REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School

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REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
REPORT
     REPORT2012/2013
            2012/2013
General Practice and Primary
Health Care Academic Centre
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
CREATED USING WORDLE.NET
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
CONTENTS

HEAD’S REPORT                                                          2
GOVERNANCE AND MANAGEMENT
Executive Committee                                                    3
Teaching and Learning Committee T&L                                    3
Research and Research Training Committee R&RT                          3
Human Ethics Advisory Group HEAG                                       4
Occupational Health, Safety and Environment Committee OHSE             4
Victorian Primary Care Practice-Based Research Network Committee VicReN 4
Staff                                                                  5
Honorary Appointments                                                  8
Academic Visitors                                                      10
TEACHING AND LEARNING T&L
The MD Medical Course                                                  12
Innovative Clinical Teaching and Training Grant ICTTG                  14
Cultural Respect Encompassing Simulation Training CREST                15
Postgraduate Primary Care Nursing                                      16
RESEARCH
Primary Care Research Unit PCRU                                        19
Abuse and Violence                                                     20
Ageing, Chronic Disease and Equity ACE                                 22
Cancer                                                                 24
Mental Health                                                          26
Young People’s Health                                                  28
Other Research Projects                                                30
Victorian Primary Care Practice-Based Research Network VicReN          32
Australian Primary Care Research Network APCReN                        33
Awards, Fellowships and Scholarships                                   34
RESEARCH TRAINING
Recently Graduated Students                                            36
Current Students                                                       36
External Students                                                      38
Academic Registrars                                                    39
Short Courses and Workshops                                            40
4   TH
         ANNUAL TEACHING AND RESEARCH AWARDS                           42
5TH ANNUAL TEACHING AND RESEARCH AWARDS                                44
PUBLICATIONS                                                           46
THE UNIVERSITY OF MELBOURNE PRIMARY CARE NETWORK                       50
Contact Details                                                        Back cover
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
HEAD’S REPORT
                                                  Welcome to the 2012/2013 Annual Report of the General Practice and
                                                  Primary Health Care Academic Centre within the Melbourne Medical
                                                  School, Faculty of Medicine, Dentistry and Health Sciences, The University
                                                  of Melbourne. I am delighted to share with you our achievements for that
                                                  period.
                                                  In 2012-2013 we celebrated 150 years of training doctors within the Medical
                                                  School and 125 years of women in medicine. It was two years of many public
                                                  events including the very successful “Strength of Mind” exhibition and catalogue
                        Professor Jane Gunn       which celebrated the success of women in medicine. The celebrations provided
                                                  an opportunity to reflect upon the importance of providing an excellent medical
                        education to our graduates. From our perspective it gave us a chance to truly celebrate the hundreds of
                        general practitioners and general practice staff who provide quality clinical placements for our medical
                        students. A large number of GPs joined us for our Annual Awards Dinner and you will see photographs from
                        this event scattered throughout this report.
                        Whilst The University of Melbourne was established in 1853 and the Medical School in 1862 more than
                        a century passed before General Practice was recognised as an important academic component of the
                        Medical School. We began as a unit within the Department of Community Medicine in 1977 moving to
                        a separate clinical department within the Melbourne Medical School in 2001. In 2010 we formed the
                        General Practice and Primary Health Care Academic Centre and in 2011 we established a node of the
                        Academic Centre at Sunshine to work closely with the North-West Academic Centre, which includes
                        the new clinical schools at Western, Sunshine and Northern Hospitals, in the development and delivery
                        of the community based component of the new Graduate Medical Curriculum in the outer north-west
                        metropolitan area. In 2013 we established the first Chair of Primary Care Cancer Research in Australia.
                        We were delighted to appoint Professor Jon Emery as the inaugural Herman Chair in Primary Care Cancer
                        Research in collaboration with Western Health. Jon will work closely with the Victorian Comprehensive
                        Cancer Centre to develop initiatives to support the important role that primary care plays in prevention,
                        early diagnosis and survivorship care.
                        Our Academic Centre brings together our Department of General Practice and Primary Care Research
                        Unit with over 300 general practices and community health services throughout Victoria. We are a
                        multidisciplinary Academic Centre that is committed to excellence in teaching, research and knowledge
                        exchange. General Practice is the core of our health care system and the main provider of primary health
                        care in Australia. The Melbourne Medical School is increasing the opportunities for medical training within
                        the community and our Academic Centre has been very active in providing a leadership role to achieve
                        this aim. Having space to accommodate doctors in training within the community setting has always been
                        a major barrier to successful community based placements. Over the past two years we have continued
                        to work in close partnership with general practices, community health services and Medicare Locals to
                        gain infrastructure funding to support the development of dedicated student consulting rooms. We were
                        delighted to support the development of 28 student dedicated consulting rooms.
                        Our postgraduate training for primary care nursing is well established and we are beginning to see the
                        benefits of nurses obtaining high quality primary care relevant recognised university level training alongside
                        their day to day clinical work. Two of our graduates have been awarded prizes for cervical screening. These
                        activities are of utmost importance to ensuring a quality health workforce in Australia and beyond.
                        Established in 2006, the Primary Care Research Unit (PCRU) consists of a team of multidisciplinary primary
                        care researchers and research higher degree students and VicReN, our practice-based research network.
                        Our research is based upon a social model of health and is focussed on translating evidence into practice
                        in a way that improves the quality and safety of primary care. We develop and test models of care and
                        clinical interventions using a mix of quantitative and qualitative methods. We have established research
                        programs in areas of national priority such as cancer, chronic disease, mental health, young people’s health
                        and violence and abuse.
                        In 2012/2013 we generated $5.1 million of research income and over 150 publications in peer-reviewed
                        journals; 7 students were awarded a research higher degree; 15 students completed their honours year; 2
                        staff members were awarded prestigious NHMRC research fellowships and 14 students began a research
                        higher degree. We are publishing in high quality journals such as LANCET, BMJ and Annals of Family
                        Medicine.
                        I hope you find much to interest you in the following pages as we introduce you to our staff and students,
                        share with you a snapshot of the activities and achievements of the year and provide you with a glimpse
                        into our future. Should you require further details, please contact us as we would be delighted to hear from
                        you.
2   General Practice and Primary Health Care Academic Centre
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
GOVERNANCE AND MANAGEMENT
(Committee membership and staff listing refers to period 1 January to 31 December 2012, unless otherwise stated)

            EXECUTIVE COMMITTEE
            Chair
            Prof Jane Gunn Chair of Academic Centre and Director of Primary Care Research Unit
            Members
            Dr Ayan Dasvarma Academic Centre Manager (from May 2013)
            Prof Jon Emery Herman Chair in Primary Care Cancer Research (from January 2013)
            A/Prof Kelsey Hegarty Director of Postgraduate Nursing Programs
            A/Prof Ruth McNair Director of General Practice and Primary Health Care Academic Centre Node,
            North-West Academic Centre
            Dr Helen McPartlan Academic Centre Manager (until April 2013)
            A/Prof Marie Pirotta Chair of Victorian Primary Care Practice-Based Research Network (VicReN)
            A/Prof Lena Sanci Deputy Head of Department and Director of Teaching and Learning
            A/Prof Meredith Temple-Smith Director of Research Training
            Secretariat
            Ms Virginia Neal Administrative Officer

            TEACHING AND LEARNING COMMITTEE
            Chair
            A/Prof Lena Sanci Deputy Head of Department and Director, Teaching and Learning
            Members
            Dr Gary Bourke Senior Lecturer
            Ms Jenni Goodwin Administrative Officer
            Ms Lindsay Guy Innovative Clinical Teaching and Training Grants Manager and Teaching and Learning
            Manager (until July 2012 and from February 2013)
            A/Prof Kelsey Hegarty Director of Postgraduate Nursing Programs
            Dr Caroline Johnson Lecturer
            Dr Rimas Liubinas Senior Lecturer
            Rev Dr Helen Malcolm Senior Lecturer
            Dr Jo-Anne Manski-Nankervis Academic Registrar (until August 2012)
            A/Prof Ruth McNair Director of General Practice and Primary Health Care Academic Centre Node,
            North-West Academic Centre
            Ms Cecilia Mitchell Innovative Clinical Teaching and Training Grants Manager and Teaching and
            Learning Manager (July 2012 to February 2013)
            Dr Iain Nicolson Senior Lecturer
            Ms Trang Nguyen Academic Administrative Support Officer
            Ms Weilun Nien Teaching Support Officer
            Prof Neil Spike Director of Medical Education and Training, Victorian Metropolitan Alliance
            Dr Rod Taylor Senior Lecturer
            Prof Doris Young Chair of General Practice
            Secretariat
            Ms Bernie Cooper Administrative Officer

