Journal articles on the topic 'Medicine Australia Examinations'
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Hoffman, Kenneth R., Christopher P. Nickson, Anna T. Ryan, and Stuart Lane. "Too hot to handle? Assessing the validity and reliability of the College of Intensive Care Medicine "Hot Case" examination." Critical Care and Resuscitation 24, no. 1 (March 7, 2022): 87–92. http://dx.doi.org/10.51893/2022.1.r.
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The College of Intensive Care Medicine of Australia and New Zealand is responsible for credentialling trainees for specialist practice in intensive care medicine for the safety of patients and the community. This involves defining trainees' performance standards and testing trainees against those standards to ensure safe practice. The second part examination performed towards the end of the training program is a high-stakes assessment. The two clinical "Hot Cases" performed in the examination have a low pass rate, with most candidates failing at least one of the cases. There is increasing expectation for medical specialist training colleges to provide fair and transparent assessment processes to enable defensible decisions regarding trainee progression. Examinations are a surrogate marker of clinical performance with advantages, disadvantages and inevitable compromises. This article evaluates the Hot Case examination using Kane's validity framework and van der Vleuten's utility equation, and identifies issues with validity and reliability which could be managed through an ongoing improvement process.
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Jones, Kay, Ruby Biezen, Bronwyn Beovich, and Oliver van Hecke. "Chaperones for intimate examinations in family medicine: findings from a pilot study in Melbourne, Australia." Medicine, Science and the Law 55, no. 1 (January 29, 2014): 6–10. http://dx.doi.org/10.1177/0025802413518318.
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Winspur, I. "Arm Pain without Physical Findings: Medicine Vs the Law?" Journal of Hand Surgery 26, no. 5 (October 2001): 409–13. http://dx.doi.org/10.1054/jhsb.2000.0517.
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Arm pain without physical findings occurring in association with light repetitive work has been with us from the time man developed factories but has become controversial since a number of reported cases in Australia in 1983. It remains a highly contentious and medically confused area. Claims for compensation for the condition against employers have been firmly rejected by courts in Australia and the USA, but large awards continue to be made in UK courts. The reason for this difference lies in recent changes in British Law and court procedure and British courts now seem to recognize this nebulous clinical condition as representing a compensable injury. In this situation, therefore, physicians must be meticulous in their examinations and record keeping. In addition, they must only use specific diagnoses when irrefutable clinical signs or confirmatory special investigation results are present and must be guarded in loose talk or discussion about “causation”.
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Higgins, Niall S., Kersi Taraporewalla, Michael Steyn, Rajesh Brijball, and Marcus Watson. "Workforce education issues for international medical graduate specialists in anaesthesia." Australian Health Review 34, no. 2 (2010): 246. http://dx.doi.org/10.1071/ah09793.
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International medical graduate (IMG) specialists in anaesthesia need education to be part of the assessment process for pre-registration college fellowship. Fellowship of the anaesthetic college is required in Australia for registration as a specialist in this field. Marked differences exist between local trainees and IMG specialists in terms of training, stakes of the exam and isolation of practice. We have examined the reasons for the low pass rate for IMG specialists compared to the local trainees in the Australian and New Zealand College of Anaesthetists (ANZCA) final fellowship examinations. We also offer an IMG specialists’ view of this perceived problem. It highlights their difficulties in obtaining adequate supervision and education. What is known about the topic?There has been a worldwide shortage of doctors over the last decade. In Australia this shortage has been attributed to government policy in the 1990s limiting the number of medical school places. Other factors that may have contributed to this shortage are changes in the practice of medicine, increasing specialisation, growth in population and patterns of population settlement at the coastal fringes of Australia. The use of international medical graduates and reliance on them is associated with several problems and challenges. A key factor relates to their performance at a standard acceptable to the country. What does the paper add?This paper offers an examination of the issues that present to IMG specialists located at rural and remote areas of Australia. The global aim of this study is to understand the workforce education issues that present to IMG specialists as a basis for supporting this group, having migrated to Australia, to better prepare for assessment of their practice in this country. Results of a survey of IMG specialists in Anaesthesia are included to contribute to an overall view. It highlights their understanding of the issues that present when preparing for specialist assessments. What are the implications for practitioners?This information will be useful for policy practitioners who determine critical elements that influence workforce planning and education support. Decision makers will be able to make more informed decisions on the need to integrate education into planning for workforce efficiencies. There are currently no published data explaining why the pass rate for IMG specialist in anaesthesia is so different from local trainees and this paper also offers a viewpoint of present issues from those who are attempting these examinations.
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Taylor, Silas, Matthew Haywood, and Boaz Shulruf. "Comparison of the effects of simulated patient clinical skill training and student roleplay on objective structured clinical examination performance among medical students in Australia." Journal of Educational Evaluation for Health Professions 16 (January 11, 2019): 3. http://dx.doi.org/10.3352/jeehp.2019.16.3.
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Purpose: Optimal methods for communication skills training (CST) are an active research area, but the effects of CST on communication performance in objective structured clinical examinations (OSCEs) has not been closely studied. Student roleplay (RP) for CST is common, although volunteer simulated patient (SP) CST is cost-effective and provides authentic interactions. We assessed whether our volunteer SP CST program improved OSCE performance compared to our previous RP strategy. Methods: We performed a retrospective, quasi-experimental study of 2 second-year medical student cohorts’ OSCE data in Australia. The 2014 cohort received RP-only CST (N=182) while the 2016 cohort received SP-only CST (N=148). The t-test and analysis of variance were used to compare the total scores in 3 assessment domains: generic communication, clinical communication, and physical examination/procedural skills. Results: The baseline characteristics of groups (scores on the Australian Tertiary Admission Rank, Undergraduate Medicine and Health Sciences Admission Test, and medicine program interviews) showed no significant differences between groups. For each domain, the SP-only CST group demonstrated superior OSCE outcomes, and the difference between cohorts was significant (P<0.01). The superiority of volunteer SP CST over student RP CST in terms of OSCE performance outcomes was found for generic communication, clinical communication, and physical examination/procedural skills. Conclusion: The better performance of the SP cohort in physical examination/procedural skills might be explained by the requirement for patient compliance and cooperation, facilitated by good generic communication skills. We recommend a volunteer SP program as an effective and efficient way to improve CST among junior medical students.
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Malek, Sharafat, and Md Humayun Kabir Talukder. "Medical Migration: a review on the licensing process for International Medical Graduates in Australia and other destinations." Bangladesh Journal of Medical Education 9, no. 1 (April 2, 2018): 26–34. http://dx.doi.org/10.3329/bjme.v9i1.36236.
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Movement of health care professionals, nationally or internationally, has now become a common trend worldwide. International recruitment of efficient physicians is an ongoing process for years although some studies have identified this culture as an issue.10-11 Waves of migration to popularly Australia under ‘Skilled Migration’ and other categories started in Bangladesh in early 1970, which have been ongoing since then.1 Among over thirty thousands of such migrants living in the popularly Australian States2; the medical graduates from Bangladesh are identified through their associations/forum made in each State as well as from the data on their participation in the re-accreditation examinations.3-4, 7-8 A lack of pre-migration awareness on social and academic barriers in the host country has been found far more common in the Australian International Medical Graduates’ (IMGs) studies published before 20045. Poor knowledge on the hurdles may affect IMGs’ post-migration coping or adjustment process. Fortunately, internet facilities are widely available so, modern IMGs no more need to rely on information from relatives, friends or high commission/embassy people. Yet, full access to career and job related journals could still be out of reach for many IMGs. Updated clear knowledge around licenselegislation at the destination would help IMGs gaining smoother transition whilst preparing to build the same career, albeit in a different system. This review article at first presents the background behind strict regulations on permitting the IMGs to practise in major destinations. It then progresses with reviewing these regulations in the developed countries including Australia. Following that a detailed summary has been made on the Australian regulations. Available literature6-8 demonstrates a large discrepancy between IMGs’ success rates in the knowledge and practical part of the licensing (Australian Medical Council) process (i.e. 80% vs. 42% in case of Bangladeshi-IMGs). Therefore, this paper has properly discussed the nature and structure of the practical (AMC-Clinical) examination incorporating examples. Useful web-links on Australian IMGs’ accreditation preparation, permanent migration and finding medical jobs have been provided at relevant sections. Finally, a recommendation has been made to teach 3rd-year medical students on this important area under the ‘Community Medicine’ curriculum in Bangladesh.Bangladesh Journal of Medical Education Vol.9(1) 2018: 26-34
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MOORE, E., and M. G. O'CALLAGHAN. "Helminths of dogs and cats determined by faecal examinations in Adelaide, South Australia." Australian Veterinary Journal 62, no. 6 (June 1985): 198–99. http://dx.doi.org/10.1111/j.1751-0813.1985.tb07297.x.
