2010 - General Practice and Primary Health Care Academic Centre

2010 - General Practice and Primary Health Care Academic Centre 2010 - General Practice and Primary Health Care Academic Centre

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LECTURERS Dr Melanie Cheng MB BS FRACGP is a GP in Deer Park. She has tutored medical students since 2008. Melanie is currently a medical educator with the Victorian Metropolitan Alliance (VMA) for GP Training. Dr Caroline Johnson MB BS FRACGP is a part-time GP and a lecturer delivering vocational training for GPs via the Victorian Metropolitan Alliance (VMA) for GP Training. She has a special interest in primary mental health care research, advocacy and training. Dr Heather McGarry MB BS MMed GCertHlthProfEd FRACGP is a lecturer and medical educator with the Victorian Metropolitan Alliance (VMA) for GP Training. She works part-time in general practice and her research interests include GPs’ experience of occupational violence and education. ADMINISTRATIVE OFFICERS Ms Bernadette Cooper is responsible for administering the Academic Centre's undergraduate and postgraduate coursework programs including Semester 5 and 12 general practice placements. She also assists in the administration of research short courses. Ms Di Doyle is based at the Rural Clinical School in Shepparton and assists with Semester 12 rural placements. She also provides support to the Rural Early Elective Placement (REEP) program, Extended Rural Cohort (ERC) students and student health clubs. UNDERGRADUATE TEACHING AND LEARNING The Department of General Practice has contributed to medical student teaching at all levels of the medical course since our inception. We have been involved in curriculum development, subject coordination and assessment, including key roles in the Introduction to Clinical Medicine and Health Practice subjects. We established the 'Simulated Patients' and 'Clinical Teaching Associates' programs which are now coordinated from the Medical Education Unit. We offer expertise in communication skills teaching using a bio-psycho-social approach, as well as in General Practice as a discipline. Our current undergraduate teaching involves coordinating the five-week general practice rotation for all students in the final (12th) semester of the course. The Academic Centre has recruited over 200 urban and rural general practices to provide an exciting opportunity for students to experience general practice just before launching into their professional career. We consistently receive very positive evaluations from students and GP teachers regarding this rotation. In order to recognise teaching excellence, in 2007 we initiated Teaching Awards, whereby students can nominate their practice or GP supervisor for an award. In 2009 we added two further awards for Outstanding General Practice Teacher and Excellent contribution as a New Clinical Teacher. CORE PROGRAMS The current medical curriculum is founded on a problem-based, small group approach to education with an emphasis on selfdirected learning. Semester 6 and 7 - Advanced Medical Science (AMS) subject The AMS is a research year undertaken by all undergraduate entry students. Students explore an area related to medicine in depth, chosen from a large range of topics including general practice. They are introduced to the formal processes of research and develop skills in literature appraisal, and data collection, analysis and presentation. Students choosing the General Practice and Primary Health Care Academic Centre select topics from our research themes and have the opportunity to present their work within the Academic Centre. Semester 12 - Integrated Clinical Practice The final semester of the medical course consists of three five-week rotations in general practice, general medicine and general surgery. The curriculum has been designed as a pre-internship period during which students hone the knowledge and skills they will require as interns. The GP rotation consists of a two-day orientation in general practice, then a placement in an urban or rural general practice. In these practices, students participate in day-to-day patient care and assist with a range of supervised page6

