Cetiscape 6 July 2011

The creation of CETI and the Allied Health Directorate gives new leadership andcoordination to clinical education and training for allied health professionals in NSW.

The Allied Health Directorate represents 23 allied health disciplines working within the NSWhealth system. While there are marked differences across these professions, there is a common thread. Allied health professionalsare ‘allied’ or aligned to each otherand other members of the health professional workforce toprovide a range of therapeutic

(... continued page 2)

cetiscapenewsletter of the Clinical Education and Training Institute

Issue 6 July 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 1

New beginnings for allied health clinical education and training

Jacqueline Dominish and Daniella PfeifferAllied Health Learning and Teaching Coordinators

Team Health: building teamwork for safer patient care

Rob Wilkins and Danielle ByersProgram Coordinators, Team Health, CETI

Team Health, based at the CETI Centre for Learning and Teaching, is a new program which aims to improve teamwork, communication and collaboration for safer patient-centred care and better staff experiences.

The program will draw on the substantial interprofessional learning literature, including the World Health Organization’s Framework for Action on Interprofessional Education and Collaborative Practice.1

The WHO Framework promotes some of the key benefi ts of implementing team-based or interprofessional learning activities. These include:increased staff motivation, well-being and retentionreduced staff turnoverincreased patient and carer satisfactionincreased patient safety reduced patient mortality and critical incidents.1

(... continued page 5)

In this issueNew beginnings for allied health clinical education

and training 1

Team Health: building teamwork for safer patient care 1

cetiscape survey 2

New CETI Nursing and Midwifery Directorate 3

Emerging careers in health 3

Expanding prevocational medical training program gets a new network 4

Tips for new interns 4

DICAST upskills rural workforce in diabetes, cardiac and stroke care 6

International Health Professionals (IHP) Orientation Project 6

TSU celebrates International Midwives Day –5 May 7

Northern lights (METIF Queensland) 8

Breakfast with the NSW Health Director General 8

Clinical leadership graduates show their skills 9

Coming events 11

Rural GPs satisfied 12

BHI releases two new reports 13

Worth a look (online resources): 14

Allied Health in NSWNSW Health categorises the following tertiary qualifi ed professions as ‘Allied Health’.

Audiology Hospital Pharmacy Radiation TherapyClinical Dietetics & Nutrition Physiotherapy Radiography Occupational Therapy Podiatry Social Work Orthoptics Psychology Speech Pathology Orthotics & Prosthetics Nuclear Medical Technology CounsellingDiversional Therapy Play Therapy Music TherapyGenetic Counselling Exercise Physiology Welfare Offi cerArt Therapy Sexual Assault

cetiscape Issue 6 July 2011 Promoting excellence in clinical education www.ceti.nsw.gov.au page 2

... New beginnings for allied health clinical education and training (continued from page 1)

and diagnostic services to restore and maintain optimal physical, sensory, psychological, cognitive and social function. Allied health professionals play a critical role in the delivery of patient care as members of the multidisciplinary team within NSW Health.

The Allied Health Directorate is developing clinical education and training for allied health through innovation and collaboration, building partnerships to promote excellence in clinical education and training and is open and transparent in conducting its work.

Our specifi c objectives are to build capacity, infrastructure and governance to support education and training and to adapt existing and develop new educational resources for allied health professionals. We will collaborate with other CETI directorates and stakeholders throughout NSW Health to achieve these outcomes.

CETI held a consultation forum on 20 June 2011 with allied health directors and leaders nominated by the chief executives of each local health district to gather information and ideas regarding future development and investment in clinical education and training for allied health in NSW. This forum helped develop the Allied Health Directorate’s operational plan for 2011 and 2012.

Further meetings with key stakeholders are planned for the rest of 2011. By collaborating with our stakeholders, we aim to ensure that CETI is working to meet the education and training needs of clinical staff and facilitating high quality patient care for the people of NSW.

CETI Allied Health Clinical Education and Training Advisory CommitteeThe Allied Health Directorate is establishing a Clinical Education and Training Advisory Committee to provide strategic advice and direction regarding the delivery of clinical education and training initiatives for the allied health workforce in NSW. We sought representatives from allied health clinicians and managers working across a variety of settings within NSW Health via an expression of Interest (EOI) for committee membership. Successfulapplicants will be notified soon.

Allied Health Directorate staff Jacqueline Dominish (née Gregor) has nine years clinical experience working as an occupational therapist in both Australia and the United Kingdom (UK) specialising in neurological rehabilitation. Jacqueline was the senior occupational therapist in neurological rehabilitation at the Prince of Wales Hospital until early 2009. After completing a Masters in

Health Management, Jacqueline took up a role within CETI’s Medical Division in prevocational workforce and accreditation where she has worked for the past two years. Having obtained an Advanced Certifi cate in Continuing Professional Development and a Certifi cate IV in Workplace Assessment and Training, Jacqueline has a strong commitment to the education and training of allied health professionals to build confi dence in clinical practice and the delivery of safe patient care.