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Benmessaoud, M., A. Housni, M. Elmabrouki, F. Essasnaoui, N. Sadiki, A. Dadouch, and A. Labzour. "DERIVATION OF LOCAL DIAGNOSTIC REFERENCE LEVELS FOR COMMON ADULT COMPUTED TOMOGRAPHY EXAMINATIONS IN MOROCCAN HOSPITAL." Radiation Protection Dosimetry 194, no. 4 (May 2021): 208–13. http://dx.doi.org/10.1093/rpd/ncab095.
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Abstract The purpose was to derive local diagnostic reference levels (LDRLs) for adults common computed tomography (CT) examinations in Moroccan hospital. The data of patients were collected retrospectively from one facility for 2 months period. The proposed LDRLs were defined as 75th percentile of spreads for CT dose index-volume (CTDIvol) and dose length product (DLP). Findings were compared with diagnostic reference levels (DRLs) of France, Australia and Egypt. A total of 259 cases were enrolled including 53% of male and 47% of female. The corresponding LDRLs in terms of CTDIvol (mGy) were 58, 15, 15 and 14 for head, chest, abdomen–pelvis and chest–abdomen–pelvis CT examinations, respectively. For DLP (mGy.cm) were 1298, 944, 1874 and 2026, respectively. The proposed LDRLs for CTDIvol were almost similar to DRLs of Australia, higher than those of France and lower than Egyptian DRLs. In terms of DLP, LDRLs were higher than compared studies with exception of head CT, which were lower and higher for CTDIvol than Egyptian DRLs. The results highlight higher radiation doses during adult CT scans, indicating the need to spread the same investigation regarding other imaging procedures including different radiological examinations across Moroccan hospitals.
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Howe, Katrina, Siobhan Bourke, and Lloyd Sansom. "The extent to which off-patent registered prescription medicines are used for off-label indications in Australia: A scoping review." PLOS ONE 16, no. 12 (December 3, 2021): e0261022. http://dx.doi.org/10.1371/journal.pone.0261022.
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Aim The aim of this scoping review was to determine the extent of off-patent prescription medicine use beyond registered indications in various Australian clinical settings. Method The review followed the Joanna Briggs Institute approach and reported using PRISMA Extension for Scoping Reviews. Online databases were used to identify published literature about off-patent registered prescription medicines used for off-label indications in Australian public hospital, community and primary healthcare settings. In addition, empirical data from the Queensland and the South Australian state-wide medicine formularies were screened for the same medication/off-label indication dyads identified in the literature, and other locally approved uses. Results Overall, fourteen studies were included, conducted in public hospitals (n = 11), palliative care units (n = 2) and the community setting (n = 1). There were 213 reports extracted from the literature describing off-patent registered prescription medicines used for off-label indications, representing 128 unique medication/off-label indication dyads and 32 different medicines. Of these, just five medication/off-label indication dyads were approved for use on both the Queensland and South Australian state-wide medicine formularies, with 12 others only approved for use in Queensland and 16 others only approved for use in South Australia. Further examination of these state-wide formularies demonstrated that the use of off-patent registered prescription medicines beyond registered indications is more extensive than has been reported to date in the literature. There were 28 additional medication/off-label indication dyads approved on the Queensland state-wide medicine formulary and 14 such examples approved for use in South Australia. Of these, just two medication/off-label indication dyads were approved for use on both formularies. Conclusion The extent to which off-patent registered prescription medicines have been repurposed in clinical settings for off-label indications in Australia is greater than previously reported in the literature. Usage and funded availability of certain medication/off-label indication dyads, varies across Australia. These results further expose the two tiered system of medicines regulation in Australia, and its impact on equity of access to medicines. Further research is required to support policy change to encourage submission of registration updates for off-patent prescription medicines.
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Chong, Lauren, Silas Taylor, Matthew Haywood, Barbara-Ann Adelstein, and Boaz Shulruf. "Examiner seniority and experience are associated with bias when scoring communication, but not examination, skills in objective structured clinical examinations in Australia." Journal of Educational Evaluation for Health Professions 15 (July 18, 2018): 17. http://dx.doi.org/10.3352/jeehp.2018.15.17.
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Purpose: The biases that may influence objective structured clinical examination (OSCE) scoring are well understood, and recent research has attempted to establish the magnitude of their impact. However, the influence of examiner experience, clinical seniority, and occupation on communication and physical examination scores in OSCEs has not yet been clearly established. Methods: We compared the mean scores awarded for generic and clinical communication and physical examination skills in 2 undergraduate medicine OSCEs in relation to examiner characteristics (gender, examining experience, occupation, seniority, and speciality). The statistical significance of the differences was calculated using the 2-tailed independent t-test and analysis of variance. Results: Five hundred and seventeen students were examined by 237 examiners at the University of New South Wales in 2014 and 2016. Examiner gender, occupation (academic, clinician, or clinical tutor), and job type (specialist or generalist) did not significantly impact scores. Junior doctors gave consistently higher scores than senior doctors in all domains, and this difference was statistically significant for generic and clinical communication scores. Examiner experience was significantly inversely correlated with generic communication scores. Conclusion: We suggest that the assessment of examination skills may be less susceptible to bias because this process is fairly prescriptive, affording greater scoring objectivity. We recommend training to define the marking criteria, teaching curriculum, and expected level of performance in communication skills to reduce bias in OSCE assessment.
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Schreiber, Jason R., and Morris S. Odell. "The use of interpreters in medical settings and forensic medical examinations in Australia: The relationship between medicine and linguistics." Journal of Forensic and Legal Medicine 25 (July 2014): 85–90. http://dx.doi.org/10.1016/j.jflm.2014.04.019.
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Eklöf, H., E. Radecka, and P. Liss. "Teleradiology uppsala–sydney for nighttime emergencies: preliminary experience." Acta Radiologica 48, no. 8 (October 2007): 851–53. http://dx.doi.org/10.1080/02841850701422120.
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Background: The development of digital imaging systems for radiology in combination with the possibility to transfer large quantities of data over the Internet has increased the interest in teleradiology. Transferring nighttime examinations to an evaluation center in a daytime zone may provide improved patient security, better working hours for radiologists, and reduced costs for emergency radiological services. Purpose: To evaluate the time required for transferring radiological information from Uppsala (Sweden) to Sydney (Australia). Material and Methods: A radiologist in Sydney reported on radiological examinations performed in Uppsala. The time required for downloading 75 examinations and returning 24 reports was registered. Results: Downloading was completed in <60 min for all conventional radiological examinations, but only 44% of computed tomography (CT) examinations with >65 images. Reports were completed in <10 min. Turnaround time was directly related to the time required for downloading the images. The Sydney report was available in Uppsala within 30 min of the in-house report in 79% of examinations. Conclusion: The main challenge for emergency teleradiology is the time required for downloading large volumes of data over the Internet.
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Tually, Peter, John Walker, and Simon Cowell. "The effect of nuclear medicine telediagnosis on diagnostic pathways and management in rural and remote regions of Western Australia." Journal of Telemedicine and Telecare 7, no. 2_suppl (December 2001): 50–53. http://dx.doi.org/10.1258/1357633011937119.
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Limited accessibility to certain medical imaging services in regional and rural centres has led to the use of alternative modalities, which may not be best practice or which require patients to travel considerable distances for diagnosis. Data collected over three years were examined to determine the clinical effect of nuclear medicine teleradiology (NMT) and its effect on diagnostic patterns for the investigation of cardiovascular disease, radio-occult musculoskeletal injury and oncology. In comparison with two other rural, non-NMT areas of similar demographic profile, there was a significant shift in the delivery of care in terms of diagnostic work-up. NMT input led to the detection of disease and a change to therapeutic management in 122 cases and eliminated the need to transfer patients to another facility for unnecessary and expensive examinations in 38 cases. While NMT is more costly than conventional nuclear medicine services, it permits faster access to specialist consultation, provides for better management and is likely to reduce overall health costs by reducing the volume of inappropriate tests and treatment practice.
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Mandal, Indrajeet, Amal Minocha, Jason Yeung, Steve Bandula, and Jeremy Rabouhans. "Interventional radiology training: a comparison of 5 English-speaking countries." British Journal of Radiology 93, no. 1105 (January 2020): 20190340. http://dx.doi.org/10.1259/bjr.20190340.
