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Students present Bright Ideas for Rural Practice

This year, the Rural GP Association of Scotland has once again run its student conference scholarship programme.  This is a significant investment for RGPAS, which uses money raised into its Educational Trust fund to support these scholarships.  The scholarships offer heavily-subsidised tickets to enable undergraduate students in the UK to attend and participate in the annual RGPAS conference.

To apply, students were asked to submit a 60 second sound or video clip explaining their Bright Idea for Rural Practice.  We are delighted to feature the winning entries below.

A number of these will be selected for PechaKucha-style presentation at our conference in November.  You can read more about the scholarships here, and also a great write-up of last year’s conference by one of the scholarship holders then, Catherine Lawrence from Hull & York Medical School.

There is still time to sign up to the conference, which takes place from 2-4 November 2017 in Inverness.  £130 for GPs or £65 for trainees gets you two-and-a-half days of quality CPD, along with a conference dinner (and wine).  It’s a great way to catch up with like-minded colleagues, and hear updates on clinical and non-clinical topics that are relevant to rural practice in Scotland.

Well done to all our scholarship winners.  We look forward to meeting you in Inverness!

Rohan Bald (Glasgow): Tackling Loneliness

Emma Bean (Glasgow 5th Year): Drones

Josephine Bellhouse (Glasgow): Improving Use of Communication Technology

Katherine Cox (Glasgow 4th Year): Developing Videoconferencing Peer Support

David Gibson (Glasgow): Awareness of Rural Medicine as a Career

Haiyang Hu (Glasgow): Access to Mental Health Services

Saskia Loysen (Glasgow): Increasing the use of Telemedicine (and pyjama bottoms)

Eloise Miller (Glasgow): Develop Rural Medicine Intercalated Degrees

Danielle Parsons (Aberdeen 4th Year): a Rural Medical School for Scotland

Gregor Stark (Glasgow 5th Year): Rural Research Consortium

Rosslyn Waite (Dundee): Improving Connectivity

Hannah Webb (Glasgow 2nd Year): Access to Sexual Health Services

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Podcast from @fakethom and @RuralGPScot highlights #ruralLGBTQ work in #ruralGP

Back in March, the Rural GP Association of Scotland (RGPAS) launched a range of guidance designed to make rural practice in Scotland more accessible to lesbian, gay, bisexual, transgender (LGBTQ+) patients.

At the annual RGPAS Conference last year, held in Inverness, we were delighted to welcome Dr Thom O’Neill to talk about LGBTQ+ inequalities in rural areas, and some of the practical ways that as GPs we can reduce barriers to healthcare.

Thom’s presentation stimulated a lot of discussion, and led to a project whereby he worked with RGPAS to develop factsheets, posters and other materials to help rural GP practices ensure that their services are welcoming to LGBTQ+ patients – especially younger patients.

You can find out more about these resources at: www.ruralgp.scot/lgbtq-plus.

We are aware that since then a number of GP practices have had discussions in their teams about how to make their health services more LGBTQ+ accessible.  We’ve also had a number of international enquiries about this work – including from Canada, New Zealand and Australia – who have been keen to use this work to increase awareness.

Thom has also been asked to adapt the factsheets for secondary care use in some parts of Scotland too.  So, as expected, the theme seems to have resonated with a wide number of clinicians and service managers.

Thom and David recently caught up to discuss how these guidelines came about, and to explore some of the themes of why LGBTQ+ patients seem to face specific inequalities of access to health care – and how rural practice has some unique opportunities to improve this.  We hope to have Thom back to this year’s RGPAS Conference (2-4 November, once again in Inverness – details soon) for an update on what how this work has been developing.

You can listen to the podcast here:

In the podcast above, we make reference to the work of Alex Bertie about recording his experience of seeking help and assistance with gender dysphoria.  Alex’s videos make for some insightful and compelling viewing, but this one is specifically about his thoughts about the GP consultation – and the difference that a more supportive and informed consultation can make particularly at a challenging and difficult time.

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AProf Bruce Chater on Dr MacLeod and #ruralwonca

Today RuralGP.com highlighted the tribute speech given by Associate Prof Bruce Chater to the life and work of Dr John MacLeod of Lochmaddy in Scotland.

