2012 Dept Profile - General Practice and Primary Health Care ...

Health for all throughleading innovativeprimary care educationand research.The VisionThe General Practice and Primary Health Care Academic Centre iscommitted to enhancing general practice and primary health carethrough excellent education and research that engages with thecommunity and the wider health care system.Disclaimer: This document outlines the major teaching, research and knowledge transfer achievements of the General Practiceand Primary Health Care Academic Centre since the last publication in 2010 and records staff as at 31 December 2011.

WelcomeWelcomeMessageWelcome to the 2012 Profile of the General Practice andPrimary Health Care Academic Centre within the MelbourneMedical School, Faculty of Medicine, Dentistry and HealthSciences, The University of Melbourne. This year we are celebrating150 years of training doctors within the Medical School.The University of Melbourne was establishedin 1853 and is a public-spirited institution thataims to be one of the finest universities in theworld. General Practice began as a unit withinthe Department of Community Medicine in 1977 andwas established as a separate clinical department withinthe School of Medicine in 2001. In 2010 we formed theGeneral Practice and Primary Health Care AcademicCentre. In 2011 we established a node of the AcademicCentre at Sunshine to work closely with the NorthWest Academic Centre, which includes the new clinicalschools at Western, Sunshine and Northern Hospitals,in the development and delivery of the community basedcomponent of the new Graduate Medical Curriculum inthe outer north-west metropolitan area. We are workingclosely with the Victorian Comprehensive Cancer Centreto develop initiatives to support the important role thatprimary care plays in prevention, early diagnosis andsurvivorship care.Our Academic Centre brings together the Departmentof General Practice and the Primary Care ResearchUnit with over 300 general practices and communityhealth services throughout metropolitan and ruralVictoria. We are a multidisciplinary Academic Centrethat is committed to excellence in teaching, researchand knowledge exchange. General practice is thecore of our health care system and the main providerof primary health care in Australia. The face of generalpractice is changing and this is reflected in our activities.The Melbourne Medical School is increasing theopportunities for medical training within the communityand our Academic Centre has been very active inproviding a leadership role to achieve this aim. Havingspace to accommodate doctors in training within thecommunity setting has always been a major barrier tosuccessful community based placements. Over thepast two years we have worked in close partnershipwith primary general practices, community healthservices, emerging superclinics and Medicare Locals togain infrastructure funding to support the developmentof dedicated student consulting rooms. We are currentlysupporting the development of 28 student dedicatedconsulting rooms.In addition to our traditional and key role in teachingmedical students about general practice and primarycare we have also led the development of postgraduatetraining for primary care nursing. This course is gainingin popularity and we are beginning to see the benefitsof nurses obtaining primary care relevant recogniseduniversity level training alongside their day to dayclinical work. These activities are of utmost importanceto ensuring a quality health workforce in Australiaand beyond.Established in 2006, the Primary Care ResearchUnit (PCRU) strives to support our growing team ofmultidisciplinary primary care researchers and researchhigher degree students and to support VicReN, ourpractice-based research network. Our research isbased upon a social model of health and broadly aims toimprove the quality and safety of primary care via modelsof care and clinical interventions that are rigorouslydeveloped and evaluated using a mix of quantitativeand qualitative methods. We have established researchprograms in areas of national priority such as chronicdisease, mental health, young people’s health andviolence and abuse. In 2010 and 2011 we generated$2.56 million and $2.25 million of research income and46 and 38 publications in peer-reviewed journals.I hope you find much to interest you in the followingpages as we introduce you to our staff and students,share with you a snapshot of the activities andachievements of the year and provide you with a glimpseinto our future. Should you require further details, pleasecontact us as we would be delighted to hear from you.Professor Jane GunnChair of Primary Care ResearchAssistant Dean, General Practice and Primary HealthCare Academic CentreMelbourne Medical School1

ContentsContentsGovernance and Management 3Executive Committee 3Teaching and Learning Committee 3Research and Research Training Committee 3Human Ethics Advisory Group (HEAG) 4Occupational Health, Safety and Environment Committee 4Victorian Primary Care Practice-Based Research Network (VicReN) Committee 4Staff 4Academic Visitors 7Honorary Appointments 12Awards, Scholarships and Fellowships 2010 – 2011 15General Practice and Primary Health Care Academic Centre Excellencein Teaching and Research Award Recipients 16Teaching and Learning 17Medical Student Education 17Infrastructure Grants 18Education Grants 19Melbourne Primary Care Network: Teaching Practices 20GP Academic Registrar Training 25Postgraduate Primary Care Nursing 26Research Training 27Recently graduated 27Thesis under examination or awaiting graduation 28Current students 28PHCRED Fellows 33Advanced Medical Science (AMS) Program 34Primary Care Research Unit (PCRU) 35Abuse and Violence Program 36Chronic Disease and Equity Program 39Primary Care Mental Health Program 43Young People’s Health Program 47Emerging 49VicReN 53Publications 56Contact Detailsinside back cover2

Governance andManagementGovernance and Management(Committee membership refers to period 1 January 2010 to 31 December 2011, unless otherwise stated.)Human Ethics Advisory Group(HEAG)ChairDr Simon French, Research FellowMembersDr John Furler, Senior Research FellowA/Prof Ruth McNair, Director, General Practice andPrimary Health Care Academic Centre Node, NorthWest Academic CentreResearch Higher Degree student(on rotational basis)SecretariatMs Virginia Neal, Administrative OfficerOccupational Health, Safety andEnvironment CommitteeChairDr Helen McPartlan, Academic Centre ManagerMembersMs Bernie Cooper, Administrative OfficerDr Simon French 1 , Research FellowMs Brenda Grabsch 2 , Research FellowMs Val Mirabito, Administrative OfficerMr Hagen Tuschke, PhD StudentSecretariatMs Vanessa Ho, IT and Infrastructure ManagerVictorian Primary CarePractice-Based ResearchNetwork (VicReN) CommitteeChairA/Prof Marie Pirotta, Associate ProfessorMembersProf Jane Gunn, Head of Academic Centre andDirector, Primary Care Research UnitA/Prof Meredith Temple-Smith, Director,Research TrainingDr Malcolm Clark, GP and Practice Principal atPower Medical, HawthornMs Judy Evans, E-Health Project Manager, RACGPDr Chris Hogan, Clinical A/Prof, GP at FamilyMedical Centre, SunburyDr Cathy Hutton, GP at Eastbrooke Family ClinicEssendon, Essendon NorthDr Hubert van Doorn, GP at East BrunswickMedical Centre, Brunswick EastMs Lynne Walker, Principal Network Adviser,Nursing in General Practice; Australian GeneralPractice Network, Forrest, ACTDr Debra Wilson, GP at Grantham Street GeneralPractice, Brunswick WestDr Sam Zagarella, GP and Practice Principal atNiddrie Medical Centre, NiddrieSecretariatDr Elizabeth Deveny, VicReN CoordinatorStaff(Listing refers to period 1 January 2010 to 31 December2011, unless otherwise stated.)Head of Academic Centre and Director,Primary Care Research UnitProf Jane Gunn MB BS PhD DRANZCOG FRACGPDeputy Head of Department and Director,Teaching and LearningA/Prof Lena Sanci MB BS PhD DRANZCOGFRACGPProfessor and Chair of General PracticeProf Doris Young MB BS MD FRACGPAcademic Centre ManagerDr Helen McPartlan BSc DipBus SpecCertCR PhDChair, Department Human Ethics AdvisoryGroupDr Simon French BAppSc MPubHlth PhDDirector, Postgraduate Nursing Programs andEquity and Staff Development CoordinatorA/Prof Kelsey Hegarty MB BS PhD DRACOGFRACGPDirector, General Practice and Primary HealthCare Academic Centre Node, North WestAcademic CentreA/Prof Ruth McNair MB BS PhD DA DRANZCOGFRACGPChair, Victorian Primary Care Practice-BasedResearch Network (VicReN)A/Prof Marie Pirotta MB BS GDipEpid&BiostatMMed PhD DRANZCOG FRACGPDirector, Research TrainingA/Prof Meredith Temple-Smith BScDipAppChildPsych DipMov&Dance MPubHlthMPHAA DHS41Dr Simon French replaced Ms Brenda Grabsch as research representative from May 2011.2Ms Brenda Grabsch was the research representative until May 2011.

6We acknowledge all ouracademic visitors fromMarch 2010 to December2011 with great appreciation.

Academic VisitorsAcademicVisitors2010MarchAprilOctoberDr Karen Falloon, PhDCandidate and Dr JacquiSwan, Research RegistrarDepartment of General Practice,School of Population Health,University of Auckland, NZDr Karen Falloon, PhD Candidateand Dr Jacqui Swan, ResearchRegistrar from the Departmentof General Practice, School ofPopulation Health, Universityof Auckland, NZ visited theAcademic Centre in early March2010. Their objectives wereto observe how the AcademicCentre runs, to learn about theprojects undertaken and tostart building networks betweenthe two universities. They werehosted by Prof Jane Gunn andthe mental health team.Prof Anthony MannMD FRCP FRCPsych FRCGPEmeritus Professor, HealthServices Research Department,Institute of Psychiatry, King’sCollege London, UKProf Mann visited the AcademicCentre in April 2010 as a guestof The University of Melbourne,and primarily met with our mentalhealth team. He provided adviceon survey design and analysisbased upon his long career inpsychiatry.JuneDr Jane Roberts BMedSciMBChB MRCGP MScClinical Senior Lecturer in GeneralPractice, Centre for Primary andCommunity Care, University ofSunderland, UKIn October 2010, Dr Robertsvisited Australia under a WinstonChurchill Travelling Fellowship.Dr Roberts has a particularinterest in the emotional wellbeingand mental health ofchildren and young people,especially those living inmarginalised and socioeconomicallydisadvantagedcommunities, and how it canbe promoted in primary care.She has been developing anddelivering an ‘in-house service’offering early intervention forchildren, young people andtheir families with psychologicaldifficulties.Prof Richard Roberts MD JDSchool of Medicine andPublic Health, University ofWisconsin, USAProf Roberts visited the AcademicCentre in March 2010 as a guestof the Primary Care ResearchUnit. During his visit Prof Robertswas the guest speaker at ourannual Teaching and ResearchAwards held at University House.Prof Roberts’ special interestsinclude law and medicine.Prof Stewart Mercer BSc MScMBChB PhD FRCGPProfessor of Primary CareResearch, General Practiceand Primary Care, University ofGlasgow, UKProf Mercer visited the AcademicCentre in June 2010. He has along standing relationship withthe Academic Centre throughshared research interests suchas consultation quality and healthoutcomes in different settings,inequalities, multi-morbidity andmental health.NovemberProf David Pilgrim BScCertEd DipPsychother MScMPsychol(Clin) PhDProfessor of Mental Health Policy,Social Work, Faculty of Health,University of Central Lancashire, UKProf Pilgrim visited the AcademicCentre in November 2010. Whilstat the Academic Centre hepresented on ‘Cognitive7

Academic VisitorsAcademicVisitorsbehavioural therapy and Britishmental health policy’. His currentresearch interests includemental health policy and thehistory and philosophy of mentalhealth and mental disorder.Prof Pilgrim trained as a clinicalpsychologist, completed a PhDon NHS psychotherapy and thenundertook a Masters degree insociology.Prof Anne RogersBA MSc PhD RNProfessor of the Sociology ofHealth Care, Head of HealthSciences Research Group,School of Community BasedMedicine, Associate DirectorNational Primary Care Researchand Development Centre,University of Manchester, UKProf Rogers visited the AcademicCentre in November 2010. Whilstat the Academic Centre shepresented on ‘The vicissitudes ofthe patient perspective and theproject of the self‐management ofchronic illness – a return to work’.Her main research interests arein the sociology of health care,mental health and most recentlysocial networks, relationshipsand personal long term conditionmanagement.Prof Debbie SharpMA BM BCh PhD FRCGPProfessor of Primary Health Care,University of Bristol, UKProf Sharp visited the AcademicCentre in November 2010. Herresearch interest is in the fieldof mental health. She has asignificant track record in the fieldof early diagnosis of cancer inprimary care and more recentlyin complementary and alternativemedicine, and childhood obesity.DecemberDr Elizabeth Murray BA MB BSMSc DRCOG FRCGPDirector, e-Health Unit, UniversityCollege London, UKDr Murray visited the AcademicCentre from December 2010to February 2011. Her primaryresearch focus is patients’use of the internet for healthcare and the effect of this onhealth outcomes, health serviceutilisation and the doctor-patientrelationship.2011JanuaryDr Noah Ivers MD CCFPCIHR Research Fellow, Institutefor Clinical Evaluative Sciencesand Family Physician, Women’sCollege Hospital, University ofToronto, CanadaDr Ivers visited the AcademicCentre in January 2011. Hehas expertise in the use ofaudit and feedback to changehealth provider behaviour andis developing methodologicalexpertise in the design ofpragmatic cluster randomisedtrials of quality improvementinterventions in primary care.During his visit he gave a talkto the Academic Centre aboutcurrent research on audit andfeedback in primary care settings,and he worked with Dr French ona Cochrane systematic review onaudit and feedback.FebruaryDr Gilles AmbresinMD MIS FSSPPHead, Centre for Psychiatry andPsychotherapy Consultations,Department of Psychiatry,University of Lausanne,Switzerland8

Academic VisitorsAcademicVisitorsDr Ambresin joined the diamondresearch team in February 2011.His research interests are in thefield of depression and of dynamicpsychotherapy. As a psychiatristand psychotherapist, he hassignificant clinical experience withdepressed patients. He currentlyworks on predictors of pooroutcome in depression.Dr Anne-EmmanuelleAmbresin MDPaediatrician, Department ofPaediatrics, University Hospital,Lausanne, SwitzerlandDr Ambresin is a paediatricianfrom Switzerland who joined thePARTY team in February 2011to work on secondary analysisof the PARTY study and will staywith us until the end of 2012.She has a particular interest inyoung people’s mental health.Her study explores whetherscreening for risky behavioursamong young people enhances aresponse (detection) from generalpractitioners to young people withmental health needs.MarchProf Daniëlle Van Der WindtPhDProfessor in Primary CareEpidemiology, Keele University,UKProf Van Der Windt, anepidemiologist holding a Chair inPrimary Care Epidemiology at theArthritis Research UK, PrimaryCare Centre of Keele University,visited the Academic Centre inMarch 2011. She has a stronginterest in research methodologyand is involved in researchexploring methods for diagnosticand prognostic research.Prof Tonda HughesBN PhD MSN FAANAdjunct Professor, School ofPublic Health and Director ofResearch, UIC National Centerof Excellence in Women’s Health,University of Illinois at Chicago,USAAprilDr Jose Maria (Chema)Valderas MD MPH PhDSenior Clinical ResearchFellow, Health Services andPolicy Research Group (Head),Department of Primary HealthCare, University of Oxford, UKDr Valderas was a VisitingScholar at the Menzies Centrefor Health Policy in Sydney.Whilst in Australia he visited theAcademic Centre in April 2011.During his visit, he presentedon the challenges posed by coandmulti-morbidity to currentapproaches in the delivery ofhealth care.JuneProf Jill Francis PhDProfessor, Health Psychology, TheUniversity of Aberdeen, Scotland, UKProf Hughes, an HonoraryProfessorial Fellow with theGeneral Practice and PrimaryHealth Care Academic Centre,visited during March and April2011. Her research interestsfocus on substance abuse amongvulnerable populations of women.She is well known for her earlyresearch on chemically dependentnurses and is an internationallyrecognised expert in the area ofalcohol use among lesbians.Prof Francis visited the AcademicCentre in June 2011. During hervisit she presented her researchtitled ‘Implementation researchin primary care: Can healthpsychology add tools to thetoolbox?’. She has publishedresearch on behaviouralapproaches to translatingevidence into practice, to improvehealth and health care and relatedmethodological and theoreticalpapers.9

Academic VisitorsAcademicVisitorsJulyDr Jean-Frédéric LevesqueMD PhD FRCPClinical Associate Professor,Department of Family Medicine,Université de Montréal, Canadaand Scientific Director, HealthCare System Analysis andEvaluation Unit, Institut nationalde santé publique du Québec,CanadaDr Levesque visited the AcademicCentre in July and August2011. He is lead researcher ofthe Regional Operating ModelEvaluation (ROME) projectthrough a partnership with theVictoria Department of HealthNorth and West MetropolitanRegion. His primary researchfocus is on the impact oforganisational models of primarycare and health systemsperformance appraisal.Dr John O’Dowd MB ChB BScMPH MRCGP DRCOG FFPHConsultant Public HealthPhysician, Greater Glasgow andClyde NHS Board and HonoraryClinical Senior Lecturer in PublicHealth, Institute of Health andWellbeing, University of Glasgow,Scotland, UKDr O’Dowd collaborates withDr Levesque and others on theROME project. His areas ofinterest include population basedplanning for health, health systemdesign and the organisation ofprimary care.AugustDr Sarah PurdyMD MPH FRCGPConsultant Senior Lecturer andUK Medical Research CouncilClinician Scientist, Academic Unitof Primary Health Care, Universityof Bristol, UKIn August 2011 Dr Purdy visitedthe Academic Centre as partof the Brisbane Initiative seniorpeer learning set. She presentedat research matters on healthsystem research in the UK andon their primary care researchnetworks. The purpose of thesevisits under the Brisbane Initiativeis that participants host eachother at their academic institutionto broaden the experience ofprimary care research leadershipglobally and to foster internationalcollaboration in primary careresearch.A/Prof Vijaya SundararajanMD MPH FACPFounding Head, VictorianData Linkages, The VictorianDepartment of HealthA/Prof Sundararajan visited theAcademic Centre in August 2011,where she presented ‘Generalpractice research using linked,routinely collected data’.Prof Stephen CampbellBA MA PhDReader in Primary Care, HealthSciences Research Group -Primary Care, University ofManchester, UKProf Campbell visited theAcademic Centre in August 2011to share with the Chronic Diseaseand Equity research group hisexpertise in the developmentof quality indicators in generalpractice and primary care in theUK and Europe. It was a greatopportunity for us to learn fromProf Campbell and to explore thepossibility of developing similarinitiatives in Australian primarycare. This visit strengthened futureresearch collaborations betweenour institutions in enhancinghealth services delivery inprimary care.10

Academic VisitorsAcademicVisitorsOctobershare ideas about training andfunding of GP teachers, and withour researchers to discuss thefactors which influence Australianmedical students’ choices intaking up GP training.Dr Dagmar Haller-HesterMD DipAdolHlth SFDM FMHSenior Lecturer, Primary CareResearch and Teaching Unit,University of Geneva, SwitzerlandDr Haller-Hester visited theAcademic Centre in October2011. During her visit DrHaller-Hester collaborated withthe Young People’s Healthresearch program team onshared publications from bothPARTY data and her own work.Discussions were held on therole of primary health care inpreventative health for youngpeople.NovemberDr Caroline Laurence MD PhDSenior Research Fellow, Disciplineof General Practice, School ofPopulation Health and ClinicalPractice, University of AdelaideDr Laurence was awarded the2011 Australian Association forAcademic Primary Care (AAAPC)Travelling Fellowship enabling herto visit the Academic Centre. Shehas extensive research experiencein GP training development andinnovative workforce models.During her visit she met with theteaching and learning team toDr Sally Brown LLB MA PhDResearch Fellow, Evaluation,Research and Development Unit,Durham University, UKDuring her visit in November2011, Dr Brown presented hercurrent research on youngpeople and contraceptivedecision-making.DecemberA/Prof Sabrina Wong RN PhDAssociate Professor, School ofNursing and Centre for HealthServices and Policy Research,University of British Columbia,Vancouver, CanadaA/Prof Wong visited the AcademicCentre in December 2011 whilston sabbatical. During her visitA/Prof Wong presented on theprogress of a number of grantsrelated to the Canadian PrimaryCare Sentinel SurveillanceNetwork and performancemeasurement of primary healthcare in Canada.Thank youto all ourAcademicVisitorsfor theirgenerouscontribution.11

Honorary AppointmentsHonoraryAppointmentsWe acknowledge the enormous support that we receive from our honorary staff. They contributein so many ways: teaching students, collaborating with research, supervising our research higherdegree students and sharing ideas. We value their contribution and list them here.Professorial FellowsProfessor Christopher Dowrick BA MSc MDCQSW FRCGP FFPHMProfessor Tonda Hughes BN PhD MSN FAANProfessor Siaw-Teng Liaw BMedSc MB BSGDipPHC PhD DipObs FRACGPProfessor Carl May BScEcon PhD AcSSProfessor John Murtagh AM BSc BEd MB BSMD DRANZCOG FRACGPProfessor Neil Spike MB BS FRACGPPrincipal FellowsAssociate Professor Stephanie Brown BA PhDAssociate Professor Robert Davis MB BSGDipEpid&Biostat PhD DRACOG FRACGPProfessor Gene Feder BSc MB BS MD FRCGPProfessor Brian McAvoy BSc MB ChB MDCertFamPln FRCP FRCGP FRNZCGP FRACGPSenior FellowsDr Mary Burbidge MB BSDr Gail Gilchrist BA PhDAssociate Professor Frances Griffiths BAMedSciSoc&PolSoc MB BS PhD MRCGPDr Renata Kokanovic BA PhDDr Christine Longman MB BS MMed DRACOGGDipAlcohol&DrugStudies FRACGPDr Raymond Martyres AM MB BS MMedFACPsychMed FRACGPAssociate Professor Rhian Parker BSc MSc PhDDr Christopher Pearce MB BS MFamMed MAICDFACRRM FRACGPDr Catherine Pope BA PhDDr Nanette Presswell MB BS FRACGPDr Kathryn Robertson MB BS MEd FRACGPDr Leanne Rowe MB BS DRACOG FRACGPDr Jane Sims BSc MSc PhDAssociate Professor Nabil Sulaiman MBCHBDipEpi&Biostat DipChdHlth FFPHM MPubHlth PhDDr Jane Tracy MB BS DRACOGFellowsDr Ralph Audehm MB BS DRACOGDr Peter Bratuskins MB BS FRACGPDr Simon Brice BAppSc BChiroScMs Alison Brown BSc BAppSc MPubHlthDr Bella Brushin MD GDipWHlth GDipHlthPromMMedAnthropMs Jacqui Cameron BA BSW MPhilDr Elizabeth Deveny BT&D MEd PhDDr Carolyn Ee BAppSc MB BSDr Dagmar Haller-Hester MD DipAdolHlthSFDM FMHDr Belinda Hosking MB BS FRACGPDr Nancy Huang MB BS MPubHlth DipObs&GynDr Cathy Hutton MB BS DRCOG FRCGPMs Rebecca Jessup BPodiatry MPubHlthMs Lenora Lippman BA BSW MUrbanPlanningDr Hung Nguyen MB BS GCHPE DRANZCOGFRACGPDr Susan Nicholson BSc MB BSDr Carmel O’Toole MB BS GCHPE FRACGPDr Christos Papachristos BA MB BS GCHPEFRACGPDr Kate Robins-Browne MB BS FRACGPDr Mark Rowe BEd GDipEdAdm MEd DEdDr Anne Stephenson MB BS MPubHlth DRACOGFRACGPAssociate Professor Angela Taft BA DipEdDipFilm&TV MPubHlth PhDDr Kate Walker BMedSc MB BS DRANZCOGFRACGPDr Bambi Ward MB BS FRACGPDr Stephen Wilkinson MB BS GCHPE FRACGPDr George Zaharias MB BS MFamMed FRACGPClinical Associate ProfessorAssociate Professor Christopher Hogan MB BSDRCOG DRACOG FRACGPClinical Senior FellowsDr John Beaumont MB BS FACRRM FRACGPDr Nicholas Carr BA MB BChir MA DCH MRCPMRCGP FRACGPDr Malcolm Clark MB BCh BAO LRCP SIDipAMAC FRACGPDr Michael Connellan MB BS MMed DRACOGFACRRMDr Nestor Fuertes BSMT MD DRANZOG FRACGPDr Hadia Haikal-Mukhtar BSc MB BS LLB12

