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Ballarat April 2012 Minutes

Day 1: Thursday, 3 May

Clinical School Tours (Deakin University, University of Melbourne and Notre Dame facilities)

Welcome

Professor Judi Walker (National Chair) welcomed delegates to the FRAME Meeting. Associate Professor Sunjay Sharma (Deakin University) officially welcomed participants to Ballarat, acknowledging the working relationship between Deakin University, University of Notre Dame and University of Melbourne Rural Clinical Schools.

Universities (70 registrants in total – Attachment 1) were represented at the meeting:

  • Adelaide University
  • Australian National University
  • Deakin University
  • Flinders University
  • Flinders University NT
  • James Cook University
  • University of Melbourne
  • Monash University
  • University of Notre Dame
  • University of Newcastle
  • University of New England
  • University of New South Wales
  • University of Queensland
  • University of Sydney
  • University of Tasmania
  • University of Western Australia
  • University of Western Sydney
  • University of Wollongong
  • Commonwealth Department of Health and Ageing

 


 

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Showcasing and Brainstorming

Each Rural Clinical School provided a slide identifying one success and one challenge associated with the new RCTS program. RCS representatives introduced their teams, slides were displayed & discussed (Attachment 2).

Recurring themes from strength/challenge slides were identified and clustered for further discussion at the afternoon’s “Breakout & Problem Solving” sessions.

Some issues identified included:

  • Rural Preferential Recruitment scheme in NSW (clarified). Statewide intern allocation system, a ‘pre-match’ can take place, i.e. in top category students can apply for a rural hospital, primary allocation sites. Hospitals can also rate and choose students, prior to main allocation process. FRAME may play a role in advocating this policy in other states. Within Victoria, the Rural Generalist Program will potentially drive this beyond 2013.
  • Strengths in increasing implementation of vertical integration of medical education.
  • Celebration of the RCS program; 10-15 years on, still going strong; need a global publication about rural health, i.e. MJA supplement; marketing.
  • Staff recruitment, retention and faculty development remain ongoing issues, with constant shortage of clinical academics, and fatigue of clinicians & tutors.
  • Difficulty linking undergraduate course selection to postgraduate rural student numbers, and keeping up the rural student cohort in that dual entry.
  • Some RCS have no problems meeting 25% rural student recruitment requirements; others having difficulties – particularly graduate entry/postgraduate programs.
  • Research, innovation and opportunities arising, however structures within universities can create a lack of control and influence on admissions processes. Some RCSs started as sub-branch of universities, initially accountable for outcomes, not necessarily processes.
  • As senior academics, it is important to have an influence on university policy.
  • Research outcomes creative - research strategies could be stronger.
  • Interprofessional learning achievements were acknowledged. Managed in cross-institutional environment (not all universities have all health profession students), demonstrating the opportunities for policy and innovation and integration of programs. Issue of how to capitalise & build strengths within the relationships between UDRH and RCTS programs.
  • Short term (4 week) placements; major problems include underfunding due to distance, cost of travel and accommodation. Students go for four weeks (not always in a block) & can leave without making it a meaningful experience within a rural community.
  • John Flynn Placement Program. Seems a more sustainable model for practitioners and communities. From exit survey feedback, students acknowledge the six week rural placement as a worthwhile educational experience. Longitudinal experience could be more valuable.
  • Short term placements enable a connection to community hubs to potentially send students. Established resources, infrastructure etc. kept the cost down with the integration with RCS.
  • Accreditation processes proving helpful for implementing change.
  • Strong commitment for students to spend three years attached to one clinical school, difficulties in the areas of women’s health, children’s health, aged care and psychiatry. Students who wish to stay rural are being sent back to metro and vice-versa, with some negative implications.
  • Difficulties finding placements for students, competition that exists for rural clinical placements, pressures of HWA funding, integrated regional clinical networks.
  • Lowijta O’Donohue Foundation – looks at Aboriginal health workers’ career pathways. Within many communities, the healer is someone who is nominated by community. It’s about engaging community and understanding their approach, relationships, dynamics.