            RESEARCH AND RESEARCH TRAINING COMMITTEE
            Chair
            Prof Jane Gunn Chair of Academic Centre and Director of Primary Care Research Unit
            Members
            Ms Natalie Appleby VicReN Coordinator
            Dr Irene Blackberry Research Fellow
            Dr Ayan Dasvarma Academic Centre Manager (from May 2013)
            Prof Jon Emery Herman Chair in Primary Care Cancer Research (from January 2013)
            Dr Simon French Research Fellow (until mid 2012)
            Dr John Furler Senior Research Fellow
            A/Prof Kelsey Hegarty Director of Postgraduate Nursing Programs
            Dr Phyllis Lau Research Fellow
                                                                                                       Report 2012 – 2013   3
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
Governance and Management | Research and Research Training Committee (cont.)

                        Dr Jo-Anne Manski-Nankervis PhD Student (from September 2012)
                        A/Prof Ruth McNair Director of General Practice and Primary Health Care Academic Centre Node,
                        North-West Academic Centre
                        Dr Helen McPartlan Academic Centre Manager (until April 2013)
                        Ms Aves Middleton Research Assistant
                        Dr Victoria Palmer Research Fellow
                        A/Prof Marie Pirotta Chair of Victorian Primary Care Practice-Based Research Network (VicReN)
                        Ms Maria Potiriadis Research Assistant
                        A/Prof Lena Sanci Deputy Head of Department and Director of Teaching and Learning
                        A/Prof Meredith Temple-Smith Director of Research Training
                        Ms Cathy Watson PhD Student (until September 2012)
                        Prof Doris Young Chair of General Practice
                        Secretariat
                        Dr Lorna O’Doherty Research Fellow

                        HUMAN ETHICS ADVISORY GROUP (HEAG)
                        Chair
                        Dr Simon French Research Fellow (Chair until mid 2012)
                        A/Prof Ruth McNair Director, General Practice and Primary Health Care Academic Centre Node,
                        North-West Academic Centre (Chair after mid 2012)

                        Members
                        Dr John Furler Senior Research Fellow
                        A/Prof Marie Pirotta Chair, Victorian Primary Care Practice-Based Research Network (VicReN)
                        Research Higher Degree student (on rotational basis)
                        Secretariat
                        Ms Virginia Neal Administrative Officer

                        OCCUPATIONAL HEALTH, SAFETY & ENVIRONMENT COMMITTEE
                        Chair
                        Dr Ayan Dasvarma Academic Centre Manager (from May 2013)
                        Dr Helen McPartlan Academic Centre Manager (until April 2013)
                        Members
                        Ms Asmaa Al-khatib PhD Student (August 2012 to May 2013)
                        Ms Bernie Cooper Administrative Officer
                        Ms Konstancja Densley Research Assistant
                        Dr Penny Gaskell Lecturer
                        Ms Val Mirabito Administrative Officer
                        Mr Tshepo Rasekaba PhD Student (from June 2013)
                        Mr Hagen Tuschke PhD Student (until August 2012)
                        Secretariat
                        Ms Vanessa Ho IT and Infrastructure Manager

                        VICTORIAN PRIMARY CARE PRACTICE-BASED RESEARCH NETWORK
                        Chair
                        A/Prof Marie Pirotta Associate Professor
                        Members
                        Dr Ralph Audehm GP and GP Clinical Director at Dianella Community Health Centre, Broadmeadows
                        Dr Malcolm Clark GP and Practice Principal at Power Medical, Hawthorn
                        Dr Jane Crowe GP and Practice Principal at Deepdene Surgery, Deepdene
                        Dr Jenny Downes-Brydon GP and Practice Principal at Peninsula Family General Practice, Frankston
                        Ms Judy Evans E-Health Project Manager at RACGP
                        Prof Jane Gunn Chair of Academic Centre and Director of Primary Care Research Unit
                        Clinical A/Prof Chris Hogan GP at Family Medical Centre, Sunbury
                        Dr Cathy Hutton GP at Eastbrooke Family Clinic Essendon, Essendon North
                        Dr Christopher Johnson GP at Gardens Medical Group, Wodonga
4   General Practice and Primary Health Care Academic Centre
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
Governance and Management | Victorian Primary Care Practice-Based Research Network (cont.)

Dr Phyllis Lau Research Fellow in Chronic Disease and Indigenous Health, Academic Centre
Dr Magdalena Simonis GP at 100 Collins Street Medical Centre, Melbourne
A/Prof Meredith Temple-Smith Director of Research Training
Dr Hubert van Doorn GP at East Brunswick Medical Centre, Brunswick East
Ms Lynne Walker Principal Network Adviser at Nursing in General Practice and Australian General
Practice Network, Forrest, ACT
Dr Debra Wilson GP at Grantham Street General Practice, Brunswick West
Dr Sam Zagarella GP and Practice Principal at Niddrie Medical Centre, Niddrie
Secretariat
Ms Natalie Appleby VicReN Coordinator

STAFF
Chair of Academic Centre, Head of Department of General Practice
Professor and Chair of Primary Care Research
Director of Research
Prof Jane Gunn MB BS PhD DRANZCOG FRACGP

Deputy Head of Department
Director of Teaching and Learning
A/Prof Lena Sanci MB BS PhD DRANZCOG FRACGP

Professor and Chair of General Practice
Prof Doris Young MB BS MD FRACGP

Professor and Herman Chair in Primary Care Cancer Research
Prof Jon Emery MB BCh MA CertEvidMed DPhil DRCOG (until January 2013)
Academic Centre Manager
Dr Helen McPartlan BSc DipBus SpecCertCR PhD (until April 2013)
Dr Ayan Dasvarma BBiotech SpecCertCR PhD (from May 2013)

Chair of Department Human Ethics Advisory Group
Dr Simon French BAppSc MPubHlth PhD (until mid 2012)
A/Prof Ruth McNair MB BS PhD DA DRANZCOG FRACGP (from mid 2012)

Director of Postgraduate Nursing Programs
Equity and Staff Development Coordinator (until January 2013)
A/Prof Kelsey Hegarty MB BS PhD DRACOG FRACGP

Director of General Practice and Primary Health Care Academic Centre Node,
North West Academic Centre
A/Prof Ruth McNair MB BS PhD DA DRANZCOG FRACGP

Chair of Victorian Primary Care Practice-Based Research Network (VicReN)
A/Prof Marie Pirotta MB BS GDipEpid&Biostat MMed PhD DRANZCOG FRACGP

Director of Research Training
Equity and Staff Development Coordinator (from January 2013)
A/Prof Meredith Temple-Smith BSc DipAppChildPsych DipMov&Dance MPH DHSc

Senior Lecturers in Rural General Practice
Dr Gary Bourke MB BS DRANZCOG FACRRM
Dr Rimas Liubinas MB BS DRACOG FRACGP
Rev Dr Helen Malcolm MB BS MGPPsych DTM&H DTheol DA DCH DRANZCOG FRACGP
Dr Iain Nicolson MB BS
Dr Rod Taylor MB BS MFamMed DRACOG (until June 2012)

Lecturers
Dr Penny Gaskell MB BS DRANZCOG FRACGP
Dr Caroline Johnson MB BS FRACGP

Academic Registrars
Dr Seong-Jin Ang BMedSc MB BS FRACGP (until February, 2013)
Dr Henry Guo BM MMed PhD (until May 2012)
                                                                  Report 2012 – 2013              5
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
2013 EXECUTIVE COMMITTEE
                           Prof Jane Gunn, A/Prof Lena Sanci and
    FRONT ROW (LEFT TO RIGHT)
    A/Prof Marie Pirotta.
    BACK ROW A/Prof Kelsey Hegarty, Prof Jon Emery, A/Prof Ruth
    McNair, A/Prof Meredith Temple-Smith and Dr Ayan Dasvarma.
6                                           PHOTO: PETER CASAMENTO ©
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
Governance and Management | Staff (cont.)