Daniella Pfeiffer has nine years’ clinical experience as a social worker in neurological rehabilitation, with specialist knowledge and skills in adult brain injury rehabilitation. Daniella worked as a senior social worker at the Brain Injury Rehabilitation Unit, Westmead Hospital, before joining CETI in May 2011. Daniella completed a Masters of Couple

and Family Therapy in 2007. She has applied her expertise as a social worker and couple and family therapist to clinical intervention research projects exploring couple counselling and developing resilience in family members who support relatives who have sustained a traumatic injury. Daniella has a particular interest in promoting clinical research, education and training within the allied health profession.

Jacqueline and Daniella are looking forward to working with the innovative and dynamic allied health professionals in NSW to build strong partnerships and create excellence in clinical education and training.

Contact: Jacqueline Dominish, [email protected], (02) 9844 6514Daniella Pfeiffer, [email protected], (02) 9844 6518

cetiscape surveyA big thank-you to those of you fi lled out our cetiscape survey last month! We were encouraged by the level of response and very happy to send off a packet of Tim Tams to our winner.

You’ll see a few changes to cetiscape in response to your feedback and we hope to make it an even more robust and valuable resource for you in the future. Feedback is always welcome — you can send us an email at [email protected] any time.


It’s my pleasure to be the fi rst Nursing and Midwifery Learning and Teaching Coordinator in CETI’s new Nursing and Midwifery Directorate. The new directorate is working with the Nursing and Midwifery Offi ce (NaMO), NSW Health and other stakeholders to identify and respond to resource gaps and development opportunities in nursing and midwifery training.

The CETI Nursing and Midwifery Directorate will work closely with the other CETI directorates, including the Centre for Learning and Teaching and the Interprofessional Practice Unit, to contribute to the Team Health Program.

The Chief Nursing and Midwifery Offi cer, Adjunct Professor Debra Thoms, met with CETI’s Chief Executive, Professor Steven Boyages, earlier this year. Several possibilities for collaboration were identifi ed, including the need to develop resources to support nurses and midwives involved in supervising junior staff.

Help create the Nursing and Midwifery SuperguideOur fi rst collaborative project with NaMO will be developing a supervision guide. Working with key stakeholders, we will revise and adapt the CETI publication The Superguide: a handbook for supervising doctors in training for the nursing and midwifery workforce. The guide includes many of the core elements common to sound, evidence-based supervision of health professionals in a clinical setting. A steering committee is being formed to help develop this resource for use by nurses and midwives. Please contact me if you are interested in being part of this committee (Pamela Bloomfi eld, 02 9844 6557, pbloomfi [email protected]).

New CETI Nursing and Midwifery Directorate

Pamela Bloomfi eldNursing and Midwifery Learning and Teaching Coordinator

Pamela Bloomfi eld comes to the Nursing and Midwifery Directorate with extensive experience in both nursing and midwifery. She has worked across a number of specialty areas including paediatrics, remote area nursing, midwifery, health promotion and education. She completed general

nursing education at Sydney’s Royal Alexandra Hospital for Children, midwifery education at Nepean Hospital and later completed a Bachelor of Nursing degree and a Masters of Business Administration.

Pamela has gained experience in medical workforce management in a number of senior roles in health. She previously worked in the Institute of Medical Education and Training in the fi eld of prevocational workforce and accreditation, and has now moved to the role of Nursing and Midwifery Learning and Teaching Coordinator.

Pamela is looking forward to engaging with nurses, midwives and other clinical professions to support inter-professional education and training initiatives. Pamela can be contacted at CETI via the details below:

Contact: Pamela Bloomfi eld, pbloomfi [email protected], (02) 9844 6557

www.ceti.nsw.gov.au/nursing

Emerging careers in healthAn information and expo day for NSW High School Career Advisers

CETI recently collaborated with the Department of Education and Communities and the Centre for Health Innovation and Partnership to give High School Career Advisers an insight into the huge range of careers available and emerging in health care.

The information day was held on 30 May at the John Loewenthal Auditorium, Westmead Hospital.

More information is available at <http://ceti.moodle.com.au/course/view.php?id=290>.

Young health professionals at the info day gave careers advisors an inside look at the real world of health care in the 21st century. Left to right: David Pennington, Health Service Management Trainee; Sarah Benaud, Social Worker; Kevin Tyler, Population Health Program Offi cer; Daniel Daly, Registrar; Amelia Robertson,Speech Pathologist; Mia Parmar, Diversional Therapist; Samm Mc Evoy, Nurse; and Vikas Gupta, Resident Medical Offi cer.


Blacktown, Mt Druitt and Bathurst Hospitals have separated from the massive Westnet prevocational training network to form a new network — Central West.

The new network is aiming to employ forty new interns in 2012, representing a large increase in training capacity in the western Sydney area. Westnet, which includes the largest prevocational training site in New South Wales (Westmead Hospital) is only slightly reducing its own intern numbers.

The network split was achieved by mutual agreement of all parties. Westnet was becoming too large for practical administration of the training program and rotations, while clinical leaders at Blacktown Hospital were keen to capitalise on their expanding training capacity.

The fi rst graduates of the University of Western Sydney clinical school, located at Blacktown, are starting internships in 2012. The hospital is also home to a state-of-the-art simulation centre.

