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Explore the successful partnership between Winnunga Nimmityjah Aboriginal Health Services, academia, and regional healthcare providers to improve Indigenous health education through integrated clinical placements. Learn about challenges, achievements, and future implications.
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Partnerships and Placements – Vertical Integration in Clinical Learning A/Prof Amanda Barnard A/Prof Jennifer Thomson Mr Peter Pinnington
Where • Winnunga Nimmityjah Aboriginal Health Services in Narrabundah , A.C.T. • Hosted by Winnunga staff • First meeting early 2005
Why • Many players, many needs • ANUMS -incorporates all elements of the Indigenous Health Framework into its 4 year curriculum -Focus on community based clinical experience in year 3 • ANUMS holds the contract for GP registrar education in the region with CCCT. • Established good relationships with Winnunga Nimmityjah and Katungul Aboriginal Corporation on far South Coast NSW • SENSWDGP increasing involvement in Indigenous health
What we did • Committee representing all stakeholders involved in delivering Indigenous health training and clinical placements for medical students and GP registrars in the ACT and SENSW was convened • Issues, challenges and ‘dreams’ were all discussed • Collaborative decisions on optimal training and clinical placements were made – and more
Who • Winnunga staff – CEO Julie Tongs, Dr Peter Sharpe • Katungul Aboriginal Corporation • Australian National University Medical School staff – School of General Practice, Rural and Indigenous Health • Coast City Country Training • SENSW Division of General Practice • GPET
What we found and learned • That we shared common goals, and that there was enormous goodwill shared. The challenge lies in sustaining this • Aboriginal health workers from Winnunga keen to be involved in teaching of students and registrars • Clinical placements integrated with other teaching - students and registrars • Early student interest and enthusiasm could be supported, without unduly stretching resources or capacity • ANUMS infrastructure support of placements at Winnunga is critical • Students and staff value longer term attachments – further development work • Integration of distance academic support for students and registrars was possible but one of the most challenging issues
Gaining momentum • Move from initial brief of coordinating placements to wider collaboration • Indigenous Health Prize for students – funded by CCCT • ANUMS/ Winnunga cultural awareness training – registrars, staff, GPs • This used as model to develop SENSWDGP collaboration for regional GPs • Katungul/SENSWDGP/ANUMS – Healthy for Life
Winnunga staff involvement in the ANUMS curriculum • Winnunga staff are extensively involved in teaching and clinical supervision, and their enthusiasm and support is reflected in student interest and involvement in Indigenous health. • 1st, 2nd, 3rd and 4th year workshops, and the associated small group sessions. • Winnunga hosted 32 first year students who, inspired by their first introduction to Indigenous health, wanted more! • Year 3 – 18 students spent 3 weeks each on clinical placement with the medical staff. Winnunga also provided tours and an over view of their services to the other 81 year 3 medical students in small groups during their community placements. • Year 4 students had 2 week placements with Winnunga staff during Womens Health term. • Winnunga staff also co-supervised student research projects.
ANUMS staff working in Indigenous health • 2 GPs from Academic Unit of Gernal Practice work at Winnunga part time • Registrars every semester • Katungul and SENSWDGP – Healthy for Life • Professor of Paediatrics – child health clinics • Students as ‘manpower’ on child health day
Implications and the future • Successful structure and support of integrated clinical placements for medical students and GP registrars, and ongoing review through regular meetings. • Maintaining momentum in post establishment phase • Further work in clarifying roles and relationships, possibly in the form of an MoU, and ensuring ongoing strength of partnerships