Rural opportunities at Griffith

Prof. Scott KitchenerClinical Sub-Dean, Rural Health

Rural Health SeminarsRural Skills weekends- H4H, SurgiaRural GP blocksRural SelectivesLonglook Year 3Longlook Year4

Griffith Rural Stream

Griffith Medical Students Experience Rural Medicine

Beyond Rural Health Seminars• Skills weekends

• Hope4Health is the easiest way to access• Many run at Griffith rural campuses

• Rural GP Terms or Rural Selectives (4th Year Students) from any of the clinical schools

• Preference “Rural” for 3rd or 4th year clinical school placement • These programs are based at Griffith Rural

Campuses • Darling Downs• Sunshine Coast Hinterland.

RURAL EXPERIENCES1-3 JUL - Stanthorpe Trip• Includes opportunity to meet current Longlook students, • Clinical skills workshops, and • Fun at the annual Snowflakes Winter Festival!

15 JUL- Jazz Dinner Dance 10 year H4H anniversary- Tickets $150• Beneficiary ‘The Institute for Indian Mother and Child’

.

RURAL EXPERIENCES29-31 JUL- Interdisciplinary Toowoomba Trip• Allied Health, clinical skills workshops and more!• Multidisciplinary speakers, panels, skills workshops and • Great fun exploring the country! • More info to come.

16-18 SEP Toowoomba/Warwick Trip • Carnival of Flowers

30 SEP-3 OCT- JRHCW to Cooktown- expressions opening soon. • Fly to Cooktown• Limited positions available• Includes students from other Qld Rural Health Clubs• Heavily subsidised

How do I go rural?Longlook (Darling Downs and Sunshine Coast Hinterland)

Preference “Rural” for 3rd or 4th year siteOn selection to rural:Tell us (QRME) where in rural you would prefer to be – see the website for specific locationsGet together before the end of the year to work out locations

Rural GP term – 4th year (eastern Downs)Request “Rural GP term” from any of the non-rural clinical schools

Rural Specialist and Indigenous Health Selectives – 4th year

Contact QRME with your Selective block (7-11) and your preferences

Why do Longlook?Students become functional active members of the hospital health team across a range of rotations – as patient present, Provides students with a real look at Rural Medicine career choicesMore procedural opportunitiesIncrease chances of QH RG and AGPT placeFree accommodation on the Downs

Why do Longlook?Free accommodation on the Downs

Provided at Rural Hospital Griffith Campuses

KingaroyDalbyWarwickStanthorpe

Provided in Rented houses in ToowoombaShare with other Longlook Students

Am I disadvantaged?

Longlook students have no academic disadvantageSmaller student numbers, more patientsRegistrars, Supervisors, Medical Educators localAccommodation provided in town.Workshops with QRME at DDCTC

Regular hub daysOSCE prep

Summer scholarships and research

Feedback from the Rural Doctors

• Very positive feedback• Enjoy quarantined

teaching time• Good prep for exams• Boosts confidence• Longlook students are

sought after

Year 3

Medicine Stream Medicine Aged/Cancer Care Mental Health Break

(Stream 1) 7 weeks 7 weeks 7 weeks 1 week

Surgery Stream Surgery Women’s Health Children’s Health SWOT VAC Written

(Stream 2) 7 weeks 7 weeks 7 weeks 1 week Exam

Children’s Health

Written Exam

Break 1 week 

Children’s Health

Written Exam

 Year 3

Medicine Medicine

Surgery Surgery

Aged & Cancer Care Aged & Cancer Care

Women’s Health Women’s Health

Mental Health Mental Health

Griffith postgraduate MD program Year 3

Longlook

Delivering the Griffith Curriculum • 3rd Year Students complete education in semesters• Within each semester students work and learn in

functional areas of Rural Hospital meeting requirements

• Medical ward in Rural Hospital will:• conduct rounds and primary care clinics in aged

care facilities, • see cancer care patients managed at the hospital

• follow some patients on their diagnostic and management travels to major centres

• join the mental health teams in their rural towns • following some acutely ill psychiatric cases on

referrals to major centres• Similar process for

• Surgical• women’s and children’s health.

Third year programGeneralist hospitals

KingaroyDalby

WarwickStanthorpeBeaudesert

Stanthorpe gets COLD!

Clifton

Crows Nest

Blackbutt

Cherbourg

Longlook Locations• Available for Elective Blocks• Different sized facilities

• Private practice with Rural Hospital staffed by the Rural GP

• Large rural hospital with full time Rural Doctor performing obstetrics and surgery

Available longlook positions for 2017• 3rd year = 21• 4th year = 9

Every month, everyoneAt Toowoomba HubSims, Specialist lecturesAccommodation prov.Students often stay on,eg. Food and Wine Festival

Longlook Hub Days

Farm Hub Day

Current Research ProjectsAgricultural injuries presenting to rural hospitalsChronic disease experience in agricultural communitiesSkin cancer in agricultural workers and communitiesStudent investigator studies (2016)

Rural C.A.P.Rural end of life careSurgical complicationsHigh risk pregnanciesBMI in rural paeds patientsRural ortho referrals

Current Research Projects

Longlook student conducting a health and lifestyle assessment

on a farmer at a field day.

• Agricultural injuries presenting to rural hospitals

• Chronic disease experience in agricultural communities

• Skin cancer in agricultural workers and communities

• Student investigator studies (2016)• Rural community acquired pneumonia• End of life care in rural hospitals• Surgical complications in rural hospitals• High risk pregnancies in rural maternity

services• BMI in rural paediatric presentations• Orthopaedic referrals from rural

communities

Current Research Projects

Longlook Experiencehttps://youtu.be/jwWPnJ7F3-w

Any questions?