Mt Druitt and Blacktown are closely related clinical units, while Bathurst provides a valuable opportunity for rural training terms. The new network also includes general practice training terms at sites in Bathurst and Blacktown.

Expanding prevocational medical training program gets a new network

Bathurst Hospital

Blacktown Hospital

Tips for new internsCETI and the JMO Forum have revised The Doctor’s Compass, a survival guide for new interns.

The new guide will be distributed to new interns starting in June 2011 and January 2012. CETI is also giving a copy to the medical students attending the Australian Medical Students Association National Convention in Sydney 3–10 July.

From the foreword by Dr Lucy Cho, Chair of the NSW JMO Forum:

The Doctor’s CompassThe Doctor’s Compass

a guide to a guide to

prevocational training prevocational training

developed by the developed by the

NSW JMO ForumNSW JMO Forum

Doctors_compass_2011.indd Sec3:2-Sec3:3 7/06/2011 5:57:01 PM

Internship is the start of a new set of challenges and rewards, with what can often feel like a landslide of new and ever-changing responsibilities, situations, colleagues, career decisions and uncertainties. There is no doubt that many of you will feel overwhelmed at times, but be assured every new doctor starts out this way and that you will fi nd your feet with time and practice.

The Doctor’s Compass is a guide to help junior doctors fi nd their way through this often daunting time. It was developed by the NSW JMO Forum (an elected body of junior doctors from each network in NSW). It not only includes advice from JMOs but also points out many avenues for guidance and assistance in your workplace.

Doctors_compass_2011.indd 3 7/06/2011 5:40:26 PM


Team Health will consist of four distinct program components:

New Starters ProgramThis is a dedicated transition program for new clinical graduates (doctors, nurses, midwives and allied health professionals) spanning the fi rst two years of their employment in theNSW Health system. Its aim is to better prepare new clinical graduates for work by providing both online and face-to-faceeducation. The program is being developed in consultation withlocal health districts. It will prepare graduates to work in teamsand inform them about new policies relevant to their clinicalsetting. Learning modules will cover topics such as collaborative decision-making, team work and interprofessional confl ictresolution skills. The program will encourage learners to betterunderstand their own roles and the roles of those around them.

Clinical Team Education ModulesThis component is aimed at both new and current employeeswithin a clinical team. It will employ a re-design methodologyand use trained facilitators to explore aspects of team functionand to generate solutions which improve staff experiences.

Policy Development This program component is about infl uencing health policiesand implementation plans towards collaborative decision-making and team-based patient-centred care.

Embedding principles of interprofessional practice within policy statements is a way of formalising and sustaining our programcomponents, as well as highlighting implications for training and education.

System IntegrationntegrationSystem integration is about working in partnership with CETItem integration is a artnership wDirectorates, local health districts, tertiary education providersrectorates, local he ts, tertiary educatioand government agencies (the Clinical Excellence Commissionsionnd government ag e Clinical Excellenc[CEC], the Agency for Clinical Innovation [ACI], and the BuBureau CEC], the Agency al Innovation [ACI]of Health Information [BHI]) to take advantage of trainingHealth Informat to take advantageinitiatives already being developed locally, to prevent duplplication, ives alread oped locally, to pand to build a common purpose.

Team Health consultsWe recently provided a brief overview of Team Health to the rview of Team HeaJMO Forum, and the JMOs provided plenty of lively feedbacvided plenty of live ck. Some concerns related to how these extra educationalthese extra educainterventions would fi t with an already busy workload. Otherready busy work ers were about the priority given to communication-based educatommunication cation strategies compared with the need for more applied, clinicaltraining, and how team-based approaches to patient care can fi twith issues of medical responsibility for patient well-being.

Some ideas for Team Health stemmed from positiveexperiences JMOs have had with interdisciplinary teams or through interprofessional education. These included keepingthe curriculum applied and clinical; job-shadowing alliedhealth professionals for a day and clinical placement activities;occasions to learn specifi c clinical skills through allied healthstaff (eg, plastering from physiotherapists); and providing roledescriptions of allied health staff during Orientation Week.

On 17 June, we held the Inaugural Team Health Consultation Forum with directors of workforce, learning and developmentmanagers, clinical redesign managers, workforce design managers, and representatives from the CEC, BHI and ACI. There was robust discussion of the need to undertake TeamHealth’s work in partnership with these agencies and localhealth districts. We also discussed the need for an establishedgovernance structure for education and training across thestate, the resources required for local implementation in localhealth districts, what programs were already available, and howwe would know if the program was really making a difference toboth patient and staff experience.

Our next consultation will take place on 24 August andwill target a range of senior clinicians with educationalresponsibilities from each local health district.

Contact:If you would like to keep up to date with program developmentsor to get involved you can visit our Team Health webpage (www.ceti.nsw.gov.au/teamhealth), join the online CETI Team Healthdiscussion group on LinkedIn (contact us to fi nd out how) or callDanielle Byers (02 9844 6527, [email protected]) or RobWilkins (02 9844 6564, [email protected]), ProgramCoordinators for Team Health.

... Team Health: building teamwork for safer patient care (continued from page 1)

Professor Steven Boyages, Chief Executive, and Dr Gaynor Heading, General Manager, CETI at the Inaugural Team Health Consultation Forum in June 2011.


