The Health Scoop - Issue 14: Working Abroad

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22 July 2013 - ISSUE 14

The Career and Education Magazine for Health Professionals

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A week-long trip that could change your life and save anotherNo Roads to Health

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Hi Readers,

We are delighted to welcome you to Issue 14 of The Health Scoop magazine featuring Working Abroad.

This issue, we feature Australian Volunteers for International Development and volunteer speech therapist, Kirby Shields. For Kirby, international volunteering came about after three friends each forwarded her a community speech therapist role they had seen advertised on the same day. Kirby had previously mentioned a desire to volunteer overseas, and although not really looking for a lifestyle change at the time, decided to apply for the two-year AusAID funded position to see what would happen. Four months later she found herself in Lesotho, Africa, and now shares her experience with us. To read on, turn to page 10.

We also feature the No Roads to Health initiative which takes medical teams along the Kokoda Track to help improve the lives of local communities. Health professionals such as nurses, doctors and midwives are all urgently needed to help run the program in Papua New Guinea. Eight days of your time is all it takes and you’ll get to experience a beautiful landscape steeped in history and a unique culture along the way. If you would like to get involved or find out further information, turn to page 12.

Our next issue will arrive on Monday 5 August featuring Aged Care. Until then, take care.

Naomi ByrneEditor

note...Editor’s

ABN: 28 105 044 282 PO BOX 6213, East Perth, WA, 6892Ph: +(618) 9325 3917 | Fax: +(618) 9325 4037E: [email protected] W: www.healthscoop.com.au

Next Publication Details: Issue 15: 5 August 2013 Content Deadline: 22 July 2013Artwork Deadline: 29 July 2013Printed by Daniels Printing Craftsmen

Editor and Graphic DesignerNaomi Byrne

Sales and Marketing Manager Michael Kuhnert

Aged CareNext Issue:

Working Abroad

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Contents...

Mind & It’s Potential Conference

Oceania University of Medicine

Navigating the Complexities of Consumer Directed Care Conference

Residential Aged Care Delivery Models Conference

Indigenous Allied Health Australia 2013 National Conference

Inside Cvr

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25

26

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Courses, Conferences and Events

Quick & Easy Finance

Mediserve Nursing Agency

Continental Travelnurse

PULSE Nursing & Care

CQ Nurse

Hays Healthcare

Australian College of Nursing

Royal Flying Doctor Service

UK Pension Transfers Australia

Cancer Council’s Daffodil Day

Smart Salary

Remote Area Health Corps (RAHC)

No Roads Expeditions Foundation

1 3 16 17

18 19 20

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Inside Bck

Bck Cvr

Our Advertisers

Feature

PULSE Nursing & CareFulfilling my dream of working in the UK

Australian Volunteers for International DevelopmentExperiencing Africa as an international volunteer

No Roads to Health in Papua New GuineaA week-long trip that could change your life and save another

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Working Abroad

Curtin University Study shows doctors need support to adopt online technology

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Remote Area Health Corps (RAHC)I’ve found my dream job! Dental Assistant Sharni Bartlett talks about working remote

Indigenous Health

14

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Curtin University

Internet video consultations that could help bridge the health gap in country areas are not being used by most doctors in Australia, researchers at Curtin University have found.

Professor Moyez Jiwa, Chair of Health Innovation in the Faculty of Health Sciences at Curtin, said online consultations had the ability to help overcome doctor shortages in rural areas and combat rising costs in the Australian healthcare system.

The use of online video technology is a long way from being “routine practice”, which is now prompting further research.

“Video consultations delivered via the internet have the potential to reduce the need for in-person visits and can connect doctors to patients at home in scheduled online appointments, no matter where they are located,” Professor Jiwa said.

“There is unequal access to healthcare in Australia, particularly for the one-third of the population living in rural and regional areas.

“But the use of online video technology in Australian primary care so far is limited to government-subsidised consultations involving specialist practitioners or to small numbers of privately funded schemes.”

Curtin UniversityStudy shows doctors need support to adopt online technology

Professor Moyez Jiwa, Chair of Health Innovation in the Faculty of Health Sciences at Curtin, and lead researcher on the project

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The aim of the Curtin study was to explore the attitudes of Australian doctors toward online video consultation by using a range of patient scenarios presenting different clinical problems.

“In a face-to-face consultation, the doctor can use all five of their senses to assist in diagnosis. But in an internet-based video consultation, access to sensory information is limited, and the quality of information available may be hampered by download speeds and/or the performance of computer hardware,” Professor Jiwa said.

