This video has just been released by NHS Education for Scotland about life as a surgeon in the Shetland Isles….
Thanks to RGPAS member Dr Richard Weekes for highlighting some fantastic work going on in NHS Highland to innovate eHealth applications aimed at improving access to healthcare in rural settings.
Here’s an introductory video showcasing some of the projects…
…an STV news item about the PILLCAM project in Ullapool to provide easy access to endoscopy facilities – using some very novel technology…
… and more about bringing endoscopy to rural communities…
… and the RAPID project to overcome connectivity challenges in rural Scotland…
Many readers will be familiar with the Deep End project, originating in Glasgow but which has spread far and wide in describing the work of GPs working in areas of urban deprivation. The original project brought together 100 general practices serving the most socio-economically deprived populations in Scotland. The project team has carried out a fantastic amount of work to highlight the impact of inequalities on prevalence of medical conditions and access to healthcare.
So what happens when a Deep End GP (or a GP and GP trainee, to be precise!) travel out for some time in a remote island practice? Dr Maria Duffy and Dr Elizabeth Dryden did exactly that, when they travelled to Benbecula to spend a week with rural GP Dr Kate Dawson… and produced this short video of their experience…
You can follow the Deep End project on Twitter – see below.
— Deep End GP group (@deependgp) April 13, 2017
We look forward to the sequel!
Following the 2015 Rural WONCA Conference in Dubrovnik, she set up the virtual Café to create a relatively informal space in which rural medics from all over the world could come together for some conversation to discuss hot topics, and develop collaboration. Mayara runs these sessions on Google Hangouts, which offers easy access and is fairly successful on most broadband connections.
So far an impressive range of topics have been discussed. The most recent event took place on Saturday, and involved doctors and students from Brazil, the Caribbean, Halifax in Canada, Scotland and Kenya discussing ways in which research in rural health could be improved and facilitated.
An important outcome of each virtual Café is that the content can be watched later, on YouTube. The relaxed nature of these sessions means that they can take a fair chunk of time to watch, but for rural health enthusiasts who want to catch up on the conversations, it represents an interesting resource from which to learn from practices across the world. Where else can you engage so easily in sharing and discussing rural health issues with worldwide conferes?
For future events, take a look at the Café Facebook page. The most recent Café (running to just over an hour) can be accessed at the following link:
Well done to Mayara for an impressive result to her initial ambitions to develop this project. Do contact her via the Facebook page if would like to watch or take part in a future Café. The next Café will discuss the WONCA Rural Medical Education Handbook on Saturday 4th February.
Today over 80 students, trainees and rural GPs will meet up in Inverness, for the annual conference of the Rural GP Association of Scotland.
This year’s event has attracted record numbers of attendees, and a stimulating programme of events is in store, along with lots of opportunities to chat, network and seek new ideas for rural practice.
As part of the RGPAS student scholarship programme, we have encouraged student delegates to submit video or audio clips of around 60 seconds, outlining their visions of the future of rural practice.
Not all clips are available as yet, and we will develop this page over the next week to include more clips, as well as add the photos of RGPAS students on this page too. In the meantime, take a listen to the diverse and innovative ideas being put forward by the students below, all of whom will be joining us in Inverness. Great to hear such an inspired group of students!
Sally Andrews (Aberdeen University): On the role of telemedicine to improve patient care and good housing availability to improve recruitment to rural areas…
Joe Daley (Glasgow University): Improving the interface between rural primary care and secondary care input…
Rhys Hall (Glasgow University): The use of drones to overcome geographical barriers of rural practice…
Catherine Lawrence (Hull & York Medical School): Reflects on her experience of a Scottish rural GP elective…
Scott MacDonald (Glasgow University): Using technology to allow patients to take more responsibility for monitoring their health…
Lean-Lik Ng (Dundee University): How to engage with medical students of today to pave the way for future rural general practice…
Iona Robertson (Dundee University): Describes the increasing role of telemedicine in reducing the need to travel longer distances to secondary care…
Keenan Smith (Glasgow University): Reflecting on infrastructural revolution to provide better access to rural healthcare…
Blair Wallace (Dundee University): On the role of point-of-care investigations in improving efficiencies and quality of care offered to rural patients…
Last month I had a visit from three second-year medical students from Glasgow: Lara, Zeyar and Faseeha. They were keen to get some footage for a video to give fellow students an insight into the challenges and attractions of a career in rural practice.
Here’s what I said to them…
In September 2014 we took delivery of three Laerdal mannequins to support the work of emergency responder groups on the Isle of Arran. These were funded by the kind support of the Sandpiper Trust. Spurred on by the work of the TOPCAT study – identifying that quality early CPR, along with effective clinical teamwork and leadership results in considerable improvement in survival from cardiac arrest – we sought to provide an island based resource to allow professionals and the public to improve their resuscitation skills.
This project was named ‘caiRRn’ – the Cardiac Arrest Integrated Rural Responder Network. You can read more about the project at http://www.cairrn.org.uk.
Or watch this presentation from Richard Lyon, one of the stalwart researchers at the Resuscitation Research Group in Edinburgh. If you need any convincing that this is worthwhile work, just watch this.
