ORCID Profile
0000-0003-1355-3109
Current Organisation
James Cook University
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Publisher: Informa UK Limited
Date: 14-07-2008
DOI: 10.1080/10401330802199583
Abstract: Three students in the 3rd year of a graduate entry medical program self-selected to participate in a 1-year clinical placement, each with a rural general practitioner in central western Queensland, Australia. Students completed 32 weeks in a rural generalist community immersion medical program and were compared with matched students who completed their year in urban tertiary hospitals. Evaluations included teaching and learning opportunities, assessment of clinical competencies, and semistructured interviews. Views of preceptors, spouses, and community were also evaluated. All outcome measures were positive and many were greater for the rural immersion students than for the matched urban group. Students were able to achieve the requirements of their medical program in a nontraditional placement. Views of preceptors indicated satisfaction with long-term medical student placements including enjoyment, negligible time or financial impact, and beneficial professional and collegial support. Long-term immersion placements benefited student learning and had a favorable impact on the preceptors.
Publisher: Informa UK Limited
Date: 03-2003
Publisher: Springer Science and Business Media LLC
Date: 12-2016
Publisher: Informa UK Limited
Date: 2007
DOI: 10.1080/13561820601176915
Abstract: Collaborative, team-based, interprofessional approaches to patient management are becoming increasingly recognized as beneficial to health outcomes. This project aimed to develop interprofessional skills among 134 third year medical students that were of clinical educational value to the students, and through activities that directly benefited the rural health professionals in their daily work. Placements were undertaken during a six week rural clinical attachment, mainly throughout South-West Queensland. Pre- and post-placement self-report questionnaires completed by both students and health professionals were used to evaluate the project. Results showed that over 80% of the health professional group reported the medical student placements were useful. Similarly, almost 80% of medical students reported positive changes in their attitude to other health professionals from the placement, and 91% indicated they had derived clinical educational benefit from their interprofessional activity. Despite difficulties due to poor communication between the various parties involved, the project proved successful in improving medical students' skills, knowledge and perceptions concerning interprofessional practice, through a placement and educational project which delivered practical benefits to rural health professionals and rural communities.
Publisher: Wiley
Date: 23-12-2008
DOI: 10.1111/J.1748-0361.2009.00197.X
Abstract: Australia shares many dilemmas with North America regarding shortages of doctors in rural and remote locations. This preliminary study contributes to the establishment of a psychobiological profile for rural doctors by comparing temperament and character traits with an urban cohort. The aim was to compare the in idual levels and combinations of temperament (mildly heritable and stable) and character (developmental and modifiable) traits of rural and urban general practitioners (GPs). Rural (n = 120) and urban (n = 94) GPs completed a demographic questionnaire and the TCI-R 140 to identify levels of the 7 basic dimensions of temperament and character. These are Novelty Seeking (NS), Harm Avoidance (HA), Reward Dependence (RD), Persistence (PS), Self-Directedness (SD), Cooperativeness (CO), and Self-Transcendence (ST). Preliminary results show rural GPs were higher in the temperament traits of NS and lower in HA compared with the urban s le. All female GPs were higher in RD and CO compared with all males, and all older GPs (over 55 years) were lower in RD compared with all younger GPs. This preliminary work may be the precursor to a new approach for the recruitment and retention of rural doctors through a greater awareness of personality traits conducive to the rural workforce. Further work may help inform appropriate policies to attract and retain this workforce and be a useful adjunct to the counseling of students interested in rural medicine by providing a better understanding of "what it takes" to be a rural doctor.
Publisher: SAGE Publications
Date: 04-2007
DOI: 10.1080/10398560601121017
Abstract: Objective: A needs analysis was undertaken to determine the quality and effectiveness of mental health services to Indigenous consumers within a health district of Southern Queensland. The study focussed on identifying gaps in the service provision for Indigenous consumers. Tools and methodologies were developed to achieve this. Method: Data were collected through the distribution of questionnaires to the target populations: district health service staff and Indigenous consumers. Questionnaires were developed through consultation with the community and the Steering Committee in order to achieve culturally appropriate wording. Of prime importance was the adaptation of questionnaire language so it would be fully understood by Indigenous consumers. Both questionnaires were designed to provide a balanced perspective of current mental health service needs for Indigenous people within the mental health service. Results: Results suggest that existing mental health services do not adequately meet the needs of Indigenous people. Conclusions: Recommendations arising from this study indicate a need for better communication and genuine partnerships between the mental health service and Indigenous people that reflect respect of cultural heritage and recognises the importance of including Indigenous people in the design and management of mental health services. Attention to the recommendations from this study will help ensure a culturally appropriate and effective mental health service for Indigenous consumers.