I was delighted to catch up with Prof Chater after his speech, to ask him more about Dr MacLeod’s work with Rural WONCA, how the WONCA Working Party for Rural Practice is progressing, and also for some advice to younger rural doctors on how to effect change in their own communities.

You can listen to the recording below…

 

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The legend of Dr John MacLeod remembered at #ruralwonca

Today’s #ruralwonca programme includes a keynote delivered by Associate Professor Bruce Chater: the Dr John MacLeod Oration.

Dr MacLeod was a legend in the world of WONCA and an inspirational rural GP.  I regret that I never had the opportunity to meet him; my own career in rural practice was just starting when he died and whilst a student experience in the Hebrides (Stornoway) was an inspiring part of my own interest in rural practice,  my travels didn’t take me to Lochmaddy.  I was running the RuralGP.com site at the time of his death, however, and you can read more about Dr MacLeod in the obituary, eulogy and tribute that were published at the time by Dr James Douglas and Dr John Wynn-Jones.

His legacy in the WONCA World Working Party on Rural Practice is evident, and I’m looking forward to hearing more from Prof Chater’s perspective in his keynote today.

Dr Sarah Chalmers

In the last few days I also met Sarah Chalmers.  When Sarah was a medical student, she experienced an elective with Dr MacLeod and I was delighted to be able to ask her more about her experience in this podcast.  Coincidentally, she had arranged another elective which had fallen through, and it was a chance conversation at a student event with Prof Chater which led to him emailing Dr MacLeod and thus the elective was set up in Lochmaddy instead!

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Protective personality traits for LICs

Assoc Professor Diann Eley

Today I attended a session at #ruralwonca which was delivered by Associate Professor Diann Eley from the University of Queensland on the role of personality traits on student experience of Longitudinal Integrated Clerkships.

Diann has gained considerable experience in this area, and specifically on how best to support and mentor students effectively whilst encouraging them to reflect on their own personalities – and how that impacts on their clinical decision-making.

I was delighted that Diann gave me a few minutes of her time after her presentation to discuss this in more detail, particularly as this work is highly relevant to the development of LICs in Scotland.

You can listen to our discussion here:

 

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A word with the Auzzies at #ruralwonca

At lunchtime today I was delighted to catch up with Australian rural doctors John Hall, Aaron Sparshott and Katie Chang.  I asked them about their experience of the conference, their current careers and a bit about the success of the Australian Rural Generalist Pathway.

 

John, Aaron, Katie around a typically chilled-out kangaroo that we found in the exhibition hall.

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Clinical courage: an evolving concept crucial to rural practice

I was introduced to the concept of clinical courage when attending an International Rural Research Symposium last year at Tromso University in Norway.  Dr Lucie Walters, of Flinders University in Australia, ran an enthralling workshop about some work that she and her team are doing to quantify and understand what we mean and can learn from clinical courage, particularly in the context of professional isolation and delivery of rural health services.

It’s a concept that seems to resonate easily with rural health practitioners, particularly rural GPs.  Despite this, there is relatively little that I have found to expand on the concept.  Two very helpful resources are a “President’s Message. Clinical Courage” by Dr John Wooton (found in Can J Rural Med 2011; 16(2)) and two comments from Peter Dunlop and Keith MacLellan in the followup issue (found in Can J Rural Med 2011; 16(3)).  The latter comment introduces another concept of ‘learned helplessness’, and I suspect that this will be of increasing importance as debate evolves regarding the fragmentation of undergraduate curriculums and the need to consider generalist undifferentiated training versus teaching in more specialist settings.

So, I was delighted to be asked to participate in an interview run by two of the Flinders University students Ella and Laura who are assisting with the project, whilst here in Cairns at the WONCA World Rural Health Conference.  They interviewed me, and they kindly agreed to me interviewing them!

You can hear about their experiences of medical teaching so far, and also more about the concept of clinical courage in the audio clip below:

 

Ella and Laura, 2nd year medical students at Flinders University

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Voices from #ruralwonca: Day 1

Yesterday I caught up with several delegates attending the WONCA World Rural Health conference being held in Cairns, Australia over the next few days.

Hear more about their backgrounds and why they have come to #ruralwonca by clicking on the interviews… and please don’t be shy if you are asked for a similar clip over the next few days.

