UniMelb Rural Clinical School by Prominent Group

R U R A L C l i n cal S c h o o l M E L B O U R N E M E D I C A L S C HOO L Facult y o f M ed i c i n e , D e n t i s t r y a n d Healt h S c i e n ces t h e U n i v ers i t y o f M elb o ur n e 2 0 1 2

Rural health

AcAdemic Centre

R ural C l i n i cal S c h o o l - C elebra t i n g 1 0 y ears

B a l l a r a T

B e n d i g o

S h e p p a r t o n

W a n g a r a tt a

fun de d by the common we alth de part ment of he alth an d ag e i n g un de r he alth workforce Programs

Disclaimer The University of Melbourne has used its best endeavours to ensure that the material contained in this publication was correct at the time of printing. The University gives no warranty and accepts no responsibility for the accuracy or completeness of information and the University reserves the right to make changes without notice at any time in its absolute discretion. Statement on privacy policy When dealing with personal or health information about individuals, the University of Melbourne is obliged to comply with the Information Privacy Act 2000 and the Health Records Act 2001. For further information, refer to: www.unimelb.edu.au/unisec/privacy Intellectual Property Copyright in this publication is owned by the University and no part of it may be reproduced without the permission of the University. For further information, refer to: www.unimelb.edu.au/Statutes Copyright ÂŠCopyright University of Melbourne September 2011. Copyright in this publication is owned by the University and no part of it may be reproduced without the permission of the University. Authorised by: Georgia von Guttner, Director Regional Strategy & Programs 2012. CRICOS Provider Code: 00116K

This publication is made from recycled content

H i s t o r y - T h e early day s

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Contents

Our V i s i o n

2007 11 2008 12 2 0 0 9 - 2 0 1 0

S t ude n t E x p er i e n ce a t t h e R C S

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2012 22 E duca t i o n al i n n o v a t i o n s

Pr i z es a n d a w ards

E x t e n ded rural c o h o r t

C a p i t al w o r k s

Pas t g radua t es

F u t ure g radua t es

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

our vision

Our Vision Improved health of rural Australians through health education, research, and promotion of rural health careers as “A road best taken”.

Recognised superior Academic centre in rural education, research and Indigenous health “Academic and Health System Success” • Fully staffed with high quality academic and general staff • Growing reputation for cutting edge rural curriculum, excellent clinical training and education in evidence based practice measured by comparative exam success and student recruitment • Established interdisciplinary teaching in Rural Health Module and other programs • Effective collaboration with Schools of Dentistry, Nursing and Physiotherapy in delivery of rural components of professional courses • Effective collaboration with other Faculties and Universities in delivery of rural components of other allied health courses • A sustainable broader and more diverse group of placements for rural experience within a manageable local region • International linkages for student and teacher exchange

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

History

The Early Days In 1998 the Department of Health and Ageing of the Australian Government funded a University Department of Rural Health in Shepparton with the aim of enhancing the rural health workforce, by training and developing research capacity, and addressing Indigenous health issues.

The inaugural Chair of Rural Health, Professor David Simmons progressed the relationships between the University of Melbourne and the Shepparton community and made an important contribution to the University of Melbourne proposal for a Rural Clinical School to the Department of Health and Ageing; which was successful. Under the leadership of Professor David Simmons and acting Deans of the Clinical School, Associate Professor Robert Moulds and then Dr Graeme Jones, the Clinical School commenced operations with the first students in July 2012. Professor Dawn DeWitt, newly appointed as Professor of Rural Medical Education, Dean of the Rural Clinical School and Head of the School of Rural Health, arrived from the USA in May 2003.

Before her departure in December 2011 Professor DeWitt had led the Rural Clinical School in its achievements in educational innovation and excellence, significant growth in student numbers and expansion of teaching sites. Key roles in 2002-2003 were the promotion of the RCS, and more importantly planning for, and delivering the curriculum. This required recruiting local teachers and identifying, and solving teaching gaps. Metropolitan clinical schools, particularly the St Vincents Clinical School, under the leadership of Associate Professor Wilma Beswick, helped provide teaching sessions, mostly by the evolving teaching technology of videoconferencing.

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Triennium Report

Rural Clinical School

2001 - 2003

After a period of 12 months planning, The University of Melbourne Rural Clinical School (RCS) officially began its operations in July 2002 with 12 students based in Shepparton. In the first year of operation the RCS planned to take 16 students, increasing to 24 in the second year. For a number of reasons these targets were not met. In 2003 the RCS had 16 students, and although disappointing, low student numbers at the time allowed for excellent teaching and ward experience for those students but severely limited the capacity to involve rotations to other major nodes of Ballarat and Wangaratta, and the minor node at Echuca. During this time significant efforts were made to market and promote the RCS and develop it as a clinical skills centre of excellence. Accommodation for RCS students in Shepparton was under construction. The accommodation consisted of five - 11 bedroom units on the university site adjacent to the formerly named School of Rural Health. The first group of students rotated to Wangaratta in October 2002 for a six week block. They were accommodated in the former Nurses Home at Wangaratta Hospital and a contribution to maintenance and upkeep was made from recurrent funding for this service. In Ballarat the RCS negotiated with Ballarat Health Services for the use of the Midlands Nursing Home for student accommodation.

Professor James Best Head, Melbourne Medical School

On behalf of the Melbourne Medical School I congratulate the Rural Clinical School on its 10th anniversary. The achievements of our staff and partners over this time in education, research and engagement – the three strands of activity in the University of Melbourne’s triple helix – have been extraordinary.

Engagement or involvement in the community by our staff contributes directly to provision of health services and to the health of rural communities.This year we are celebrating 150 years since the Melbourne Medical School admitted Australia’s first medical students in 1862. We are also celebrating the 125th anniversary of admitting women to the medical course.

The Rural Clinical School provides a first rate medical education experience, matching that at any of our other five clinical schools, and also a wonderful experience of rural life. Research that is relevant to the specific health problems associated with the rural setting is designed to be translated into improvements in health and healthcare.

Our byline is ‘Making doctors for 150 years’ and I am sure that the Rural Clinical School is making outstanding doctors. There have been events around the world and at the University during the year, with the highlight being a Gala Dinner at the Royal Exhibition Building on September 15th. Of course many of our graduates have made wonderful contributions to rural medicine in Victoria over that 150 years and we plan to acknowledge their

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

achievements over the next 12 months, beginning with an event in Shepparton. Our students have also been taught in the rural setting for many years but the difference over the past ten years has been the resourcing of a strong academic presence of the University in regional areas. As with the celebrations of the 150th anniversary of the Medical School, we look to the past for inspiration but with our eyes on the future. We thank our colleagues and partners in hospital and community settings for making the achievements of the past ten years possible and we seek their continued support. Together we can continue to achieve great things!

[ [ “I would definitely recommend the

Rural Clinical School to

anyone who is interested in studying medicine or

health sciences. It’s been

challenging but at the end

of the day it makes you feel as if you are doing

something worthwhile.” - Maya Reddy

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Triennium history Report

Rural Clinical School

2004 - 2005

The Rural Clinical School welcomed its first full intake of 50 students in July 2004. The new clinical skills laboratory on the Goulburn Valley Health site provided a focus for a novel two week orientation for the Semester 8 students. The laboratory has been an ongoing attraction for students and is already used extensively by local health services and a national surgeons’ conference for advanced clinical skills training. From July 2005 students were provided with a Pocket PC providing access to on-line decision support and a patient log, enabling the capture of data about their interactions with patients. Rural Clinical School student retreats were held in Woodend (2004) and Marysville (2005), with most Semester 8 students attending. Guest speakers in 2005 included Dr Chris Knight and Dr Emily Transue from the United States of America, who shared their knowledge of hand held computing and the secrets to being a good Doctor.

Recruitment

from St Vincent’s in Melbourne. Agreement was reached with

The School recruited additional clinical teachers during 2005 but

the Goulburn Valley Division of General Practice and Shepparton

continued to rely heavily on casual staff, especially in Ballarat. The

Private Hospital for students to be taught at the Division’s after

RCS was opportunistic about utlising visiting academics to deliver

hour’s clinic in Shepparton.

specialty components of the curriculum. Visiting specialists, from Melbourne, to the regional hospitals and private practices

Teacher Group meetings were held in Shepparton, Ballarat

taught Ear, Nose and Throat, Dermatology, Ophthalmology,

and Wangaratta during the year. Topics of discussion at these

Oncology, Hematology, Plastic Surgery and Neurology. Tutorials in

meetings included efficient teaching, facilitation of problem

Pathology to Shepparton were provided from Ballarat via video-

based learning, and how to write good exams questions.

conference. Tutorials in Oncology were provided to Shepparton

Professor James A Angus D e a n Fa c u lt y o f M e d i c i n e , D e n t i s t r y, a n d H e a lt h S c i e n c e s My early days as Dean in 2003 were to ‘rescue’ Professor Dawn DeWitt from returning to America after Professor Richard Larkins, who had recruited Dawn, abruptly accepted the Vice Chancellorship at Monash.

and her husband Alan had meticulously planned the teaching clinic but all the risk was for the University – a new adventure where Dawn had unwavering vision as a ‘must do’ project to give our rural medical students the best learning experience.

I must say, the very first meeting with Dawn was reassuring – she and her wonderful family were going to make this post a winner. Her scholarly standing as an outstanding teacher, love of students, and can do attitude enthused all who met her.

Dawn’s confidence and pushing the boundaries in the rural agenda have been an outstanding legacy. Her expertise and leadership were keenly sought by governments, academics and students alike.