Dr Deepthi Iyer MB ChB
Dr Sarah Latreille MB BS MPH
Dr Jo-Anne Manski-Nankervis MB BS BSc (until August 2013)
Dr Andrew Pennington BSc BMed (until February 2013)
Dr Melissa Tan MB BS MPH
Dr Edward Vergara MB BS BMedSc BSc (until February 2012)

Senior Research Fellow
Dr John Furler MB BS GDipPubHlth PhD DipObs MRCGP FRACGP

Research Fellows
Dr Lauren Ban BA GDipPsych PGDipPsych MClinPsyc PhD (until November 2013)
Dr Irene Blackberry BMed PhD
Dr Peggy Chiang BN MIPH PhD
Dr Patty Chondros BSc GDipEpid&Biostat MSc PhD
Dr Sandra Davidson BA GDipBehStud MPsychCounsel PhD
Dr Sylvia Kauer BSc PhD
Dr Phyllis Lau BPharm GDipDrugEval SpecCertCR PhD
Dr Sharon Licqurish BN GDipMidwifery PhD
Dr Lorna O’Doherty BA MBS MBPsS PhD (until March 2013)
Dr Victoria Palmer BA PhD
Dr Ian Relf BMedSci MB BS MSc DRACOG FAMAC FRACGP
Dr Jennifer Walker BAppSc MPH PhD

Research Assistants
Ms Jennifer Anderson BA PhD (until May 2012)
Ms Alison Brookes BA CertHPE BLitt PhD (until February 2013)
Ms Melanie Charity BSc MSc (until March 2013)
Ms Clare Chiminello BA GDipLib
Ms Tania Cukalac BSc GDipCom PhD (until May 2013)
Ms Konstancja Densley PgDipPhil&EthStud PgDipRelStud MaSocSci MaSci
Dr Ann-Maree Duncan BSc PhD
Ms Kirsty Forsdike BA PgDipLaw PgDipLegalPractice
Ms Louise Ginnivan RN RM CDE
Ms Caroline Hart BSc (until June 2012)
Ms Mary Kyriakides BAppSc CertPubRel
Mr Stephen Lambert BEd MPH DipTeach
Ms Monika Loskot BN MPH (from September 2013)
Ms Aves Middleton BHlthSc (until June 2013)
Ms Kitty Novy RN
Ms Aideen O’Shea BA MSc PhD (until June 2012)
Ms Maria Potiriadis BAppSc GDipClinEpi MPHC
Ms Jodie Valpied BA/BTeach GDipPsych PgDipPsych COGE GCCRS MEd(Special Needs) AMAPS
Ms Fan Yang BSc GDipStat (until June 2012)

Innovative Clinical Teaching and Training Grants Manager and Teaching and Learning
Manager
Ms Lindsay Guy BA (Maternity leave from July 2012 to February 2013)
Ms Cecilia Mitchell BA BMus (Acting manager from July 2012 to February 2013)

IT and Infrastructure Manager
Ms Vanessa Ho BSc GDipCompSc GDipAppSc CNE MCP

Project Officer
Mr David Ormiston-Smith BSc

Administrative Staff
Ms Natalie Appleby BSocSc GDEval
Ms Narelle Collier BA PGDipHlthProm MAppSc (until June 2012)
Ms Bernie Cooper
Ms Val Mirabito
Ms Virginia Neal
Ms Trang Nguyen BA BMgt
Ms Weilun Nien BSc MSc
                                                               Report 2012 – 2013     7
REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
Governance and Management

                        HONORARY APPOINTMENTS
                        We acknowledge the enormous support that we receive from our honorary staff. They
                        contribute in so many ways: teaching students, collaborating with research, supervising
                        our research higher degree students and sharing ideas. We value their contribution and
                        list them here.

                        Professorial Fellows
                        Professor Stephen Campbell BA MA PhD
                        Professor Christopher Dowrick BA MSc MD CQSW FRCGP FFPHM
                        Professor Tonda Hughes BN PhD MSN FAAN
                        Professor Siaw-Teng Liaw BMedSc MB BS GDipPHC PhD DipObs FRACGP
                        Professor Carl May BScEcon PhD AcSS
                        Professor John Murtagh AM BSc BEd MB BS MD DRANZCOG FRACGP

                        Principal Fellows
                        Associate Professor Stephanie Brown BA PhD
                        Associate Professor Robert Davis MB BS GDipEpid&Biostat PhD DRACOG FRACGP
                        Professor Gene Feder BSc MB BS MD FRCGP
                        Professor Brian McAvoy BSc MB ChB MD CertFamPln FRCP FRCGP FRNZCGP FRACGP
                        Professor Elizabeth Murray BA MSc MB BS DRCOG MRCGP PhD FRCGP FHEA
                        Associate Professor Neil Spike MB BS FRACGP

                        Senior Fellows
                        Dr Mary Burbidge MB BS (until June 2012)
                        Dr Simon French BAppSc(Chiro) MPH PhD (from July 2012)
                        Dr Gail Gilchrist BA PhD
                        Associate Professor Frances Griffiths BA MedSciSoc&PolSoc MB BS PhD MRCGP
                        Dr Renata Kokanovic BA PhD
                        Dr Christine Longman MB BS MMed DRACOG GDipAlcohol&DrugStudies FRACGP
                        Dr Raymond Martyres AM MB BS MMed FACPsychMed FRACGP
                        Associate Professor Rhian Parker BSc MSc PhD
                        Dr Christopher Pearce MB BS MFamMed MAICD FACRRM FRACGP
                        Dr Catherine Pope BA PhD
                        Dr Nanette Presswell MB BS FRACGP
                        Dr Kathryn Robertson MB BS MEd FRACGP
                        Dr Leanne Rowe MB BS DRACOG FRACGP (until June 2012)
                        Dr Jane Sims BSc MSc PhD
                        Associate Professor Nabil Sulaiman MBCHB DipEpi&Biostat DipChdHlth FFPHM MPubHlth PhD
                        Associate Professor Angela Taft BA DipEd DipFilm&TV MPubHlth PhD
                        Dr Jane Tracy MB BS DRACOG

                        Fellows
                        Dr Gilles Ambresin MD MIntStudEcon
                        Dr Seong-Jin Ang BMedSc MB BS FRACGP
                        Dr Ralph Audehm MB BS DRACOG
                        Dr Chad Bousman BSc MPH PhD
                        Dr Peter Bratuskins MB BS FRACGP (until June 2012)
                        Dr Simon Brice BAppSc BChiroSc (until June 2012)
                        Ms Alison Brown BSc BAppSc MPubHlth
                        Dr Bella Brushin MD GDipWHlth GDipHlthProm MMedAnthrop
                        Ms Jacqui Cameron BA BSW MPhil
                        Dr Margaret Carter BA PhD
                        Dr Elizabeth Deveny BT&D MEd PhD
                        Dr Jonathan Epstein MB BS BA DRACOG
                        Dr Dagmar Haller-Hester MD DipAdolHlth SFDM FMH
                        Dr Belinda Hosking MB BS FRACGP
                        Dr Nancy Huang MB BS MPubHlth DipObs&Gyn
                        Dr Cathy Hutton MB BS DRCOG FRCGP
                        Ms Rebecca Jessup BPodiatry MPubHlth
                        Ms Lenora Lippman BA BSW MUrbanPlanning
                        Dr Hung Nguyen MB BS GCHPE DRANZCOG FRACGP

8   General Practice and Primary Health Care Academic Centre
Governance and Management | Honorary Appointments (cont.)

                                                                  Dr Susan Nicholson BSc MB BS
                                                                  Dr Lorna O’Doherty BA MBS MBPsS PhD
                                                                  Dr Christos Papachristos BA MB BS GCHPE FRACGP (until June 2012)
                                                                  Dr Andrew Pennington BSc BMed
“Thank you to all our honorary staff                              Dr Lauralie Richard RN BSc PhD