“The results of the study demonstrated that Australian doctors who were favourably inclined toward online consultations were more likely to work in larger practices and were more established, especially in rural areas.

“Doctors appear confident about their ability to conduct online video consultations. However, the process of establishing video consultations as routine practice will need to be endorsed by patients, members of the profession, and funding organisations. Video consultation techniques will also need to be taught in medical schools.

“This research has demonstrated that more investment is needed to encourage doctors to adopt digital technology as part of their regular consultation process for rural and regional areas.

“Investments should include greater access to the internet, funding for equipment such as webcams and headsets and encouraging doctors to use the technology as a means of connecting them to their patients.”

Future research in how best to achieve this is now planned.

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This research has demonstrated that more investment is needed to encourage doctors to adopt digital technology as part of their regular consultation process for rural and regional areas.

“ “

7

Working Abroad

Standing on my balcony, I look out at the transforming skyline of London, molding itself into a modern city. Trains, double-dekker buses and cars whizz by below, the sun is shining down on a hot summer afternoon. I stir the mint into my Pimms and lemonade and take in a deep breath… this is the life. A few months earlier I had stood in the same spot, laden in woolen clothes, looking out over a crisp snow covered city. It’s hard to believe it was so different just five months ago. Each season in the UK is so distinctly different, and equally as beautiful.

I’m not one of those professionals who ‘always wanted to be a nurse’, in fact, I transferred courses at university on

a whim as the thought of having a degree that guaranteed employment, career development and most of all travel, was highly appealing. I developed a strong passion for nursing, and focused on gaining skills in acute care, primarily intensive care and also completed a post graduate qualification in health management and leadership. After visiting London on a family holiday with my parents in 2008, I dreamt of returning, living and working in this vibrant city – something, with the help of PULSE, that has become a reality.

Whilst working in Australia, I met other nurses who had worked in London and was recommended PULSE as an agency to consider. Being super organized, I contacted PULSE a year and a half before I had planned to leave

PULSE Nursing & CareFulfilling my dream of working in the UK

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Australia. From that moment, I was guided through the process, making it hassle free. I developed good relationships with my recruitment team and felt welcomed as part of the company before I had even started working for them. Every question I had was answered, and they were not only happy to help with the nursing side of the organisation, but provided tips on all aspects of relocating including areas to live and help with bank account information. They supported me through my ILETS test, documentation for Nursing and Midwifery Council UK registration, visa application and before I knew it, I had booked my flights.

Once arriving in the UK, I went into PULSE London HQ where I met the lovely team. I provided them with my completed application and immunisation documentation and I immediately commenced mandatory training and the Overseas Nursing Program. Having just travelled around Europe for all of December, I wanted to start work as a health care assistant as soon as possible whilst waiting for my registration. I finished my mandatory training on the Friday and was in full time work on the Monday!

I worked in community nursing in the Royal Borough of Kensington and Chelsea, what a place to start! Having only ever worked in community on clinical placement at university, I saw the time as a broadening of my scope of practice and experience. I worked full time with the same community team until my registration was processed.

Since then, I have continued two days a week with community nursing and then a few shifts a week in trauma intensive care. At both workplaces, I feel valued and welcomed as part of the team, and it is evident the good relationship that PULSE has with its clients.

I believe moving overseas, working in different healthcare systems and environments has given me experience that I would never have gained at home. Additionally, there is the added bonus of living in the amazing city of London, on the door step of Europe. PULSE have helped bring this dream to realisation and for that I am ever grateful. I would highly recommend PULSE to any nurse interested in fulfilling their own dreams of moving to the UK.

Simon Byerley – Intensive Care Nurse - PULSE

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Working Abroad

For New South Wales based speech therapist, Kirby Shields, international volunteering came about after three friends each forwarded her a community speech therapist role they had seen advertised on the same day.

Kirby had previously mentioned a desire to volunteer overseas, and although not really looking for a lifestyle change at the time, decided to apply for the two-year AusAID funded position to see what would happen. Her application progressed quickly and four months later she found herself in Lesotho. One rewarding year on, Kirby says she wouldn’t change a minute of the whole experience.

Australian Volunteers for International DevelopmentExperiencing Africa as an international volunteer

“Lesotho faces many social challenges relating to unemployment, HIV/AIDS and food shortages, resulting in the disability sector not being seen as a critical issue, and as a result, access to services is extremely limited. There

There is also only a very limited understanding of communication impairments, so I felt my skills could be really useful. Currently I am the only speech therapist working in Lesotho.

“ “

Speech therapist Kirby Shields working with students from Butha Buthe, Lesotho, Africa.