Publisher: Wiley
Date: 11-01-2011
DOI: 10.1111/J.1365-2702.2009.03122.X
Abstract: Aims and objectives. To describe in idual temperament and character trait profiles associated with nurses and nursing students in a large regional health district and university in Australia. Background. Identification of personality characteristics have been undertaken in most professions however there is little extant literature on nurses which looks at specific aspects of temperament and character. Design. A cross‐sectional quantitative study of nurses and nursing students in a large regional health service district and university in South East Queensland, Australia. Method. An online survey to nurses and nursing students included a demographic questionnaire and the temperament and character inventory (TCI) to identify levels of the seven basic dimensions of temperament and character. Univariate analysis made multiple and covariate comparisons between TCI scores, nurses, students, working status and age. Results. The target number of responses was exceeded and totalled 451. Results are reported for females who comprised 90% of respondents 53·5% students and 46·5% nurses. Significant main effects for age and student status were detected in several temperament and character inventory dimensions. Working students had significantly different temperament and character profiles compared to non‐working students. Conclusions. Overall, this s le displays levels of temperament and character traits congruent with a profession requiring high levels of persistence, self‐directedness, cooperativeness and reward dependence. Our findings prompt further investigation of whether in iduals with the requisite temperament traits are attracted to nursing, or do in iduals develop certain character traits as a product of their professional experiences/training. Relevance to clinical practice. The identification of distinct profiles of temperament and character traits among different nursing roles may provide insight into what traits are conducive to retention of nurses in these roles. The predictive potential of the temperament traits plus the modifiable component of character traits may provide scope for nursing educators and policy‐makers to assist in recruitment and retention of nurses in the workforce.
Publisher: Wiley
Date: 13-04-2006
DOI: 10.1111/J.1365-2788.2006.00788.X
Abstract: Changes in residential accommodation models for adults with intellectual disability (ID) over the last 20 years in Australia, the United Kingdom and the United States have involved relocation from institutions primarily into dispersed homes in the community. But an evolving alternative service style is the cluster centre. This paper reports on the relocation of a matched group of 30 pairs of adults with moderate and severe IDs and challenging behaviour who were relocated from an institution into either dispersed housing in the community or cluster centres but under the same residential service philosophy. Adaptive and maladaptive behaviour, choice-making and objective life quality were assessed prior to leaving the institution and then after 12 and 24 months of living in the new residential model. Adaptive behaviour, choice-making and life quality increased for both groups and there was no change in level of maladaptive behaviour compared with levels exhibited in the institution. However, there were some significant differences between the community and cluster centre group as the community group increased some adaptive skills, choice-making and objective life quality to a greater extent than the cluster centre group. Both cluster centre and dispersed community living offer lifestyle and skill development advantages compared with opportunities available in large residential institutions. Dispersed community houses, however, offer increased opportunities for choice-making, acquisition of adaptive behaviours and improved life quality for long-term institutionalized adults with IDs.
Publisher: Wiley
Date: 08-2009
DOI: 10.1111/J.1365-2923.2009.03427.X
Abstract: The aim of this study was to evaluate the teaching and learning during a clinical placement, and to draw lessons from the findings to inform medical educators about more efficient and effective ways of teaching and learning. This study involved students and teachers from a final year clinical placement on a graduate-entry medical programme. Questionnaires, focus groups, unstructured observation and structured observation using time s ling were used to elicit student and clinician perceptions of various learning opportunities. Analysis revealed positive perceptions of the variety of different learning opportunities available to final year students undertaking a clinical rotation, as well as a high degree of congruency between student and clinician perceptions of these. Questionnaire data indicated that both groups valued hands-on learning and a broad knowledge base. Analysis of observation variables revealed a dominance of passive and low-level cognitive actions across learning sessions, particularly (and counter-intuitively) during bedside teaching. This study highlighted a number of strengths and weaknesses in the clinical teaching that took place during these rotations. In particular, it highlighted congruency between student and teacher perceptions of good teaching and learning. At the same time, it flagged a potential disjunct between student and teacher expectations (or understandings) of various learning opportunities, and revealed a much broader disconnection between what is most valued and what is easiest to deliver in the clinical context. The results emphasise the need for quality rather than quantity, contextual blended learning, protected teaching time, the valuing of close student-teacher interaction and faculty development.
Publisher: Informa UK Limited
Date: 2006
DOI: 10.1080/01421590600711252
Abstract: Engaging students in role play promotes active learning. Planned and structured role plays can be used to deliver components of the curriculum in clinical rotations of a medical programme. Role plays are most effective if learning objectives are defined, and the cases are challenging. All students should be involved and ground rules should be set. Allow adequate time for the role play, feedback and reflection. Let the students enjoy themselves. This paper provides 12 tips to create a meaningful learning experience for students using role play.