                                for your generous contribution.   Dr Elisha Riggs BAppSc PhD
                                                                  Dr Mark Rowe BEd GDipEdAdm MEd DEd
                                                                  Dr Anne Stephenson MB BS MPubHlth DRACOG FRACGP (until June 2012)
                                                                  Ms Jennifer Terpstra BA MPH PhD
                                                                  Dr Kate Walker BMedSc MB BS DRANZCOG FRACGP
                                                                  Dr Bambi Ward MB BS FRACGP (until June 2012)
                                                                  Dr Stephen Wilkinson MB BS GCHPE FRACGP (until June 2012)
                                                                  Dr Jane Yelland RN BAppSc PhD
                                                                  Dr George Zaharias MB BS MFamMed FRACGP (until June 2012)

                                                                  Clinical Associate Professor
                                                                  Associate Professor Christopher Hogan MB BS DRCOG DRACOG FRACGP
                                                                  Associate Professor Fiona Walter BA MB BChir MA DCH DRCOG FRCGP MSc MD

                                                                  Clinical Senior Fellows
                                                                  Dr John Beaumont MB BS FACRRM FRACGP
                                                                  Dr Nicholas Carr BA MB BChir MA DCH MRCP MRCGP FRACGP
                                                                  Dr Malcolm Clark MB BCh BAO LRCP SI DipAMAC FRACGP
                                                                  Dr Michael Connellan MB BS MMed DRACOG FACRRM (until June 2012)
                                                                  Dr Nestor Fuertes BSMT MD DRANZCOG FRACGP
                                                                  Dr Hadia Haikal-Mukhtar BSc MB BS LLB (until June 2012)
                                                                  Dr David Iser MB BS GDipHmnNut DRANZCOG FRACGP (until June 2012)
                                                                  Dr William Leadston BEd MC BS DCH
                                                                  Dr James Lynch MB BS DipObsRCOG FRACGP
                                                                  Dr Timothy Owen BSc MB BS DipEd MSc
                                                                  Dr Anthony Palmer MB BS DRACOG FACRRM
                                                                  Dr Chitrangani Perera MB BS GDipFamMed MMed RANZCOG FACRRM FRACGP
                                                                  Dr Rajgowri Ratnavelar MB BS DRANZCOG FRACGP (until June, 2012)
                                                                  Dr Graham Slaney MB BS MPH DipAnaest DRCOG FACRRM
                                                                  Dr Hubert van Doorn MB BS FRACGP
                                                                  Dr Adam Zagorski MB BS DRCOG DRACOG FRANZCOG FACRRM FRACGP

                                                                  Clinical Fellows
                                                                  Dr John Addis BMedSc MB BS FRACGP
                                                                  Dr Anthony Bongiorno MB BS RACOG DRACOG
                                                                  Dr Brendan de Morton MB BS FRACGP MSpMed FASMF
                                                                  Dr Paul Grinzi BMedSc MB BS
                                                                  Dr Monirul Haque MB BS MFamMed FACRRM FRACGP
                                                                  Dr David Isaac MB BS
                                                                  Dr Constantine Kyriacou MB BS LMCC DRCOG DRACOG FRACGP
                                                                  Dr Stephen Larkins MB BS
                                                                  Dr Bharathi Menon MB BS MFamMed
                                                                  Dr Idmon Ng MB BS MBA
                                                                  Dr Natasha Pavlin MB BS FRACGP
                                                                  Dr Carolyn Royse MB BS FRACGP
                                                                  Dr Kodikkakathu Saratchandran MB BS
                                                                  Dr Sharon Schwartz MB ChB FCP
                                                                  Dr Aubrey Seknow BSc MB BS DCH FRACGP
                                                                  Dr Elias Sleaby MD FRACGP
                                                                  Dr Andrew Soloczynskyj MB BS DRANZCOG FRACGP

                                                                  Clinical Tutors
                                                                  Dr Paul Duff MB ChB MRCGP
                                                                  Dr Marlene Tham MB BS FRACGP (until June 2012)

                                                                                                                              Report 2012 – 2013   9
ACADEMIC VISITORS
           Prof Bruce Arroll                A/Prof Nancy Glass             A/Prof Anita Kothari
           Professor, General Practice      Associate Director, Johns      Associate Professor, School
           and Primary Healthcare,          Hopkins Center for Global      of Health Studies, University
           School of Population Health,     Health, School of Nursing,     of Western Ontario, London,
           University of Auckland, NZ       Johns Hopkins University,      Ontario, Cananda
                                            USA                            Hosted by A/Prof Kelsey
           Hosted by Prof Jane Gunn
                                            Hosted by A/Prof Kelsey        Hegarty
                                            Hegarty

           Dr Molly Byrne                   Prof Frances Griffiths         Prof Jean-Frédéric Levesque
           Lecturer and Director of         Professor of Medicine in       Clinical Associate Professor,
           MSc in Health Psychology,        Society, Head of Social        Department of Family Medicine,
           School of Psychology,            Science and Systems in         Université de Montréal and
           National University of           Health Research Unit,          Scientific Director, Health Care
           Ireland, Galway, Ireland         Warwick Medical School,        System Analysis and Evaluation
           Hosted by Prof Jane Gunn         UK                             Unit, Institut national de santé
                                            Hosted by Prof Jane Gunn       publique du Québec, Canada
                                                                           Hosted by Prof Jane Gunn

           Dr Stephen Campbell              Prof Bruce Guthrie             Dr Sylvie Lo Fo Wong
           Reader in Primary Care,          Professor of Primary Care      Academic GP, Rotterdam,
           Health Sciences Research         Medicine, University of        The Netherlands
           Group - Primary Care,            Dundee Medical School,         Hosted by A/Prof Kelsey
           University of Manchester,        Scotland, UK                   Hegarty
           UK
                                            Hosted by Prof Jane Gunn
           Hosted by Prof Jane Gunn

           Prof Geert Jan Dinant            Dr Hans Harmsen                Prof Carl May
           Professor of General             Academic GP, Rotterdam,        Professor of Healthcare
           Practice, Department of          The Netherlands                Innovation and Associate
           General Practice, School for     Hosted by A/Prof Kelsey        Dean, Research
           Public Health and Primary                                       Faculty of Health Sciences,
                                            Hegarty
           Care, Maastricht University,                                    University of Southampton,
           The Netherlands                                                 UK
           Hosted by Prof Jane Gunn                                        Hosted by Prof Jane Gunn
           and Prof Doris Young

           Prof Chris Dowrick               Prof Tonda Hughes              Prof Elizabeth Murray
           Professor of Primary             Adjunct Professor, School of   Director of e-Health Unit,
           Medical Care, University of      Public Health and Director     University College London,
           Liverpool, UK                    of Research, UIC National      UK
           Hosted by Prof Jane Gunn         Center of Excellence in
                                                                           Hosted by Prof Jane Gunn
                                            Women’s Health, University
                                            of Illinois at Chicago, USA
                                            Hosted by A/Prof Ruth
                                            McNair

           Prof David Fitzmaurice           Prof Ngaire Kerse              Dr John O’Dowd
           Professor of Primary Care,       Head of School of Population   Consultant in Public Health
           Primary Care Clinical            Health, University of          Medicine, Greater Glasgow
           Sciences, University of          Auckland, NZ                   and Clyde National Health
           Birmingham, UK                   Hosted by Prof Jane Gunn       Service Board, UK
           Hosted by Prof Jane Gunn                                        Hosted by Prof Jane Gunn

           Dr Gail Gilchrist                Ms Elham Khoori                Dr Carolina Overlien
           Principal Research Fellow,       PhD Student, Iran              Norwegian Centre for
           Centre for Applied Social        Hosted by A/Prof Lena Sanci    Violence and Traumatic
           Research, School of Health       and Youth Mental Health        Stress Studies, Oslo,
           and Social Care, University      Team                           Norway
           of Greenwich, London, UK                                        Hosted by A/Prof Kelsey
           Hosted by Prof Jane Gunn                                        Hegarty and Ms Anita
                                                                           Morris
10   General Practice and Primary Health Care Academic Centre
ACADEMIC VISITORS
Ms Winifred Paulis                    Dr Joanne Reeve               Dr Deb Warr
Junior Researcher,                    GP & NIHR Clinician           VicHealth Research Fellow,
Department of General                 Scientist in Primary Care,    McCaughey Centre in the
Practice, Erasmus                     University of Liverpool, UK   School of Population Health,
MC, Rotterdam, The                    Hosted by Prof Jane Gunn      University of Melbourne
Netherlands
                                      and Mental Health Team        Hosted by Dr John Furler
Hosted by A/Prof Lena
Sanci

Prof David Pilgrim                    Prof Anne Rogers              Prof Chris van Weel
Professor of Health and               Research Director             Immediate Past President
Social Policy, University of          CLAHRC (Collaboration         of Wonca, Department of
Liverpool, UK                         and Leadership for Applied    Primary and Community
                                      Health Research and Care),    Care, Radboud University
Hosted by Prof Jane Gunn
                                      Professor of Health Systems   Nijmegen Medical Centre,
                                      Implementation, Health        The Netherlands
                                      Sciences, University of       Hosted by Prof Jane Gunn
                                      Southampton, UK
                                      Hosted by Prof Jane Gunn

A/Prof John Rasa                      A/Prof John Tobin
Chief Executive Officer,              Associate Professor,
Networking Health Victoria            Melbourne Law School,
Hosted by A/Prof Meredith             University of Melbourne
Temple-Smith                          Hosted by A/Prof Ruth
                                      McNair

                               “   We acknowledge all
                                   our academic visitors
                                   during 2012 - 2013 with                     “
                                   great appreciation.

