Rural Clinical Research

Agricultural Injury study

Student assignment: Sarah McNamee

Third year students have been collecting cases of agriculture-related injuries attending Kingaroy, Warwick and Stanthorpe and Sarah has been collecting cases from Dalby. Case collection will cease for 2015 later in October. Cases are to be collated to describe the nature of agriculture-related injuries presenting to rural ED in the DD HHS.

Supervisor - Dr. Janani Pinidiyapathirage.

Rural Skin Cancer epidemiology

Students assigned: Mikaela Seymour and Ashley Pennell

Phase 1: Feasibility study
Determine feasibility of accessing Medical Director at Clifton
Accessed remotely
Develop process for efficient access of cases for Phase 2.

Phase 2: Descriptive study
Review all cases of skin cancer over a 1-year then a 10-year period at Clifton
Accessed remotely
Describe patients, SC and treatment over this period

Phase 3: Hypothesis testing

Hypothesis 1: No difference between NMSC incidence in Clifton population to AUS population
Hypothesis 1a: No difference between NMSC incidence in farming and non-farming individuals in a rural community
Hypothesis 2: No difference between MM incidence in Clifton to AUS rates
Hypothesis 2a: No difference between MM incidence in farming and non-farming individuals in a rural community
Hypothesis 3: Proportion of NMSC:MM in Clifton cohort no different to AUS pop.
Hypothesis 4: Proportion of SCC:BCC in Clifton cohort no different to AUS pop.
Hypothesis 5: Proportion of NMSC:MM in Clifton farming cohort no different to Clifton non-farming cohort.
Hypothesis 6: Proportion of SCC:BCC in Clifton farming cohort no different to Clifton non-farming cohort.

Methods

Access billing data reporting all skin cancer management in the practice.

Record:

  • Age at time of treatment for this SC
  • Gender
  • Occupation or previous occupation (agricultural or other)
  • Comorbidities listed in the record at the time of data sampling
  • Number (NMSC and MM) of previous skin cancers recorded at the time of this episode of care
  • SC diagnosis on this occasion of care
  • Is this SC considered a recurrence or new cancer
  • Treatment of this SC
  • Outcome of treatment
  • Complications of treatment
  • Will need to treat each individual as potentially having several entries into the database, so SC1, SC2, SC3, etc.

Initially in Clifton, then model utilised in other rural practices.
Assistance in access and office space for work provided by Tammy Dickerson

Supervisor – Prof Kitchener

 

Medical Education research and development


Develop Student OSCE formative examination questions

Lead Student responsible: Matt Crump, student assigned Sally Wu

Formative OSCE are used for preparing third and fourth year students for final examinations. These are conducted at TH1 using the process and prepared clinical cases designed to be as close to the summative OSCE as possible.

Review of cases is required with particular attention to:

  • applying the appropriate level to available formative OSCE,
  • confirming formative OSCE examine relevant learning objectives
  • marking systems are accurate and appropriate
  • logistics are defined and available at TH1

Expansion of the formative OSCE pool for both third and fourth year students could occur if a full review is completed.

Supervisor - Dr Brumpton

Review and development of Handbooks for Third and Fourth year Longlook

Lead Student responsible is: Matt Crump, student assigned Oscar Close

Lead ME will review 2015 term handbooks with a view to drafting a 2016 Rural Longlook Handbook in November to take to major training site supervisors in December to determine feasibility and confirm agreement by sites.

Supervisor – Dr Brumpton

Review and development of the PNG term placement

Student assigned: Laura DeSouza and Oscar Close

An attempt to contact all previous students attending the PNG placement will be made to seek their recollections of the value of the PNG term placement and their recommendations for improving the orientation and placement experience.

Review for development of the orientation for term 1 2016 and subsequent 2016 terms.

Supervisor – M O’Shannessy

Analyzing motivation to train rurally and retention of students.

Student assigned - Christine Kang

Primary role of a summer scholarship student will be to assist in thematic analysis of submissions to join the Rural Longlook program and review of prevocational placements of Longlook graduates.

Supervisor – V Steele