Medical education 10
Track 5
Sunday, October 29, 2023 |
2:00 PM - 3:15 PM |
Meeting Room C2.3 |
Speaker
Dr Sean Black-Tiong
Chair, National Faculty for GPs in Training
Royal Australian College of General Practitioners
Chairperson
Biography
Dr Esther Tilly
Assistant Professor: Family Medicine
Fiji National University
Postgraduate Family Medicine training at Fiji National University: Evaluating a new distance learning programme designed specifically for the Pacific
2:00 PM - 2:15 PMSummary
Providing a skilled medical workforce to meet health care needs in regional, rural and remote areas is a major challenge in Fiji and other Pacific Island countries These challenges are exacerbated when doctors relocate from rural to urban areas or leave their home country for postgraduate specialty training. The Pacific region is experiencing a rising burden of non-communicable diseases, and combined with persisting communicable diseases and climate change, this has made primary care increasingly complex. This research will be looking at the experiences of graduates of the diploma component of an innovative postgraduate medical training programme, using online and remote teaching methodologies to train primary care doctors to meet these challenges without leaving their home communities with content designed specifically to the needs of the Pacific.
In 2019, Fiji National University, in partnership with James Cook University, introduced a new programme, the Postgraduate Diploma in Family Medicine. This one-year foundational programme provides comprehensive education for doctors already working in primary care. There is a strong focus on evidence-based, patient-centred approaches to non-communicable chronic diseases and topics such as mental health. Using advances in information and communication technology, participants can live and work in rural as well as urban areas throughout their studies. Through a partnership with the Ministry of Health of the Kingdom of Tonga and the non-government organisation Rocketship Pacific Ltd, Tongan trainees have been included as well. Future cohorts are likely to include other regional Pacific countries. From 2020, a further three-year Master’s level qualification has been available, providing specialist-level training. This presentation is an evaluation of the distance methodology, graduates' experiences, and impact on patient care of this innovative programme. This research focuses on the Postgraduate Diploma, as higher numbers are needed to provide adequate information on the Master’s programme
In 2019, Fiji National University, in partnership with James Cook University, introduced a new programme, the Postgraduate Diploma in Family Medicine. This one-year foundational programme provides comprehensive education for doctors already working in primary care. There is a strong focus on evidence-based, patient-centred approaches to non-communicable chronic diseases and topics such as mental health. Using advances in information and communication technology, participants can live and work in rural as well as urban areas throughout their studies. Through a partnership with the Ministry of Health of the Kingdom of Tonga and the non-government organisation Rocketship Pacific Ltd, Tongan trainees have been included as well. Future cohorts are likely to include other regional Pacific countries. From 2020, a further three-year Master’s level qualification has been available, providing specialist-level training. This presentation is an evaluation of the distance methodology, graduates' experiences, and impact on patient care of this innovative programme. This research focuses on the Postgraduate Diploma, as higher numbers are needed to provide adequate information on the Master’s programme
Takeaways
1)There is now a regionally based training pathway at Fiji National University for Pacific Primary Care Doctors designed specifically to the needs of the Pacific .
2). Distance learning methods can be used to provide primary care post graduate education while doctors remain in their communities.
3) The experiences of the graduates of the Past Graduate Diploma in Family Medicine will be discussed (course satisfaction, job satisfaction, impact on patient care ):this will be finalised once we have completed our graduate experience surveys. The aim is to complete these in the upcoming 3 months
2). Distance learning methods can be used to provide primary care post graduate education while doctors remain in their communities.
3) The experiences of the graduates of the Past Graduate Diploma in Family Medicine will be discussed (course satisfaction, job satisfaction, impact on patient care ):this will be finalised once we have completed our graduate experience surveys. The aim is to complete these in the upcoming 3 months
Biography
Dr Krupali Tappoo
Assistant Professor in Family Medicine, Fiji National University
Tappoocity Medical Centre & Fiji National University
Postgraduate Family Medicine training at Fiji National University: Evaluating a new distance learning programme designed specifically for the Pacific
2:00 PM - 2:15 PMBiography
Miss Jasmine Davis
Immediate Past President
Australian Medical Students' Association
Medical Student Interest in General Practice - Reversing the Trend
2:15 PM - 2:30 PMSummary
In Australia, there is a predicted shortfall of over 11,000 General Practitioners by 2030. One of the key factors in this shortfall is the low interest of medical students in undertaking a career in general practice, with only 15% of graduating students reporting an interest in becoming a general practitioner. In order to reverse the trend, this statistic needs to be closer to 50%, and in order to tackle this problem, there needs to be a whole of stakeholder and government approach to ensure general practice becomes the most appealing career for graduating students.