As with Senator Sharman Stone when we turned the sod for the teaching clinic attached to our fabulous Shepparton Teaching Facility, Dawn

For an International leader to have such an impact in a relatively short period in the Australian context speaks volumes for a real

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

innovator. We acknowledge and applaud Dawn DeWitt’s major contribution to the success of the University of Melbourne Rural Clinical Academic Centre over the last 10 years.

[ [ â&#x20AC;&#x153;The country offers an amazing chance to get heavily involved in patient care. I have loved living with a great bunch of students who ere not only my colleagues but my friends.â&#x20AC;? - Matthew Shears

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

2006

Rural Clinical School

2006 In July 2006 the Rural Clinical School (RCS) welcomed its fifth intake of 53 students, who then, completed a minimum of three semesters (1.5 years) of their clinical studies at one or more of the RCS sites at Shepparton, Ballarat and Wangaratta. A significant portion of students were now choosing to complete all five semesters with the RCS. This was an encouraging development as evidence shows the longer students are exposed to rural health the more likely they are to later practice in rural areas, 2006 was a year of milestones and achievement for the RCS, with the first full cohort graduating. The graduating students had excellent Semester 12 results and the 2005 cohort had outstanding Semester 9 results. The RCS, in collaboration with Monash University, bid successfully for the Extended Rural Cohort (ERC) Program.

Attractiveness of the RCS In 2006 the RCS saw a turnaround in student attitudes. The graduating cohort of 2006 attended the RCS reluctantly (70% of students would have preferred to attended a Melbourne clinical school). All but one of 55 students selected in 2006 for the 2007 RCS intake either made the RCS their first preference or were required to attend as a scholarship requirement. The REEP (Rural Early Elective Program) experienced very high demand, with a significant increase in the number (90 students), participating.

The range and nature of available clinical experiences, excellent access to a clinical skills laboratory and educational innovations have contributed to students’ experience and results. RCS Student David Deelen scored the highest mark for sixth year studies at the University of Melbourne. He was awarded first class honours. Most importantly, the overall performance of students at the RCS was better than their metropolitan peers.

Internships Another significant measure of success for the RCS was the internship placements of its graduating students, both in terms of the achievement of first preference placements by these students and their location in rural regions. In 2006 the RCS established processes to keep in contact with and track the careers of its graduating students, with 2006 being the first full cohort of graduates. The RCS produced very good internship outcomes with 32% taking internships in hospitals located outside capital cities (noting that 70% of this cohort were reluctant to attend the RCS), and 76% of graduating students received their first preference for internship placement in 2007.

The increased attractiveness of the RCS to students was attributed to the positive experience of early students both academically and personally. The results obtained by RCS students in all semesters at least equaled, or surpassed, those of other clinical schools.

Professor Bill Adam Professor of Medicine, Acting Chair of Rural Health Academic Centre, Melbourne Medical School, University of Melbourne I visited the Rural Clinical School (RCS) in Shepparton in spring 2002 and met the Acting Clinical Dean, Dr. Graeme Jones, and the twelve students, all of whom had volunteered to attend the RCS. Wonderful people involved in a heroic venture. Heroic in vision, ‘to improve recruitment to the rural medical workforce’, and heroic in immediate priorities, ‘how to make the RCS program so educationally and socially attractive that 50 students would choose to join the RCS, in widespread and relatively educationally naive teaching environments; to students who had no

concept of life outside the city: Or if they had spent significant time in the country, wished to further sample city life’.

capacity for work that encouraged me to believe that the RCS program could flourish educationally and be made attractive to students.

I joined the staff of the RCS in Shepparton in spring 2003, when the new intake of volunteer students numbered 14, and the problems of building an academic program remained. However the difference was the presence of Dawn DeWitt, the Dean of the RCS, who had arrived in May.

The early challenges included the first conscripted students in 2004 (the appeals against being sent to the RCS extended to stated needs to remain in Melbourne that stretched incredulity, camping outside the Office of the Dean of the Faculty, and more).

Dawn had a vision, a capability, a capacity to engage potential recruits (including me), and a

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Other challenges were in recruitment of staff, particularly difficult in the formative years of a heroic venture, and establishing facilities and

2007

Rural Clinical School

2007 The Rural Clinical School (RCS) welcomed its sixth intake of 55 students in July 2007. All students were selected into the School as their first choice or they were required by the conditions of their bonded place or scholarship.

The exam results obtained by RCS students in 2007 again equaled, or surpassed those of other clinical schools. The range and nature of clinical experiences available and excellent access to a clinical skills laboratory at Shepparton has contributed to students’ experience and results. The Internship placement of Rural Clinical School graduating students remains an important indicator of the School’s success in terms of our graduates’ preferences to stay rural. Twenty one percent of the 2007 graduating cohort obtained Internships in hospitals located outside capital cities (noting that most of this graduating cohort was reluctant to attend the Rural Clinical School).

Overseas Interest In May 2007 the School was visited by a team of twenty from the Shimane Medical School Japan which included Deans, Professors, Staff, Nurses, Registrars and Students. Shimane University is located in, and serves, a relatively isolated rural region in the west of the main Island of Japan. Shimane Medical School was interested in changing their clinical teaching program from the current relatively hierarchical and non participatory to one of active student involvement in clinical activity and interactive teaching. They chose to visit the RCS because of our reputation for innovative participatory teaching.

Ombudsperson Appointed Evidence from evaluations and anecdotal feedback continued to demonstrate that many students at the Rural Clinical School consider themselves to be positively advantaged compared to colleagues studying at the metropolitan clinical schools citing greater access to a broad range of clinical experience and more supportive relationships with regionally based staff. The School now had a waiting list of students wishing to stay for extra semesters at the Rural Clinical School.

teaching programs in Ballarat and Wangaratta to educate increasing numbers of students (from 12 to 110+). By 2010 we knew that we were well on the way. Students chose to come, or more readily accepted their allocation, to the RCS; results of student examinations were equal to, or better than, urban students; the students had an established club ‘Moovin Health’ which engaged with the community, as did many students in cultural and sporting activities and in part time work; RCS educational innovations were recognised by a University of Melbourne Norman Curry Award

A new position of ‘Ombudsperson’ for students at the Rural Clinical School was piloted for the first time in 2007. The role of the Ombudsperson is to meet with students during the semester to discuss and assist in resolving issues. Community Advisory Board member, Mr Graham Hill, was appointed to this position in Shepparton. The School recruited additional clinical teachers in 2007 at all sites and was grateful for the excellent services of casual clinical teachers. The position of Clinical Sub Dean Shepparton was taken up by Associate Professor Lisanne Burkholder.

for teaching excellence; and these teaching innovations were taken up by others. This strong base has enabled the RCS to meet continuing challenges, including, always, staff recruitment, building and managing a medical centre, with a major aim of supporting medical education, and introducing the new curriculum in 2012.

Our staff, who have served us well, give us confidence for a future. A future that includes a new Director of Medical Student Education(Clinical Dean), Dr Julian Wright, arriving in November 2012, who will bring with him new experiences and perspectives to enrich the next 10 years.

All these achievements are a just reflection of our extraordinary staff and their individual, and group, contributions.

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

2008

Rural Clinical School

2008 The Rural Clinical School (RCS) welcomed its seventh intake of 55 students in July 2008. All students were selected into the School as their first choice or they were required to attend by the conditions of their bonded place or scholarship.

Students

Teaching Excellence

The Rural Clinical School program again delivered excellent outcomes

The School recruited additional clinical teachers in 2008 at all sites and continues to be dependent on the excellent services of casual clinical teachers.

in 2008, despite a challenging year. 28% of the graduating medical cohort for 2008 spent at least 12 months at the Rural Clinical School (a record for the University) , and of those, three of the top eight graduates overall for Medicine were Rural Clinical School students. The Internship placement of Rural Clinical School graduating students demonstrates the success of the program at the University in terms of our graduates’ preferences to stay rural. Five students undertook internships at Rural Clinical School partner hospitals (4 at Ballarat Health Service and 1 at Goulburn Valley Health), and 31%

Teacher Group Meetings were held at each site during the year and include medical, nursing and allied health staff. Teacher Group Meetings have an educational focus designed to assist with the development of the hospital “teaching culture” and provide clinicians with the skills to integrate teaching into their everyday clinical activities. Students give feedback on their educational experiences and offer their suggestions to the group about how placements can be improved.

took up regional or rural placements. Our partner hospitals are now seeing the return of previous cohorts of University of Melbourne Rural Clinical School graduates who are now advanced trainees. For example, a 2006 graduate was an advanced Diploma of Obstetrics trainee at Goulburn Valley Health and general practices in Shepparton and Benalla hosted two Rural Clinical School 2005 graduates in their final stages of General Practice training.

In addition to the regular teachers group meetings, a “Teacher’s Group Weekend” was held at Lindenwarrah, Milawa in May. It was enthusiastically attended by approximately 30 Rural Clinical School Teachers. Teaching excellence at the Rural Clinical School was also formally recognised at Faculty and University level in 2008. The Clinical Skills Laboratory Manager, Ms Jennifer Keast won a School of Medicine Teaching Award with the citation “for outstanding contribution to medical student learning”, and the Rural Clinical School teaching team was selected to represent the University as an entrant for the national Carrick Teaching Awards.

Professor Dawn DeWitt Regional Associate Dean Vancouver Fraser, Associate Dean Undergraduate Medical Education, UBC Faculty of Medicine When I first visited the RCS in April 2002, Prof.

Luckily, Prof. Bill Adam agreed to take a position

Our “Visions and Stepping Stones” included

David Simmons had started community research

and Prof. Teng Liaw joined the team with a goal

creating a centre of excellence in medical

projects and then Dean Richard Larkins recruited

to start what became GRHANITE.

education and research.