                                                                                               11
TEACHING AND LEARNING T&L

         THE MD MEDICAL COURSE
         2012 saw the first cohort of the new MD course enter their second year during which
         students undertake eight-week rotations in each of: Medicine, Surgery, and Ambulatory
         Care (AC).
         The aim of the AC term is to provide students with an understanding of non-ward
         based health care. Students are placed into a general practice for four days in addition
         to rostered shifts in an emergency department, a rehabilitation facility and hospital
         outpatient clinics. Each year over 200 students undertake a four day placement in
         general practice where they are introduced to the role of the general practitioner and
         gain an understanding of the diversity of health care provision within general practice.
         This placement is rated highly by students in their end of year evaluations.
         The Primary Care Community Base program also commenced in 2012 with 56 general
         practices becoming community bases for second year MD students from the Northern
         and Western Clinical Schools. The practices taking part in this program continued to
         take the students into 2013 whilst they rotated through the specialty terms of Women’s
         Health, Child and Adolescent Health, Aged Care, and Mental Health during their third
         year. In addition a new group of practices took a cohort of second year students into
         the program in 2013.
         During this period 182 medical students attended a practice for one day per week
         across the academic year; enabling them to:
            >> focus on the community context of health care; gain experience in the continuity
               and breadth of primary care;
            >> learn about the management and prevention of chronic long term health issues
               in the community context;
            >> have the opportunity to follow and understand the patient’s journey through the
               health care system; and
            >> gain some experience of inter-professional practice.
         In 2012 the Teaching and Learning team developed an online training resource for GP
         teachers in the mini-Clinical Evaluation Exercise, an assessment tool for the medical
         course. This training module has now been incorporated into a suite of training modules
         offered to all clinical teachers of health professional students under the Excellence in
         Clinical Teaching program.
         We faced an exceptional circumstance in 2012 preparing for the double teaching year
         in 2013. In 2013 both MBBS and MD (third year) students required a 5 week GP block
         placement during the same period, effectively doubling our placement needs. This
         meant we needed to recruit practices new to teaching in addition to asking current
         teaching practices to double their commitment for one year. The recruitment team
         worked tirelessly to contact over 1000 general practices in Victoria in order to meet this
         extraordinary requirement.
         The double teach year of 2013 was a great success and with the combined efforts of
         the teaching and learning team and the dedication of over 380 teaching practices, we

12
TEACHING AND LEARNING TEAM
                                     FRONT ROW (LEFT TO RIGHT) Ms Lindsay Guy, Ms Weilun Nien,
                                     Ms Trang Nguyen and Ms Bernadette Cooper.
                                     BACK ROW A/Prof Ruth McNair, Dr Penny Gaskell, Mr David
                                     Ormiston-Smith and A/Prof Lena Sanci.
                                                                          PHOTO: PETER CASAMENTO ©

managed to place a grand total of 1,264 medical students into both short and block
placements. This is a remarkable achievement and equals 19,869 placement days
during the year. We would like to sincerely thank all our teaching practices who continue
to provide such a high quality learning experience for our students.

  Melbourne Medical School Academy of Clinical Teachers 2013
  Fellow of the Melbourne Medical School Academy of Clinical Teachers awarded to
  Dr Rees McCarthy
  Member of the Melbourne Medical School Academy of Clinical Teachers awarded to
  Dr Andrew Cheasley and Dr Malcolm Clark

  The Annual Vice-Chancellor’s Awards for Outstanding Contribution
  by Professional Staff Members 2013
  Vice-Chancellor’s Award for Process Improvement and Innovation (Team Award) 2013
  awarded to the Teaching and Learning Team from the General Practice and Primary
  Health Care Academic Centre

                                                                                                     13
INNOVATIVE CLINICAL TEACHING AND TRAINING GRANT ICTTG
     In 2010 the General Practice and Primary Health Care Academic Centre received
     funding from the Australian Government Department of Health through its Innovative
     Clinical Teaching and Training (ICTTG) program to address the major issues preventing
     or limiting participation in clinical training: space and infrastructure.
     This project provided funding to develop 20 practices in the north-west outer-
     metropolitan region of Melbourne as new or expanded teaching sites to support a more
     community orientated curriculum and provide a student dedicated consulting room at
     each practice. The developments ranged from construction of new spaces or major
     renovations, through to more modest remodelling of existing spaces and included new
     clinical and IT equipment that will greatly enhance the learning experience of students
     whilst they are on placement. A unique feature of this project is the collaboration
     between the General Practice and Primary Health Care Academic centre and the
     hospital based clinical schools to implement longitudinal placements.

     The project culminated in an event held on 2 December 2013 where Professor Stephen
     Smith, Dean, Faculty of Medicine, Dentistry and Health Sciences officially launched
     our community based teaching facilities at Niddrie Medical. This launch celebrated
     the completion of the development of the 20 practices across North-West Melbourne
     to enable them to support the community orientated curriculum of the Primary Care
     Community Base (PCCB) as well as provide better facilities for student training.

14
CULTURAL RESPECT ENCOMPASSING SIMULATION TRAINING CREST
Cultural Respect Encompassing Simulation Training (CREST) is a collaborative project
between the University of Melbourne and Victoria University. The CREST team has
developed four cultural sensitivity training modules with a rigorous cultural competency
evaluation framework for, but not limited to, the medical, nursing, physiotherapy, social
work and paramedic disciplines. CALD simulated patients have been trained to portray
patients in immersive simulation scenarios based on the simulated patients’ real
stories and lived experiences, and to interact with and provide feedback to health care
practitioners, tutors, supervisors and students. The training modules may be delivered
face-to-face, on-line or via video link-up.

 “      Even if I try to act, it’s a real experience. I became drawn into
       the emotion. Although I was acting, it’s a lived experience and
                             was about sharing that lived experience. ”
                                                                        SIMULATED PATIENT

Highlights of 2012 - 2013
   >> Presented at 7 conferences (7 oral papers and 2 posters) and 3 seminars

   >> Secured funding from Health Workforce Australia (HWA) and Institute for a
      Broadband-Enabled Society (IBES).

Current Projects
Achieving the Best for the West: Expanding Interprofessional Simulation Learning
through Optimizing Patient Safety and Embedding Cultural Sensitivity Programs.
McNair R, Lau P, Chiminello C, Livesay K.
Awarded by Health Workforce Australia | Funding: $395,850 | Duration: 2013 - 2014

Cultural Respect Encompassing Simulation Training (CREST) - Being heard about
Health through Broadband. Lau P, Woodward-Kron R, Nicholson P, Elliott K, Livesay
K.
Awarded by Institute for a Broadband-Enabled Society | Funding: $29,958 | Duration:
2013 - 2014

Past Project
Achieving the Best for the West: Developing Cultural Sensitivity Training through
Simulation. Livesay K, McNair R, Lau P, Chiminello C.
Awarded by Health Workforce Australia | Funding: $347,351 | Duration: 2012 - 2013

                                                                                       15
POSTGRADUATE PRIMARY CARE NURSING
     The Academic Centre in collaboration with the Department of Nursing offers the
     Postgraduate Certificate/Diploma of Primary Care Nursing delivered by distance
     education. It has been developed by experienced practice nurses and general
     practitioners to suit the needs of busy nurses in areas that will complement their
     previous experience, such as chronic disease management, quality systems and risk
     management, health promotion, women’s health, mental health and youth health.
     These courses enable nurses to study in areas related to their clinical practice with a
     focus on the provision of high quality and evidence-based care.