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Objective: To compare key characteristics of interventional radiology (IR) training in the UK with four other English-speaking countries (USA, Canada, Australia and New Zealand) and summarise requirements for training. Methods: Main features examined were career pathway and requirements, examinations required, specific competition for IR and the process of applying for training as an international medical graduate. Data were collected from official governing body publications, literature and personal experience. Results: Several differences were highlighted, including length of training (ranging from 6 to 9 years after medical school), length of IR-specific training (ranging from 1 to 3 years) and examinations required (USA and Canada have additional IR-specific examinations). The level of competition is generally high, in all countries. Conclusions: With the demand for IR services set to increase over the next few years, it is crucial that more IR specialists are trained to meet this demand. Awareness of training structures in other countries can highlight opportunity and pitfalls, and help ensure the number of highly trained interventional radiologists in the UK continues to grow.
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Knight, Lachlan S. W., Bronwyn Ridge, Sandra E. Staffieri, Jamie E. Craig, Mallika Prem Senthil, and Emmanuelle Souzeau. "Quality of life in children with glaucoma: a qualitative interview study in Australia." BMJ Open 12, no. 7 (July 2022): e062754. http://dx.doi.org/10.1136/bmjopen-2022-062754.
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ObjectiveChildhood glaucoma is a chronic vision-threatening condition that may significantly impact an individual’s psychosocial well-being. There is a paucity of literature investigating the quality of life (QoL) in children with glaucoma. The aim of this study was to investigate and report on the QoL issues encountered by children with glaucoma.DesignThis is a qualitative interview study. Data were collected through semistructured interviews. NVivo V.12 software (QSR International Pty Ltd, Melbourne, Australia) was used to analyse and code data to identify QoL themes. The prominence of QoL themes was determined by the number of children who raised issues connected to the corresponding theme.SettingInterviews were conducted via telephone or videoconferencing between April 2020 and July 2021.ParticipantsEighteen children with glaucoma, aged 8–17 years, who resided in Australia, were recruited from the Australian and New Zealand Registry of Advanced Glaucoma.ResultsMedian child age was 12.1 years (IQR: 9.7–14.5 years) and 33% were female. Seven QoL themes were identified: ‘coping’, ‘inconveniences’ and ‘emotional well-being’ were more prominent themes than ‘symptoms’, ‘ocular health concerns’, ‘social well-being’ and ‘autonomy’. Adaptive coping strategies included resilience throughout clinical examinations and establishing positive relationships with ophthalmologists. These minimised inconveniences related to clinic waiting times and pupillary dilatation. External to the clinical setting, children often dissociated from their glaucoma but struggled with glare symptoms and feeling misunderstood by fellow peers. Older children aged 13–17 years commonly disengaged from their glaucoma care and expressed an unwillingness to attend ophthalmic appointments. Older children further raised issues with career options, obtaining a driver’s licence and family planning under the theme of autonomy.ConclusionsThe psychosocial impact of childhood glaucoma extends beyond the clinical environment and was minimised using coping strategies. Older children may require additional social and ophthalmic support as they transition into adulthood.
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Sutton, L., and B. Bajuk. "Postmortem examinations in a statewide audit of neonatal intensive care unit admissions in Australia in 1992." Acta Paediatrica 85, no. 7 (July 1996): 865–69. http://dx.doi.org/10.1111/j.1651-2227.1996.tb14169.x.
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Ranson, David L., and Lyndal Bugeja. "Medicolegal Death Investigation: Coroner and Forensic Pathology Functions and Processes in Victoria, Australia." Academic Forensic Pathology 7, no. 4 (December 2017): 567–81. http://dx.doi.org/10.23907/2017.048.
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The medicolegal death investigation in Victoria, Australia is a traditional coroner system based on the model in England and Wales in the early 20th Century. In 1985, the first of a series of legislative amendments were made that proved the vanguard of reform of the coroners' jurisdictions in Australia. The Victorian Institute of Forensic Medicine (the Institute) was established by the Coroners Act 1985 (Vic.), now the Victorian Institute of Forensic Medicine Act 1985 (Vic.), to provide forensic pathology, medical, and related scientific services needed by the justice system. In addition to death investigation, other forensic and scientific services are performed by the Institute including: clinical medical examinations and support services for assault victims and perpetrators, forensic toxicology services and molecular biology, and anthropology and odontology services in relation to human identification. Medical and nursing staff provide medical information and support to families in a therapeutic setting, as well as direct referral to clinical medical specialists. This takes place where a medical death investigation procedure uncovers genetic or familial disease that may place other family members at risk of future illness. A donor tissue bank ensures that a death also provides the opportunity for families to donate organs and tissues from the deceased for transplantation. Today, the traditional autopsy is one of several modalities of death investigation with postmortem radiology and imaging playing a significant role. This paper describes the principles and new processes at the Institute that support the coroner in death investigation and prevention as well as the therapeutic services designed to relieve the burden of disease on the community.
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Draper, Brian. "Psychogeriatric Training in Australia and New Zealand: A Survey of Psychiatry Trainees and Training Program Co-Ordinators." Australian & New Zealand Journal of Psychiatry 28, no. 1 (March 1994): 121–28. http://dx.doi.org/10.3109/00048679409075853.
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Psychiatry trainees and training program co-ordinators in Australia and New Zealand were surveyed about psychogeriatric training. Responses were received from the co-ordinators of all training programs and 68% of trainees. Over 94% of responding trainees believe they require at least 3 months' psychogeriatric training. Currently about 70% of trainees obtain a psychogeriatric term by Year 4 of training, with 17 out of 21 training programs having positions available. Most trainees positively rate their psychogeriatric training experiences, with 89% enjoying it and 78% believing it adequate for their needs. It is recommended that psychogeriatric training be available to all trainees before sitting the RANZCP Section 1 examinations.
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Thomas, Samantha, Kate O’Loughlin, and Jill Clarke. "Sonographers’ level of autonomy in communication in Australian obstetric settings: Does it affect their professional identity?" Ultrasound 28, no. 3 (June 9, 2020): 136–44. http://dx.doi.org/10.1177/1742271x20928576.
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Introduction Unlike the United Kingdom, policies in Australia prevent sonographers from exercising autonomy in their level of communication with pregnant patients in the event of adverse findings. The organisational structure makes the sonographer dependent on the sonologist because sonographers do not have the authority to provide the official report. The emotional labour on sonographers is increased as they struggle to provide patient-centred care, given the limits put on their communication during the ultrasound examination. The aim of this study was to explore Australian sonographers’ views on communicating adverse findings, including their level of autonomy in communicating with patients and how this influences their sense of professional identity. Methods Following a national survey, seven purposively selected participants, who were qualified to perform obstetric ultrasound examinations, completed follow-up interviews. The interviews were thematically analysed with iterative comparison to the survey results. Three case studies show sonographers differed in their ‘communicator type’ due to geographical location and workplace setting. Results The case studies illustrate a sonographer’s communication role, and level of autonomy is negotiated/renegotiated depending on the needs and expectations of each workplace. Their communication practices varied due to the sonologist (radiologist/obstetrician) policy on sonographer/patient communication, presence and support in the clinical setting. A strong professional identity and level of autonomy came from the construction of attributes that were built over time based on multiple factors, including previous experience, geographical location, critical incidents, training and supportive work environments. Conclusion The sonography profession demands autonomy and a strong professional identity free of hierarchical barriers within a collaborative model of care.
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Do, Loc G., Diep H. Ha, Lucinda K. Bell, Gemma Devenish, Rebecca K. Golley, Sam D. Leary, David J. Manton, W. Murray Thomson, Jane A. Scott, and A. John Spencer. "Study of Mothers’ and Infants’ Life Events Affecting Oral Health (SMILE) birth cohort study: cohort profile." BMJ Open 10, no. 10 (October 2020): e041185. http://dx.doi.org/10.1136/bmjopen-2020-041185.
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PurposeThe long-term goal of the Study of Mothers’ and Infants’ Life Events Affecting Oral Health (SMILE) birth cohort study is to identify and evaluate the relative importance and timing of critical factors that shape the oral health of young children. It will then evaluate those factors in their inter-relationship with socioeconomic influences.ParticipantsSMILE is a single-centre study conducted in Adelaide, Australia. All newborns at the main three public hospitals between July 2013 and August 2014 were eligible for inclusion. The final recruited sample at birth was 2181 mother/infant dyads. Participants were followed up with questionnaires when the child was 3 and 6 months of age, and 1, 2 and 5 years of age. Oral epidemiological examinations and anthropometric assessments were conducted at age 2 and 5 years.Findings to dateSMILE has contributed comprehensive data on dietary patterns of young children. Intakes of free sugars, core and discretionary foods and drinks have been detailed. There was a sharp increase in free sugars intake with age. Determinants of dietary patterns, oral health status and body weight during the first 5 years of life have been evaluated. Socioeconomic characteristics such as maternal education and household income and area-level socioeconomic profile influenced dietary patterns and oral health behaviours and status.Future planFunding has been obtained to conduct oral epidemiological examinations and anthropometric assessments at age 7–8 years. Plans are being developed to follow the cohort into adolescent years.