This key policy issue was brought to light by stakeholders in general practice, and in 2022, the Australian Medical Students' Association (AMSA) was a advocacy voice, putting this issue at the forefront of the Australian Governments policy agenda through increasing media attention as well as holding a Roundtable event with stakeholders. The Roundtable event was held with all major general practice and medical education stakeholders, and was attended by both the Minister for Health and the Shadow Minister for Health. As a result of these discussions, AMSA produced a report titled: 'Medical Student Interest in General Practice -
Reversing the Trend' with Recommendations for Government, Universities and General
Practice Colleges to increase medical student interest in general practice. This presentation will talk through the policy issue, how medical students put the policy issue on the agenda of the Federal Government, and explore what needs to be done to ensure general practice is an appealing career choice for all students.
This key policy issue was brought to light by stakeholders in general practice, and in 2022, the Australian Medical Students' Association (AMSA) was a advocacy voice, putting this issue at the forefront of the Australian Governments policy agenda through increasing media attention as well as holding a Roundtable event with stakeholders. The Roundtable event was held with all major general practice and medical education stakeholders, and was attended by both the Minister for Health and the Shadow Minister for Health. As a result of these discussions, AMSA produced a report titled: 'Medical Student Interest in General Practice -
Reversing the Trend' with Recommendations for Government, Universities and General
Practice Colleges to increase medical student interest in general practice. This presentation will talk through the policy issue, how medical students put the policy issue on the agenda of the Federal Government, and explore what needs to be done to ensure general practice is an appealing career choice for all students.
Takeaways
This presentation will:
1. Highlight the importance of ensuring general practice is an appealing career choice for medical students;
2. Explore the role medical students can play in advocacy and policy reform; and
3. Propose solutions that can be implemented at the medical student level to increase medical student interest in a career in general practice.
1. Highlight the importance of ensuring general practice is an appealing career choice for medical students;
2. Explore the role medical students can play in advocacy and policy reform; and
3. Propose solutions that can be implemented at the medical student level to increase medical student interest in a career in general practice.
Biography
Jasmine Davis is the Immediate Past President of the Australian Medical Students’ Association (AMSA) - the peak representative body for Australia’s 18,000 medical students. Jasmine is a medical student at The University of Melbourne studying an intercalated Doctor of Medicine and Master of Public Health. Jasmine comes from regional Victoria and has specific interests in rural health and public health. In her role as AMSA President, Jasmine was the student voice for the organisation, and in this role married her interests in rural health and public health to promote primary care careers in medical students.
A/Prof Pratap Narayan Prasad
Tribhuwan University Teaching Hospital
MD in general practice specialty, first postgraduate programme at institute of medicine and in the country at glance.
2:30 PM - 2:45 PMSummary
The Institute of Medicine (IOM) was established in mid-july,1972 under the New Education System (NESP).