 


Vertical Integration: HWA Report; Rural Generalist Pathway; Engagement with Specialist Colleges

Richard Murray (ACRRM) introduced the topic.

Health Workforce Australia (HWA) Report – methodology used, was to take healthcare delivery for doctors, midwives, nurses in 2009 and apply in 2025 (incl. projected population growth, ageing population etc.). Using the base of 72,000 Australian doctors, the report suggests an additional 37,000 doctors is required by 2025. The modelling suggests that of the 37,000 new doctors required to meet Australia’s healthcare needs, only one in five is needed outside of major cities. Significant gap in funded positions for registrars, shortage of registrar posts. There needs to be a policy response, with a ‘very loud voice’ from the rural constituency advising the need for a different health care model. Conversations must lead to ‘regional’ and ‘general’. Opportunity exists to make regional and general possible in relation to the Rural Generalist program which is gaining momentum and includes preparing health practitioners to work in a variety of settings, respond to emergencies, to have population and Indigenous health insights, hospitalist and primary care provider (ie the ACRRM curriculum approach). There is an opportunity for early selection out of medical school, a planned process & acceptance into colleges’ training programs, and partnership around mentoring, supporting, arrange training provider.

Engagement with Specialist Colleges – an interest in how to make general, regional training bigger part of agenda. Rural clinical schools have the infrastructure to make it work as ‘match-makers’. Letter has been sent from FRAME Chair to the President of Medical Colleges, inviting engagement with CPMC around vertical integration agenda. ACRRM has formal recognition of advanced specialised training (one year equivalent of advanced specialised training as a rural medical academic with teaching and research mix).

Panel discussion included:

  • Strength is student engagement, but there is a need to make clearly articulated, seamless pathway to rural, i.e. aspirational dream.
  • JCU & Flinders leading in international links in social accountability.
  • Having such a strong dependency on international medical graduates, may be perpetuating shortages within Australia.
  • Internships – graduate students are work-ready at Year 3 – it is possible to do community-based rural intern programs. Rural clinical schools should be able to facilitate this.
  • Different intentions and expectations of the rural generalist pathway from states and territories (hospital-based with primary care sideline) and the Commonwealth primary care with hospital sideline). HWA’s exercise – to make a national, consistent approach to generalist pathways. The dilemma is agreeing the funding of these placements, and the ultimate position that these placements end up in primary care with hospital exposure or the reverse. GPET selection process and funding is competitive, set up that way be equitable to gain places in GP training program. Proving to be a barrier to collaboration – this is a policy issue.
  • From student training perspective, there is a need for a structured mentoring program, that continues beyond training – RCSs as match-makers.
  • The key to success is the relationship that is formed in early months of training. Graduates make career choices in PGY1 and PGY2, need to be creative in thinking about junior doctor training program. Community based internships, must consider capacity (PGPPP program, GP registrars), infrastructure, flow-on effects.
  • Pathways in North America, much less complex.
  • A challenge for FRAME: HWA workforce modelling is the biggest policy challenge in Australia in the past 50 years in health service delivery, we need to get it right.
  • There are some perverse incentives/drivers towards subspecialisation in the system such as status, income within profession. Within the community there is the expectation of excellence which is why the North American model exists.

The only group that engages with generalist clinicians is rural clinical schools. There is an opportunity to champion generalism, we are the ones dealing with generalist doctors, physicians, surgeons, rural GPs. Opportunities for researching generalism, what does it mean? and championing that within the profession and the community. Generalism needs to be marketed within the system.


 


DoHA Reporting

25% Rural Student Intake Requirement

Lou Andreatta (DoHA) introduced the topic.