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Naik, Rishi, Indrajeet Mandal, Alexander Hampson, Rowan Casey, and Nikhil Vasdev. "A Comparison of Urology Training Across Five Major English-Speaking Countries." Current Urology 14, no. 1 (2020): 14–21. http://dx.doi.org/10.1159/000499265.
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Background: Urology is a rapidly evolving specialty, although wide variations exist between training programs in different countries. We aimed to compare the status of urology training in 5 English-speaking countries. Materials and Methods: Features compared include the training pathway structure, training requirements, competition levels and the process of moving country for international medical graduates. Results: Length of training varied considerably across countries, ranging from 5 years in the USA and Canada, to 7 years in Australia and New Zealand and 9 years in the UK. Ease of entering urology training for international medical graduates also varies, with the UK relatively easier compared to other countries. All countries encourage participation in research during training as well as completion of non-urology and urology specific surgical examinations. Conclusion: Following the Royal College of Surgeons Improving Surgical Training report, it is vital that the UK incorporates optimal elements of international programs in order to provide the best standards for trainees and world-class care in urology.
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Turek, Evelyn M., Christopher K. Fairley, Catriona S. Bradshaw, Marcus Y. Chen, Lenka A. Vodstrcil, Anthony Snow, Ria Fortune, and Eric P. F. Chow. "Are genital examinations necessary for STI screening for female sex workers? An audit of decriminalized and regulated sex workers in Melbourne, Australia." PLOS ONE 15, no. 4 (April 16, 2020): e0231547. http://dx.doi.org/10.1371/journal.pone.0231547.
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White, Isabella, Jill Benson, Taryn Elliott, and Lucie Walters. "Australian general practice registrars’ experiences of training, well-being and support during the COVID-19 pandemic: a qualitative study." BMJ Open 12, no. 6 (June 2022): e060307. http://dx.doi.org/10.1136/bmjopen-2021-060307.
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ObjectivesProviding well-supported general practice (GP) training is fundamental to strengthen the primary health workforce. Research into the unique needs of GP registrars during disasters is limited. Registrar burnout and insufficient support have been associated with personal and professional detrimental effects. This study aims to explore the experiences of Australian GP registrars with learning, well-being and support from their training organisation during the COVID-19 pandemic, and to guide training organisation efforts to support registrars through future disasters.SettingInterviews were conducted via Zoom.ParticipantsFifteen GP registrars from South Australia, Victoria and New South Wales who had experienced community-based GP training in both 2019 (prepandemic) and 2020 (early pandemic).Outcome measuresTraining, well-being and support experiences were explored. Interviews were recorded and transcribed and themes analysed.ResultsDiverse experiences were reported: changes included telehealth, online tutorials, delayed examinations and social restrictions. Social and professional connections strongly influenced experiences. Personal and training factors were also important. Additional GP training organisation support was minimally needed when strong connections were in place.ConclusionsThis study identifies aspects of support which shaped registrars’ diverse experiences of COVID-19, particularly regarding professional and social connections. Findings illustrate the importance of broad principles around supporting registrar well-being. Particularly significant aspects of support include connection to educational mentors such as supervisors and medical educators; connection and culture within practices; opportunities to share clinical experiences; and connection to personal social supports. Participation in this global disaster contributed to registrars’ developing professionalism. GP training organisations are positioned to implement monitoring and supports for registrars through disasters. Although registrars may not require significant GP training organisation intervention where powerful professional and personal connections exist, strong foundational GP training organisation supports can be established and augmented to support registrars in need before and during future disasters. These findings contribute to the global developing field of knowledge of registrar training and well-being needs during crises.
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Gao, Lan, and Marj Moodie. "Modelling the lifetime cost-effectiveness of catheter ablation for atrial fibrillation with heart failure." BMJ Open 9, no. 9 (September 2019): e031033. http://dx.doi.org/10.1136/bmjopen-2019-031033.
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ObjectivesAssessing the cost-effectiveness credentials of this intervention in patients with concomitant atrial fibrillation (AF) and heart failure (HF) compared with usual medical therapy.DesignA Markov model comprising two health states (ie, alive or dead) was constructed. The transition probabilities were directly derived from published Kaplan-Meier curves of the pivotal randomised controlled trial and extrapolated over the cohort’s lifetime using recommended methods. Costs of catheter ablation, outpatient consultations, hospitalisation, medications and examinations were included. Resource use and unit costs were sourced from government websites or published literature. A lifetime horizon and a healthcare system perspective were taken. All costs and benefits were discounted at 3% annually. Deterministic (DSA) and probabilistic sensitivity analyses (PSA) were run around the key model parameters to test the robustness of the base case results.ParticipantsA hypothetical Australian cohort of patients with concomitant AF and HF who are resistant to antiarrhythmic treatment.InterventionsCatheter ablation versus medical therapy.ResultsThe catheter ablation was associated with a cost of $A44 377 per person, in comparison to $A28 506 for the medical therapy alone over a lifetime. Catheter ablation contributed to 4.58 quality-adjusted life years (QALYs) and 6.99 LY gains compared with 4.30 QALYs and 6.53 LY gains, respectively, in the medical therapy arm. The incremental cost-effectiveness ratio was $A55 942/QALY or $A35 020/LY. The DSA showed that results were highly sensitive to costs of ablation and time horizon. The PSA yielded very consistent results with the base case.ConclusionsOffering catheter ablation procedure to patients with systematic paroxysmal or persistent AF who failed to respond to antiarrhythmic drugs was associated with higher costs, greater benefits. When compared with medical therapy alone, this intervention is not cost-effective from an Australia healthcare system perspective.
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Mitchell, Jennifer, and Leanne Holmes. "Accredited Clinical Coder Examination 1996 Results." Health Information Management 26, no. 4 (December 1996): 202–6. http://dx.doi.org/10.1177/183335839702600410.
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In September 1996, 148 candidates sat for the first Australian Clinical Coder (ACC) accreditation examination at 19 sites across Australia and New Zealand. This event was an important milestone for clinical coders in Australia. Around one third of the candidates who sat for the exam gained accreditation. The results show that the candidates who were most likely to be successful in gaining accreditation: worked in public hospitals (of any size) or private hospitals with more than 150 beds spent 25 hours or more each week on coding or coding-related activities had been coding for three or more years. The greatest percentage of successful candidates had been coding for 10 or more years.
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O'Callaghan, Stephen P., Warwick B. Giles, Steve P. Raymond, Veronica McDougall, Kris Morris, and Jan Boyd. "First trimester ultrasound with nuchal translucency measurement for Down syndrome risk estimation using software developed by the Fetal Medicine Foundation, United Kingdom - the first 2000 examinations in Newcastle, New South Wales, Australia." Australian and New Zealand Journal of Obstetrics and Gynaecology 40, no. 3 (August 2000): 292–95. http://dx.doi.org/10.1111/j.1479-828x.2000.tb03337.x.
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Alhailiy, Ali B., Ernest U. Ekpo, Peter L. Kench, Elaine A. Ryan, Patrick C. Brennan, and Mark McEntee. "The associated factors for radiation dose variation in cardiac CT angiography." British Journal of Radiology 92, no. 1096 (April 2019): 20180793. http://dx.doi.org/10.1259/bjr.20180793.
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Objective: This study aimed to examine the associated factors for dose variation and influence cardiac CT angiography (CCTA) dose benchmarks in current CT imaging centres. Methods: A questionnaire was distributed to CT centres across Australia and Saudi Arabia. All participating centres collected data for adults who underwent a CCTA procedure. The questionnaire gathered information about the examination protocol, scanning parameters, patient parameters, and volume CT dose index (CTDI vol) and dose–length product (DLP). A stepwise regression analysis was performed to assess the contribution of tube voltage (kV), padding time technique, cross-sectional area (CSA) of chest and weight to DLP. Results: A total of 17 CT centres provided data for 423 CCTA examinations. The median CTDIvol, DLP and effective dose were 18 mGy, 256 mGy.cm and 5.2 mSv respectively. There was a statistically significant difference in DLP between retrospective and prospective ECG-gating modes (p = 0.001). Median DLP from CCTA using padding technique was 61% higher than CCTA without padding (p = 0.001). The stepwise regression showed that kV was the most significant predictor of DLP followed by padding technique then CSA while patient weight did not statistically significantly predict DLP. Correlation analysis showed a strong positive correlation between weight and CSA (r = 0.78), and there was a moderate positive correlation between weight and DLP (r = 0.42), as well as CSA and DLP (r = 0.48). Conclusion: Findings show radiation dose variations for CCTA. The associated factors for dose variation found in this study are scanning mode, kV, padding time technique and CSA of the chest. This results support the need to include CSA measurements in future dose survey and for setting DRLs. Advances in knowledge: The study provides baseline information that helps to understand the associated factors for dose variations and high doses within and between centres performing CCTA.
