This video has just been released by NHS Education for Scotland about life as a surgeon in the Shetland Isles….
BASICS Scotland would like to announce the dates for the next Adult Tele-education Course, presented by Karyn Webster. This 10 week course will start on Monday the 28th August and run for 10 weeks with a 2-week break in October.
Tele-education by BASICS Scotland is an online learning resource ideal for remote and rural practitioners eager to reinforce and develop their skills in pre-hospital emergency care. The benefit of Tele-education is that participants can take part without having to leave their home or place of work. The course is delivered entirely over the web, with weekly 1-hour live sessions in a video conferencing format which participants can attend or view the recordings later at a time more convenient for them!
Topics on this course include:
- Allergy & Anaphylaxis
- LVF – Adult Pneumonia
- Stroke & TIA
- Chest Pain & Thrombolysis
- Head Injury
- ENT Emergencies
- Burns & Tetanus
- Pain Relief
If you are interested in taking part in this course or would like more information head over to the BASICS Scotland website and complete an application form today!
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.
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.
The next EMRS ScotSTAR Clinical Governance meeting is due to take place on Friday 12th May, at 1.30pm.
These meetings take place at the EMRS base next to Glasgow Aiport, and VC links are invited (via the NHS Scotland VC Network) from rural practitioners (GPs, nurses, paramedics) across Scotland.
The team values input and opinion at these meetings from rural practitioners. Combining the insight of both referring site clinicians and retrieval teams into the intricacies of missions audited creates a fantastic learning environment. Attendees come away from these meetings enthused and encouraged to provide the highest possible levels of care for our patients.
The meeting on Friday brings a few cases under the longitudinal audit microscope. The EMRS team have chosen two of the most challenging cases, one primary and one secondary retrieval and opinion will be welcomed in dissecting out the details so that we can learn from combined experience.
To join the meeting, contact Anne Cadman (details in agenda below) with your VC details.Download the agenda for this meeting
The above text was modified from an email sent out recently by Dr Randal McRoberts, Consultant at EMRS and lead for the Clinical Governance meetings.
One of the sessions at #ruralwonca was delivered by some of the team at the Journal for Remote & Rural Health. I was really sorry to miss it, due to presenting in another session, but my tweeted request to make the advice available online was answered quickly and the presentation is now available – see below.
The journal team are keen to encourage and motivate rural healthcare professionals to share their research, and seem genuinely interested in helping budding writers to put pen-to-paper or finger-to-keyboard.
There is a lot of great innovation and problem-solving going on in rural practice. Rural healthcare professionals tend to know their communities well, are used to dealing with limited resources, and some of the best examples of teamwork are to be found in rural settings. However ‘being academic‘ does not come easy to everyone, and the process of writing up evaluation and research can sometimes feel tedious and time-consuming.
However, it is now easier than ever to find interested journals, and there seems to be a drive to make the steps to getting work published more accessible.
Watch the presentation below for the RRH team’s top tips on getting your research out to a wider audience. You can find the guidelines for authors available here.
Also, on the theme of research, here’s a great project that aims to enable rural doctors to develop their research activity through pragmatic and direct support. Delivered by the Faculty of Medicine at Memorial University in Newfoundland, it’s called the ‘6 for 6’ programme. Click here for more details or watch the video below.
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.
Today marks the start of the 14th WONCA World Rural Health Conference, being held in Cairns, Australia.
The programme is set to contain a fantastically diverse range of research and workshops covering everything from improvements in patient care, to developing new and effective ways to collaborate across boundaries in rural health. You can follow the events on twitter using the #RuralWonca hashtag, and already there has been a huge number of comment and links
So far, the vibe at #RuralWonca has been great… benefitting from Cairns hospitality (boosted by a dynamic and helpful team from ACRRM) and a stimulating range of input from stalwart experts in rural medicine, to young, enthusiastic students and young doctors.
Thursday saw a full day of proceedings for the WONCA World Working Party for Rural Health – with the annual Council meeting held in spectacular surroundings of a seminar room looking directly onto rainforest. As well as hearing about events from the last year, and sorting out logistics for yet another busy year ahead, there was debate about how best to support member organisations and do everything possible to support the growing number of student and young doctor organisations. The highlight of 2018 is set to be the 15th World Rural Health Conference. Crumbs, we haven’t even started the 14th conference yet, but for a taster of what’s in store – in New Delhi – see the video below!
Friday brought the World Summit on Rural Generalist Medicine. The concept and importance of rural generalism in health ecosystems is reaching high levels of resonance now within Australia (where political support for recognising this is higher than ever), and much further afield in both ‘developed’ and ‘developing’ nations. It is clear that empowering rural generalism within healthcare systems has never been more important, with absolute needs to train future doctors in medical complexity, meet the demands of an ageing population and achieve the levels of health service efficiency that are often more easy to find in the generalist setting.
The Summit also saw the launch of the Japanese Rural Generalist Programme: a major achievement and indicative of the direction that other countries are likely to go too, not least through the inspiration that these developments bring.
You can follow tweets from the Summit meeting using the hashtag #RuralGeneralist
And now for the main event. This looks set to be a stimulating and busy few days ahead, bringing together an enthusiastic and dedicated group of international confreres giving the opportunity to recognise and drive forward international innovation and collaboration in rural health. We hope to feature a number of interviews and reports on RuralGP.com over the next few days, like we did with the last conference in Dubrovnik, between a very packed and interesting programme of events.
Follow the WONCA World Rural Health Conference on Twitter:
Thanks to Dr Douglas Deans for highlighting this recently-published report from a collaborative taskforce in Canada, which has been set up to identify positive actions that are likely to result in a more robust, sustainable and supported rural health service in Canada. The collaboration comprises the Society of Rural Physicians of Canada (SRPC) and the College of Family Physicians of Canada (CFPC).
The report is refreshingly succinct, relevant and pragmatic, and likely to be of interest to anyone who is trying to work out how to articulate the balance between effective action and strategic direction to influence national policies, in the context of conflicting and difficult policy decision-making. Many rural GPs and educators will be familiar with the challenge of identifying realistic interventions which can translate into more sustainable recruitment and retention to rural communities, so this road map from Canada is likely to be a welcome read.
Recruiting and retaining family physicians in rural areas through financial incentives alone is not enough. We need a coordinated and thoughtful alignment of education, practice policies, community involvement, and government support. Family medicine residents who are educated in rural training sites, who immerse themselves in the communities and who see themselves supported by peers, specialists, health care providers, and evolving distance technologies, are more likely to choose rural and stay rural.
Dr Trina Larsen Soles – SRPC Co-Chair of Taskforce
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.
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
Gill 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. firstname.lastname@example.org
Angus MacTaggart – Islay Rural GP
Angus 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.email@example.com
Jonathan Hanson – Skye Rural Practitioner (Mackinnon Memorial Hospital)
Jonathan 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: firstname.lastname@example.org
Fiona Duff – Primary Care Manager for Caithness & Sutherland (NHS Highland)
Fiona 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: email@example.com
Places are limited for this event and registrations will be opened up to all at the beginning of March. We are offering BASICS Scotland members the opportunity to register first by accepting registrations from them now! We have also reserved accommodation at the hotel if you want to make a weekend of it by attending both the ERA day and our conference.
For more information and to register visit era.basics-scotland.org.uk