  • From Departmental/Commonwealth point of view, the 25% rural student intake target is increasingly important, and is currently receiving commentary from key stakeholders in rural Australia and media. DoHA advises that target is a compulsory target, need to work to achieve it; some RCS face challenges in meeting the target. Target may increase to 33% in future.       How best can we address this issue, from a policy perspective? If universities are not meeting target, the department may have to look at funding levels.
  • The number of students that go to universities outside of the big cities is substantially less. It is an increasing problem for graduate-entry medical courses and it’s about what happens earlier on, i.e. secondary school and undergraduate program career pathways.
  • Some universities want to increase rural intake to 33%, some struggling to achieve the 25%. Need to enable students to have access and understanding of the potential to become a health professional without having to move to the city. Secondary Schools Program was established to promote rural health careers to students in rural areas. The consistent driver for a rural career is rural origin. Might need to look at new ways of promoting rural health careers to secondary students. It was noted that some simple but effective implementations like medical students visiting primary schools and teaching CPR, can impact on interest in health careers.
  • Universities could be asked to provide admissions policies to DoHA for clarification on who’s engaged on admission policies process, and rural student recruitment – to gain an understanding when and how rural recruitment happens in rural areas. Sometimes flying to the city to get to interview is a barrier for a potential student.

Medical Training Review Panel (MTRP) Data Reporting

Padmaja Jha introduced the topic.

  • MTRP report provides published data obtained from central university admissions on rural background of student intake. Data provided, does not match those provided by RCSs. RCSs should liaise with relevant central administration area to ensure data accuracy. The Medical Deans’ office sources the information for MTRP report not DoHA.
  • It was noted that recent MTRP report used data that is 3-4 years old. Need up to date data to address HWA matters.
  • FRAME is not represented on the MTRP. Accuracy of data may be improved by including FRAME representation on MTRP

Strategic Developments: MD Programs, New Medical Courses, NZ Collaboration

  • There is now an extended Masters course, MD. There is no barrier to enrolling domestic fee-paying students. Large number of medical schools interested (“conga-line” of medical schools). It opens up opportunities for universities to generate revenue. Curtin and Charles Sturt universities have advanced campaigns for new medical schools. The AMC is currently working through policy implications. Implications include the competition for clinical placements.
  • NZ is increasing medical school intake by 30%. Aus/NZ joint promotion of the rural agenda, many similarities, same issues and challenges are faced. Opportunities exist for alliances between regional Australia and New Zealand.      
  • University of Newcastle/New England joint medical program is debating curriculum reform & structure of program, how graduates might be seen if they didn’t have a MD. Looking at research component and the impact on clinicians, MD could create opportunity for rural research, and could be a positive. Criteria for extended masters is a ‘low benchmark’ with regards to research. Opportunity to inform the curriculum, develop stream that goes back to the beginning of the course and to produce graduates that are more suitable for rural work.


Four Breakout Sessions and Problem Solving Groups

  1. Competition for clinical placements
  2. University issues/influencing/finance/centralisation
  3. Research/Celebrations/Publications
  4. Vertical Integration/Medical education

Feedback from Breakout Sessions

Competition for Clinical Placements

  • Most ideas came back to money, paying for academic, clinician, administration resources to facilitate placements, paying for accommodation, travel, allied health to go to locations. Keep applying for funding to boost resources.
  • Collaboration with local community taskforce groups – group of people within community passionate about accommodating students, capacity, how to get students into community.
  • Informal collaboration within RCSs – how RCS can work together.
  • Central co-ordination – threats.
  • Allied health, nursing and med doing placements together. Multi-disciplinary environment in hospitals and GP placements.
  • ClinConnect was discussed, a NSW database of every student in every discipline, in NSW health facilities (see http://www.health.nsw.gov.au/clinicalplacements/).
  • Placement software, opening up a lot more choice. Clinical Placement Network has the potential to make things work. Some states are further ahead than others in this regard. Electronic clinical placement (i.e. like wotif.com), may not always work.