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Cohen, Jeremy, Mary Pinder, Daniel Angelico, and Frieda Keo. "Too hot to handle? Assessing the validity and reliability of the College of Intensive Care Medicine "Hot Case" examination." Critical Care and Resuscitation 24, no. 1 (March 7, 2022): 93–94. http://dx.doi.org/10.51893/2022.1.l.
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TO THE EDITOR: We have read the thoughtful article from Hoffman andcolleagues 1 with great interest, and agree with much of the content. No assessment process is perfect, and the issues raised by the authors of validity, reliability, transparency and fairness are ones which the College of Intensive Care Medicine of Australia and New Zealand considers to be of great importance. Indeed, the College would be failing in its role as an educational body were there not constant review and refinement of its assessment processes.
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Taylor, Selina, Alice Cairns, and Beverley Dawn Glass. "Feasibility, accessibility and acceptability a pharmacist-led ear health intervention at rural community pharmacies (LISTEN UP): a mixed-methods study in Queensland, Australia." BMJ Open 12, no. 4 (April 2022): e057011. http://dx.doi.org/10.1136/bmjopen-2021-057011.
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ObjectiveEar disease in rural and remote communities is occurring at high rates, with limited access to health services and health providers contributing to the problem. Community pharmacists are well-placed to provide expanded services to improve ear health in rural communities. We aimed to evaluate the feasibility, accessibility and acceptability of a pharmacist-led intervention for ear disease in consumers presenting to community pharmacy.DesignProspective preintervention and postintervention mixed-methods study. An ethnographic lens of rural culture was applied to the descriptive qualitative component of the study.SettingTwo rural community pharmacies in Queensland, Australia.ParticipantsPeople aged 6 months or older, who present with an ear complaint to a participating community pharmacy.InterventionLISTEN UP (Locally Integrated Screening and Testing Ear aNd aUral Programme) is a community pharmacy-based intervention to improve the management of ear health. Trained pharmacists conducted ear examinations using otoscopy and tympanometry on consumers following a LISTEN UP protocol. They made recommendations including no treatment, pharmacy only products or general practitioner (GP) referral. Consumers were contacted 7 days later for follow-up.Results55 rural consumers participated in the study. The most commonly reported complaints were ‘blocked ear’ and ‘ear pain’. Pharmacists recommended over-the-counter products to two-thirds of the participants and referred one quarter to a GP. 90% (50/55) of the consumers were highly satisfied with the service and would recommend the service. All consumers described the service positively with particular reference to convenience, improved confidence and appreciation of the knowledge gained about their ear complaint. Pharmacists were motivated to upskill and manage workflow to incorporate the service and expected both consumers and GPs to be more accepting of future expanded services as a result of LISTEN UP. However, without funding to provide the service, during the study other remunerated pharmacy tasks took priority over providing LISTEN UP.ConclusionRural community pharmacists can provide an acceptable and accessible ear health service; however, it is not feasible without a clear funding structure to provide resources including additional pharmacists, equipment and training.Trial registration numberACTRN12620001297910.
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Youens, David, Jenny Doust, Thi Ninh Ha, Peter O’Leary, John Slavotinek, Cameron Wright, and Rachael Moorin. "Association of regulatory body actions and subsequent media coverage with use of services in a fee-for-service system: a longitudinal cohort study of CT scanning in Australia." BMJ Open 12, no. 4 (April 2022): e057424. http://dx.doi.org/10.1136/bmjopen-2021-057424.
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ObjectiveThe professional service review (PSR) is an Australian Government agency aiming to reduce inappropriate practices funded via Medicare, Australia’s public insurer. Our objective was to examine changes in CT following the 2008–2009 PSR annual report, which noted excessive CT use.DesignInterrupted time series analysis examined trends in CT use following the 2008–2009 PSR report, estimating both change in the immediate rate of CT and the slope of the trend in usage postintervention.SettingMedicare-funded imaging (most out-of-hospital imaging) in Australia.ParticipantsPatients receiving Medicare-funded CT and other imaging.InterventionThe 2008–2009 PSR report highlighted concerns regarding excessive CT use. Two providers were financially penalised for CT overuse with these cases detailed in the PSR report and highlighted in an associated Report to the Professions, distributed to 50 000 providers. Media articles on radiation risks followed.OutcomesQuarterly rates of out-of-hospital CT, MRI (as a comparator), and all other Medicare-funded diagnostic imaging examinations 2001–2019.ResultsCT scanning increased from 4663.5 per 100 000 person-years in 2001 to 14 506 in 2019 (211% increase), with substantial variation by type and anatomical region. The 2008–2009 PSR report was followed by an immediate reduction in CT scanning of 237.7 CTs per 100 000 people per quarter (95% CI −333.4 to −141.9) though growth in use soon continued at the preintervention rate. The degree of change in utilisation following the report differed between states/territories and by scan type, both in terms of the immediate change and the slope. For other diagnostic imaging modalities, there was an increase in the slope, while for MRI there was no change in either parameter.ConclusionActions consisting of financial disincentives for service overtesting and provider/public education components may limit excessive use of diagnostic imaging in fee-for-service systems, however, effects observed here were only short lived.
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Ryan, Anna T., Deborah A. O'Mara, Zarrin S. Siddiqui, Helena M. Ward, and James D. Fraser. "Benchmarking in Australia using the International Foundations of Medicine Clinical Science Examination." Medical Journal of Australia 204, no. 9 (May 2016): 345. http://dx.doi.org/10.5694/mja15.01377.
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Lim, Renly, Lisa M. Kalisch Ellett, Imaina S. Widagdo, Nicole L. Pratt, and Elizabeth Ellen Roughead. "Analysis of anticholinergic and sedative medicine effects on physical function, cognitive function, appetite and frailty: a cross-sectional study in Australia." BMJ Open 9, no. 9 (September 2019): e029221. http://dx.doi.org/10.1136/bmjopen-2019-029221.
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ObjectiveTo test the association between use of medicines with anticholinergic or sedative properties and physical function, cognitive function, appetite and frailty.Design, setting and participantsThis cross-sectional study analysed baseline data collected as part of the Australian Longitudinal Study of Ageing, a population-based cohort of 2087 participants aged 65 years or over living in South Australia.Main outcome measuresPhysical function was measured at baseline using measures including hand grip strength, walking speed, chair stands, activities of daily living and instrumental activities of daily living (IADL). Cognitive function was measured using Mini-Mental State Examination. Appetite was measured using Center for Epidemiologic Studies Depression question 2. Frailty was measured using frailty index. The association between use of anticholinergics or sedatives and physical or cognitive function, appetite, or frailty was assessed using analysis of covariance and ordinal or binary logistic regression.ResultsAlmost half of the population were using anticholinergics or sedatives (n=954, 45.7%). Use of anticholinergics was significantly associated with poorer grip strength, slower walking speed, poorer IADL and poorer appetite. Use of sedatives was significantly associated with poorer grip strength, slower walking speed and poorer IADL. We found no significant association between medicine use and cognitive function. Users of anticholinergics or sedatives were significantly more likely to be frail compared with non-users.ConclusionUse of medicines with anticholinergic or sedative properties is significantly associated with poorer physical function, poorer appetite and increased frailty. Early identification of signs and symptoms of deterioration associated with medicine use is particularly important in older people so that worsening frailty and subsequent adverse events are prevented.
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Rezayi, Sorayya, Leila Shahmoradi, Nastaran Ghotbi, Haniyeh Choobsaz, Mohaddeseh Hafez Yousefi, Shahab Pourazadi, and Zakiyeh Raisi Ardali. "Computerized Simulation Education on Physiotherapy Students’ Skills and Knowledge: A Systematic Review." BioMed Research International 2022 (October 26, 2022): 1–20. http://dx.doi.org/10.1155/2022/4552974.
