REPORT 2012/2013 General Practice and Primary Health Care Academic Centre - Melbourne Medical School
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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
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
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
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
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
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 ©
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
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
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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) 27
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