Universities/Infrastructure/Funding issues

  • Loss of independence with the centralisation of services, leading to a lack understanding of rural needs.
  • HR – Professional staff job descriptions, on-call requirement for student support.
  • Central University ‘Grab’ brought on by funding shortages.
  • University of Sydney has a social inclusion unit/rural focus group.
  • Be represented on relevant central committees to influence; ensure key people involved & integrate back into central.
  • Welcome the 5% rule to protect funds; supporting regional development.
  • Future funding – internal review happening within DoHA.
  • Maintaining capital works.
  • Accommodation challenges – Kimberley/Pilbara; Partnerships with mining companies, Shire, Rotary, Community, Pubs, CWA contributing.
  • Management/Services for student accommodation/Subsidised private accommodation potential option.
  • Timing often too short for HWA funding applications.
  • HWA representative to attend FRAME.
  • Salary Sacrifice for teaching in remote areas.
  • HWA differential funding approach – urban, rural, remote

Research/Celebrations/Publications

  • Vision – to have fantastic multisite/longitudinal projects.
  • The need to have capacity to inspire young researchers, clinicians. Some schools have Directors of Research, some don’t.
  • Funding sources, implications of programs, PHCRED etc.
  • Strengths and weaknesses of the FRAME data.
  • Ideal is to make sure DoHA representatives are armed with good reports including achievements.
  • A paper about the good work that has been done to date within the RCSs. i.e. highlighting community engagement, achievements, for international recognition.
  • Achievement report (10 year) to demonstrate the contribution to rural communities as well as workforce outcomes, as achieved to date. Show that there are more than just workforce outcomes.
  • Prospective study happening i.e. FRAME surveys.

Vertical Integration/Medical Education

  • Early Selection (ACRRM/RCS), joint selection, enrolment, facilitation, advocacy.
  • Specialist Generalist – move specialist training outside of cities; RCS being at centre of set of relationships between stakeholders, i.e. community, health service, college, fund-holders, policymakers.
  • Advanced Standing – facilitation for entry, how to get publications, projects, become competitive, how to do courses, skills, logbooks, engaging specialist colleges in rural areas. Shorten training, or enrol earlier?
  • Research – hidden curriculum, effect of mentors, effect of environment, decision-making, what inspires people.
  • Develop intellectual space – what it is to be a specialist? i.e. Paediatrician – it is not ‘mini-Royal Children’s Hospital.’
  • The specific proposal of how to build an alternative track rural generalist, with ACRRM to select from final year med school, with RCS-ACRRM involvement and around joint selection, enrolment, facilitation of entry into regional training provider, but oversight auspicing advocacy and assistance, particularly in junior doctor phase.
  • Specialist generalist training reform – RCS to be at the centre of a set of relationships that include the community, regional health service, college, funders and policy makers – with a can do attitude and knowledge of what is possible when creating accredited posts. Innovation around accreditation, an area of opportunity.
  • Identify, map, key people within rural clinical network, who could be ‘change agents’ for stakeholders? Get programs working and then promote that. Increase efficiency of training. Student, junior doctor and specialist – can all work together towards efficiency & innovation.
  • The RCS critical mass could work together for better outcomes.

Day 2: Friday, 4 May

Concurrent Caucus and Administration Sessions

Operational Managers

DoHA Funding (Padmaja Jha and Michelle Hillard)

  • Underspend of over $250K within a 6-month reporting period can result in the withholdingof the next payment
  • Do not use operational funding for Capital Works programs (previously there was some flexibility with approval from the Dept – no longer the case)
  • Spend to your budget as closely as possible
  • Any rolled RCS Surplus to be expended by June 30, 2012
  • Review of all 40+ funding programs is currently underway
  • Desire for a structured meeting between DoHA and RCSs to work through planning/budgets Start to think about 5- or 10-year planning, rather than just year to-year evidence that Rural Clinical Schools are thinking ahead (long-term) will assist the Department with their funding submissions to Treasury
  • RCS program has been reclassified from ‘lapsingto ongoing however ongoingmeans only that it is funded until mid-2014 at this stage
  • Sign-off requirements on reporting – Finance Reports: Progress = ‘Qualified Accountant’,End of Cycle = External Audit
  • 5% funding cap for main campus costs how is this meant to be defined? There is a discrepancy between the Deed and the Reporting template. DoHA to advise.