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Introduction. Applying computerized simulation education tool for learning in medical domains is widely used in many countries. This review is aimed at systematically investigating the computerized simulation tools developed to educate physiotherapy students and determine the effectiveness of these interventions. Methods. A comprehensive search was conducted in Medline (through PubMed) and Scopus databases from inception to Sept. 10, 2022. The studies that examined the effectiveness of computerized simulation-based interventions were included. Results. Sixteen studies were included in this systematic review. All included examinations were ranked “good” or “low risk of bias” based on the criteria utilized in the Joanna Briggs Institute (JBI) scale and the Effective Public Health Practice Project (EPHPP) tool. Most of the articles (43%) were conducted in the USA and 25% in Australia. In 43% of the total studies, the study population was only physiotherapy students, and in 12.5% of them, the scope of education was related to practical skills training. Three of the 16 reviewed articles presented positive qualitative results; thirteen quantitative investigations also declared statistically positive effects. Positive effects have been seen in areas such as improving professional and behavioral abilities, improving knowledge and self-confidence, and reducing stress. The sample size of the studies ranged from eight to 162 participants. The limited sample sizes in groups, lack of interaction, and short follow-up duration were the most consistent limitations evident within the included studies. Conclusion. Computerized simulation education approaches can help to improve physiotherapy students’ skills and knowledge. They also have great potential to reduce learning costs and increase the quality of education.
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Payten, Christopher L., Duy Duong Nguyen, Daniel Novakovic, John O’Neill, Antonia M. Chacon, Kelly A. Weir, and Catherine J. Madill. "Telehealth voice assessment by speech language pathologists during a global pandemic using principles of a primary contact model: an observational cohort study protocol." BMJ Open 12, no. 1 (January 2022): e052518. http://dx.doi.org/10.1136/bmjopen-2021-052518.
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IntroductionSARS-CoV-2, a highly contagious severe acute respiratory syndrome, has spread to most countries in the world and resulted in a change to practice patterns for the assessment and diagnosis of people with voice disorders. Many services are transitioning to telehealth models to maintain physical distancing measures and conserve personal protective equipment used by healthcare workers during laryngoscopy examinations. The speech–language pathology primary contact (SLPPC) assessment for patients referred to ear, nose and throat (ENT) services in Australia has been shown to reduce waiting times for assessment while streamlining access to ENT assessment and allied health practitioner treatment pathways.Methods and analysisA prospective observational cohort study will see patients in a newly developed telehealth model which uses the principles from a usual care SLPPC assessment protocol. Participants will be offered an initial telehealth assessment (speech–language pathology primary contact telehealth (SLPPC-T)) prior to being prioritised for a face-to-face laryngoscopy assessment to complete the diagnostic process. The telehealth assessment will collect sociodemographic information, personal and family medical history, key symptoms, onset and variability of symptoms, red-flag signs or symptoms for laryngeal malignancy, and clinical voice assessment data for auditory–perceptual and acoustic analysis. The study outcomes include (1) association of signs, symptoms and specific voice measures collected during SLPPC-T with voice disorder classification provided after laryngoscopy; (2) degree of concordance between voice disorder classification after SLPPC-T and after laryngoscopy; (3) health service and patient-related costs and health outcomes of the SLPPC-T; (4) patient and stakeholder views and beliefs about the SLPPC-T process.Ethics and disseminationEthical approval has been granted prior to commencement of the study enrolment by the Gold Coast Hospital and Health Service Human Research Ethics Committee (reference number HREC/2020/QGC/62832). Results will be shared through the publication of articles in peer-reviewed medical journals and presentation at national and international scientific meetings.Trial registration numberACTRN12621000427875.
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Perlstein, Robyn, Janet McLeod, Colin Bell, and Caryl Nowson. "Nutrition content of summative examinations within an Australian 4-year graduate entry medical course: 2013–2016." BMJ Nutrition, Prevention & Health 4, no. 1 (May 27, 2021): 251–56. http://dx.doi.org/10.1136/bmjnph-2021-000280.
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BackgroundPoor nutrition is a major contributor to chronic disease, but the level of nutrition education in medical training is limited. Deakin University Medical School has been working to embed more nutrition into the curriculum since 2009.AimTo assess the nutrition content of all summative examinations in the Bachelor of Medicine, Bachelor of Surgery over a 4-year period.MethodsThe type, amount and scope of nutrition-related questions were assessed in all summative examinations delivered to all 4-year levels from 2013 to 2016. These were assessed independently and analysed for nutrition content. The amount of nutrition was quantified, and the nutrition topic areas and nutrition competencies addressed were documented.ResultsLess than 10% of summative examination questions contained any nutrition content. For first-year and second-year students, these examinations included an average yearly total of 433 multiple choice questions (MCQs) (range 337–530) and 47 short answer questions (SAQs) (range 33–62). Third-year and fourth-year students had 150 MCQs on average per year and no SAQs. The percentage of nutrition-related questions across all 4 years ranged from 6% in 2013 to 10% in 2016. The proportion of SAQs with nutrition content ranged from 12% in 2013 to 19% in 2016. Basic nutritional sciences, accounted for 60% of nutrition content and, 25% addressed dietary strategies for prevention and treatment of disease, and skills-based nutrition competencies represented approximately 10% of all questions.Summary and conclusionsMinimal nutrition was included in the summative examinations. There did not appear to be any consistent increase in the nutrition content of MCQs over the 4-year period but there was some indication of an increase in nutrition content in SAQs. Longer term evaluation is required to confirm this trend. Only a small number of nutrition questions were skills based, most focused on basic nutritional science. Examinations included few skills-based nutrition questions, and consideration of setting a minimum level of nutrition in examinations could assist in ensuring the development of appropriate nutrition competencies in medical graduates.
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Wardle, Jonathan Lee, and Jerome Sarris. "Student attitudes towards clinical teaching resources in complementary medicine: a focus group examination of Australian naturopathic medicine students." Health Information & Libraries Journal 31, no. 2 (May 26, 2014): 123–32. http://dx.doi.org/10.1111/hir.12060.
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Harrison, G. A., P. L. Byth, and C. A. D'Este. "The Third Five-Year Survey of Fellows (by Examination) of the Faculty of Intensive Care, Australian and New Zealand College of Anaesthetists." Anaesthesia and Intensive Care 26, no. 4 (August 1998): 401–10. http://dx.doi.org/10.1177/0310057x9802600411.
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A questionnaire was sent to 126 Fellows who had passed the Fellowship Examination in Intensive Care up to and including the examination of October, 1995. The major objectives were to assess the continuing involvement of Fellows in Intensive Care and obtain feedback on training and the examinations. Only six Fellows failed to respond. Ninety-six per cent of responders had some involvement in Intensive Care and 89% had a current formal Intensive Care appointment. The median percentage of the week spent in the Intensive Care was high. Forty-seven per cent were practising some anaesthesia. Although there was considerable individual variation, the Fellows had not changed their median amount of Intensive Care practice over time. The responders provided feedback on their work patterns in the public and private systems, and their training and examinations. Overall, the training/examination system appears to satisfy Fellows although some fine tuning is required.
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McPhedran, Samara, Angela R. Gover, and Paul Mazerolle. "A cross-national comparison of police attitudes about domestic violence: a focus on gender." Policing: An International Journal of Police Strategies & Management 40, no. 2 (May 15, 2017): 214–27. http://dx.doi.org/10.1108/pijpsm-06-2016-0083.
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Purpose The purpose of this paper is twofold. The first goal is to conduct a cross-national examination of law enforcement officer attitudes about domestic violence (DV) by comparing officer attitudes in the USA to officer attitudes in Australia. The second goal is to examine law enforcement officer attitudes about DV using a gender lens to identify whether patterns in attitudes among male and female officers in the USA are similar to those among Australian male and female law enforcement officers. Design/methodology/approach The current study involves a comparative analysis of DV attitudes in two different countries (the USA and Australia). Officers in the USA were asked to indicate their level agreement with 28 attitudinal statements about DV. The Australian survey adapted the Gover et al. (2011) instrument by including 24 of the 28 attitudinal statements. The survey followed a mixed-methods design with both quantitative and qualitative components. Bivariate analyses were conducted to determine whether attitudes varied by country and gender of the responding officers. Analyses of attitudinal questions and categorical variables (e.g. gender) were conducted using t-tests. Findings According to survey data gathered from police officers in Colorado (USA) and Queensland (Australia), male and female officer attitudes within each country are more similar than different. When comparing the overall sample of American officer attitudes to Australian officer attitudes, they significantly differ about half the time. Research limitations/implications The Australian survey had a considerably low response rate, and therefore it cannot be stated with certainty whether the responses given are truly representative of the views of Australian officers as a whole, although the demographic characteristics of the sample were comparable with the overall police population demographics. Another limitation is that not all demographic and background variables were collected by both surveys. For example, the US survey asked about officers’ ethnicity, while the Australian survey did not, and the Australian survey asked about how many DV jobs officers attended per month, while the US survey did not. Practical implications Improving knowledge about police attitudes towards DV can help to inform future policy or practice implementation, as well as training programmes and better overall responses to the pervasive and ongoing problem of DV internationally. Originality/value This is a unique and original piece of research as it is a partial cross-national replication of an existing survey. This work does have the potential for great impact in understanding and developing innovative law enforcement responses to DV. In developing such responses officer attitudes need to be considered and integrated into the response, as their opinions will guide the support of future interventions.
