce, has created a need to expose undergraduate nurses to general practice nursing as a viable career option. Concurrently, universities are struggling to find sufficient clinical places for their undergraduate students to gain clinical experience. It is logical, therefore, to increase the number of undergraduate nursing student placements in general practice. Through qualitative research methods, this paper seeks to explore the …

Will Climate Severity Ever Lead To Climate Action? Implications For Adaptation Policy And Practice, Bastian Seidel, Erica Bell

Faculty of Science, Medicine and Health - Papers: part A

No abstract provided.

Exercise Counselling: When Undergraduate Practice-Based Learning And Community Outreach Combine, Everyone Appears To Be A Winner, Angela Douglas, Jennifer Wilkie, Herbert Groeller

Faculty of Science, Medicine and Health - Papers: part A

Abstract of paper presented at the 5th Exercise & Sports Science Australia Conference 2012.

Do Australian Adolescent Female Fake Tan (Sunless Tan) Users Practice Better Sun-Protection Behaviors Than Non-Users?, Melinda Williams, Sandra C. Jones, Peter Caputi, Donald C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: To determine differences in sun-protection behaviours, and incidence of sunburn, between Australian adolescent female fake tan users and non-users. Design: Cross sectional survey. Method: 398 adolescent females aged 12 to 18 years participated in a survey at public venues, schools, and online. The main outcome measures were self-reported fake tan usage in the past 12 months, frequency of sunburns and habitual sun-protection behaviours. Setting: Surveys were completed in New South Wales, Australia. Results: The prevalence of self-reported use of fake tanning products in the past 12 months among Australian adolescent females was 34.5%. Female fake tan users were significantly …

Effect Of Simulation Training On The Practice Of Medical Students, Natalie A. Smith, Elfi Ashcroft, Kathryn Rhodes

Graduate School of Medicine - Papers (Archive)

One of the remaining challenges in simulation-based medical education (SBME) is to show that it has a positive impact on clinical outcome (1). We report an investigation of simulation teaching in medical students using self-reported measures of change in practice as a surrogate measure of clinical impact. We describe reasons given by students for increased clinical confidence and the key points that they learned from SBME.

How Does An Awareness Of Emotional Intelligence Impact On Practice: Developing Emotional Intelligence In An Education Setting, Dominique Parrish

Faculty of Science, Medicine and Health - Papers: part A

No abstract provided.

General Practice Training, Web 2.0 And Virtual Communities Of Practice: An Interview Study, Stephen Barnett, Sandra C. Jones, Lance R. Barrie, Andrew D. Bonney, Donald C. Iverson

Graduate School of Medicine - Papers (Archive)

Aims and Rationale

General Practice training faces geographic barriers to efficient knowledge sharing, collaboration and professional and social support amongst its participants. In industry, large companies use internet tools to create Virtual Communities of Practice which improve collaboration, information sharing and support amongst staff. This study examined the feasibility of using Web 2.0 tools to create a Virtual Community of Practice for GP training.

Methods

Following a previous quantitative survey study, a qualitative telephone interview study was undertaken with GP Registrars and Supervisors in a Regional Training Provider. Participants were selected on the basis of highest internet usage in the …

Different Needs, Same Solution: The Effect Of Visible Supervision On Older Patients' Attitudes To General Practice Trainee Chronic/Complex Care, Andrew D. Bonney, Sandra C. Jones, Donald Iverson, Christopher Magee

Graduate School of Medicine - Papers (Archive)

Abstract presented at The 2010 38th NAPCRG Annual Meeting, 13-17 Nov 2010, Seattle, USA

The Relevance Of Emotional Intelligence For Effective Leadership Practice In A Higher Education Context, Dominique Parrish

Faculty of Science, Medicine and Health - Papers: part A

No abstract provided.

