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
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
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.
Access billing data reporting all skin cancer management in the practice.
- Age at time of treatment for this SC
- 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