theHealthScoop The Career and Education Magazine for Health Professionals
Work the Worldâ€™s Dental Outreach Projects Reaching out to rural communities in the developing world
18 March 2013
- ISSUE 5
Dentistry & Orthodontics
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Editor’s note... Hi Readers, We are delighted to welcome you to Issue 5 of The Health Scoop magazine featuring Dentistry & Orthodontics. Australian College of Nursing (ACN) will soon present their 15th Annual ACN Nursing and Health Expo’s for 2013, beginning in Perth WA on 7 April before making their way across Australia to VIC, QLD and NSW. For further information about these events, please visit www.acn.edu.au This issue, we feature the great work of The Telethon Adventurers. Based in Perth, Western Australia, The Telethon Adventurers are a unique fundraising group that undertake exciting, challenging and sometimes dangerous adventures all over the world with the collective goal of fighting the war on childhood cancer. Turn to page 8 to find out more about this inspiring fundraising group. We also feature Work the World’s Dental Outreach Projects which address the problem of oral health within rural communities in the developing world. The Dental Outreach Projects offer remote communities in Nepal access to free dental healthcare with dental students and qualified dentists heading out to screen, treat and educate in remote communities that have little to no access to dental healthcare. Turn to page 16 to find out more about the projects and volunteer opportunities. Our next issue will arrive on Monday 1 April featuring Working Abroad. Until then, take care.
Naomi Byrne Editor 2
Dentistry & Orthodontics
Next Issue: Working Abroad
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Contents... Features 6 The University of Notre Dame Australia Young volunteer offered opportunity to study Nursing
8 The Telethon Adventurers
Fighting the war on childhood cancer
34 Healthy Recipes Inside Cvr 1
Quick & Easy Finance
Mediserve Nursing Agency
Breast Cancer Care WA Long Table Lunch
Centre for Remote Health
Continental Travel Nurse
Mediserve Nursing Agency
UK Pension Transfers Australia
Inside Bck Back Cvr
Featuring Emily Tan of Fuss Free Cooking
Dentistry & Orthodontics 10
The University of Sydney
Australian Dental Association Inc.
Ancient teeth reveal modern tooth decay
Dental Workforce Oversupply in Australia
Royal Flying Doctor Service
Work the World
Improving oral health in remote communities Reaching out to rural communities in the developing world
Indigenous Health 18
Rural Health Workforce Australia Go Rural campaign takes off
AB Dental 5
The University of Notre Dame Australia Amber Clarke, winner of the Caring in the Community award, has enrolled to study Foundation Year (Nursing) at Notre Dame’s Fremantle Campus.
The University of Notre Dame Australia Young volunteer offered opportunity to study Nursing A recipient of one of the Western Australian State Government’s Young People Who Care Awards in 2012 has enrolled at Notre Dame’s Fremantle Campus to further her knowledge and experience in assisting people overcome health problems and personal trauma. Amber Clarke, a graduate of Hamilton Senior High School, will begin her university life in February having enrolled in the Foundation Year (Nursing) Program on the Fremantle Campus. She hopes to use this program as a platform to eventually enrol in and complete a Bachelor of Nursing. Ms Clarke, who donates several hours of her time each week to working with community groups, received the 6
Caring in the Community award from Community Services Minister Robyn McSweeney for her role in “caring for family and community members”. “It felt wonderful to be recognised by the State Government for my volunteer work in the community. I was so proud to be standing next to other inspirational youth,” Ms Clarke said. “I am a carer for my brother who has autism so I try to apply the knowledge I have in my situation and use it to assist other children dealing with the same issues. “I believe Notre Dame’s hands-on approach to learning skills in the health care environment will ultimately help
It felt wonderful to be recognised by the State Government for my volunteer work in the community. I was so proud to be standing next to other inspirational youth,
me to assist underprivileged members in our community. “I am really looking forward to becoming an active member of the Notre Dame community.” Executive Director, Admissions and Student Services, Rommie Masarei, said the University prided itself on its unique admissions process where students’ extracurricular endeavours were recognised and rewarded. “I am delighted that Amber, a student with such initiative and maturity beyond her age, has selected Notre Dame as her destination to commence her tertiary studies,” Mrs Masarei said. “She is a wonderful example for other students who are looking to undertake volunteer work in the community. “Notre Dame is proud to have an admissions process which considers a prospective student’s personal qualities, motivation and academic potential, in addition to their contribution to Church, school and community life.” An initiative developed by Notre Dame’s Fremantle Campus in 2011, the Volunteer Network provides students with the opportunity to offer their services to agencies and organisations which work with some of WA’s most underprivileged people. Some of the organisations Notre Dame Fremantle students have volunteered at include the St Vincent de Paul Society, the Australian Red Cross and St Patrick’s Care Centre. The Foundation Year Program is an alternative entry pathway to Undergraduate studies at The University of Notre Dame Australia. For more information on the Foundation Year Program, visit the Academic Enabling & Support Centre website: www.nd.edu.au/academic_support/programs
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The Telethon Adventurers
Rick Parish with his son Elliot, the boy that inspired an army of adventurers
The Telethon Adventurers Fighting the war on childhood cancer Elliot Parish was only two and a half years of age when he was diagnosed with medullablastoma, the most common form of brain tumour found in children. He immediately underwent urgent invasive surgery and received essential aggressive treatment in a bid to stop the cancer spreading.
4,810 metres. As a result, the Adventurers raised close to a million dollars and with this purchased a 3D Molecular Imager, a vital piece of research equipment that until then was not available anywhere in the southern hemisphere. The machine was named in tribute to Elliot who lost his battle with cancer in February 2011.
It was then that Elliotâ€™s parents, Rick and Emily Parish, endeavoured that they would do everything in their power to help the Brain Tumour Specialists find a cure!
Since that first year, the adventure calendar and fundraising activities have continued to grow with the total raised to date at over $4.3 million.