HonoraryHonorary Appointments AppointmentsDr David Iser MB BS GDipHmnNut DRANZCOGFRACGPDr William Leadston BEd MB BS DCHDr James Lynch MB BS DipObsRCOG FRACGPDr Timothy Owen BSc MB BS DipEd MScDr Anthony Palmer MB BS DRACOG FACRRMDr Chitrangani Perera MB BS GDipFamMed MMedRANZCOG FACRRM FRACGPDr Graham Slaney MB BS MPubHlth DipAnaestDRCOG FACRRMDr Hubert van Doorn MB BS FRACGPDr Adam Zagorski MB BS DRCOG DRACOGDRANZCOG FACRRM FRACGPClinical FellowsDr John Addis BMedSc MB BS FRACGPDr Anthony Bongiorno MB BS RACOG DRACOGDr Paul Grinzi BMedSc MB BSDr Monirul Haque MB BS MFamMed FACRRMFRACGPDr David Isaac MB BSDr Constantine Kyriacou MB BS LMCC DRCOGDRACOG FRACGPDr Stephen Larkins MB BSDr Frank Marano BMedSc MB BSDr Bharathi Menon MB BS MFamMedDr Idmon Ng MB BS MBADr Natasha Pavlin MB BS FRACGPDr Rajgowri Ratnavelar MB BS DRANZCOGFRACGPDr Kodikkakathu Saratchandran MB BSDr Sharon Schwartz MB ChB FCPDr Aubrey Seknow BSc MB BS DCH FRACGPDr Elias Sleaby MD FRACGPDr Andrew Soloczynskyj MB BS DRANZCOGFRACGPDr Andrew White MB BSClinical TutorsDr Paul Duff MB ChB MRCGPDr Marlene Tham MB BS FRACGP13

Awards, Scholarshipsand Fellowships 2010– 2011Awards, Scholarships and Fellowships2010 – 2011AwardsFrench S. Doctoral thesis excellence, School of PublicHealth and Preventive Medicine, Monash University.2010.Grinzi P. Taiwan Family Medicine Research Award.2010.Gunn J. Visiting Professor to Scottish School ofPrimary Care. 2009 – 2011.Gunn J. Visiting Fellow in the Institute of AdvancedStudy, The University of Warwick, Coventry, UK. 2011.Hegarty K. Sir Benjamin Meaker Visiting Professorshipto University of Bristol. 2010 – 2011.McNair R. The Royal Australian College of GeneralPractitioners Long Service Examiner Award for over 10years service. 2010.Palmer V. Brisbane Initiative: The International PrimaryCare Research Leadership Program. 2009 – 2011.Perlen S. Investigator Award for presentation‘Smoking cessation interventions offered in pregnancy:Findings from two Victorian population based surveys’.(Perinatal Society Australia New Zealand, Wellington2010).Pirotta M. PHCRIS Conference Best Poster Award for‘Randomised placebo-controlled trial of clindamycinor oestrogen-containing vaginal probiotic for thetreatment for bacterial vaginosis’. 2011.Pirotta M. Inaugural winner of the Peter Mudgemedal, awarded at RACGP GP ‘11 Conference, toa presenter at the annual RACGP Conference whohas advanced the discipline of general practice andthe goals of the College and whose original researchhas the most potential to significantly influence dailygeneral practice for the presentation ‘Patients’ useof St John’s Wort – not a rejection of conventionalmedicine but an indicator of unmet needs?’. 2011.Sanci L. Brisbane Initiative senior peer learning set.2010 – 2012.Vergara E. Best Presentation at the 2010 VictorianPHC RED conference. 2010.Young D. Visiting Professor, Shantou UniversityMedical College. 2010 – 2011.FellowshipsFrench S. NHMRC Australian Based Primary HealthCare Fellowship. Profiling Australian chiropractors andpeople who seek their care to improve the quality andsafety of chiropractic care. 2009 – 2012.Furler J. Primary Care Research EvaluationDevelopment Mid Career Fellowship. 2007 – 2011.Pirotta M. Primary Care Research EvaluationDevelopment Mid Career Fellowship. 2007 – 2011.ScholarshipsDavidson S. The University of Melbourne PhDScholarship (part-time). A model of professionallybased social support for patients with depression.2006 – 2012.Robins-Browne K. NHMRC Scholarship (part-time).Future medical decision making for older people.2008 – 2012.Tuschke H. Australian Postgraduate Award.Workplace aggression and violence experiences ingeneral practice. 2009 – 2011.Watson C. The University of Melbourne PhDScholarship. The use of alternative therapies withrecurrent vulvovaginal candidiasis (RVVC).2009 – 2012.Watson C. Nursing and Allied Health Scholarship,Royal College of Nursing Australia. To attend theANZVS conference in Brisbane. 2010.Morris A. Australian Postgraduate Award IndustryScholarship. Safety and Resilience at Home: Voices ofchildren who live with fear. 2009 – 2011.Webster S. Australian Postgraduate Award. Statebasedapproaches to addressing the health needs ofchildren and young people living in out-of-home care inAustralia. 2010 – 2013.Perlen S. NHMRC Scholarship. An investigation ofthe implementation of Victorian smoking cessationguidelines in public antenatal care services.2010 – 2012.15

AwardWinnersGeneral Practice and Primary HealthCare Academic Centre Excellence inTeaching and Research Award RecipientsTeaching and research awards are presented annually to GPs, practices and individuals who have provided anoutstanding commitment to the Academic Centre’s teaching and research endeavours. Teaching awards areco-nominated by students and staff.2009 Teaching Award RecipientsOutstanding General Practice TeacherDr Rees McCarthyExcellent Contribution as a New Clinical TeacherDr Geoff Broomhall, Lilydale Medical Centre, LilydaleExcellence in Clinical TeachingDr Sebastian Pavone, Eastern Medical Centre,DandenongExcellence as a Teaching PracticeOvens Medical Group, Wangaratta2010 Teaching Award RecipientsOutstanding General Practice TeacherDr Anthony Sellars, Mount St Medical Clinic,HeidelbergExcellent Contribution as a NewClinical TeacherDr Vu Le, Sunshine Ultimate Care Clinic, SunshineExcellence in Clinical TeachingDr Andrew Cheasley, Moonee Health Centre,Moonee PondsExcellence as a Teaching PracticeThe Nish Street Medical Practice, Echuca(Dr Suzanne Harrison and team)2009 Research Award RecipientsExcellent Contribution to Research by aGeneral PractitionerDr Terry Ahern, Bell Street Clinic, CoburgExcellent Contribution to Research by aGeneral PractitionerDr Jane Offor, Mt Martha Village Clinic, Mt MarthaExcellent Contribution to Research by aPractice NurseMs Henrika Schrama, Broadford Medical Clinic,BroadfordExcellent Contribution to Research by aGeneral PracticeSIA Medical Centre, Essendon2010 Research Award RecipientsExcellent Contribution to Research by aGeneral PractitionerDr Cathy Hutton, Eastbrooke Family Clinic, EssendonExcellent Contribution to Research by aPrimary Care OrganisationThe North East Valley Division of General PracticeExcellent Contribution to Research by aPrimary Health Care ProfessionalMs Sharon Briscoe, Practice Manager, The NishStreet Medical Practice, Echuca16

Teaching and LearningTeaching andLearningThe General Practice and Primary Health Care Academic Centre contributes tomedical student teaching at all levels of the medical course. We are involved incurriculum development, subject coordination and assessment. We have expertisein General Practice as a discipline, as well as communication skills teaching usinga patient-centred, bio-psycho-social approach. We established the ‘SimulatedPatients’ and ‘Clinical Teaching Associates’ programs which are now coordinatedfrom the Medical Education Unit.Our teaching and learning functions have now expanded with the introduction of the new postgraduate medical course,the Doctor of Medicine (MD). Until 2014 the undergraduate degree course (MBBS) and the postgraduate course (MD)will run together. The Academic Centre annually recruits over 200 urban and rural general practices to provide an excitingopportunity for students to experience general practice. We consistently receive very positive evaluations from studentsand GP teachers regarding this rotation.Medical StudentEducationCore programs in the MBBSThe MBBS medical curriculum is founded on aproblem-based, small group approach to educationwith an emphasis on self-directed learning.Semester 12 - Integrated Clinical PracticeThe final semester of the MBBS medical courseconsists of three five-week rotations in generalpractice, general medicine and general surgery. Thecurriculum has been designed as a pre-internshipperiod during which students hone the knowledgeand skills they will require as interns. The GP rotationconsists 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-daypatient care and assist with a range of supervisedactivities including patient consultations, developingmanagement plans, home visits, medical proceduresand health promotion. Weekly tutorials with anacademic GP complement the student learningexperience. The Academic Centre provides trainingfor the GP supervisors as well as undertaking a qualityassessment process for all practices.The new MD medical courseA new four-year graduate entry Doctor of Medicine(MD) medical course has commenced with the firstintake of students in 2011. The Academic Centrehas been working to ensure regular general practiceteaching and learning opportunities in the newcurriculum with a view to creating a future medicalworkforce that meets community needs. We supportand coordinate teaching and learning at several levelsof the course particularly involving our GP TeachingNetwork of practices around the state. This yearwe will be placing all first year students into generalpractices for an observational visit and all secondyear students into general practices for four singledays during their ambulatory care term. From 2013we will coordinate a six-week GP term for all studentswhich will allow a refinement of the previous five-weekGP term from the MBBS course. We will also offerstudents in their final (fourth) year an opportunity toundertake a research elective or advanced clinical termin primary care.The Primary Care Community Base Trainingmodel in the new MDThe Primary Care Community Base program hasbeen introduced to increase the level of communitybasedteaching and learning in the northern andwestern suburbs of Melbourne through the two newclinical schools that have been established at Westernand Northern Hospitals. We have engaged withcommunity-based health practitioners to develop thecommunity-based teaching capacity in the region,which is an area of workforce need.17

Teaching and LearningTeaching andLearningIn partnership with the two new clinical schools weare developing and implementing the primary carecommunity base training model. Under this model,all students at Northern and Western Clinical Schoolswill be attached to a primary care practice duringtheir second and third years and will attend the baseone day per week. Here they will have an opportunityto follow a patient’s journey through primary, alliedhealth, secondary and acute care settings and tolearn about presentation and management of healthand illness from the community perspective. Beingwith one practice over two years will enable studentsto become part of the health care team and tomake a valuable contribution to the care of the localcommunity, as well as gaining a superior learningexperience that cannot be achieved in the hospitalsetting alone.We have spent most of 2011 preparing for andrecruiting practices for this program, and havebeen delighted with the enthusiastic response andpositive feedback we have received. All 93 studentscommencing at the Northern and Western clinicalschools will be allocated to a general practice toattend one day per week for the next two years.We look forward to supporting these practices andstudents in this exciting initiative during this inauguralyear of the program.Providing a rural focus tomedical educationOur regional and rural teaching and researchprograms are characterised by collaborationbetween the Rural Health Academic Centre (basedin Shepparton, Wangaratta and Ballarat), and theGeneral Practice and Primary Health Care AcademicCentre’s team of rural GPs located in Geelong,Ballarat, Shepparton, Bendigo and Sale. Thiscollaboration enables us to ensure that adequatesupport is given to rural GP teachers and ruralmedical students during clinical placements. Ruralacademics work closely together with the AcademicCentre to foster integrated working relationships withrelevant stakeholders throughout Victoria, includingthe divisions of general practice, Medicare Locals,regional training networks, local health servicesand health networks, local government, consumerorganisations, secondary schools and otheruniversities.Our rural team of GP academics are based in keyareas around the state. Most are also medicaleducators and clinical supervisors for the GeneralPractice Education Training program. The teamenables students to develop a rural and regionalfocus to their education and provides a conduit forthe Academic Centre’s influence into the regionalareas via locally based GP representatives. Therural team is involved in teaching and supportingundergraduate students on rural placements and hasbeen successful in recruiting rural general practitionerteachers and providing support to them at a regionallevel. They have also been active in establishing ruralsecondary school networks to foster and encouragerural students to undertake medical training.Rural Placements during the Medical CourseThe Commonwealth Department of Health andAgeing (DoHA) funds the University, through theRural Clinical Training and Support program,to provide four weeks of rural experience to allCommonwealth Supported Place students duringtheir medical course. Currently the Rural HealthModule and the GP block contribute most of theseplacements. As the University moves from the MBBSto the MD, rural general practice placements willcontinue to be a major part of the rural experienceoffered to students.Health Students’ Clubs - Rural ActivitiesThe Academic Centre provides the central contactpoint for the rural health student clubs funded byDoHA through the National Rural Health Students’network. OUTLOOK (based in Melbourne) andMoovin’ Health (based at the Rural Health AcademicCentre at Shepparton, Ballarat, Wangaratta andBendigo) are two of The University of Melbournehealth students’ clubs. They undertake a rangeof activities throughout the year to foster interestamongst high school and university students inrural health careers, indigenous health and supportstudents on rural placements.Infrastructure GrantsInnovative Clinical Teaching andTraining Grant (ICTTG)Personnel: Prof Jane Gunn, Ms Lindsay GuyTotal funding: $1,955,810Funding source: Department of Health and AgeingDuration: 2010 – 2013In 2010 the Academic Centre was awarded anAustralian Government funded grant that providesinfrastructure funding to 21 organisations (generalpractices, community health centres and Aboriginalhealth services). This funding is for the upgradeand/or building of facilities that will enable theseorganisations to commit to taking increased numbersof students from medicine and allied health courseson clinical placements. All of the organisations arebuilding or refurbishing space to create a studentdedicated consulting room for the students whilstthey are on placement, and some organisations are18

Teaching andTeaching and Learning Learningalso creating a training room with IT infrastructuresuch as videoconferencing to enable tutorials to takeplace in the community.Health Workforce Australia (HWA)Capital Works Funding ProgramPersonnel: Prof Jane Gunn, Ms Lindsay GuyTotal funding: $169,415Funding source: Health Workforce AustraliaDuration: 2011 – 2013In 2011 the Academic Centre was awardedfunds from Health Workforce Australia, providinginfrastructure funding to eight general practices. Thiswas part of a larger grant awarded to The Universityof Melbourne.This funding is for the upgrade and/or building offacilities that will enable these practices to committo taking increased numbers of medical studentson clinical placements. Each practice is building orrefurbishing space to create a student dedicatedconsulting room for the students whilst they are onplacement.Education GrantsHealth Workforce Australia (HWA)Clinical Training Funding ProgramPersonnel: Prof Jane Gunn, A/Prof Ruth McNair,A/Prof Lena Sanci, Ms Lindsay GuyTotal funding: $1,380,698Funding source: Health Workforce AustraliaDuration: 2011 – 2013In 2011 the Academic Centre was awarded fundsfrom Health Workforce Australia to support increasedstudent clinical placements. This was part of alarger grant awarded to The University of Melbourneand distributed to the Schools within the Faculty ofMedicine, Dentistry and Health Sciences to increaseclinical placement training days across healthsciences’ courses.This funding is to support the work of the AcademicCentre and the general practices which teach medicalstudents (the Primary Care Teaching Network) toenable larger numbers of students to undertakeincreased clinical placement days. In particular, thisfunding will support and enable practices to become aPrimary Care Community Base and have one or morestudents on placement for one day per week for twoyears of their medical course.General Practice RecruitmentImplications of the Variationin Australian General PracticeTraining (AGPT) Applications fromAustralian Medical SchoolsPersonnel: A/Prof Meredith Temple-Smith, Prof DorisYoung, Dr Lucio Naccarella, Ms Rebecca Gracey, MsAmie Bingham, Dr Caroline Laurence, Prof Neil SpikeTotal funding: $75,153.60Funding source: General Practice Educationand TrainingDuration: 2011There is considerable variation in the uptake ofgeneral practice training by Australian medicalgraduates across Australia. The academic, culturaland social influence of medical schools, exposureto general practice during hospital training andchanging contemporary values within our societyare all possible influences on the likelihood of amedical graduate embarking on general practicetraining. Information was sought from Australianmedical schools to determine medical studentselection process and exposure to general practicein their curriculum for medical students since 2005.In addition, 20 general practice and non-generalpractice registrars were interviewed about theirreasons for choosing to undertake vocationaltraining. The information from this study will beused to assist in increasing the numbers of medicalstudents attracted to general practice training.Victorian Metropolitan AllianceEvaluation and ReviewPersonnel: A/Prof Lyn Clearihan, A/Prof MeredithTemple-Smith, Prof Danielle Mazza, Prof Jane GunnTotal funding: $500,000Funding source: Victorian Metropolitan AllianceDuration: 2011 – 2013The Victorian Metropolitan Alliance (VMA) is aregistered training provider funded by AustralianGeneral Practice Training (AGPT) to provide generalpractice training to medical graduates. The VMAhas requested its university partners, MonashUniversity and The University of Melbourne, toundertake a review of their Medical Education andTraining program, and to identify and standardisethe information available on potential Special Skillsand Advanced Rural Skills training posts for generalpractice registrars.19

Teaching and LearningTeaching andLearningMelbourne Primary Care Network: Teaching PracticesThe Melbourne Primary Care Network brings together our teaching and researchpractices as an integral part of the developing Academic Centre of General Practiceand Primary Health Care. We recognise and acknowledge the contribution made in2010 – 2011 by:20Dr Solange AdadThe University ofMelbourneShepparton MedicalCentreSHEPPARTONDr John AddisCanterbury Medical ClinicCANTERBURYDr Chigozie AgbarakweTotal Care Medical CentreLAVERTONDr Terry AhernBell Street ClinicCOBURGDr Yousef AhmadInglis Medical CentreSALEDr Emrana AlaviBanyule CommunityHealth - West HeidelbergWEST HEIDELBERGDr Saad AlbarkiFriendly Medical CentreWERRIBEEDr Mahmud AliMontmorency MedicalCentreMONTMORENCYDr Selim Ali ShubbarMediQ Medical CentreWALLANDr Suki AllenRomsey Medical CentreROMSEYDr Charles AlprenHampton Bayside MedicalCentreHAMPTONDr Malcolm AltsonEuroa Medical FamilyPracticeEUROADr Rodney AndersonWestern SuburbsIndigenous GatheringPlaceMARIBYRNONGDr Yasendri ArambepolaBundoora Family ClinicBUNDOORADr Dean ArnotHarp Family MedicalCentreEAST KEWDr Bill ArsenakisBurnley Street MedicalCentreRICHMONDProf David AtkinsonKimberley AboriginalMedical Services CouncilBROOMEDr Ralph AudehmDianella Community Health- BroadmeadowsBROADMEADOWSDr Gurdip AuroraScoresby MedicalSpecialist CentreSCORESBYDr Demyana AyoubSaint Mary Medical CentreGISBORNEDr Ken BaddeleyRiddell Country PracticeRIDDELLS CREEKDr Lorraine BakerBelmore Road MedicalCentreBALWYNDr Graeme BaroThe Town Medical CentreMELBOURNEDr William BatemanAlbert Park Medical CentreALBERT PARKDr John BeaumontAireys Inlet Medical CentreAIREYS INLETDr Mark BeebyPlaza Clinic LalorLALORDr Mary BelfrageVictorian Aboriginal HealthService Co-OperativeFITZROYDr Stephen BennieEast Kew ClinicKEW EASTDr John BerginInglis Medical CentreSALEDr Wendy BernetAndrew Place ClinicBUNDOORADr Judy BirchModern Medical BalwynBALWYNDr Steve BismireOvens Medical GroupWANGARATTADr Debra BlackmoreDianella Community Health- BroadmeadowsBROADMEADOWSDr Joseph BlauAcland Street MedicalCentreST KILDADr Phillip BoltinBetta Health MedicalCentre - BrunswickBRUNSWICKDr Anthony BongiornoUFS MedicalBALLARATDr David BornsteinToorak Village MedicalCentreTOORAKDr Nashwa BotrosFamily Care MedicalCentreMOUNT WAVERLEYDr Jan BowmanNguiu Health CentreBATHURST ISLANDDr Fiona BroderickCollins Street MedicalCentreMELBOURNEDr Geoff BroomhallLilydale Medical CentreLILYDALEDr Michael BrownNorth Blackburn SquareClinicBLACKBURN NORTHDr Margaret BullenParkville Medical CentrePARKVILLEDr Mary BurbidgeCentre for DevelopmentalDisability HealthNOTTING HILLDr David ButterfieldPreston Specialist RoomsPRESTONDr Ian CalcuttAltona Meadows FamilyMedical ClinicALTONA MEADOWSDr Nick CarrSt Kilda Medical GroupST KILDADr John CaseyLivingstone Street MedicalClinicIVANHOEDr Adrian CastroKings Park Medical CentreKINGS PARKDr Graham CatoBalnarring Village MedicalCentreBALNARRINGDr Roberto CeladaCentral Clinic WarragulWARRAGULDr Michael ChabbouCobram Medical ClinicCOBRAMDr Sangesh ChaudharyUFS MedicalBALLARATDr Naeem ChaudhryHigh Street Medical &Dental Centre PrestonPRESTONDr Andrew CheasleyMoonee Health CentreMOONEE PONDSDr Melanie ChengIsis Primary CareDEER PARKDr Francis ChengAtwell Medical CentreATWELLDr Denis ChewHigh Street Medical ClinicPRAHRAN

