d Chair Reports
CEO and Chairs
2021 at a glance
- Implemented the Future Models of Training Pilot
- Released Rural Plan (Gippsland)
- Reviewed and undertook redevelopment of Practice Support Portfolio
- Improved targeting of rural practice and post recruitment to ensure capacity meets community need
- Continuous improvement and refinement of online delivery systems
- 10% increase in EV registrars achieving Fellowship in GP Colleges
- Continued to exceed national average results in College Fellowship exams
- Successful 2022 AGPT recruitment
- Recruited 8 new practices
- Accredited 74 new supervisors
- Achieved above national average results in National Supervisor Survey
- Held 2 virtual Supervisor Residential workshops
- Introduced an Aboriginal Health Award to our annual Awards Program
- Delivered the new RACGP PEP Specialist Stream
- Developed Cultural Awareness Module for Supervisors
- Delivered 2 supervisor projects (curriculum and framework) to RACGP on time and within budget
- Further developed the #OpportunityGippsland rural marketing campaign
c Directions 2019-2021
See Director profiles by clicking on their image.
EDUCATION AND TRAINING
EV’s Medical Education and Training Directors are:
Professor Neil Spike AM, Director of Medical Education and Training
Dr Carolyn O’Shea, Deputy Director of Medical Education and Training – General Pathway
Dr Elisabeth Wearne, Deputy Director of Medical Education and Training – Rural Pathways
This quote is attributed to Yogi Berra, the famous Yankees baseball coach, after Roger Maris and Mickey Mantle hit back-to-back home runs in an MLB game in 1961. 2021 seemed like 2020 all over again, with COVID once more hitting us over the fence.
But 2021 was more than living and working with the pandemic. The transition to College-led training was looming large on the horizon, even if it was not becoming clearer in focus due to limited detail available. Despite the escalating number of meetings with RACGP and ACRRM and the resulting tasks, the medical education team continued to focus on what it does best - deliver a quality training program for registrars and provide support to our training practices...
Professor Neil Spike AM, Director of Medical Education & Training
This year saw our first PEP participant who completed the program with EV complete the RACGP examination requirements and was awarded Fellowship. A proud time for all involved.
2021 was a stable and consolidating year for PEP. The program requirements did not undergo further changes following the redesign in late 2020. 2021 saw the introduction of the PEP Specialist Pathway in addition to the PEP Standard Pathway. Whilst the numbers in this pathway are still small, there are unique elements to this abbreviated program that require upskilling of MEs, and numbers are expected to rise in 2022.
With increasing numbers from the quarterly intakes in the Standard Pathway during 2021, program extensions provided by RACGP and a few ME resignations, EV’s capacity to continue supporting our participants was challenged. Additional resourcing was required, and we were fortunate to have Marina Kladaric join the program and provide support to Melanie Khan, PEP Admin Coordinator. The employment of five new part-time MEs in the second half of 2021 enabled us to meet contractual requirements and our engagement with the participants. The ME team is a diverse, enthusiastic, compassionate and deeply committed group who are now spread across our geographic footprint and not solely metropolitan based.
Congratulations and sincere thanks to all for another successful year.
Professor Neil Spike AM
Medical Coordinator PEP
During 2021, EV completed work on two important research projects – Developing a GP Supervisor Curriculum and Developing a GP Supervision Framework. The RACGP is now looking to apply this framework and curriculum for a national GP supervisor program. Another significant project – Developing a Cultural Safety Framework for GP Supervisor Professional Development completed two modules in 2021 with a further two modules for completion in 2022.
One EV registrar undertook an academic post in 2021 with a further five EV registrars accepted for academic posts in 2022. EV continued to support MEs in their pursuit of professional development that increased expertise and skills available to the organisation. Drs Elisabeth Wearne and Niroshe Amarasekera completed their Master of Clinical Education. Congratulations to both of them.
SUPPORTING OUR COMMUNITIES
EV has always prided itself in its support of registrars in our program. We are particularly proud of our achievements in these challenging times.
Supporting registrars is a key part of all roles at EV. Registrars have a Medical Educator who is their Training Advisor and provides support, advice and feedback. The one to one relationship they can develop, with the additional element of doing the ECT visit for the General Pathway registrars, allows for an individual understanding of each registrar and their needs, and fostering...Read More
Program Support Teams
Any discussion about supporting registrars, needs to highlight and acknowledge the invaluable role the Program Support Team, particularly the Registrar Support Officers, do every day. The teams are led by Bianca Vardanega Manager General Pathway Training and Val Treneman Manager Rural Pathway Training...Read More
Fellowship Exam Support
Exams are an understandable focus for registrars as they work towards their goal of Fellowship. For registrars on the RACGP program EV offers region wide mock written exams, and mock clinical exams for each region. For registrars who are unsuccessful at their initial attempts, the Registrar Support and Progress team work with them to develop an individualised plan...Read More
Dr Belinda Hosking, Medical Educator, reflects on themes from the many end of training interviews she has done with registrars.