The Telethon Adventurers was founded in 2010 by Rick and his friend Peter Wilson, who between them rallied a team of twenty Adventurers to climb Mont Blanc in the French Alps â€“ the highest mountain in Western Europe at
Based in Perth, Western Australia, The Telethon Adventurers are a unique fundraising group that continue to undertake arduous and sometimes dangerous activities all over the world. Each adventurer individually funds their
own trip and in turn commits wholeheartedly to a fundraising target, this successful model ensures that nearly every dollar really does get to where it is needed.
This dream became a reality at the close of the Symposium where the scientists, oncologists and neurosurgeons promised to forge a joint battle plan against the disease.
All funds raised by the Telethon Adventurers are distributed to the Telethon Institute for Child Health Research and the Princess Margaret Hospital for Children, both of which are located in Perth WA. Rick works closely with both organisations to create annual objectives, this ensures the researchers have the funding to purchase vital equipment and conduct essential research programs.
The group agreed on a number of key initiatives that includes the establishment of joint trans-Atlantic clinical trials. They will look at the development and sharing of laboratory models to identify causes of the disease, establish potential targets and assess new therapies.
Where has the money gone so far? The Telethon Adventurers Brain Tumour Research Laboratory, a dedicated laboratory located within the Telethon Institute for Child Health Research in Perth WA. In June 2012, due to the growth of the Brain Tumour Program the team moved into the laboratory that has been funded by the Telethon Adventurers. Since the arrival of Elliot’s Machine, various additional items of advanced technological equipment have been purchased, all of which are vital in development of Brain Tumour Research. An on-going Drug Discovery Project utilises advanced technology, including robotics in order to discover new drugs for the treatment of childhood cancer. The Telethon Adventurers also understand the importance of investment in people, The Elliot Parish Cancer Research Fellowship and the Telethon Adventurers’ Fellowship in Haematology and Oncology has attracted leading doctors and researchers to the Brain Tumour Research Program. The Global Symposium on Childhood Brain Tumours took place in Western Australia in February 2013. Funded by The Telethon Adventurers, the 3-day Symposium brought together more than 50 experts from the United States, Canada, United Kingdom, Europe, New Zealand and Australia. This unprecedented meeting encouraged the sharing of the latest research and data as well as the discussion of treatment options for the disease, which aggressively targets young children.
Symposium Co-convenors, Dr Amar Gajjar from St Jude Children’s Research Hospital in Memphis and Dr Nick Gottardo from the Telethon Institute for Child Health Research in Perth WA, say the collaboration is a crucial step forward in targeting and treating childhood cancer. “I’ve been blown away by the dedication and passion of this group to rid our kids of brain tumours. My personal fight is now their global crusade and I feel incredibly proud to have helped make this happen,” said Rick as he looks back on the Symposium. Looking forward The Telethon Adventurers continue to aim higher with their fundraising and they are about to embark on another year of exciting and challenging adventures, many of which will see them leave their footprints all over the world. Our 2013 Adventure Calender includes: April – Kokoda for a Cure July – Chamonix Challenge July – Summits of Bolivia September – Epic Dolomite Challenge October – Jump for a Cure November – Ice Marathon To sign up for one of the adventures or to donate today go to www.theadventurers.com.au Follow the Telethon Adventurers on Facebook and on Twitter @kidscancercure
The Symposium was a long-time dream for Rick who was committed to bringing together the world’s leading experts in a bid to form a global strategy to fight medullablastoma. 9
Dentistry & Orthodontics
The University of Sydney Ancient teeth reveal modern tooth decay with the earlier hunter-gatherer groups displaying fewer caries (tooth decay) - and periodontal disease associated bacteria,” Dr Adler said. “We found that the composition of oral microbiota remained surprisingly constant between Neolithic and Medieval times, after which cariogenic (tooth-decay promoting) bacteria became dominant, we think during the Industrial Revolution.”
Dr Christina Adler, Faculty of Dentistry at the University of Sydney.
Study leader, Professor Alan Cooper, Director of the University of Adelaide’s Australian Centre for Ancient DNA, said: “This is the first record of how our evolution over the last 7500 years has impacted the bacteria we carry with us, and has important health consequences.”
Prehistoric and medieval skeletons have revealed the incidence of dental decay could be worse than ever because of a decline in modern human’s oral microbiota levels.
Dr Adler said modern oral microbiotas are markedly less diverse than our historic populations and this might be contributing to the current state of chronic oral disease associated with post-industrial lifestyles.
These are the results of the four year PhD study by Dr Christina Adler, Faculty of Dentistry at the University of Sydney.
“Imagine your mouth is like a forest,” Dr Adler said. “In the past, our mouths were like a very diverse forest, with a huge variety of trees. Today our mouths are like a sparser and less varied forest, and with this loss of diversity we are less able to cope with stresses, and hence are more likely to be in a disease state,” Dr Adler said.
A major shift in our dietary habits has altered the oral microbiota composition in our mouths said Dr Adler, who worked with an international team including researchers from the University of Adelaide’s Australian Centre for Ancient DNA on the research project. The team, including archaeologists and anthropologists, collected and analysed calculus samples from skeletons dating from prehistoric and medieval times. The composition of oral microbiota underwent a distinct shift with the introduction of farming in the Neolithic era 10
“Caries (tooth decay) has become a major endemic disease, affecting 60 to 90 per cent of school-aged children in industrialised countries, whilst periodontal disease occurs in 5 to 20 percent of the adult population worldwide. Importantly, oral bacteria are also associated with many systemic diseases including arthritis, cardiovascular disease and diabetes, in addition to diseases of the oral cavity, which gives this research further significance.”
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Dentistry & Orthodontics
Dr Karin Alexander, President, Australian Dental Association Inc.