RCS class of 10 volunteers interviewed me for

Though students were skeptical and reluctant

Thanks to the State and Commonwealth funding,

RCS Clinical Dean and Dr. Graeme Jones was

participants in the early years, we managed to

with support from Dean James Angus and many

building the fledgling RCS program in the original

establish a reputation of academic excellence.

local health services, doctors, Interprofessional

UDRH building. When I arrived in 2003, we

Our teaching and simulation programs, as

colleagues, Indigenous partners, and community

had an additional 14 students about to start,

well as the Clinical Education Facilitator and

members, we supported approximately 800

and we launched planning for the Ballarat and

volunteer programs helped students achieve both

students per year through our campuses and

Wangaratta campuses.

confidence and competence.

brought over $100 million dollars to regional

me to move to Australia. By October the first

Victoria in the first 10 years of the now Rural

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

2008

Review into the structure of the School of Rural Health & restructure into the Melbourne Medical School The University of Melbourne, Faculty of Medicine, Dentistry & Health Sciences held a Faculty review into the current structure of the School of Rural Health (SRH) in 2008. The terms of reference for the review required the panel to survey organizational structures currently operating for Schools and

Departments of Rural Health throughout Australia, and to reassess the current structure of the School of Rural Health and the Northern Victorian Rural Medical Education Network (NVRMEN) in view of other changes in organisational structure within the School of Medicine and Faculty in the University of Melbourne. The review endorsed the merging of the Rural Clinical School and the UDRH effectively into one academic and business unit and the formation of a Faculty Standing Committee for Rural Health.

Health Academic Centre. We have contributed

a part of such an amazing group of talented

I wish you the

innovative medical education programs in

and committed people. Our mission has been

very best of luck,

collaboration with three Universities, Indigenous

to improve the health of rural Australians and to

colleagues, faith and

Health programs, the Centre of Excellence for

make careers in rural health a “road best taken.” I

determination as you work through the next

Rural Sexual Health, and substantial and growing

have had no greater joy than to work with the

stage of the Rural Clinical School’s development.

research efforts.

students who will be “our” future.

Most importantly, our graduates are practicing

My thanks and congratulations to so many

in rural areas, and the Shepparton Medical

people who have experienced and or contributed

Centre and Extended Rural Cohort program have

to the first 10 years of the journey.

helped address both the education and health needs of rural Victoria. I have been lucky to be

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

2009 - 2010

Rural Clinical School

2009 - 2010

Throughout 2009 - 2010 the Rural Clinical School continued to deliver excellent student outcomes and had substantially met workplan objectives. Highlights of the year include: Engagement with the community occured at many levels. Clear manifestations of this engagement were the community contribution to 9 of the RCS students awards/prizes and the contribution of over 300 community members in student teaching sessions and aassessments (Project Village). The RCS experienced an extroadinarily large staff turnover over 2010, including two Clinical Sub-Deans and key senior teaching clinician. Despite this, collaborations with the Department of Health (VIC) funded Centre of Excellence in Rural Sexual Health (CERSH), and the employment of two indigenous staff members, have brought a significant increase in student learning opportunities in both Indigenous and sexual health.

RCS Program Evaluation The RCS continued to be the driving force behind delivery of the FRAME student preference survey. Results of the 2010 FRAME survey showed that University of Melbourne RCS students were satisfied with their RCS experience, with 92% indicating that given their time over they would go to the RCS again, 96% of respondents reported that the environment was conducive to learning, and 79% would consider rural practice after their clinical school experience. Of these students 38% agreed or strongly agreed that they would prefer a rural internship/ basic training placement and another 38% were neutral while 25% clearly did not prefer a rural internship, 88% agreed that attending the RCS “increased” their interest in rural practice and 25% would spend (even) more time at the RCS if they could.

In assessing these workforce outcomes it is important to note that the earliest our first graduates (2004) could complete their general practice training is 5-6 years after graduation. The next few years would provide the first opportunities to meaningfully assess the impact of RCS training on rural general practice, with further delays in assessing rural specialist practice due to the longer duration of postgraduate training. In the meantime we can only measure shorter term outcomes, which seem promising. Importantly RCS graduates are returning to our affiliated hospitals and are actively teaching current RCS students, and our community engagement programs have gained depth.

Shepparton Medical Centre A highlight of the year was the opening of the University of Melbourne Shepparton Medical Centre, in time for the start of Semester 1, 2010. The centre has increased ambulatory teaching capacity and quality for medical students, has provided quality bulk-billing clinical services to an underserved area and has provided significant opportunities in inter professional education e.g nursing and allied health, in collaboration with LaTrobe University nursing programs. The Shepparton Medical Centre and the RCS’s reputation for innovation has brought visitors to the Shepparton RCS training site from the Harvard Medical School, the University of Western Australia, and Queens University, Canada, among others. RCS students continued to perform very well compared to their metropolitan clinical school colleagues.

Dr Lisa Cheshire Acting Director of medical student education and deputy director of medical student education ballarat Rural clinical school I am filled with wonder and amazement that we are celebrating the ten year anniversary of the Rural Clinical School. What an incredible decade! In some respects time has flown and in others it feels like we have always been here. In Ballarat we started with a cohort of 15 students 2004. Our home was the basement of the Ballarat Health Services, a former radiology department, windowless and iron clad. Despite its appearance the pioneering RCS students embraced their clinical times – and like in everything rural, despite initial reluctance, the overwhelming positives of being in a rural environment won over the most recalcitrant students.

Easy patient access, willing senior medical staff to teach and mentor, caring professional staff every single year have the RCS creating the most positive environment to learn in. Dr Carole Head was the first Ballarat sub Dean and set up and ran the programme for the first two years. We moved our clinical school site to the magnificent Dunvegan in 2006. A heritage building that sits diagonal to the Ballarat Health Services, opposite St John of Gods Hospital and most importantly, opposite two cafes. This was a critical change for the Ballarat RCS site – we now had a learning space that matched the clinical environment – welcoming, receptive and a joy to be in for students and staff.

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Associate Professor Christoph Gatzka stepped in to run the helm at Ballarat in 2006 during years when we saw the numbers in Ballarat continue to increase. I stepped in, in 2009 as sub Dean, having being a Lecturer with the RCS since inception. In 2010 the first cohort of Deakin and Notre Dame medical students commenced at Ballarat, and this has created a vibrant interuniversity health precinct. From one small lino clad procedural room, we are now delighted to be able to share with Deakin a clinical skills laboratory – with simulation, mock ward and every conceivable model, filled with dynamic clinical skills staff, led by the incredibly competent Sue Garner. Unbelievably, given we started with 6 students, we are bursting at the

2009 - 2010

Internship Allocations

University Restructure

The total RCS graduating cohort provided their internship destination and 50 students also disclosed their internship preferences. Of these 50 students, 54% secured their first preference and 20% secured their second preference. Eleven students completed their internship at a University of Melbourne RCS partner hospital. Even though internship availability is largely metropolitan, 32% of students chose, and were selected into, ARA2-5 hospitals.

The new academic and business services structure of the Faculty of Medicine, Dentistry and Health Sciences was implemented from January 2010. The new academic structure provided for four new ‘graduate schools’ in place of the former seven schools. Under the restructure the School of Rural Health became the Rural Health Academic Centre within the Melbourne Medical School. The restructure provided a more direct management structure for the delivery of the Melbourne Medical School curriculum through the RCS.

Collaborations University of Melbourne and Deakin University have collaborated in the use of Ballarat Health Services. The expansion in medical student numbers led to the need to share the Health Sevice facilities in Ballarat with Deakin and Notre Dame Universities. In 2008, planning for Deakin University to commence operations in Ballarat commenced under the leadership of Associate Professor Mark Yates, with academic support and professional help provided by our staff in Ballarat. The first Deakin University students commenced in 2009. This collaboration has been successful and includes access for students to both Universities facilities, particularly valuable being access for our students to the Deakin University and Ballarat Health Services Clinical Simulation Laboratory. In addition Notre Dame University established a Clinical School at the St John of God Hospital in Ballarat. Sharing a joint hospital facility, and many of the same clinical teaching staff, has required high levels of collaboration, and compromise to ensure successful outcome for staff and students.

seams at Dunvegan with anywhere between 30 and 50 students at one time! There are two groups of people that need a special mention. It is not possible to describe our path without mentioning the professional staff who have gone over and beyond to create a warm and welcoming environment where each student feels that they are known, and their particular needs are addressed. Their impeccable professional relationships with all our teachers have created an incredibly positive relationship between teachers and the RCS. An enormous thanks to our professional staff.

Table 2. Internship destinations in 2011 for graduating RCS Cohort of 2010 (ARA 2-5 hospitals in bold) Number of Internships

Location Austin/Northern Health

Ballarat Health*

Barwon Health (Geelong)

Bayside Health (The Alfred)

Bendigo Health*

Eastern Healther (Boxhill)

Flinders Medical Centre (SA)

Goulburn Valley Health*

Melbourne Health* (RMH)

North East Health* (Wangaratta)***

Peninsula Health

Prince of Wales Hospital (NSW)

Royal North Shore Hospital (NSW)

Sir Charles Gairnder Hospital (WA)

St Vincent’s Health

Western Health

Westmead Hospital (NSW)

Wodonga Hospital

Undisclosed

Total

* RCS partner hospitals - *** Not a primary allocation centre, interns on rotation from RMH, a substantial proportion being former students.