Publisher: Wiley
Date: 09-07-2008
Publisher: Wiley
Date: 07-01-2008
DOI: 10.1111/J.1440-1584.2007.00946.X
Abstract: This exploratory study serves as a starting point to establish a psychobiological profile for rural GPs. The overall aim is to describe how in idual levels and combinations of temperament (mildly heritable) and character (influenced by sociocultural learning) traits allow GPs to flourish or fail in rural medicine. In a mixed-method study, 13 rural GPs (rural and remote metropolitan areas 5-7, minimum 7 years of experience) from Central/Southern Queensland, Australia completed the Temperament and Character Inventory-R140 to identify the intensity of the seven basic dimensions of temperament and character. These are novelty seeking, harm avoidance, reward dependence, persistence, self-directedness, cooperativenes and self-transcendence. Semistructured interviews provided in-depth information on what brought them to and kept them in rural practice. Preliminary results show that our s le of rural GPs are highly self directed, caring, cooperative, objective and persistent. In idual variations occur in the temperament dimensions of harm avoidance, novelty seeking and reward dependence. In particular, GPs who intended to leave rural practice due to dissatisfaction had significantly higher harm avoidance (F = 23.74 P < 0.01) than those GPs intent on staying. Although preliminary, triangulation of the data sources provides insight into in idual GP profiles regarding which particular combination of traits is most conducive to maintaining a rural career, and might provide a greater understanding of rural doctors. This information could provide a basis for counselling of students with an interest in rural medicine and for informing policy on appropriate initiatives for rural GPs and the communities they serve.
Publisher: Springer Science and Business Media LLC
Date: 25-03-2015
Publisher: Informa UK Limited
Date: 2009
DOI: 10.1080/01421590802335892
Abstract: This study explored temperament and character traits in medical students to identify the possible predictive value of these traits to students with varying levels of intention to pursue rural medicine. This work is the precursor to a better understanding of personality traits associated with medical disciplines within specific environments such as rural medicine. The long term aim is to increase the recruitment of students who are best suited, and choose to practice in rural locations. Medical students (272) completed a demographic survey and the Temperament and Character Inventory (TCI-R 140) to identify levels of the seven basic dimensions of temperament and character. Multivariate statistics explored differences between students' TCI levels based on gender, rural origin and level of intention to pursue rural medicine. Analysis showed only main effects and confirmed significant differences in certain TCI dimensions between students with a high compared to a low or medium intention to practice rural medicine and between males and females. Preliminary findings suggest that certain temperament and character traits may be related to interest in rural medicine however the efficacy of assessing personality traits as an adjunct to medical school training and career counselling remains uncertain.
Publisher: Informa UK Limited
Date: 2008
DOI: 10.1080/10401330701542677
Abstract: Rural Clinical Schools in Australia are a government initiative to help address the rural workforce shortage at the medical school level. This article reports on the approaches and outcomes from one Rural Clinical School. The program is underpinned by an 8-week rural rotation for all 3rd-year students and a yearlong program of core clinical rotations for 25% of the Year 3 cohort. Aspects of experiential, situated, service, and self-directed learning along with interprofessional study are integrated to provide unique rural-focused learning opportunities. Compared to their urban counterparts, rural students see more patients, perform a greater number of procedures, and achieve as well in exam results. Early indications suggest that our program is attracting more Year 3 students to explore the rural pathway as an option to a future career. The program demonstrates that rural students achieve as well as their urban counterparts.
Publisher: International Pharmaceutical Federation (FIP)
Date: 19-11-2021
DOI: 10.46542/PE.2021.211.731758
Abstract: Background: Pharmacists are increasingly called to integrate population health approaches into their role. Public health knowledge and skills are recommended to be incorporated into the pharmacy curricula and professional development to enable competence of pharmacists in this area. Aim: To describe the competencies required by pharmacists to contribute to the public health of populations. Methods: A scoping review of peer-reviewed and grey literature discussing competencies in both pharmacy and public health was conducted. Competencies were extracted into a matrix of pharmacy and public health competencies and inductive coding of themes was undertaken. Results: Analysis of 58 papers showed important themes of professionalism, communication and collaboration with communities and other health professionals. Pharmacist services providing health promotion, screening and disease prevention should be directed at community needs. Evolution of pharmacy competencies in global health, health informatics and disaster management are current topics. Conclusion: A public health perspective in all pharmacy competency domains may assist pharmacists to understand their responsibility in improving the health and wellbeing of communities and ensure the profession has a positive impact on local, national and global health indicators.