What Do Older Patients Want? Understanding Older Patients' Attitudes Towards General Practice Trainees, Andrew D. Bonney, Sandra C. Jones, Donald Iverson, Christopher Magee

Graduate School of Medicine - Papers (Archive)

Context: Older patients constitute an increasing proportion of the caseloads in general practice (GP) training practices, but are relatively reluctant to consult trainees. Understanding their attitudes is a first step in improving older patient-trainee interaction. Objectives: Characterise the attitudes of older patients to GP trainees. Design: Cross-sectional survey; exploratory factor analysis; logistic regression. Setting: Randomised, stratified sample of 38 training practices across five Australian states. Participants: Patients aged 60 years and over (N=911; response rate 47.9%). Instrument: Questionnaire for self-completion: previously piloted and subjected to factor analysis. Main and secondary outcome measures: Identification of attitude factors; patient characteristics predicting high …

Measuring Older Patients’ Attitudes To General Practice Registrars: Exploratory Factor Analysis Of A Survey Instrument, Andrew D. Bonney, Christopher A. Magee, Peter Caputi

Graduate School of Medicine - Papers (Archive)

Introduction: Training general practice registrars (GPRs) to meet the challenges of an ageing population is hampered by their relatively reduced contact with older patients and a paucity of suitable research to inform training models. This paper describes an exploratory factor analysis of a survey instrument assessing the attitudes of older patients to GPRs, as part of a project to address these concerns. Methods: The instrument was developed on the basis of a qualitative study and a literature review and distributed to 500 patients aged 60 years and over from 10 training practices in regional Australia. Responses to 22 of the …

General Practice Training, Web 2.0 And Virtual Communities Of Practice : A Survey Study, Stephen Barnett, Sandra C. Jones, Lance R. Barrie, Andrew D. Bonney, D C. Iverson

Graduate School of Medicine - Papers (Archive)

Aims & rationale/Objectives

General Practice training faces geographic barriers to efficient knowledge sharing, collaboration and professional and social support amongst its participants. In industry, large companies use internet tools to create Virtual Communities of Practice which improve collaboration, information sharing and support amongst staff. This study examined the feasibility of using Web 2.0 tools to create a Virtual Community of Practice for GP training.

Methods

A crossectional online survey was conducted in a Regional GP Training Provider (RTP). The instrument contained categorical and 5-point ascending Likert response format items and was sent to all registrars and supervisors in the RTP. …

The Application Of Coach Leadership Models To Coaching Practice: Current State And Future Directions, Stewart Vella, Lindsay G. Oades, Trevor P. Crowe

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Preparing For An Ageing Population: A Survey Of Older Patients' Attitudes To General Practice Registrars, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

The ageing population makes it imperative to provide appropriate training for general practice registrars (GPRs) in the community-based care of older patients. However, data suggest that older patients may be less willing to consult GPRs for chronic/complex care; adversely affecting training opportunities and potentially the satisfaction of older patients in training practices. This cross-sectional study was undertaken to investigate this concern in the Australian context and develop models of older patient-GPR interaction that are acceptable to patients.

Calculating Clinically Significant Change: Applications Of The Clinical Global Impressions (Cgi) Scale To Evaluate Client Outcomes In Private Practice, Peter Kelly

Faculty of Health and Behavioural Sciences - Papers (Archive)

The Clinical Global Impressions (CGI) scale is a therapist-rated measure of client outcome that has been widely used within the research literature. The current study aimed to develop reliable and clinically significant change indices for the CGI, and to demonstrate its application in private psychological practice. Following the guidelines developed by Clement, a file review was conducted of the authors’ first six years working in private practice. A reliable change on the CGI required the participants score to change by 2-points. Depending on the method used to calculate the clinical change indices, between 23% and 50% of the total participants …

Development Of A Clinician-Led Research Agenda For General Practice Nurses, Elizabeth J. Halcomb, Louise Hickman

Faculty of Science, Medicine and Health - Papers: part A

Objective: This study sought to identify and prioritise research issues as perceived by Australian general practice nurses. In this context, a research priority refers to the most pressing research problems that necessitate exploration to improve clinical practice. Design: This paper reports the findings of a two-round Delphi study. Initially, focus groups identified research issues. Subsequently, an online survey facilitated ranking of these issues on a 5-point Likert scale. Setting: Australian general practices. Subjects: Twenty-five practice nurses participated in the focus groups and 145 practice nurses responded to an online survey. Main outcome measure(s): The main outcome measure was the prioritisation …

