The Rural Clinical Division: a student journey to rural medicine

Background: The University of Queensland has through an Australian Government initiative, established a Rural Clinical Division (RCD) at four regional sites in the southern and central Queensland. Over the fi rst four years of the existence of the RCD, an integrated package of innovative medical education has been developed. Method: The integrated aspects of the RCD program include: The Rural Medical Rotation: Every medical student undertakes an eight week rural rotation in Year 3. Year 3 and 4 MBBS - 100 students are currently spending one to two years in the rural school and demand is increasing. Interprofessional Education - Medical and Allied Health students attend lectures, seminars and workshops together and often share the same rural clinical placement. Rural health projects - allow students to undertake a project of benefi t to the rural community. Information Technology (IT) - the Clinical Discussion Board (CDB) and Personal Digital Assistants (PDA) demonstrate the importance of IT to medical students in the 21st century. Changing the Model of Medical Education - The Leichhardt Community Attachment Placement (LCAP), is a pilot study that resulted in the addition of three interns to the rural workforce. All aspects of the RCD are evaluated with surveys using both qualitative and quantitative free response questions, completed by all students regularly throughout the academic year. Results: Measures of impact include: Student satisfaction and quality of teaching surveys – 86-91% of students improved their clinical skills and understanding across all rotations. Academic results and progress – RCD students out-perform their urban colleagues. Intent to work in rural areas – 90% of students reported a greater interest in rural medicine. Intern numbers – rural / regional intern placements are increasing. Conclusions: The RCD proves to be a site for innovations all designed to help reach our primary goal of fostering increased recruitment of a rural medical workforce.

The rural medicine rotation: Increasing rural recruitment through quality undergraduate rural experiences

TITLE: The Rural Medicine Rotation: Increasing Rural Recruitment through Quality Undergraduate Rural Experiences Eley Diann, University of Queensland, School of Medicine, Rural Clinical Division, Toowoomba 4350, Queensland Australia Baker Peter, University of Queensland, School of Medicine Rural, Clinical Division, Toowoomba 4350, Queensland Australia Chater Bruce, University of Queensland, Chair, Clinical School Management Committee, School of Medicine Rural Clinical Division, Queensland Australia CONTEXT: While rural background and rural exposure during medical training increases the likelihood of rural recruitment (Wilkinson, 2003), the quality and content of that exposure is the key to altering undergraduatesâ?? perceptions of rural practice. The Rural Clinical Division at University of Queensland (UQ) runs the Rural Medicine Rotation (RMR) within the School of Medicine. The RMR is one of five eight week clinical rotations in Year three and is compulsory for all students. The RMR provides the opportunity to learn from a wide range of health professionals and clinical exposure is not restricted to general practice but also includes remote area nursing, Indigenous health care, allied health professionals and medical specialists. Week 1 involves preparation for their rural placement with workshops and seminars and Week 8 consolidates their placement and includes case and project presentations and a summative assessment. Weeks 2-7 are spent living and working as part of the health team in different rural communities. SETTING: Rural communities in and around Queensland including locations such as Arnham Land, Thursday Island, Mt. Isa and Alice Springs METHOD: All aspects of the RMR are evaluated with surveys using both qualitative and quantitative free response questions, completed by all students at the end of the Week 8. RESULTS: Overall the RMR is evaluated highly and narratives offered by students show that the RMR provides a positive rural experience. The overall impact of the RMR for students in 2004 ranked 3.45 on a scale of 1 to 4 (1 = lowest and 4 = highest), and is exemplified by the following quote; â??I enjoyed my placement so much I am now considering rural medicine something I definitely had not considered beforeâ??. OUTCOME: The positive impact of the RMR on studentâ??s perceptions of rural medicine is encouraging and can help achieve the overall aim of increasing recruitment of the rural workforce in Australia.

Questioning the merits and demerits of electronic communication in Social Work

This paper examines the social dynamics of electronic exchanges in the human services, particularly in social work. It focuses on the observable effects that email and texting have on the linguistic, relational and clinical rather than managerial aspects of the profession. It highlights how electronic communication is affecting professionals in their practice and learners as they become acculturated to social work. What are the gains and losses of the broad use of electronic devices in daily lay and professional, verbal and non-verbal communication? Will our current situation be seriously detrimental to the demeanor of future practitioners, their use of language, and their ability to establish close personal relationships? The paper analyzes social work linguistic and behavioral changes in light of the growth of electronic communication and offers a summary of merits and demerits viewed through a prism emerging from Baron’s (2000) analysis of human communication.

Iowa Workforce Monthly, January 2009, Issue 1

Highlights: * If you are unemployed or underemployed and don’t have access to the local IWD office during office hours, visit an Iowa Career Access Point (ICAP).....pg. 2 * Iowa Workforce Development investigates allegations of unemployment fraud aggressively. ....pg. 2 * The goal of Trade Adjustment Assistance (TAA) and Alternative Trade Adjustment Assistance (ATAA) is to help workers....pg. 3 * Trade Adjustment Assistance has helped many people whose jobs have moved overseas. Read examples of how TAA has helped them....pg. 3 * We appreciate the feedback we get from our customers. Read a few noteworthy comments we’ve received....pg. 4