Of course, none of this is possible without our wonderful teachers, who create such a positive learning environment. There are not enough thanks for delivering our curriculum, making the students welcome on the wards, including them in your units, immersing them in the clinical environment and actively promoting experiential learning. Thankyou, and a special thanks to our dear Professor Hurley – winner of the teacher’s award so many times in Ballarat that he is now not eligible! And to Professor Bill Adam, and Associate Professor David Pierce, who have both shown tireless support for the RCS in Ballarat, in all our relationships. I have been so very privileged to have been on this journey with the Ballarat RCS, no one can

describe how personally challenging yet satisfying it is to be able to work with motivated, keen, dynamic, troubled, challenging, happy and sad - you name it - medical students, to help you on your journey to become the wonderful doctors I am sure you are. Thankyou for a wonderful 10 years – and here’s to the journey through the next decade.

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2009 - 2010 The Faculty’s Standing Committee on Rural Health, established in late 2008 to improve intra Faculty interactions across all health disciplines with respect to rural health and to facilitate inter professional student placements and research, continued to meet in 2010. The new/renamed Rural Health Consultative Committee, is chaired by the Deputy Dean and its activities and findings are reported to Faculty Executive. The work and membership of this committee reflect the importance and significance of the rural health agenda to the Faculty and University.

The 2010 graduating cohort were awarded a number of faculty and national prizes, and more than 25% achieved H1 honours result in their final semester (sub-internships and general practice). Melbourne Medical School and University of Melbourne program innovation awards. RCS students were also very active participants and contributors at health conferences. Almost half of the semester 8-9 cohort achieved results in the top 25% of the class on summative clinical and written examinations.

Associate Professor Graeme Jones R u r a l H e a lt h A c a d e m i c C e n t r e , U n i v e r s i t y o f M e l b o u r n e The early days of the Rural Clinical School were indeed interesting and challenging. The University Department of Rural Health commenced operations in temporary lodgings in the former Birth Suite of Goulburn Valley Health (GVH) in Shepparton, in 1998, later moving to temporary office space in Welsford St, while the first stage of the permanent Department was built on the current site opposite GVH. It was headed by the energetic Professor David Simmons who made an enormous contribution to the early development of the School.Then in 2000 the development of the Rural Clinical School was announced, to be located with the UDRH in Graham Street.

The first group of students, 12 in all, arrived in July 2002. They were an interesting and varied group of true pioneers, arriving to temporary accommodation in a local motel, and then the former Nurses Home at the old Mooroopna Hospital. The first of the permanent student “pods” was completed in early 2003. The students were an understandably anxious lot, not really knowing what they had got themselves into, arriving to a new School with few staff, and a very inexperienced acting Clinical Dean - me. I came from a background of vocational training for General Practice. Along with our tireless Project Officer, Bernadette Verlin, we set out to deliver the clinical years of

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

what was then the “new course”. We recruited teachers, negotiated student placements at GVH, and later on at North-East Health, Wangaratta and Ballarat Health Services, and set about planning the teaching program. In spite of everyone’s high levels of anxiety it all worked. Our students soon discovered there were keen teachers and a vast patient resource from whom to learn. They developed as a cohesive group, learnt a lot and had a lot of fun. Most importantly, they did well in their assessments and went on to gain internships of their choice.

experience

Student experience

at the Rural Clinical School Rural Clinical School Students Report Better Clinical Experiences than Students at Urban Hospital Clinical Schools Composite Student/Patient Access/Experience Score at the Rural, and Urban, Clinical Schools

mean percentage score of Veriables (see text)

A survey of all University of Melbourne Medical students, on completion of their first clinical teaching year in July 2010, revealed that Rural Clinical School students had a better clinical experience than students at the metropolitan-based clinical schools. This is a tribute to staff and patients at our partner hospitals (Ballarat Health Services, Goulburn Valley Health, Northeast Health Wangaratta, and Bendigo Health Services), who have made our students welcome and facilitated their learning.

There were many people and factors involved in this extraordinary outcome. Since 2003, staff at the Rural Clinical School developed RCS specific initiatives to achieve these goals which included an intensive orientation program, clinical education facilitators, mentoring by teachers and junior medical staff (especially RCS graduates), teacher feedback, and community patient volunteers.

0 1

Urban (1-4) and Rural (5) Clinical Schools)

In addition the development, and delivery of, the innovative, targeted, orientation program aimed at giving students clinical skills and confidence to approach patients in the hospital has been particularly successful; 65% of the RCS students assessed this program as “definitely a help to me”, compared to 25% or less of students at other Clinical Schools.

The survey provides a clear measure of the success of the program in a composite Student Patient Access Experience score (assessing student confidence to see patients, enough appropriate patients, available time to see patients, patient willingness to see students, feeling welcome in the wards, being part of a medical team, junior medical staff assistance). Using this composite score the Rural Clinical school students assessed their experience as approximately 50% better than all the other Clinical Schools, a statistically significant result.

Mr Ross McPherson E X ECUTIVE C H AIR M AN , M c P h e r s o n M e d i a G r o u p When I joined the advisory board for the Rural Clinical School a decade ago I had – along with others on the board – nothing but the haziest notion of how it would turn out. My own hopes were that students would bring energy and fresh ideas to both the hospital and the local community – and that their experience here would eventually lead to more doctors being interested in practicing in a rural environment. To say it has exceeded expectations is an understatement.

The students have greatly enriched life in the regional community – and it is particularly gratifying that it works both ways – the students seemed delighted with the wide range of hands-on experience they gain at Goulburn Valley Health. What we didn’t anticipate is the impact of the Clinical School staff on the life of the region – their expertise, passions and enthusiasms have invigorated the cultural, social and civic experience in ways that we could not have foreseen.

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2011

Rural Clinical School

2011 The Rural Clinical School (RCS) program continued to deliver on its contractual requirements. A major aim of the program, the production of engaged and well qualified medical practitioners, was demonstrated by the quality of RCS students, a happy combination of their innate ability and the skills engendered by the teaching excellence and the innovative delivery of the RCS program. The students completing their first clinical year in June 2011

Students enrolled in the new Doctor of Medicine (MD)

performed better than their metropolitan counterparts. One

program, were planned to start their first clinical year in

example of this better performance was in the awarding of

February 2012, doubling up with the last six months of

first class honours: 54% of RCS students receiving a first

the first clinical year of the MBBS program from 2011. The

class honour compared to 36% for all other clinical schools.

considerable work load in preparing for the new MD, and for

These results support the outcome of the student survey

the double student teaching load in Semester 1 2012, was led

results included in the 2010 Annual Report, where RCS

by Dr Lisa Cheshire with the involvement of many other staff.

students felt they had a better learning environment than their One of the past successes of the RCS in the MBBS program

metropolitan counterparts.

was the engagement, and recruitment, of students in their A major issue for the RCS that arose in 2011 was the loss of

preclinical years leading to the preference of many for the

Professor Dawn DeWitt, inaugural Dean, to the University of

RCS over urban clinical schools. The new MD students were

British Columbia, in December 2011.

allocated to their clinical school prior to commencement of the medical course and only a few expressed a preference for the

Melbourne Model graduate curriculum

RCS. Engaging these students only commenced in 2011 after

The RCS has also been closely involved in the development of

their selection to the RCS, but has had positive results.

the University’s new postgraduate level medical degree, the Medical Doctorate (MD), which commenced February 2011.

Shepparton Medical Centre In 2011 the Shepparton Medical Centre had, on staff, sufficient

The new degree is made up of 1 year pre-clinical and 3 years

general practitioners (3.5 FTE) to provide a predictable and

clinical training. The RCS’s new community-based training

more sustainable teaching environment. Student placements

program for the Extended Rural Cohort (ERC) is integrated into

have included 9 Semester 12 general practice placements for

the new degree.

The Hon Dr Sharman Stone Federal Member for Murray One of the earliest and best initiatives of the John Howard Government was Health Minister Dr Michael Wooldridge’s introduction of Rural Clinical Schools. Newly elected at the time, I was determined to convince my friend Michael that the usual Geelong, Ballarat or Bendigo should not be the first consideration for location of this important new development. Fortunately the Minister saw the good sense and special character of Shepparton in Northern Victoria and the rest is history. The first sod was

turned by Prime Minister John Howard. It was pouring rain at the time and Mr. Howard was sheltered in a tent to perform the task. The Clinical School has grown since those early days. The academic results of the local medical students are surpassing that of the metropolitan students. Indeed, in the graduating class of 2009, the valedictorian medical student in the whole of the University of Melbourne was Dr James Hills, who studied in Shepparton. It’s pleasing to note that in excess of 30% of graduating students are choosing to stay in rural areas for their internship.

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Rural centres have a high need of medical expertise. Mortality rates are 15 per cent higher for rural men and nine per cent higher for rural women compared to urban residents. There is also the 17-year gap in Indigenous life expectancy in Australia. The Rural Health Academic Centre is a vital part of the Shepparton community. It is supported by an annual budget of $10 million. I congratulate all of those people who have been associated with the centre since the beginning. You have truly been a part of something special.

2011 five weeks, and two Extended Rural Cohort (ERC) year long general practice placements, ERC pediatric placements and a variety of single session placements for semester 8/9 students. The staff of the Centre are committed to the teaching program, which has received excellent assessments by the students. Recruitment of extra practitioners and specialist clinics in 2012 will further expand the teaching program in 2012. The opportunity for a part time academic appointment has, to varying degrees, supported recruitment of specialists to partner health services, enhancing the rural health workforce. They will complement, and enhance, our teaching capacity for 2012. Recruitment was underway for the new Deputy Directors of Medical Student Education in Wangaratta, Shepparton and Bendigo. We were grateful to Associate Professor Chris Holmes in Bendigo and Dr Steve Bismire in Wangaratta who have helped cover these roles in 2011, as well as Dr Chris Harnden in Shepparton who was acting Director Medical Student Education. Our shared teaching sites with other Universities continue to provide their challenges. In Ballarat the relationship with Deakin University works with shared use of facilities and clinical teachers.

