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NEWSLETTER Tablelands Clinical School July 2016 Clinical Dean Associate Professor Phillip Braslins

Dear colleagues Well second semester is in full swing now and our TCS students have maintained a high level of enthusiasm. I haven’t heard any tales of misadventure during vacation or the Primary Health Care Selective so congratulations and well done (keep it down low)! Our sympathies go to Yr 4 student Dan McGhie who was laid low recently, in fact nearly flattened, while riding his bicycle. Fortunately he received prompt attention from Dr Rod Martin & Dr Jane Marr on the scene. Nothing can keep Dan subdued for long. He recently passed his medicine long case while on crutches. Go Dan! We’ve certainly had a hectic few months leading up to the AMC accreditation visit. There was very strong interest in the Rural Stream workshop held at TCS on 23 May. We discussed the benefits of working in a rural practice, especially the support that we and our families receive from the community, and the challenges that face us as well. We thought about the skills and attributes that could help a rural practitioner be successful. I am collating these ideas and will circulate a report of the meeting

soon. Dr Mark Kelly agreed to help us to map our goals to the learning outcomes of the MD-JMP to make sure that the program is aligned with our needs, to create broadly trained JMOs who have an interest in pursuing a career in a rural or regional community. The next task we set ourselves is to generate ideas for a teaching plan, that is, to create the learning opportunities which will help students at the rural clinical schools achieve all the MD-JMP learning outcomes (and especially those which are more highly valued by rural practitioners). I think we have had some success in our endeavours. Dr Gus Webb, UNE graduate from 2016, a TCS student from 2015, and a Narromine boy, recently said that he was

“stoked” about his placement at Dubbo Base Hospital in country NSW. He felt that he was on his way to achieving his goal to become a rural generalist. For more on Gus’s story click here.

The AMC accreditation visit came in late May. The reviewers stayed for 2 days in Armidale and the feedback we have received has been positive. Thank you to everyone for your contribution to this process! A decision will be relayed to us in August. We won’t rest on our laurels though, there is still a

Former student & now intern at Dubbo

Base Hospital, Dr Gus Webb

A/Prof Phillip Braslins

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lot of development work to continue. Right now though we have a full schedule of workshops and conferences to organise, while still delivering the best learning opportunities we can to the TCS year 4 and year 5 group. The next TCS Ultrasound workshop is the first cab off the rank, scheduled for July 28 and 29. The new additions for this semester will be an opportunity to drive the X-Porte machine courtesy of our Sonosite rep. I am told this has all the latest bells and whistles, including dial-up pathology which we can use to demonstrate abnormal findings to our fledgling bed side diagnosticians. We are also looking forward to trying out a Laerdel system of simulated skin which can be used to make sure that the probe is correctly orientated. Once in the right position the appropriate images are displayed. Simulated skin, sounds icky. On Thursday August 11 we will hold a combined staff development workshop and medsems@TCS event, from 5.15 to 8pm with dinner provided. We will discuss how to implement the “JMP clinical method” with invited guests Dr Andra Dabson, UoN Clinical Practice theme lead, and Professor Brian Jolly, Professor of Medical Education (JMP) and Chair JMP Assessment Committee. This will be followed by Dr Hadi Nojoumian who will guide us through his experience working for Medecins Sans Frontieres in the Khorasan region, the border between Iran and Afghanistan. In the words of Dr Martin Luther King Jr - “Life’s most persistent and urgent question is, ‘What are you doing for others?’”. Hadi will tell us what he did to answer this question. We may ask him to tell us the story of how this experience in refugee medicine started him on his journey to Australia. I think Hadi’s presentation will give us all pause to reflect on the suffering that is so widespread in our world, suffering which does not discriminate.