Teaching andTeaching and Learning LearningDr Irmgard ChiaSelect Medical GroupBANGHOLMEDr Kathryn CunneenBlackburn ClinicBLACKBURNDr Iman ElshenawyAlsalam Medical CentreFERNTREE GULLYDr Stewart GoughRich River Health GroupECHUCADr Mohan ChitgopekerMill Park SuperclinicMILL PARKDr Doris ChiuWoodhouse MedicalCentreBOX HILL NORTHDr Alan ChongFawkner Street ClinicESSENDONDr Robert ChuSherbourne Road MedicalClinicMONTMORENCYDr Noel CunninghamRomsey Medical CentreROMSEYDr Nii DarkoKerang Medical ClinicKERANGDr Andrew DavarisBurnley Street MedicalCentreRICHMONDDr Paul DaveyKensington Hill MedicalCentreLEOPOLDDr John EmeryYarrawonga Denis MedicalGroupYARRAWONGADr Julian FidgeDocker Street GeneralMedical CentreWANGARATTADr John FisherPatrick Street ClinicULVERSTONEDr Tim FitzpatrickTerang Medical ClinicTERANGDr Margaret GrahamCentre for DevelopmentalDisability Health VictoriaNOTTING HILLDr Eugen GrbacDrysdale Village MedicalCentreDRYSDALEDr John GriffithsWallan Medical CentreWALLANDr Paul GrinziRomsey Medical CentreROMSEYDr David ChurchWarburton Medical GroupWARBURTONDr Prasad DayasagarWillandra Medical ClinicEPPINGDr Mark FletcherCoorparoo ClinicCOORPAROODr Helen GroganIramoo Medical CentreWYNDHAMVALEDr Mark ChurcherUFS MedicalBALLARATDr Malcolm ClarkPower MedicalHAWTHORNDr Michael ConosHarp Family MedicalKEW EASTDr Simon CooperDr Simon Cooper &AssociatesBRIGHTONDr Monica CooperLygon Court Medical ClinicCARLTONDr John CooperThursday Island MedicalCentreTHURSDAY ISLANDDr Bruce CoppaGunbalanya CommunityHealth CentreOENPELLIDr Louise CounselAlphington Medical CentreFAIRFIELDDr Richard CrawfordPrincess Street HealthCareKEWDr Brendan CrockettSt Vincent’s Hospital, StaffHealth CentreFITZROYDr Jane CroweDeepdene Medical ClinicDEEPDENEDr Louis CukiermanStrathmore ClinicESSENDONDr Brendan De MortonEastbrooke Family ClinicLincolnvilleKEILOR EASTDr Gallege De SilvaMedi 7 - ClaytonCLAYTONDr Max de CliffordWhitehorse Medical CentreMITCHAMDr Padmini Diwakarla|Banyule CommunityHealth - West HeidelbergHEIDELBERG WESTDr Anne DochertyKardinia HealthBELMONTDr Paul DoddsCorryong Medical CentreCORRYONGDr Moidrag DodicAspendale ClinicASPENDALEDr Helen DooleyThe Clinic FootscrayFOOTSCRAYDr Jenny Downes-BrydonPeninsula Family GeneralPracticeFRANKSTONDr Daniel DwyerGove District HospitalNHULUNBUYDr Bill DwyerSeymour Medical ClinicSEYMOURDr Robert Ellis-JonesEastbrooke Family ClinicEssendonESSENDON NORTHDr Talia FollettPoint Lonsdale MedicalGroupPOINT LONSDALEDr David FongDoutta Galla CommunityHealth CentreKENSINGTONDr Brian FoxCranbourne Road MedicalCentreFRANKSTONDr Basim FrancisCamp Road MedicalCentreBROADMEADOWSDr John FurlerNorth RichmondCommunity Health CentreRICHMONDDr Jane GallThe University ofMelbourneShepparton MedicalCentreSHEPPARTONDr John GallEra HealthMELBOURNEDr Vincent GallichioThe Clinic 279PRESTON WESTDr Debbie GloverFinke Aputula CommunityFINKEDr Bee Boey GohComfort Medical CentreBALWYN NORTHDr Howard GoldenbergMidtown Medical CentreMELBOURNEDr Karin HallaFawkner Street ClinicESSENDONDr Monirul HaqueMyers Street FamilyMedical PracticeGEELONGDr Suzanne HarrisonEchuca Moama FamilyMedical PracticeECHUCADr Richard HarrisonEltham ClinicELTHAMDr Louise HarwoodKatherine West HealthBoardKATHERINEDr Kelsey HegartyClifton Hill Medical GroupCLIFTON HILLDr Debbie HerbstInkerman Medical GroupST KILDA EASTDr Renee HoComfort Medical CentreBALWYN NORTHAssoc Prof Chris HoganFamily Medical CentreSUNBURYDr Donald HoganAngurugu CommunityHealth CentreALYANGULADr Lorri HopkinsChurch Street MedicalCentreRICHMONDDr Robert HopkinsOcean Grove MedicalCentreOCEAN GROVE21

Teaching and LearningTeaching andLearningDr John HoughSouth Coast MedicalRosebud WestWEST ROSEBUDDr Duncan HowardBrunswick CommunityHealth ServicesBRUNSWICKDr Amjad HussainYour Family Health ClinicAIRPORT WESTDr Lindsey HydeReservoir Medical GroupRESERVOIRDr Bruce IngramJunction Place MedicalCentreHAWTHORN EASTDr David IsaacNorth RichmondCommunity Health CentreRICHMONDDr Noelene JackaNorth Road MedicalCentreCAULFIELD SOUTHDr Suresh JainKilmore Medical CentreKILMOREDr Igor JakubowiczColchester Medical CentreBAYSWATER NORTHDr Wesley JameBerwick Medical CentreBERWICKDr Robert JamesOcean Grove MedicalCentreOCEAN GROVEDr Paul JenkinsBray Park Medical PracticeBRAY PARKDr Ross JennerBeechworth SurgeryBEECHWORTHDr Meera JoshiMossfiel Medical CentreHOPPERS CROSSINGDr Joszef JuhaszManningham GeneralPracticeTEMPLESTOWE LOWERDr Avinash KamaleKew Junction MedicalClinicKEWDr Tsi-Wai KangEast Keilor ClinicEAST KEILORDr Brendan KayJamieson Street MedicalClinicWARRNAMBOOLDr Emora KeenanNguiu Health CentreBATHURST ISLANDDr Nakedi KeetseNjernda Aboriginal HealthClinicECHUCADr Mark KennedyCorio Medical ClinicCORIODr Mohammed KhanMerlynston Medical CentreCOBURG NORTHDr Pankaj KhannaMill Park SuperclinicMILL PARKDr Nick KimptonBallarat Medical CentreBALLARATDr Jonathan KnaggsLyndhurst ClinicHAWTHORNDr Sarah KohVictorian Aboriginal HealthService Co-OperativeFITZROYDr Elizabeth KotchoffHarp Family MedicalKEW EASTDr Michael KozminskyGenesis Medical CentreBRIGHTONDr Peter LacknerValewood ClinicMULGRAVEDr Sally LapinMalvern Family & Women’sClinicARMADALEDr Stephen LarkinsPractice of Dr StephenLarkinsGREENSBOROUGHDr Vu LeSunshine Ultimate CareClinicSUNSHINEDr William LeadstonPreston Family MedicalPracticePRESTONDr David LeeWestern SuburbsIndigenous GatheringPlaceMAIDSTONEDr Karen LewisPractice of Dr Ron ElishaCAULFIELD SOUTHDr Peter LewisRecreation Medical CentreARMADALEDr James LichtblauOrmond Medical CentrePty LtdORMONDDr Mark LipzkerCarnegie Medical CentreCARNEGIEDr Ewa LisikPractice of Dr P Feren &Dr E LisikSOUTH YARRADr Rimas LiubinasBallarat Group Practice(Howitt Street)WENDOUREEDr Christopher LourenszCoster Street MedicalPracticeBENALLADr Maher LukaCoburg Family MedicalCentreCOBURGDr James LynchDoctors of NorthcoteNORTHCOTEDr Alistair MacindoeBelair Medical CentreGLENROYDr John MacKellarKialla Medical ClinicKIALLADr Niresh MadhanpallBacchus Marsh MedicalCentreBACCHUS MARSHDr Paul MalcherPortarlington MedicalCentrePORTARLINGTONDr Amir MalekSydenham Medical CentreSYDENHAMDr Mario MarazitaHigh Street Medical &Dental Centre PrestonPRESTONDr Anthony MariampillaiBallan Community HealthBALLANDr Paul McCartneyNorth YarraCommunity HealthFITZROYDr Bruce McClureEastbrooke Family ClinicESSENDON NORTHDr Daniel McCurdyCorowa Medical CentreCOROWADr Andrew McDonaldMills Street ClinicMIDDLE PARKDr Margaret McDowellErrol Street Medical CentreNORTH MELBOURNEDr Malcolm McKelvieYarragon Medical CentreYARRAGONDr Lynette McKenzieNorth Yarra CommunityHealthCOLLINGWOODDr Stephen McLaughlinFOOTSCRAYDr Ruth McNairNorthside ClinicFITZROY NORTHDr John MenziesRobinson Street MedicalClinicCAMPERDOWNDr Anthony MichaelsonNorth Eltham MedicalCentreELTHAM NORTHDr Christina MiklosThe Surgery BulleenBULLEENDr Jacob MillerOak Park Village MedicalCentreOAK PARKDr Robin MissoNorth Ringwood MedicalCentreRINGWOOD NORTHDr David MonashInglis Medical CentreSALEDr Gloria MoscattiniNorth RichmondCommunity Health CentreRICHMONDDr Paul MulkearnsLeake Street ClinicESSENDONDr Middleton NadarajahWhite Hills MedicalPracticeWHITE HILLSDr Poobalan NaidooBeach Street FamilyMedicineFRANKSTON22

Teaching andTeaching and Learning LearningDr Usha Nath ChandLakeside Medical ClinicLILYDALEDr Martin NeubergerDerwent Valley MedicalCentreNEW NORFOLKDr Idmon NgHealth Monitor MedicalCentreHEIDELBERGDr Iain NicolsonSale Medical CentreSALEDr Diane PearceDianella Community HealthBroadmeadowsBROADMEADOWSDr Chitra PereraBuckley Street FamilyPracticeMORWELLDr Toai PhanHallam Family PracticeHALLAMDr Katrina PhilipRosanna Medical CentreWATSONIADr Norman RothPrahran Market ClinicSOUTH YARRADr Carolyn RoyseNillumbik Medical CentreELTHAMDr Angela RutherfordEast Brunswick MedicalCentreBRUNSWICK EASTDr Mahinda SamararatnaGoonawarra MedicalCentreSUNBURYDr David ShapSouthend Medical CentreHAMPTONDr Robert ShepherdRumbalara AboriginalHealth ServiceMOOROOPNADr Simon ShuteStandish Street SurgeryMYRTLEFORDDr Shreelatha ShyamSomerton RoadMedical CentreROXBURGH PARKDr Guenter OechsleCasey Medical CentreCRANBOURNEDr Tarquin OehrPractice of Dr BellaFreeman & Dr OehrRICHMONDDr Edmund PolinessLiving Room PrimaryHealth ServiceMELBOURNEDr Peter PoonNathalia Medical ClinicNATHALIADr Lou SandersonKardinia HealthBELMONTDr Prem SaranathanCoburg Central MedicalClinicCOBURGDr Martin SiaSIA Medical CentreESSENDONDr Daniel SilverLyttleton Street MedicalClinicCASTLEMAINEDr Paul O’HalloranWingrove Medical ClinicFAIRFIELDDr Bernard OppermannWarrnambool MedicalClinicWARRNAMBOOLDr Allan PowlesPhillip Island MedicalGroup - Cowes ClinicCOWESDr Rosemary PreeceCairnlea SuperclinicCAIRNLEADr Suhanya SasidharanGreater Knox FamilyPracticeBORONIADr Kate SchultzEchuca Primary Care ClinicECHUCADr Gary SilverRaymond McMahonMedical CentreENDEAVOUR HILLSDr Shobhna SinghNitai Family ClinicGLENROYDr John Osborn-RigbyStawell Medical CentreSTAWELLDr Christopher PriestKyneton Medical CentreKYNETONDr Sharon SchwartzOakhill ClinicRESERVOIRDr Jane SklovskyDeepdene SurgeryDEEPDENEDr Timothy OwenWest Heidelberg MedicalCentreWEST HEIDELBERGDr Pauline PahtsivanidisLorne Street MedicalCentreLALORDr Ishita PalitSherbourne Road MedicalClinicMONTMORENCYDr Anthony PalmerMt Evelyn Medical SurgeryMT EVELYNDr John PattisonLeake Street ClinicESSENDONDr Sydney PaulShiloh Medical PracticeDENILIQUINDr Christos PavlidisNORTH MELBOURNEDr Sebastian PavoneEastern Medical CentreDANDENONGDr Rodney PearceBeulah Park Medical ClinicBEULAH PARKDr Andy PsaradellisWynlorel General PracticeMALVERNDr Niall QuieryVictorian Aboriginal HealthService Co-OperativeFITZROYDr Joe RadcliffeFamily PracticeFRANKSTONDr Kathryn RainsfordWestern Region HealthCentreFOOTSCRAYDr Renata Rans-HarveyJabiru Community HealthCentreJABIRUDr Shrade ReddyOak Park Village MedicalCentreOAK PARKDr Clyde RonanYarrawonga Medical ClinicYARRAWONGADr Tim RossThe Hills MedicalOLINDADr John ScopelThe Clinic FootscrayFOOTSCRAYDr Thava SeelanBridgeview MedicalPracticeTOONGABBIEDr Elizabeth SegalNorth RichmondCommunity Health CentreRICHMONDDr Amaninder SekhonWillandra Medical ClinicEPPINGDr Aubrey SeknowMedical One ElwoodELWOODDr Anthony SellarsMount Street MedicalCentreHEIDELBERGDr Lydia SenyciaRosanna Medical GroupROSANNADr Hugh SewardNewtown Medical CentreNEWTOWNDr Ammar ShahWestcare Medical CentreMELTON WESTDr Graham SlaneyMansfield Medical ClinicMANSFIELDDr Shoshanna SlatteryKunbarllanjnja HealthCentreOENPELLIDr Elias SleabySt Albans Complete HealthCareST ALBANSDr Andrew SoloczynskyjMelton Medical ClinicMELTONDr Michael SosninBoronia Medical CentreBORONIADr Nelum SoysaDoctorgaia Medical CentreCOBURGDr Virgilio SpatariSwan Hill Aboriginal HealthServiceSWAN HILLDr John StantonGrantham Street GeneralPracticeBRUNSWICK WEST23

Teaching and LearningTeaching andLearningDr Alastair StarkWestcare Medical CentreMELTON WESTDr Phillip SteeleFederation ClinicWEST WODONGADr Victoria StephensonGladstone Park SuperclinicGLADSTONE PARKDr Leon StesinBlackshaws Road MedicalCentreALTONA NORTHDr Adrian TangBlackburn ClinicBLACKBURNDr Roderick TaylorGrovedale Medical CentreGROVEDALEDr Ban Kiem TeeThe Centre ClinicST KILDADr Galina TsykinSouth Melbourne FamilyPracticeSOUTH MELBOURNEDr Scott TunaleyWillandra Medical ClinicEPPINGDr Edwin TurnerColiban Medical CentreKYNETONDr Will TwycrossCentral General PracticeMANSFIELDDr Alan UnderwoodErrol Street Medical CentreNORTH MELBOURNEDr David UnkensteinDrysdale ClinicDRYSDALEDr Tom VaiopoulosPreston Medical CentrePRESTONDr Chandar VaraneWestcare Medical CentreMELTON WESTDr Vinotha VijayakumarNepean Family MedicalCentreHAMPTON EASTDr Rob VrijBallarat Group Practice(Victoria Street)BALLARATDr John WaltersWellness MedicineCLIFTON HILLDr Andrew WettenhallMansfield Medical ClinicMANSFIELDDr BuddhiWickramasingheHealthworks HealthcareKANGAROO FLATDr Ian WilliamsCamp Hill Medical CentreCAMP HILLDr Martin WilliamsMedical One - ElwoodELWOODDr Elizabeth WilliamsKent Road ClinicPASCOE VALEDr Bill WilliamsSurf Coast Medical Centre- TorquayTORQUAYDr Keith Wing-ShingNorth Balwyn MedicalClinicBALWYN NORTHDr John WisemanMedi 7 - ChadstoneCHADSTONEDr Yen WongEastfield Medical ClinicCROYDON SOUTHDr Derek WooffThe University ofMelbourneShepparton MedicalCentreSHEPPARTONDr Anthony WrightJohnson Street ClinicMAFFRADr Daniel XuRiverton Medical CentrePARKWOODDr Michael YeoSwansea Road ClinicMONTROSEDr Denis YeungSunshine Ultimate CareClinicSUNSHINEDr Debbie YiapThomas Street FamilyMedical CentreBRIGHTON EASTDr Sam ZagarellaNiddrie Medical CentreNIDDRIEDr Mark ZagorskiMount Beauty MedicalCentreMOUNT BEAUTYDr Ge ZengFoote Street MedicalCentreTEMPLESTOWEDr Michael ZhengStephensons MedicalClinicMOUNT WAVERLEY24

GP Academic Registrar TrainingExcellence inTrainingThe Department of General Practice has offered training positions in academicgeneral practice since 1982. These part-time positions provide a year of advancedtraining in academic general practice to interested general practice registrars.Participating registrars develop academic skills through a range of dutiesincluding research activities, developing teaching skills and involvement in studentassessment. A senior academic supervisor provides guidance, feedback andmentorship to support registrars. Junior general practice academics are fosteredin a creative, highly supportive and strongly research oriented academic centre.Training posts combining clinical work can be tailored to meet the interests ofindividual registrars.Academic Registrars2010 – 2011worked part-time at a clinic inNarre Warren, and has conducteda systematic review on the impactof continuity of care on patientswith depression.2010 – 2013Dr Deepa Daniel MB BSDCH works in clinical generalpractice at a medical centre inWest Heidelberg. Her researchinvolved a literature review on theimplications of vitamin D and its usein general practice. Her teachingresponsibilities included tutoringand assisting in the Semester 12general practice training program.Deepa also worked part-time as apublications fellow at the AustralianFamily Physician in 2010.2010 – 2012Dr Edward Vergara BScBMedSci MB BS FRACGPworks clinically at WestcareMedical Centre in Melton. Hisresearch is looking at barriersand enablers to young menseeking chlamydia screening.Ed was also involved in teachingand coordinating medicalstudents undertaking theirgeneral practice rotation. He iscurrently completing his Master ofPhilosophy degree.Dr Jo-Anne Manski-NankervisBSc MB BS FRACGP worksat a community health centrein Broadmeadows. In 2010 shewas involved in the Stepping UpStudy (a pilot program for insulininitiation in general practice)and teaching postgraduatenursing students and medicalstudents undertaking theirgeneral practice rotation. In 2011Jo-Anne commenced a new roleas lecturer in the Teaching andLearning team. She is involvedin developing the Primary CareCommunity Base project aswell as continuing her academicregistrar work and commencingher Master of Philosophy degree.Dr Andrew Harewood BScMB BS was an academicregistrar with the VictorianMetropolitan Alliance from 2010-2011. His research interests weredepression management andcontinuity of care. Andrew also25

Excellence inTrainingPostgraduate Primary Care NursingIn the last decade, the AustralianGovernment, in response toworkforce shortages particularly inrural areas, has invested over $100million in incentives to encouragegeneral practices to employ moreprimary care nurses. This hasseen the number of primary carenurses increase to approximately8,000, with 60% of practices nowemploying a nurse.The Academic Centre has invested in primary carenursing by developing and offering the PostgraduateCertificate/Diploma of Primary Care Nursing deliveredby distance education. It has been developedby experienced practice nurses and generalpractitioners to suit the needs of busy practicenurses in areas (chronic disease management,quality systems and risk management, healthpromotion, women’s health, mental health and youthhealth) that will complement the student’s previousexperience. These courses enable nurses workingin general practice to study in areas related to theirclinical practice with a focus on the provision of highquality and evidence-based care.The primary care nursing curriculum was updatedand revised in 2010. Students now undertake twocore subjects and one elective subject to obtain thePostgraduate Certificate; or three core subjects andthree elective subjects to obtain the PostgraduateDiploma. Core subjects comprise Preventive HealthCare, Chronic Disease Management, and QualitySystems and Safety.Elective subjects include• Mental Health in Primary Care• Youth Health in Primary Care• Immunisation and Travel Health• Women’s Health Screening• Significant Issues in Women’s Health• Pregnancy Care in General Practice• Sexual and Reproductive Health• Sexually Transmissible Infections• Applications of Clinical Pharmacology 1• Evidence for PracticeAll of the subjects can also be taken as singlesubjects to suit an individual nurse’s needs.26

Research TrainingReseacrhTrainingThe degrees of Bachelor of Biomedicine (Hons.), Bachelor of Science (Hons.), Master ofMedicine, Master of Primary Health Care, Master of Philosophy and PhD are offered by theAcademic Centre. All of these programs enable students to undertake a major research projecton a primary health care topic of their choice and to develop competency in the conduct ofresearch methodologies in the primary health care setting. Experienced supervisors with abackground in various disciplines, including general practice, psychology, sociology, healthevaluation, complementary and alternative medicines, implementation science, chiropractic andstatistics, assist students in their research. We welcome anyone who is interested in undertakingresearch training with us to visit our website, www.gp.unimelb.edu.au, and to contact theDirector of Research Training to discuss potential research areas in more detail.Recently graduatedPhDA/Prof Ruth McNair MB BS PhD DA DRANZCOGFRACGP Ruth’s thesis investigated the health careexperiences of same-sex attracted women whenconsulting with their usual general practitioner. Ruthwas awarded her PhD in March 2010.Master of Medicine / Master ofPrimary Health CareDr Carolyn Ee BAppSc MB BS Carolyn’s thesisinvestigated the role of acupuncture in managingmenopausal symptoms. Carolyn was awarded herMaster of Medicine in August 2011.Dr Paul Grinzi BMedSc MB BS DipDerm FRACGPPaul’s thesis looked at how well prepared our futureGPs are to manage patients with alcohol-relatedproblems. Paul was awarded his Master of Medicinein December 2010.Dr Christine Longman MB BSGDipAlcohol&DrugStudies MMed DRACOGFRACGP Christine’s thesis examined influenceson opioid pharmacotherapy prescribing in generalpractice. Christine was awarded her Master ofMedicine in March 2010.Ms Susan Webster BA MPHC Susan’s thesisinvestigated factors influencing GP involvement inhealth assessments for children and young peoplein out-of-home care in Victoria. Susan was awardedher Master of Primary Health Care in March 2010.Master of Public Health (ResearchReport in Primary Health Care)Students undertaking the coursework degree theMaster of Public Health can choose to undertakea research project on a primary care topic. TheAcademic Centre welcomes these students, whocome from a wide variety of professional diciplines,as their interests often extend beyond the range ofour usual focus.Dr Ali Al-Maqbali BSc MPubHlth MD Ali’s researchexamined the prevalence and determinants ofprehypertension and its follow up plans amongadults in the primary health care setting. Ali wasawarded his Master of Public Health in 2010.Dr Esther Billeli MB BS DRANZCOG FRACGPEsther’s research focused on communication at theinterface between primary care and hospitals and theuse of the discharge summary. Esther was awardedher Master of Public Health in 2011.Dr Glenn Duns MDCM FRACGP Glenn’s researchexamines indicators of demand for primary care.Glenn was awarded his Master of Public Health inAugust 2011.Dr Emma Rattray MB BS FRACGP Emma’sresearch examined whether the introduction of betteraccess to psychiatrists, psychologists and GPsthrough Medicare has improved equity of access topsychologists for adults with depressive symptoms.Emma was awarded her Master of Public Health in2011.Mr Kuldeep Singh BMedSc Kul’s researchexamined factors affecting access to respiratorymedicines in primary health care in Brazil and India.Kuldeep was awarded his Master of Public Health in2010.Ms Lee Stamford BAppSc GCertHlthEcoGDipExRehab CertIVAdultTrEd Lee’s researchexamined the motivation of allied health professionalsworking in nursing homes. Lee was awarded herMaster of Public Health in 2010.Ms Eleanor Tan BBioMedSc MPubHlth Eleanor’sresearch investigated whether GPs’ communicationskills influence women’s comfort to disclose fear ofa partner. Eleanor was awarded her Master of PublicHealth in 2010.27

Research TrainingReseacrhTrainingHonours ProgramThe Honours program was introduced into the GeneralPractice and Primary Care Academic Centre in 2011.The Honours year requires students to completeadvanced coursework and an independent researchproject. Under the supervision of an experiencedresearcher, students develop maturity and skills fortransition to employment in a range of occupations or aresearch higher degree. The Centre had three studentsin the first cohort.Ms Han Na Kwak completed a Bachelor ofBiomedical Science, majoring in Neuroscience. Sheinvestigated the ‘Effects of long-term use of antidepressants’under the supervision of Prof JaneGunn. She is interested in working with global healthorganisations such as the World Health Organisation.Ms Jessica Tran completed a Bachelor of Science,majoring in Physiology. Her project, supervised byDrs John Furler and Victoria Palmer, investigatedthe challenges GPs experience in applying ethicalframeworks to socially disadvantaged patients.Ms Rachel Wee completed a Bachelor of Science,majoring in Physiology. She worked with A/Prof LenaSanci on mental health and self-harm in young people.She is interested in a career in medicine, specificallypaediatrics.Thesis under examination orawaiting graduationPhDMs Donna Southern BSc GDipEpid&BiostatDonna’s thesis conceptualised lay person reportingon quality general practice care delivery.Master of MedicineDr Richard Teague MB BS MPH DipVenDipSexCounselling DRANZCOG FRACGPRichard’s thesis examined aspects of sexual healthof injecting drug users on opiate pharmacotherapy.His thesis passed examination in March 2012.Dr Claudio Villella MB BS Claudio’s thesisexplored GPs’ attitude to climate change and theirpotential role in combating climate change usingan international survey of GPs. His thesis passedexamination in January 2012.Curent studentsPhD studentsDr Asmaa Al-Khatib BDS DCDThe Beautiful Smile ProjectSupervisors: A/Prof Meredith Temple-Smith, A/ProfMarie Pirotta, Prof Louise Brearley Messer, Prof MikeMorgan.Candidature: 2010 – 2014Early childhood caries is a significant health problemof young children in Arabian Gulf countries. AsQatar is one of the Arabian Gulf countries, it isexpected that prevalence of early childhood carieswill be high. There are no published data on earlychildhood caries, associated risk factors and publicoral health awareness in Qatar. There are no oralhealth preventive programs for these children. Thisstudy will investigate the caries burden and other oralhealth problems in preschool children and maternaland health practitioner understanding, experiences,beliefs, attitudes, knowledge of risk and protectivefactors influencing the oral health of these children.This study employs a mixed methodology approachfor data collection including epidemiological clinicalscreening of oral health, questionnaires, semistructuredinterviews and focus group discussions.This project will provide valuable information forpolicy makers in Qatar to enhance oral healthservices for preschool children.28