activities including patient consultations, developing management plans, home visits, medical procedures and health promotion. Weekly tutorials with an academic GP complement the student learning experience. The Academic Centre provides training for the GP supervisors as well as undertaking a quality assessment process for all practices. PROVIDING A RURAL FOCUS TO MEDICAL EDUCATION Our regional and rural teaching and research programs are characterised by collaboration between the Rural Health Academic Centre (based in Shepparton, Wangaratta and Ballarat), and the General Practice and Primary Health Care Academic Centre's team of rural GPs located in Geelong, Ballarat, Shepparton, Bendigo and Sale. This collaboration enables us to ensure that adequate support is given to rural GP teachers and rural medical students during clinical placements. Rural academics work closely together with the Academic Centre to foster integrated working relationships with relevant stakeholders throughout Victoria, including the divisions of general practice, regional training networks, local health services and health networks, local government, consumer organisations, secondary schools and other universities. Our rural team Our rural team of GP academics is based in key areas around the state. Most are also medical educators and clinical supervisors for the General Practice Education Training program. The team enables students to develop a rural and regional focus to their education and provides a conduit for the Academic Centre's influence into the regional areas via locally based GP representatives. The rural team is involved in teaching and supporting undergraduate students on rural placements and has been successful in recruiting rural general practitioner teachers and providing support to them at a regional level. They have also been active in establishing rural secondary school networks to foster and encourage rural students to undertake medical training. Rural Undergraduate Support and Coordination (RUSC) program The RUSC program, funded by the Commonwealth Department of Health and Ageing provides quality rural placements for medical students during their course. These include the Rural Health Module; the Rural Early Elective Placement (REEP) program; and the five-week GP clinical placement during the final year of the medical course. Rural-focus student activities The Academic Centre, also through the RUSC program, provides academic, administrative and financial support to OUTLOOK and Moovin' Health, two student clubs for medical and allied health students. OUTLOOK and Moovin' Health undertake a variety of activities throughout the year to foster interest amongst high school and university students in rural health careers and Indigenous health. OUTOOK has an office in the General Practice and Primary Health Care Academic Centre at Parkville and Moovin' Health at the Rural Health Academic Centre in Shepparton. INVOLVEMENT IN THE NEW DOCTOR OF MEDICINE (MD) CURRICULUM PLANNING A new four year, graduate entry MD medical course is under development, with the first intake to commence in 2011. General Practice and Primary Health Care Academic Centre is working to ensure that there are regular general practice teaching and learning opportunities in the new curriculum, with a view to creating a future medical workforce that meets community needs. The Academic Centre will also offer final year students an opportunity to undertake a research elective or advanced clinical term in primary care. We are involved in the CRESCENT initiative, which is a project to increase the level of community-based teaching and learning in the northern and western suburbs of Melbourne. Two new clinical schools are being established under the CRESCENT banner at Northern and Western Hospitals. As part of this project we are leading the Community and GP Linkages Strategy, which aims to engage with community-based health practitioners to develop the community-based teaching capacity in the region. The Primary Care Community Base Training model in the new MD The University of Melbourne is transforming its health professional curricula to meet the challenges of: workforce shortages in areas of disadvantage, increasing chronic disease and the shift from reactive acute care to a primary care orientated preventive and health maintenance system. With increasing numbers of clinical students there is also a need for increasing clinical placements and supervisors. The University is aiming to address these challenges with an innovative strategy to increase community based clinical training in the outer North-West metropolitan area, which is an area of need. In addition to our traditional clinical schools, from 2012 graduate medical students will be trained in the two new clinical schools, at the Northern and Western Hospitals. These students will also be attached to a community Primary Care Community Base practice for their clinical years. The General Practice and Primary Health Care Academic Centre is partnering with the two new clinical schools to develop and implement the community based training model. We have completed a round of extensive consultation with health care providers, students, educators and consumers in the region to understand how the model might work and have been successful in acquiring infrastructure funding enabling 21 community practices to take on the role of community base in 2012. We will continue to refine this model with the Northern and Western Clinical Schools, our advisory group and by integrating the learning from similar models elsewhere in Australia and the world. page7

activities including patient consultations, developing management plans, home visits, medical procedures <strong>and</strong> health<br />

promotion. Weekly tutorials with an academic GP complement the student learning experience. The <strong>Academic</strong> <strong>Centre</strong> provides<br />

training for the GP supervisors as well as undertaking a quality assessment process for all practices.<br />

PROVIDING A RURAL FOCUS TO MEDICAL EDUCATION<br />

Our regional <strong>and</strong> rural teaching <strong>and</strong> research programs are characterised by collaboration between the Rural <strong>Health</strong> <strong>Academic</strong><br />

<strong>Centre</strong> (based in Shepparton, Wangaratta <strong>and</strong> Ballarat), <strong>and</strong> the <strong>General</strong> <strong>Practice</strong> <strong>and</strong> <strong>Primary</strong> <strong>Health</strong> <strong>Care</strong> <strong>Academic</strong> <strong>Centre</strong>'s<br />

team of rural GPs located in Geelong, Ballarat, Shepparton, Bendigo <strong>and</strong> Sale. This collaboration enables us to ensure that<br />

adequate support is given to rural GP teachers <strong>and</strong> rural medical students during clinical placements. Rural academics work<br />

closely together with the <strong>Academic</strong> <strong>Centre</strong> to foster integrated working relationships with relevant stakeholders throughout<br />

Victoria, including the divisions of general practice, regional training networks, local health services <strong>and</strong> health networks, local<br />

government, consumer organisations, secondary schools <strong>and</strong> other universities.<br />

Our rural team<br />

Our rural team of GP academics is based in key areas around the state. Most are also medical educators <strong>and</strong> clinical supervisors<br />

for the <strong>General</strong> <strong>Practice</strong> Education Training program. The team enables students to develop a rural <strong>and</strong> regional focus to their<br />

education <strong>and</strong> provides a conduit for the <strong>Academic</strong> <strong>Centre</strong>'s influence into the regional areas via locally based GP<br />

representatives. The rural team is involved in teaching <strong>and</strong> supporting undergraduate students on rural placements <strong>and</strong> has<br />

been successful in recruiting rural general practitioner teachers <strong>and</strong> providing support to them at a regional level. They have also<br />

been active in establishing rural secondary school networks to foster <strong>and</strong> encourage rural students to undertake medical<br />

training.<br />

Rural Undergraduate Support <strong>and</strong> Coordination (RUSC) program<br />