"Variety of experiences, working in practices, interactions with supervisors, workshops and interaction with other registrars and medical educators."Read More
Registrars supported to sit exams and assessments in Gippsland
EV have been working with both Colleges to enable rural pathway registrars access to sit exams and assessments locally. Registrars have had the opportunity to sit the paper-based RACGP AKT and KFP exams or ACRRM’s online MCQ and CGT StAMPS assessments at the Churchill office during 2021. EV Program Support staff, Leanne Renshaw and Belinda Giles, ensured all COVID-19 restrictions were adhered to and undertook invigilation of the exams and assessments as required...Read More
EV Practice Support and Development Team
In 2021, EV established the Practice Support and Development Portfolio, which is led by Dr Niroshe Amarasekera, a GP Supervisor and Medical Educator with EV. Niroshe and her team have provided feedback, guidance and support for training practices and staff. The Portfolio has expanded the Supervisor and Practice Manager Mentor Program and continues to work closely with the SLOs with the aim of providing positive learning environments for registrars. The PSD team works closely with the Accreditation team with both having clearer defined roles relating to support and decision-making.
How we support our practices
The Practice Support and Development Team provide support to all of our EV training posts in the following ways:
- Mentor Program for new training practices, new supervisors and practice managers
- Orientation and induction for new practices...
New Practice Mentor Program
Due to overwhelmingly positive feedback from mentors and mentees in the 2021 pilot program, EV will continue to support the new Practice Mentoring Program in 2022. This is to support practices that are new to the training program and is for both supervisors and practice managers for the first 6 months of having a registrar...Read More
Practice Support Feedback Program
In the latter part of 2021, the Practice Support and Development (PSD) team, has started to roll out the Practice Support Feedback Program. This is to provide practices with aggregate feedback on supervision, teaching, orientation, practice culture, feedback and approachability...Read More
EV further developed the promotion of accredited training practices through an enhanced digital platform. The site enables greater filtering of criteria and allows registrars the ability to see the diverse range of practices on offer.
EV continued to promote rural general practices in our Gippsland region. In 2021, a further round of filming was undertaken and included a new promotional video, #OpportunityGippsland – A Rural Solution, to support 2022 AGPT selection.
Aboriginal and Torres Strait Islander
The Aboriginal Health Team (AHT) had a very busy year in 2021. Cultural educators continued to make a significant contribution to the registrar workshop program, the Supervisor Professional Development program, practice manager and staff events.
We successfully delivered on a research project for the Department of Health which included the development of a Cultural Safety Framework, development, test and launch of an online Cultural Awareness module and delivery of cultural safety to senior leaders, including Board Directors and medical educators.
EV is planning to promote elements of the research project achieved during the year to key partners and peak bodies in 2022. These are the Cultural Safety Framework document, the Cultural Awareness online module and the Cultural Safety workshop curriculum – making these accessible nationally.
In relation to the Cultural Awareness module, the evaluation report of the research project prepared by EV’s Research Manager, Dr Angelo D’Amore, concluded the following:
“The participants’ engagement, experiences and feelings toward the module was overall positive, with the most common comments related to the module being engaging, interesting and informative.”
The feedback from the Cultural Safety sessions, delivered via webinar three times during the year, was similarly positively received with participants noting many intended actions as a result of the training.
The AHT has secured additional funding to develop two more modules to complete the suite of four modules as recommended by the research.
Reconciliation Action Plan
Aligning with EV’s contract extension with the Department of Health was our successful negotiation with Reconciliation Australia to extend our Reconciliation Action Plan into 2022.
As at the end of the year the status of our 70 RAP actions showed 63 complete. Four items were unable to be attained due to COVID restrictions, another was an organisational decision not to action and two have been carried over to 2022.
Registrar Placements in Aboriginal Community Controlled Health Services (ACCHS)
In 2021, there was a 7% decrease in the number of FTE weeks delivered compared to the 2020 training year. This came about when one of our long-standing GP training posts was unable to host a registrar in Semester 2 due to key personnel changes and medical officer retention matters.
Inaugural Aboriginal Health Award
In 2021, EV introduced an ‘Outstanding Contribution to Aboriginal Health’ category in its annual Awards program with Registrar Dr Sophie Lindstedt the inaugural winner. Sophie worked part-time at Gippsland and East Gippsland Aboriginal Cooperative in Bairnsdale and was well liked by staff and patients alike. Sophie’s colleagues nominated her for this award.