     We are pleased to be able to support primary care nursing as a distinct discipline, with
     increasing numbers of nurses working to expand their scope of practice, with support
     from the Commonwealth Government.

     Students undertake two core subjects (Chronic Disease Management, Preventive
     Health Care) and one elective subject to obtain the Postgraduate Certificate; or three
     core subjects (Chronic Disease Management, Preventive Health Care, Quality Systems
     and Safety) and three elective subjects to obtain the Postgraduate Diploma. Elective
     subjects include:
                                                    >> Women’s Health Screening
        >> Mental Health in Primary Care
                                                    >> Significant Issues in Women’s Health
        >> Youth Health in Primary Care
                                                    >> Pregnancy Care in General Practice
        >> Immunisation and Travel Health
                                                    >> Sexual and Reproductive Health
        >> Applications of Clinical Pharmacology
                                                    >> Sexually Transmissible Infections
        >> Evidence for Practice

     “    I have patients particularly booked for me.
     Before I would just assist doctors and follow
     their orders. Now I am able to consult patients
     alone and only consult doctors if I think the case
     needs an opinion. It is a very satisfying role and
     it also encourages me to continue doing more
     research.”
                                                                    GRADUATE OF THE COURSE

16
OUTSTANDING ACHIEVEMENTS FROM
                                                                     PAST STUDENTS

                                                           Ms Jane Rinaldi
                                                           Jane was awarded the 2013 Service Improvement
                                                           and Innovation in Cervical Screening Award from
                                                           PapScreen Victoria.

                                                           Ms Tracy Murphy
                                                           (Women’s Health Screening subject coordinator)
                                                           Tracy received an award from PapScreen Victoria for
                                                           performing the most Pap tests in 2012. During 2012
                                                           Tracy performed over 700 Pap tests throughout rural
                                                           Victoria.
PHOTO: PETER CASAMENTO ©

                           All of the subjects can also be taken as single subjects through the Community Access
                           Program to suit an individual nurse’s needs. A recent survey of 100 nurses who have
                           completed at least one of our subjects highlights the following:
                              >> The vast majority of nurses reported an increased scope of practice
                                 after postgraduate training (98%) and 70% identified that their job
                                 satisfaction increased.

                                 “  I teach medical students pap testing, and chronic disease
                                 management. I have also conducted sessions away from home and
                                 presented papers at conferences.”
                                                                                                  GRADUATE OF THE COURSE

                              >> Around half (52%) of nurses reported a greater teaching role as an
                                 outcome, with around one third reporting increased respect from
                                 doctors (39%) or regard from peers (37%) or changes to career path
                                 (34%). The vast majority (98%) would recommend our course to
                                 colleagues.

                           Women’s Health Screening
                           This subject provides nurses with the theory and practise of sensitive Pap testing
                           and breast screening. The course is delivered using innovative teaching and learning
                           techniques. It is available by distance education with one face-to-face workshop and
                           support from clinical preceptors. This subject has been supported by PapScreen Victoria
                           and over 150 nurses have participated during the last decade. It is evaluated highly
                           by nurses and results in increasing the status and role of primary care nurses in the
                           community.

                                                                                                                           17
18
PRIMARY CARE RESEARCH UNIT PCRU

    The General Practice and Primary Health Care Academic Centre is home to the Primary
    Care Research Unit (PCRU). PCRU is recognised for rigorous research programs, strong
    collaborative research and a vibrant research higher degree training program. PCRU
    brings together researchers from a diverse range of academic backgrounds including
    medicine, social sciences, science, psychology, statistics, computing science, nursing
    and 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 primary care team are all embedded within our
    work.

    Our current research focuses on building and translating evidence into primary health
    care including practice and policy, quality and safety, models of care delivery and clinical
    research within primary care. Our five major research areas are: Abuse and Violence;
    Ageing, Chronic Disease and Equity; Cancer; Mental Health; and Young People’s
    Health.

    Our research income has consistently increased over the years with our 2012-2013
    research income reaching approximately $5.1 million. Our publication output averages
    around 39 Category 1 publications per year and in the past 5 years our staff have
    published 14 publications in the top 10 Thompson ISI general medical journals including
    JAMA, the Lancet and British Medical Journal and 24 publications in the top 10
    Thompson ISI primary health care journals including Annals of Family Medicine (the top
    ranked primary health care journal).

    We have launched a series of short courses for researchers in our areas of research
    strength, providing high-level and comprehensive instruction in research methodologies
    with practical, translational benefit. We are also involved in the development of the
    ‘virtual clinic’ and the use of new technologies in health care. In 2006 we established
    the Victorian practice-based Research Network (VicReN) with a current membership of
    165 which is a demonstration of our commitment to engaging the primary care sector
    at all stages of the research process.

    We have a highly successful Visiting Academics program and are visited by a wide
    range of primary care researchers. We thank these visitors for sharing their wisdom
    with us. Every Wednesday we gather for our Research Matters seminar program, so
    please contact us if you would like to be included in our mailing list.

                                                                                              19
ABUSE AND VIOLENCE

         Addressing abuse and violence through primary care improves the health and wellbeing
         of women, children, families and communities. Our research focuses on family violence,
         child abuse, unwanted sexual encounters, abuse and resilience, sexual harassment,
         abuse in same-sex relationships and workplace violence.

         Highlights of 2012 - 2013
         In 2012-2013 the Abuse and Violence team:
             >> published the weave project outcomes (for 6 and 12 months) in The Lancet;
             >> received three awards for presentation of the weave project outcomes:
                AAAPC Best Paper Award, Primary Health Care Research Conference (2012);
                Distinguished Paper Award, North American Primary Care Research Group
                (NAPCRG) Conference (2012); Best Research Presentation, Sexual Violence
                Research Initiative Conference (2013).
             >> expanded the research group to include external researchers and students, with
                regular group meetings and professional development activities held; and
             >> hosted visits from international collaborators including Professor Nancy Glass,
                renowned intimate partner violence researcher from Johns Hopkins University.

         Current projects
            Comprehensive Educational Package for improving the response of primary care to women
            and children experiencing domestic and family violence. Hegarty K, Hindmarsh E, Taft A,
            Cripps K.
            Awarded by Department of Social Services | Funding: $133,986 | Duration: 2013 - 2014
            Development and evaluation of a web-based decision and safety planning aid for women
            experiencing domestic violence (I-DECIDE). Hegarty K, Humphreys C, Murray E, Taft A, Glass
            N, Gold L.
            Awarded by Australian Research Council | Funding: $717,831 | Duration: 2013 - 2016
            Evaluation of Acting on Warning Signs, a new service established between the Royal
            Women’s Hospital and North Melbourne Legal Services which responds to violence against
            women by bringing together pathways to justice and health sector training. Hegarty K,
            Humphreys C, Ross S.
            Awarded by North Melbourne Legal Service | Funding: $38,380 | Duration: 2012 - 2014
            Exploring the relationships between harmful alcohol use, depression and anxiety amongst
            lesbian, bisexual and same-sex attracted women: culture, motivation and behaviour.
            McNair R, Lubman D, Hughes T, Hegarty K, William L, Brown R, Dennay A.
            Awarded by beyondblue | Funding: $151,439 | Duration: 2012 - 2014
            Primary Care Nurse Needs Identification Tool Development. Hegarty K.
            Awarded by Australian Medicare Local Alliance | Funding: $45,000 | Duration: 2013 - 2014

20
ABUSE AND VIOLENCE

Past project
   Focus groups with women and children, GPs and practice nurses about an appropriate
   primary care response to children who experience family violence - the SARAH project.
   Morris A, Hegarty K, Humphreys C.
   Awarded by Windermere Foundation | Funding: $7,685 | Duration: 2011 - 2012

Research areas
Our research areas include:
  >> Intimate partner violence
  >> Child abuse
  >> Unwanted sexual encounters
  >> Abuse and resilience
  >> Sexual harassment
  >> Dating violence
  >> Abuse in same-sex relationships
  >> Workplace violence

