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Author Archives: amunkman
Australian general practitioners’ attitudes to the extraction of research data from electronic health records
Dear ISPRN Members,
ISPRN’s PhD student Dr Adam Hodgkins has recently had his research published.
Read the article here:
AJGP-03-2020-Research-Hodgkins-Australian-GP-Attitudes-WEB
Kind Regards
Alyssa Horgan
Invitation to participate in a research study
Dear GPs,
We are inviting you to participate in an interactive educational series that will be conducted by Medcast and evaluated by the University of Wollongong (UOW) on behalf of the funding body, the Australian Digital Health Agency (ADHA). The sessions are designed to support best-practice prescribing, pathology and diagnostic imaging ordering utilising My Health Record (MHR). If you consent to participate you will be randomly allocated to either the prescribing, pathology or radiology education arms of the study.
PenCS software will perform all coding and de-identification of baseline and follow-up clinical study data related to outcomes of the education sessions on-site, within the practices’ computing environments. Therefore you will have to already have PenCS installed on your practice systems to take part. The PenCS software provides secure data collection with minimal added data collection requirements for you. Your de-identified data will be securely transferred directly to UOW.
Feel free to forward this information to any colleagues you think may be interested.
Kind Regards
Alyssa Horgan
Research Officer
Illawarra and Southern Practice Research Network (ISPRN)
Graduate Medicine
School of Medicine
University of Wollongong
ISPRN Publications
Dear ISPRN members
We have been busy working with our ISPRN members on their research.
Two of our members, Dr Adam Hodgkins and Dr Munther Zureigat have recently had papers published from their research projects.
The use of primary care electronic health records for research: Lipid medications and mortality in elderly patients
Adam Hodgkins Article
GPs attitudes towards acne management: psychological morbidity and the need for collaboration
Munther
In addition to these member driven research projects, the ISPRN team have also been working on several research projects which have been published recently:
A Case study of the experiences of junior medical officers in the emergency departments of a metropolitan hospital and rural hospital.
Bonney_et_al-2019-Australian_Journal_of_Rural_Health
Effectiveness of quality incentive payments in general practice (Equip-GP): a study protocol for a cluster randomised trial of an outcomes based funding model in Australian general practice to improve patient care
a study protocol for a cluster-randomised trial of an outcomes-based funding model in Australian general practice to improve patient care
If you have any questions about these research projects or you would like to learn more about getting involved in General Practice Research, please feel free to contact us: amunkman@uow.edu.au
Kind Regards
Alyssa Horgan
ISPRN Research Officer
Latest research into Advance Care Planning & Cancer Registries
Dear ISPRN members,
Happy New year to you all. I hope you had a wonderful festive season.
We have been busy here at ISPRN over the last 12-18 months working in several different spaces within Primary Care. Our Associate Professor of General Practice, Joel Rhee has research interests in Palliative Care and Advance Care Planning.
Here is the latest research that he has been working on:
- Risk J, Walters L, Rhee J, Ward P. (2019). Barriers, enablers and initiatives for uptake of advance care planning in General Practice: a systematic review and critical interpretive synthesis. BMJ Open. 9:e030275. doi: 10.1136/bmjopen-2019-030275.Barriers enablers and initiatives for uptake of advance care planning
- Senior H, Grant M, Rhee J, Aubin M, McVey P, Johnson CE, Monterosso L, Nwachukwu H, Fallon-Ferguson J, Yates P, Williams B, Mitchell G. (2019). General Practitioners’ and General Practice Nurses’ Self-reported Practice at the End of Life: Delivery, communication, coordination, and multidisciplinary care –a systematic review. BMJ Supportive & Palliative Care. In press.General practice physicians and nurses self- reported multidisc