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Harper, Shannon, Angela Gover, Samara McPhedran, and Paul Mazerolle. "Assessing cross-national differences in police officers' domestic violence attitudes." Policing: An International Journal 43, no. 3 (May 4, 2020): 469–82. http://dx.doi.org/10.1108/pijpsm-12-2019-0197.
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PurposeComparative research provides a mechanism to understand how justice systems throughout the world operate. McPhedran et al. (2017) conducted a comparative examination of police officer attitudes about domestic violence (DV) in the USA and Australia and reported fairly high levels of agreement among male and female officers within each country. The current study builds on these findings by examining officer attitudes toward DV among male and female officers cross-nationally. This was accomplished by examining whether American and Australian male and female officers agree with one another on a number of DV issues.Design/methodology/approachTwo-way ANOVA was used to examine the effect of two factors (gender and country) on law enforcement officer attitudes about DV.FindingsThe results suggest that male and female officers from the USA and Australia significantly differ on 14 of 24 attitudes about DV with the greatest number of attitudinal differences found between American and Australian male officers.Research limitations/implicationsScholars who conduct future research examining police officer attitudes about DV should use the instrument from this study as a springboard to develop an updated survey in terms of content and one that would be applicable to cross-national analyses. Methodological study limitations are described in depth in McPhedran et al. (2017).Originality/valueWhile gender differences in attitudes have received scholarly attention, questions remain regarding the degree to which attitudes align among male and female officers across different countries. The current study seeks to fill these gaps in knowledge by examining attitudes about DV between American and Australian law enforcement officers.
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Beumont, P. J. V., E. M. Kopec-Schrader, P. Talbot, and S. W. Touyz. "Measuring the Specific Psychopathology of Eating Disorder Patients." Australian & New Zealand Journal of Psychiatry 27, no. 3 (September 1993): 506–11. http://dx.doi.org/10.3109/00048679309075810.
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Cooper and Fairburn's Eating Disorder Examination (EDE) is a semi-structured interview designed to assess the specific psychopathology of eating disorder subjects. It was employed in a study of 116 Sydney patients for 2 purposes: first, to determine its usefulness in an Australian context; and second, to compare patients with anorexia nervosa, bulimia and atypical eating disorder. The instrument appears to be quite appropriate for studies in Australia. With respect to the second aim, the results emphasize the essential similarity in psychopathology between the three diagnostic groups. The relevance of this latter finding to the categorisation of eating disorders in the DSM-IV proposals is discussed.
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Li-Wey Soh, Nerissa, Stephen Touyz, Timothy A. Dobbins, Lois J. Surgenor, Simon Clarke, Michael R. Kohn, Ee Lian Lee, et al. "Restraint and Eating Concern in North European and East Asian Women with and without Eating Disorders in Australia and Singapore." Australian & New Zealand Journal of Psychiatry 41, no. 6 (June 2007): 536–45. http://dx.doi.org/10.1080/00048670701332318.
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Objective: To investigate eating disorder psychopathology, restraint and eating concern in young women with and without an eating disorder from two different ethnic groups in Australia and Singapore. Method: The relationship of Eating Disorder Examination Questionnaire Global, Restraint and Eating Concern scores to cultural orientation and sociocultural factors was analysed in 154 women with and without an eating disorder. Participants were from the following backgrounds: North European Australian, East Asian Australian, Singaporean Chinese and North European expatriates in Singapore. Results: Women with eating disorders had similar psychopathology across the cultural groups. Among controls, Singaporean Chinese reported significantly greater overall eating disorder psychopathology than other cultural groups and greater restraint than North European Australians/expatriates. Eating concern was not associated with cultural group overall or acculturation to Western culture. Dissatisfaction with family functioning, socioeconomic status and education level were not significantly associated with any of the eating disorder measures. Conclusion: In eating disorder psychopathology, the specific symptom of eating concern may transcend cultural influences.
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Lancaster, Kari, Kate Seear, and Alison Ritter. "Making medicine; producing pleasure: A critical examination of medicinal cannabis policy and law in Victoria, Australia." International Journal of Drug Policy 49 (November 2017): 117–25. http://dx.doi.org/10.1016/j.drugpo.2017.07.020.
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Weller, J. M., M. Henning, R. Butler, and A. Thompson. "The Impact of the Australian and New Zealand College of Anaesthetists’ Specialist Examinations on Trainee Learning and Wellbeing: A Qualitative Study." Anaesthesia and Intensive Care 42, no. 6 (November 2014): 736–44. http://dx.doi.org/10.1177/0310057x1404200609.
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Assessment is an essential component of any medical specialist training program and should motivate trainees to acquire and retain the knowledge and skills essential for specialist practice, and to develop effective approaches to learning, essential for continuous professional development. Ideally, this should be achieved without creating an unreasonable burden of assessment. In this qualitative study we sought to investigate the underlying processes involved in trainees’ preparation for Australian and New Zealand College of Anaesthetists’ examinations, focusing on how the examinations helped trainees to learn the Australian and New Zealand College of Anaesthetists’ curriculum, and to identify any potential areas for improvement. We also explored the effect the examinations had on trainees’ lives, to identify if the examinations were a potential threat to their wellbeing. Using a phenomenological approach and purposive sampling, we conducted semi-structured interviews with post-fellowship trainees (n=20) selected from three different regions, with sampling continuing to achieve data saturation. We undertook a thematic analysis of the transcribed interview data utilising a general inductive approach. Our preliminary data suggest that, while the examinations are an important extrinsic motivator to learn and important for professional development, interviewees described many test-driven learning strategies, including rote learning and memorising past examination questions. A strong theme was the considerable impact on participants’ relationships and social activities for prolonged periods. Our findings support further research in this area and, in particular, into alternative testing strategies that might increase the proportion of time spent in useful study while decreasing less useful study time.
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Anderson, Warwick. "Coolie Therapeutics: Labor, Race, and Medical Science in Tropical Australia." International Labor and Working-Class History 91 (2017): 46–58. http://dx.doi.org/10.1017/s0147547916000351.
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AbstractThis essay considers the biomedical framing of labor in tropical Australia from the late-nineteenth century until the early twenty-first century. This entails critical inquiry into racialized estimates of labor capacity or fitness, as well as skeptical examination of medical assumptions of risk and danger. Racial theories and medical conjectures have constituted flexible analytic toolkits that might adjust, adapt, and justify a variety of exploitative labor practices in Australia’s tropical north. Debates about coolie or indentured labor were never simply economic calculations: They also concerned notions of races and their proper places, and expressed particular moral sensibilities and medical fears. Thus labor history becomes entangled with histories of racial formation and of science and medicine
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Soares, Mario J., Leonard S. Piers, Kerin O'Dea, and Prakash S. Shetty. "No evidence for an ethnic influence on basal metabolism: an examination of data from India and Australia." British Journal of Nutrition 79, no. 4 (April 1998): 333–41. http://dx.doi.org/10.1079/bjn19980057.
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A lower BMR of Indians, when compared with Westerners matched for age, sex, and either surface area or body weight, has often been reported in the literature and has been interpreted to reflect an ethnic influence on BMR. To determine the contribution of body composition to these observed differences in BMR, we analysed the data on ninety-six Indians and eighty-one Caucasian Australians of both sexes, aged 18–30 years, studied in Bangalore, India and Melbourne, Australia. Absolute BMR and BMR adjusted for body weight were significantly lower in Indians when compared with Australians of the corresponding sex. However, BMR adjusted for fat-free mass (FFM) in men, and BMR adjusted for FFM and fat mass (FM) in women, were not significantly different between the two groups. Stepwise regression of FFM, FM, sex (0 = women; 1 = men) and ethnicity (0 = Indian; 1 = Australian) on BMR, resulted in the following relationship for the combined data on all subjects: BMR=88.7 × FFM (kg) + 1713 (n 177; r 0.92; r2 0.85; see 425 kJ). The Indian equations of Hayter & Henry (1994), based on body weight, resulted in a significant bias (measured – predicted BMR) of 318 (SE 54) kJ/d in Indian men and -409 (SE 70) kJ/d in Indian women. The equation of Cunningham (1991), based on FFM, accurately predicted the BMR of Indian men, Indian women and Australian men. The small but significant bias of 185 (SE 61)kJ/d in Australian women, may be explained by the significant contribution of FM to BMR in this group. The present study does not provide any evidence for an ethnic influence on basal metabolism. The results strongly support the use of FFM, rather than body weight, for the prediction of BMR in population groups of varying body size and composition. This would allow an accurate estimation of BMR and hence energy requirements in population groups worldwide.
