Hunter Regional Mail Center

Newcastle, Australia

Hunter Regional Mail Center

Newcastle, Australia
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Ingham G.,Beyond Medical Education | Fry J.,Beyond Medical Education | Morgan S.,Hunter Regional Mail Center | Ward B.,Monash University
BMC Medical Education | Year: 2015

Background: Workplace-based formative assessments using consultation observation are currently conducted during the Australian general practice training program. Assessment reliability is improved by using multiple assessment methods. The aim of this study was to explore experiences of general practice medical educator assessors and registrars (trainees) when adding random case analysis to direct observation (ARCADO) during formative workplace-based assessments. Methods: A sample of general practice medical educators and matched registrars were recruited. Following the ARCADO workplace assessment, semi-structured qualitative interviews were conducted. The data was analysed thematically. Results: Ten registrars and eight medical educators participated. Four major themes emerged - formative versus summative assessment; strengths (acceptability, flexibility, time efficiency, complementarity and authenticity); weaknesses (reduced observation and integrity risks); and contextual factors (variation in assessment content, assessment timing, registrar-medical educator relationship, medical educator's approach and registrar ability). Conclusion: ARCADO is a well-accepted workplace-based formative assessment perceived by registrars and assessors to be valid and flexible. The use of ARCADO enabled complementary insights that would not have been achieved with direct observation alone. Whilst there are some contextual factors to be considered in its implementation, ARCADO appears to have utility as formative assessment and, subject to further evaluation, high-stakes assessment. © 2015 Ingham et al.


Broome L.,Office of Environment and Heritage | Ford F.,Defence Support Group | Dawson M.,Eco Logical Australia Pty. Ltd. | Green K.,Snowy Mountains Region | And 2 more authors.
Australian Zoologist | Year: 2013

The New South Wales population of the Mountain Pygmy-possum Burramys parvus was estimated at 500 adults in 8 km2 of boulder-heath habitat during surveys in the 1980's. In 1989, this estimate was increased to 1312 adults based on further surveys in four of the identified habitat patches. However, further research indicated that population density varied greatly between habitat patches and that the original extent of habitat and the revised population estimate had been overestimated. Because of the high degree of uncertainty regarding the total population size of B. parvus in New South Wales and the relative value of each habitat patch, including those in ski resorts, it was necessary to re-evaluate these estimates. Results based on data collected between 1996 and 2001 indicated an adult population of around 613±92 in 1.85 km2 of boulderfield habitat.This population was distributed in scattered colonies within a modelled bioclimatic range of 444 km2 of suitable climate, based on modelling of the then known southern Kosciuszko B. parvus population. However the notional extent of suitable climate has been greatly enlarged by the recent discovery of a northern Kosciuszko population. Establishing which boulderfields to target for future surveys within the enlarged potential climate envelope is not simple. No strong association with any habitat characteristics were identified by habitat analysis, however, deeper boulderfields with a variety of boulder sizes and reasonable vegetation cover were generally preferred. Changes in habitat characteristics across the elevational gradient partly explained the difficulty in modelling habitat preference.


Supiot S.,Institute Of Cancerologie Of Louest Nantes Angers | Crehange G.,Center Georges Francois Leclerc | Latorzeff I.,Groupe Oncorad Garonne | Pommier P.,Center Leon Berard | And 7 more authors.
Cancer/Radiotherapie | Year: 2013

Radiotherapy plays a central role in the management of localized prostate cancer, but the total duration of treatment of nearly 2. months poses not only problems of fatigue related to repetitive transports, especially for older patients, but also increases the overall cost of treatment including linear accelerators occupancy and patient transportation. To address this problem, various teams have developed hypofractionated radiotherapy protocols seeking to maintain the same efficacy and toxicity while reducing the total duration of treatment. These hypofractionated protocols require recent techniques such as image-guided radiation therapy (IGRT) and intensity-modulated radiation therapy (IMRT). Single centre series have validated the feasibility of "light" hypofractionation schemes at doses per fraction less than 6. Gy Similarly, different teams have shown the possibility of stereotactic irradiation for delivering "severe" hypofractionation schemes at doses greater than 6. Gy per fraction. Whatever the dose per fraction, the current clinical data support the conclusion that hypofractionated radiotherapy does not increase mid-term toxicity and could even improve biochemical control. Studies with the objective of demonstrating non-inferiority are expected to definitively validate the role of hypofractionated irradiation in the treatment of prostate cancer. © 2013 Société française de radiothérapie oncologique (SFRO).


Ohr S.O.,Hunter Regional Mail Center | Ohr S.O.,University of Newcastle | Parker V.,Hunter Regional Mail Center | Parker V.,University of Newcastle | And 2 more authors.
Australian Journal of Primary Health | Year: 2010

The Australian health care workforce has benefited from an increasing migration of nurses over the past decades. The nursing profession is the largest single health profession, making up over half of the Australian health care workforce. Migration of nurses into the Australian nursing workforce impacts significantly on the size of the workforce and the capacity to provide health care to the Australian multicultural community. Migration of nurses plays an important role in providing a solution to the ongoing challenges of workforce attraction and retention, hence an understanding of the factors contributing to nurse migration is important. This paper will critically analyse factors reported to impact on migration of nurses to Australia, in particular in relation to: (1) globalisation; (2) Australian society and nursing workforce; and (3) personal reasons. The current and potential implications of nurse migration are not limited to the Australian health care workforce, but also extend to political, socioeconomic and other aspects in Australia. © 2010 La Trobe University.


PubMed | Hunter Regional Mail Center
Type: Journal Article | Journal: Australian journal of primary health | Year: 2010

The Australian health care workforce has benefited from an increasing migration of nurses over the past decades. The nursing profession is the largest single health profession, making up over half of the Australian health care workforce. Migration ofnurses into the Australian nursing workforce impacts significantly on the size ofthe workforce and the capacity to provide health care to the Australian multicultural community. Migration of nurses plays an important role in providing a solution to the ongoing challenges of workforce attraction and retention, hence an understanding of the factors contributing to nurse migration is important. This paper will critically analyse factors reported to impact on migration of nurses to Australia, in particular in relation to: (1) globalisation; (2) Australian society and nursing workforce; and (3) personal reasons. The current and potential implications of nurse migration are not limited to the Australian health care workforce, but also extend to political, socioeconomic and other aspects in Australia.

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