The Rural Directorate of the Clinical Education and Training Institute (Rural CETI) strongly supported the Agency for Clinical Innovation’s fi rst DICAST (DIabetes, CArdiac and STroke) workshops held at Dubbo in March and Cooma in June.

DICAST is a collaboration between the ACI’s Endocrine, Cardiac and Stroke Networks designed to help clinicians in regional, rural and remote areas identify and respond to signifi cant causes of ill-health in their communities.

Rural CETI helped promote the Dubbo and Cooma workshops to rural general practitioners (GPs) and other clinicians and the results were outstandingly successful.

Rural CETI Executive Director Linda Cutler said rural and remote clinicians often were required to practice without the peer support and specialist referral services available in the city.

“The practical educational and support program developed for the workshops by ACI is a great initiative and Rural CETI was delighted to get behind it.”

More than 130 doctors, nurses and allied health staff participated in the two-day Dubbo workshops and it was particularly pleasing to note the high attendance rate by Aboriginal Health workers.

The local lead clinician from Dubbo, cardiologist Dr Kamaladasa Kanishka, also welcomed the ACI initiative and said bringing specialists to the bush to upskill local clinicians on best practice models of care could only benefi t patients.

The Dubbo workshops were opened by Lynne Weir, Acting Chief Executive at Western Local Health District and the Cooma workshops were opened by Elizabeth Mendes, Health Services Manager, Cooma Hospital. A case study used on Day 1 followed a patient with multiple co-morbidities throughout the continuum of care. A range of specialists used the case

study to highlight the essential elements of evidence-based practice in the management of complex patients.

ACI Stroke Service Networks member John Worthington, neurologist at Liverpool and Manly Hospitals, and Martin Jude, VMO Neurologist, Wagga Wagga Base Hospital, spoke on stroke and TIA (transient ischaemic attack).

An educator from the Ambulance Service of NSW provided information on the pre-hospital management of the patient and clinical nurse educators presented on depression in cardiac rehabilitation and the management of diabetes. The program also included information on the Hospital in the Home program, community nursing, general practice, palliative care and diabetes in Indigenous populations.

The second day was dedicated to building on current knowledge and upskilling clinicians in a range of practical skills including neurological assessment, screening for diabetes and interpreting echocardiography and pathology results.

An evening educational meeting was held in conjunction with the workshops for GPs. The same complex case study was used throughout the evening. The specialists and clinical nurse educators spoke to small groups of GPs and described how they managed the patient throughout the disease trajectory. Speakers rotated after 20 minutes, in a format similar to speed dating, to allow closer engagement with each of the attending GPs. At the end of the session, every GP had participated in a discussion with each of the speakers, Feedback from the local doctors was very positive, particularly relating to the interaction with specialists in the small group sessions.

Both meetings were sponsored by an unrestricted educational grant from Sanofi -aventis.

The DICAST workshops will be repeated at Tweed Heads on 10–11 November. The program for these workshops is available on the ACI website (www.health.nsw.gov.au/gmct/events.asp).

DICAST upskills rural workforce in diabetes, cardiac and stroke care

The IHP Orientation Project is a new venture for CETI. We are developing an online resource for internationally-trained medical, nursing and midwifery, and allied health professionals. NSW Health has asked us to undertake this project as part of the Caring Together response to the Garling Report recommendations relating to improving induction processes. It will be aimed at IHPs who are

employed in New South Wales but have not yet arrived in Australia to take up their position. The resource will supplement existing orientation processes and we hope it will ease the transition for IHPs as they enter a new professional environment. If you have any questions or comments, please contact Sharyn Brown (02 9844 6559, [email protected]).

International Health Professionals (IHP) Orientation Project


The Training and Support Unit for Aboriginal Mothers, Babies and Children (TSU) celebrated International Midwives Day at the Centre for Rural and Remote Mental Health in Orange.

The TSU, a relatively new service being managed by CETI – Rural, is being established to provide targeted education to staff working in Aboriginal Maternal Infant Health Services (AMIHS) and Building Strong Foundations for Aboriginal Children, Families and Communities (BSF) projects across the state.

This virtual team boasts more than fi fty years of collective experience working with Aboriginal communities.

Karen Beattie, Midwifery Educator, was the Clinical Nurse Consultant/Community Midwife at Durri Aboriginal Corporation, Kempsey, for 12 years before joining the TSU. Karen brings a wealth of clinical experience as well as knowledge of state working groups.

Julie George, Nurse Educator, Child & Family Health, worked with Biripi Aboriginal Medical Service, Taree, as the Clinical Coordinator for the BSF program and complements the team with her understanding of child and family health.

Rachel Smith, Midwifery Educator, was a lecturer in midwifery studies at the University of Technology Sydney for six years before joining the TSU. Rachel is an active member of the Australian College of Midwives and has delivered education across the state.

Lynette Bullen, Smoking Cessation Coordinator, has worked extensively in rural and remote NSW delivering drug and alcohol education. As well as her expert clinical knowledge, Lynette has strong established networks with Murdi Paaki and Maari Ma.