Abuse and Violence team
Program leader      A/Prof Kelsey Hegarty
Deputy program leader A/Prof Ruth McNair
Team members        Ms Kirsty Forsdike SENIOR RESEARCH ASSISTANT
                    Dr Lorna O’Doherty RESEARCH FELLOW (until March 2013)
                    Dr Laura Tarzia RESEARCH FELLOW
                    Ms Jodie Valpied PROGRAM COORDINATOR
Students            Ms Abigail Cini HONOURS (2013)
                    Dr Deepthi Iyer GP ACADEMIC REGISTRAR
                    Ms Traci Leung PhD
                    Ms Elizabeth McLindon PhD
                    Ms Anita Morris PhD
                    Ms Naomi Pfitzner PhD
                    Ms Rhian Roberts MPH (2013)
                    Dr Melissa Tan GP ACADEMIC REGISTRAR
                    Mr Hagen Tuschke PhD
                    Ms Trang Vo HONOURS (2013)

                                                                                           21
AGEING, CHRONIC DISEASE AND EQUITY ACE

         Our multi-disciplinary research team conducts rigorous multi-method primary health
         care research that improves health outcomes for people with chronic diseases, including
         those from Indigenous populations and from disadvantaged, culturally and linguistically
         diverse (CALD) backgrounds. We are investigating the roles of general practitioners,
         practice nurses, other primary health care providers and the health system in improving
         diabetes care and in reducing the risk of cardiovascular disease in the community.
         We are also investigating ways to encourage self-management of diabetes and other
         chronic diseases.
         Highlights of 2012 - 2013
         In 2012-2013 the Ageing, Chronic Disease and Equity team:
             >> published 15 publications, including those in the British Medical Journal (BMJ),
                and delivered 12 conference presentations;
             >> secured competitive funding from NHMRC, RACGP Research Foundation,
                Diabetes Alliance Group, beyondblue and industry sponsors;
             >> hosted an international Academic Satellite Symposium, as part of the International
                Diabetes Federation World Diabetes Congress, Melbourne 2013;
             >> convened a Practice Nurse workshop with UNSW and Wollongong University.

         Current projects
           A review of service delivery for Aboriginal and Torres Strait Islander Australians with
           entanglements with the justice system. Lau P, Furler J.
           Awarded by Royal Australian College of Practitioners | Funding: $4500 | Duration: 2013 - 2014
            INITIATION: A pilot study examining the efficacy of a support algorithm for commencing
            patients with type 2 diabetes on a basal/prandial insulin regimen in the primary care
            setting with professional continuous glucose monitoring as an adjunct. O’Neal D, Furler J,
            Blackberry I, Young D, Best J, Liew D, Jenkins A, Cohen N, Ward G.
            Awarded by Sanofi-Aventis, Medtronic, NHMRC CCRE Diabetes | Funding: $302,925 | Duration: 2011
            - 2014
            Stepping Up: A cluster randomised trial of team base transition to insulin in primary care for
            poorly controlled type 2 diabetes. Furler J, Young D, Best J, Patterson E, Blackberry I, O’Neal
            D.
            Awarded by NHMRC and Roche Diagnostics | Funding: $1,125,460 | Duration: 2012 - 2014
         Past projects
            Assessment of risk factors associated with avoidable hospital admissions of patients with
            type 2 diabetes mellitus: Patient experience and management in primary care. Manski-
            Nankervis J, Furler J, Audehm R, Nankervis A, Young D.
            Awarded by RACGP, Diabetes Alliance Group and Registrar Research Fund | Funding: $17,945 | Duration:
            2011 - 2013
            Bundap Marram Durn-Durn - Improving the wellbeing of Melbourne-based Aboriginal
            people with chronic disease and experiencing depression, anxiety or a related mental
            health disorder: A Wurundjeri community-driven initiative. Murphy B, Higgins R, Lau P, Kerr
            D, Worcester M.
            Awarded by beyondblue | Funding: $265,900 | Duration: 2011 - 2013
            Care and system experiences for patients with type 2 diabetes (CASE-D). Palmer V, Gunn

22
AGEING, CHRONIC DISEASE AND EQUITY ACE

   J, Furler J.
   Awarded by Victorian Department of Health, Health and Aged Care North and West Metropolitan Region
   | Funding: $140,000 | Duration: 2011 - 2012
   Implementation science in cluster randomised controlled trials of diabetes complex
   interventions. Blackberry I, Young D, Chondros P, Furler J, Liew D, Best J.
   Awarded by CCRE Diabetes | Funding: $28,500 | Duration: 2011 - 2012
   Models of care and relational coordination between health professionals involved in insulin
   initiation for people with type 2 diabetes: An exploratory survey. Manski-Nankervis J, Furler
   J, Blackberry I, Young D.
   Awarded by RACGP Research Foundation | Funding: $20,000 | Duration: 2012 - 2013
   Organisational and health professional factors impacting on insulin initiation: An exploratory
   qualitative study. Manski-Nankervis J, Furler J, Blackberry I, Young D.
   Awarded by RACGP Research Foundation | Funding: $19,988.70 | Duration: 2012 - 2013
   QUIT in general practice: A cluster randomised trial of enhanced in-practice support for
   smoking cessation. Zwar N, Richmond R, Halcomb L, Furler J, Smith J.
   Awarded by NHMRC | Funding: $1,692,904 | Duration: 2009 - 2012
Research areas
Our research areas include:
  >> Chronic conditions and multi-morbidity
  >> Randomised trials of complex interventions and innovative models of care
  >> Technologies of diabetes self-management and monitoring
  >> Chronic disease trajectories in the ageing population
  >> Health inequity including Aboriginal and Torres Strait Islanders populations
Ageing, Chronic Disease and Equity team
Program leader   Dr John Furler
Deputy program leader Dr Irene Blackberry
Team members         Prof Doris Young CHAIR OF GENERAL PRACTICE
                     Dr Phyllis Lau RESEARCH FELLOW
                     Ms Tania Cukalac RESEARCH ASSISTANT (August 2012 - July 2013)
                     Ms Monika Loskot RESEARCH ASSISTANT `(from September 2013)
                     Ms Louise Ginnivan
Students             Ms Alice Aitkenhead MPH (2013)
                     Ms Maya Bachman-Edgerton SCHOLARLY SELECTIVE (2013-2014)
                     Ms Sophie Brough HONOURS (2013)
                     Mr Fang Chen HONOURS (2012)
                     Mr Daniel D’Souza SCHOLARLY SELECTIVE (2013-2014)
                     Ms Yuan Gao SCHOLARLY SELECTIVE (2013-2014)
                     Mr Michael Lewis HONOURS (2013)
                     Dr Jo-Anne Manski-Nankervis PhD
                     Ms Jia Wen Ong SCHOLARLY SELECTIVE (2013-2014)
                     Dr Andre Priede MASTERS
                     Mr Tshepo Rasekaba PhD
                     Ms Kaleswari Somasundaram PhD

                                                                                                 23
CANCER

         Our research program focuses on the diagnosis, treatment and management of cancer
         in the primary care setting, including populations from culturally and linguistically
         diverse (CALD) backgrounds and across a range of cancer types. We are investigating
         the use of novel tools and technologies in cancer diagnosis and management in order
         to improve care for cancer patients.

         Highlights of 2012 - 2013
            >> The appointment of Professor Jon Emery as the first Herman Chair in Primary
               Care Cancer Research.
            >> The award of NHMRC Centre for Research Excellence (CRE) with Melbourne
               School of Population and Global Health on colorectal cancer screening.
            >> Associate Professor Marie Pirotta awarded an NHMRC Career Development
               Fellowship.
            >> Success in the NHMRC project grant round in 2013 including the CHEST-Australia
               trial led by Professor Jon Emery and on two further cancer prevention projects
               in collaboration with the University of Sydney and the Peter MacCallum Cancer
               Centre.
            >> Publication of a Sax Institute report on the role of primary care in cancer diagnosis
               and follow-up which was adapted and published in Nature Reviews Clinical
               Oncology.