Longlook program – Fourth year

Commonweatlh Government fundingGriffith University/QRME/Queensland Health/Private practice partnershipLongitudinal medical student placements

Longlook – what is it?Longitudinal placement (3rd & 4th Year), In a rural hospital and practice,Become part of the medical team, withLocal and central teaching (at the Griffith, Darling Downs Clinical Training Centre)

Principles of the program1. Context of learning in rural hospitals

and practices2. Curriculum is more continuous than

artificially compartmentalised3. Students who want to be there4. Resourced and supported5. Vertically integrated

Longlook

Year 4 1 2 3 4 5

Term General Practice

Elective Emergency Medicine

Critical care/Ortho

Selective Exams

Year 4 1 2 3 4 5

Rural Elective – all

Longlook students

General PracticeEmergency Medicine

Critical care/Ortho (including at St. Andrews)Advanced Rural Selective

Exams

Griffith postgraduate MD program Year 4

Rural placements are able to provide the experience necessary to complete the curriculum, but not in a way that readily fits into the artificial terms of rotations. Patients just don’t come into rural hospitals and practices having selected their condition to suit the term of the students therein.

4th Year LonglookYear 4 1 2 3 4 5

Rural Elective – all

Longlook students

General PracticeEmergency Medicine

Critical care/Ortho (including at St. Andrews)Advanced Rural Selective

Exams

Elective First Term• explore areas of medicine of interest to them or • those areas in which they feel they need more experience. • The Rural Stream Longlook program can arrange for rural

placements or some overseas rural placements. • All Longlook students will orient to the program in Block 2 and to

rural practice before starting on their placement for the rest of the year.

Selectives • Are done longitudinally • E.g. each week at a applicable clinic would be attendedEducation• Regular tutorials locally • Hub Days

• includes exam prep workshops before the midyear and final year exams.

Sunshine Coast LonglookFourth year placement beginning in 2017Based around Nambour HospitalGeneral Practice placements planned along the Blakall Range (Maleny, Montville, Landsborough, Mooloola) and in the Cooloola region (Cooroy, Pomona, Eumundi).12 places

Prof. Scott KitchenerClinical and Academic Lead, Rural MedicineClinical Sub-Dean, Rural Health

Clifton

If you can’t do Longlook:

Rural GP terms

Rural Specialist Selectives

Rural Indigenous Selectives

How do I go rural?Longlook

Preference “Rural”On selection to rural:Tell us (QRME) where in rural you would prefer to be – see the website for specific locationsGet together before the end of the year to work out locations

Rural GP termRequest “Rural GP term” from any of the non-rural clinical schools

Rural Specialist and Indigenous Health SelectivesContact QRME with your Selective block (7-11) and your preferences

Rural Placements

• Longlook Year 3 – Certificate in Rural Health

Clifton

• Longlook Year 4 – Certificate in Rural Health• Darling Downs, Sunshine Coast Hinterland (ED & Crit.

Care)

You are here

• Rural Indigenous Selectives – Cert. Rural Indigenous Health

Palm Island

New Sunshine Coast Longlook

Quilpie

Rural Selectives (and Electives)

Indigenous Health Rural and Remote MedicineSpecialties in Regional CentresAcademic medicine

Rural Selectives (and Electives)

Indigenous Health Locations

Palm IslandNorth StradbrokeGoolburri (Toowoomba)

Certificate in Rural Indigenous Health

The Clinic at Palm Island.

Palm Is. sits in the Coral Sea off Tropical North Queensland.

Dr. Ray Blackman is the senior GP in the clinic, showing some Griffith First year students around here.

We are also placing students into the Aboriginal Medical Service on North Stradbroke Island. It is possible to also live here or there is a daily ferry service from the mainland.

Accommodation providedat Amity Pt., near the beach

Rural Selectives (and Electives)

Indigenous Health Rural and Remote Medicine

Jandowae, Millmerran, OakeyQuilpie, Dirranbandi

Eligible for Certificate in Rural Indigenous HealthAccommodation providedAssistance available for travel

This is a montage of Dirranbandi, notably the town at the end of the train line.

Rural Selectives (and Electives)

Indigenous Health Rural and Remote MedicineSpecialties in Regional Centres

Ear Nose and Throat SurgeryGeneral SurgeryRadiologyRadio-oncology and Haematology

Subsidised accommodation in Toowoomba (except for Heart of Australia Truck travelling around)

Selectives (and Electives) available through the

Rural StreamIndigenous Health

With Griffith First Peoples Health Unit Remote MedicineSpecialties in Regional Centres

Pathology, Radiology, Mental health, ICU, Paeds

Academic medicineStudents wishing to undertaking or complete research welcome to join research project in Rural Stream with the Agricultural Health & Medicine Research Group based in Toowoomba

Accommodation is subsidised in Toowoomba

Selective or Elective in Academic Medicine with the Rural Stream

Review of programs – annual for LonglookResearch and evaluation on existing projects

Alumni follow-upRural workforce evaluation and interventionsSkin cancer researchAgricultural injuries

Publications – students have previously been successful in publishing work through Academic Med Electives & Summer ScholarshipsAccommodation available in Toowoomba

How do I go rural?Longlook

Preference “Rural”

Rural GP termRequest “Rural GP term” from any of the non-rural clinical schools

Rural Specialist and Indigenous Health Selectives

Contact QRME with your Selective block (7-11) and your preferences

Any questions?

Expressions of interest in Rural Selective/Electives:

s.kitchener@griffith.edu.auj.dillon@griffith.edu.au

OR see www.qrme.org.au