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EMERGENCY MEDICINE EDUCATION AND TRAINING IN
THE GREAT SOUTHERN
Dr Russell Young
Albany
THE GREAT SOUTHERN
2nd Smallest Region in WA, comprising 1.5% of the land mass
Population of the Region in 2010 was 60,000. Almost 40,000 reside within
20kms of Albany
Hospitalisation rate is increasing, going from 18% to 20% in 3 years. Attendance
rate in ED is static. However, the number of elderly is higher than the state
average at 15% of all population.
KATANNING
A town of 4000 people.
Acts as a Regional Resource Centre for surrounding district, but tends to use Albany
for anything other than straightforward cases.
Comprises two principal GP’s and a number of junior /
overseas training registars (7). We have seen a change in the
past year with more experienced junior doctors working in
Katanning and anecdotally the number of transfers reducing.
DENMARK
One of the top tourist towns in WA.
Usual population of under 6000 swells to double this number
in summer.
There are 9 GP’s in town who are all very experienced.
50kms from Albany; can accommodate 4 inpatients. 2 Nurses
in hospital at one time.
MOUNT BARKER
In between Albany and Kojonup on major highway
Significant amount of road trauma
7 GP’s comprising experienced set who are very open
to close co-operation with Resource Centre
50kms away from Albany
NURSING POSTS
Comprise Tambellup, Ravensthorpe, Hopetoun,
Gnowangerup, Jerramungup and Bremer Bay
All at least 2 hours from Albany
Two GP’s service this region but are very isolated
ETS is a major resource for these sites
THE EMET PROGRAM
FACEM visits
Simulation Training
EMC Candidate supervision
GP Up-skilling
In-House Course Provision
One of the three FACEM’s who make up the leadership
group in Albany visits the smaller sites every month
During 2016, 54 visits occurred.
Topics included case-based discussions (often ones that
were transferred to Albany), Chest pain, Analgesia,
Introduction of the ETS, Seizures, Shoulder Dislocation,
Trauma and Retrieval
VISITS
CORE SIM
Been running since March 2015
Visits to Denmark, Katanning and Mount Barker arranged
Director of SIM training and 1-2 FACEMs take the SIM Education that is held in Albany out to the regions
Feedback has been uncompromising: “The Core SIM I attended in Denmark on 21/9/2016 was by far and away the most valuable CPD event I have attended in the last 10 years”
IN-HOUSE
There is a full ED Education program incorporating weekly tutorials, SIM Education, M and M meetings and
Radiology Tutorials. We run 2 ALS courses per year and an APLS.
We have one GP at a time coming from a Smaller ED to upskill alongside the FACEM in Albany
Have utilised a further FACEM to increase capacity to supervise in the Emergency Department and to visit the
smaller sites. We have helped develop SAMAP and REM.
70 GP’s in Albany (10 Registrars)
2 have completed EMC and now do regular shifts in ED
A GP Registrar position has been created for GP’s wanting
to do the Certificate. We have now had 4 successful
candidates.
THE FUTURE
Funding Challenges
EMC / EMD
Growing Local Doctors
Embedding the Education into Hospital Workflow