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Dramatic stories from the 'Shop Floor'
Dr Pat Farry
Introduction of extended exposure to Rural Clinical Practice
Immersion StudentsImmersion Students and their patients discuss dramatic clinical situations they found themselves in
Brad Stone, Past Immersion Student and now Trainee Intern
Brad is a final year medical student who hails from farming stock in the small community of Windwhistle, inland Canterbury. After a lessthan- brief international sojourn and foray into the commercial world, Brad found his way back to medical school and was lucky enough to be accepted onto the inaugural Rural Medical Immersion Programme (RMIP) in 2008. After a year in the Wakatipu wilderness, and an elective in the Australian and Venezuelan outback, Brad is further impressed with the benefits of rural training and hopes to be able to involved in making the programme as robust as possible in the future. Brad is a long time member of the regional student rural health clubs and co-President of the national students rural health club, ARHA. His presentation will cover aspects of his and others rural immersion course experience, as well as highlights and lessons for all those involved.
Kerry Anderson, Immersion Student
Kerry Anderson is a Trainee Intern at Christchurch School of Medicine. In 2008 she took part in the Rural Medical Immersion Programme and spent the year on the West Coast of the South Island. This was primarily at Grey Base Hospital in Greymouth but she spent two months in South Westland working with Dr Martin London. Kerry grew up in Whitianga as the daughter of a small-town GP and has an interest in rural medicine, particularly emergency and general practice. She intends to spend her house surgeon years in Rotorua then Greymouth and to apply for the Rural Hospital Doctor Vocational Training Programme.
Olivia Hill, Immersion Student
Olivia Hill is in her 5th year of medical training, and this year is one of the 20 students across the country undertaking the year in a rural part of NZ. Olivia is based in Queenstown with 4 of her colleagues who are experiencing first hand rural medicince and being part of New Zealands smaller communities – including the greater district of Lumsden and Gore. This experience teaches students how to work with and cope without all the expensive equipment base hospital facilities have and provides them with an extremely broad spectrum of necessary knowledge that a Rural GP needs to know. Olivia was schooled at Wakatipu High and is attending Otago University Medical School.
Professor John Adams, Dean Otago School of Medicine Early results from the University of Otago Immersion Programme
Dr Adams is Dean of the Dunedin School of Medicine. He is a University of Otago graduate, subsequently training in psychiatry and working for many years at the Ashburn Clinic in Dunedin where he was appointed Medical Director in 1988. He was NZMA Chairman from 2001 to 2003. An understanding of, and an interest in, rural health workforce issues were essential components of this role. A long term interest in professionalism and ethics led to him becoming Chair of the NZMA Ethics Committee, and leading the recent review of the NZMA Code of Ethics. He is also a member of the RANZCP Ethical Practice Committee, and a Trustee nominated by the University of Otago on the New Zealand Institute of Rural Health. As Dean of the Dunedin School, he has taken a vital interest in the further development of the School’s undergraduate and post graduate rural programmes.
The Hawke's Bay based Incubator Recruitment ProgrammeA Formal Assault on our Rural Schools. The Hawke's Bay based Incubator Recruitment Programme
Wynn Schollum, Programme Director
Through developing training programmes focused on effective skillsets for trainers and mixed media resource development, programme Incubator was formed and this is now his primary role. This programme is now a multiple NZ awards winner in IT and Workforce Development. His core message is that trainers and educators can transform the learning experience through self management, learners engagement and through effective use of the disciplines of learning organizational principles. Wynn is an experienced trainer/facilitator in the areas on communications and computing training. He came to the HBDHB from consulting for private training establishments in course alignment, resource development and quality management. Born and raised in Gisborne, both Wynn and Sandy have 4 children who have now flown the coop. They reside in Hawkes Bay and are enjoying the wine, cheese and outstanding countryside.
Rural Nursing Workforce Strategy - Report backNurses report back on enhancing rural vocational pathways with certifications, diplomas and higher degrees
Jane O'Malley, Debi Lawry, Michele Barber of working party members
Jane O’Malley is Director of Nursing and Midwifery West Coast District Health Board and the DHB representative on the West Coast PHO Clinical Governance Group. Her PhD (2001) considered the impact of context, including workload, on acute inpatient mental health nursing care delivery. From 1997 until 2005 she was Senior Lecturer in the Department of Psychological Medicine, Christchurch School of Medicine. She was President of the New Zealand Nurses Organisation (NZNO) from 2001 until 2005. With Jan Fearnley, Jane is co-recipient of a 2007/08 Rural Innovation Fund to propose a Rural Nursing Workforce Strategy; she is also co-chair of the governance group for the DHB/NZNO Safe Staffing and Healthy Workplace Unit. Jane is on the steering group for the MOH/WCDHB sustainability project.
Rural Nurses on the MoveA selection of speakers showing the diversity of Rural Nursing
The Chatham's - Jamie Preston
Now in his 4th Year as Hospital & Nursing Manager at The Chatham Islands Hospital & Health Centre. Jamie has 31 years of Nursing in a wide variety of disciplines ranging from Emergency, Intensive Care, Hyperbaric Oxygen Therapy, Cardiac Surgery and Burns & Plastic Surgery Nursing. He has clinical management for a rural population of 630 residents covering 90 square miles. A unique island with unique challenges which at times demand unique and pragmatic solutions. Prior to this post worked in Management of private health care-facility in Wellington, New Zealand.
Rural NZ South Westland Nurse - Anne Fitzwater
I became registered as a Nurse Practitioner in July 2007 and receive my prescribing endorsement in February 2009. My scope of practice is rural primary care and I live and practice in the remote area of Fox Glacier in South Westland. As the main health care provider in the area, my scope of practice is very broad and includes all general practice services as well as well child, post natal, public health, care of the elderly, palliative care, youth health, sexual health and emergency care. I work closely with a visiting general practitioner, the local St John volunteers, the volunteer Fire Brigade, search and rescue, alpine guides, victim support and the police. The incentive to become a nurse practitioner has been that this broad scope of practice and the autonomy and isolation of the position resulted in situations where I was pushing the boundaries of the legal scope of practice of a registered nurse. Now as a prescribing nurse practitioner, I feel I have an appropriate registration to enable me to safely work in this varied and demanding role. I can now provide my practice population with more timely access to prescribed treatments and medications, diagnostic tests and referrals. I am able to offer guidance and support to my colleagues, and students , both under-graduate, post-graduate and nurse practitioner candidates. I believe that it is a privilege to both live and work in this unique South Westland community.
Surgical Bus Johanna de Schot
Louise Howell
Louise works as a Practice Nurse at Queen Street Practice in Wairoa and as an ‘Ear’ Nurse (under the Ear Nurse Specialist Group) at Wairoa Hospital. She is ‘new born’ hearing screener for the community.
Nurses on the move in Australia: Ideas energy, innovation and sheer persistence.
Lesley Salem, Nurse Practitioner, Decendent of the Wonaruah Nation
The Tyranny of time and distance... disappearing in the future. During 28 years of nursing, 26 have been dedicated to Nephrology, Dialysis and Transplantation. Lesley has a strong dedication to the health and wellbeing of indigenous Australians. She currently helps to clinically manage 300+ rural patients covering 31,000 sq of Rural Australia. Lesley has recently worked as a Senior Policy Analyst for Aboriginal Health.
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