DoHA Reporting

  • Request to DoHA to unlock the reporting template so that at least spell-check and copy/paste functions can be used
  • Sharing of all RCSs reporting outcomes.

Communications / Relationships

  • There was a request that DoHA standardize their reporting requirements (which haseffectively been done) and their requests for additional information (difficult to do).

Four Week Rural Placement Requirement

  • Issues with capacity
  • Returning long-term rural students to metro settings in order to accommodate short-term metro students in the rural settings defeats purpose!
  • Changes in curricula/medical programs many courses now 4yrs instead of 5 or 6yrs so much more difficult to ‘squeeze in a specific rural ‘block’; many Med Schools have now integrated ‘rural medicine’ into overall curriculum, so students have far greater awareness of rural health issues but do not necessarily need to undertake a structured ASGC-RA2-5

placement; shift to graduate entry programs means greater number of mature-age students

with partners/children which in turn makes it even more difficult to relocate them for long

blocks of time without upsetting family life

  • Sheer cost of managing placements without specific RUSC funding isolated from University coffers
  • Competitive market - # Medical Schools increased, # students increased, # available teaching sites and clinicians fairly steady.

General Practice

  • Placements increasing numbers and difficulty with coordination and capacity
  • Changes in State-level management of health presenting additional challenges to placement process
  • Clinical Placement Networks need to find ways to work in with them and reduce duplication of effort
  • Relationship with Regional Training Providers

-          Difficulty in providing places for students in competition with registrar training positions

-          Lack of Reg training positions in many areas graduates have to return to the cities and don’t come back again

-          some RTPs/RCSs have requirement that Practices can only take Registrars if they also have Med Students – this works well for ANU.

Capital Works / Retention Periods

-          issues with rural GPs not wanting to commit to extended retention periods (ie. greater than 5yrs) due to uncertainty re retirement plans/future business structure.

Compensation / Incentives

  • SGRHS now provide $$ payment plus bonus per student plus access to PIP
  • Difficulty with previous ‘hodgepodge’ of incentives provided some RCSs now have standardised financial incentives or capital works opportunities

Short Term Placements in NT

  • Elective placements in the Northern Territory are at capacity
  • Future placement requests must be for 6 weeks minimum
  • No pre-clinical students

Rural Health Clubs

  • NRHSN/RHW Australia now managing all clubs and funding of $12k per club is channelled through RHW
  • Rural Clinical Schools still expected to provide administrative support to their Rural Health Club
  • Financial support to be included in the 5% metro cap.

NZ CSP Placements

  • DoHA advised that we can all remove the NZ CSP students from our statistics relating to rural placements since they can’t count as rural but are deemed local just need to report on separately. Nb. Can remove them from both the numerator and denominator so that stats aren’t skewed

Risk Management (will complete this discussion via circulation or at next FRAME meeting)

  • Needlestick injuries management process/access to retrovirals/counselling?
  • Accommodation dispute resolution
  • Student travel measures to reduce driver fatigue/wildlife risk/excessive distances?

Accommodation Processes and Management

  • All Rural Clinical School operational staff who feel they have developed useful documentation and are happy to share, to email to alicia.eaton@deakin.edu.au for collation and distribution – including handbooks, accommodation agreements, Position Descriptions, risk management documentation.

 


Caucus Session

FRAME Website (Dr Kumara Mendis - Attachment 3)

Dr Mendis is currently working on the new FRAME website. The attendees were asked for input with regards to the needs for the FRAME website.

