Where do we go from here? Brendan Crotty Deakin Medical School

1. The Next Generation Where do we go from here? Brendan Crotty Deakin Medical School Faculty of Health, Medicine, Nursing and Behavioural Sciences Deakin Medical School:Expanding horizons for medical education and research Deakin Medical School: Expanding horizons for medical education and research

2. Expansion of Australian Medical Schools Australian Resident Graduates 2005 1448 2012 2442 Vic: 2011 / 2012 Joyce et al, MJA 2007 Deakin Medical School:Expanding horizons for medical education and research

3. The Next Generation Burgell Report Findings • need 125% increase in GP placements by 2012, 165 % by 2017 • Only 571 of 1729 Victorian practices offer clinical education • Similar increases for pre-vocational and vocational training from 2013 • No expansion without: - new consulting space - increased payment - less red tape, esp for PIP - better communication with medical schools - better coordination between u-grad, prevocational and vocational Deakin Medical School:Expanding horizons for medical education and research

4. The Next Generation Burgell Report Recommendations: • better data management - all levels of GP based training • placement coordinators in all RTPs • identify real cost of GP placements • lobby DEEWR (DoHA) and DHS to work to together • lobby DEEWR to review payment amount and red tape • GPV / RWAV subm to AGPN for Div position statement Deakin Medical School:Expanding horizons for medical education and research

5. Where do we go from here? National / State: Deakin / Monash / Melbourne Delegation – April 17 • Project Planning and Implementation Group • Establish databases • Investigate cost of the placement coordinators • Develop duty statement for placement coordinators • Identify and cost infrastructure requirements • Identify practice recurrent costs • Review PIP administrative requirements • Develop a submission for funding for 2009/10 budget Regional / Local: Deakin Medical School:Expanding horizons for medical education and research

6. Where do we go from here? Mapping Project Steering Committee / Project Planning and Implementation Group: • Deakin, Monash, Melbourne • GPV • RTPs • RWAV • DHS and DoHA • Project Coordinator $100k • University of Notre Dame Deakin Medical School:Expanding horizons for medical education and research

7. Where do we go from here? National / State: • Project Planning and Implementation Group • Establish databases • Investigate cost of the placement coordinators • Develop duty statement for placement coordinators • Identify and cost infrastructure requirements • Identify practice recurrent costs • Review PIP administrative requirements • Develop a submission for funding Regional / Local: Deakin Medical School:Expanding horizons for medical education and research

8. DMS Clinical Schools • Geelong • Grampians • Greater Green Triangle • Eastern Health • Parallel Rural Curriculum …….Rural Clinical School Divisions / RTPs Deakin Medical School:Expanding horizons for medical education and research

9. Where do we go from here? $7million for Teaching Clinic in Geelong Deakin Medical School:Expanding horizons for medical education and research

10. ‘The Tsunami’ Deakin Medical School:Expanding horizons for medical education and research

11. Geelong Super Clinic • GP Consulting Rooms –each with adjacent room for a student • Allied Health Consulting – with teaching space • Practice Nurse – with teaching space • Visiting Specialist Consulting – with teaching space • Group / Multi-purpose Rooms - therapy, tutorials, pt education/support grp • Procedures / Treatment Room • Practice Support - Reception, staff & meeting room, practice mgr, IT, toilets • Ancillary Services - Pathology collection, pharmacy, medical imaging • Professor of General Practice Deakin Medical School:Expanding horizons for medical education and research

12. Geelong Super Clinic • Healthcare Delivery – general practice – allied health – diagnostic services • Teaching – Deakin medical students, allied health and nursing students – GP registrars – interns, residents • Research – Professor of General Practice – GPs, GP registrars, allied health practitioners • Community Involvement – Community / patient support groups Deakin Medical School:Expanding horizons for medical education and research