Research TrainingReseacrhTrainingMs Patty Chondros BSc GDipEpid&Biostat MScThe design and analysis of matched-pair clusterrandomised trialsSupervisors: Prof John Carlin, Dr Obi Ukoumunne,Prof Jane GunnCandidature: 2006 – 2012To date, the literature is unclear regarding when itis sensible to match clusters in pairs in the designof cluster randomised trials in order to providegreater assurance that known prognostic factorsare balanced in the trial arms, especially when thenumber of clusters is small. Furthermore, thereare a number of unique design and analyticalchallenges associated with the matched-pair studydesign related to having only one cluster in eachcombination of the trial arm and pair of clusters. Thisresearch aimed to provide some guidance to assistresearchers and applied statisticians in decidingwhen to use the matched-pair design in a clusterrandomised trial and how to best analyse data frommatched-pair studies. Patty performed a systematicreview of the use of matched-paired clusterrandomised trials in major general medical journalsand conducted an extensive set of simulation studiesto evaluate the properties of alternative estimationmethods and study designs. The research has ledto the development of a set of practical principleson the design and analysis of matched-pair clusterrandomised trials.Dr Carolyn Ee BAppSc MB BS MMedAcupuncture for postmenopausal vasomotorsymptoms - a randomised single-blind shamcontrolledtrialSupervisors: A/Prof Marie Pirotta, Dr Simon French,A/Prof Charlie XueCandidature: 2011 – 2018The aim of this thesis is to assess the efficacy ofneedle acupuncture in the treatment of hot flushesafter the menopause. Hot flushes are the mostcommon symptom reported during the menopauseand can lead to lower quality of life. For somewomen, they may persist ten years or more.Women in midlife frequently use complementaryand alternative medicine (CAM) to treat menopausalsymptoms. However, the evidence for effectivenessof most CAMs in treating hot flushes remainsunconvincing. Acupuncture is a popular CAMtreatment with an excellent safety profile and agrowing body of evidence supporting its use. Thisproject is a randomised sham-controlled trial onacupuncture for hot flushes and is informed byresults from a pilot study which comprised Carolyn’sMasters in Medicine thesis. Three hundred and sixtywomen will be randomised to receive either realor sham acupuncture. Women will record their hotflushes in a seven-day diary before, during and upto six months after the end of treatment. The projectwill be the first large-scale randomised controlled trialon acupuncture for hot flushes using a novel shamcontrol and will add significantly to the current bodyof evidence.Ms Sandra Davidson BA GDipBehavStdsHlthCareMPsychA study of social connectedness and its associationwith depressionSupervisors: Prof Jane Gunn, Prof ChristopherDowrickCandidature: 2006 – 2012Depression is a highly prevalent and disablingcondition, which often follows a chronic course.Identifying the factors that predict depressionchronicity may help reveal the underlying natureof the condition and assist clinicians in targetingat-risk patients. Few studies have investigatedsocial connectedness as a predictor of depressionchronicity and even fewer have been conductedin the primary care setting where most depressiontreatment occurs. The aim of this study is to examinemultiple dimensions of social connectedness andidentify which, if any, are predictors of a chronicdepression course among general practicepatients. This study is part of the diamond project,a longitudinal cohort study of 789 adults withdepression symptoms who were recruited fromgeneral practice.Dr Caroline Johnson MB BS FRACGPAn exploration of monitoring depression in thegeneral practice settingSupervisors: Prof Jane Gunn, A/Prof RenataKokanovicCandidature: 2006 – 2012This study is about how general practitionersmonitor the effectiveness of the care they providefor people experiencing depression. It seeks tobetter understand how the monitoring of depressionoutcomes should occur in the general practicesetting from the perspective of general practitioners,patients and carers. It does this with the intentionof contributing to the debate about how to improvethe quality of general practice care for peopleexperiencing depression.29

Research TrainingReseacrhTrainingMs Tanya Koolmatrie BAThe social and emotional well-being of Aboriginalwomen during the perinatal periodSupervisors: A/Prof Stephanie Brown, Dr YinParadise, Ms Lyn McInnes, Dr Karen WillisCandidature: 2011 – 2015This study focuses on the social and emotional wellbeingof Aboriginal women during pregnancy andthe postnatal period. It seeks to better understandthe experiences of Aboriginal women during theperinatal period. This study is a qualitative researchproject with the main data collection methods beingin-depth interviews with Aboriginal women who havebeen pregnant or had a baby in the last five years.The focus of the interviews will be on Aboriginalwomen’s experiences and understanding of factorsinfluencing maternal social and emotional well-beingin the antenatal and postnatal period.Ms Anita Morris BSW MSWSafety and resiliency at home: voices of childrenfrom a primary care populationSupervisors: A/Prof Kelsey Hegarty, Prof CathyHumphreysCandidature: 2009 – 2012One in four Australian children experience familyviolence. However, many of these children will notcome to the attention of emergency, child protectionor family violence services. We know that a womanexperiencing family violence will visit general practicefor herself and her children more frequently, soprimary care is well placed to respond to thesefamilies. This research project aims to identifyprotective factors for children living with domesticviolence that help them feel safer and more resilient.It also seeks women and children’s ideas aboutan appropriate primary care response to childrenin this situation. Using qualitative methodologies,the project involves in-depth interviews and focusgroups with up to 20 children and their mothers.Child centred responses and interventions will bethe main outcomes. Children’s missing voices will beheard and the findings will inform policy and practiceinterventions in primary care.Ms Susan Perlen BNurse MPubHlth RMAn investigation of the implementation of Victoriansmoking cessation guidelines in public antenatal careservicesSupervisors: A/Prof Stephanie Brown, A/ProfRosalind Hurworth, Dr Jane YellandCandidature: 2009 – 2012Modifying smoking behaviour in pregnancy cancontribute to a significant improvement in infanthealth outcomes; namely prematurity and low birthweight. Victorian antenatal smoking cessationguidelines were developed in early 2000. Stategovernment reports of annual auditing of Victorianpublic maternity hospitals indicate that not allwomen are being offered smoking cessationsupport and that variation exists between hospitalsin the proportion of women offered initial andfollow-up support. This PhD study is examiningthe implementation of Victorian smoking cessationguidelines in public antenatal care services. A mixedmethods approach will incorporate secondaryanalyses of data from a population-based surveyof Victorian women who gave birth in 2007 and anexploratory interview study with health care providersand managers at two Victorian public maternityhospitals. It is anticipated that the findings will assistto provide a more comprehensive understanding ofhow antenatal smoking cessation guidelines havebeen implemented in Victorian public hospitals fromand generate information that can assist in informingfuture implementation of smoking cessation adviceand support for pregnant women.Dr Kate Robins-Browne MB BS FRACGPFuture – The way older people understand medicaldecision making if they can no longer participateSupervisors: A/Prof Kelsey Hegarty, A/Prof MarilysGuillemin, Dr Victoria Palmer, Prof Paul KomesaroffCandidature: 2007 – 2012It is not uncommon for patients to be too unwellto participate in decision making when a decisionis required. This may be because they haveexperienced a sudden and unexpected illness orit may be the result of an acute deterioration of achronic problem. Uncertainty regarding how thepatient would have decided can generate conflictwithin medical teams, within families and betweenfamilies and medical teams.To avoid this problem patients are being encouraged tocomplete an advance directive (AD). The AD is a writteninstructional directive in which patients outline theirtreatment preference in advance. ADs appear to be a30

Research TrainingReseacrhTrainingneat solution to a difficult problem as they enable thepatient to retain control of decision making. Althoughpeople express positive attitudes towards ADs, theircompletion rate remains low. To explore this I haveinterviewed 19 people aged ≥65 years recruited fromsix general practices. For five of these people I haveinterviewed one or more of the people they think wouldmake decisions on their behalf. Through the interviewsand data analysis I am exploring the way peopleunderstand these decisions and what the decisionmaking process means to them. In this way I hope tobe able to find alternative methods of thinking aboutthe problem of decision making when the patient isincompetent.Mr Hagen Tuschke MNSc RN MRCNAUnderstanding patient aggression experiences in thegeneral practice settingSupervisors: A/Prof Kelsey Hegarty, A/Prof LeisaSargentCandidature: 2009 – 2012This study is investigating how people working ingeneral practice understand the impact of patientaggression on their working lives. The aim wasto gather individual accounts of GPs, nurses andreceptionists in different general practice settings, andto draw them together into a multiple case study thatidentifies personal, interpersonal and organisationalfactors which may reduce the impact of patientaggression on the safety and well-being of peopleworking in general practice.Ms Cathy Watson BA GDipAdvNg MCHN MNScRN RM NPGarlic and CandidaSupervisors: A/ Prof Marie Pirotta, Prof SuzanneGarland, Prof Kit Fairley, Prof Stephen MyersCandidature: 2009 – 2012Recurrent vulvovaginal candidiasis, or recurrentvaginal thrush, is notoriously difficult to manage, andmany women turn to alternative therapies. Allicin, acompound of garlic, is a potent anti-fungal agent inthe laboratory against Candida spp., the yeast thatcauses thrush, but has never before been evaluatedin women with this condition. This thesis describesa number of preliminary studies including a cliniciansurvey, a pilot study and a small mass spectrometrystudy which provide background for a trial which tookplace between October 2010 and July 2011, when 192women with no abnormal symptoms were recruited.All were screened for carriage of vaginal Candida spp.Sixty women who tested positive were randomised totake either oral garlic or placebo tablets each day fortwo weeks in the second half of their menstrual cycle,which is when Candida spp. levels usually rise. Theyalso took daily samples for two weeks, which wereanalysed for colony counts of Candida spp., and theycompleted a daily diary. The colonisation in the twogroups was compared, and multiple secondary analysisis in the process of being completed.Ms Susan Webster BA MPHCSystems for addressing the health needs of childrenand young people living in out-of-home care inAustraliaSupervisors: A/Prof Meredith Temple-Smith, A/ProfLena Sanci, Prof Cathy Humphreys, Dr Anne SmithCandidature: 2010 – 2013The Commonwealth Government’s national frameworkfor Protecting Australia’s Children 2009 - 2020 hasintroduced new standards which throw a spotlight onchild health and well-being as a critical outcome inout-of-home care. Children aged 0-17 can be placedin out-of-home care voluntarily or through some typeof court order, such as a child protection order, whena parent is unable to care for them. Implementingnew standards will be a significant challenge for thechild protection and health sectors. In 2009 – 2010comprehensive health assessment would have beenneeded for up to 33,649 children and young peopleliving in home-based out-of-home care. Data are notavailable about how many of these children receivedsuch an assessment, but anecdotally it seems thenumber would at best be in the hundreds. Althoughchronic and complex conditions among the Australianout-of-home care population is high, this populationhas attracted scant research investment, and statechild welfare bodies have historically approachedthe health case management of children in out-ofhomecare in quite different ways. I am interestedin understanding what the challenges are for healthprofessionals in different parts of Australia in moresystematically meeting the health needs of each andevery child in out-of-home care.31

Research TrainingReseacrhTrainingMaster of Philosophy studentsDr Jo-Anne Manski-Nankervis BSc MB BSAssessment of risk factors associated with avoidablehospital admissions of patients with type 2 diabetesmellitus: Patient experience and management inprimary careSupervisors: Dr John Furler, Dr Ralph Audehm,Prof Doris YoungCandidature: 2011 – 2014Hospitalisations for complications of type 2 diabetesmellitus (T2DM) have been classified as potentiallypreventable. Potential prevention strategies includebehaviour modification and lifestyle change as well aseffective management through timely and evidencebasedmedical care in usually non hospital settingssuch as general practice. The aim of this study isto explore the characteristics of the primary careexperiences of patients with T2DM who are admittedto hospital with potentially preventable causes. Sixtypatients admitted to the Royal Melbourne Hospitalwith known T2DM and a diagnosis of unstable angina,acute myocardial infarction or foot ulceration whoreceive endocrinology review during their admissionwill be recruited. The survey will inform the selectionof approximately 20 patients who will be interviewedto further explore the patients’ lived experience ofdiabetes and experiences and management in primarycare. Patients will be asked to identify their primaryGeneral Practitioner (GP) and a survey will be mailed tothe practice to explore factors including GP education,practice profile, access to allied health, whetherorganised care is practiced and whether the patienthad been managed according to clinical practiceguidelines. Understanding the patient and primarycare factors associated with Potentially PreventableHospitalisations (PPH) is essential in order to be able todesign interventions to reduce PPH and ensure optimalmanagement in primary care.Dr Edward Vergara BSc BMedSci MB BSFRACGPTesting for Chlamydia: Young men’s attitudes andbehaviourSupervisors: A/Prof Meredith Temple-Smith,A/Prof Lena SanciCandidature: 2011 – 2013The overall aim of this study is to explore the currentattitudes held by young men (15 – 25 years old)regarding testing for Chlamydia, a common sexuallytransmitted infection (STI). The study will look at howthese attitudes influence young men’s behaviourstowards Chlamydia testing. This will inform futuredevelopment of policies and strategies to increasetesting rates for Chlamydia and other STIs.Master of Medicine studentDr Jason Ong MB BS FRACGPChoices women make: Predictors of contraceptionuse in women of reproductive age attending FamilyPlanning VictoriaSupervisors: A/Prof Meredith Temple-Smith, ProfChristopher Fairley, Dr Kathleen McNamee, A/ProfWilliam WongCandidature: 2010 – 2012Despite good access to contraception, Australia hasone of the highest rates of unintended pregnancy inthe developed world. Proper use of contraceptionis important in reducing unintended pregnancy. Thefactors associated with a Victorian woman’s likelihoodto use contraception are unknown. This cross-sectionalsurvey of 1,006 sexually active women attending FamilyPlanning Victoria aims to understand how women arecurrently using contraception. Using logistic regressionmodelling, the factors that may influence how womenuse contraception are assessed. This study will helpinform family planning services of who amongsttheir clientele are at greatest risk of an unintendedpregnancy and thus an appropriate intervention couldbe tailored for these women.Master of Primary HealthCare studentMs Shelley Walker BASexting and young people: Understanding thephenomenon from the perspective of young peopleSupervisors: A/Prof Meredith Temple-Smith, A/ProfLena SanciCandidature: 2010 – 2012Sexting involves the production and distributionof sexually explicit images via information andcommunication technologies. The phenomenon hasreceived a great deal of media attention, however verylittle empirical research regarding sexting has beenconducted, especially from an Australian perspective,and from the point of view of young people themselves.This qualitative study aims to address this gap. In-depthindividual interviews were conducted with 33 youngpeople aged 15 - 20 years to develop an understandingof the phenomenon from their viewpoint. Insights intothe nature of sexting, its origins and potential solutionshave been offered by young people, which are beinganalysed using a grounded theory approach.32

Research TrainingReseacrhTrainingPrimary Health Care Research,Evaluation and Development(PHCRED) FellowsFrom 2006 – 2011 the General Practice and PrimaryHealth Care Academic Centre received PrimaryHealth Care Research, Evaluation and Development(PHCRED) funding from the Commonwealthgovernment. Part of this funding was specifically aimedat increasing the number of primary care researchersthrough the research development program (RDP).Successful PHCRED Fellows undertook research forone day a week for one calendar year. During thistime, the Fellows joined the current group of noviceresearchers, usually Academic Registrars, but in 2011this included our first intake of honours students.The cohort of novice researchers received extensivetraining in all aspects of primary care research and alsodeveloped and conducted an independent researchproject in collaboration with senior researchers. Manyof our PHCRED fellows have continued their researchcareers by undertaking a research higher degree at TheUniversity of Melbourne.2011 PHCRED FellowsMs Lesley Hawes BSc GDipL&IS MASM conductedan evaluation of GP peer reviewers’ perceptions ofthe Limited Adverse Occurrence Screening (LAOS)program. The LAOS program is a peer review programfor GPs employed as Visiting Medical Officers inVictoria’s small rural hospitals.Ms Shelley Walker BA used her PHCRED grant tocomplete her Master’s candidature (by research). Thefocus of Shelley’s research was on sexting and youngpeople.2010 PHCRED FellowsMs Emma Barnard BA MPH is a program consultantat General Practice Victoria in the area of alcohol andother drugs. She used her PHCRED grant to researchwomens’ experiences of hepatitis C care in generalpractice.Dr Lisa Derigo MB BS MProfAppEthics FRACGPis a GP with both a clinical and research interest insexual health. She used her PHCRED grant to researchuniversity students’ knowledge of chlamydia.Mr Andre Priede BDSc GCertDiabetesEdu is adentist working in the Undergraguate Teaching Clinicat the Royal Dental Hospital and at HMAS Cerberus.He used his PHCRED grant to investigate oral healthknowledge and behaviour among people with diabetes.Dr Amanda Fraser BN MB BS MPH FRACGP is aGP with a special interest in youth health. Her PHCREDresearch explored Medicare independence and healthaccess for young people. Amanda is now undertakinga Master of Philosophy in this field of research.33

Research TrainingReseacrhTrainingMs Susannah Summons BSc MSc is a consultantnutritionist working in the area of remote indigenoushealth. She undertook a project to investigatethe enablers and barriers to the establishment ofcommunity gardens as a source of food for remotecommunities.Mr Soenke Tremper is a program consultant withthe sh 3 ed (Sexual Health, HIV and Hepatitis Education)program. He used his PHCRED Fellowship to examineshared care for hepatitis treatment.Advanced Medical Science(AMS) ProgramThe Advanced Medical Science (AMS) was a researchsubject undertaken by all MBBS students in themedical degree formerly offered by the university toschool-leaver entry students. The course completedin semesters six and seven was aimed to introducestudents to the formal processes of research includingresearch design, literature review, critical appraisal, datacollection, analysis and presentation.Medical student Farizah Johari undertook research toimprove preventive care delivery in general practices indisadvantaged areas.Medical student Oageng Ntsi examined theassociation between lifestyle factors and the control oftype 2 diabetes.Short CoursesThe General Practice and Primary Health CareAcademic Centre provides short courses that are ofinterest to the primary care community and whichprovide training in research and evaluation skills. Eachshort course is developed for the needs of differentparticipant groups and provides the opportunity forparticipants to network with university and communitybased researchers from around the country.25-26 February 2010An Introduction to Primary Care ResearchThis was a two-day intensive couse aimed atintroducing participants to various aspects of primarycare research including the key functions of research inprimary care, the main factors that drive and influenceresearch and its use in everyday practice. Participantswere shown a variety of methods used in primarycare research.Course convenor: A/Prof Meredith Temple-Smith13-14 October 2011Research and Evaluation of Sensitive Issues forVulnerable GroupsThis was a two-day intensive course aimed to assistparticipants in developing skills in designing andconducting research and evaluation projects onsensitive topics. The course focused on vulnerablepopulations and sensitive issues. A range of academicand community-based researchers provided examplesfrom their work in violence, mental health, sexual health,research with children and research with same-sexattracted people.Course co-convenors: A/Prof Ruth McNair and Ms LynMorgain, CEO of Western Region Health Centre34

PCRUPrimary Care Research Unit (PCRU)The vision of the Primary Care Research Unit (PCRU) is to be a national andinternational centre of excellence in primary care research, known for rigorousresearch programs, strong national and international collaborative researchand research higher degree training. PCRU brings together researchersfrom a diverse range of academic backgrounds including science,psychology, statistics, social sciences, computing science, medicine, nursingand allied health.Our research is firmly based in general practice and primary care and focuses on the provision of primary,comprehensive and continuing care. The social model of health, the doctor-patient relationship and the primarycare team are all embedded within the work.Our current research focuses on quality and safety in primary health care, models of primary care delivery andclinical research in primary care in four major program areas: Abuse and Violence, Chronic Disease and Equity,Primary Care Mental Health and Young People’s Health. In addition to these four major programs the PCRU isundertaking research in the areas of cancer research, complementary and alternative medicines, sexual healthand chiropractic.We are committed to getting evidence into practice. Our practice-based research network, VicReN, is ademonstration of our commitment to engaging the primary care sector at all stages of the research process.Abuse and Violence ProgramOur aim is to improve the health and well-beingof women, children, families and communities byaddressing problems of abuse and violence throughprimary care. Our research focuses on family violence(or intimate partner violence), child abuse, unwantedsexual encounters, abuse and resilience, sexualharassment, abuse in same-sex relationships andworkplace violence.Chronic Disease andEquity ProgramOur aim is to conduct rigorous multi-methodprimary health care research that improves thehealth outcomes of people with chronic diseases;particularly those from disadvantaged, culturally andlinguistically diverse backgrounds and the indigenouspopulation. Our research focuses on the role of generalpractitioners, practice nurses, other primary healthcare providers and of the health system in improvingdiabetes care and reducing cardiovascular diseaserisks in the community. Emphasis is also placed onconsumer engagement in the self-management ofdiabetes and other chronic diseases.Primary Care MentalHealth ProgramWe conduct research to inform the primary careresponse to the growing burden of mental healthproblems in the Australian community. Generalpractice provides most of the health care for highprevalence conditions such as depression, anxietyand related disorders. Our research adopts a mixedmethod participatory approach to investigate pathwaysto care, interaction between physical and mentalhealth, and system redesign to improve mental healthservices in primary care.Young People’s Health ProgramOur aim is to conduct research into the health issuesof young people (14 to 24 year olds). We researchmental health and the key risk-taking behaviours suchas unprotected sex, substance use and unsafe driving.Our focus is around practice based system changeand intervention aiming to increase young people’sengagement with, and commitment to, health care andthereby ultimately contributing to improved health careaccess and health outcomes.35