  • Password protected/restricted access component is a possibility, but is it necessary? Access available to students, staff, anyone can “Google” FRAME.
  • It was asked that the main FRAME communication remains by email (i.e. not forums on website).
  • Website potentially a repository for common documents, i.e. include HWA docs, RCTS parameters etc. Uploading of documentation to be controlled by an administrator.
  • With regards to advertising – job ads, a possible revenue source.
  • Crucial for the website to remain up to date. Link to Rural Clinical Schools’ websites.
  • Suggested domain names: ruralmeded, FRAME not necessarily recognised to general public searching for rural health info.
  • It was suggested having a page to display successes, share information, showcasing RCS work. Each RCS could send two images that keep rotating, and when clicked will direct to the respective RCS webpage. Needs to be accessible and easy to use.

Actions: Dr Kumara Mendis to proceed to develop the new FRAME website and go live as soon as possible / FRAME Policy Group to oversee QA.

 

FRAME – Medical Schools Outcomes Database (MSOD) Survey Governance (Lucie Walters - Attachment 4)

  • The project to date had been led by Professor Dawn De Witt, University of Melbourne who has moved to Canada. The governance structure has been reviewed with the FRAME Survey Management Group now to be responsible for project ethics, data collection, data analysis, and reporting, form working parties for paper. RCSs would remain the owners of the data.
  • Timelines with regards to proposed activities was displayed.
  • The data can track when decisions were made and/or reported differently, without identification of the student. Entry and exit surveys compared, without identification (i.e. can search for specific students). Strength is to track, looking for trends de-identifying individuals. Awaiting funding application outcome, $6000 to purchase Granite software, for pilot.      
  • FRAME Survey currently paper-based, as it can be done in person when with students. Logistics to fill in a form, could be challenging, online or at a different time of year may be more successful.
  • Software can connect student data even if surveys are done a year apart. Need to look at impact of longer periods in RCS rather than shorter periods. Risk of doubling up and risk of losing some rich & relevant data. Students complete survey at end of RCS experience, so reporting on total of rural experience. It is necessary to know how long the student spent in rural area, i.e. 6 months, 18 months – results will be different.
  • Re tracking career paths, de-identified, looking into future, link into hospital data bases, ACCRA, health services.
  • Worthwhile looking into other linkage software (i.e. not just limited to Granite).
  • Each person within healthcare has their unique ID.
  • Response rate can be a barrier to accurate data. Reflective data may be more useful (i.e. six months after, instead of immediately after rural experience, when exam pressure could be a factor).      
  • Proposed 2012 Writing Workgroup for:

-          What is the impact of conscription on student experience and student career intent?

-          How does RCS experience impact on career intent (happy vs unhappy)?

-          Review of qualitative data (Survey includes asking best/worst parts of rural experience, a collection of results for interpretation, for publication).

  • Proposed 2013 research question areas were reviewed, suggestions to Lucie by end of May.

-          Longitudinal integrated placements vs traditional block placements

-          Impact of RCS experience on career intentions (undergraduate vs graduate entry)

-          Resilience and career intent – including a screening tool for resilience

-          Community engagement and career intent

  • Current contacts for ethics approval were displayed, please advise Pamela Stagg or Lucie if incorrect details listed.
  • Need to increase FRAME MSOD survey returns. Refer to Parameter 8.

Actions:

FRAME Survey Management Group responsible for the Project

      Lee Krahe and Craig McLachlan from UNSW

      Tim Skinner from UTas

      Alison Koschel from UMelb RCS

      Lucie Walters and Pamela Stagg from Flinders University

Expressions of Interest in Writing Work Groups and ideas re research questions to Lucie by end of May

Each University to work on increasing percentage of survey returns

 


FRAME Research Project – Senior Academic Sustainability and Succession Planning (Judi Walker on behalf of Lee Krahe)

  • This project has been discussed with AHREN Board and agreed that FRAME take responsibility. Lee had expressed disappointment at lack of response to the request to each RCS for information to be used to disseminate a questionnaire.

Action: Lee to re-send email to each RCS Director with cc to relevant administrator

FRAME/ARHEN Academy Discussion Paper (David Pierce and Judi Walker)

  • ARHEN was taking responsibility for this project. The last time discussed was December, no further progress to date.