Kylie Williams, Administration Offi cer, moved from TAFE to work with the team and has made a seamless adjustment to working in the health industry.

Jennifer Wannan, Manager, has worked in rural health for more than 20 years and has always had a passion to improve the health of Aboriginal people.

The team is eagerly awaiting the recruitment of three Aboriginal Health Educators who will bring the essential ingredient of cultural knowledge and understanding.

Since commencing at the beginning of March, the team has travelled to different locations to work together. This face-to-face time has helped build the strength of the team and consolidate communication. Site visits to services are being planned and the team hopes to commence the delivery of education towards the end of July 2011.

Contact:Karen Beattie, 02 6562 [email protected]

Julie George, 02 6592 [email protected]

Rachel Smith, 02 9844 [email protected]

Lynette Bullen, 02 6360 [email protected]

Kylie Williams, 02 6360 7727 [email protected]

Jennifer Wannan, 02 6360 [email protected]

TSU celebrates International Midwives Day — 5 May

Karen Beattie (Kempsey), Julie George (Taree), Kylie Williams (Orange), Jennifer Wannan (Orange), Lynette Bullen (Orange) and Rachel Smith (Gladesville).

CETIRural

Directorate

Training and Support Unit for Aboriginal Mothers and Babies (TSU): a virtual team located across NSW

Maitland (Taree):Nurse Educator

CAFH

Gladesville:Midwifery Educator

Orange:Manager,

AdministrationOfficer

Kempsey:Midwifery Educator


What improvements in medical education will lead to better health for individuals and populations? That was the key question for this year’s METIF.

In his keynote address, Professor Richard Murray, Dean of Medicine and Head of the School of Medicine & Dentistry at James Cook University went back to fundamentals. “What is the problem to which health care is the answer?” he asked. When it comes to reducing sickness and death, actions to provide clean food, clean water, safe environments, and equality in social opportunity are more important. Health care steps in where these actions have reached their limits. Health is protected by social equity, and effective health care is another contributor to social equity. So, to promote this purpose, Professor Murray suggested we need “socially accountable medical education”.

In this context, Professor Murray discussed Australia’s output of new doctors, observing that we already have a high proportion of doctors per capita and the highest output per capita of new medical graduates in the world. The lack of medical workforce in rural and disadvantaged areas is not a matter of numbers, but more a function of how medical practice and medical education has developed to serve the specialised needs of metropolitan society.

“At James Cook University,” Professor Murray said, “we have written a curriculum refl ecting rural, tropical and indigenous health needs, selected students with backgrounds likely to serve those communities, and made an explicit effort to address the priority health care needs of local populations.” An important part of this process is conducting training as close as possible to the community. In rural settings, this frequently means training generalist doctors rather than specialists, and training doctors to work in teams with other health professionals.

Many of the presentations and discussions following Professor Murray’s address picked up on these themes. For example, the Northern Clinical Training Network has been established in North Queensland (with nodes at Cairns, Townsville and Mackay) to create a vertically integrated training network to develop workforce from student to specialist level. The network is a collaboration of Queensland Health, health service districts, the private sector and James Cook University. It aims to create “a high-quality, self-sustaining and research-focused workforce for Northern Queensland which is responsive to regional health needs.”

There were also interesting presentations on e-learning from the Australasian College of Emergency Medicine and James Cook University. ACEM is rolling out new Certifi cate and Diploma courses in Emergency Medicine to support non-specialist training, and it is using the moodle platform to provide much of the content online. Some of the examples shown at METIF looked terrifi c.

Dr Vincent Ho and colleagues from James Cook University presented a prototype virtual hospital simulation, which promised to bring online learning into the age of the techno-gamer. This ambitious project has a long way to go, but in future may make it relatively easy for clinicians to create patient care scenarios to test trainees in a simulated environment.

It was fascinating attending METIF as an observer from New South Wales. Many of the issues in medical education are the same, but each state has its own innovations and strengths. Diversity is an advantage when the best way ahead is yet to be discovered. It was great to bring back some bright ideas from Far North Queensland. I hope we can return the favour when we host visitors from Queensland at the NSW Prevocational Medical Education Forum in August.

Northern lightsCraig BinghamPrevocational Program Coordinator, CETI

— Medical Education and Training Information Forum (METIF) held by Queensland Medical Education and Training (QMET), Cairns, Wednesday 25 May

The Institute of Public Administration Australia (IPAA) holds the Annual CEO and Young Professionals Breakfast for staff under the age of 35 nominated to attend by their Chief Executives from NSW government agencies. It provides a fantastic forum for networking with over 800 attendees, both young professionals and senior executives. I attended this year’s breakfast on 20 May 2011 and had the pleasure of sharing a table with Dr Mary Foley, Director-General of NSW Health.

We spent the morning sharing information among fellow attendees about current areas of work and generating ideas regarding “how we can improve tomorrow’s service delivery today”. Keynote speakers included Ms Anna Rose, Founder of

the Australian Youth Climate Coalition and Mr Chris Eccles, Director-General of the NSW Department of Premier and Cabinet. Mr Eccles’ key messages to us as public servants were the importance of young people stepping up as leaders, ensuring accountability and having a 100% focus on the primary goal — serving the needs of the people of NSW.