On Saturday September 10 TCS will host AMCON. The theme for this year’s Armidale conference will be musculoskeletal, from knees, to hips, to shoulders. We have a great line up of plenary speakers and very practical breakout workshops. Dr Robin Diebold, Dr Neil Ferguson, Mrs Suzie Wright, Mrs Gemma Model, and Mr Rob Tindale will lead our discussions. Would you like to learn how to use a 5 minute tool for the assessment of shoulder pain? Need a refresher on sub-acromial injection technique? What exercises will best help

your patients with knee or shoulder pain? AMCON will answer these questions and more. CPD points will be available for GPs. So much to do and so little time. Wish I would be able to go to the tropical medicine conference in Brisbane in September, the simulation medicine conference in Melbourne later that same month, or the Australian College of Rural and Remote Medicine meeting in Canberra in October. If you are fortunate

Yr 5 Students from Taree & Tamworth enjoyed the TCS terrace for a debrief

following day 1 of an intensive day learning modern ultrasound techniques

Date for your diary Armidale Medical

Conference (AMCON) 8:30am – 3.30pm

10 September 2016

Date for your diary Staff Development Workshop (5.15pm) &

medsems@tablelands (7pm)

11 August 2016

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enough to be able to attend one of these or any other meetings please sign up to give a report to Grand Rounds at ARRH or to a future medsems@tablelands. Meanwhile our sim lab has seen heavy action. In week one the focus was on human factors and communication. Our students definitely stood up when it looked like our instructors (by design) weren’t working well as a team! Week 2 focused on trauma and interacting with a retrieval team. It went like clockwork, well done to all! This week Sim man had a cardiac arrest in the toilet. Well at least he is getting out of the lab now. I look forward to his further adventures. Who knows where or when our student docs will be called on to give him the kiss of life. I have encouraged nursing students to come to the sim lab for interprofessional learning. To be very careful what you wish for is always good advice. Now the School of Health is camped out in the TCS building. Joking aside, despite the potential for scheduling challenges, holding the intensive nursing school at TCS has gone very smoothly and we look forward to working closely with our School of Health colleagues. Today was such a balmy shirt sleeves day, I think perhaps Spring is on the way, or is that just wishful thinking? I will hand over to my colleagues now to fill you in on the many other activities we have at TCS. It is such a great team to work with at TCS. Here are their stories………

Simulation Lab Amanda Styles & Alison McDonald

This semester we will be focusing on making the simulations more realistic and interactive. The students are now needing to perform more clinical skills in real time, performing ISBAR handovers, writing out pathology forms and investigations requests. Our first simulation to start off the semester was incorporating ALS & human factors where the students were required to speak up against two team members during the resus who were talking inappropriately. All the students performed this extremely well. This exercise was followed with a trauma sim, where Sim Man took on a tree and came off second best. We were able to intubate and ventilate the patient with the ventilator, kindly donated by the ARRH ICU. This has allowed us to incorporate realistic post resus care within our simulations and enables the students to become more familiar with a ventilator and its settings. We have surprised the students with Sim Man collapsing in the bathroom. They experienced the difficulties of performing CPR in a small confined space and needed to trouble shoot and work together to get him out of the bathroom! To consolidate this experience, we surprised the students again with Sim Man collapsing in the elevator. This scenario was Sim Man as an elderly man who had been unwell

Amanda Styles & Alison McDonald. The handsome one in the middle is Sim Man 3G Trauma

Will the students be able to revive Sim

Man again? – he’s been arresting in

the most unexpected places…

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for a week, attending his GP appointment with his granddaughter. He accidently collapsed in the elevator and his granddaughter was able to get the attention of a group of keen, practiced medical students to help her Pop. There are many more exciting simulations planned to keep the students on their toes. The simulation lab has also been busy with the students practicing clinical skills from priming IV lines to taking ABGs to perfecting their suturing technique. We look forward to another action packed semester and warmer weather! Kind regards Amanda & Alison

Sim Man took on a tree and lost! (However the tree is reportedly in a stable condition – a little bit of bark off here and there but should make a full recovery!)

Dr Kenneth Gilpin discussing the priorities of care in a trauma victim. Everyone carefully looks on while Kenneth points out the best spots to catch pokemon…

Surgical RMO Georgia kindly demonstrated the correct suturing technique

Harry, Rebecca and Hana practice their suturing techniques

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The students attempt to resuscitate Sim-man found

unexpectedly unconscious in the toilet

Hands off for ‘SHOCK’ time! Siobhan, as team leader,

goes through the coached protocol

Hana and Will rush to attend to the next unexpected emergency in the elevator, while Siobhan heads into the sim lab for the resuscitation trolley

Hayden, already caught by surprise by the bathroom episode, wonders what the next challenge lurking around the corner is. Dan, on crutches: “Don’t wait for me….”