- Littlewood J, Hinchcliff R, Lo W, Rhee J. (2019). Advance Care Planning in rural New South Wales from the perspective of general practice registrars and recently fellowed general practitioners. Australian Journal of Rural Health. doi: 10.1111/ajr.12525.Littlewood_et_al-2019-Australian_Journal_of_Rural_Health
- Vajdic CM, Perez-Concha O, Rhee JJ, Dobbins T, Ward RL, Schaffer AL, van Leeuwen MT, Laaksonen MA, Craigen G, Pearson SA. (2019). Health-related predictors of cancer registry-notified cancer of unknown primary site (CUP). Cancer Epidemiology. 61, 1-7.Health related predictors of cancer registry notified cancer
- Vajdic CM, Perez-Concha O, Dobbins T, Ward RL, Schaffer AL, van Leeuwen MT, Rhee JJ, Laaksonen MA, Craigen G, Pearson SA. (2019). Demographic, social and lifestyle risk factors for cancer registry-notified cancer of unknown primary site (CUP). Cancer Epidemiology. 60 (2019), 156-61.demographic, social and lifestyle risk factors for cancer registry
- Miller, H., Tan, J., Clayton, JM., Meller, A., Hermiz, O., Zwar, N., Rhee, J. (2019). Patient experiences of nurse-facilitated Advance Care Planning in a general practice setting: a qualitative study. BMC Palliative Care. 18:25. doi: 10.1186/s12904-019-0411-z.Patient experiences of nurse facilitated advance care planning
- Rhee, J., Meller, A., Krysinska, K., Gonski, P., Naganathan, V., Zwar, NA., Hayen, A., Cullen, J., O’Keefe, J-A., McDonald, J., Harris-Roxas, B., Caplan, GA. (2019). Advance Care Planning for patients with advanced illnesses attending hospital outpatient clinics study: a study protocol for a randomised controlled trial. BMJ Open. 9:e023107. doi: 10.1136/bmjopen-2018-023107.Advance care plannin for patients with advanced illnesses attending hospital outpatient clinics study
If you are interested in speaking with A/Prof Rhee about any of his research or if you would like to engage in research with us, we would love to hear from you.
Kind Regards
Alyssa Horgan
Research Officer, ISPRN
Graduate Medicine
amunkman@uow.edu.au
Seasons Greetings
Dear ISPRN members,
We would like to take this opportunity to wish you and your families compliments of the season. We look forward to engaging with you all in the New Year. If you have any passion projects or interest in becoming involved in research please feel free to touch base with us : amunkman@uow.edu.au
ISPRN Coordinator Leave
Dear all
Just a quick note to let you know that I’ll be heading off on maternity leave for 12 months with next Friday, 23 November being my last day.
Recruitment is currently underway for a replacement for my role. Once this role has been filled I’m sure that the new coordinator will be in touch to introduce themselves.
Merry Christmas to you all.
Kind Regards
Alyssa Horgan
Amended Lecture details- Professor Jesper Bo Nielsen & Professor Jens Søndergaard Thurs 11 October
The challenge of communicating quantitative risk estimates – what is important for the decision maker?
Professor Jesper Bo Nielsen
Developing and monitoring quality in primary care in a Danish setting
Professor Jens Søndergaard
THURSDAY 11th october, 12:30 -1:30pm
Building 28.101 Lunch to follow in Building 28 Foyer
Registration required: Please register attendance using the following URL
https://www.eventbrite.com.au/e/free-guest-lecture-professor-jesper-bo-nielsen-tickets-50896060487
SPEAKERSProfessor Jesper Bo Nielsen Head of Department, Research Unit of General Practice, Department of Public Health
Professor Jens Søndergaard Head of Research Unit, Research Unit of General Practice, Department of Public Health
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about JESPER BO NIELSENJesper Bo Nielsen is Head of Department and Research Unit of General Practice, Department of Public Health at the University of Southern Denmark. He has a background in biology and chemistry and was originally trained as experimental toxicologist. He completed his master thesis on environmental factors affecting the cytochrome P450 enzymes. His PhD from 1992 focused on the toxicokinetics of inorganic as well as organic mercury compounds. During recent years, Jesper Bo Nielsen has attracted substantial funding and initiated independent research projects within areas such as immunotoxicology, dermal absorption, risk analysis and risk communication.