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Biles, David, and Vicki Dalton. "Deaths in Private and Public Prisons in Australia: A Comparative Analysis." Australian & New Zealand Journal of Criminology 34, no. 3 (December 2001): 293–301. http://dx.doi.org/10.1177/000486580103400306.
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Public opinion in Australia has been divided on the question of whether private prisons are welcome and one of the issues in dispute has been the question of whether or not private prisons are associated with proportionately more or fewer deaths of prisoners, particularly suicides, than public prisons. The available evidence is examined, and when the number of deaths, or suicides, per 1000 prisoner years served for all private and public prisons are calculated it is found that the rate for all deaths is significantly lower in private prisons at the 0.05 level of confidence. However, the difference in the suicide rates is not statistically significant.The lower overall death rate is particularly surprising as private prisons in Australia hold proportionately more unconvicted remandees,who are at higher risk, than public prisons. A close examination of the data for three relatively new remand and reception prisons, two private and one public, shows that all have much higher rates for both all deaths and for suicides than the national averages. This is an updated and expanded version of a paper by the same authors published by the Australian Institute of Criminology in June 1999. That paper was admitted into evidence at a coronial inquiry that was held into five deaths that occurred in the Port Phillip Prison in Victoria. Address for correspondence: D. Biles, 25 Kidston Cres, Curtin ACT 2605, Australia.
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Yang, Lu, Wenbo Peng, Jon Adams, and David William Sibbritt. "Treating People with Arthritis with Traditional Chinese Medicine (Tcm): An Examination of the Perception of Tcm Practitioners." Acupuncture in Medicine 36, no. 4 (August 2018): 228–39. http://dx.doi.org/10.1136/acupmed-2017-011527.
Full textAbstract:
Introduction Emerging evidence has shown that traditional Chinese medicine (TCM) has a positive effect on arthritis. This research provides the first critical, systematic examination of TCM practitioners’ perceptions of TCM use for people with arthritis. Methods An online survey was distributed to all TCM professionals including acupuncturists and Chinese herbal medicine practitioners registered with the Practitioner Research and Collaborate Initiative (PRACI) practitioner database. The survey questions focus on practitioner characteristics, practice characteristics and clinical management approaches regarding arthritis care. Results The survey attracted a response rate of 53% (n=52). The average age of the respondents was 49.9 years, more than half were female, and the majority held a bachelor degree or higher qualification. More than two thirds of TCM practitioners in our study worked with other health professionals, while they had a high level of referral relationships with a wide range of conventional, allied health and complementary and alternative medicine (CAM) providers. Most of the TCM practitioners reported that their patients with arthritis used other treatments alongside TCM and a large number of the TCM practitioners who participated believed that TCM was effective for treating arthritis. Conclusions The TCM profession represents a substantial component of the healthcare field in Australia, and treating patients with arthritis appears to be an important area of TCM practice, among others. Further detailed research is needed to help ensure effective, safe patient care for those with arthritis who may be utilising TCM alongside a broader range of conventional medicine, allied health, and other CAM treatments.
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McGeary, Rebecca, and Kate Fitz-Gibbon. "The homosexual advance defence in Australia: An examination of sentencing practices and provocation law reform." Australian & New Zealand Journal of Criminology 51, no. 4 (January 11, 2018): 576–92. http://dx.doi.org/10.1177/0004865817749261.
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In May 2015, the judgment of the High Court of Australia in Lindsay v The Queen reignited debate surrounding the use of the partial defence of provocation in cases involving a non-violent homosexual advance. Lindsay re-established the legal possibility that a man provoked enough to lose self-control and commit lethal violence in response to a non-violent homosexual advance could be convicted of manslaughter by reason of provocation rather than murder. The judgment arrived in the midst of two decades of national law reform activity, whereby all Australian jurisdictions have either introduced or proposed reform to abolish or restrict the application of the controversial partial defence of provocation. In doing so, cases involving a homosexual advance defence are increasingly shifting to the realm of sentencing. This article offers a timely analysis of the sentencing of homosexual advance defence cases in New South Wales and Queensland. In doing so, it examines the judicial treatment of a defendant’s claim of a ‘special sensitivity’ to a homosexual advance, problems arising from the private nature of an alleged homosexual advance and the treatment of intoxication in sentencing. It reveals that reform of legal categories alone may not be sufficient in ensuring a just legal response to homicides incited by alleged homosexual advances.
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Shamsi, S., A. Stoddart, L. Smales, and S. Wassens. "Occurrence of Contracaecum bancrofti larvae in fish in the Murray–Darling Basin." Journal of Helminthology 93, no. 05 (July 18, 2018): 574–79. http://dx.doi.org/10.1017/s0022149x1800055x.
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AbstractThere is a paucity of information on the diversity and occurrence of freshwater fish parasites in Australia. This study investigates the distribution and occurrence of a parasitic nematode of the genusContracaecumin freshwater fish from south-eastern Australia. Fish (n= 508) belonging to nine species and eight families were collected from eight wetlands associated with the Murrumbidgee River floodplain in the southern Murray–Darling Basin and subjected to laboratory examination. Third-stage nematode larvae were found in eight of the nine fish species. The exception was the fly-specked hardeyhead (Craterocephalus stercusmuscarum), although only one specimen of this species was examined. Nematode larvae were identified asContracaecum bancroftiusing a combined morphological and molecular approach. The parasite was most prevalent in weather loach (Misgurnus anguillicaudatus; 34.8%) and Australian smelt (Retropinna semoni; 21.4%), followed by carp (Cyprinus carpio; 9.5%), of which the former and latter are non-native species.Contracaecumprevalence differed between locations, with Two Bridges having the highest number of infected fish. This may be due to the higher number of suitable host species collected at these localities.Contracaecumspp. are parasites with low host specificity that have also been reported in Australian marine fish, humans and piscivorous birds. The high parasite prevalence in the two abundant non-native fish species in the region suggests that they act as a suitable host for this endemic parasite, resulting in the increase in the parasite population. It would be interesting to study host–parasite interactions in this area, especially if introduced fish populations declined dramatically in the attempt to eradicate them or control their population.
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Frawley, Jane Elizabeth, Erica McIntyre, David Sibbritt, Jon Wardle, Janet Schloss, Romy Lauche, and Jon Adams. "Associations Between Cancer Screening Behavior and Complementary Medicine Use: Results of a National Cross-Sectional Survey of 9151 Australian Women." Integrative Cancer Therapies 17, no. 3 (June 13, 2018): 979–85. http://dx.doi.org/10.1177/1534735418781728.
Full textAbstract:
Introduction: Complementary medicine (CM) use has been found to influence the uptake of conventional cancer treatment. This study examines associations between CM use and cancer screening rates. Methods: Women aged 62 to 67 years from the Australian Longitudinal Study on Women’s Health were surveyed regarding their use of cancer screening initiatives. Associations between cancer screening behavior and visits to CM practitioners were analyzed. Results: Of the 9151 women, 9049 (98.9%) completed questions about cancer screening. A total of 65.1% of women had received a clinical skin examination, 54.3% colorectal cancer screening, 56.2% Pap test (within past 2 years), 83.3% mammogram (within past 2 years), 55.8% clinical breast examination, and 55.8% had conducted breast self-examination. Women who had consulted a massage therapist were more likely to undergo clinical skin examination ( P = .002), clinical breast examination ( P = .018), and mammogram ( P = .001). Women who had consulted a chiropractor were more likely to undergo a clinical skin examination ( P = .001), colorectal cancer screening ( P = .020), and mammogram ( P = .011). Women who had consulted an acupuncturist were more likely to undergo colorectal cancer screening ( P = .019), and those who consulted with an osteopath were more liable to have a Pap test ( P = .049). Conclusion: Women who visit CM practitioners are more likely to participate in cancer screening initiatives. Research is required to understand the current and potential role that CM practitioners (can) have as public health advocates, recommending preventative health measures such as cancer screening. Such an examination will help ensure optimal screening utilization and effective, timely care for all cancer patients.