Abuse and Violence ProgramPCRUThe Abuse and Violence Program is composedof a team of primary care researchers focusedon interpersonal violence. The specific areas ourprojects cover are intimate partner violence, childabuse, unwanted sexual encounters, abuse andresilience, sexual harassment, abuse in samesexrelationships and workplace violence. Theoverall goal of the Program is to improve the healthand well-being of women, children, families andcommunities through addressing problems ofinterpersonal violence through primary care.Program leaderA/Prof Kelsey HegartyDeputy leadersA/Prof Ruth McNair and Dr Lorna O’DohertyTeam membersMs Madeline ArmstrongMs Anita MorrisMr Hagen TuschkeMs Jodie ValpiedMs Janita ClewettMs Eleanor TanMs Susan WebsterWomen’s evaluation of abuse and violence care ingeneral practice (WEAVE): A cluster randomisedcontrolled trial. Hegarty K, Gunn J, Taft A, Feder G,Astbury J, Brown S.Research personnel: Lorna O’Doherty, Jodie Valpied,Madeline ArmstrongTotal funding: $654,525Awarded by: NHMRCDuration: 2007 – 2010Recent ‘No to Violence’ media campaigns highlightintimate partner violence (IPV) as a major problem inthe community. It is the leading contributor to death,disability and illness for women of childbearing age inVictoria, with the annual cost to Australia estimatedat $13.2 billion. The aim of WEAVE is to evaluatethe impact of IPV screening and a general practiceintervention on women’s quality of life, safety andmental health. It is the first such study internationallyand commenced in 2007 when 20,100 women, at 55general practices across Victoria, were screened forIPV. One in ten women reported fear of a (ex) partnerin the previous year. There were strong associationsbetween presenting to the GP with health and lifestyleissues such as depression and worry, and fearinga partner. Of 386 women eligible for trial entry, 272(attending 52 GPs) enrolled. Women’s health and wellbeingwere found to vary significantly according to thetype and severity of IPV experienced. Fifty-two GPs and272 women were randomly assigned to a comparisonor intervention group (women offered brief counsellingby their GP who had been trained to respond to IPV).A postal survey evaluated outcomes 6 and 12 monthslater. Ninety percent of women remained in the studyto 12 months with a steady response rate of 70% ateach time point. Twelve-month trial outcomes will bepublished in 2012. Our research emphasises the needfor GPs and other health care providers to be awareof this complex, hidden issue, and for our society torecognise its continuing devastating effects on the livesof women and children.Safety and resiliency at home: Voices of children wholive with fear. Morris A, Hegarty K, Humphreys C,Mudaly N, Roberts W.Research personnel: Jodie ValpiedTotal funding: $78,420Awarded by: ARC Linkage APAIDuration: 2009 – 2012Children living with family violence are very commonin the Australian community and experience a widerange of emotional, behavioural, social, academicand physical problems. There has been limitedresearch in this area when compared with otherchild abuse studies. This project aims to identifyprotective factors for children living with domesticviolence that make them feel safer and more resilient.It involves interviewing children of mothers who havebeen afraid of their partner. Child centred responsesand interventions by professionals will be the mainoutcomes. The significance of these findings isthat children’s missing voices will be heard and theoutcomes will inform government policy as well aseducational and counselling interventions for health andwelfare professionals.Understanding protective factors in young peoplein the context of abuse. Hegarty K, O’Doherty L,Gartland D, Sanci L.Total funding: CAD $10,000Awarded by: Canadian Institutes of Health ResearchDuration: 2010 – 2011This study forms one of a number of internationalstudies on resilience in vulnerable populations. Itaimed to understand resilience in young people whohad experienced child maltreatment and/or intimatepartner violence. Ten people aged 18-26 years andresiding in Victoria, Australia were interviewed abouttheir experiences of abuse as children, adolescentsand young adults. The study explored the strategiesthey used to help themselves, consequences of theiradverse experiences and understandings about their36

PCRUown resilience. Findings from this study are due to bereleased in 2012.Women and children’s booklet: Strengthening thebond between mothers and children who haveexperienced family violence. Morris A.Research personnel: Susan Webster, Shelley WalkerTotal funding: $4,200Awarded by: Dreamlarge, The University of MelbourneKnowledge Transfer Grant.Duration: 2010 – 2011This knowledge transfer project involved collaborationwith industry partner colleagues from the Turtle Teamat Berry Street, a therapeutic program for children andtheir mothers after family violence. It aims to developa high quality booklet for children and mothers toread together about the importance of building andmaintaining their relationship as they recover from theeffects of family violence. Known as the ‘Together’booklet, it was launched in May 2011 and has beenwell received by family violence practitioners and clientsin several Australian states. The booklet is availableto order online via the Berry Street website. It is alsoavailable to all clients of the Berry Street service.A re-print will be considered in 2012.Women’s evaluation of abuse and violence care ingeneral practice (WEAVE): Long-term outcomes.Hegarty K, Gunn J, Taft A, Feder G, Taket A, Brown S.Research personnel: Lorna O’Doherty, Jodie Valpied,Madeline ArmstrongTotal funding: $277,190Awarded by: NHMRCDuration: 2010 – 2012Domestic violence or intimate partner violence (IPV)has major health consequences and is a commonhidden problem for women attending general practice.Recognising the gravity of this social epidemic, theNHMRC provided funding for a 24-month evaluation ofthe WEAVE project. WEAVE was originally designed totest a general practice intervention of screening womenfor IPV, health provider training and brief counsellingfor abused women. The aim of this current study isto undertake a long-term follow-up of the womenenrolled in the WEAVE trial through establishing ifthe intervention decreases re-exposure to IPV andimproves mental and physical health and quality of lifetwo years after intervention. It also seeks to determineif the intervention is cost-effective. These outcomes arebeing evaluated using a postal survey at 24-months.A final aim is to evaluate the processes underlying theWEAVE intervention, to understand the mechanismsat play and identify any unintended positive or negativeconsequences. This process evaluation will beundertaken in 2012 with interviews with all 52 GPs whowere randomised to the intervention and comparisongroups. We will also interview a purposive selection ofwomen from both arms of the trial. These women willrepresent different characteristics, so that a diverserange of important experiences can be captured inthe analysis. The follow-up to WEAVE is essential toidentifying the effects of the WEAVE intevention longtermas well as understanding feasibility and replicabilityin other settings.Study tour: Canada, Norway and Sweden. Morris A.Total funding: $1,700Awarded by: Melbourne Abroad Travel Scholarship andMA Bartlett Special Travel Grant-in-aid, The Universityof Melbourne.Duration: 2011These grants provided funding for PhD candidate,Anita Morris, to meet with researchers in Canada,Norway and Sweden during May 2011. Anita attendedthe Preventing Violence Across the Lifespan NetworkMeeting in Toronto; presented her PhD project onchildren’s safety at home at the Centre for Violenceand Traumatic Stress Studies in Oslo; visited UppsalaUniversity; and attended the Nordic Children and FamilyViolence Network Meeting in Sweden. Anita will attendconferences in the US and Ireland in 2012 to presenther research findings.Focus groups with women and children, GPsand practice nurses about an appropriate primarycare response to children who experience familyviolence - the SARAH project. Morris A, Hegarty K,Humphreys C.Total funding: $7,685Awarded by: Windermere FoundationDuration: 2011 – 2012This study forms part of a PhD project focusing onchildren’s safety at home. It aims to discover theprotective factors that promote children’s safety andresilience in the context of family violence. Through thefocus groups, we hope to better understand what GPsand other health practitioners can do to assist childrenwho experience family violence. Focus groups wereconducted with women, children and young peoplein October 2011. The data has been analysed and isbeing written up. The next step is to hold focus groupswith GPs and practice nurses in May 2012 aboutappropriate primary care responses to children whoexperience family violence.37

PCRUCollaborationsImproving maternal and child health care for womenexperiencing violence: Collaborative development,implementation and effectiveness of a good practicemodel (MOVE). Taft A, Small R, Humphreys C,Hegarty K.Research personnel: Jodie ValpiedTotal funding: $258,492Awarded by: ARC LinkageDuration: 2008 – 2011Family Violence (FV) is prevalent and health damagingfor mothers and their children. Victorian maternal andchild health nurses (MCHN) see over 95% of all newmothers and continue to see many until the child issix. The MOVE project aimed to develop and test anenhanced model of MCHN FV screening practice toincrease screening inquiry, disclosure and referral ofabused mothers, and satisfaction with the MCHN, andto examine any harms from screening. It also aimedto provide the first rigorous measure of FV prevalenceamong an MCHN client population. Participatoryaction research with intervention group (IG) MCHNs,combined with a thorough review of evidence for FVnursing practice led to a model tested from April 2010- April 2011 across four intervention MCHN teams andfour comparison teams. A postal survey of 10,000women, impact evaluation surveys with 114/160 (71%)of all nurses, and 23 thematic stakeholder interviewsassessed the intervention impact and outcomes.Official data is being sought to compare with MOVEdata. Further funding will be sought for a two-yearfollow-up in 2013.38

PCRUChronic Disease and Equity ProgramOur team conducts rigorous multi-method primaryhealth care research to improve the health outcomesof people with chronic diseases, particularly thosefrom disadvantaged, culturally and linguisticallydiverse (CALD) backgrounds and the Indigenouspopulation. Our research focuses on the role of generalpractitioners, practice nurses, primary health careteams and the health system in improving diabetescare and reducing cardiovascular disease risk in thecommunity. Emphasis is also placed on consumerengagement in self-management of diabetes and otherchronic diseases.Team leaderProf Doris YoungTeam membersDr John Furler Dr Irene BlackberryDr Phyllis Lau Dr Jo-Anne Manski-NankervisDr Ralph Audehm Dr Christine WalkerMs Marlene Burchill Ms Barbara JohnsonMs Kitty Novy Ms Thi PhamMs Nur Farizah Johari Mr Oageng NtsiStepping Up in diabetes: a pilot implementation andevaluation of a program to enhance the way the primarycare diabetes team works with patients to manageinsulin treatment. Furler J, Blackberry I, Young D,Best J, Audehm R, Walker C.Research personnel: Christine Mathieson,Aleyamma JohnTotal funding: $219,393Awarded by: Commonwealth Department of Healthand AgeingDuration: 2009 – 2010In collaboration with Diabetes Australia Victoria andChronic Illness Alliance the Stepping Up projectaimed to pilot a model of care for patients with poorlycontrolled type 2 diabetes that would facilitate theinitiation of insulin in the GP setting by engagingpractice nurses (PNs) more actively in this aspectof diabetes care. This project piloted a process ofsupportive education, and systems and culture changetargeted at health professionals in primary care (GP,PN and diabetes educator) to enhance their skills andcapacity to work with patients’ views, priorities andneeds in facilitating the transfer to insulin. Four diversegeneral practices (solo, multi-GP and large corporate)in Melbourne participated in the pilot. Evaluation of thispilot showed promising improvement in HbA1C amongthe 14 patients who participated (from 8.5% to 7.28%).The model of care proved feasible and acceptableto GPs, PNs and patients. The project providedevidence that an important gap in general practicediabetes care can be addressed through a simpleeducational and resource and support intervention. Inparticular, it targets the routines and current roles andrelationships that provide the context for diabetes carein general practice. We are currently undertaking alarge cluster RCT of the Stepping Up program to testits effectiveness in improving glycaemic control and therate of insulin initiation in the GP setting.PEACH study - Patient Engagement And Coaching forHealth: An intensive treatment intervention for patientswith type 2 diabetes in disadvantaged communities.Young D, Furler J, Vale M, Walker C, Dunning T.Research personnel: Irene Blackberry, Patty ChondrosTotal funding: $298,125Awarded by: NHMRC Project GrantDuration: 2009 – 2011The PEACH study is a pragmatic cluster randomisedcontrolled trial using existing practice nurses(PNs) in general practices to deliver an intensivemultifactorial self-management program to patientswith poorly controlled type 2 diabetes (T2D) by regulartelephone coaching. The study aims to determine theeffectiveness of a patient focused method for chronicdisease self-management using the COACH© programin order to achieve intensive treatment goals for poorlycontrolled T2D (HbA1c>7.5%) in the general practicesetting. The study commenced in 2006 and recruited472 patients from 59 general practices in Victoria. PNsfrom general practices randomised into the interventiongroup have received training and implemented thetelephone coaching intervention over an 18-monthperiod. Follow-up data collection was completed in2011. Publications to date include the study protocol,a qualitative study on the role of health professionalsupport in the self-management of T2D, the cost toestablish PN led clinical trial in general practice, and thedelivery of a telephone coaching program to peoplewith T2D by PNs. Further data analyses are currentlybeing undertaken.39

PCRUInitiating insulin in general practice: What are theoutcomes after one year? Furler J, Blackberry I,Young D, Best J, Audehm R.Research personnel: Jenny AndersonTotal funding: $21,333Awarded by: Australian Diabetes Society - ServierNational Diabetes Strategy GrantDuration: 2011This study undertook a 12-month follow-up evaluationof participants (GPs, practice nurses and patients)from the Commonwealth-funded Stepping Up pilot ofan innovative model of care that supports the timelyinitiation of insulin within a general practice setting forpatients with poorly controlled type 2 diabetes. Thestudy explored key questions about sustainability andgeneralisability of the intervention and model of carethat were successfully piloted in 2009 – 2010 andevaluate the impact on patients’ diabetes care andother cardio vascular risk factor control, quality of life,and self-efficacy. This study found that the participatingpatients had a small sustained improvement inHbA1C at 12 months and that the five participatingpractices had continued to initiate patients onto insulin,suggesting sustainability of the model of care. Thefindings will have important implications for changedfunding models of GP based diabetes care beingproposed to commence in 2012.Assessment of risk factors associated with avoidablehospital admissions of patients with type 2 diabetesmellitus: Patient experience and management in primarycare. Manski-Nankervis J, Furler J, Audehm R,Nankervis A, Young D.Research personnel: Diabetes research nurses, RoyalMelbourne HospitalTotal funding: $17,945Awarded by: RACGP, Diabetes Alliance Group andRegistrar Research FundDuration: 2011 – 2013Hospitalisations for complications of type 2 diabetesmellitus (T2DM) have been classified as potentiallypreventable. Potential prevention strategies includebehaviour modification and lifestyle change as well aseffective management through timely and evidencebased medical care in usually non-hospital settingssuch as general practice. The aim of this study isto explore the characteristics of the primary careexperiences of patients with T2D who are admittedto hospital with potentially preventable causes. Sixtypatients admitted to the Royal Melbourne Hospitalwith known T2DM and a diagnosis of unstable angina,acute myocardial infarction or foot ulceration whoreceive endocrinology review during their admissionwill be recruited. The survey will inform the selectionof approximately 20 patients who will be interviewedto further explore the patients’ lived experience ofdiabetes and experiences and management in primarycare. Patients will be asked to identify their primarygeneral practitioner (GP) and a survey will be mailed tothe practice to explore factors including GP education,practice profile, access to allied health, whetherorganised care is practiced and whether the patienthad been managed according to clinical practiceguidelines. Understanding the patient and primarycare factors associated with Potentially PreventableHospitalisations (PPH) is essential in order to be ableto design interventions to reduce PPH and ensureoptimal management in primary care. Depending onthe results obtained, interventions to improve caremay be identified, such as programs to increaseself-management, education programs for generalpractitioners and introduction of organised care into GPclinics.Lifestyle Modification Program focused on urbanAboriginal women with a history of gestational diabetes.Lau P, Welch K, Belfrage M, Thorpe R.Research personnel: Barbara JohnsonTotal funding: $40,000Awarded by: CCRE DiabetesDuration: 2011This project has applied cultural respect principlesand used a community development approach towork with the Aboriginal community to find a solutionto diabetes prevention in women with a history ofgestational diabetes mellitus (GDM) that will work forthis community. GDM is the single greatest risk of type2 diabetes (T2DM), and the GDM rate for Aboriginalmothers is >2.5 times higher than that for non-Aboriginal mothers. Changes in the lifestyles of high-riskindividuals have been shown to be directly associatedwith reduced risk of T2DM by up to 58%. A steeringgroup was formed with staff members at the VictorianAboriginal Health Service and the Closing the Gapproject officer from North East Valley Division of GeneralPractice. The group developed a Lifestyle ModificationProgram (LMP) with a focus on the needs of urbanAboriginal women with a history of gestational diabetes.The program has the potential to be used widely byproviders to deliver a culturally appropriate interventionfor Aboriginal women with GDM that will make asignificant contribution to diabetes prevention.40

PCRUCollaborationsCentre for Clinical Research Excellence (CCRE) inclinical science in diabetes. Best J, Kay T, O’Dea K,Jenkins A, Taylor H, Young D.Research personnel: John Furler, Irene Blackberry,Phyllis Lau, Marlene Burchill, Barbara JohnsonTotal funding: $1,975,625Awarded by: NHMRC Clinical Centre for ResearchExcellenceDuration: 2007 – 2011The Centre of Clinical Research Excellence in ClinicalScience in Diabetes (Diabetes CCRE) commencedin 2007. Funded by the NHMRC, the aim of theCCRE was to seek to encourage and promote clinicalresearch in diabetes and its complications with theultimate goal of improving the treatment and preventionof this disease. The Diabetes CCRE brought togethera group of investigators with not only a strong trackrecord of clinical research in the field of diabetes, butalso with the ability to recruit, train and mentor earlycareer researchers. Funding provided support forseveral diabetes researchers as well as funding theLifestyle Modification Program study.Improving mainstream diabetes care for urbanindigenous Australians. Liaw T, Furler J, Rowley K,Pyett P, Kelaher M, Lau P.Collaborators: Victorian Aboriginal community, VictorianAboriginal Community Controlled Health Organisation(VACCHO), Victorian Aboriginal Health Service (VAHS),and Divisions of General PracticeResearch personnel: Marlene Burchill, Barbara JohnsonTotal funding: $365,675Awarded by: NHMRC Project GrantDuration: 2008 – 2011The project worked closely with the Victorian AboriginalCommunity Controlled Health Organisation, theVictorian Aboriginal Health Service and divisions ofgeneral practice to develop a primary health careframework focus on four levels of clinical redesignactivities. The framework guided the development ofthe ‘Way of Thinking, Ways of Doing’ Toolkit, whichrevolves around nine scenarios of significant examplesof cultural respect and disrespect. The main functionof the Toolkit is to assist general practices to redesignpractice organisation, and support practice staff toembed culturally respectful policies and practicein service delivery. The Toolkit has been testedsuccessfully in 12 primary health care services (included8 general practices and 4 community health centres)in Melbourne. The cluster partnerships developedincluded two Aboriginal community controlled healthservices (ACCHSs), six Divisions, two Aboriginalgathering places and one Aboriginal care coordinationservice. In general, the Toolkit was acceptable andfeasible in the mainstream primary health care setting.A partnership of The University of Melbourne andUNSW Centre for Primary Health Care and Equity(CPHCE) has begun to extend the Melbourne projectto Sydney. The Toolkit has now been modified followingconsultations with local Aboriginal communities inSydney and is currently being implemented and testedin Sydney southwest.QUIT in general practice: A cluster randomised trial ofenhanced in-practice support for smoking cessation.Zwar N, Richmond R, Halcomb L, Furler J, Smith J.Research personnel: Irene Blackberry, Jenny Anderson,Thi PhamCollaborators: The University of New South Wales,University of Western Sydney, Australian NationalUniversity and Quitline VictoriaTotal funding: $1,692,904Awarded by: NHMRC Project GrantDuration: 2009 – 2012Tobacco smoking is the most common preventablecause of premature death. One in six Australians aresmokers. Interventions in general practice to helppatients stop smoking are of enormous potentialbenefit to the community’s health. The NHMRC hasfunded The University of New South Wales and TheUniversity of Melbourne to trial the effectiveness andcost effectiveness of training practice nurses (PNs) toprovide quit smoking counselling in general practice.This three-arm cluster randomised controlled trialcompares PNs quit smoking counselling with usual GPcare with a faxed referral to Quitline. The trial protocolhas been published. The trial started in 2009 andrecruited nearly 2,400 participants, 132 PNs and 305GPs from 107 general practices in New South Walesand Victoria. Collection of 3-months follow-up dataand economic evaluation data is complete while the12-month follow-up data collection and qualitative datacollection from GPs, PNs and patients are continuinguntil mid 2012.41

PCRUINITIATION: A pilot study examining the efficacy ofa support algorithm for commencing patients withtype 2 diabetes on a basal/prandial insulin regimen inthe primary care setting with professional continuousglucose monitoring as an adjunct. O’Neal D,Furler J, Blackberry I, Young D, Best J, Liew D,Jenkins A, Cohen N, Ward G.Research personnel: Louise Ginnivan, Hanan DerrazCollaborators: IDI-Baker and St Vincent’s HealthTotal funding: $267,925Awarded by: Sanofi-Aventis, Medtronic, NHMRCCCRE DiabetesDuration: 2011 – 2012Given the type 2 diabetes (T2D) epidemic, and limitedspecialist resources, increased insulin initiation byprimary care centres is required. The INITIATION studyaims to evaluate a model of care initiating and titratingbasal/prandial insulin in T2D patients in “real world”general practice, guiding general practitioners (GPs)and practice nurses (PNs) to work together, supportedby Credentialed Diabetes Educators (CDEs) andendocrinologists. The study also aims to evaluate therelative utility, efficacy and outcome of retrospectivecontinuous glucose monitoring (CGM) in the initiationand titration of insulin in the primary care setting.Sixteen general practices with PNs in Melbourne areto be recruited. Each practice will each recruit 8-10uncomplicated insulin naïve T2D patients over ninemonths and study each patient for 24 weeks. StudyCDEs provide the GP and PN team with resources,education and support to commence insulin, utilisinga simple titration algorithm created for this study,uploading glucometers and retrospective-CGMinsertion and uploading. For insulin titration, patients willbe randomised to either conventional blood glucosemonitoring or adjunct use of retrospective-CGM. Inconjunction with study endocrinologists, ongoingassistance will be provided to participating generalpractices. The study’s primary endpoint is the change inglycaemic control (HbA1c) from baseline to 24 weeks.Secondary endpoints reflect changes in other aspectsof glycaemia, quality of life, and the utilisation of primaryhealth care resources. Results will be benchmarkedagainst observational prospective data in patientswith T2D initiated on insulin in tertiary institutions. Asub-analysis comparing groups randomised to eachglucose monitoring arm will also be performed.Bundap Marram Durn-Durn - Improving the wellbeingof Melbourne-based Aboriginal people withchronic disease and experiencing depression, anxietyor a related mental health disorder: A Wurundjericommunity-driven initiative. Murphy B, Higgins R,Lau P, Kerr D, Worcester M.Research personnel: Barbara JohnsonTotal funding: $265,900Awarded by: beyondblueDuration 2011 – 2013The Wurundjeri community were concerned about thelarge number of people in the community with chronicdisease who were also experiencing depression and/or anxiety. To deliver an appropriate intervention toimprove psychosocial outcomes, the communityrecognise that they require information about thepatient journey, and workforce capacity to ensure thatan intervention would be appropriate for their members.Such information could then be used to inform thedevelopment and implementation of an appropriateintervention. The Project is currently in Phase 1 whichinvolves the investigation of the experiences and needsof Melbourne-based Aboriginal people with chronicdisease who are experiencing depression, anxiety and/or a related disorder. It also includes the investigationof the perceptions and training needs of Aboriginalservice providers who work with the above group.Findings from this phase will guide the developmentof an appropriate intervention. Phase 2 will involveidentification, implementation and evaluation of anintervention to support the community’s needs toimprove mental health.42