Dr Edmund Poliness Former Sub Dean, rural clinical school, wangaratta. Associate director of Medical Education, St Vincent’s Hospital, Melbourne

In a perfect world, all medical students would

Where opportunities to bike ride, hike, ski,

train in a clinical school as good as the Rural

swim, go to the gym, eat, drink (beer or wine) or

Clinical School, Wangaratta.

whatever takes their fancy are on your door-step.

Where passionate teachers work with (mostly)

Where vertical integration is more than a dream

keen students to initially gain the basics of ward

– and students, interns, residents, registrars and

work – then build upon this and aid them to gain

consultants work, learn and play with each other

further skills and knowledge.

in and out of the hospital. And, where, if things go wrong, Dawn, Bill and Lisanne are only as far away as the Video-conference room.

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

2011 There was also a good working relationship with Notre Dame,

In Bendigo the small number of University of Melbourne

who commenced clinical placements in Ballarat in 2011.

RCS students compared to Monash University RCS students created some anxieties for some, but not all, of our students.

The substantial increase in student numbers in Ballarat, due to

The anxieties largely relate to the blending of our teaching

the presence of three Universities, has limited the ability of the

program into that of Monash University. Reassuringly the

RCS to increase student numbers, to meet student preferences

results obtained by our Bendigo students were equal to those

for location has increased the work load of clinical teachers.

of other sites.

However these limitations have not created unmanageable problems.

Mr Simon Furphy C o n s u lta n t, C a m e r o n s L aw y e r s Congratulations to the Rural Health Academic Centre on reaching the 10 year milestone. I was involved in the early days of the formation of the Centre. I served as a Board Member of Goulburn Valley Heath through the 1980’s and 1990’s and early in the 2000’s. The board had continual problems recruiting health professionals to a regional setting. I initiated a motion by the Board to seek and independent consultant’s report on the establishment of a clinical school to be associated with a major University.

The first review was disappointing and did not fully support the proposal. A few months later and with the assistance of Sharman Stone, the newly elected Federal Member, I sought a further report by Professor Jack Best. Over the following twelve months and many meetings with the Dean of the University of Melbourne Medical School, Professor Richard Larkins, the idea eventually took hold and was strongly supported by Goulburn Valley Health, the University of Melbourne and the Commonwealth Department of Health.

I was fortunate enough to be part of the local lobby group. I was also pleased to be invited to be part of the interview panel which appointed Professor David Simmons as the inaugural Chair. I have observed with some pride the growth of the Centre over the past 10 years .Professor Dawn DeWitt , David’s successor, played a key role and the Rural Health Academic Centre has now become an integral part of the Goulburn Valley Health Community. I believe it is now playing an important role in encouraging students of the health professions to consider a rural setting for their career. Congratulations!

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2012

Rural Clinical School

2012

The major issues were the more than doubling of teaching time required, caused by the new curriculum and the number of students, and student access to patients. As in 2011, in 2012 the Semester 9 students performed very well in their assessments, achieving more first class honors.

The staffing issues of 2011 have been substantially addressed

Murray to Mountain M2M Program

with the recruitment of Professor Julian Wright to the positions

A particularly exciting development was the collaboration with

of Head of the Rural Health Academic Centre and Director

the Murray to the Mountains Intern Program (M2M) PGY1

of Medical Student Education, commencing November, Dr

program which enables vertical integration for rurally located

Penny Smith Deputy Director of Medical Student Education in

medical training and the development of a rural generalist

Wangaratta in April, Dr Helen Malcolm as Deputy Director of

pathway in Victoria.

Medical Student Education in Shepparton in August and Dr Leslie Fisher as Deputy Director of Medical Student Education in

M2M commenced with a pilot program of five interns in January

Bendigo in September 2012. Dr Lisa Cheshire, as Acting Director

2012 and will provide five 20 week rotations through the Moira,

of Medical Student Education, while continuing the role of Deputy

Alpine, Northeast Health Wangaratta and Albury/Wodonga Health

Director Medical Student Education in Ballarat, has made an

services including two rotations in rural general practice. The

enormous contribution in this difficult year.

geographic ‘footprint’ between the RCS’s Extended Rural Cohort and M2M programs is almost identical and the ERC and M2M

The Shepparton Medical Centre continues to provide excellent

share teaching and some accommodation facilities as well as

teaching for many students, a tribute to the clinical teaching

clinical educators, enabling the coordinated development and

and professional staff. The centre has not recruited clinical staff

support in the region as well as the pooling of resources.

to capacity, which limits teaching sustainability and financial outcomes. However active recruitment is underway and increase

The M2M program will provide a natural progression for RCS

clinical teaching staff numbers are anticipated.

students who wish to continue their postgraduate training in rural areas.

February 2012 saw the students in the first clinical year of the new MD curriculum (MD2) commence in Shepparton in February, along with the need to continue the clinical teaching of Semester 9 of the old MBBS curriculum, leading to a doubling up of student numbers. Management of this challenge was led by Dr Lisa Cheshire, Acting Director of Medical Student Education.

Dr James Hillis Former Rural Clinical Student

It’s the kind of story that only happens in a rural setting - I refer a patient to hospital from a GP clinic, one of my housemates admits him, and six months later I am back at the hospital on a medical team treating him for a subsequent admission.

Of course I wish that this patient’s medical concerns had resolved and he hadn’t required further admissions. Upon seeing me during his later admission, however, he remembered my name and thanked me for helping to “get to the bottom” of his issues.

Beyond demonstrating the proximity in rural locations, this situation reflects many of the benefits of the Rural Clinical School – the ability to see through patients’ journeys; the collegiality of medical students living together; and those students’ empowerment to refer and admit in supervised settings.

It was therefore also one of those moments that reflects how truly rewarding a medical career can be. Thank you RCS!

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2012

Educational Excellence at the Rural Clinical School The results of a combination of the educational initiatives, and the student enthusiasm, at the RCS can be measured by outstanding results, as illustrated below.

Semester 9 First Class Honours in 2011 and 2012, by Clinical School 60

Percent of Students with First Class Honours

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Individual clinical School Results in 2011 and 2012. 5 = RCS

Mr Scott Middleton IT M a na g e r , R u r a l H ealth Academic Centr e, Melb ourne Medi c a l Sc ho o l, Th e Un i versi ty o f Melbo u rn e My name is Scott Middleton and I am currently the IT Manager for the Rural Health Academic Centre. I have been in this position for going on 10 years now and in that time have seen some significant changes and achievements happen within that period. When I started my employment with the Centre, it was then known as the Department of Rural health, which focused merely on post graduate research in the health and well being of rural communities.

The Rural Clinical School was merely just talk at that stage. In 2002?, we saw the Rural Clinical School born and the amalgamation of this and the Department of Rural Health. The site was named the “School of Rural Health” accordingly. Student accommodation was erected on the Shepparton site, turning it into a complete student campus. Two further Rural Clinical School sites were added in Ballarat and Wangaratta.

In 2011 The School was renamed the Rural Health Academic Centre to further fit in to the Melbourne Medical School’s vision. I am amazed at how far we have come in such a relatively short period of time. I am excited to be part of the team and look forward to the future.

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Innovations

Rural Clinical School

Educational Innovations Throughout the 10 years the Rural Clinical School has developed a number of innovations to better deliver the Medical School curriculum and train better doctors, as follows: An enhanced orientation program for students in their first clinical year, that builds on earlier training, to make students competent in history taking and physical examination and have some understanding of diagnostic reasoning and common diseases prior to their experience in hospital wards (‘ward ready’). This innovation was then adopted by other clinical schools and then informed the clinical orientation program of new Medical School curriculum introduced in 2011 The development of the Clinical Education Facilitator program, by Dr Jennifer Critchley, in which experienced nurses are employed to help teach and guide students in developing their clinical skills in the ward. And, importantly, help build good working relationships between ward nursing staff and students facilitating greater student involvement in ward based clinical activities. This program, particularly important in rural hospitals, with limitations on the capacity of junior medical staff to help students, has been so successful it has also been adopted in urban hospitals Enhanced use of simulation training at two levels: the first training in basic procedures prior to developing the skills in patients and, the second, higher level training in clinical diagnosis and procedures on simulation manikins that allow the student to interact with the manikin and its changing

clinical problems. Jennifer Keast was the first Clinical Simulation Educator, based in Shepparton, and drove the use of simulation as an educational methods, including simulation enhancement of Problem Based Learning, ‘Call the Intern’ program which exposed pre intern medical students to emergencies and “Medical emergency training for dental students’, amongst others. The advantages of simulation training include the capacity to stop and rethink an important clinical decision, and learn from mistakes, without harming a patient. Jennifer’s enthusiastic promotion of simulation training has inspired other schools to develop similar programs. Lisa Morey in Shepparton and Jan Garvey in Wangaratta have continued to lead the delivery of the highly valued simulation programs for our students The Project Village Progam which enlisted community volunteers to act as real, or simulated patients for student practice and assessment has been of great benefit to student learning in Shepparton over many years Documentation of expectations. Associate Professor Lisanne Burkholder developed a simple pocket sized card for students that defined the expectations for students in their history taking and physical examination, to facilitate the complex task of learning to assess patients. This card has been adopted by other Schools.

Dr Chris Harnden Former Deputy Director of Medical Student Education (Shepparton), Senior Lecturer in Primary Health Care, Griffith University

Congratulations to the RCS turning 10!! I was lucky enough to spend 18 months working at the Shepparton Medical Centre (SMC) and Rural Clinical School (RCS). I spent my time there in many roles, GP, Senior Lecturer, Sub Dean and acting Director of Medical Student Education as well as coffee maker! I was privileged to observe the exponential growth of staff and patients at SMC

during my time there. I was impressed with the friendliness and collegiality of all who worked in the clinic. This dedication provided an excellent learning environment for the students as well as being an excellent clinic for the people of Shepparton. I was also privileged to work at RHAC. I enjoyed that it was small enough so it was possible to know all the members academic and professional.