Iowa Workforce Monthly, February 2009, Issue 2

Highlights: * Whether you’re looking for a job or seeking to bolster your credentials, earning a Career Readiness Certificate (CRC) gives you proof of your job skills....pg. 2 * Michelle Frey was laid off in 2003. She worked with the WIA program to research and look into careers that would suit her....pg. 2 * Currently, over 450 participants (laborers) are involved in the Emergency Public Jobs (EMJ) program ....pg. 3 * Established in 1999, the first two New Iowan Centers were opened in Muscatine and Sioux City, the eastern and western doors to Iowa....pg. 3 * We appreciate the feedback we get from our customers. Read a few noteworthy comments we’ve received....pg. 4

Iowa Workforce Monthly, March 2009, Issue 3

Highlights: * Local Iowa Workforce centers offer a variety of assessment testing, available for both job seekers and employers alike.....pg. 2 * IWD Associate Kristy Zeransky received a thank you letter from a gentleman who succeeded in attaining gainful employment due to the teamwork exhibited at IWD....pg. 2 * Iowa Workforce Development offers many services for employers as well as individuals. One service that assists everyone is called Rapid Response....pg. 3 * Regional Manager Steve McCann met Bruce Charlet at the IWD/KCCI job fair....pg. 3

Iowa Workforce Monthly, April 2009, Issue 4

Highlights: *The Siouxland Tri-State Region is currently taking interest surveys for a potential wind energy company. .....pg. 2 * Over twenty businesses participated in a job fair last month in Red Oak....pg. 3 * Over 70 employers from across southwestern Iowa attended a seminar hosted by the SW Iowa division of the Employers Council of Iowa....pg. 3

Iowa Workforce Monthly, May 2009, Issue 5

Highlights: *Iowa’s OSHA Consultation and Education team recently received the coveted OSCAR.....pg. 2 & The New Iowan Center in Marshalltown invited the public to a night of cultural exploration on May 13. ...pg. 2 * IWD Deputy Director Joe Walsh testified before Congress in April to discuss how the Recovery Act impacts unemployed Iowans. ...pg. 2 * Over 1,000 attended the annual Southeast Iowa Regional Job Fair on March 26 at the Burlington Memorial Auditorium in Burlington...pg. 3 * On May 14, the Region 11 Veteran’s Team toured the Iowa Veterans Home...pg. 3

Iowa Workforce Monthly, July 2009, Issue 6

Highlights: *Over the last year, Iowa Workforce Development and the Waterloo Commission on Human Rights met with several community sources.....pg. 2 * Larry Gearheart took advantage of the Trade Adjustment Act assistance after being laid off. ...pg. 2 lIowa Workforce Development ended a week of Food Bank activities with a BBQ from on Friday, June 19th, on the east lawn of IWD ...pg. 2 * After many months of working toward the goal of getting reduced bus fares for Veterans, one key first step has been established...pg. 3

Iowa Workforce Monthly, August 2009, Issue 7

Highlights: *Governor Chet Culver announced a major public-private partnership between Microsoft and the State of Iowa.....pg. 2 * Daniel Skella worked with IWD after being release from prison...pg. 2 * Iowa Workforce Development works with offenders to find gainful employment after being released...pg. 3 * The Davenport Workforce Development Center has been nominated in recognition for providing older workers with job opportunities in a senior-friendly workplace...pg. 3

Iowa Workforce Monthly, September 2009, Issue 8

Highlights: * U.S. Labor Secretary Hilda Solis visited Iowa at the end of July....pg. 2 * The Shoes for Veterans campaign began following a visit to a homeless shelter in the Quad Cities....pg. 2 * Are You Prepared? An emergency – be it a flood, tornado, winter storm or power outage – can occur quickly and without warning...pg. 3 * The Southwest Iowa Employers’ Council & Iowa Workforce Development in conjunction with the Iowa Committee for ESGR will present two valuable training sessions for businesses.....pg. 3

Iowa Workforce Monthly, October 2009, Issue 9

Highlights: * After learning the local food pantry was almost out of food, the staff at the Creston Workforce Center decided to team together and collect food to donate....pg. 2 * The Kossuth Area Employers’ Council (ECI) will host a training session for businesses on “Writing Employee Handbooks and Job Descriptions”....pg. 2 * Iowa Workforce Development is reminding Iowans that October is National Disability Employment Awareness Month....pg. 2 * This story was submitted by Veteran Representative Kate Bearce. She was moved after working to help a veteran.....pg. 3 * New Painting hangs at the VA Hospital New Mental Health Unit.....pg. 3

Iowa Workforce Monthly, November 2009, Issue 10

Highlights: * Misclassification of workers as “independent contractors” rather than “employees,” is a growing problem in Iowa and across the nation....pg. 2 * The Reemployment Services program is designed to be an early intervention by offering intensive services to job seekers receiving unemployment insurance.....pg. 2

Iowa Workforce Monthly, December 2009, Issue 11

Highlights: * During 2009, IWD staff members participated in a 5-day Kaizen event designed to streamline the collection of employers’ delinquent unemployment insurance (UI) taxes……………………………pg. 2 * Beginning January 15, the Iowa Department of Revenue web site will feature links to companies that provide online filing of both federal and Iowa income tax returns………pg. 2 * Recently, OSHA Inspectors Lonnie Majerus and Don Peddy visited Hannah, Inc. in Sioux City………………………………………………pg. 2 * Looking for a new job when you are over the age of 50 poses a whole new set of challenges…………………………………………pg. 3 * Over the last year, IWD has been working on an Integration Project that will change the way services are delivered to customers………pg. 3