PCRUPrimary Care Mental Health ProgramThe Primary Care Mental Health research programhas been formed in response to the growing burdenof mental health problems in the Australian communityand in recognition that general practice is the settingwhich provides most of the mental health care for highprevalence conditions such as depression, anxiety andrelated disorders. Our research adopts a mixed-methodparticipatory approach to system redesign to improvemental health services in primary care. We continueto build national and international collaborations tostrengthen our network and improve access to thenecessary skills and knowledge needed to achieve ourgoals. Our research areas include• adult depression in primary care;• identification and interventions for depressionand related disorders;• psychological interventions for primary care;This study tested and piloted a rapid assessment andresponse method for GPs to use in everyday practiceto improve people’s mental health and well-being.The aims of this project were to increase recognition,management and treatment of mental health withco-morbid physical health conditions by exploringways to improve community coordination, access andnetworks to community and health organisations andsocial supports in the local community.The diamond cohort study - long term outcomesof depressive symptoms in primary care. Gunn J,Herrman H, Chondros P, Kokanovic R, Kyrios M,Hegarty K.Research personnel: Maria Potiriadis, KonstancjaDensley, Hariz Halilovich, Kirsty Forsdike, MelanieCharity, Aves Middleton• understanding the consumer experience of care;• course, risk factors, prognosis and healthservices use; and• equity of mental health services.Team leaderProf Jane GunnDeputy leaderDr Victoria PalmerProgram coordinatorsMs Aves Middleton and Ms Maria PotiriadisTeam membersA/Prof Marie Pirotta Dr Gilles AmbresinDr Meg CarterDr Simon FrenchDr Hariz Halilovich Dr Caroline JohnsonDr Emma Rattray Dr Jennifer TerpstraMs Patty Chondros Ms Sandra DavidsonMs Han Na Kwak Ms Melanie CharityMs Konstancja Densley Ms Kirsty ForsdikeImproving community coordination, access andnetworks (I-CCAaN): Primary care for depression,anxiety and related disorders with co-morbid chronicphysical illness. Palmer V, Gunn J, Furler J,Kokanovic R, Hermans B, Kumar P.Research personnel: Kirsty ForsdikeTotal funding: $554,600Awarded by: NHMRC Project GrantDuration: 2009 – 2011This project grant allowed for collection of four andfive-year follow-up data from the diamond studycohort via telephone and postal surveys. Data werecollected on physical and emotional health outcomes,life circumstances, treatment and health service use.We also conducted an in-depth qualitative inquirywith a sub-set of around 30 participants. A theoreticalsampling frame was used to obtain maximum variety inexperiences related to; living with, or recovering from,depression paying particular attention to phase andseverity of symptoms, age and stage of life, gender,educational and socio-economic backgrounds,psychiatric/physical co-morbidity, social and lifestylefactors and location of residence. Publications are inprogress.The diamond cohort study – better management ofthose at risk of persistent and disabling depression.Gunn J, Herrman H, Chondros P, Hegarty K,Dowrick C, Palmer V, Kyrios M.Research personnel: Aves Middleton, KonstancjaDensley, Maria Potiriadis, Melanie CharityTotal funding: $1,478,404Awarded by: NHMRC Project GrantDuration: 2011 – 2015Total funding: $150,000Awarded by: beyondblue Victoria Centre for ExcellenceDuration: 2009 – 201043

PCRUThe diamond study has been underway since 2005mapping pathways to and from care for people withdepressive symptoms. The proposed research willcollect 6 to 10-year follow-up data from the diamondstudy cohort via telephone and postal surveys. Datawill be collected on physical and emotional healthoutcomes, life circumstances, treatment and healthservice use. Follow-up intervals enable comparisonwith the limited international literature at 10-yearfollow-up and provide the opportunity to investigatethe factors that contribute to relapse of and recoveryfrom depression. In addition, we will develop clearerdefinitions of persistent depression to inform clinicalpractice. We will also develop a prognostic modeland clinical prediction tool to identify those at risk ofpersistent and disabling depression, who might benefitfrom intensive treatments.PartnershipsCare and system experiences for patients with type 2diabetes (CASE-D). Gunn J, Furler J.Research personnel: Ann Doyle, Victoria PalmerTotal funding: $140,000Awarded by: Victorian Department of Health, Healthand Aged Care North and West Metropolitan RegionDuration: 2011 – 2012CASE-D is a partnership between the Department ofHealth North and West Metropolitan Region (N&WMR)and the General Practice and Primary Health CareAcademic Centre. The project is about the care andsystem experiences for people with type 2 diabetes inthe N&WMR, and focuses on newly diagnosed peopleand people with an existing diagnosis, particularlythose re-entering the care system or identified asreceiving poorly integrated care. The aim of CASE Dis to understand what is currently known about theburden of type 2 diabetes and the service systemcapacity for addressing the needs of people with type2 diabetes. The project intends to gain insight into thecomplex health and social challenges of the regionincluding how local conditions can affect the pathwayto care for people with type 2 diabetes particularlythose from harder to reach groups. The project hasengaged key stakeholders including patients, clinicians/service providers, managers and Department of Healthpersonnel and will use innovative methods to matchpatient experiences with existing data and knowledgeof care systems. The project findings will supportdevelopment of approaches and recommendationsto improve the integration and experiences of care forN&WMR residents with type 2 diabetes, particularlythose from harder to reach groups, includingaddressing significant gaps in service provision andintegration.The Regional Operating Model Evaluation (ROME)project. Levesque J-F, O’Dowd J, Austin S, Gunn J,Nolan T.Research personnel: Joanne Rae, Donna Southern,Éidín Ní Shé, Bhensri NaemiratchTotal funding: $250,000Awarded by: Victorian Department of Health, Healthand Aged Care North and West Metropolitan RegionDuration: 2011 – 2012The Health and Aged Care (H&AC) Department ofthe North and West Metropolitan Region (N&WMR)has developed a framework to guide health servicesplanning towards a more population-based approach.This development follows from the recent formation ofthe Victorian Department of Health, in 2009, and thesubsequent devolution of an array of functions andprograms to regions. A Regional Operating Model(ROM) was developed through a series of activitiesduring 2010, while continuing to deliver on existingcommitments and objectives, by involving leaders andstaff of N&WMR. The broad objectives of this operatingmodel were to provide a basis to focus staff effortson principle strategic goals, to serve as unifier of theregional strategy, to highlight the complementarities anduniqueness of the region’s programs, and to provide abasis for developing specific achievement-based goalsand activities for programs, teams and individuals.In order to further the development of the ROM anddevelop a sound understanding of its potential andstrengths, the N&WMR sought support from “thinkersin residence” to actively lead an evaluation of theframework with regards to its validity and relevance.The underlying aim was to mobilise the expertise ofresearchers to assist the N&WMR in conducting anevaluation of the operating model and develop thecapacities of the region.CollaborationsMaternal Health Study (phase 2): Longitudinal 4-yearfollow up of a prospective nulliparous pregnancycohort. Brown S, MacArthur C, Gunn J, Hegarty K,Donath S.Total funding: $737,146Awarded by: NHMRC, Project GrantDuration: 2007 – 201044

PCRUThe Maternal Health Study was a longitudinalprospective cohort study investigating the physical andpsychological health of over 1,500 first-time mothersfrom early pregnancy to four years after the birth. Phase2 of the Maternal Health Study involves follow-up ofthe original cohort who gave birth to their first childbetween September 2003 and May 2006. It looks atthe influence of subsequent births on maternal healthand well-being and will provide a more completeand longer term assessment of maternal health andrecovery in the first four to five years after giving birthto a first child. The Maternal Health Study is the firstmulticentre prospective study to examine associationsbetween physical morbidity, intimate partner violenceand depressive symptoms in a nulliparous cohort withfollow-up to 4 ½ years after a first birth. Follow up at 4½ years is complete; 10 papers have been published; 2papers are in press; and analysis is ongoing.Building public health capacity for complex questions,complex setting, complex interventions. Lumley J,Brown S, Gunn J, Small R, Daly J, MacArthur C.Research personnel: Victoria Palmer, Jennifer TerpstraTotal funding: $2,333,750Awarded by: Capacity BuildingDuration: 2007 – 2011COMPASS is a National Health and Medical ResearchCouncil Capacity Building Grant in Population HealthResearch, awarded in October 2006 to Mother andChild Health Research at La Trobe University, inpartnership with the Primary Care Research Unit andthe Healthy Mothers Healthy Families Research Groupat the Murdoch Childrens Research Institute. The focusof COMPASS is building public health research capacityfor conceptualising complex questions; working withpopulations who are often excluded from research,including Indigenous communities, immigrants/refugeesand women experiencing intimate partner violence;and designing and evaluating complex interventions indiverse settings ranging from hospitals to primary careand communities. COMPASS has a major interest inthe health and care of mothers and children.Better outcomes for obese children in general practice:randomised control trial of a new shared-care modelvs usual care. Wake M, Gunn J, Gibbons K, Wittert G,Gold L.Total funding: $640,000Awarded by: NHMRC, General Practice ClinicalResearch Program Priority Driven Research GrantsRound 2Duration: 2008 – 2010The objective of this study was to develop, implementand trial an innovative shared-care approach to themanagement of childhood obesity. The trial completedsuccessfully and publications are being submitted torelevant journals.Personal experiences of depression and recovery:An internet resource for the public and policy makers.Kokanovic R, Ziebland S, Gunn J, Highet N.Total funding: $100,000Awarded by: ARC/beyondblue Linkage GrantDuration: 2009 – 2011This project established a unique partnership betweenthe universities of Melbourne, Monash and Oxfordand beyondblue national depression initiative. Thebroad aim was to improve public and professionalunderstanding of people’s heterogeneous experiencesof depression and of depression recovery practices. Weaimed to offer accessible, effective, context-sensitivehealth care information to those affected by depression,the health professionals involved in their care, andthe wider Australian community. The innovativepresentation of a wide range of powerful stories ofliving with and recovering from depression will enhancepreventative health promotion and service delivery andcontribute to an evidence-base for informed publicdebate and policy. The project has resulted in a websitedocumenting patient experiences of depression.Publications are also in preparation.Shifting ground, common ground. Understanding theevolving primary care practice (CATALYST). Hogg W,Dahrouge S, Geneau R, Gunn J, Harris M, LevesqueJ, Miller W, Russell G, Scott C.Total funding: CAD $100,000Awarded by: Canadian Institutes of Health Research(CIHR)Duration: 2009 – 2015The study involves a synthesis of key findings fromseven mixed methods studies aimed at primarycare reform and conducted by the investigators intheir different sites including Canada, the US andAustralia. This research aims to use the benefits of aninternational team to better understand how policyenvironments, delivery models and practice make-upinteract to produce the outcomes desired by patients,clinicians and policy-makers. This program of work willdevelop a conceptual foundation, methods and initialevidence required for further collaborative research inthis area. Publications are in preparation.45

PCRUOutcomes of best practice diagnosis and managementof dementia in general practice. Pond D, Bridges-WebbC, Stocks N, Howell C, Brodaty H, Gunn J.Research personnel: Melanie Charity, Maria Potiriadis,Kitty Novy, Melinda SoosTotal funding: $324,948Awarded by: NHMRC, Dementia Research GrantProgramDuration: 2010This cluster randomised controlled trial aimed todetermine whether training in and use of a briefcognitive impairment screening tool and trainingin practice management guidelines can improvediagnostic rates, management techniques and patientoutcomes compared with GPs who are not trained andwhose patients undergo usual care. It also evaluatedthe benefits of screening as opposed to case finding forearly dementia in general practice. Analysis of results isunderway and publications are planned.Promoting guideline concordant care for young peoplewith depressive disorders. Hetrick S, Gunn J, Sanci L,Simmons M.Total funding: $52,000Awarded by: Institute for Broadband Enabled Society(IBES)Duration: 2010 - 2011Broadband-enabled technologies can support decisionmaking by patients and health care professionalsthrough the availability of online tools. This project istesting the effectiveness of Internet based resourcesfor young people who experience depression andis providing evidence to inform their carers andclinicians of their state. Researchers have created awebsite containing relevant and informative resourcesfor young people that enable them to improve themanagement and treatment of depression. In additionto youth specific interactive information resources, thewebsite houses the first decision support tool madeinternationally available to clinicians and carers thatsupports and assists this population by providingmethods for monitoring depressive symptoms andadverse events.Developing a Scottish school of primary care nationalcohort study of people with multiple morbidity: theScottish Multiple and Long Term Conditions (MALT)study. Gunn J, Mercer S, Wyke S.Total funding: £100,000Awarded by: Scottish School of Primary CareDuration: 2010 – 2012The overall aim of this project is to design a nationalprimary care based cohort study of people withmulti-morbidity – the Scottish Multiple and LongTerm Conditions (MALT) Study – and to pilot keycomponents during the Visiting Professorship Award(VPA). This will require the development of methodsand collaborations necessary to apply for large-scalefunding by the end of the two-year VPA.Development of a prediction tool for persistentdepression using genetic analysis. Bousman C,Gunn J, Everell I.Research personnel: Maria PotiriadisTotal funding: $60,000Awarded by: L.E.W Carty Charitable FundDuration: 2011 – 2012Tackling the depression epidemic requires novelapproaches that utilise an interdisciplinary approach.To date, no attempts have been made to develop agenetic-based prognostic tool for persistent depressionusing longitudinal data from a primary care setting.Thisstudy aims to develop a genetic-based prognostic toolfor persistent depression by building upon non-genetic(i.e. environmental/psychosocial) prognostic tooldevelopment efforts within the diamond cohort study,the largest and longest running prospective study ofprimary care attendees with depressive symptoms inAustralia. Diamond study participants will be asked todonate a small confidential saliva sample via the post,which will then be used to examine genetic markers forpersistent depression. Our use of a biopsychosocialmodel of depression, in a well characterised primarycare cohort will result in the following major outcomes:Identifying genetic predictors of persistent depression;determining the added prognostic value of geneticmarkers to current psychosocial/clinical models ofdepression; preliminary development of an objectiveprognosis tool to assist primary care practitioners toidentify those at high risk of persistent and disablingdepression that could benefit from early intensivetreatment; and identification of novel genetic variantsthat may provide additional prognostic information and/or spur future genetic research.46

Young People’s Health ProgramPCRUThe objectives of research in the young people’s healthprogram are to• advance the health and well-being of youngpeople through an accessible, effective andresponsive primary care workforce and system;• explore issues affecting the health and wellbeingof young people in the community thatare important to young people, parents andproviders; and• design and test interventions that have potentialto benefit the health and well-being of youngpeople in the community.Team leaderA/Prof Lena SanciTeam membersDr Anne-Emmanuelle AmbresinMs Jenny AndersonMs Brenda GrabschMr Matthew KemertzisMs Janelle SeymourMs Jasmine Temple-SmithMs Fan YangDr Amanda FraserMs Bree BuckMs Caroline HartMr Andrew McCoyMr Adrian SlatteryMs Shelley WalkerMs Rachel WeeScreening and counselling young people for health riskin primary care: A cluster randomised trial (PARTY 1).Sanci L, Pirkis J, Sawyer S, Patton G.Research personnel: Brenda Grabsch, Fan Yang,Gemma Carey, Caroline Hart, Fan Yang, JanelleSeymour, David Ormiston-Smith, Kitty NovyTotal funding: $499,753Awarded by: Australian Health Ministers’ AdvisoryCouncil (AHMAC)Duration: 2005 – 2010Health risk screening and counselling of adolescentsin primary care: A cluster randomised controlledtrial (PARTY 1). Sanci L, Shiel A, Patton G, Pirkis J,Hegarty K, Patterson E, Chondros P, Sawyer S.Research personnel: Brenda Grabsch, Fan Yang,Gemma Carey, Caroline Hart, Fan Yang, JanelleSeymour, David Ormiston-Smith, Kitty NovyTotal funding: $553,283Awarded by: Australian Primary Health Care ResearchInstitute (APHCRI)Duration: 2005 - 2010This project, Prevention Access and Risk Takingin Young People (PARTY), is a stratified clusterrandomised trial testing the effectiveness of healthrisk screening young people presenting to generalpractice and responding with a brief intervention basedon motivational interviewing for detected health riskbehaviours. There are 40 general practices involved inVictoria and 902 young people (14-24 years) presentingto these practices and followed up for health outcomes3 and 12 months after their intervention. The mainoutcomes of interest are clinicians’ detection of riskybehaviour and mental health issues and reductionof risk taking (alcohol use, smoking, substance use,unprotected sex and unsafe driving) in the youngpeople presenting. This trial is one of the first in theworld to test the potential of primary care to improvehealth outcomes of young people opportunistically –when they present for routine health care. It will helpinform policy and practice with evidence on preventiveapproaches to the care of young people.The components of the research program were• a stratified cluster randomised trial of theintervention (AHMAC funded),• a health economic evaluation of the proposedintervention(APHCRI funded), and• a feasibility study for the role of the PN inpreventive youth health (APHCRI funded).Re-orienting general practice systems toward youthfriendly care: A cluster randomised controlled trial(PARTY 2). Sanci L, Patton G, Shiell A, Pirkis J,Sawyer S, Chondros P.Research personnel: Brenda Grabsch, Fan Yang,Andrew McCoy, Jenny Anderson, Adrian Slattery,Jasmine Temple-Smith, Bree Buck, Caroline Hart,Shelley Walker, Janelle Seymour, David Ormiston-Smith, Gemma CareyTotal funding: $1,320,201Awarded by: NHMRCDuration: 2009 – 2013This project is the second phase of a clusterrandomised trial (PARTY) testing the effectiveness ofscreening young people presenting to general practicefor health risk and responding with a brief intervention.Whereas the first phase involved training clinicians,this second phase involves the whole of practice ina youth friendly system change. The pillars of theintervention are having an approach to confidentiality,communication and resources and processes torespond to the health issues detected in young people.There are 34 practices in this trial and the interventionis well under way. Final measurements should occurin 2013. The results will inform on practices’ abilityto adopt youth friendly care and on young people’sengagement with this care.47

PCRUCollaborationsYouth health, well-being and technology. Co-operativeResearch Centre for Young People, Technology &Well-being – consisting of 13 partner organisationsand/or corporations.Total funding: $ 27,647,000Awarded by: Department of Innovation, Industry,Science and Research (Federal Government); LeadOrganisation: Inspire Foundation, AustraliaDuration: 2011 – 2016A/Prof Lena Sanci is a research program co-leaderof Community Program Three: User Driven andEmpowered and concerned primarily with Toolsfor treatment and maintenance and ProfessionalEngagement Tools. This research program aims tomeet the needs of young people to control their ownmental health care and have access to confidentialadvice and support from sources they trust. Throughtechnological innovations, this program strives tooffer young people support that is timely, accessibleregardless of location and time, and is relevant, andeffective. In addition, this program area seeks tosupport service providers working with young peoplewith information and tools that are evidence based andfacilitate their interactions with young people.Australian longitudinal study on male health. English D,Pirkis J, Sanci L, Gunn J, et al.Collaborators: School of Population Health, TheUniversity of MelbourneTotal funding: $ 6,896,754Awarded by: Department of Health and AgeingDuration: 2011 – 2013This study led by the School of Population Health, TheUniversity of Melbourne, has the overall objectives ofexamining the key social, economic, environmental andbehavioural factors affecting the length and quality oflife of Australian males; addressing a range of researchquestions about the health of Australian males; andidentifying policy opportunities for improving the healthand wellbeing of males in at key life stages. The initialcohort of males will cover the age span of 10-55 years.A/Prof Sanci has an advisory role on the questionnairesand processes concerning the participation of youngmen aged 10-25 years.48

EmergingPCRUWhile we have several well-established areas ofresearch within the Academic Centre, there are alsoseveral new emerging research areas. Complementarymedicine, sexual health, cancer and musculoskeletalhealth all fall into this category.Team leaderA/Prof Marie PirottaTeam membersA/Prof Meredith Temple-Smith Dr Meg CarterDr Carolyn EeDr Simon FrenchDr Jason OngDr Ian RelfDr Richard TeagueDr Edward VergaraMs Shelley WalkerMs Cathy WatsonMs Melanie CharityMs Kirsty ForsdikeMs Kitty NovyComplementary andAlternative TherapiesThe use of complementary and alternative medicine(CAM) is hugely popular - each year over half ofAustralians use some form of CAM at a cost of $1.8billion. Importantly, most of this use of CAM is nota substitute for conventional therapy. Indeed, CAMis often used together with conventional therapiesto treat particular conditions. CAM is usuallyconsidered a homogenous static entity, or a creed,to be either believed in or not. However, the “CAM”label incorporates a disparate range of therapeuticapproaches, from the esoteric and bizarre through totherapies with accumulating evidence of effectiveness,such as St John’s Wort for mild to moderatedepression. Much CAM currently lacks high-qualityevidence. However, this should not be taken as proofthat a given CAM is ineffective or harmful. To place thisin context, it is estimated that as little as a quarter ofconventional medicine is based on level-1 evidence.The CAM stream of research seeks to generate highquality evidence for various CAM and complementarypractices.CALMED: How consumers negotiate betweencomplementary and conventional health systems- a qualitative study of depression. Pirotta M,Kokanovic R, Gunn J, Willis K.Research personnel: Meg Carter, Kirsty ForsdikeTotal funding: $244,575Awarded by NHMRC Project GrantDuration: 2010 - 2011We do not understand how people negotiate their waybetween the complementary and conventional healthsystems. To explore this issue, we have chosen theexample of St John’s Wort (SJW) taken by people whoidentify as having depression. Depression is a nationalhealth priority, with potential for major morbidity andmortality. SJW is commonly used, widely available,has some evidence to support its use and yet raisesimportant safety issues as it has the potential forclinically important interactions with other medicines.Why do consumers choose SJW for depressivesymptoms with the potential for interaction with theoral contraceptive pill or warfarin? Are consumersaware of the potential for harm? Where do they accessinformation? Are they balancing risks and makinginformed decisions? Or getting lost between twodifferent approaches to health care? Could widespreaduse of complementary medicines (CM) be made safer?How? We recruited consumers who have recently usedSJW for symptoms of depression. In a series of 41interviews, we explored how consumers integrate CMwith conventional health care, focusing on evaluatingand balancing safety and risks, beliefs about CMand prescribed drugs, factors that effect disclosureto healthcare professionals including perceptions oftheir CM knowledge, and the sources of informationused. Rigorous thematic analysis is being undertakenconcurrently with data collection, in an iterative manner.Understanding what is going on in the decision makingprocesses of users of CM is essential if we are to dealwith the risks posed to public health by the widespreaduninformed use of CM.Chiropractic in Victoria: Improving evidence-based careand outcomes in the Victorian chiropractic professionthrough better understanding of current practice.French S, Gunn J, Polus B.Research personnel: Melanie Charity, Kirsty ForsdikeTotal funding: $138,000Awarded by: Chiropractors Registration Board ofVictoria ($118,000) and Chiropractors Association ofAustralia ($20,000)Duration: 2010 – 2011Very little is known about the reasons people seek carefrom chiropractors in Australia and what managementchiropractors provide. In this project we aimed todescribe the practices of Victorian chiropractors usinga cross-sectional observational study of Victorianchiropractic practice, based on the methods of theBettering the Evaluation And Care of Health (BEACH)study for Australian general practice. In Australia, theBEACH program is a continuous national study ofgeneral medical practice activity. BEACH data areused by the general practice profession, government,researchers and industry, and the study has had asignificant impact on primary care policy and practice inAustralia. This chiropractic study, COAST (Chiropractic49