Australian Dental Association Inc. Dental Workforce Oversupply in Australia It has been an accepted assumption that in Australia health care professionals are in short supply because of the demands of an ageing population, as well as the difficulties rural and regional areas experience in getting suitable medical professionals. However, the Australian Dental Association Inc. (ADA) warns that in the case of the dental workforce in Australia there is a risk of oversupply. Latest data suggests dental workforce supply is increasing The Australian Institute of Health and Welfare (AIHW) Report, Trends in the Australian dental labour force 2000 12
to 2009, states there was: “[A]n overall increase in the supply of dentists (including dental specialists) across Australia in the decade to 2009 – from 46.9 to 54.1 practising dentists per 100,000 people… While the number of dentists in regional and remote areas is still well below major cities, there have been increases in the number of dentists in all remoteness areas between 2000 and 2009... These increases have ranged from 9% in Outer regional areas to 40% in Remote/Very remote areas”. The AIHW report also outlined the numbers of allied dental
personnel (dental hygienists, dental therapists and oral health therapists) from 2000 to 2009. Dental hygienists’ practising numbers have more than doubled, while the practising numbers of dental therapists decreased by 6.3% and the oral health therapists practising numbers increased by 60% from 2006 to 2009. Future supply of dental students joining the workforce is increasing In the decade up to 2006 around 250 new dentists entered the workforce annually. From 2006 to 2010, this increased to approximately 300 per year. However in 2011, over 600 dentist students commenced their dentist training and over 300 students commenced their training to become allied dental personnel. In 2013, approximately 580 dentists will graduate and approximately 250 new allied dental personnel will enter the workforce. These numbers will be supplemented by around 200 overseas trained dentists completing the Australian Dental Council (ADC) pathway to registration. Put simply, there has been a rapid and significant increase in the training of dental practitioners in this country. The 2012, Dental Board of Australia (DBA) data substantiated the increase indicating dental practitioner numbers have now reached more than 20,000, an increase of 27% on the 2009 figures. In fact, workforce oversupply is filtering through to the recent cohort of dental student graduates. Grad Stats is an annual publication by the Graduate Careers Council of Australia (GCCA) that outlines findings based on the results of the Graduate Destination Survey. The Survey collects information from university graduates around four months after the completion of their qualification. Traditionally, more than 94% of graduating dentists have been employed shortly after graduation. The 2012 Survey results released in late December, show a very different result. Dentists now report that only 83.6% were in full-time employment at the time of the survey. Australians have always welcomed the overseas skilled persons as part of an appropriate overall workforce mix, where appropriate. However, many of these overseas dentists are coming from countries that need their own dental workforce reinforced. The ethics of this has to be
questioned. Australia is accepting dentists from countries that have dentist workforce shortages to meet a demand that does not exist in Australia. There needs to be a rationalisation of what is going on. If Australia is going to invest in training here, then surely it should ensure that those graduating, as a consequence of that investment, have a role to play as dentists in the community. The excess supply that exists demonstrates economic irresponsibility and has to be brought in line with market needs. In times of fiscal restraint, Australia must ensure that its investment in education and training of all dental practitioners is economically sound and that those graduating have a place in the community to ensure that investment is repaid and not wasted. To address this situation, the ADA is urging policymakers to: • Remove the profession of dentist from the Skilled Occupation List so that they are no longer considered a profession that suffers a shortage of supply and accordingly have differential visa requirements imposed; • Correspondingly issue an exemption from Trans-Tasman mutual recognition for the profession of dentist; • Introduce an immediate moratorium on any further increase in dental practitioner student numbers, either through the creation of new dental schools, or the increase in student numbers in existing schools; • Re-direct funding to investment in university facilities and increased academic staff so as to better keep pace with the growth that has occurred; • Issue a cap on dental student numbers, similar to that on medical students. The cap should be set so that the numbers graduating are no more than required to meet population growth and retiring dentist replacement needs; • While such caps can be put in place, Governments must increase public sector expenditures on dentistry as the main thrust of the National Oral Health Plan (NOHP) review to provide additional employment opportunities in dentistry, particularly in areas disadvantaged by workforce maldistribution; and • Impose an annual target of 460 new dentists to be trained in Australia. The ADA is ready to engage with the Australian Government and the Australasian Council of Dental Schools Limited (ACODS) to address the looming oversupply of dentists. 13
Dentistry & Orthodontics
RFDS Dentist Brett Abbott treating a patient.
Royal Flying Doctor Service Improving oral health in remote communities The Royal Flying Doctor Service works closely with rural and remote communities providing a range of primary health care services, most recently including a Remote Area Dental Service. The RFDS recognised a need for delivery of dental services in remote communities where poor oral hygiene and lack of treatment can lead to a range of serious medical conditions, including infection and heart disease. A Pilbara community was chosen as a pilot project site in 2011 and based on its success, a fly in fly out Remote Area Dental Service (RADS) was developed, targeting two remote Goldfields communities lacking regular dental services. 14
RFDS Dentist Brett Abbott and dental nurse Atti Daavittila, have been undertaking clinics at the predominately Indigenous communities of Wiluna and Warburton with a collective population of around 2500 people since November 2011. Both Brett and Atti previously worked in private practice but have found their roles with the RFDS to be incredibly rewarding and satisfying. “This is the most interesting job I have ever had,” Brett said. “There is a real need for the Service in these locations and the response we get from the community makes it such a rewarding experience.”