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This close knit group really translates to our students. They are really made welcome at the RCS and this provides an excellent safe learning environment for them. I believe this is one reason why the RCS enjoys continued success in exam results. My only regrets is I didn’t have time to get to know everyone better.

Innovations The development of the purpose built Shepparton Teaching Clinic to provide student access to general and specialist practice on a ‘parallel consulting’ basis (students see patients in a separate consulting room then reporting to their supervisor, who oversees the patient management). The Clinic has 20 consulting rooms to allow multiple practitioners and students to practice at the same time enhancing student to student and student to teacher interactions so valuable to learning. The instigator of this project was Professor Dawn DeWitt, with substantial planning support provided by her husband Mr Alan Talbot

The Ombudsmen program was developed to allow students to bring any issues with the Clinical school confidentially to an independent person, who can provide advice, mediation and feed back to the School. We are grateful to Mr Graham Hill for developing and acting in this role in Shepparton, Mr Royce Baxter in Ballarat and, more recently Professor Rick McLean in Wangaratta. The program has been of great assistance in maintaining student well being. These innovations were recognised by both the Melbourne Medical School and University of Melbourne program innovation awards in 2010.

Professor Rick McLean Professorial Fellow, rural clinical school, wangaratta Although I have only had a role with the Wangaratta home of the Rural Clinical School for three years, I also have an outsider’s view, extending back to the last millennium!

and promptly liaised with my counterpart from the University of Melbourne, Professor Rob Moulds. It was clear that our two programs were going to be quite similar.

After I left Dubbo and became a medical adviser in medical education with the Commonwealth Department of Health and Ageing in 2006, I had further dealings with Dawn in a different capacity.

The Rural Clinical School concept grew out of a federally funded report called the Rural Health Stocktake that was undertaken by Dr Jack Best in 1999 and 2000 and funding for the rural clinical schools was provided in the federal budget in 2000.

In 2002, I visited Dawn in Seattle to find out about the WWAMI program and took many good ideas from it. Shortly thereafter, Dawn was lured to Shepparton and hit the ground running.

She took the University of Melbourne’s Rural Clinical School from a position where it was considered one of the less popular sites to where it is currently considered to be among the best, and she has succeeded in obtaining funding for a whole range of activities and programs that have contributed to its preeminence.

As part of his research, Jack visited the University of Washington and saw the innovative WWAMI program with which Dawn DeWitt was involved. I was appointed the first head of the University of Sydney’s Rural Clinical School in Dubbo in 2001

We collaborated over the next three or four years throughout joint membership of the Federation of Rural Australian Medical Educators (FRAME), including developing a common questionnaire for medical students about their experiences that could be used across all clinical school sites.

The future of the rural clinical school is assured.

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Prizes

Prizes and Awards

Others, who deserve awards

Teaching Prizes. Each year a teaching prize, for each site, is awarded based on feedback from students. Teachers who have been awarded the prize on more than one occasion are: Miss Tamaris Hoffman, Wangaratta Dr Verena Veth, Wangaratta Dr Stephen Williams, Wangaratta Jennifer Keast, Shepparton Associate Professor Lisanne Burkholder, Shepparton Associate Professor James Hurley, Ballarat Mr David Deutscher, Ballarat The Prize for the academically best student (originally the Goulburn Valley Health Prize, then renamed the Dr Bill Quilty Prize in honour of a Physician in Shepparton) has been awarded to: Dr Dr Dr Dr Dr Dr Dr Dr

• Our professional staff, whose passion, commintment and effort have been outstanding • Our Clinical Teachers • Our Partner Health Services • Our communities who have supported the RCS in so many ways

Partner Hospitals, Health Services Clinical teaching would be impossible without our partner Hospitals/ Health Services, who through their staff and facilities contribute so much to the development of our students into health professionals. Our partner Hospitals/ Health Services are: • Goulburn Valley Health • Ballarat Health Services

Katie Hogg, 2004 Emma Boddy, 2005 Sarah Sparham, 2006 Ingrid Laemmle-Ruff, 2007 Candice Simpson, 2008 Sarah Wongseelashote, 2009 Kirby Jeffries, 2010 Emma Leitinger, 2011

• Northeast Health Wangaratta • Alpine Health • Cobram District Health Service • Echuca Regional Health • Benalla Health

The Deans Student Prize for Professsionalism rewards behaviour expected of a future medical professional, and is based on nominations from clinical teachers. This prize has been awarded to:

• Mansfield District Hospital • Yarrawonga Health • Corowa Health Service

Dr Mosepele Mosepele, 2005 Dr Sarah McGuiness, 2006 Dr Verity Sutton, 2007 Dr Ravinder Sandhu, 2008 Dr Alyson Kelly, 2009 Dr Felicity Creelman, 2010 Dr Kathy Franklin, 2011

• Bendigo Health

Dr Cameron Taverna Former Rural Clinical School Student Completing his VCE in Echuca, Dr Cameron Taverna was in the first cohort to complete training at the original Rural Clinical School (RCS) at Shepparton. Cameron’s motivation to become a doctor grew from an interest in biology and science at school, but also from his recognition of the important role doctors played in his hometown. “Looking back, I had no concept of the reality of being a doctor, but I could see that they had significant impacts in the community,” he explains.

Moving to Melbourne to study medicine was naturally a life-changing experience, so when it came to starting at the RCS, Cameron had reservations about a return to the pace of rural life. He found the opposite to be the case. “All of the staff were very inclusive, gave advice, and took a personal interest in me. It was easy to become integrated as part of the team. The RCS is a microcosm of all things medical. Living, working and learning are all done mostly in harmony.”

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For Cameron, his time at the RCS was great preparation for his career. “My experience at the RCS was very positive overall, and whilst it was still new, there was a wonderful clinical and academic staff to work through the ongoing challenges in rural health.”

Innovations

Monash University Collaboration

The program has been very successful in terms of

University of Melbourne students at Monash University

academic outcomes, thanks to the considerable

in Bendigo.

engagement, and efforts, of Professor Geoff Solarsh, Professor Peter Disler and Associate Professor Chris

The collaboration with Monash University, through the

Holmes and the clinical teaching and professional staff

Extended Rural Cohort program, led to some university

of Monash University in Bendigo and, among others Dr

of Melbourne students undertaking their first clinical

Lisanne Burkholder in Shepparton.

year, and others in their last clinical semester, in Bendigo, along with Monash University students.

However student concerns about their University of Melbourne identity have led to the appointment of a

Considerable work was carried out on both sides to

University of Melbourne Deputy Director of Medical

map curricula content of the two universities, and then

Student Education, Dr Leslie Fisher in Bendigo in 2012.

for Monash University to teach a joint program to both Monash and Melbourne University students.

Associate Professor Lisa Bourke R u r a l H e a lt h A c a d e m i c C e n t r e , Th e U n i v e r s i t y o f M e l b o u r n e I remember back in 2000, when the UDRH had around 15 staff, a meeting being called by Professor David Simmons where he asked each academic present to assist in the development of an application to the Commonwealth for funding a medical school here in Shepparton. While Professors Larkins and Simmons took the lead in developing the proposal, each of us was assigned a task to assist with it. I was asked to investigate the opportunities for potential medical students to be welcomed by, and become a part of, the local community. We

developed a committee of local practitioners, business-people and human service providers, called the Lifestyles Committee, to identify ways in which the students could be connected to the community. The Lifestyles Committee developed the booklet Shepparton Living and raised $5,000 to print it; this booklet is still used today.

local health practitioners that became a student mentoring program. A range of initiatives were developed, not only to secure funding, but also to prepare the local community for a local medical school. We thank those members of the community for being a part of what has become our Rural Clinical School.

We also developed a Consumer Group who were consulted about having medical students present in the hospital and how to best obtain patient consent. Others developed networks with

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Innovations

Extended Rural Cohort (ERC) Program The ERC program, led by Associate Professor Graeme Jones and then Dr Peter Keppel, provides clinical rural placements (in north east Victoria) for all the clinical years for approximately 30 students. For 18 months the students undertake conventional hospital based placements, but for 12 months (Semester 10/11) they are placed in a general practice in rural communities with our partner practices. The challenge was to deliver the conventional curriculum in Womens, Children’s And Mental Health, Emergency and Rehabilitation Medicine and Aged Care during this year.

The pilot community based year, with 11 students, was completed successfully in June 2011. A number of challenges with curriculum delivery were identified and addressed in 2012. The success of the program has been dependant on our partner practices. The potential benefits of the year placement in general practice were greater exposure to common clinical practice and clinical experience, including the impact of disease on the patient over time. In 2011 and 2012 the students in the Extended Rural Cohort (ERC) community year performed as well as students undertaking the conventional year.