PCRUObservational and Analysis STudy) employed BEACHmethods. By adopting an aligned methodology tothe BEACH study, COAST provided a robust methodof recording patient encounters in primary care withestablished reliability and validity. Three questions wereanswered by this project: Who seeks the care of achiropractor? Why do these people seek chiropracticcare? What care do chiropractors provide? In COAST,chiropractors record what happens in 100 consecutivepatient encounters. The study is overseen by anAdvisory Committee consisting of major stakeholdersof the chiropractic profession in Victoria. This study wasthe first comprehensive profiling of chiropractic practicein Victoria. The results will be used as a pilot data toapply for funding for a national study in 2012.PATHWAY study: Garlic and Candida, and exploratoryrandomised controlled trial. Pirotta M, Watson C,Fairley C, Garland S, Myers S.Research personnel: Patty ChondrosCollaborators: RMIT UniversityTotal funding: $56,331Awarded by: Shepherd Foundation Project GrantDuration: 2010 – 2011Recurrent vulvovaginal candidiasis, or recurrent vaginalthrush, is notoriously difficult to manage, and manywomen turn to alternative therapies. Complementaryand alternative medicine is popular with women,and is often used for this condition. One alternativetherapy, garlic, has a compound (allicin) which is apotent anti-fungal agent in the laboratory againstCandida spp., the yeast that causes thrush, but hasnever before been evaluated in women with thiscondition. This doctoral study includes a number ofpreliminary studies including a clinician survey, a pilotstudy and a small mass spectrometry study, whichprovide background for the main trial. The main trialtook place between October 2010 and July 2011,when 192 women with no abnormal symptoms wererecruited. All were screened for carriage of vaginalCandida spp. Sixty women who tested positive wererandomised to take either oral garlic or placebo tabletseach day for two weeks in the second half of theirmenstrual cycle, which is when Candida spp. levelsusually rise. They also took daily samples for two weekswhich were analysed for colony counts of Candida spp.and they completed a daily diary. The colonisation inthe two groups was compared and multiple secondaryanalyses are in the process of being completed. Thethesis is due for completion in 2012.Acupause study: Randomised sham-controlledtrial of acupuncture for post-menopausal hot flushes.Pirotta M, Teede H, Xue C, Chondros P,Myers S, Ee C.Research personnel: Kitty NovyTotal funding: $482,971Awarded by NHMRC Project GrantDuration: 2011 – 2013Hot flushes and night sweats are common duringmenopause, and can be bothersome. Hormonaltreatment of hot flushes carries risks, including cancerand heart disease. Many women seek complementarytherapies to manage their menopausal symptoms. ThisNHMRC funded study will build on our successful pilotstudy to assess the effectiveness of acupuncture, apopular complementary therapy, in treating hot flushes.Women experiencing seven or more moderate-severehot flushes a day will be invited to participate througha media campaign organised by the Jean HailesFoundation for women at Monash University. Womenwho have had a surgical menopause, have breastcancer, or have had acupuncture in the past will notbe able to participate. Three hundred and sixty eligiblewomen will be randomly allocated into two groups.One group will receive “true” acupuncture with needles,while another group will receive “sham” acupuncturewith specially designed needles that do not penetratethe skin. Both groups will receive ten treatmentsover eight consecutive weeks from experiencedacupuncturists. Participants will record frequencyand severity of their hot flushes in diaries, and answerquestionnaires that assess quality of life and anxiety/depressive symptoms before treatment, four weeksafter beginning treatment, at end of treatment, andthree and six months after finishing treatment. They willalso be asked if they thought they received “sham” or“true” acupuncture and about their expectations fromacupuncture. Any side effects from acupuncture will berecorded. Results will inform menopausal women andtheir health providers on how effective acupuncture is intreating hot flushes.Collaborations in Complementaryand Alternative TherapiesLaser acupuncture in patients with chronic knee pain:A randomised placebo-controlled trial. McCrory PR,Bennell K, Hinman R, Reddy P, Crossley K, Pirotta M.Research personnel: Kitty Novy, Ian RelfTotal funding: $673,275Awarded by: NHMRC Project GrantDuration: 2009 – 201250

PCRUChronic knee pain is a common and disablingcondition affecting approximately 50% of patientsover 50 years of age, with half of this group beingprescribed pharmacological medication and onethirdof these patients being referred for specialistassessment by primary care practitioners. The majorcause of this condition in the over-50 year age groupis knee joint osteoarthritis (OA) which affects one-thirdof the population. Patients with knee OA frequentlyreport symptoms of knee pain and difficulty with theactivities of daily living, such as walking, stair-climbingand housekeeping. Ultimately, pain and disabilityassociated with the disease lead to a loss of functionalindependence and results in a profound reductionin quality of life. This randomised controlled trial hasenrolled 280 people from across Victoria with chronicknee pain. Participants were treated with either realor sham laser acupuncture with both doctors andparticipants blinded to what treatment they received.Results for this important study should be availabletowards the end of 2012.Bridging the gap between knowledge translationand continuing education for the health professions:A regional approach. Grimshaw J, Hendry P, Brehaut J,Lindsay E, French S, Liddy C, Légaré F.Total funding: CAD $199,804Awarded by: Canadian Institute of Health ResearchDuration: 2011 – 2013Knowledge translation (KT) activities aim to improvethe use of research evidence by healthcare decisionmakers to improve their decisions and optimise patientcare. Canadian doctors engage in many hours ofgroup learning continuing professional education anddevelopment (CEPD) each year. However, it is likely thatthe benefits of CEPD activities are not being maximisedby using emerging evidence from KT research onhow to plan and deliver CEPD activities. The projectis developing the methods of planning and deliveringKT optimised CEPD activities by using current KTconcepts and methods to design three CEPD activitiestargeting common problems in general practice(low back pain, smoking cessation and diabetesmanagement).CancerWith the development of the Victorian ComprehensiveCancer Centre, a collaborative project in whichthe University is playing a leading role, an excitingopportunity exists for the General Practice and PrimaryHealth Care Academic Centre to bring a focus oncancer research in the primary care setting. Cancersurvivors are frequently cared for in general practice.The importance of primary health care in cancer careand control is widely recognised in national policydocuments (e.g. National Service ImprovementFramework for Cancer; Priorities for Action in CancerControl 2001-2003). In a general practice populationof 10,000 over one year there would be approximately195 new skin cancers and 45 other cancers diagnosedin primary care. Improvements in survival for mostof these common cancers have led to a growingprevalence of people living with a diagnosis of cancerand being cared for by their GP in the community.Collaborations in CancerBEST - Australia: A phase II study of non-endoscopicscreening for Barrett’s oesophagus in primary care. EmeryJ, Boussioutas A, Fitzgerald R, Walter F, Blazeby J.Total funding: $493,500Awarded by: NHMRC, Project GrantDuration: 2009 – 2011BEST - Australia was an NHMRC-funded phase IIstudy to test a new screening tool for people witha high risk of developing Barrett’s oesophagus, acondition that may progress to oesophageal cancer- which is frequently diagnosed at a late stage whenchances of survival are poor. Currently, Barrett’s is onlydiagnosed by endoscopy, and an estimated 80% ofpeople with the condition are undetected. This studytested a non-endoscopic sponge capsule and novellaboratory test for effectiveness and acceptability indetecting Barrett’s oesophagus early. This screeningtool could potentially enable early detection andmonitoring of this pre-cancerous condition in generalpractice.Primary Care Cooperative Cancer Clinical Trials Group(PC4TG). Emery J, Gunn J, Pirotta M, TrevenaL, Barratt A, McCaffery K, Mitchell G, Kilbreath S,Monterosso L, Foreman L, Booth P, Weller D,Forster K, King M.Total funding: $486,604Awarded by: Cancer AustraliaDuration: 2010 – 2012PC4 is the Primary Care Collaborative CancerClinical Trials Group funded by Cancer Australia todevelop and foster cancer research in primary care.The collaboration between researchers, health carepractitioners and consumers to endeavours to buildresearch capacity and infrastructure; enable thedevelopment of pre-trial studies, leading to large-scale,multi-site studies; fill the evidence gaps in oncology inprimary care; and improve health outcomes and carefor cancer patients51

PCRUThe ProCare Trial. A phase II randomised controlled trialof follow-up of men with prostate cancer in primary care.Emery J, Schofield P, Jefford M, King M, Pirotta M,Hayne D, Martin A, Trevena L.Total funding: $564,410Awarded by: NHMRC, Project GrantDuration: 2011- 2013This NHMRC-funded study aims to develop and testa novel model of shared care for the follow-up of menwith prostate cancer. Men treated for prostate cancerexperience distressing and ongoing side-effects oftreatment and significant psychological issues. Currentmodels of care fail to address adequately theseissues. The new model is designed to improve thecare received and therefore the quality of life of menafter treatment for prostate cancer. The study is beingundertaken in both Victoria at the Peter MacCallumHospital and two sites in Perth.Sexual HealthSexual health has an impact on the quality of life andeconomic productivity of the population, yet is oftenseen as a challenging aspect of general medical care.Whilst it would be optimal for people to attend theirhealth practitioner to take positive steps to enhancetheir sexual health, the reality is that sexual healthissues often are uncovered in the context of anotherhealth problem. Given the constraints of time, sensitivityand perceived stigma, there are many barriers to goodmanagement of sexual health. Work on sexual healthconducted by the Academic Centre focuses on someof the challenges at both the individual and populationlevels.Chlamydia trachomatis is a significant public healthissue in Australia. It is the most commonly notifiedinfection and is continuing to increase rapidly. Generalpractice is ideally placed to screen for this oftenasymptomatic infection, as many men and mostwomen see a GP annually. There are well documentedbarriers to increased chlamydia testing in generalpractice including time, cost and knowledge andawareness of chlamydia by both health care staff andthe population. If an intervention is to successfullyincrease chlamydia testing, it must minimise thesebarriers and take the uniqueness of each generalpractice into consideration.Collaborations in Sexual HealthDesign, modelling and evaluation of the chlamydia pilot ingeneral practice (ACCEPt). Hocking J, Gunn J, Fairley C,Kaldor J, Donovan B, Low N, Law M, Carter R, Imrie J,Pitts M, Mitchell A, Gertig D, Temple-Smith M,Sanci L, Pirotta M, Chen M, Hellard M, Tabrizi S.Total funding: $1,599,405Awarded by: Commonwealth Department of Healthand Ageing Competitive TenderDuration: 2008 – 2010ACCEPt aims to determine whether an interventioninvolving chlamydia testing with feedback, educationfor health providers, a brief intervention and minimalpractice organisational change will be feasible inthe general practice setting. Over 600 GPs in 52postcodes in eastern Australia have been recruited tothis randomised controlled trial, making it the largeststudy of its kind in the world.How does chlamydia infection impact on the sexual,reproductive and mental health of Victorians and theVictorian health care system? Hocking J, Fairley C,Temple-Smith M, Keogh L, Chen M, Fisher J,Williams H, Hsueh A, Henning D, Bayly C, McNamee K.Total funding: $186,869Awarded by: Department of Human ServicesDuration: 2009 – 2010Pelvic inflammatory disease (PID) is often the result of achlamydia infection and can lead to long-term sequelaesuch as chronic pelvic pain, ectopic pregnancy orinfertility. Little is known about the psychosocialimpact of PID for women or about their views oftheir health care. Women diagnosed with PID andrecruited from a primary health care service or hospitalswere interviewed about their experiences. Findingshighlighted PID diagnosis as a traumatic experiencefor many women with a strong impact on their sexualrelationships. Publications are in preparation.A randomised controlled trial to evaluate the effectivenessand cost-effectiveness of chlamydia testing in generalpractice. Hocking J, Guy R, Temple-Smith M, Low N,Donovan B, Pirotta M, Regan D.Total funding: $1,322,807.30Awarded by: NHMRCDuration: 2011 – 2014The Australian Chlamydia Control Effectiveness PilotStudy is a randomised controlled trial of interventionsin general practice aimed to improve regular chlamydiatesting. This study will evaluate the effectiveness andcost-effectiveness of these interventions to assist theAustralian government in determining whether thesestrategies should be adopted to control the increasingrates of chlamydia.52

VicReNVictorian Primary Care Practice-Based Research NetworkPCRUVicReN engages primary care practitioners and othersin research to improve the quality of primary health carein Victoria. Together we champion the developmentof high quality research which is both important toprimary health care and which can inform policy andpractice. VicReN is building a strong and dynamicnetwork of primary care practitioners and stakeholderswith an interest in research. VicReN is reflective ofcurrent practice, drawing membership from generalpractitioners, practice nurses, practice managers andprimary health care stakeholders across urban, regionaland remote Victorian areas.One of VicReN’s roles is to link the Primary CareResearch Unit (PCRU) and the Victorian primary carepractitioner community. VicReN members have beeninvolved in a number of research projects, includingcurrent work on understanding how practices respondto requests for same day appointments from patients. Ithas built relationships with other research organisationssuch as the Primary Care Collaborative Cancer ClinicalTrials Group (PC4) and EviDent, a dental practicebasedresearch network.There are currently 145 VicReN members, consistingof 110 GPs, 5 practice managers, 12 practice nurses,and 28 primary health care stakeholders across 99practices and organisations. The VicReN committeeprovides operational guidance aligned with PCRUobjectives. The committee members are able to drawon their wealth of experience and skills as practitionersas well as their links to advocacy organisations.General medical practitioners as a utilisation resourcefor caries prevention – a pilot study. Bailey D, Stacy M,Pirotta M, Temple-Smith M.Total funding: $67,477Awarded by: IADR Colgate Community-BasedResearch Award for Caries PreventionDuration: 2011 – 2012This research project aims to improve the level ofknowledge of general practitioners regarding oralhealth. It will utilise GPs as a first line for identifyingpatients at increased risk from dental caries (and othersaliva related oral health problems) and will equipGPs to provide caries prevention advice. GPs wereinterviewed to explore their perception, knowledge andmanagement of the oral health sequelae for patientswith dry mouth. Based on these results we developedan educational intervention. The remainder of the studyinvolves a GP audit of patients with potential for drymouth and monitoring their subsequent interaction withdentists.CollaborationsWho is deserving? Exploring the systems used to manage‘same day’ appointment requests. Clark M, Hutton C,Pirotta M.Research personnel: Belinda Garth, Ruby Biezen,Meredith Temple-SmithTotal funding: $9,812Awarded by: RACGP Family Medical Care EducationResearch GrantDuration: 2010 – 2012In this study 16 reception staff, practice managers andGPs from a range of different GP practice types andareas were interviewed about the issues involved inmanaging same day appointments.53

PCRUMelbourne Primary Care Network: VicReN MembersThe Melbourne Primary Care Network brings together our teaching and researchpractices as an integral part of the developing Academic Centre of General Practiceand Primary Health Care. We recognise and acknowledge the contribution made in2010 – 2011:Dr John AddisProf Jane GunnDr Salvi MililliDr Julie ShawDr Yasendri ArambepolaMs Nicole HaleDr Joanne MolloyMr Colin SheppardDr John BartonDr Jacinta HalloranDr Paulo MoraesDr Magdalena SimonisDr Mark BensleyDr Michael HamptonMs Tracy MurphyDr Andrew SoloczynskyjDr Patrizia BoettoMs Kirsten HausknechtDr Lucio NaccarellaDr Michael SosninDr Phillip BoltinMs Sharon HillsDr Poobalan NaidooDr Nelum SoysaDr Gary BourkeDr Charmaine HoDr Shastra NaiduDr Virgilio SpatariDr Bella BrushinDr John HodgsonDr Iain NicolsonDr Anne StephensonMr Peter BrynerA/Prof Chris HoganDr Andrea NiesDr Rod StobartMs Sandra CapitoDr Rob HoskingDr Paul NooneDr Roderick TaylorDr Nick CarrDr Philip HugueninDr Edward OgdenDr Richard TeagueMs Samantha ChakrabortyDr Ben ChanDr Fiona ChristieDr Malcolm ClarkDr Dale ComrieDr John CroattoDr Jane CroweDr Louis CukiermanDr Elizabeth DevenyMs Doreen DidhamMs Jenny DonaldsonMrs Michelle DuleyDr Glenn DunsDr Carolyn EeMs Judy EvansMiss Lisa FairweatherDr Wendy FisherDr Meridee FlowerDr Chris FogartyDr Simon FrenchDr Alireza Shivaee GarryzMiss Daneka GeorgeDr Dennis GonzagaMs Maureen GossDr Margaret GrahamDr Shelley GrayDr Brett HuntDr Amjad HussainDr Cathy HuttonDr Michael IrlichtDr David IserDr Caroline JohnsonMs Jenny JohnstoneA/Prof Graeme JonesDr Yasmin KaziMs Jill KellyDr Kaye KerrDr Faiza KhanA/Prof Stephen LewDr Jia LiDr Carol LiowDr Ewa LisikDr Christine LongmanDr Mark MagillDr Jo-Anne Manski-NankervisMs Christine MathiesonDr Eleanor McDonaldDr Bradley McKayDr Jean McMullinDr Kathleen McnameeMs Carole MeadeMrs Sue MeallDr Paul O’HanlonDr Jason OngDr Jane OpieDr Emmy PaiDr Victoria PalmerDr Natasha PavlinDr Vivian PereiraDr Katrina PhilipDr Madeline PhilipDr Bala PillaiA/Prof Marie PirottaDr Derek PopeMs Ann-Marie PowerDr Harry PrestonDr Rebecca QuakeDr Champak RanaDr Emma RattrayDr Morton RawlinDr Ian RelfDr Annette Myra RiceMs Rosemary RussoDr Ashraf Edward SaddikDr Nicolette ScheepersDr Vasuthan SellathuraiDr Lydia SenyciaDr Manal ShamaanA/Prof MeredithTemple-SmithDr Michael ThomasDr Loretta ThornMiss Melanie TippetMs Christine TowersDr Rodney TrevenaA/Prof Steve TrumbleMr Hagen TuschkeDr Hubert Van DoornDr Eric Van OpstalDr Theodore VanderzeilDr Edward VergaraDr Kate WalkerMs Lynne WalkerDr Mary WalshDr John WaltersMs Robyn WestDr Peter WexlerDr Sara WhitburnDr Stephen WilliamsDr Debra WilsonDr Jenny WoodsDr Dong XuDr Sam Zagarella55

PublicationsPublications2010Abramson M, Schattner R, Sulaiman N, Birch K, Simpson P, DelColle E, Aroni R, Wolfe R & Thien F. 2010. Do spirometry andregular follow-up improve health outcomes in general practicepatients with asthma or COPD? A cluster randomised controlledtrial. Medical Journal of Australia. 193 (2): 104-109.Amir L & Pirotta M. 2010. Medicines for breastfeeding women:a postal survey of knowledge, attitudes and practices of generalpractitioners in Victoria, Australia. Report No . Bundoora,Australia: La Trobe University.Armstrong G, Blashki G, Joubert L, Bland R, Moulding R, Gunn J& Naccarella L. 2010. An evaluation of the effect of an educationalintervention for Australian social workers on competence indelivering brief cognitive behavioural strategies: A randomisedcontrolled trial. BMC Health Services Research. 10.Arroll B, Goodyear-Smith F, Crengle S, Gunn J, Kerse N, FishmanT, Falloon K & Hatcher S. 2010. Validation of PHQ-2 and PHQ-9to Screen for Major Depression in the Primary Care Population.Annals of Family Medicine. 8 (4): 348-353.Baldacchino A, Gilchrist GPG, Fleming R & Bannister J.2010. Guilty until proven innocent: A qualitative study of themanagement of chronic non-cancer pain among patients witha history of substance abuse. Addictive Behaviors. 35 (3): 270-272.Bilardi J, De Guingand D, Temple-Smith M, Garland S, FairleyC, Grover S, Wallace E, Hocking J, Tabrizi S, Pirotta M & ChenM. 2010. Young pregnant women’s views on the acceptability ofscreening for chlamydia as part of routine antenatal care. BMCPublic Health. 10: 505.Bilardi J, Fairley CKF, Hopkins CA, Hocking J, Temple-Smith M,Bowden F, Russell DBR, Pitts M, Tomnay J, Parker R, PavlinNLP & Chen MYC. 2010. Experiences and Outcomes of PartnerNotification Among Men and Women Recently Diagnosed WithChlamydia and Their Views on Innovative Resources Aimed atImproving Notification Rates. Sexually Transmitted Diseases. 37(4): 253-258.Bilardi J, Fairley C, Temple-Smith M, Pirotta M, Mcnamee K,Bourke S, Gurrin L, Hellard M, Sanci L, Wills M, Walker JW,Chen M & Hocking JSH. 2010. Incentive payments to generalpractitioners aimed at increasing opportunistic testing of youngwomen for chlamydia: a pilot cluster randomised controlled trial.BMC Public Health. 10 (70).Brown S, Donath S, Macarthur C, Mcdonald E & Krastev A.2010. Urinary incontinence in nulliparous women before andduring pregnancy: prevalence, incidence, and associated riskfactors. International Urogynecology Journal: and pelvic floordysfunction. 21 (2): 193-202.Campbell SM, Scott A, Parker RM, Naccarella L, Furler J,Young D & Sivey P. 2010. Implementing pay-for-performance inAustralian primary care: lessons for the United Kingdom and theUnited States. Medical Journal of Australia. 193 (7): 408-411.Carter M. 2010. Invisible walls: Madness, distress and theboundaries of credibility. Social Causes, Private Lives. Sydney,Australia: Macquarie University.Clearihan L, Mcgarry H, Cheng M, Bratuskins P & Rowe M.2010. Linking the RACGP curriculum to vocational education.Australian Family Physician. 39 (11): 869-874.Ee C & Pirotta M. 2010. Complementary medicine resources forGPs. Medicine Today. 11 (3): 62--65.Forrest L, Parker R, Hegarty K & Tuschke H. 2010. Patientinitiated aggression and violence in Australian general practice.Australian Family Physician. 39 (5): 323-326.French SDF, Green S, Buchbinder R & Barnes H. 2010.Interventions for improving the appropriate use of imaging inpeople with musculoskeletal conditions (Review). CochraneDatabase of Systematic Reviews. 1 (1): CD006094.French SDF, Walker B & Perle S. 2010. Chiropractic care forchildren: too much, too little or not enough? Chiropractic andOsteopathy. 18: 17.Furler J & Kokanovic R. 2010. Mental health cultural competence.Australian Family Physician. 39 (4): 206-208.Furler J, Kokanovic R, Dowrick C, Newton D, Gunn J & MayC. 2010. Managing depression among ethnic communities: Aqualitative study. Annals of Family Medicine. 8 (3): 231-236.Furler JSF & Palmer VJP. 2010. The ethics of everyday practicein primary medical care: responding to social health inequities.Philosophy, Ethics, and Humanities in Medicine. 5 (6).Gardiner J & Walker K. 2010. Managing Psychological Trauma inRefugees. Australian Family Physician. 39 (4): 198-203.Gartland D, Brown S, Donath S & Perlen S. 2010. Women’shealth in early pregnancy: Findings from an Australian nulliparouscohort study. Australian and New Zealand Journal of Obstetricsand Gynaecology. 50 (5): 413-418.Gerner B, Sanci L, Cahill H, Ukoumunne O, Gold L, RogersL, Mccallum Z & Wake M. 2010. Using simulated patients todevelop doctors’ skills in facilitating behaviour change: addressingchildhood obesity. Medical Education. 44 (7): 706-715.Gilchrist G, Hegarty K, Chondros P, Herrman H & Gunn J. 2010.The association between intimate partner violence, alcohol anddepression in family practice. BMC Family Practice. 11: 72.Griffiths F, Borkan J, Byrne D, Crabtree B, Dowrick C, GunnJMG, Kokanovic RK, Lamb S, Lindenmeyer A, Sturt j, Reis S &Parchman M. 2010.Developing evidence for how to tailor medical interventions for theindividual patient. Qualitative Health Research. 20 (12): 1629-1641.Gunn J, Palmer V, Dowrick C, Herrman H, Griffiths F, KokanovicR, Blashki G, Hegarty K, Johnson C, Potiriadis M & May C.2010. Embedding effective depression care: using theory forprimary care organisational and systems change. ImplementationScience. 5: 62.Haller-Hester D, Sebo P, Cerutti B, Bertrand D, Eytan A, NiveauG, Wolff H & Narring F. 2010. Primary care services provided toadolescents in detention: a cross-sectional study using ICPC-2.Acta Paediatrica. 99 (7): 1060-1064.Harris M, Bailey L, Snowdon T, Litt J, Smith J, Joyner B & FurlerJSF. 2010. Developing the guidelines for preventive care: Twodecades of experience. Australian Family Physician. 39 (1/2):63-65.56