See more about Sophie’s award in the 2021 EV Awards section, of this report.
National Reconciliation Week
During National Reconciliation Week we launched our new Racial Discrimination Policy, part of our Board Governance suite of policies. In addition, we partnered with the Australian Human Rights Commission to adopt the “Racism. It stops with me.” campaign.
During 2021, our team in Gippsland continued to operate in a complex and ever changing environment. EV partnered with many local organisations on various programs and initiatives, continuing to make a significant contribution to the GP pipeline. Some of these activities are highlighted in this report.
Rural Generalist State Trainee Workshops
The ongoing impact of COVID restrictions continued into 2021 requiring all Workshops scheduled for the Rural Generalist Statewide Program to continue being co-ordinated by EV and delivered online for semester 1, 2021 for GP Obstetrics and GP Anaesthetics Trainees. Although registrars were not able to undertake the practical hands-on learning in a face to face environment, the quality of the content provided ‘virtually’ remained as all workshops...Read More
EV continues to promote and support ACRRM (rural generalists) and RACGP (rural pathway) registrars undertaking both extended and advanced procedural skills posts in collaboration with the Victorian Rural Generalist Program (VRGP). In 2021, EV had a number of registrars undertaking both extended and advanced skills posts in Obstetrics, Anaesthetics, Emergency Medicine, Paediatrics and Palliative Care...Read More
Rural Junior Doctor Training Innovation Fund (RJDTIF)
Since 2018, EV, the only RTO and one of 15 organisations nationally continued to co-ordinate the Rural Junior Doctor Training Innovation Fund (RJDTIF) offering GP rotations for Interns (PGY1) in the Gippsland Rural Intern Training Program (GRIT) and PGY2s in collaboration with Latrobe Regional Hospital and supported by the Monash Training Hub...Read More
Gippsland Students’ Medical Network (GSMN)
Although COVID has significantly impacted activities to support secondary school students in Gippsland with a desire to pursue a career in general practice, where able EV staff, Dr Elisabeth Wearne and Ms Julieanne McLuckie continue to meet with students and provide advice and guidance. EV also continues to collaborate with stakeholders...Read More
Our Rural Plan
The difficulties of appropriate provisioning of primary healthcare, particularly in relation to rural and remote communities, is a world-wide problem. Within Australia we are acutely aware of the impact that inadequate healthcare provisioning has had upon many of our most exposed communities. As demand continues to dwarf supply there exists the need to look at solutions that are more efficient, are patient rather than algorithmic centred and promote integration and cooperation rather than siloed and independent approaches.
Embracing this concept, in 2021 EV moved to a whole of region strategy. Based upon significant analysis of current and future regional need and in recognition of our own capacity, EV developed a rural plan which actively seeks to partner with other local agencies to form a collective and cooperative approach to the planning and delivery of primary healthcare services in Gippsland. For EV, this encompasses the sharing of our resources and our responsibility to lead and/or support healthcare initiatives implicit in a whole of region approach.
The plan is presented on an innovative digital platform. Visit the Rural Plan Gippsland.
Staff at EV continued to work remotely throughout 2021. Operations and education delivery were conducted in an online environment by EV’s committed and passionate staff. The flexible virtual environment offered efficiencies for staff to stay connected and collaborate through Zoom, MS Teams and other platforms. Teams connecting and supporting one another was important throughout the year and staff attended online Professional Development sessions aimed at supporting and maintaining wellbeing in the remote working world. EV staff demonstrated true agility continuously refining their approach and adapting processes to continue to fulfil their roles to the highest standard within the changing environment.
Transition to College-led training has brought another level of change for staff to deal with. Focusing on strategies and programs to support staff through the change and elevate our readiness for change has been a key focus. Keeping staff informed and connecting regularly has and continues to be a key pillar in our approach to inform and support staff as they uphold their commitment and service to deliver a quality medical education program for registrars and support a smooth transition for the program’s continued success.
Staff at an EV Organisational Update
EV staff finding ways to connect in lockdown with a cupcake extravaganza
In the recruitment and selection space, EV is pleasingly sought after as an employer by people passionate in the field of medical education and service to the community. We are proud to have brought on passionate and talented new staff to the team as we all work together to deliver the AGPT program with our values of compassion, respect, integrity, responsibility, connectedness, creativity and innovation.
We also welcomed a new Cultural Awareness online education module to the new staff orientation program, which is available to all staff and is part of the training offered to all new staff joining EV. We are grateful to our Aboriginal Health team members for their work in bringing this important educational piece to the program as it is through education that we can become more aware of Aboriginal and Torres Strait Islander culture and its importance to where we work and how we work.
As we look forward to 2022, the people and culture team are keen to work together and support all staff to move positively into the future with the opportunities that the transition to College-led training brings.