In their first visit to Wiluna, they treated more than 50 patients and undertook 200 examinations and procedures, including root work, fillings, cleaning and extractions. Since then, the RFDS Remote Area Dental Service has undertaken 76 clinic days and have treated 694 patients. “In these small, remote locations, access to health care is limited and dental services have often not been regularly available,” Brett said. “A key focus is on education and encouraging people, including children, to adopt good oral hygiene practices to help prevent more serious conditions arising in the future,” he said. Most recently, the Royal Flying Doctor Service WA announced a new Mobile Dental and Primary Health Care Service due to start delivery in the Midwest region in the new financial year thanks to a $1.75 million, five year partnership with Karara Mining Limited and Rapid Crushing and Screening Contractors. A key focus of the mobile clinic will be the provision of mobile dental health care services and dental health education. “We are really pleased that we can now expand our primary health care and dental services to the Midwest and are most grateful for the support from Karara and Rapid,” Brett said. Given the success of the dental programs so far, the Royal Flying Doctor Service expects it will only continue to expand its reach across the State where there is a clear demand.
For further information about Royal Flying Doctor Service, visit www.flyingdoctor.org.au
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Dentistry & Orthodontics
School children benefiting from the Dental Outreach Project in Nepal.
Work the World Reaching out to rural communities in the developing world With 76% of Nepalese people needing dental treatment, Work the Worldâ€™s Dental Outreach Projects offer remote communities access to free dental healthcare. Work the Worldâ€™s Dental Outreach Projects highlight the problem of oral health within rural communities in the developing world. With 76% of Nepalese people in need of dental treatment, itâ€™s a programme that both students and qualified dentists are keen to be involved in. The Dental Outreach Projects run throughout June, July and August each year, with teams of up to 12 dental students and qualified dentists heading out to screen, treat and educate in remote communities that have little 16
to no access to dental healthcare. Working under the supervision of an in-country professional dentist, students and qualified dentists are able to help those who need it most, without compromising the safety of the patients or themselves. Work the World provides all dental equipment for the projects but gloves and anti-bacterial gel can be in short supply so often participants bring their own too. Since 2010, Work the World has facilitated 11 Dental Outreach Projects in Nepal with a further 4 going ahead in 2013. Extensive work is done in advance to ensure local communities know of the free clinic so, despite their rural locations, every morning it is common for volunteers to be
One of 2012’s participants explained that, ‘The first morning myself and my partner screened, it became clear we were going to have enough patients and treatment to be getting on with! In the screening room we made a treatment plan for each patient and gave oral hygiene advice, we then sent the patient to the treatment room to undergo their procedures. Some patients had never used a toothbrush before, so we had to go through all the basic instructions.’ And it’s worth noting that over 2,000 villagers were screened by the Work the World teams in 2012 alone. Operations manager, Charlotte explains why there is such a demand, ‘For many rural communities, like Phumdi Bhumdi, the site of our first Nepal project in 2012, the trip required to reach a hospital for treatment is long and costly and made in emergencies only. Oral and dental health is not considered a priority. At the same time, a lack of education about basic preventive measures as well as delays in presenting, mean large numbers of the community suffer from advanced pathologies, severe decay and poor oral hygiene.’ Volunteers on the project are faced not only with different dental challenges but a hugely contrasting clinical environment. Final year student, Emily found that, ‘Due to the basic set up of the clinic, restorations proved more difficult than at university, but this was something that you rapidly adapted to. There were occasions when the generator would temporarily fail and this is when you were glad you had decided to pack your head torch!’ For many of the projects participants, the chance to get hands-on work, as well as see advanced pathologies, is the main reason for an elective or placement in the developing world. Often, patients had been suffering with recurrent pain and inflammation for a number of years before the source of infection was removed. Helen, who completed her placement in Raniban last year explains, ‘Most patients suffered from caries and most molars were affected. They required either extraction, root canal or a restoration. If root canal was required, our head tutor referred them to the Regional Hospital in Pokhara
In the screening room we made a treatment plan for each patient and gave oral hygiene advice... Some patients had never used a toothbrush before, so we had to go through all the basic instructions.
greeted by a queue of people snaking through the village waiting their turn.
as we did not have an X-ray machine. In the afternoon, I treated, mainly doing restorations, usually amalgam and extractions.’ Working with professionals from another country is another huge benefit. Often at home, technology and a variety of equipment are relied on, but in the clinics the focus is on manual skills and minimal resources. A surprise challenge was a forced lowering in standards of dental practice. Infection control simply cannot be maintained in a temporary clinic miles away from the nearest large town. Helen also explains that, ‘The standard of disinfection was not the same as in the UK. After extraction, we used a brush and disinfecting water to clean any blood off and then put it into a bucket of disinfectant for ten minutes, and instrument and burs also went in the bucket for ten minutes. We used different masks, gloves and needles for each patient.’ Creating sustainable projects is something which is hugely important to Work the World and Rob Giddings, Head of Operations said, ‘While the projects do incredible work for the time they are there, we feel it’s really important for our programmes to be sustainable. We do everything we can to educate the community while the temporary clinics are open and focus on the importance of looking after teeth and gums. We will continue to look at what else we can do to ensure the communities maintain good oral health.’ Work the World has four Dental Outreach Projects throughout June, July and August 2013 with limited spaces still available. If you would like to find out more about the projects, visit www.worktheworld.com.au or email firstname.lastname@example.org to contact a member of the team. 17
Indigenous Health Medical student, Jasmin Grajzman shares a laugh with Des Smith during a dialysis session at the Santa Teresa clinic in Central Australia. The visit was part of the Go Rural “City to Centre” experience organised by the workforce team at Northern Territory Medicare Local in collaboration with Rural Health Workforce Australia. Picture: Diana Carli-Seebohm