This message is closely aligned with CETI’s vision, which is to achieve better health through education, training and development of a clinical workforce that meets the healthcare needs of the people of NSW. The morning was inspirational and reinforced the important contribution young leaders make to infl uencing real change within the NSW Health system.

Breakfast with the NSW Health Director General Jacqueline DominishCETI Allied Health Program Coordinator


Eighteen health professionals from a nursing, general practice or staff specialist background from across rural NSW came together in Sydney to graduate from the 2010 NSW Rural and Remote Clinical Team Leadership Program. In this leadership program, which is modelled on the Clinical Excellence Commission program, participants work in teams of two from different service areas to undertake a locally-based clinical practice improvement project while undertaking leadership development as an individual.

The program has delivered clinical improvement outcomes which have had district wide, and in some cases state wide, changes to practice that improve patient care.

The program aims:

to increase the participants’ leadership and management skills and confi dence

to strengthen partnerships between local health services and GP-VMOs

to increase the competence of participants in leading a team based clinical improvement project.

Over the last 10 months the participants attended workshops in Sydney, undertook an online 360 leadership/management survey, completed a self directed learning program, and developed a personal development plan and a clinical practice improvement project focused on a local health issue (see next page). The participants also had regular individual coaching with program facilitator, Jan Dent, to support and monitor their learning.

At the graduation, six teams presented their projects with innovation and style. Leanne Wright and Jana Van der Jagt presented as a couple of “master chefs” to share their recipe for streamlining emergency department risk assessments for blood-borne viruses.

Individual participants were also asked to present to the audience something that represented their personal and professional response to the leadership course. The presentations showed that participants (and their patients and wider teams) have benefi tted professionally and personally from participating in the program and that the process of putting people in teams was successful. Participant comments included:

“I felt nurtured by NSW Health”

“The Rural Directorate provides programs which meet our needs in rural NSW”

“The course was incredibly useful — a great mixture of practicality and theory”

CETI-Rural congratulates all graduating members of the 2011 Clinical Team Leadership Program group on their hard work and achievements.

CETI-Rural will be running another Clinical Team Leadership Program starting in August 2011. Please contact Linda Cutler, the Executive Director of CETI-Rural on (02) 6841 2651 for more information.

Clinical leadership graduates show their skills

Jan Dent Facilitator, Leadership and Management Programs , CETI

Leanne Wright, Jana Van der Jagt.

Kerry McKee, Kerrie –Anne Lahrs, Jan Dent


Clinical Team Leadership Program participantsClinical practice improvement project

Dr Ken Mackey, Rural GP/VMO, LockhartKaren McPherson, Nurse Manager, Lockhart Health Facility

Optimal care for high care patients at Lockhart MPS

Dr Patricia Collie, GP, Coffs HarbourSusan Saunders, NUM CAPACS, Coffs Harbour

Reduce hospital admissions through home-based care

Michele Greenwood, Clinical Nurse Consultant, Refugee HealthKirsty Browne, Clinical Nurse Specialist 2, TB Prevention and Control/Chest Clinic, Coffs Clarence Network/Hastings Macleay

Improve Integration of services for newly arrived refugees

Jana Van der Jagt, Clinical Nurse Consultant HIV, Hepatitis C and Sexual Health, Port MacquarieLeanne Wright, Nurse Practitioner, Kempsey

Streamlining emergency department risk assessments for exposure to blood-borne viruses

Kerry McKee, Co-ordinator Harm Reduction/NSP, Acting Manager Lismore Liver Clinic, LismoreKerrie-Ann Lahrs, Nurse Unit Manager, The Tweed Opioid Treatment Program

Offering pharmacotherapy clients the opportunity to assess and address their hepatitis C status

Linda Bootle, MCM AMIHS, OrangeKerry Inder, Maternity Women’s Health Child and Family Health Team Leader, Dubbo

Developing an integrated service delivery model between child health and Aboriginal Maternal Infant Health Strategy teams and maternity services for women from conception to 8 weeks postpartum birthing for Narromine clients

Denise Green, Nurse Manager, CoomaEileen Watson, Team manager Mental Health/Drug and Alcohol, CoomaCathy Boyle, NUM Critical Care, Bega Jenni Sorensen, CNC ASET/AARCS, BegaDr Sivarajasingham Navaneethan, Staff Specialist Obstetrics and Gynaecology, Griffi thDr Bernard Haasbroek, GP VMO, Leeton

Clinical Team Leadership Program participants with Linda Cutler, Executive Director CETI Rural Directorate.

Top row (left to right): Linda Bootle, Michele Greenwood, Kerry McKee, Kerrie-Anne Lahrs, Sivarajasingham Navaneethan.

Middle row (left to right): Leanne Wright, Jana Van Der Jagt, Kerry Inder, Linda Cutler.

Bottom row (left to right): Jan Dent, Patricia Collie, Sue Saunders, Kirsty Brown.

Not present: Ken Mackay, Karen McPherson, Denise Green, Eileen Watson, Cathy Boyle, Jenni Sorensen, Dr Bernard Haasbroek.


