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UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Wagga Dr Martin Rees Lecturer and ILP Co-ordinator, Rural Clinical School For advice on potential projects contact: A/Prof Craig McLachlan Director of Research, Rural Clinical School [email protected]

UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

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Page 1: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

UNSW Rural Clinical Schools2014 Independent Learning Projects

Sydney Albury /

WodongaCoffs Harbour

Port MacquarieWagga Wagga

Dr Martin Rees

Lecturer and ILP Co-ordinator, Rural Clinical SchoolFor advice on potential projects contact:

A/Prof Craig McLachlan Director of Research, Rural Clinical School

[email protected]

Page 2: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

The UNSW Rural Clinical School

• Rural Clinical School Sydney Samuels Building, Level 3 (Main Campus)

• Clinical Greater Murray Clinical School

Albury Wodonga (Campus) Wagga Wagga (Campus)

• Mid North Coast division Coffs Harbour (Campus) Port Macquarie (Campus) Mid North Coast Cancer Institute

Page 3: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Why RCS ILPs ?• As a RSC ILP student you could be:

– Interacting with clinical staff members and learning new clinical skills

– Being mentored in understanding a sub-specialist area of medicine or surgery

– Gain increased levels of clinical or translational research experience

– Supervised by RCS PhD scientists and rural clinicians– Supported by dedicated RSC research officers – Access to research academics A/Prof Craig McLachlan; Dr

Martin Rees; PhD students with diverse expertise • e.g. Experimental design, Ethics submissions, Statistical

modelling, biomarker studies, genetics, publication writing assistance; survey design, data collection, data analysis.

Page 4: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Sydney Campus

• Academic support to the ILP program

• Work as collaborative research group

• Open door policy• Academic virtual

support for data analysis

• Experimental design and review of ethics submissions

• Manuscript assistance

Research Collaborators and Mentors

• A/Prof Craig McLachlan MPH&TM PhD

• Dr Martin Rees PhD • Lisa Watts MEd • Yvonne Lee MPH

PhD(candidate) • Vivian Isaac MPhil MSc

PhD(candidate)

Page 5: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

• Current ILP projects - Type 2 Diabetes and genetic

biomarkers (Sydney based using rural samples)

- Collaborative study in unconscious bias in medical students and clinical doctors – a collaboration with Harvard University and Dr Kelvin Kong

- Collaborative Port Macq study using 24 Hour ECG Holter combined ambulatory blood pressure monitoring in Parkinson’s disease

• 2014 Projects - Data mining projects in

cancer, ENT, diabetes (Sydney)

- Student examination stress (Sydney or Port Macq)

- Medical education and workforce outcomes (Sydney)

- Histopathology studies on cardiac stem cell markers and brain tumors (Sydney)

- Diabetes and genetic associations (Sydney and Port Macq)

Sydney Campus

Page 6: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Albury / Wodonga

• Excellent clinical mentors • Lifestyle — Murray to the

Mountains, Skiing, Water Sports, Wineries, Historic Towns

• Regular flights to Sydney, Melbourne and Canberra – Virgin flights

• Modern campus

Page 7: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Albury / Wodonga

Page 8: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Albury / Wodonga

Page 9: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

• ILP research opportunities and experience– Many Visiting Medical Officers interested in Clinical Research

Projects• Urology – Bladder cancer • Orthopaedics - Telemedicine; Metal ions in plasma from

joint repair • Maternal health – High BMI mothers; Dietary interventions;

Nausea in pregnancy and biomarkers • Rehabilitation medicine – Multiple sclerosis and novel

therapeutic interventions

– Current ILP project: • ‘Management of Anaphylaxis’

Albury / Wodonga

Page 10: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Coffs Harbour• Excellent clinical mentors • Refurbished / enlarged

campus building; dedicated room for ILP Students

• Coastal lifestyle• Mid North Coast Cancer

Institute• Collaborative links with

Southern cross University

Page 11: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Coffs Harbour

Page 12: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Coffs Harbour• ILP research opportunities and experience

– Previous ILP students have been successful in having papers accepted for presentation at Australasia-wide meetings, and publication in peer-reviewed medical journals. 4 submitted and under review.