General Practice Registrars: Attitudes Of Older Patients, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Previous research indicates that older patients may be less willing to consult general practice registrars (GPRs), reducing training opportunities in chronic/complex care. This survey explores older patients’ attitudes in order to inform models of interaction that would be acceptable to patients. METHODS Ten training general practices distributed questionnaires for self completion to 50 patients aged 60 years and over. Chi-square, Spearman’s rho and logistic regression were used for analysis. RESULTS The response rate was 47%. Ninetysix percent wanted ongoing contact with their general practitioner if they saw a GPR. Twenty-four percent were comfortable with GPR chronic/complex care, increasing to 73% …

Quit In General Practice: A Cluster Randomised Trial Of Enhanced In-Practice Support For Smoking Cessation, Nicholas Arnold Zwar, Robyn Richmond, Elizabeth Halcomb, John Furler, Julie Smith, Oshana Hermiz, Irene Blackberry, Ron Borland

Faculty of Science, Medicine and Health - Papers: part A

Background This study will test the uptake and effectiveness of a flexible package of smoking cessation support provided primarily by the practice nurse (PN) and tailored to meet the needs of a diversity of patients. Methods/Design This study is a cluster randomised trial, with practices allocated to one of three groups 1) Quit with Practice Nurse 2) Quitline referral 3) GP usual care. PNs from practices randomised to the intervention group will receive a training course in smoking cessation followed by access to mentoring. GPs from practices randomised to the Quitline referral group will receive information about the study and …

Uptake Of Medicare Chronic Disease Items In Australia By General Practice Nurses And Aboriginal Health Workers, Elizabeth J. Halcomb, Patricia M. Davidson, Nicola Brown

Faculty of Science, Medicine and Health - Papers: part A

The Australian health care system is currently in a state of reform and there is increasing pressure to provide care in community settings. Rising costs, demands and population ageing underscore the importance of adopting models of health care delivery to address changing epidemiological patterns. Population ageing and the increase of chronic conditions challenge models based on acute care. Changes to the Medicare benefits schedule have facilitated the development of a range of expanded nursing services in the general practice setting. In particular, item number 10997 was introduced to reimburse practice nurses and Aboriginal health workers (AHWs) for providing monitoring and …

Cardiovascular Absolute Risk Assessment And Management Engagement And Outcomes In General Practice Patients, Qing Wan, Nicholas Zwar, Sanjyot Vagholkar, Terry Campbell, Mark Fort Harris

Faculty of Science, Medicine and Health - Papers: part A

Despite a decline in recent decades, cardiovascular disease (CVD) remains the major cause of death and disability in Australia.1,2 To improve primary prevention of CVD, many clinical guidelines recommend using cardiovascular absolute risk (CVAR) assessment to guide risk factor management.3-6 Cardiovascular absolute risk assessment predicts the overall risk of a cardiovascular event over a given time period (usually 5 or 10 years). However, use of CVAR is limited and has not been incorporated well in routine general practice.7-9 There has been little research on CVAR implementation and an effective implementation strategy has been lacking.10

Patients' Attitudes To General Practice Registrars: A Review Of The Literature, Andrew D. Bonney, Lyn Phillipson, Samantha Reis, Sandra C. Jones, Donald Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Introduction With the population ageing, it is imperative for training practices to provide GP registrars with sound experience in managing the health problems of older persons, especially chronic conditions. However, it is reported that a significant proportion of these patients will be resistant to consulting registrars, with concerns regarding disruption of continuity of care being a significant factor. The challenge for training practices is to identify approaches to engage registrars in the management of older patients whilst maintaining patient satisfaction. This paper presents a review of the literature on patient attitudes to general practice registrars to better understand the nature …

Older Patients' Attitudes To General Practice Registrars: A Qualitative Study, Andrew D. Bonney, Lyn Phillipson, Sandra C. Jones, Donald Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background Research suggests that older patients may be reluctant to engage general practice registrars (GPRs) in their care. The authors undertook a qualitative study of the attitudes of older patients to GPRs to investigate this issue. Method Thirty-eight patients aged 60 years and over from three training practices participated in semistructured telephone interviews, which explored patients responses to GPRs. The interviews were recorded, transcribed and analysed using a template analysis approach. Results Analysis of the interviews produced five major themes concerning patient attitudes to GPRs: desire for continuity, desire for access, openness, trust and a desire for meaningful communication. Discussion …