Rural Health Workforce Australia Go Rural campaign takes off A national campaign to attract young doctors and medical students to rural practice has been launched with the backing of the Federal Government. The Go Rural Australia campaign showcases the lifestyle and professional benefits of careers in rural medicine, including access to some of the best early year training opportunities in the country. It is run by Rural Health Workforce Australia in partnership with the national network of not-for-profit Rural Workforce Agencies. The workforce agencies are holding a series of Go Rural 18
Australia events and experiences including rural skills training, regional bus tours and face-to-face meetings with rural doctors. One of the first events was the recent Go Rural “City to Centre” trip to the Northern Territory for eight medical students selected from university campuses around Australia. The young adventurers were treated to a jam-packed five days in Central Australia, organised by the workforce team from Northern Territory Medicare Local. They visited the remote communities of Hermannsburg and Santa Teresa, spent an afternoon with the Purple
House dialysis team, toured Alice Springs Hospital and the Royal Flying Doctor Service base, and received a private tutorial from Dr Teem-Wing Yip from the Centre for Disease Control. On top of that, the students completed a full day Basic Emergency Skills Training course delivered under the watchful eye of Northern Territory Medicare Local Clinical Services Advisor, Dr Jim Thurley. And if that wasn’t enough, they even had time to explore some of the most beautiful parts of Central Australia including Ellery Creek Gorge where they went swimming. “This trip has shown me that the potential to make a difference, the rewards of working in a beautiful environment and the feeling of community certainly outweigh any challenges that come with the country,” said Jasmin Grajzman, a medical student from the University of Notre Dame in Fremantle, Western Australia. “I learnt as much about myself as I did about the place and the people, and I realised how important it is for us all to know what is going on in our own backyard. The medical, social and political issues are vast and whilst I am not informed or educated enough in those matters, in just a few days I became touched by the communities and the people.” Her thoughts were echoed by Jamie Cham, a medical student from the University of New South Wales. “This trip has been wonderful for me in expanding my appreciation of social-cultural aspects of healthcare and shown me that I have a passion for providing conventional Western medicine to different communities and cultures,” he said, immediately after a visit to the Ntaria clinic at Hermannsburg, 130km from Alice Springs. “It became apparent to me that the medicine practised here was similar to any urban clinic… but the difference was that everything here was on a much more extreme level.” For Jillian McCool, a medical student at Flinders University, one of the highlights was the visit to the Purple House centre in Alice Springs, which delivers haemodialysis to people who have had to move into town for treatment
from outlying communities. “As a trained renal nurse, it was refreshing to see such a relaxed environment that helps to reduce some of the barriers that people face when accessing quality health care,” she said. “It’s in stark contrast to the clinical hospital environments in which I am so used to seeing patients with renal disease.” Comments like these underscore the value of providing positive rural experiences to health students. The CEO of Rural Health Workforce Australia, Greg Sam, said forging a connection between health students and rural communities is important. “Rural health is a fantastic work-life opportunity and we want to share that message with the future health workforce,” he said. “The Government is also offering incentives such as HECS reimbursement and relocation payments up to $120,000. So there’s never been a better time to go rural. “The key to this campaign of course is the involvement of our Rural Workforce Agencies, located in every state and the Northern Territory. They are a one-stop-shop for rural health careers because they have extensive contacts with local training providers, practices and communities. They can help young professionals at every step of their journey.” It remains to be seen how many of the eight NT adventurers decide to take the plunge and Go Rural once they graduate, but the last word must go to Santa Teresa dialysis patient Des Smith who made his feelings plain after meeting the group and learning they may return one day to practice medicine. “That’s a good thing,” he said. “We’d like to see more doctors coming here.”
Find out more about Go Rural Australia at www.rhwa.org.au/gorural
Take your career to beautiful Western Australia... Western Australia is home to plenty of extraordinary experiences, the likes of which can only be found right here. WA boasts the largest collection of wildflowers on the planet, some of the whitest beaches in the country and one of only a few places world-wide where you can swim with the oceanâ€™s largest fish. TR7 Health is leading the way in Health recruitment with quality, excellence and professionalism. We have developed strong and positive relationships within industry and actively work to place hundreds of qualified nurses and healthcare professionals into hospitals and aged care facilities throughout Western Australia.
Why not start the year with a new career! We have ongoing recruitment needs for Occ Health Nurses, ICU/CCU Nurses, Midwives, Theatre & Recovery Nurses, Aged Care Nurses and Managers, Mental Health Nurses, Specialist Nurses, Medical and Surgical Nurses, ED Nurses, Speech Therapists, Physiotherapists, Occupational Therapists, Social Workers and Psychologists, and Podiatrists. Send us your resume today or for career/market advice and information on living and working in Western Australia, contact our specialist consultants today! Ph: (08) 9218 1431 Email: email@example.com Or visit us online at www.tr7.com.au 20
Making the Move from RN to RAN Transition to Remote Area Nursing A three week face-to-face program that prepares Registered Nurses to work as Remote Area Nurses and articulates with Flinders University Award courses. Content includes Framing Indigenous Health, Primary Health Care, Self Care, Remote Advanced Nursing Practice and Pharmacotherapeutics. Dates for 2013: Monday 4th - 21st March Alice Springs Monday 17th - 5th June - July Darwin Alice Springs Monday 5th - 22nd August
D M M M
* Participants will need to book Remote Emergency Care (REC) course separately through CRANAplus
Course Fee: $2,800 plus cost of the REC course
For further information, contact the Short Course Administrator Ph: (08) 89514700 or Email: firstname.lastname@example.org
Continental Travelnurse. . . the UK’s Premier Travel Nurse Company
• 13+ week Full Time hospital-based assignments • You’re part of the team and wear the hospital uniform • Upmarket COMPANY housing • Travel money • UK nursing registration / ONP and visa assistance • We issue WORK PERMITS • ALL AGES – it’s never too soon or too late to have fun • Company employment package • Dedicated recruiter works with you from your �irst call onwards • Education allowance • More than a decade of experience
For 3 months or 3 years, we’d love to have YOU!
FREE call our team today on: 1800 85 1234 Email: email@example.com Website: www.continentaltravelnurse.com 22
New Zealand Nurses You are in demand! Mediserve is seeking Registered Nurses, Midwives and Specialty Nurses from New Zealand to work across Australia...