Hana and Will discussing to shock or not!

Dan (yes, he got there!), Harry and Rod deep in conversation about

what might have caused Sim Man to collapse….. with Kenneth in

the background still looking for pokemon…

Still

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Year 4/5 Medical Student Teaching Julie Mills

Semester 1 is done and dusted and flew by quicker than anyone could imagine! The Year 5 Medicine/Psych/Palliative Care students are still on vacation after completing PHCS recently, but August 8th will see all students back on deck. A highlight from Semester 1 was the ever popular Teddy Bear Hospital visits with the Year 4 Women & Children’s Health (WACH) students. I never quite know which students are having more fun, the big ones or the little ones! Here we are at Sandon Primary School, 11th May 2016 and again at Rocky River Public School, 18th May 2016 (in the medical student’s new scrubs!)

L to R: Ishmam Bari, Will Stobie, A/Prof Liz Cotterell, Alana

Jacobson & Hana Munclinger with their very cuddly

patients at Sandon Primary School in May

BMed students Will Stobie, Alana Jacobson, Harrison Ward & Hana Munclinger really enjoyed being Teddy Doctors at Rocky River Public

School

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Medicine/Surgery A/Prof Bob French & A/Prof Phillip Braslins

A new unit of facio-maxillary injuries has been added to the anatomy & surgical curriculum for Yr 4 & 5 students.

Building Activity Report Muriel Dell

Level 3 Usage 2016

UNE Marketing Strategic Planning Retreat 19/2/16

UNE School of Health Nursing Practicals 1/3/16

UNE Research Services NDIS Readiness Forum 7/3/16

UNE School of Health meeting 15/3/16

UNE Research Services NDIS Forum 21/3/16

UNE School of Health Professional Development W/Shop 4/4/16

UNE School of Rural Medicine Yr 3 Tutorial 14/4/16

UNE Human Resources Training Workshop 26/4/16

International Nurses Day 12/5/16

UNE Human Resources Training Workshop 9/5/16

UNE School of Health Clinical Co-ordinator meeting 10/6/16

UNE Executive Assistant’s meeting 16/6/16 Upcoming

UNE School of Health – Nursing Intensive Schools June – mid September 2016

UNE School of Health Research Showcase Seminar 10/10/16 Level 2 Activity other than Yr 4/5 Medical Student Teaching 2016

EMET Training 4/2/16 & 17/3/16

Yrs 1,2 & 3 Harvey Tutorials x 12– various dates

GP Education Neonatal Resuscitation Workshop 9 & 10/3/16

Yr 1 Clinical Tutor Meeting 10/3/16

Yr 3 Tutorial – Hypertension Risk & Compliance 14/3/16

EMET Training Workshop 17/3/16

Yr 1 Medical Consulting Skills Tutorial 24/3/16

New England Health Alliance Meeting 4/4/16

Yr 1 History Taking Tutorials 28/4/1, 5/5/16

EMET Training 28/4/16

HNELHD RN ALS Training Workshop 4/5/16

UNE Open Day Tours 6/5/16

Doctor’s Advisory Group Meeting 9/5/16

NEDGP Board Meeting 11/5/16

HNELHD Mental Health Training 12/5/16

Clinical Dean’s Meeting 27/5/16

HNELHD ALS Instructor’s Course 2-3/6/16

Healthlink & RMS Training for GPs – HNECCPHN 9/6/16

Paediatric Palliative Care Education Meeting 22/6/16

HNELHD Transitional Aged Care Program Forum 23, 24/6/16

Tablelands Clinical School in winter

A beautiful winter’s early morning view from Level 3 foyer, Tablelands Clinical School

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Grand Rounds each Wednesday (other than school holidays) Upcoming