Meals In Science And Practice: Interdisciplinary Research And Business Applications, Anthony Worsley

Faculty of Health and Behavioural Sciences - Papers (Archive)

This is the book for those of us who subscribe to the maxim ‘People don’t eat nutrients, they eat food!’ Underlying all of our nutrition science is the simple fact that people eat combinations of foods at certain times during the day in a multitude of cultural, social and physical contexts. They eat meals. If we are to have any chance of influencing people’s food choices we have to understand meals. This is no mean task and Meiselman and his highly expert fellow authors have spent much of their working lives tormenting themselves trying to make sense of this most …

Mental Health Education For Nurses In General Practice, Kathryn Godwin

Faculty of Health and Behavioural Sciences - Papers (Archive)

Over the last seven years practice nurse numbers have grown across Australia to over 7,824 (est.) in 2007, with at least 60% of general practices now employing a practice nurse (APNA 2008). Nurses hav~ helped many GPs with overwhelming workloads which include dealing with complex mental health complaints, such as depression and anxiety related to chronic disease conditions. Practice nurses are a key component in primary health care with one nurse to every 2.3 GPs in 2007 (APNA 2008

Working With Substance Misuse Problems In Private Practice, Peter Kelly

Faculty of Health and Behavioural Sciences - Papers (Archive)

Individuals experiencing alcohol and other drug (AOD) problems have typically been under represented within private practice. For example, in the general population the prevalence of substance use disorders (7.7%) is comparable to that of anxiety (9.7%) and affective disorders (5.8%; Andrews, Hall, Teesson & Henderson, 1999). However, a recent APS survey showed that while 48 per cent of people treated by psychologists under the Better Access initiative presented with anxiety or depression, only 6 per cent presented for assistance with substance misuse problems (Giese, Littlefield & Mathews, 2008). Recent changes to the Medicare system have largely reduced financial barriers, presenting …

Toward The Science-Informed Practice Of Clinical Supervision: The Australian Context, Craig J. Gonsalvez, Hamish Mcleod

Faculty of Health and Behavioural Sciences - Papers (Archive)

Although supervision of clinical practice is mandatory for trainee psychologists, surprisingly little is known about the key ingredients of effective supervision and the relationship between supervision and patient outcomes. The purpose of this paper was to review current regulations that shape supervision in Australia and explore the links between these regulations and the components of effective supervision. Although recent developments including supervisor training and other quality control programs are an indication of progress, there are several empirical and conceptual issues in the supervision literature that require resolution. The second part of this paper identifies the gaps in the supervision literature …

Conceptualising The Policy Practice And Behavioural Research Relationship, Mark Lawrence, Heather Yeatman

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: Policy is frequently identified in the behavioural nutrition and physical activity research literature as a necessary component of effective research and practice. The purpose of this commentary is to promote a dialogue to contribute towards the further development of conceptual understandings and theories of the relationship between policy practice and behavioural research and how these twoactivities might work synergistically to improve public health outcomes.Methods: Drawing on policy and public health literature, this commentary presents a conceptual model of the interaction and mediation between nutrition and physical activity-relevant policy and behavioural nutrition and physical activity research, environments, behaviours and public …

Teaching Smarter: How Mining Ict Data Can Inform And Improve Learning And Teaching Practice, Shane P. Dawson, Erica Mcwilliam, Jen Pei-Ling Tan

Graduate School of Medicine - Papers (Archive)

The trend to greater adoption of online learning in higher education institutions means an increased opportunity for instructors and administrators to monitor student activity and interaction with the course content and peers. This paper demonstrates how the analysis of data captured from various IT systems could be used to inform decision making process for university management and administration. It does so by providing details of a large research project designed to identify the range of applications for LMS derived data for informing strategic decision makers and teaching staff. The visualisation of online student engagement/effort is shown to afford instructors with …