Visit us online at www.mediserve.com.au
We have offices in most States and Territories across Australia and our Mediserve team has been directed by Medical and Nursing staff for over 14 years!
Contact us today! We provide: • Free flights to Australia and back to New Zealand *conditions apply • Best rates with wages paid weekly Superannuation of 9% of wages • Full insurance for Nurses and Midwives • City and Rural contracts - long and short term • Arranged accommodation
For further information about the latest jobs, please contact our friendly team. Freecall from NZ (Please call between 3-10pm NZ local time)
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On average, our customers save $3,000* a year just by salary packaging everyday living expenses such as bills, clothes and groceries. The savings don’t stop there – laptops, novated car leases and superannuation are some of our most popular items that you can salary package. Check out the full list of approved items online.
Call 1300 219 835 | www.nursingsavings.com.au Connect with us
*Salary packaging of living expenses with Smartsalary is only available to employees of the Department of Health in WA and VIC. On average our customers save approximately $3,000 per year, based on an income between $37,001 - $80,000, paying 32.5% income tax and salary packaging the full $9,095 tax-free cap. Actual savings will vary depending on your income tax bracket and your personal circumstances. An administration fee is paid tax-free from your salary.
Nursing Post_148x210.indd 2
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Presentations & Interviews in Australia & New Zealand April 2013... BOOK NOW!
Security Forces Hospital Programme
Riyadh, Saudi Arabia
Our client is a large, 500+ bed, busy hospital in a central city location in the Kingdom of Saudi Arabia. It boasts advanced medical, clinical and surgical facilities and strives for the patients’ well-being. Set up in 1975, the government facility is the only hospital that provides services to Ministry of Interior personnel and their families, with departments for internal diseases, surgery, anesthesia, gynecology, paediatrics and dentistry.
There are currently RN vacancies in the following specialties:
ICU, CCU, PICU, NICU, Maternity, Medical/Surgical, Ortho, Theatre, PACU, Day Surgery, Endoscopy, EMS & Clinics
Positions include, but are not limited to: RN, Assistant Head Nurse, Head Nurse & ADON
Benefits on offer: • • • •
Excellent salary paid tax-free FREE utilities & furnished accommodation Round trip vacation ticket Over 40 days annual leave
Please contact Dawn or Raquel: Phone: +61 (02) 9328 1218 Aus Free Phone: 1800 818 844, NZ Free Phone: 0800 700 839 Email: firstname.lastname@example.org or email@example.com 37
Compatible Care Nursing Agency
Compatible Care Nursing Agency specialise in temporary placement and recruitment of nurses and healthcare professionals. The high standard of care which our carefully selected staff possess is what sets us apart in the healthcare employment sector.
We have a focus on: • Temporary Aged Care Placement • Private Home Care • Registered Nurses • Enrolled Nurses • Med Competent Care Staff Whether you are a Job Seeker looking for a superior nursing recruitment agency or an Employer looking for a fresh, glowing change to healthcare employment and staffing in Western Australia, please feel free to email us at firstname.lastname@example.org or call us on 1300 NURSE1 The Aged care industry has a workforce that at times is extremely transient; we would like to be there to assist you with quality, competent and committed staff during these times of need. We are committed to providing you with a warm, personal and professional service you can expect from Compatible Care Nursing Agency. We are committed to excellence.
“CCNA would like to offer 1 FOC AIN shift so you can see for yourself our commitment to excellence. Please quote 1300 FEB 13 to redeem this offer”
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Up-coming Courses and Conferences New South Wales
sector to be heard in mainstream media outlets and the corridors of power at federal, state and territory level.
Critical Care Nursing Course
The program is being regularly updated and will provide plenty of interest for consumers, nurses, health service managers and researchers, doctors and podiatrists, among others. It will also bring together people from other sectors whose work relates to the social and economic determinants of health.
Sydney & Melbourne Sydney: Thurs evenings 9 May - 11 July 2013 www.criticalcare.edu.au Critical Care Education Services have been dedicated to providing quality education and professional development for health professionals for over 22 years. The company conducts a variety of short courses, seminars and conferences that attract over 5000 healthcare professionals across Australia every year. The overall aim of our programs is to enhance the clinical standards of all attendees, and as such each and every component is designed to facilitate the knowledge, skills and attitudes of participants in developing confidence and competence in their practice.
To view the Critical Care Education Services complete 2013 Course Calendar, visit our Courses & Conferences listing on our website at www.healthscoop.com.au and download the PDF available.
Indigenous Informatics Conference (IIC) 2013 Adelaide Convention Centre, SA 15 July 2013 www.hisa.org.au/page/hic2013indigenous Registration Now Open! IIC 2013: Linking Social Determinants of Health: the Indigenous Informatics Challenges and Opportunities. The conference will build on the success of the inaugural Indigenous Informatics Workshop 2011. Details of the program will be released shortly.
Health Informatics Conference (HIC) 2013
South Australia 12th National Rural Health Conference Adelaide Convention Centre, SA 7 - 10 April 2013 www.nrha.org.au/12nrhc Show your commitment to a bright future for rural and remote communities in Australia by attending the 12th National Rural Health Conference in Adelaide next year. With 45 concurrent sessions and more than a dozen keynotes on selected issues, the Conference will provide a timely analysis of where the health and wellbeing of rural Australia stands. Every second year the National Rural Health Conference brings together consumers and a range of professionals to check progress and hear reports from across rural and remote areas. It is an opportunity for the voice of the rural and remote health 28
Adelaide Convention Centre, SA 16 - 18 July 2013 www.hisa.org.au/page/hic2013 Registration Now Open! Early registration deadline is 14 February 2013 HIC 2013: Digital Health Service Delivery – the Future is Now! HIC’s 150 presentations over 4 days is an invaluable chance to see the cutting edge of health informatics showcased in a world class scientific conference and industry trade show. HIC is a unique networking opportunity for academics, executives and policy makers alike. Day 3 of HIC 2013 will be themed around a mental health patient journey. Prof Gavin Andrews, Professor of Psychiatry at UNSW at St Vincent’s Hospital, Sydney and Prof Helen Christensen, Executive Director, Black Dog Institute will be addressing the audiences on this day.