PublicationsPublicationsHegarty K, Gunn J, O’Doherty LJ, Taft A, Chondros P, Feder G,Astbury J & Brown S. 2010. Women’s evaluation of abuse andviolence care in general practice: a cluster randomised controlledtrial (WEAVE). BMC Public Health. 10: 2.Hegarty K, Humphreys C, Frere M, Horsley PA, Larcombe W,Page J, Whitzman C, O’Doherty L & Clewett J. 2010. FAIRCommittee Report. Report No . Melbourne, Australia: FAIRCommittee.Hegarty KLH. 2010. Domestic violence. General practice: Theintegrative approach. Canberra, Australia: Elsevier, 861-867.Hegarty KLH & Walker LMW. 2010. Effective communication ingeneral practice. General Practice Nursing. Sydney, Australia:McGraw Hill Australia, 76-99.Hill K, Womer M, Russell MAR, Blackberry I & Mcgann A.2010. Fear of falling in older fallers presenting at emergencydepartments. Journal of Advanced Nursing. 66 (8): 1769-1779.Hopkins CAH, Temple-Smith M, Fairley C, Pavlin NLP, TomnayJ, Parker R, Bowden F, Russell D, Hocking J & Chen M. 2010.Telling partners about chlamydia: how acceptable are the newtechnologies? BMC Infectious Diseases. 10: 58.Hughes T, Szalacha L & McNair RP. 2010. Substance abuseand mental health disparities: comparisons across sexual identitygroups in a national sample of young Australian women. SocialScience & Medicine. 71 (4): 824-831.Jayawickrama S, Amir LA & Pirotta MP. 2010. GPs’ decisionmakingwhen prescribing medicines for breastfeeding women:Content analysis of a survey. BMC Research Notes. 3: 82.Killingsworth BL, Kokanovic R, Huong T & Dowrick C. 2010. ACare-Full Diagnosis: Three Vietnamese Australian Women andTheir Accounts of Becoming “Mentally Ill”. Medical AnthropologyQuarterly. 24 (1): 108-123.Kokanovic R, May C, Dowrick C, Furler J, Newton D & GunnJ. 2010. Negotiating distress between East Timorese andVietnamese refugees and their family doctors in Melbourne.Sociology of Health and Illness. 32 (4): 511-527.Macleod IMM, Hayes B, Savin K, Chamberlain A, McpartlanHCM & Goddard M. 2010. Power of a genome scan to detectand locate quantitative trait loci in cattle using dense singlenucleotide polymorphisms. Journal of Animal Breeding andGenetics. 127 (2): 133-142.Magin P, Pirotta M, Farrell E & Van Driel M. 2010. General PracticeResearch: Training and Capacity Building. Australian FamilyPhysician. 39 (5): 265-266.Mckenzie J, O’Connor D, Page M, Mortimer D, French SD,Walker B, Keating J, Grimshaw J, Michie S, Francis J & GreenS. 2010. Improving the care for people with acute low-back painby allied health professionals (the ALIGN trial): cluster randomisedtrial protocol. Implementation Science. 5: 86.McNair RP & Hegarty KLH. 2010. Guidelines for the PrimaryCare of Lesbian, Gay, and Bisexual People: A Systematic Review.Annals of Family Medicine. 8 (6): 533-541.O’Doherty LJ, Hickey A & Hardiman O. 2010. Measuringlife quality, physical function and psychological well-being inneurological illness. Amyotrophic Lateral Sclerosis. 11 (5):461-468.Palmer V, Gunn J, Kokanovic R, Griffiths F, Shrimpton BS,Hurworth R, Herrman H, Johnson C, Hegarty K, Blashki G,Butler E, Johnston-Ata’Ata K & Dowrick C. 2010. Diverse voices,simple desires: a conceptual design for primary care to respondto depression and related disorders. Family Practice. 27 (4):447-458.Palmer VJP. 2010. Primary Healthcare: People, Practice, Place.Australian and New Zealand Journal of Public Health. 34 (3):337-338.Parker R, Walker L & Hegarty K. 2010. Primary care nursingworkforce in Australia: A vision for the future. Australian FamilyPhysician. 39 (3): 159-160.Pavlin NLP, Parker R, Piggin A, Hopkins CAH, Temple-Smith M,Fairley C, Tomnay J, Bowden F, Russell D, Hocking J, Pitts M &Chen M. 2010. Better than nothing? Patient-delivered partnertherapy and partner notification for chlamydia: the views ofAustralian general practitioners. BMC Infectious Diseases. 10:274.Pearce C, Arnold M, Phillips C & Dwan K. 2010. Methodologicalconsiderations of digital video observation: beyond conversationanalysis. International Journal of Multiple Research Approaches.4 (2): 90-99.Perlesz A, Power J, Brown R, McNair RP, Schofield m, Pitts M,Barrett A & Bickerdike A. 2010. Organising Work and Home inSame-Sex Parented Families: Findings from the Work Love PlayStudy. Australian and New Zealand Journal of Family Therapy .31 (4): 374-391.Pirotta M. 2010. Arthritis disease: The use of complementarytherapies. Australian Family Physician. 39 (9): 638-640.Pirotta MP, Kotsirilos V, Brown J, Adams J, Morgan T &Williamson M. 2010. Complementary medicine in generalpractice: A national survey of GP attitudes and knowledge.Australian Family Physician. 39 (12): 946-950.Pirotta M, Stein A, Conway E, Harrison C, Britt H & Garland S.2010. Genital warts incidence and healthcare resource utilisationin Australia. Sexually Transmitted Infections. 86 (3): 181-186.Power J, Perlesz A, Brown R, Schofield M, Pitts M, McNair R& Bickerdike A. 2010. Diversity, tradition and family: Australiansame-sex attracted parents and their families. Gay and LesbianIssues and Psychology Review. 6 (2): 66-81.Power J, Perlesz A, Schofield M, Pitts M, Brown R, McNair RP,Barrett A & Bickerdike A. 2010. Understanding resilience in samesexparented families: the work, love, play study. BMC PublicHealth. 10: 115.Rayner J, Forster D, Mclachlan H, Kealy M & Pirotta M. 2010.Women’s use of complementary medicine to enhance fertility:The views of fertility specialists in Victoria, Australia. Australian andNew Zealand Journal of Obstetrics and Gynaecology. 50 (March):305-305.Russell MAR, Hill K, Day L, Blackberry IDB, Schwartz J,Giummarra M, Dorevitch M, Ibrahim J, Dalton ACD & DharmageSCD. 2010. A Randomized Controlled Trial of a Multifactorial FallsPrevention Intervention for Older Fallers Presenting to EmergencyDepartments. Journal of the American Geriatrics Society. 58 (12):2265-2274.Sanci LAS, Lewis DL & Patton GCP. 2010. Detecting emotionaldisorder in young people in primary care. Current Opinion inPsychiatry. 23 (4): 318-323.57

PublicationsPublicationsSanders K, Stuart A, Williamson E, Simpson J, Kotowicz M,Young D & Nicholson G. 2010. Annual High-Dose Oral VitaminD and Falls and Fractures in Older Women: A RandomizedControlled Trial. JAMA - Journal of the American MedicalAssociation. 303 (18): 1815-1822.Scott A, Sivey P, Ait Ouakrim D, Willenberg L, Naccarella L,Furler J & Young D. 2010. The Effect of Financial Incentives onthe Quality of Health Care Provided by Primary Care Physicians(Protocol). Cochrane Database of Systematic Reviews. 2010 (4).Seymour J, Mcnamee P, Scott A & Tinelli M. 2010. Sheddingnew light onto the ceiling and floor? A quantile regressionapproach to compare EQ-5D and SF-6D responses. HealthEconomics. 19 (6): 683-696.Soos MES, Temple-Smith MJT, Gunn JMG, Johnston-Ata’AtaKRJ & Pirotta MP. 2010. Establishing the Victorian Primary CarePractice Based Research Network. Australian Family Physician.39 (11): 857-862.Sulaiman N, Hamdan A, Tamim H, Mahmood D & Young D.2010. The prevalence and correlates of depression and anxietyin a sample of diabetic patients in Sharjah, United Arab Emirates.BMC Family Practice. 11: 80.Taft A & Hegarty KLH. 2010. Intimate Partner Violence AgainstWomen: What Outcomes Are Meaningful? JAMA - Journal of theAmerican Medical Association. 304 (5): 577-579.Temple-Smith M, Hopkins CAH, Fairley C, Tomnay J, Pavlin NLP,Parker R, Russell D, Bowden F, Hocking JSH, Pitts M & ChenM. 2010. The right thing to do: patients’ views and experiencesof telling partners about chlamydia. Family Practice. 27 (4): 418-423.Terpstra J, Best A, Abrams D & Moor G. 2010. Health sciencesand health services. The Oxford Handbook of Interdisciplinary.New York, United States: Oxford University Press, 508-521.Walker B, French SDF, Grant W & Green S. 2010. Combinedchiropractic interventions for low-back pain (Review). CochraneDatabase of Systematic Reviews. 1 (4): CD005427.Walker JW, Fairley C, Walker S, Gurrin L, Gunn J, Pirotta M,Carter RCC & Hocking J. 2010. Computer Reminders forChlamydia Screening in General Practice: A RandomizedControlled Trial. Sexually Transmitted Diseases. 37 (7): 445-450.Walker LMW, Patterson E, Wong WCW & Young DY. 2010.General Practice Nursing. Sydney, Australia: McGraw-Hill HigherEducation.Wallace J, Pitts M, Mcnally S, Malkin IR, Temple-Smith MJ,Smith A & Levy M. 2010. Regulating Hepatitis C: Rights andDuties. Preventing Hepatitis C Transmission in Australian AdultCorrectional Settings. Report No 79. Australia: La Trobe UniversityPress.Wallace J, Pitts M, Mcnally S, Malkin I, Temple-Smith M,Smith A & Levy M. 2010. Regulating Hepatitis C: Rights andduties (Preventing Hepatitis C transmission in Australian adultcorrectional settings). Report.Webster S & Temple-Smith MJT. 2010. Children and youngpeople in out-of-home care: are GPs ready and willing to providecomprehensive health assessments for this vulnerable group?Australian Journal of Primary Health. 16 (4): 296-303.Wong WCW & Fairley CKF. 2010. Sexual health consultationfor men who have sex with men. British Medical Journal. 340:710-710.Young D, Scott A & Best JD. 2010. For love or money? Changingthe way GP’s are paid to provide diabetes care. Medical Journalof Australia. 193 (2): 67-68.Zwar N, Richmond R, Halcomb E, Furler J, Smith J, Hermiz O,Blackberry I & Borland R. 2010. Quit in General Practice: a clusterrandomised trial of enhanced in-practice support for smokingcessation. BMC Family Practice. 11: 59.2011Adams J, Sibbritt D, Broom A, Loxton D, Pirotta M, HumphreysJ & Lui C. 2011. A comparison of complementary and alternativemedicine users and use across geographical areas: A nationalsurvey of 1,427 women. BMC Complementary and AlternativeMedicine. 11: 85.Amir L, Pirotta M & Raval M. 2011. Breastfeeding - Evidencebased guidelines for the use of medicines. Australian FamilyPhysician. 40 (9): 684-690.Boardman F, Griffiths F, Kokanovic R, Potiriadis M, DowrickC & Gunn JM. 2011. Resilience as a response to the stigmaof depression: A mixed methods analysis. Journal of AffectiveDisorders. 135: 267-276.Brown A & Pirotta M. 2011. Determining priority of access tophysiotherapy at Victorian community health services. AustralianHealth Review. 35 (2): 178-184.Brown S, Yelland J, Sutherland G, Baghurst P & RobinsonJ. 2011. Stressful life events, social health issues and lowbirthweight in an Australian population-based birth cohort:challenges and opportunities in antenatal care. BMC PublicHealth. 11:96.Cheng M, Clarke A, Moore TG & Lau P. 2011. Making theconnection: a qualitative study of brokerage in Aboriginal health ina metropolitan area of Victoria and a regional area of New SouthWales. Australian Health Review. 35: 18-22.Chen J, Hogan C, Lyubomirsky G & Sambrook P. 2011. Womenwith Cardiovascular Disease Have Increased Risk of OsteoporoticFracture. Calcified Tissue International. 88 (1): 9-15.Cooke G, Watson CJ, Smith j, Pirotta M & Van Driel ML. 2011.Treatment for recurrent vulvovaginal candidiasis (thrush) (Protocol).Cochrane Database of Systematic Reviews.Cyarto EV, Kuys S, Henwood TR & Blackberry ID. 2011. Can WIIWork it Out? Telecommunications Journal of Australia. 61 (3).Daniel D & Pirotta M. 2011. Fibromyalgia: Should we be testingand treating for vitamin D deficiency? Australian Family Physician.40 (9): 712-716.Freed G, Sewell JR & Spike NA. 2011. Challenges to children’shealth care in an ageing Australia Will children be “crowdedout” of non-acute and preventive care visits? Medical Journal ofAustralia. 195 (8): 436-437.Freed G, Sewell J & Spike NA. 2011. Challenges to children’shealth care in an ageing Australia. Medical Journal of Australia.195 (8): 436-437.58

PublicationsPublicationsFurler JS, Harris E, Baum F, Dixon J, Lawless A, Maceira D, NolenLB & Starfield B. 2011. An International Society and Journal forEquity in Health: 10 years on. International Journal for Equity inHealth. 10: 11.Furler JS, Harris M & Rogers A. 2011. Equity and long-termcondition self-management. Chronic Illness. 7 (1): 3-5.Furler J, Spitzer O, Young D & Best J. 2011. Insulin in generalpractice Barriers and enablers for timely initiation. AustralianFamily Physician. 40 (6): 617-621.Garland SM, Tobin JM, Pirotta M, Tabrizi S, Opie GF, Donath SM,Tang ML, Morley C, Ung LZ, Hickey LJ & Jacobs SE. 2011. TheProPrems trial: investigating the effects of probiotics on late onsetsepsis in very preterm infants. BMC Infectious Diseases. 11: 210.Gold L, Norman R, Devine A, Feder G, Taft A & Hegarty KL.2011. Cost-Effectiveness of Health Care Interventions to AddressIntimate Partner Violence: What Do We Know and What ElseShould We Look For? Violence Against Women - An Internationaland Interdisciplinary Journal. 17 (3): 389-403.Grinzi P. 2011. Hair and nails. Australian Family Physician. 40 (7):476-484.Guthrie B, Wyke S, Gunn JM, Van Den Akker M & Mercer S.2011. Multimorbidity: The impact on health systems and theirdevelopment. Health Reform: Meeting the challenge of ageingand multiple morbidities. Paris, France: OECD Publications,173-209.Haddad M & Gunn JM. 2011. Fast Facts: Depression. 3rd ed.Albuquerque, NM, United States: Health Press.Halilovich H. 2011. Beyond the sadness: memories andhomecomings among survivors of ‘ethnic cleansing’ in a Bosnianvillage. Memory Studies. 4 (1): 42-52.Haller D, Steiner A, Sebo P, Gaspoz J & Wolff H. 2011. Chlamydiatrachomatis infection in males in a juvenile detention facility inSwitzerland. Swiss Medical Weekly. 141 (July): w13220.Hegarty KL. 2011. The Relationship Between Abuse andDepression. Nursing Clinics of North America. 46 (4): 437-444.Hegarty KL & Glasziou P. 2011. Tackling domestic violence: isincreasing referral enough? The Lancet. 378 (9805): 1760-1762.Hegarty K & O’Doherty L. 2011. Intimate partner violence:Identification and response in general practice. Australian FamilyPhysician. 40 (11): 852-856.Howard A, Pirotta M & Balneaves L. 2011. Psychologicalsequelae of ovarian cancer screening and genetic testing forovarian cancer susceptibility. Current Women’s Health Reviews. 7(4): 358-366.Kong FYS, Guy RJ, Hocking JS, Merritt T, Pirotta M, Heal C,Bergeri I, Donovan B & Hellard ME. 2011. Australian generalpractitioner chlamydia testing rates among young people.Medical Journal of Australia. 194 (5): 249-252.Liaw ST, Lau PM, Pyett P, Furler JS, Burchill ML, Rowley KG &Kelaher M. 2011. Successful chronic disease care for AboriginalAustralians requires cultural competence. Australian and NewZealand Journal of Public Health. 35 (3): 238-248.Longman CA, Lintzeris N, Temple-Smith MJ & Gilchrist G. 2011.Methadone and buprenorphine prescribing patterns of Victoriangeneral practitioners: Their first 5 years after authorisation. Drugand Alcohol Review. 30 (4): 355-359.Manski-Nankervis JE, Vergara E, Daniel DM & Young D. 2011.Academic posts at The University of Melbourne: 28 years ofhistory. Australian Family Physician. 40 (12): 1014-1015.Mclachlan H, Forster D, Collins R, Gunn JM & Hegarty KL. 2011.Identifying and supporting women with psychosocial issuesduring the postnatal period: Evaluating an educational interventionfor midwives using a before-and-after survey. Midwifery. 27:723-730.McNair RP. 2011. Lesbian and bisexual women’s sexual health(Chapter 27). Sexual Health Medicine. Hawthorn East, Australia:IP Communications, 341-356.McNair RP & Hughes T. 2011. Lesbian Health 101: A Clinician’sGuide. Journal of Homosexuality. 58: 443-446.McNair RP, Szalacha L & Hughes T. 2011. Health Status, HealthService Use, and Satisfaction According to Sexual Identity ofYoung Australian Women. Women’s Health Issues. 21 (1): 40-47.Mercer S, Gunn JM & Wyke S. 2011. Improving the health ofpeople with multimorbidity: the need for prospective cohortstudies. Journal of Comorbidity. 1 (1): 4-7.Morris A, Toone E, Utter M & Christovitchin F. 2011. Extendingthe Reach: A Timely and Tailored Response to Children whoExperience Family Violence. Parity. 24 (8): 37-38.Norbury M, Mercer S, Gillies J, Furler JSF & Watt G. 2011. Timeto care: tackling health inequalities through primary care. FamilyPractice. 28 (1).Oei S, Thien F, Schattner R, Sulaiman N, Birch K, Simpson P,Del Colle E, Aroni R, Wolfe RS & Abramson M. 2011. Effect ofspirometry and medical review on asthma control in patients ingeneral practice: A randomized controlled trial. Respirology. 16(5): 803-810.Page M, French S, Mckenzie J, O’Connor D & Green S. 2011.Recruitment difficulties in a primary care cluster randomisedtrial: investigating factors contributing to general practitioners’recruitment of patients. BMC Medical Research Methodology .11: 35.Palmer VJ, Yelland J & Taft A. 2011. Ethical complexities ofscreening for depression and intimate partner violence (IPV) inintervention studies. BMC Public Health. 11 (5).Pearce CP, Arnold MVA, Phillips C, Trumble SCT & DwanK. 2011. The Patient and the computer in the primary careconsultation. Journal of the American Medical InformaticsAssociation. 1 (1).Perle SM, French SD & Haas M. 2011. Critique of review ofdeaths after chiropractic, 4. International Journal of ClinicalPractice. 65 (1): 104-105.Pierce D & Gunn JM. 2011. Depression in general practice:Consultation duration and problem solving therapy. AustralianFamily Physician. 40 (5): 334-336.Pirotta M. 2011. Is it ethical for medical practitioners to prescribealternate and complementary treatments that may lack anevidence base? - Yes. Medical Journal of Australia. 195 (2):78-78.Pitt V, O’Connor D, French SD, Osborne R & Buchbinder R.2011. Self-management education programmes for osteoarthritis(Protocol). Cochrane Database of Systematic Reviews.1 (1): 1-10.59

PublicationsPublicationsRayner J, Willis K & Pirotta M. 2011. What’s in a name: integrativemedicine or simply good medical practice? Family Practice. 28(6): 655-660.Reid S, Kauer S, Hearps S, Crooke A, Khor A, Sanci L & PattonG. 2011. A mobile phone application for the assessment andmanagement of youth mental health problems in primary care: arandomised controlled trial. BMC Family Practice. 12 (131).Sanci LA. 2011. Clinical Preventive Services for Adolescents:Facing the Challenge of Proving “An Ounce of Prevention isWorth a Pound of Cure”. Journal of Adolescent Health. 49 (5):450-452.Scott A, Sivey P, Ait Ouakrim D, Willenberg L, Naccarella L, FurlerJ & Young D. 2011. The effect of financial incentives on the qualityof health care provided by primary care physicians. CochraneDatabase of Systematic Reviews. November (9): CD008451.Taft A, Small R, Hegarty K, Watson L, Gold L & Lumley J.2011. Mothers’ AdvocateS In the Community (MOSAIC)-nonprofessionalmentor support to reduce intimate partner violenceand depression in mothers: a cluster randomised trial in primarycare. BMC Public Health. 11: 178.Tang C, Wong W, Leung P, Chen W, Lee A & Ling D. 2011.Health compromising behaviors among Chinese adolescents:Role of physical abuse, school experience, and social support.Journal of Health Psychology. 16 (3): 457-466.Temple-Smith MJ, Clark M & Pirotta M. 2011. Making a difference- are you game? Australian Family Physician. 40 (1/2): 49-49.Terpstra J, Coleman K, Simon G & Nebeker C. 2011. The Roleof Community Health Workers (CHWs) in Health PromotionResearch: Ethical Challenges and Practical Solutions. HealthPromotion Practice. 12 (1): 86-93.Walker B, French SDF, Cameron M, Perle S, Leboeuf-Yde C& Rubenstein S. 2011. The journal ‘chiropractic & osteopathy’changes its title to ‘chiropractic & manual therapies’. a new name,a new era. Chiropractic & Manual Therapies. 19: 1.Walker B, French SDF, Grant W & Green SEG. 2011. A CochraneReview of Combined Chiropractic Interventions for Low-BackPain. SPINE. 36 (3): 230-242.Walker B, French SD, Page M, O’Connor D, Mckenzie J,Beringer K, Murphy K, Keating J, Michie S, Francis J & GreenS. 2011. Management of people with acute low-back pain:a survey of Australian chiropractors. Chiropractic & ManualTherapies. 19 (1).Walker B, Losco B, Clarke B, Hebert J, French S & Stomski N.2011. Outcomes of Usual Chiropractic, Harm & efficacy, theOUCH study: study protocol for a randomized controlled trial.Trials. 12.Walker C, Furler JS, Blackberry ID, Dunbar J, Young D & Best JD.2011. The delivery of a telephone coaching programme to peoplewith type 2 diabetes by practice nurses in Victoria, Australia:a qualitative evaluation. Journal of Nursing and Healthcare ofChronic Illness: an international interdisciplinary journal. 3 (4):419-426.Walker J, Fairley CKF, Urban EU, Chen MYC, Bradshaw CS,Walker SMW, Donovan B, Tabrizi ST, Mcnamee K, Currie M,Pirotta MP, Kaldor J, Gurrin LCG, Birden H, Harindra V, BowdenFJB, Garland SMG, Gunn JMG & Hocking JS. 2011. Maximisingretention in a longitudinal study of genital Chlamydia trachomatisamong young women in Australia. BMC Public Health. 11: 156.Walker JG, Mcnamee K, Kaldor J, Donovan B, Fairley CK,Pirotta M, Bradshaw CS, Chen MY, Garland SM & HockingJS. 2011. The incidence of induced abortion in a prospectivecohort study of 16- to 25-year-old Australian women. SexualHealth. 8: 439-441.Walker JW, Fairley CKF, Bradshaw CS, Tabrizi ST, Chen MYC,Twin J, Taylor N, Donovan B, Kaldor J, Mcnamee K, Urban EU,Walker SMW, Currie M, Birden H, Bowden F, Gunn JMG, PirottaMP, Gurrin LCG, Harindra V, Garland SMG & Hocking JSH. 2011.The difference in determinants of Chlamydia trachomatis andMycoplasma genitalium in a sample of young Australian women.BMC Infectious Diseases. 11: 35.Walker S, Sanci LA & Temple-Smith MJ. 2011. Sexting andyoung people. Youth Studies Australia. 30 (4): 8-16.Watson CJ & Pirotta M. 2011. Recurrent vulvovaginalcandidiasis Current management. Australian Family Physician.40 (3): 149-151.Yeoh S & Furler J. 2011. Perceptions of Health and Diabetes ina Melbourne South Sudanese Community. Journal of Immigrantand Minority Health. 13 (5): 914-918.60

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