Professor David Simmons Professor of Metabolic Medicine, Cambridge university, Professorial Fellow University of Melbourne Former Foundation Chair in Rural Health, Former Acting Clinical Dean, Rural Clinical School Former Acting Head, School of Rural Health Many contributors to this ten year publication will rightfully focus on the historical and physical development of the campus, academia and the significant timelines relating to the build of the excellent teaching and academic facilities - and including the latest addition of the magnificent Shepparton Medical Centre. By the middle of 2000, the University Department of Rural Health (UDRH) had made significant progress with the development of research and educational programmes and relationships with rural communities, hospitals, primary care and indigenous health services in North East Victoria. The original proposal that I wrote for the Rural Clinical School, built on this progress, was submitted to the Faculty in August 2000. The proposal was actually for a multi-nodal Rural Health School that would include a “Rural University Hospital”

in Shepparton, with “Rural Academic Clinical Groups” created through the hospitals and specialists in Wangaratta, Ballarat, Echuca, Horsham, Benalla and Wodonga. Academic activities would be closely linked with primary care through positions placed within the local Divisions of General Practice. The ‘Rural Hospital’ focus, was to differentiate from the prevailing emphasis on rural general practice, rather than all medical specialties. As part of capturing the integrated, multi-disciplinary and multi-skilling approaches to health services that often occur in rural areas, the initial proposal also included nursing, allied health, and indigenous health academics. By the time the submission went to the Commonwealth on September 17th 2000, the proposal was for a Rural Clinical School (RCS) which trained

medical students, with non-medical students continuing within the UDRH. However, the wider ‘rural’ flavour remained intact. Initially, the RCS was placed within the School of Medicine and the UDRH into the new School of Population Health. However, it became apparent that the shared rural, multidisciplinary setting needed tight coordination and integration, that was difficult where the official routes for joint working, were via different Schools. Furthermore, the small local population viewed all health activity as ‘University of Melbourne’, creating an inter-dependence of outcomes and image. Having separate operating arrangements led to some duplication of activity. The need for an integrated approach led to the creation of the School of Rural Health which allowed greater operational efficiency and smoother running during those early years of the RCS.

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Innovations

Partner Medical practices Clinical teaching would be impossible without our partner Medical Practices, who through their staff and facilities contribute so much to development of our students into health professionals. Our partner Medical practices are: • Kialla Medical Centre • Lister House, Shepparton • The University of Melbourne Shepparton Medical Centre • Wyndham House Medical Clinic, Shepparton • Echuca Moama Family Medical Practice • Martin Street Medical Centre, Moama • Rich River Medical Centre, Echuca • Ovens Medical Group, Wangaratta • Mt Beauty Medical Centre • Yarrawonga Denis Medical Group • Corowa Medical Centre • Cobram Medical Clinic • Benalla Church Street Surgery • Central General Practice Mansfield • Mansfield Medical Clinic

Capital Works Extensive capital works have been required over the ten years to provide teaching resources and student accommodation. This capital works program has been financially supported by the Departments of Health and Aging, and Education, Employment and Workplace Relations (Australian Government) and the Department of Health (Victorian Government). Implementing this extensive program would not have been possible without

the involvement of The University of Melbourne Property and Campus Services, Managers at the Clinical school (Bernadette Verlin, Chris Chapman and Georgia von Guttner) and, in many cases, our partner hospitals and practices.

Ms Carmel Johnson D i r e c t o r o f GV H e a lt h F o u n d at i o n , M a r k e t i n g / M e d i a L i a i s o n , R u r a l H e a lt h A c a d e m i c C e n t r e

Much will have been written about the ‘birth’ of the Rural Clinical School (also known as the School of Rural Health...very early days! and more laterally as the Rural Health Academic Centre).

the hundreds of students who have called these colourful structures home! However in the early days they became the most common means of identifying the School’s location.

Many contributors to this ten year publication will rightfully focus on the historical and physical development of the campus, academia and the significant timelines relating to the build of the excellent teaching and academic facilities- and including the latest addition of the magnificent Shepparton Medical Centre. But it has been the curiously named student accommodation block known as the ‘pods’ which has attracted the greatest visual interest in the University from the neighbours, community, staff and of course

It was therefore with much excitement (and undoubtedly with some trepidation) that the inaugural medical students moved into town and into those pods. It was July 2002 and every effort was made to welcome, embrace and integrate Jodi, Tim, Claire, Emma, Sarah, Andrew, Kristi, Tanya and Katie into the Shepparton community and to ensure that their medical training was to be of an equivalent standard to that of the Parkville based students.

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Our Shepparton students were embarking on a medical career that traditionally (and historically) had only been delivered in a metropolitan setting with academically celebrated teachers. For these Shepparton students their careers would be forged in rural Victoria. Two years and one semester later they did not disappoint .These inaugural students have paved the way for successive increasing numbers of medical students choosing to nominate Shepparton as their school of choice....a lasting testament to the graduating class of 2004. Congratulations to all of our former students.

[ [ “The School of Rural Health became a department of the new Melbourne Medical School in January 2010”

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

past graduates

Rural Clinical School

Past Graduates 2004

2006

Dr Timothy Cochrane

Dr Clea Alexander

Dr Jodi Cronin

Dr Amanda Appleton

Dr Claire Gordon

Dr Charles Bitcon

Dr Kristi Bateman

Dr Christopher Briggs

Dr Katharine Hogg

Dr Michael Chen

Dr Andrew Lee

Dr Alan Châ&#x20AC;&#x2122;ng

Dr Emma Morris

Dr Sally Cornish

Dr Sarah Rosalie

Dr Andrew Cox

Dr Tanya Truong

Dr Samantha Culvenor

Dr Samuel Sidharta

Dr Emma Donovan

2005

Dr Emma Boddy Dr Michael Bulman Dr Emily Down Dr Laurie Dwyer Dr Michael Fonda Dr Clare Hand Dr Christopher Hart Dr Melissa Holmes Dr Samuel Joseph Dr Clare Looker Dr Kenneth Maswabi Dr Emily McGuire Dr Mosenki Seikisi Dr Mosepele Mosepele Dr Siang Soh Dr Alana Young

Dr Sarah Dougan Dr Charlotte Elder Dr Sarah Hancock

Dr Catherine Oliver

Dr Myra Hardy

Dr Christopher Partridge

Dr Ashley Hayes

Dr Prue Plowright

Dr Claire Hepper

Dr Jaya Rengasamy

Dr Jessica Hetherington

Dr Laura Reid

Dr Andrew Hughes

Dr Jennifer Schaefer

Dr Laura Korte

Dr Samuel Sha

Dr Tsz (Jimmy) Lam

Dr Sarah Sparham McGinnes

Dr Cherry Lau

Dr Polly Spencer

Dr Dennis Lee

Dr Terry Stephens

Dr Laura Linden

Dr Joshua Tang

Dr Nenad Macesic

Dr Cameron Taverna

Dr Sarah McGuinness

Dr Laura Taylor

Dr Claire Hepper - McGuinness

Dr Jessica Murphy

Dr Corinne Tey Dr Mel Van Twest

Dr Briony Norris Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

past graduates

Dr Carolyn Vasey

Dr David Liu

Dr George Dinopoulos

Dr Monique Watts

Dr Julia Marshall

Dr Ruth Dodson

Dr Brendan Whiting

Dr Ninan Mathew

Dr Armand Edison

Dr Laura Wood

Dr Lucy Matthews

Dr Natalie Evans

Dr Lucy Matthews

Dr Fei Gong

Dr Anneliese Mutton

Dr Lawrence Gray

Dr David Nadebaum

Dr Katharine Guggenheimer

Dr Ai-Lan Nguyen

Dr Michelle Hamrosi

Dr Philippa Pryor

Dr Ebrahim Hassin

Dr Patrick Ruane

Dr Catherine Hibberd

Dr Asha Searle

Dr William Ho

Dr Alexandra Shannon

Dr Stewart Holmes-Brown

Dr Fiona Shepherd

Dr Jenny Huang

Dr Ipshita Singh

Dr Jennifer Jamieson

Dr Anna Sliwinski

Dr Judith Jonasson

Dr Timothy Tai

Dr Caitlin Keighley

Dr Mark Trotter

Dr Micaela Kemm

Dr Kemble Wang

Dr Megan Kwong

Dr Pieter Weemaes

Dr David Learmont-Walker

Dr Daniel Williams

Dr Matthew Lee

Dr Nicole Wilson

Dr Li-ni Lin

Dr Sarah Yong

Dr Andrew Lin

2007

Dr Stephen Bloom Dr Gareth Burns Dr Sue-Lyn Chan Dr Colleen Chew Dr Daniel Chubb Dr David Deelen Dr Arnab Ghosh Dr Benjamin Glockler Dr Matthew Grigg Dr Natasha Hamilton Dr Brynn Harrop Dr Dane Holden Dr Linda Huang Dr Julie Huynh Dr Craig Ironfield Dr Jasveer Jayarajan Dr Pungavi Kailainathan Dr Liam Kavanagh Dr Matthew Kemertzis Dr Robert Khor Dr Michael Krumins Dr Praveen Kumar Dr Ingrid Laemmle-Ruff Dr Min-Zhao Lee Dr Christopher Leow Dr Debra Leung Dr Matthew Ligtermoet