The IOM started campuses for different grades of health workers, in different parts of the country. The medical course at the IOM was started in 1978. The first batch of IOM's basic community-oriented doctor in 1984. (1). In 1981 the secretary of Health and Dean of the Institute of Medicine requested the University of Calgary to assist them in resolving the lack of relevant Postgraduate Medical education in Nepal. Hence, the first post Graduate program in General Practice started in 1982with collaboration of University of Calgary, Canada. (2)
The goal of the program is to provide the Ministry of Health with well-trained generalist physicians for the hospitals to cope with emergency problems by undertaking lifesaving procedures, diagnosis, and in –hospital care, and to provide a wide range of outpatient’s service with emphasis on health promotion and disease prevention. This directly contributed to the goals of the €ministry Of Health!991 Health policy, as an essential link in primary health care. (2)
The programme extent over 3-year period and intensive in nature. The weekly timetable includes daily educational activities, teaching ward rounds and seminars, hands on patient management, and two afternoons reserved for General Practice rounds. The curriculum was divided into 3years.First year, medical specially, second year surgical specialty, and third year General practice and other subspecialty. Nits structure and intent, this progamme is unique in that it has been specifically designed to train physicians to work in a rural and emergency setting. (2)
The IOM started campuses for different grades of health workers, in different parts of the country. The medical course at the IOM was started in 1978. The first batch of IOM's basic community-oriented doctor in 1984. (1). In 1981 the secretary of Health and Dean of the Institute of Medicine requested the University of Calgary to assist them in resolving the lack of relevant Postgraduate Medical education in Nepal. Hence, the first post Graduate program in General Practice started in 1982with collaboration of University of Calgary, Canada. (2)
The goal of the program is to provide the Ministry of Health with well-trained generalist physicians for the hospitals to cope with emergency problems by undertaking lifesaving procedures, diagnosis, and in –hospital care, and to provide a wide range of outpatient’s service with emphasis on health promotion and disease prevention. This directly contributed to the goals of the €ministry Of Health!991 Health policy, as an essential link in primary health care. (2)
The programme extent over 3-year period and intensive in nature. The weekly timetable includes daily educational activities, teaching ward rounds and seminars, hands on patient management, and two afternoons reserved for General Practice rounds. The curriculum was divided into 3years.First year, medical specially, second year surgical specialty, and third year General practice and other subspecialty. Nits structure and intent, this progamme is unique in that it has been specifically designed to train physicians to work in a rural and emergency setting. (2)
Takeaways
1. will know how GP training is done in Nepal
2. history of GP
3. rural practice
2. history of GP
3. rural practice
Biography
Prof Pratap Narayan Prasad is a well-known General Practitioners. He was campus chief of Maharajgunj campus, Nepal. He established General Practice in Nepal and started DM in emergency medicine in Nepal. He was also WONCA SAR PAST President and promote Family Practice in South Asia region and around the globe. He received WONCA Fellowship in 2018.
Dr Bosco Wu
Academic/General Practitioner
Macquarie University
Reviving Student Interest in Primary Care – A Parallel Consulting ‘Teaching Clinic’ within a University General Practice
2:50 PM - 2:55 PMSummary
Observational learning provides lower levels of satisfaction, engagement, and limited development of clinical skills. Career selection in General Practice (GP) is low amongst Australian medical students and requires revival as the global primary care workforce continues to decrease. Generalist abilities are important foundations for students in the increasingly fragmented healthcare model.
We describe a novel parallel consulting clinic (Teaching Clinic) within the Macquarie University Medical Degree (MD), with a focus on the development of clinical acumen, promoting trainee autonomy and increasing interest in Primary Care. The Macquarie MD is a 4-year postgraduate medical program established in 2018 in Sydney, Australia with an embedded GP Clinic and Teaching Hospital.
We highlight the benefits of this parallel consulting model for supervisors, trainees, patients and the organisation. Logistics of the model’s creation and operation since 2020 will be discussed. Briefly, students undertake the Teaching Clinic with an experienced GP supervisor and initially see undifferentiated patients unknown to them. They are each given 15 minutes to take a history and examination independently. They will then present their findings in a structured manner to their supervisor with discussion focused on management. The supervisor will then finalise the consultation with the student before debriefing on learning points. While this is occurring, an alternate student will be reviewing a second patient allowing effective workflow. Students are required to document each consultation into the medical record.
Insights gained from feedback with supervisors and students about their experience and lessons learnt will be presented. This unique concept of clinical service delivery occurring in parallel with medical education will allow attendees to understand the benefits of the Teaching Clinic model, the operational framework, and how they might implement it within their own clinical setting.
We describe a novel parallel consulting clinic (Teaching Clinic) within the Macquarie University Medical Degree (MD), with a focus on the development of clinical acumen, promoting trainee autonomy and increasing interest in Primary Care. The Macquarie MD is a 4-year postgraduate medical program established in 2018 in Sydney, Australia with an embedded GP Clinic and Teaching Hospital.
We highlight the benefits of this parallel consulting model for supervisors, trainees, patients and the organisation. Logistics of the model’s creation and operation since 2020 will be discussed. Briefly, students undertake the Teaching Clinic with an experienced GP supervisor and initially see undifferentiated patients unknown to them. They are each given 15 minutes to take a history and examination independently. They will then present their findings in a structured manner to their supervisor with discussion focused on management. The supervisor will then finalise the consultation with the student before debriefing on learning points. While this is occurring, an alternate student will be reviewing a second patient allowing effective workflow. Students are required to document each consultation into the medical record.