– Coffs Harbour Health Campus has recently received a $1.5M grant from Health Workforce Australia to promote intra-professional learning.

– 2014 projects are again expected to yield peer-reviewed publications;

– Professional research culture within the Mid North Coast Cancer Institute: clinicians and academics have extensive publications records and a history of significant grant support.

– Highest number of PhD trained clinicans across rural campuses

Page 13: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Coffs Harbour• Examples of ILP Projects for 2014: - Mid North Coast cancer Institute more than 7 projects on offer

focusing on radiation oncology outcomes across breast, brain, prostate, lung. – Simulated learning environment and skills training- effectiveness

of Intraprofessional training. Research questions on ‘Simulated Learning environments’ – a state of the art centre with high fidelity simulators and mannequins.

– Patient education: mobile Health technology for rural patients. Addresses the adoption of handheld devices for patient education in the rural setting. Project involves the development and validation of an appropriate tool to assess patients’ health education needs

Page 14: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Port Macquarie

• Research Officer Kris Vine with a masters in Public Health on site to provide ILP support

• A school with advanced ultrasound and teaching simulation capabilities

• Dedicated ILP room • Coastal lifestyle

Page 15: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Port Macquarie

Page 16: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Port Macquarie• ILP research opportunities and experience

– Current project: ‘Relationships between effective pharmacological intervention and 24 heart rate variance in idopathic Parkinson's disease’

– 2014 projects are• Type 2 Diabetes and genetic biomarkers in general practice • Renal dialysis and interactions between vitamin D and aortic

stiffness • Student examination stress correlations with heart rate

variability• Assessment of Student led ultrasound training to other students • Maternal satisfaction based on a shared obstetric tertiary care

model• Levels of patient satisfaction following breast cancer surgery

(comparing partial  mastectomy to mastectomy) and QOL  • Prospective study of very low calorie diet on liver dimensions

and systemic biomarkers in high BMI  surgical patients

Page 17: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Wagga Wagga• Research officer support for

ethics application• Fully equipped office space• Vibrant and cosmopolitan

regional city with thriving sports and arts communities

• Large regional interventional cardiology unit

• Academic appointment in Paediatrics

• Emphasis on clinical experience

Page 18: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Wagga Wagga

Page 19: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Wagga Wagga• Research opportunities and experience

– Focus on clinical research, large range of specialists in Wagga who are interested in supervising research projects

– Previous projects:• treatment of morbidly obese by GPs in rural setting (General Practice)• stroke thrombolysis (Neurology unit)• impact of bariatritic surgery on diet and exercise programs (Bariatric Surgery)

– Two students last year selected projects in the field of bariatric surgery for their ILP projects. Within a week of starting their projects, they were observing bariatric procedures being performed.

– Current RSC student is creating a significant cardiology database of the last 1000 patients presented to the cath lab. Multiple research papers anticipated. Data will create opportunities for future ILP projects (data mining)

Page 20: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

Wagga Wagga• ILP Projects for 2014, proposed by specialists:

– PIC line insertion and complications: an audit (Anaesthetics / ICU)– Assessment of the impact of tele-linkage on trauma outcomes – Wagga Wagga Base Hospital (Emergency medicine)– Assessment of the state-wide early cardiac reperfusion strategy

in the Riverina (Emergency medicine; Cardiology)– Equestrian related injuries in the Riverina (Emergency medicine)

– famous for the developing the Wagga horse fall risk assessment – Study of patients with neck of femur fractures in the Riverina

(Emergency medicine)– Outcomes of Actifuse a tissue engineering scaffold for bone

growth in orthopaedic surgery (Orthopaedic surgery)

Page 21: UNSW Rural Clinical Schools 2014 Independent Learning Projects Sydney Albury / Wodonga Coffs Harbour Port Macquarie Wagga Dr Martin Rees Lecturer and ILP

RCS Contacts and Info

http://rcs.med.unsw.edu.au