HNELHD Educator’s Orientation Day 21/7/16

Yr 1 Critical Care Lecture 26/7/16

Yr 1 Abdominal Skills Tutor Briefing 1/8/16

Staff Development Workshop for Clinicians 11/8/16

medsems@tablelands Medical Seminar 11/8/16

HNELHD DETECT Workshop 31/7/16

ARRH ED Simulation Day 1/9/16

Armidale Medical Conference (AMCON) 10/9/16

Coonamble High School visit & demonstration of Simulation Labs 13/9/16

ARRH Stable Program 21, 22/11/16

2016 Graduation

The UNE School of Rural Medicine enjoyed a day of celebration on Saturday, 30 April 2016 as 64 qualified doctors graduated from the UNE Joint Medical Program’s 4th cohort. The graduation ceremony in the morning was set on the beautiful lawns of Booloomimbah. UNE BMed graduate Dr David Townsend represented all UNE graduates across all Science Faculties by giving a most stimulating and entertaining Vote of Thanks. Thank you David! In the evening the School hosted a formal Graduation Dinner. Guests included UNE’s Vice Chancellor Professor Annabelle Duncan, Dean of the Joint Medical Program Professor Brian Kelly, Acting Head of School Professor Geetha Ranmuthugala, Deputy Mayor of Armidale Dumaresq Council Cr Jim Maher, and Member for Northern Tablelands Adam Marshall MP. Award winners announced on the day were: School of Rural Medicine Head of School Award – Dr Deanna Daintry UNEMSA Award of Excellence – Dr Sharna Bennett The Dr Phillip Bookallil Prize for Rural General Practice – Dr Sharna Bennett The Dr Robert French Prize for Surgery – Dr Sally Sinclair The Andrew Lojszczyk Prize – Dr Sally Sinclair Doctor’s Doctor Award – Dr Rebecca Williams The Margaret Auchmuty Prize for Women Medical Students – Dr Elizabeth Richardson The RANZCOG Women’s Health Award – Dr Anastasia Behan-Willett The Welch Allen Diagnostic Set Prize – Dr Megan Grigg Visit this link for further award photos & details Visit this link for graduation ceremony & dinner photos

Annual Maternal Skills Day

Graduate Dr Sally Sinclair was presented the Dr

Robert French Prize for Surgery by Dr French

Bachelor of Medicine Graduation 2016 celebration!

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ASPIRE (Armidale Students Promoting International Rights and Equality), a student run global health group, ran a Maternal Health Weekend at the Tablelands Clinical School on 7th & 8th May 2016. The weekend consisted of a Maternal Skills Day and Birthing Kit Assembly Day. The group organises this workshop each year to coincide with Mother’s Day. The Maternal Skills day provided education in the complexities of maternal health and birth for UNE medical students from years 1, 2 and 3. Teaching sessions consisted of 4 stations, each tackling one of the many difficulties that can present before, during and after a birth. Local General Practitioners and Obstetricians volunteered their personal time to run the stations this year. A big thank you to Associate Professor Nihad Abu-Asab, Dr Cheryl McIntyre, Dr Kate Chapman and Professor John Fraser.

Ultrasound Workshop

On 7th & 8th April 2016 Tablelands Clinical School hosted the annual Ultrasound Workshop. 15 x Year 5 students from Peel, Manning & Tablelands Clinical Schools studying subjects in the Semester 1 Critical Care rotation attended.

More photos & information at this link

Professor Nihad Abu-Asab teaching Yr 1-3 students how to

manage post-partum haemorrhage with birthing mannikin Noelle

Professor John Fraser supervised neonatal

resuscitation of simulated newborn, SimNewby

Dr Rommel Dahiroc demonstrating hands on ultrasound techniques

Yr 5 student Nuttaya Preechayangkun using

ultrasound to locate foreign objects in simulated flesh

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Upcoming Events at TCS

Staff Development Workshop, 11 August 2016 commencing at 5:15pm. Guest speakers Professor Brian Jolly & Dr Andra Dabson, University of Newcastle. Invitation flyer to all clinicians & School staff to be circulated very soon!

Medical seminar medsems@tablelands, 11 August 2016 commencing at 7pm. Guest Speaker will be Dr Hadi Najoumian talking about his experience working in a humanitarian relief organization in the Pakistan/Afghanistan border region. Flyer to be circulated very soon!

Armidale Medical Conference (AMCON), 10 September 2016 commencing 8:30am. This year’s theme will be “Hip, knee and shoulder problems in children & adults: assessment, prevention & treatment”. The School is currently seeking accreditation from RACGP & ACRRM. Flyer to be circulated very soon!