about Jens SøndergaardIn 2008 MD, GP, PhD Jens Søndergaard was appointed professor and head of the Research Unit for General Practice at University of Southern Denmark. He is currently also director of the independent Research Institution, The research Unit for General Practice in Odense. Furthermore, he is member of a number of steering committees, advisory boards and scientific research boards. Prof. Jens Søndergaard has considerable experience in research management. He is also pa part-time general practitioner and holds a specialist degree in clinical pharmacology. |
The Danish Health Care System and Developing Quality in Primary Health Care LECTURE
THURSDAY 11th October, 12:30 -1:30PM
SPEAKERProfessor Jesper Bo Nielsen Head of Department, MSc, Ph.D. University of Southern Denmark, SDU Research Unit of General Practice Department of Public Health Denmark
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About the speakerJesper Bo Nielsen is Head of Department and Research Unit of General Practice, Department of Public Health at the University of Southern Denmark.
He has a background in biology and chemistry and was originally trained as experimental toxicologist. He completed his master thesis on environmental factors affecting the cytochrome P450 enzymes. His PhD from 1992 focused on the toxicokinetics of inorganic as well as organic mercury compounds. During recent years, Jesper Bo Nielsen has attracted substantial funding and initiated independent research projects within areas such as immunotoxicology, dermal absorption, risk analysis and risk communication.
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locationBuilding 28 room 101
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registration requiredPlease register attendance using the following URL https://www.eventbrite.com.au/e/free-guest-lecture-professor-jesper-bo-nielsen-tickets-50896060487
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Illawarra Mercury Article: Stress leads junior doctors to drink more and burnout: UOW study finds
Stress leads junior doctors to drink more and burnout: UOW study finds
During her early days in the medical profession Dr Rebekah Hoffman found herself “not giving a sh**”.
She wasn’t happy and work was the last place in the world she wanted to be.
So she promptly quit. The decision to leave the job mid-term was unheard of in the profession and her employers weren’t particularly happy.
But quitting was “one of the best things” she has ever done.
Dr Hoffman didn’t know it at the time, but she was burnt out.
“It’s only really in hindsight that I knew I was burnt out,” she told the Mercury.
“At the time I just knew that I wasn’t happy and I didn’t want to keep working where I was working and I was trying to not go to work every day.”
Dr Hoffman is now a practising GP and a PhD student at UOW Graduate Medicine’s General Practice Academic Unit (GPAU).
Read more: Hospitals on notice about doctor burnout
She also recently conducted a study which found a volatile combination of factors, including pressure to perform, lack of support from senior colleagues and lack of self-care, puts junior doctors at high risk of burnout.
The physical and mental health of medical professionals has been in the spotlight following a survey published in 2013 by mental health organisation beyondblue that found doctors in Australia have substantially higher rates of psychological distress and attempted suicide than the Australian population.
Dr Hoffman surveyed junior doctors in NSW and Victoria to understand the experience of burnout and its causes.
She hoped the study co-authored by Professor Andrew Bonney, the Roberta Williams Chair of General Practice at UOW Graduate Medicine, would contribute to the important conversation around the health and wellbeing of junior doctors.
“I actually now train registras in general practice. One of the first things I talk to them about is fatigue and looking after yourself,” Dr Hoffman said.
“I want them to talk up and talk to me if they are having any problems at work or home. I’m really trying to be the supervisor that I’d hoped I would’ve had then but didn’t. Junior doctors deal with a lot of stress from their peers and patients.
“We need to recognise the early signs such as not giving a sh** about work, drinking too much and generally just not looking after themselves.
“Junior doctors need to know it’s okay to look after yourself and to let people know if you’re struggling.”
Doctor burnout not only affects the individual, it can lead to increased absenteeism and depression, medical errors and engaging in risky alcohol use.
Some hospitals have put in place resilience training, and organisations such as the Australian and New Zealand College of Anaesthetists have commissioned reviews into guidelines for doctor stress and fatigue.
Dr Hoffman said the measures are good first step, but were incomplete and needed to be supplemented with evidence-based strategies that do not shift blame to the junior doctor.
“If we don’t address it, nothing changes. This is an opportunity to introduce new policies and guidelines in doctor training,” she said.
‘Junior doctors, burnout and wellbeing: Understanding the experience of burnout in general practice registrars and hospital equivalents’, was published recently in the Australian Journal of General Practice.