Insights gained from feedback with supervisors and students about their experience and lessons learnt will be presented. This unique concept of clinical service delivery occurring in parallel with medical education will allow attendees to understand the benefits of the Teaching Clinic model, the operational framework, and how they might implement it within their own clinical setting.
Takeaways
1. Understand the utility of generalist training in a University Medical Degree.
2. Identify the benefits of the parallel consulting model for supervisors, trainees and patients.
3. Implement a parallel consulting model in a general practice clinic.
2. Identify the benefits of the parallel consulting model for supervisors, trainees and patients.
3. Implement a parallel consulting model in a general practice clinic.
Biography
Dr. Bosco Wu is a General Practitioner and the joint Course Convener of the Primary Care Term at the Macquarie University Medical Programme.
A/Prof Khalid Gaffer Mohamed
Arabian Gulf University
Assessment of Family Medicine core value before and after a master program in Family Medicine
3:10 PM - 3:15 PMSummary
Abstract
Background: Core values as comprehensive care, continuity of care, leadership and patient-centeredness are important training goals for family physicians, they are as important as clinical and procedural skills. The Gezira Family Medicine Project (GFMP) is a 2 years Master’s program in family medicine in Sudan. We assessed the impact of GFMP on the candidates’ adherence to some core values of family medicine.
Methods: This is a prospective study with before-after design based on repeated surveys. We used Patient-Practitioner Orientation Scale (PPOS) to assess physicians’ attitude towards patient-centeredness. Practice based data from individual patients’ consultations and self-assessment methods were used to assess physicians’ adherence to core values.
Results: At the end of the program the candidates (N = 110) were significantly more active in community health promotion (p < 0.001), more confident as a team leader (p = 0.008), and showed increased adherence to national guidelines for managing diabetes (p = 0.017) and hypertension (p = 0.003). The responding candidates had more knowledge about patients’ medical history (p < 0.001), family history (p < 0.001) and family situation (p < 0.001). There were more planned follow up consultations (p < 0.001) and more referrals (p = 0.040). In contrast, results from PPOS showed slightly less orientation towards patient-centeredness (p = 0.007).
Conclusions: The GFMP Master’s program induced a positive change in adherence to several core values of family medicine. The candidates became less patient-centered.
Background: Core values as comprehensive care, continuity of care, leadership and patient-centeredness are important training goals for family physicians, they are as important as clinical and procedural skills. The Gezira Family Medicine Project (GFMP) is a 2 years Master’s program in family medicine in Sudan. We assessed the impact of GFMP on the candidates’ adherence to some core values of family medicine.
Methods: This is a prospective study with before-after design based on repeated surveys. We used Patient-Practitioner Orientation Scale (PPOS) to assess physicians’ attitude towards patient-centeredness. Practice based data from individual patients’ consultations and self-assessment methods were used to assess physicians’ adherence to core values.
Results: At the end of the program the candidates (N = 110) were significantly more active in community health promotion (p < 0.001), more confident as a team leader (p = 0.008), and showed increased adherence to national guidelines for managing diabetes (p = 0.017) and hypertension (p = 0.003). The responding candidates had more knowledge about patients’ medical history (p < 0.001), family history (p < 0.001) and family situation (p < 0.001). There were more planned follow up consultations (p < 0.001) and more referrals (p = 0.040). In contrast, results from PPOS showed slightly less orientation towards patient-centeredness (p = 0.007).
Conclusions: The GFMP Master’s program induced a positive change in adherence to several core values of family medicine. The candidates became less patient-centered.
Takeaways
1. Core values are important training goals to be achieved and assessed
2. Tools for assessing core values development are needed
3. Patient centered-care is an ignored area which needs more effort
2. Tools for assessing core values development are needed
3. Patient centered-care is an ignored area which needs more effort
Biography
Khalid Gaffer Mohamed is an academic, primary care researcher, educator and clinician. He is a graduate of the University of Khartoum in Sudan (1998). Got his five-year MD (specialty) in Family Medicine from Norway (2008) and his PhD from the University of Bergen (2019). His career started as a family medicine clinician in Norway in 8 years, travelled to Sudan in 2009 where he led the Gezira Family Medicine Project (GFMP) which aimed for mass training of family physician in addition to health services provision. He joined Gezira University and has been active in international collaboration through various organizations. He joined Taibah University in Saudi Arabia in 2013 as a researcher, educator and clinician. He is currently an assistant professor at Arabian Gulf University in Bahrain.