The RUSC program, funded by the Commonwealth Department of <strong>Health</strong> <strong>and</strong> Ageing provides quality rural placements for<br />

medical students during their course. These include the Rural <strong>Health</strong> Module; the Rural Early Elective Placement (REEP)<br />

program; <strong>and</strong> the five-week GP clinical placement during the final year of the medical course.<br />

Rural-focus student activities<br />

The <strong>Academic</strong> <strong>Centre</strong>, also through the RUSC program, provides academic, administrative <strong>and</strong> financial support to OUTLOOK<br />

<strong>and</strong> Moovin' <strong>Health</strong>, two student clubs for medical <strong>and</strong> allied health students. OUTLOOK <strong>and</strong> Moovin' <strong>Health</strong> undertake a variety<br />

of activities throughout the year to foster interest amongst high school <strong>and</strong> university students in rural health careers <strong>and</strong><br />

Indigenous health. OUTOOK has an office in the <strong>General</strong> <strong>Practice</strong> <strong>and</strong> <strong>Primary</strong> <strong>Health</strong> <strong>Care</strong> <strong>Academic</strong> <strong>Centre</strong> at Parkville <strong>and</strong><br />

Moovin' <strong>Health</strong> at the Rural <strong>Health</strong> <strong>Academic</strong> <strong>Centre</strong> in Shepparton.<br />

INVOLVEMENT IN THE NEW DOCTOR OF MEDICINE (MD) CURRICULUM PLANNING<br />

A new four year, graduate entry MD medical course is under development, with the first intake to commence in 2011. <strong>General</strong><br />

<strong>Practice</strong> <strong>and</strong> <strong>Primary</strong> <strong>Health</strong> <strong>Care</strong> <strong>Academic</strong> <strong>Centre</strong> is working to ensure that there are regular general practice teaching <strong>and</strong><br />

learning opportunities in the new curriculum, with a view to creating a future medical workforce that meets community needs. The<br />

<strong>Academic</strong> <strong>Centre</strong> will also offer final year students an opportunity to undertake a research elective or advanced clinical term in<br />

primary care. We are involved in the CRESCENT initiative, which is a project to increase the level of community-based teaching<br />

<strong>and</strong> learning in the northern <strong>and</strong> western suburbs of Melbourne. Two new clinical schools are being established under the<br />

CRESCENT banner at Northern <strong>and</strong> Western Hospitals. As part of this project we are leading the Community <strong>and</strong> GP Linkages<br />

Strategy, which aims to engage with community-based health practitioners to develop the community-based teaching capacity<br />

in the region.<br />

The <strong>Primary</strong> <strong>Care</strong> Community Base Training model in the new MD<br />

The University of Melbourne is transforming its health professional curricula to meet the challenges of: workforce shortages in<br />

areas of disadvantage, increasing chronic disease <strong>and</strong> the shift from reactive acute care to a primary care orientated preventive<br />

<strong>and</strong> health maintenance system. With increasing numbers of clinical students there is also a need for increasing clinical<br />

placements <strong>and</strong> supervisors.<br />

The University is aiming to address these challenges with an innovative strategy to increase community based clinical training in<br />

the outer North-West metropolitan area, which is an area of need. In addition to our traditional clinical schools, from 2012<br />

graduate medical students will be trained in the two new clinical schools, at the Northern <strong>and</strong> Western Hospitals. These students<br />

will also be attached to a community <strong>Primary</strong> <strong>Care</strong> Community Base practice for their clinical years.<br />

The <strong>General</strong> <strong>Practice</strong> <strong>and</strong> <strong>Primary</strong> <strong>Health</strong> <strong>Care</strong> <strong>Academic</strong> <strong>Centre</strong> is partnering with the two new clinical schools to develop <strong>and</strong><br />

implement the community based training model. We have completed a round of extensive consultation with health care<br />

providers, students, educators <strong>and</strong> consumers in the region to underst<strong>and</strong> how the model might work <strong>and</strong> have been successful<br />

in acquiring infrastructure funding enabling 21 community practices to take on the role of community base in 2012. We will<br />

continue to refine this model with the Northern <strong>and</strong> Western Clinical Schools, our advisory group <strong>and</strong> by integrating the learning<br />

from similar models elsewhere in Australia <strong>and</strong> the world.<br />

page7

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