         Current projects
            Centre of Research Excellence for Reducing the Burden of Colorectal Cancer by Optimising
            Screening: Evidence to Clinical Practice. Jenkins M, Pirotta M, Emery J, Winthrop I, Macrae F,
            Hopper J, Young J, Boussioutas A, Giles G, Bishop J.
            Awarded by NHMRC | Funding: $2,483,765 | Duration: 2012 - 2017
            Exploring patient and health system factors in timely diagnosis of cancer in CALD
            communities. Emery J.
            Awarded by Victorian Comprehensive Cancer Centre | Funding: $70,185 | Duration: 2013 - 2014
            Investigation of the translation of cancer diagnostic risk models in general practice. Emery
            J.
            Awarded by Victorian Comprehensive Cancer Centre | Funding: $70,185 | Duration: 2013 - 2014
            Primary Care Cooperative Cancer Clinical Trials Group (PC4TG). Emery J, Gunn J, Pirotta M,
            Trevena L, Barrat A, McCaffery K, Mitchell G, Kilbreath S, Monterosso L, Foreman L, Booth P, Weller
            D, Forster K, King M.
            Awarded by Cancer Australia | Funding: $1,379,786 | Duration: 2013 - 2016

24
CANCER

Past projects
   A feasibility study to examine the role of acupuncture to reduce symptoms of lymphoedema
   post-breast cancer treatment. Smith C, Pirotta M, Kilbreath S, de Souza P.
   Awarded by University of Western Sydney | Funding: $24,702 | Duration: 2012 - 2013
   Primary Care Cooperative Cancer Clinical Trials Group (PC4TG). Emery J, Gunn J, Pirotta M,
   Trevena L, Barrat A, McCaffery K, Mitchell G, Kilbreath S, Monterosso L, Foreman L, Booth P, Weller
   D, Forster K, King M.
   Awarded by Cancer Australia | Funding: $486,604 | Duration: 2010 - 2012
   The ProCare Trial. A phase II randomised controlled trial of 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.
   Awarded by NHMRC | Funding: $564,410 | Duration: 2011 - 2013

Research areas
Our research areas include:
  >> Implementation of risk assessment tools for prevention and early diagnosis of
      cancer
  >> Exploring diagnostic pathways in populations with poorer cancer outcomes
  >> Trials of new models of cancer follow-up in primary care

Cancer team
Program leader        Prof Jon Emery
Deputy program leader A/Prof Marie Pirotta
Team members          Dr Jennifer Walker RESEARCH FELLOW
                      Dr Peggy Chiang RESEARCH FELLOW
                      Dr Sharon Liqurish RESEARCH FELLOW
                      Dr Diana van Die RESEARCH FELLOW
                      Ms Mary Kyriakides RESEARCH ASSISTANT
                      Ms Kitty Novy RESEARCH ASSISTANT
Students              Ms Rebecca Bergin PhD
                      Dr Nicole Allard PhD

                                                                                                         25
MENTAL HEALTH

         Our research is aimed at informing the primary care response to the growing burden of
         mental illness in the Australian community. General Practice provides most of the health
         care for high prevalence conditions such as depression, anxiety and related disorders.
         Our research adopts a mixed-method participatory approach to investigate pathways
         to care, the interaction between physical and mental health, and system redesign to
         improve mental health services in primary care.
         Highlights of 2012 - 2013
         In 2012-2013 members of our team:
             >> published 13 peer-reviewed journal articles and delivered 14 presentations at
                both national and international conferences and forums;
             >> were successful in receiving almost $1 million from the National Health and
                Medical Research Council (NHMRC) in Project Grant funding to trial a clinical
                prediction tool in depression;
             >> were awarded over $1.5 million by the State Government Mental Illness Research
                Fund (MIRF) with additional funding from the Psychiatric Illness & Intellectual
                Disability Donations Trust Fund (PIIDDTF) to fund the research project ‘Getting
                to the CORE: testing a co-design technique to optimise psychosocial recovery
                outcomes for people affected by mental illness’;
             >> commenced a collaboration in a successful NHMRC Centre of Research
                Excellence (CRE) in Mental Health led by Prof Harvey Whiteford;
             >> supervised the completion of two PhD students and an honours student project;
             >> were awarded an Early Career Fellowship from the NHMRC; and
             >> were awarded a NHMRC Postgraduate Research Scholarship and an Ian Scott
                PhD top up Scholarship from Australian Rotary Health.
         Current projects
           The diamond cohort study - better management of those at risk of persistent and disabling
           depression. Gunn J, Herrman H, Chondros P, Hegarty K, Dowrick C, Palmer V, Kyrios M.
           Awarded by NHMRC | Funding: $1,478,404 | Duration: 2011 - 2015
            Centre of Research Excellence for Evidence-based Mental Health Service Planning:
            Translating Evidence into Policy and Services. Whiteford H, Degenhardt L, Prikis J, Vos E, Eager
            K, Mihalopoulos C, Andrews G, Head B, Gunn J, Hall W.
            Awarded by NHMRC | Funding: $2,500,000 | Duration: 2012 - 2017
            Frequent and Continuing Contacts to Lifeline Crisis Support Services. Pirkis J, Gunn J,
            Bassilios B, Middleton A.
            Awarded by Lifeline Foundation for Suicide Prevention Research | Funding: $189,174 | Duration: 2012
            - 2014
            Getting to the CORE: testing a co-design technique to optimise psychosocial recovery outcomes for
            people affected by mental illness. Palmer V, Herrman H, Callander R, Weavell W, Piper D, Iedema R,
            Pierce D, Furler J, Boston V, Morgain L, Healy C, Smith C, Krouskos D, Figdon N, Reeves R, Gunn J.
            Awarded by Victorian Department of Health | Funding: $1,777,332 | Duration: 2013 - 2016.
         Past projects
            Care and system experiences for patients with type 2 diabetes (CASE-D). Palmer V, Gunn
            J, Furler J.

26
MENTAL HEALTH

   Awarded by Victorian Department of Health, Health and Aged Care North and West Metropolitan
   Region | Funding: $140,000 | Duration: 2011 - 2012
   Developing a Scottish school of primary care national cohort study of people with multiple
   morbidity: the Scottish Multiple and Long Term Conditions (MALT) study. Mercer S, Gunn J,
   Wyke S.
   Awarded by Scottish School of Primary Care | Funding: £100,000 | Duration: 2010 - 2012
   Development of a prediction tool for persistent depression using genetic analysis. Bousman
   C, Gunn J, Everell I, Herrman H, Chana G, Chondros P.
   Awarded by L.E.W Carty Charitable Fund | Funding: $60,000 | Duration: 2011 - 2012
   The Regional Operating Model Evaluation (ROME) project. Levesque J-F, O’Dowd J, Austin S,
   Gunn J, Nolan T.
   Awarded by Victorian Department of Health, Health and Aged Care North and West Metropolitan
   Region | Funding: $250,000 | Duration: 2011 - 2012

Research areas
Our research areas include:
  >> Adult depression
  >> Identification and interventions for depression and related disorders
  >> Randomised trials of clinical tools and evidence-based treatments
  >> Understanding the consumer experience of care
  >> Depresssion course, risk factors, prognosis, and health service use
  >> Equity of mental health services
  >> Multi-morbidity where physical and mental health conditions co-occur

Mental Health team
Program leader   Prof Jane Gunn
Deputy program leader Dr Victoria Palmer
Team members        Dr Patty Chondros RESEARCH FELLOW
                    Dr Sandra Davidson RESEARCH FELLOW
                    Ms Konstancja Densley RESEARCH ASSISTANT
                    Ms Aves Middleton PROGRAM COORDINATOR (until June 2013)
                    Ms Maria Potiriadis PROGRAM COORDINATOR (from July 2013)
                    Ms Lauralie Richard POSTDOCTORAL RESEARCH FELLOW, CANADA
Academic visitor    Dr Gilles Ambresin UNIVERSITY OF LAUSANNE, SWITZERLAND (2012)
Students            Ms Patty Chondros PhD
                    Ms Sandra Davidson PhD
                    Ms Christine Hallinan PhD
                    Dr Caroline Johnson PhD
                    Ms Kylie McKenzie PhD
                    Ms Aves Middleton PhD (from July 2013)
                    Ms Alexandra Riddoch SCHOLARLY SELECTIVE (2013-2014)
                    Ms Tegan Usher HONOURS (2012) and MASTERS (2013)

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