Thanks to Dr Minh Le Cong of the Flying Doctors Service, who provided a much-needed-but-forgotten cable to make these interviews possible!

Dr Sophia Åman, Sweden

 


Dr Sergius Onwukwe, South Africa

 


Dr Karen Flegg, Australia

 

 

 

 

 

 

 

 


Dr Pratyush Kumar, India

Pratyush has an important job: he is organising next year’s WONCA World Rural Health conference in New Delhi, in April 2018.  Hear a bit more about how the planning for that is going.  You can visit the website for the conference here.

 

 

 

 

 

 

 


Dr David Hogg, Scotland

Karen decided I should be on the other end of the microphone too, so how could I possibly decline!

 

 

 

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Applications due by 7th April for Scottish Rural GP Fellowships 2017

Just a reminder that the closing date for applications to the Rural Fellowship for 2017 close this Thursday, 6th April. See the links below for more information.

beafellow.ruralgp.com

NES Logo 2005Applications are now being invited for the GP Rural Fellowship Scheme, overseen by NHS Education for Scotland.

The Fellowships offer a fantastic opportunity to build skills and experience in rural general practice, whilst experiencing the challenges and opportunities first-hand – during a well-supported year which includes nine weeks of study leave and a generous study budget.

The Fellowships are located across rural Scotland, from Dumfries & Galloway, to the Shetland Isles, including islands such as Islay, Arran, Skye and the Uists.

Many previous rural fellows have stayed in rural practice, and an article was recently published in the Journal of Rural & Remote Health – highlighting the strengths and successes of the programme which has been running for over ten years.

Rural Fellowship Facebook Page     Rural Fellowship – Official Information

Closing date for applications: Thursday 6th April 2017

Fellowships (one year) commence in August 2017.

Watch the latest video about the Fellowships…

Current Rural Fellow Gemma Munro explains more about her time as a Rural Fellow.

Why be a rural GP?

NHS Highland made this video of rural practice in Kintyre…

 

… and here’s a video from last year featuring some of the current Fellows and others involved with the scheme…

Interested?  We want to hear from you…

All the Rural Fellowship sites will welcome you to chat on the phone or visit and tour round what’s on offer.  We can fix up a chat with current or previous rural fellows, and you can ask questions on our Facebook page.  There is a lot of information available from the websites mentioned already, but sometimes it’s easier to arrange a chat on the phone or Skype… all descriptors of the Fellowships (on the official fellowships page) have contact details where you can find out more.

A couple of years ago we interviewed some of those involved in running the Rural Fellowships.  Hear more from them about what they think the fellowships can offer recently qualified GPs…

Gill Clarke – Fellowships Co-ordinator

gillGill has been running the fellowship scheme now for three years.  I asked her about the opportunities available, and why she thinks the fellowship scheme is a good way to enable recently-qualified GPs to experience rural practice.

Gill is very happy to be contacted about any of the fellowship options.  gillian.clarke1@nhs.net


Angus MacTaggart – Islay Rural GP

angusAngus is one of two principals of Islay Medical Services, which now delivers primary health care across the island, as well as out of hours and hospital services.  He describes the attractions and challenges that he identifies with rural practice.

You can contact Angus at: Angus.mactaggart@nhs.net


Jonathan Hanson – Skye Rural Practitioner (Mackinnon Memorial Hospital)

jonathanJonathan has trained in a multitude of specialties, and has found his ‘perfect’ job requiring constant generalism.  He represents the growing number of ‘acute rural GPs’ who provide hospital-based services as well as out-of-hours GP cover.  With additional strings to his bow such as anaesthetics, the services provided in Broadford mean that patients can frequently be treated locally, instead of facing long journeys to secondary care.

The contact for the Skye Fellowships is now Melanie Meecham: melanie.meecham@nhs.net


Fiona Duff – Primary Care Manager for Caithness & Sutherland (NHS Highland)

fionaFiona oversees GP services to the North of Scotland, which covers a wide geographical area.  Two fellowships are available in this area.  In this interview, Fiona highlights why a move to Sutherland could be a great career move to aspiring rural GPs.

Apologies for the phone interference in this interview, hopefully it is not too distracting!  You can email Fiona at: fiona.duff@nhs.net

 

 

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