Dr Ingrid Lipka 2008

Dr Andrew Aldous

Dr James Mapleson

Dr Francene Bond

Dr Elissa McNamara

Dr Timothy Brettig

Dr Cameron McPherson

Dr Christopher Carter

Dr Katherine Moors

Dr James Carter

Dr Kristy Muir

Dr Julie Chan

Dr Ingrid Nolle

Dr Christopher Clemens

Dr Nyree Oâ&#x20AC;&#x2122;Connor

Dr Pasqualina Coffey

Dr Benjamin Privett

Dr Mark Daley

Dr Joe-Anthony Rotella

Dr Bin Lin

Dr Hoe Lo

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Dr Atandrila Das

Dr Ben Weatherhead

Dr Bronwyn Scarr

Dr Rajeev Deva

Dr Kyle Wilcox

Dr James Sheldon

Dr Ella Ellwood-Shoesmith

Dr Amy Williamson

Dr Jia Shen

Dr Anneke Engwerda

Dr Imogen Windle

Dr Asma Sheriff

Dr Timothy Foley

Dr Sarah Wongseelashote

Dr Candice Simpson

Dr James Hillis

Dr Benny Zhang

Dr Tara Smith

Dr Tony Hughes

Dr Victoria Snowball

Dr Nicole Hunt

2010

Dr Sean Stevens

Dr Alyson Kelly

Dr Magas Abdela

Dr Adam Straub

Dr Namiko Kobayashi

Dr Nathan Anderson

Dr Verity Sutton

Dr Andrew Lin

Dr Thea Bloom

Dr Evan Thompson

Dr Abhirup Lobo

Dr David Carmody

Dr Jue Wang

Dr Kolin Lu

Dr Joel Chan

Dr Shea Wilcox

Dr Greta Meredith

Dr Edith Chau

Dr Susan Williams

Dr Anna Middleton

Dr Brent Corcoran

Dr Angela Wilson

Dr Lara Mucha

Dr Michael Cowen

Dr Shweta Natarajan

Dr Felicity Creelman

Dr Laura Papillo

Dr Maree De Jong

2009

Dr Reshma Pawar

Dr Benjamin Dowdle

Dr Yoko Asakawa

Dr Eshini Perera

Dr Leah Dunne

Dr Ganesh Balendra

Dr Piraveen Pirakalathanan

Dr Fan Fan

Dr Jason Barraclough

Dr Chance Pistoll

Dr Jacki Flindell

Dr Mary Barson

Dr Zoe Radford

Dr Thomas Fisher

Dr Eleanor Bott

Dr Ratheesraj Ratinam

Dr Shirley Godwin

Dr Kenneth Buxey

Dr Ravinder Sandhu

Dr Jonathan Goh

Dr Luke Campbell

Dr Hannah Shoemaker

Dr Christopher Goldfinch

Dr Elizabeth Canale

Dr Jessica Sloane

Dr Christopher Grossman

Dr Talia Cantwell

Dr Paul Smith

Dr Arindam Chakravorty

Dr Paul Tuohey

Dr Katherine Holleran

Dr Sarah Coghill

Dr Sundar Veerappan

Dr Alexander Hua

Dr Joshua Crase

Dr Elizabeth Walker

Dr Andrew Huynh

Dr Jennifer Cullen

Dr Kemble Wang

Dr Kirby Jefferies

Dr Christopher Daniels

Dr Jennifer Wang

Dr Benjamin Kabbabe

past graduates

Dr Katya Ruzyla

Stephanie Hepworth

Dr Alvin Lam Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

past graduates

Dr Eza Lau

2011

Dr Yi Xuan Liu

Dr Ganesh Balendra

Dr Hong Nguyen

Dr Viola Luk

Dr Sarah Frances Berriman

Dr Hoa Nguyen

Dr Andrew Mackay

Dr Jocelyn Yuen-Wai Chan

Dr Luke Oh

Dr Jane Maxwell

Dr Antonio Claridad

Dr Marlon Perera

Dr Darren McCorry

Dr Atandrila Das

Dr Kalpa Perera

Dr Jacki McCorry

Dr Corey Driscoll

Dr Xiuzhi Pham

Dr Louise Parry

Dr Elise Flynn

Dr Jeremy Phillipps

Dr Nisal Perera

Dr Christopher Ford

Dr Naima Rahman

Dr Nikhil Pooviah

Dr Katherine Franklin

Dr Mooska Raoofi

Dr Justin Potts

Dr Sarah Gelbart

Dr Maya Reddy

Dr James Ross

Dr Raymun Ghumman

Dr Jeffrey Reinten

Dr Kylie Siauw

Dr Alexander Gin

Dr Kate Robertson

Dr Ed-Mund Siauw

Dr Andrew Goldberg

Dr Lauren Jae Ross

Dr Ranjit Singh

Dr Daniel Hamill

Dr Matthew Shears

Dr Thevaki Sivagnanam

Dr Genevieve Hamilton

Dr Rowena Silcock

Dr Sarah Smith

Dr Sarah Heynemann

Dr Prasangika Siripala

Dr Madeleine Strach

Dr Eloise House

Dr Edmund Song

Dr Leonie Sutton

Dr Anny Huang

Dr Anna Steer

Dr Ryan Toholka

Dr Fariha Islam

Dr Rami Subhi

Dr Alice Truong

Dr Paula Jeffries

Dr Katrina Tellesson

Dr Jimmy Tseng

Dr Thuvaraka Jeyakumaran

Dr Ryma Terbah

Dr Melissa Vile

Dr Jane Karmouche

Dr Angus Thomson

Dr Son Vo

Dr Natalie Kimberley

Dr Crescens Tiu

Dr Aaron Wagen

Dr Stephanie Kuo

Dr Avraham Travers

Dr Cathy Wang

Dr Emma Leitinger

Dr David Turner

Dr Katherine Wilson

Dr Jane Lovell

Dr Alice Went

Dr Magdalena Wojtasiak

Dr Siming Lu

Dr Evan Williams

Dr Rebecca Wright

Dr Karissa Ludwig

Dr Stephanie Wood

Dr Agnes Yuen

Dr Bejoy Machumpurath

Dr Nick Yang

Dr Jesse Zanker

Dr Ashling McNally

Dr Amir Zayegh

Dr Hannah Meyer Dr Tamara Mogilevski

Dr Liam Nalder

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Future Graduates

Rural Clinical School

Future Graduates 2012

Wei Yeh

2013

Ali Altamimi

Albert Yin

Lucy Rowlands

Lachlan Brennan

Rona Zhao

Shi Shen

John Chae

Benjamin Allnutt

Timothy Amos

Winnie Chen

Karamdeep Bhullar

Peter Andrew

Reece Cordy

Emily Bonett

Karina Aprico

Alexandra Cussen

Louise Boyle

Timothy Baker

Rachel Goh

Ewan Chan

Astrid Baker

Evelyn Hamel-Green

Alexander Clarke

Sarah Bannerman

Meagan Anne Inglis

Smita Deb

Holly Bannon-Murphy

Vyshnavi Janakan

Andrew Fitzgerald

Sophie Butcher

Matthew Kelly

Amy Fitzgerald

Genevieve Calder

Peter Brian Li Ting

Katherine Flood

Elaine Chilcott

Zaal Meher-Homji

Elfrith Foottit

Lynda Chin

Jeremy Yong Kai Ong

Jonathan Francis

Harry Chow

Tegan Ormston

Matthew Jiang

Matthew Elliott

James Papa

Priyanka Kosanam

Andrew Farrington

Mayrav Picker

Mabel Leung

Danielle Forbes

Ramessh Ranjan

Caroline Lum

Sibon Fuzzard

Nicholas Sanders

Matthew Morey

Andrew Gador-Whyte

Emma Schimann

Benson Nardino

Calvin Gan

James Sewell

Puneet Pandher

Chloe Georgiou

Javariah Siddiqui

Danielle Pickett

Amy Halliday

William Taft

Katherine Pilkington

Caitlin Hamond

Smriti Tandon

Julien Robinson

Harry Hill

Scott Taylor

Sally Smith

Nestor Ho

Senthil Thillainadesan

Jaideep Vazirani

Gary Huang

Dan Tran

Laurence Veness

Kate Hurley

Aden Willoughby

Madeleine Ward

Jack Kane

Benjamin Winter

Mardiha Abu Bakar

Naman Kohli

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

Future Graduates

Anton Lambers

Nidhi Mahajan

Jolie Lawrence

Pavithra Amadoruge

Joseph McArdle

Michelle Li

Ibraham Barakat

Adrian McFadden

Matthew Birdsey

Ryan McMahon

Melinda Blake

Clare McNamara

Anna Bondorovsky

James Meneguzzi

Elisa Bongetti

Siti Noordin

Alison Bullen

Phillip Moore

Catherine Burrows

Claire Moore

Emily Chambers

Bulungo Mwilambwe

Geoffery Chen

Phillip Naimo

Jocelyn Chu

St John Newman

Eva Curley

Una Pak

Katherine Downe

Dominic Pucius

Sarah Eaton

Essam Qazag

Cameron Ewert

Qin Qin

Elena Galiabovitch

Carolina Radwan

Nicole Garcia

Nicole Ranson

Timothy Goldsmith

Cameron Ray

Camerin Grossman

Alexandra Sanelli

Edward Hinch

Visopiano Sanyu

Phoebe Hone

Richard Sia

Gina Smith

Qinyuan Hu

Kelli Snodgrass

Mitchell Smith

Yen Huynh

Matthew Suen

Katherine Snow

Daniel Hynes

Kasra Taghian

Jessica Tang

Irene Kearsey

Adrian Talia

Georgina Tuck

Tanya Kowalski

Dominik Teisseyre

Guy Unmack

Eugene Kua

Steven Tu

Haylee Walsh

Andrew Leo

Andrew Van

Ray Wang

Adam Levin

Sabiena Van Es

Sophie White

Jade Lim

Charisa Wong

Stephanie Williams

Victor Liu

Hong Juan Wu

Chi Xu

Grace Lovett

Natalie Yap

David Lien Brodie Loudon Samantha May Lauren McShane Anish Modak Toor Mollah Ryan Newbold Trong Nguyen Michael Oâ&#x20AC;&#x2122;Malley Chengde Pham James Phillips Jessica Phillips Kerelos Rizkalla Elysia Robb Jayne Roberts Johanna Schafer Madeleine Scullin Akanksha Sharma Namit Sharma Rachael Sheridan

2014

Ru r a l C l i n i c a l S c h o o l - C e l e b r a t i n g 1 0 y e a r s

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Rural health

AcAdemic Centre B a l l a r a T

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PO BOX 6500 Shepparton, Victoria 3632 Telephone +61 03 58 234 500 | FACSIMILE +61 03 5823 4555 | EMAIL rhac-info@unimelb.edu.au For more information visit our website: www.ruralhealth.unimelb.edu.au