ICN 25th Quadrennial Congress Equity and Access to Health Care
Transition to Remote Area Nursing
Convention and Exhibition Centre, Melbourne 18 - 23 May 2013 www.icn2013.ch
Darwin: Mon 17 June - 5 July Alice Springs: Mon 5 - 22 August Ph: (08) 8951 4700, E: email@example.com Centre for Remote Health offers a three-week face-to-face program that prepares Registered Nurses to work as Remote Area Nurses and articulates with Flinders University Award courses. Content includes Framing Indigenous Health, Primary Health Care, Self Care, Remote Advanced Nursing Practice and Pharmacotherapeutics.
For further information, download the PDF available on our website at www.healthscoop.com.au
Victoria Technology Enhanced Learning in Health The Rydges, Melbourne 30 April - 1 May 2013 www.techlearninghealth.com How can technology encourage learning to ensure authentic learning? How can digital learning mitigate risks associated with lack of core competencies? The Technology Enhanced Learning in Health conference addresses the challenges and opportunities for how health education can benefit with the integration of technology. You will learn how to: • Develop graduate confidence and competence in ‘soft skills’ during their training • Promote interdisciplinary collaboration at strategic as well as practice level with technology • Develop e-learning and assessment frameworks that comply with accreditation and regulatory bodies.
Health Scoop Readers! Quote CC*HS when registering for this conference and receive a $250 discount!
Registration Now Open! Early registration deadline is 14 February 2013 The ICN 25th Quadrennial Congress will bring together evidence, experience and innovations highlighting the critical importance of equity and access to health care for communities and individuals, demonstrating how nurses are key to ensuring equal access and quality of health care for all. The Congress will provide a global platform for the dissemination of nursing knowledge and leadership across specialities, cultures and countries via the ICN scientific programme, featuring keynote and main session invited speakers as well as a wide range of concurrent sessions including dynamic papers accepted through our highly competitive abstract selection process.
Delivering Consumer Directed Aged Care Royce Hotel, Melbourne 21 - 22 May 2013 www.consumeragedcare.com What does the future of aged care look like? This conference will equip you with strategies to successfully implement consumer directed care (CDC) models in your organisation. From July 2015 all packages, including pre-existing packages will be consumer directed. Given this rapid shift, it is vital to have the right resources and strategies in place for quality, cost effective service delivery in competitive times. This conference will address how to: • Deliver responsive and varied care • Remain competitive via effective marketing and communication • Implement quality monitoring systems to ensure quality service delivery • Develop effective client quoting and financial reporting systems “Consumer Directed Care delivers services that allow consumers and their carers to have greater control over their own lives” The Hon Mark Butler MP, Minister for Mental Health and Ageing, 2012. 29
The Health Scoop subscribers quote CC*HS when registering to SAVE $100!
Consumer Directed Aged Care Offering responsive & flexible care in an era of reform
21st & 22nd may 2013, royce hotel, melbourne
Learn how to
Offer varying levels & types of care by effectively brokering out services Ian Yates AM Chief Executive
Judge Rauf Soulio Member
Aged CAre refOrm implemenTATiOn COunCil
Create best systems for financial modelling Build workforce & consumer capacity for responsive, flexible care support, engage & educate consumers to self-direct
Glenn Rees Chief Executive Officer
Janis Redford General Manager
CAThOliC COmmuniTy serviCes nsW/ACT
Featuring case studies from five organisations involved in the CDC pilot!
Pre & Mid Conference Workshops Workshop A
How to implement new re-enablement models of service delivery
How to manage risk & ensure quality
Proudly Endorsed by
Register 3 delegates and the 4th comes
To register phone 1300 316 882 fax 1300 918 334 firstname.lastname@example.org www.consumeragedcare.com
What I like about OUM is that I can continue to work part time and continue my studies in medicine. The ability to combine my studies with the cases I was seeing in the hospital really enhanced my education. Vivian Ndukwe, RN from Melbourne, OUM Class of 2012
RN to MBBS
Take the next step, earn your MBBS at Oceania University of Medicine. OUM is proud to announce an even more attractive fee structure from 2013. Applications are now open for courses beginning in February and August. New facilities, greater capacity and over 150 students currently enrolled. Study from a Home Base under faculty from top international medical schools. Receive personalised attention from your own Academic Advisor. OUM Graduates are eligible to sit for the AMC exam or NZREX. OUM Graduates are employed in Australia, New Zealand, Samoa and USA.
OCEANIA UNIVERSITY OF MEDICINE NOW INTERNATIONALLY ACCREDITED In AU 1300 665 343 or NZ 0800 99 01 01 www.RNtoMBBS.org
NURSING & MIDWIFERY SCHOLARSHIPS Opens Monday 4 March 2013 â€“ Closes Friday 19 April 2013
> Continuing Professional Development Apply online www.acn.edu.au | Freecall 1800 117 262 An Australian Government initiative supporting nurses and midwives. ACN, Australiaâ€™s professional organisation for all nurses is proud to work with the Department of Health and Ageing as the fund administrator of this program.
The Health Scoop subscribers quote CC*HS when registering to SAVE $100!