Rural Clinical Academic Locum Pilot (Daryl Pedler)

  • Monash to run a trial (as per distributed documentation). All material has been circulated, proposal for 12 month trial. Asking for information to be distribute to relevant staff. If no interest, may not proceed further.

Rural and Remote Health eJournal (Richard Murray)

  • The Journal has substantial authorship & readership (.98 Impact Factor and climbing), funded by contributions by various agencies, clinical schools, agencies. Subscriptions and development fund in need of goodwill and cooperation of more participants.

New Issues

Structure and Aims of FRAME (all)

  • Members reviewed the current FRAME ‘Aims’ noting that they had not been reviewed for several years and did not align with the new RCTS Parameters. Reference to Research, ‘Indigenous health’, vertical integration needed to be addressed.

Actions: Ruth Stewart, Geoff Riley, Daryl Pedler to rework Aims of FRAME (Daryl Pedler to convene) / Chair to bring options paper to end of year meeting re different structures for FRAME

Proposed Rural Clinical Academic Leadership Course (Judi Walker/Jennene Greenhill)

  • Collaboration between ASME and ANZHAPE are collaborating to have more active role in nurturing of early career leaders to address leadership shortages in health professional education and research. FRAME may be interested in participating. It was suggested targeting students and academic registrara, to capture skills, to start building the leadership that we need. Include pathway to assist in recruitment and retention in rural areas. Such a teaching and learning exercise may broaden FRAME network.

Action: Jennene Greenhill and Judi Walker to develop proposal for appropriate Leadership short course


Celebration/Research (Jennene Greenhill)

  • 10 Year Achievements Report – to be launched in November.
  • Seminal FRAME publication.
  • Prospective FRAME Study – needs representation from each RCS (to become a working group).

Action: Jennene Greenhill to call for Expressions of Interest from each RCS to form a working group

Academic Partnership with ACRRM (Richard Murray)

  • This will be progressed with ACRRM. To develop an Agreement for Academic Partnerships with FRAME including joint selection process in final year of medical school, RCS to provide a supported mentoring guidance role, signed up and prepared for appropriate regional training provider – a vertical integration model for rural generalists.

Action: Richard Murray to communicate further, seeking formal expressions of interest

Formalising links with Specialist Medical Colleges (Richard Murray/Steve Tobin)

  • Steve Tobin spoke about liaison with the College of surgeons through its rural group.
  • There will be further engagement with CPMC.

Actions: Steve Tobin to report on progress at the November FRAME meeting / Richard Murray to follow up with CPMC re response to FRAME letter

Integrated Regional Clinical Networks (IRCN) and RCTS (Judi Walker)

  • Important for RCSs and SRHs RCS to be involved in the new HWA Integrated Regional Clinical Networks that have been established to varying degrees in all states and territories.
  • Potential to work as clusters of RCSs/SRHs to share experiences and liaise.

Action: Each RCS to report on progress at November FRAME meeting

Monash School of Rural Health 20th Anniversary Rural Health Curriculum Innovations Conference (10-12th December) (Judi Walker) – Attachment 5.

  • Flyer distributed. Last major event in a year of celebrations is the conference. Invitations will be sent to each RCS.

John Flynn Scholarships (Richard Murray)

  • Better communication required between FRAME and ACRRM. Agreed to identify one ‘liaison officer’ as representative of (all) RCSs to liaise with ACRRM.

Action: Ruth Stewart to liaise with ACRRM for reporting to FRAME Policy Group

Close

Mark Yates acknowledged Judi Walker for chairing the meeting, also Maxine Trembath, Trudi Glisson, and particularly Alicia Eaton, and Sunjay Sharma for organising the meeting.


Future Meeting dates

  • It was agreed ANU to continue to host end of year FRAME meeting.

NB This date is now confirmed for Thursday 8 and Friday 9 November 2012

  • University of Western Australia and Notre Dame University (Fremantle) will host the May 2013 FRAME Meeting in Broome, WA