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AAAPC September 2018 Newsletter

14 Sep 2018 2:00 PM | Lynsey Brown (Administrator)

AAAPC News - September 2018 
Inaugural Webinar
Prof Grant Russell will speak at our inaugural AAAPC webinar on Tuesday 25th September, 12-1pm, "Experience is simply the name we give our mistakes. Building a career in academic primary care." A flyer is attached for circulation to your networks - the more the merrier - members and non-members welcome at no-cost for this AAAPC first.
Register now!

New Zealand General Practice and Primary Care Research Weekend
The 2018 New Zealand General Practice and Primary Care Research Weekend took place in beautiful Hanmer Springs, a two-hour drive north of Christchurch. The gathering regrouped early career researchers and established academics from across the country showcasing high quality research from an array of topics and methodologies. We also had the pleasure of hearing from international guest speakers, including Professor of Primary Care Nursing Elizabeth Halcomb from the University of Wollongong with her work on “Understanding job satisfaction and career intention amongst Australian general practice nurses”, and Dr Anders Svensson from the Norwegian Centre for Rural Medicine, Uit Arctic University of Norway, presenting on “Patients with multimorbidity - failing systems and social inequality creates fragmented services”. The weekend was a real success, combining high quality research presentations with exhilarating outdoor activities. Dr Ciara Lee, PhD student at the Department of General Practice & Rural Health, Dunedin School of Medicine, University of Otago, won this year’s Les Toop award for best early career presentation for her work on “Empowering undergraduate medical students to embrace uncertainty in clinical practice via a novel intervention”. The Bruce Arroll Meritorious Award attributed to the best presentation from an established researcher went to Professor Sue Pullon for her work on “Collaborative care in “Youth One Stop Shops” in New Zealand: Hidden, Time-consuming, Essential”.

Make sure not to miss next year’s event in the Waikato region in the middle of New Zealand’s north island, all welcome!

Churchill Fellowship - Prof Jan Radford
Prof Jan Radford was awarded a Churchill Fellowship to investigate how routinely collected GP electronic medical record data can be used to improve patient care. Here she fills us in on her journey so far:

"It’s proving to be an extraordinary experience even after only a week. The time to concentrate on this one issue over 2 months with time between meetings to think about what I’ve found so far is a unique experience. Life is usually so full of other things to juggle. I’m starting to appreciate that in England the context of funded clinical research networks (CRNs) is part of a GP culture that enables the collection of GP e-HR data. General practices are accredited via their RCGP as ‘research ready’ basic and advanced via on-line learning programs, etc. The support of CRN facilitators and training leads to improved data quality with feedback on data quality provided. Opportunities to take part in clinical trials comes via CRNs with payment per patient enrolled adding to practice income. There are many datasets collected in England or UK general practice with better e-HR data coming from practices more committed to research.

The Central Practice Research Datalink (CPRD) service  can automatically data-link GP to other datasets such as hospital outcome or mortality, and registries for added value to researchers. Eighty percent of CPRD requests are for data-linked datasets. As expected these datasets are  more expensive to access with all services contacted so far operating in a cost recovery fashion to provide access for researchers.

So funding of English general practice research, that is missing in Australia, enables much more research to take place using general practice patients and GP academics. The funding of the CRNs comes from the equivalent of research unit within our Federal Department of Health. In our context the medical research future fund could cover this. The RCGP fund the development of practice training aiming to identify leaders within practices to champion research. The research champion may be a GP, other clinician or practice manager. Practices pay to be accredited but this enables them to be considered for trials.

I’ll no doubt discover more as I listen to more people. Another area of research interest identified comes from a recent discussion featuring the concept of a learning healthcare system based on using e-HR data and closing the loop to support decision making.

They are my impressions about the English scene revealed so far and my reflections on Australia’s current scene. I expect both to evolve."

*Spark* Paper of the Month
The “Spark paper” - publication that sparked great interest in the PHC research community. Hot topic! Do not miss! Got to read this!
This month Dr Lauralie Richard (University of Otago) has nominated "Job satisfaction and career intentions of registered nurses in primary health care: an integrative review", Elizabeth Halcomb, Elizabeth Smyth and Susan McInnes. BMC Family Practice, 2018; 19:136.

This integrative literature review is the first evidence synthesis looking at factors that impact on job satisfaction and career intentions of registered nurses working in primary health care. The proportion of nurses across studies indicating an intention to leave the primary health care workforce is a significant concern at a time when we need to build the primary health care workforce internationally. The findings highlight the need for action to enhance support for nurses in primary health care.

Book Review - by Dr Liz Sturgiss
Dr Margaret McCartney is a GP who wrote a column in the BMJ for the last 4.5 years - she recently stepped down and went out with a bang writing "Margaret McCartney: A summary of four and a half years of columns in one column".

Her book, "The Patient Paradox" was published in 2012 and is a must read. This review in BJGP ends with "Read this book. But don't expect to be able to practice medicine in the same way again." I completely agree. 

Welcome to New AAAPC Members
We warmly welcome all new members to AAAPC - if you would like your bio to be published in the monthly newsletter, please email aaapc.secretariat@anu.edu.au This is a great way to build networks within our community.

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