Coming events

NSW Prevocational Medical Education ForumStamford Grand North Ryde 11–12 August 2011

At this year’s forum, educators, directors of training and administrators will share their experience and hear practical advice from leaders in the education of junior doctors.

Workshops Teaching on the Run (TOTR): We are offering all six

modules on the day: Clinical teaching | Skills teaching | Feedback and assessment | Supporting trainees | Planning term learning | Effective group teaching. Places in the TOTR workshops are already booked out, and CETI will be running them again at a future event.

Online learning: An introductory workshop introducing Moodle and simple tools that can be used to help create online learning, with attention to instructional design principles. Resources and links to further information will be provided.

Building better prevocational trainee assessment: Exposition of current and potential assessment methods is followed by a workshop to design effective and effi cient assessment for prevocational trainees.

The vocational trainee’s role in JMO training: Vocational trainees (such as basic physicians trainees, advanced trainees and registrars) play a vital role in prevocational training. What should CETI, directors of training and consultants do to support vocational trainees and build their skills as leaders and educators?

Prevocational general practice placements program (PGPPP): Hospital DPETs and GP DPETs need to work together to maximise the effectiveness of general practice placements for prevocational trainees. How does it work

and what are the issues that need to be considered? This session will be led by GP training providers and hospital DPETs with experience in PGPPP.

Core competencies for prevocational trainees?: The Australian Curriculum Framework for Junior Doctors outlines a comprehensive set of learning outcomes, but is there a set of core competencies that should be specifi cally taught and assessed in core terms? This is a brainstorming session for people who want to help fi nd the answer.

Plenary sessionThe plenary session brings everyone together: Directors of Prevocational Education and Training, JMO Managers, Education Support Offi cers, and representatives from hospital administration, NSW Health, clinical agencies, universities, JMOs, and CETI.

It is a chance to hear reports of new initiatives and best practice in prevocational training. Topics include:

Update on national registration

CETI update: interprofessional learning, e-learning, new programs

CETI’s principles of network training and prevocational network reform

The new DPET guide

Reports on innovations and pilot studies from the networks

Managing the disruptive doctor

Presentations by JMO Forum working groups

More information: Craig Bingham (02 9844 6511, [email protected]), or visit the website <www.ceti.nsw.gov.au/augustforum>.

For program information and to register online:

www.ceti.nsw.gov.au/augustforum

Fourth Rural Health Research Colloquium Dubbo, 11–13 October 2011

The Colloquium is co-convened by the Australian Rural Health Research Collaboration and CETI’s Rural Division.

The theme for the Colloquium is “Sustaining Rural Health through Research”.

Areas of particular interest include Aboriginal health, preventive health and health promotion, community well-being, service delivery and workforce. For additional information, please see <www.rhrc.com.au>.


Glasshouse Entertainment Centre, Port Macquarie 1.30pm Wednesday 9 November to 1pm Friday 11 November 2011

This conference is designed to attract rural and remote allied health clinicians from new graduates to managers, and offers something for everyone. The program promises some interesting keynote speakers

A series of pre-conference workshops has been confi rmed for Wednesday 9 November from 9.30am to 12.30pm:

A multidisciplinary approach to pain management Presenters: Shelly Barlow, Physiotherapist BallinaKevin Hansell, Physiotherapist Grafton Anne Kelly, Psychologist Lismore

Demystifying mental health disorders for generalistsPresenter: Dr Stephanie Oak, Senior Staff Specialist Psychiatrist, John Hunter Hospital

“Counselling the disruptive child”Presenter: Chris Hardwick, Clinical Psychologist,

Department of Psychological Medicine Childrens Hospital Westmead

Making the most out of supervision — supervision for supervisors Presenter: Professor Roslyn Giles, Senior Lecturer Social Work and Policy Studies, University of Sydney

Toolkit: building and sustaining arts and health programs in primary care, community services, health promotion and evaluationPresenter: Margret Meagher, Executive Director, Arts and Health Australia and the Australian Centre for Creative Ageing, Port Macquarie

FODMAP dietetics workshopPresenter: Dr Sue Shepherd, Advanced Accredited Practicing Dietitian and Senior Lecturer Monash University

Management of common hand and wrist conditions for rural generalistsPresenter: Angela Carpenter, Senior Physiotherapist and Certifi ed Hand Therapist, Hand Clinic, Lismore Base Hospital

Registrations are now open, early bird closes 16 September.

To view the pre-conference workshop program, draft conference program or to register to attend the conference, go to the conference website: www.hotelnetwork.com.au/conferences/conferences/ruralhealth2011

or contact Jenny Preece, Rural and Remote Health Projects, CETI Rural Directorate (02 6692 7716, [email protected]).

Coming events

Strong foundations on shifting sands:

5th NSW Rural Allied Health Conference

Rural GPs satisfi edGeneral practitioners in rural areas are just as satisfi ed as, and earn 11% more than, GPs in metropolitan areas, according to data presented in Mabel Matters, newsletter of the Medicine in Australia: Balancing Employment and Life (MABEL) research project <www.mabel.org.au/newsletter>.