Publisher: Wiley
Date: 22-01-2007
DOI: 10.1111/J.1440-1584.2007.00844.X
Abstract: In-depth exploration of the perceptions, experiences and expectations of current long-term rural GPs and medical students intent on a rural career, regarding the current and future state of rural medicine. Qualitative study using semistructured interviews. Rural and remote towns in Central and Southern Queensland and the School of Medicine, University of Queensland. Thirteen rural GPs with 10-40 years experience. Medical students (five second- and seven third-year), all of whom are members of a rural students' club and have an intention to pursue rural practice. Interviews were conducted between August and December 2004. Emergent themes relating to participant perceptions of the current and future state of rural medicine. Despite large differences in generation and experience, medical students and rural GPs hold similar perceptions and expectations regarding the current and future state of rural practice. In particular, they cite a lack of professional support at the systems level. This includes specific support for: continuing medical education to obtain and retain the skills necessary for rural practice dealing with the higher risks associated with procedural work and consequences of medico-legal issues and workforce shortage issues such as long hours and availability of locums. Issues relating to recruitment and retention of the rural health workforce are identified by both cohorts as relating to professional support. Medical schools and institutional support systems need to join forces and work together to make rural practice a viable career in medicine.
Publisher: Wiley
Date: 21-05-2009
DOI: 10.1111/J.1440-1584.2009.01062.X
Abstract: This project aimed to identify a population of adults with intellectual disability and their carers in a defined regional area of Australia to determine their prevalence in this setting, their current accommodation situation and their future accommodation needs. Mixed method cross-sectional design employed a survey to collect data from both quantitative (Likert type) and qualitative (free response) questions. Regional town and its contiguous shires in Queensland. Adults (over 18 years) with an intellectual disability and their primary carers. Identification of adults with intellectual disability and a description of their accommodation situation and perceived needs. Adults with intellectual disability (n = 156) were male (60%), mean age of 37.2 years (range 18-79). Carers (n = 146) were female (78%), mean age of 61.5 years (range 40-91). The majority of adults with intellectual disability (56%) are cared for at home (mean age = 35 years). Mean age of those who live away from home was 39.8 years. The levels of support required by those living at home and those living away from home were not different, nor were the age ranges of their carers. Findings show that the majority of primary carers are over the age of 50 years and continue to provide medium-high levels of support within the family home. The advancing age of both carers and the people they support, combined with the location of that support, is a major issue in the provision of adequate services for this population.
Publisher: Wiley
Date: 12-2013
DOI: 10.5694/MJA13.10563
Abstract: To review the available literature regarding skills and competencies gained by junior doctors in rural and regional general practice placements and their alignment with the Australian Curriculum Framework for Junior Doctors (ACFJD). A comprehensive literature review using a three-phase process. Articles were initially identified from database searches in OvidSP and Scopus. Additional information was obtained after a hand search of contents pages from relevant journals and from reports, conference abstracts and grey literature. Documented skills and procedures were mapped against the competencies from the ACFJD. We analysed 36 relevant articles written in English and published during 1997-2011. Articles referring to learning outcomes for junior doctors training with rural general practitioners were included. Evidence was available of the advantages of junior doctor rural general practice placements in gaining advanced skills in the areas of communication and professionalism, as well as developing autonomy in clinical management and decision making. Less evidence was available regarding exposure to particular clinical conditions and development of specific clinical skills. Rural and regional general practice placements for junior doctors are likely to comply with the ACFJD requirements and, further, provide excellent learning opportunities in several domains of the curriculum. However, there was little research published confirming learning outcomes for junior doctors in rural general practice settings.
Publisher: Wiley
Date: 23-05-2011
DOI: 10.1111/J.1440-1584.2011.01201.X
Abstract: This paper reports on an evaluation of the John Flynn Placement Program (JFPP) for medical students. JFPP aims for medical students to experience both rural medicine and rural life as a way of increasing rural career intentions. Medical students experience two weeks a year over four years with a rural doctor. Students are evaluated at the end of each placement for clinical and social experiences and career intent. They are followed up annually to monitor career intent. Mentors are evaluated annually on clinical and rural experiences during a placement. The Australian Government has several initiatives to encourage recruitment into rural medicine. One initiative is the JFPP. Students from all medical schools are placed with experienced general practitioners in rural and remote areas 4-7 locations across Australia. Evaluation data from 1450 placements from 2005-2009 are reported. Data are presented highlighting evaluation of student and mentor perceptions of clinical and social experiences. Longitudinal tracking data provide an indication of the success of the program in terms of recruitment into the rural workforce. Overall mean for clinical and rural experiences is extremely positive for both students and mentors. After four JFPP placements 65% of students intend to work in rural areas. After one JFPP experience 9% indicate intent to practise as a rural general practitioner while after their fourth JFPP nearly 20% are indicating intent to practise as a rural general practitioner. Longitudinal experiences, such as the JFPP, are positively influencing intention to enter the rural workforce but the impact of urban centric vocational training might be negating this impact.
No related grants have been discovered for Louise Young.