Timely Access to
Emergency Departments Balancing time targets with safe, quality service delivery
29th & 30th may 2013, Bayview Boulevard, sydney
Learn to Examine ED contributions to the Neat
Bernie Harrison Executive Director Hospital Performance
NatioNal HealtH PerformaNce autHority
Dr Sally McCarthy Medical Director
emergeNcy care iNstitute
Adopt a whole of hospital approach to improve the patient journey & decrease overcrowding Implement fast track models of care to achieve the Neat Strengthen clinician engagement to drive processes & system improvement
Professor Frank Daly Executive Director
Mary Bonner Chief Executive Officer
royal PertH grouP, soutH metroPolitaN HealtH service & Former state-WiDe four Hour rule Program cliNical leaD
caPital & coast District HealtH BoarD, NZ
Pre & Mid Conference Workshops Workshop A
How to implement the NEAT in your hospital
How to strengthen clinician engagement
Proudly endorsed by
Apply innovative models of care to overcome access block & reduce ramping
Featuring case studies from the leading hospitals in the country against the NEAT
Register 3 delegates at the â€˜standard priceâ€™ & bring a 4th delegate FREE! To register phone 1300 316 882 fax 1300 918 334 email@example.com www.accesstoemergency.com
Chickpea, Couscous, Apricot, Feta & Mint Salad
What you will need: Mint Dressing: • • • • • •
10g mint leaves 1 small clove of garlic 1/2 cup and 2 tsps olive oil Juice of half of a large lemon (yielding about 2-3 tbsps of lemon juice) A pinch of salt A small food processor
Salad: • • • • • • • •
100g couscous 150ml boiling hot water from a kettle 400g canned chickpeas, drained and rinse with boiling hot water Hot water from a kettle to rinse the * Serves 2-3 as chickpeas 2 fresh apricots, deseeded and thinly sliced 1 fairly large sized shallot (alternatively, 1/4 red onion), peeled and thinly sliced 2 tbsps dried cranberries 100g feta, crumbled
Method: 1. 2. 3. 4. 5. 6. 34
Cook couscous according to the packet instructions. Meanwhile, add all the dressing ingredients (except for 2 tsps olive oil) in a small processor and process until fairly smooth. Pour the dressing out of the processor into a bowl and top with 2 tsps of olive oil. Set aside. Then move on to preparing the salad, eg. slicing ingredients. In a large salad bowl, combine the couscous, chickpeas, sliced apricots and onions, dried cranberries and toss all these ingredients together with 2 tbsps of mint dressing. To serve, crumble some feta and drizzle with more mint dressing. Enjoy!
Light Orange & Poppy Seed Cupcakes What you will need: • • • • • • • •
30g flavourless cooking oil 20g cornflour 35g all-purpose flour 1 tsp poppy seeds A pinch of salt 1 tsp grated orange peel 40g caster sugar, divided equally i.e. 20g in egg yolks & 20g in egg whites 3 eggs, yolks and white separated
Method: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
* Makes 10 small cupcakes
Preheat oven to 180C/356F. Mix cornflour, all-purpose flour, salt and poppy seeds in a bowl and set aside. In a mixing bowl, add 20g caster sugar and grated orange peel. Then separate the egg yolk and white i.e. place the yolks with the sugar and orange peel mixture and place the egg whites in a separate mixing bowl. Use a handheld mixer, whisk the egg white while adding the remaining 20g of caster sugar gradually at high speed. Whisk the egg whites until soft peak is achieved. Set aside. Using the same handheld mixer (no need to wash the whisks attached), whisk yolks, sugar and orange peel mixture until it becomes pale and fluffy. Then add oil and whisk again until well mixed. Add the flour mixture into the yolk mixture and whisk until just combined. Add 1/3 of white egg into the yolk mixture and use a spatula to stir until well combined. Then gently fold in the remaining egg whites until just combine. Spoon the mixture into your baking tin (please add baking paper cases due to the low fat content of these cupcakes, or use cupcake cups). Bake the cupcakes for 15- 20 minutes until the cake tester comes out clean.
Emily Tan of Fuss Free Cooking joins us fortnightly to share her delicious healthy recipes. Visit her online at... www.fussfreecooking.com 35
ALLIED HEALTH PROFESSIONALS YOU’RE IN DEMAND Short-term contract work in regional Western Australia. Permanent opportunities. Competitive salaries. We are the experts in recruiting healthcare professionals for the roles located across Western Government, non for profit and private organisations working with a range of client groups. We have vacancies for permanent, temporary and contract roles in Perth metro regions and regional Western Australia including: • • • • • •
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We understand the importance of balancing a good work/life balance. Give us the opportunity to To apply for these positions you must be an Australian citizen or a permanent resident with a current AHPRA registration and police check. Contact S arah Pagett at firstname.lastname@example.org or 08 9254 4590.
COSMETIC NURSINGâ€Ś THE BRIGHTER SIDE OF NURSING The Vocational Graduate Certificate in Cosmetic Nursing is a postgraduate course developed specifically for Enrolled or Registered Nurses wishing to enter the field of cosmetic medicine.
www.aacds.edu.au email@example.com 08 9381 3448 Follow us on ww w.facebook/aacds
Ask us about Fee-Help
This government-accredited qualification will provide nurses with the knowledge and hands-on skills required to work in a cosmetic medical practice and/or accredited day hospital performing cosmetic nursing, dermal therapies and injectable procedures. The course is completed online over one semester full-time or two semesters part-time. Practical competencies in dermal therapies and injectables procedures are completed on-campus in Perth, Sydney, Melbourne and the Gold Coast. For further information, please contact the Australasian Academy of Cosmetic Dermal Science on 08 9381 3448 or visit www.aacds.edu.au
Authorised providers of RCNA (APEC) endorsed Continual Nursing Education.
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The Dental Recruitment Specialists AB Dental supplies temporary, contract and permanent staff for all areas of the dental sector, ranging from private practice, corporate and government institutions. We now offer online candidate profiles for all temporary staff! Contact our office for more information if you’re looking for temporary or permanent: • • • • •
Dental Assistants/Receptionists Practice/Office Managers Dental Hygienists/Oral Health Therapists Dentists Sales/Marketing Representatives