The MABEL project has completed four large surveys (each with over 10,000 responses) of Australian doctors, asking them for information about their work, work–life balance and attitudes.

Another fi nding reported from the fourth survey is that hospital non-specialist doctors (eg, interns and medical offi cers) are the least likely to be satisfi ed when compared to other groups of doctors. However, at least there are some signs of improvement: job satisfaction of this group increased by 1.6 percentage points between 2008 and 2009. In particular, increases were recorded in satisfaction with remuneration, hours of work, and freedom to choose one’s own method of working.

The MABEL dataset is now being made available for others to use in their research.

Message from thee chief investigatorrss

Medicine in Austtraalliaa: BBBaaaaallaaaaaaaaannnnnnnnnn

From left: Professor Anthony Scott, Professor JJohn Huumphhreyys, Dr Catherine Joyce and Associate Professor Guyyonne KKalb


BHI releases two new reports

Dr Diane WatsonChief Executive, Bureau of Health Information

The Bureau of Health Information released two new reports in June – Chronic Disease Care: A piece of the picture and Hospital Quarterly.

The chronic disease report looked at potentially avoidable admissions for chronic heart and lung disease across 79 NSW public hospitals from July 2009 to June 2010.

Congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) were responsible for nearly 30,000 potentially avoidable admissions and 170,000 bed days in NSW public hospitals last year. The overwhelming majority of these admissions arrived through emergency departments. Admissions peaked in winter.

In NSW there are about 174,000 people with COPD and 83,000 with CHF.

The report gives hospitals information about how these conditions affect them compared with their peers on measures such as number of patients, standardised admission rates, mode of admission, length of stay and bed days. It also gives hospitals information about the change in these measures over the past fi ve years. There has been a 10% reduction in bed days over the past fi ve years, but there remain opportunities to improve hospital and community care so these people can stay well and at home.

The Agency for Clinical Innovation will use the Bureau’s report to identify communities and hospitals most affected by potentially avoidable admissions to implement a model of care to improve patient outcomes.

Hospital Quarterly tracked increased pressure across emergency departments and non-urgent elective surgery from January to March 2011. In that time, 526,000 people attended NSW emergency departments — 4% more than last year and 8% more than a year ago.

At the same time, patient fl ow into and through hospitals changed. The percentage of patients transferred from an ambulance into emergency department care within 30 minutes was down from one and two years ago. The percentage of patients transferred from the emergency department and admitted to hospital was also down from one and two years ago.

Elective surgery is increasing in NSW public hospitals and the median wait for non-urgent surgery was 10 days longer than the same time a year ago and 10 weeks longer than in 2009.

In this Hospital Quarterly, the Bureau took a new approach to measuring elective surgery wait times to address differences in how hospitals record patients on waiting lists. We did this by excluding 3,500 “staged” surgery procedures from the 46,500 procedures reported on for January to March.

A Bureau analysis begun last year found that hospitals had different interpretations of how to record staged patients in the surgery booking system. By changing the way we measured wait times, we removed these recording variations and can see more clearly how one hospital compares with another. The change means that some hospitals’ non-urgent elective surgery wait times look longer using the new method than they did under the previous method of measurement.

Chronic Disease Care: A piece of the picture and Hospital Quarterly are available at <www.bhi.nsw.gov.au>.


Contributing to cetiscapecetiscape is published by email and online: www.ceti.nsw.gov.au/cetiscape

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Short news stories: achievements, launches, events. (100 to 300 words, photos and illustrations desirable)

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The submission deadline for each issue is the middle of the month. Articles can be submitted as Word documents. Pictures and logos should be sent separately, using the best available fi le. For logos, this is often an EPS fi le. Picture fi les should be sent at the highest resolution available. Articles are subject to editing (proofs are shown to the authors).

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Worth a look

BMC Medical EducationBMC Medical Education <http://www.biomedcentral.com/bmcmededuc/> is an open-access (= free to readers) journal publishing original peer-reviewed research articles in relation to the training of healthcare professionals, including undergraduate, postgraduate, and continuing education. The journal focuses on curriculum development, evaluations of performance, assessment of training needs and evidence-based medicine. BMC Medical Education (ISSN 1472-6920) is indexed/tracked/covered by PubMed, MEDLINE, CAS, EMBASE, Scopus, Cinahl, CABI, Thomson Reuters (ISI) and Google Scholar.

As with the 215 other BioMedCentral online journals, you can sign up for regular updates to be notifi ed of research relevant to your interests by email. Researchers might also like to consider publishing in BMC Medical Education, as its online peer review processes are rapid and its publication lead-times are short.

Regional, rural or remote?For a range of administrative purposes, Australian healthcare professionals need to know whether their location qualifi es as metropolitan, regional, rural or remote.

An interactive map that helps you defi ne locations according to their Commonwealth government Remoteness Area, District of Workforce Shortage, or Metropolitan and Telehealth status is available at: <www.health.gov.au/internet/otd/publishing.nsf/Content/locator>.

Please note that Rural CETI has specifi c defi nitions of eligibility for its rural programs — see <www.ruralceti.health.nsw.gov.au “Am I eligible?”>.

Health & Medicine

Cetiscape 6 July 2011