Earlier this year, the Scottish Government published the document ‘Out of Hospital Cardiac Arrest – A Strategy for Scotland‘. We are particularly enthused that it gives several specific consideration to the challenges and opportunities of improving cardiac arrest survival in rural areas.
After discussing our caiRRn project proposal with the Sandpiper Trust, we received two Laerdal QCPR mannequins for focussed CPR practice with our First Responder groups, emergency teams and the wider public. To date they have been used to help train over 100 members of the public on Arran, and feature regularly in the training of our three First Responder Groups.
We will report on our experience of these mannequins in a separate article.
We were also delighted to take delivery of a Resusci Anne Simulator for use with more qualified responders, particularly those who manage more complex arrest and peri-arrest scenarios as part of their voluntary or professional duties. Over the last year, we have integrated its features into increasingly regular training – including GPs, hospital nurses, practice staff of Arran Medical Group and paramedics & technicians of the Scottish Ambulance Service.
It has been a steep learning curve, and after a year, we feel that it is now an integral part of regular training. We have built simulation sessions into our weekly GP meetings; and we use the simulator on an ad-hoc basis when the hospital workload allows. Our ambulance colleagues have found it particularly useful to practice scenarios as well as a teaching aid for trainee paramedics learning about patient assessment: breath sounds, heart sounds, advanced airway management and more.
We are grateful to the Sandpiper Trust for their considerable generosity in facilitating these resources to be available locally to Arran teams. Already there are patients who have benefited from the training allowed – including some who have experienced and survived cardiac arrest on Arran. We are keen to share the lessons learned, and have produced the following video clips as a way of doing this.
If you have any questions about our experience of the simulators, please contact us. Dr David Hogg (GP) has been leading this project, and you can contact him at: firstname.lastname@example.org .
Conflicts of Interest: I am one of the Clinical Governance Leads at BASICS Scotland, which receives lots of support from the Sandpiper Trust. I do not have any links with Laerdal, and I’m not on any commission!
Tour of Features
What about defibrillation?
A brief demonstration
When was the last time you watched something that you felt simply had to have a wider audience?
For me that was last night. Tim Leeuwenburg of Kangaroo Island, Australia had already presented this talk to the wide community of SMACC in Chicago, but by sharing his story and reflections on video, it makes for compulsive viewing by all clinicians, from those about to hit the wards and experience ‘grown up’ clinical responsibility, to those who are approaching burnout – or who are keen to identify burnout in others.
As a rural GP I found Tim’s story compelling and relevant, and I think others will too. If you can tolerate the graphic nudity (it’s worth it), take or make 30 minutes in your life to watch this. And share.
Remote Skills Training enables participants to gain valuable hands-on training in pre-hospital emergencies, from the comfort of their own home/workplace.
Each candidate is provided with a training pod containing all the necessary equipment to undertake the extensive skills training alongside the guidance of our expert Instructors in the live web-conferencing teaching sessions.
Carried out entirely via Adobe Connect (an internet based web-conferencing system similar to Skype), this course provides even the most rural health professionals the opportunity to refresh both their knowledge and practical skills of immediate emergency care, without the travel expense or time consuming nature of face-to-face courses.
Key course benefits
- No travel/accommodation costs
- Ability to take part in the course from anywhere with access to a computer and the Internet (minimum 1MB broadband recommended)
- We supply you with a high definition web-cam and provide IT support before and throughout the course
- Use of expensive specialist equipment for the duration of the course
- Certificate of completion valid for 1 year
Each course consists of 2 half days of teaching. To see course dates and apply, click on the appropriate link below:
Feedback from course candidates
I’m probably one of the least high tech people so if I can connect, anyone can!
This has really improved my confidence and practical skills
The support pre-course was top class – excellent course and excellent teacher!
Fancy having a year to experience the challenges and stimulation of being a Rural GP? Details of the 2015 round of GP Rural Fellowships is now available, and applications are invited now.
The fellowships, part of an established programme of fellowships run by NHS Education for Scotland, are aimed at qualified GPs who wish to experience a year of rural practice, as part of a supported programme of education, practical experience and peer contact.
The one-year GP Rural Fellowships represent an opportunity to work in Scotland to develop the generalist skills required to work in some of the most beautiful areas of our country. There are two types of Rural Fellowship – ‘Standard’ and ‘Acute Care’. In addition the choice of Fellowships has been increased, so a wider range of locations is now available.
- The ‘standard’ GP Rural Fellowship option based on the curriculum for rural practice developed by the Remote and Rural Training Pathways Group (GP sub-group Final Report Sept 2007).
- The newer GP Acute Care Rural Fellowship option based on the, GP Acute Care Competencies work following from the agreement of the Framework for the Sustainability of Services and the Medical Workforce in Remote Acute Care Community Hospitals.
These posts have been particularly attractive to newly/recently qualified GPs, but are open to all GPs who are interested in working in rural practice.
Further information about these posts is available on the NES website, and the practices/hospitals involved with the Fellowship programme are very happy to hear from anyone interested in finding out more.
Closing date is 23rd April 2015
Photo by Bernard Blanc, used under Creative Commons licence