The Building Partnerships Program: An Approach to Community-based Learning for Medical Students in Australia

The Building Partnerships Program at the University of Queensland, Australia seeks to address the dual challenge of preparing doctors who are responsive to the community while providing a meaningful context for social sciences learning. Through partnerships with a diverse range of community agencies, the program offers students opportunities to gain non-clinical perspectives on health and illness through structured learning activities including: family visits; community agency visits and attachments; and interview training. Students learn first-hand about psychosocial influences on health and how people manage health problems on a day-to-day basis. They also gain insights into the work of community agencies and how they as future doctors might work in partnership with them to enhance patient care. We outline the main components of the program, identify challenges and successes from student and community agency perspectives, and consider areas that invite further development.

West elevation, Neville Bonner Building, Brisbane

Riverside Expressway building, Expressway on right.

West elevation, Neville Bonner Building, Brisbane

William St building, facing Riverside Expressway. Landscaped courtyard space in foreground.

West elevation, Neville Bonner Building, Brisbane

William St building, facing Riverside Expressway.

Sunshading fins, Neville Bonner Building, Brisbane

Steel shading structure to East elevation of Riverside Expressway building. William St building and main entry area in background.

Windows, Neville Bonner Building, Brisbane

North elevation, Riverside Expressway building.

Facade articulation, Neville Bonner Building, Brisbane

Detail of precast concrete sunshading panels to freeway (West) elevation.

South elevation, Neville Bonner Building, Brisbane

William St building, as seen from across Riverside Expressway off-ramp.

Main entry, William St, Neville Bonner Building, Brisbane

William St building-Riverside Expressway building junction.

Facade articulation, Neville Bonner Building, Brisbane

Detail of precast concrete sunshading panels to freeway (West) elevation.

North elevation, Neville Bonner Building, Brisbane

As seen from Queens Wharf Road.

Test–retest repeatability of self-reported environmental exposures in Parkinson’s disease cases and healthy controls

There is substantial disagreement among published epidemiological studies regarding environmental risk factors for Parkinson’s disease (PD). Differences in the quality of measurement of environmental exposures may contribute to this variation. The current study examined the test–retest repeatability of self-report data on risk factors for PD obtained from a series of 32 PD cases recruited from neurology clinics and 29 healthy sex-, age-and residential suburb-matched controls. Exposure data were collected in face-to-face interviews using a structured questionnaire derived from previous epidemiological studies. High repeatability was demonstrated for ‘lifestyle’ exposures, such as smoking and coffee/tea consumption (kappas 0.70–1.00). Environmental exposures that involved some action by the person, such as pesticide application and use of solvents and metals, also showed high repeatability (kappas>0.78). Lower repeatability was seen for rural residency and bore water consumption (kappa 0.39–0.74). In general, we found that case and control participants provided similar rates of incongruent and missing responses for categorical and continuous occupational, domestic, lifestyle and medical exposures.

Entrance, Agriculture and Entomology Building, Brisbane

View to entrance.

Stair, Agriculture and Entomology Building, Brisbane

View to circulation stair from exterior.