Photo courtesy: Kirby Shields/AVI

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is no way for anyone living with a disability to access services and no funding for assistive communication devices. There is also only a very limited understanding of communication impairments, so I felt my skills could be really useful. Currently I am the only speech therapist working in Lesotho,” she said.

“The centre I work in accommodates children with disabilities aged 6 to 21 years, and serves as both a school and a home for many students. I train staff in how to support communication skills development of the students. Each week we hold a workshop relating to the children’s communication development and then I spend several days working with the teachers in how to practically implement the information. I have helped develop tools for teachers to assess new applicants, organise staff training, monitor the child protection policy, plan the schools’ first ever graduation ceremony, fundraise, organise sports competitions and even make traditional costumes for students to wear at the Morija Festival.”

For children living in Lesotho and experiencing a disability, life can be tough and their future’s bleak. The government of Lesotho has a policy of inclusive education for all, but sadly this isn’t reality. The extreme lack of education and job opportunities mean that many people with disabilities miss out on becoming active participants in their own communities.

“Our centre supports three students to attend mainstream school, but unfortunately we don’t have the space to cater for everyone and each year we turn many families away.”

“To combat general misunderstandings of disability we have tried to involve our students in community life as much as possible. We’ve also tried to be a role model for the community by employing two of our graduates to care for the students who live in the dormitories here.”

“Volunteering can be challenging but it is also very rewarding. Just the other day my colleague said to me, ‘Thank you for helping me to understand that all of our students can learn. For so long I thought there was nothing we could do to help but now I realise how wrong I was’.”

“This was in relation to a student with severe autism. For me, this change in attitude means everything. Now this teacher will look for ways to help every

student suffering a developmental disability, rather than putting them in the too-hard basket.”

Australian Volunteers International are now recruiting international volunteer positions in Tanzania, Malawi, Ethiopia, Lesotho, Namibia, South Africa and Swaziland as part of the AVID program. If you have a background in nursing, pharmacy, laboratory technology, vocational education, physiotherapy, occupational therapy, disability services or midwifery please see AVI’s website for regularly advertised positions.

Through the Australian Volunteers for International Development program, all volunteers receive financial support, including airfares, visas, accommodation, a living allowance, insurance and pre-departure training, in country and post assignment support.

To find out about international volunteering in Africa and around the globe see: www.australianvolunteers.com

Australian Volunteer Kirby Shields with students from the Thuso E Tla Tsoa Kae Handicapped Centre in Lesotho, Africa.

Photo courtesy: Kirby Shields/AVI

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Working Abroad

Have you always wanted to volunteer your time and skills to a good cause? This is a unique opportunity to get involved with a program that is saving lives in Papua New Guinea (PNG).

Since gaining independence from Australia in 1975, PNGs health status has drastically declined. Today PNG has some of the world’s worst maternal mortality rates with the number of women dying in childbirth doubling since 1998. One in 12 children die before the age of five and infants are twice as likely to die before one year of age in rural areas. Currently there is only one community health care worker per 233 people. Health services in PNG are less accessible now than at any other time in the past 35 years.

The No Roads to Health initiative has partnered with the Kokoda Development Program (KDP) delivered by AusAid in consultation with the PNG government and local communities. This initiative takes medical teams along

No Roads to Health in Papua New GuineaA week-long trip that could change your life and save another

Pictured Above: The No Roads to Health Team with four Community Health Care Workers outside a clinic in Efogi.

I always wanted to do some philanthropic work but couldn’t dedicate the 3-6 months most projects require so this program appealed to me as eight days is very manageable.

“ “

Pictured Opposite: 150 plus people presented themselves for treatment by the medical team at the Six Mile Compound in Port Moresby – the Port Moresby base for many of the No Roads Expeditions porters and their families.

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the Kokoda Track to help improve the lives of local communities. Health professionals such as nurses, doctors and midwives are all urgently needed to help run the program in PNG. Eight days of your time is all it takes and you’ll get to experience a beautiful landscape steeped in history and a unique culture along the way. You will be part of an ongoing, fully administered program, so you are assured that the work you are doing is coordinated and for the long term benefit of PNGs locals.

“The depth of engagement with the local people along with the support and mentoring we were able to provide the community health care workers are two of the most memorable things I brought home with me after the first expedition last November,” says Jo Bergman, No Roads to Health Clinical Coordinator.

“I always wanted to do some philanthropic work but couldn’t dedicate the 3-6 months most projects require so this program appealed to me as eight days is very manageable”.

“Although the expedition is focussed on educating the community health care workers along the Kokoda Track and setting up clinics in remote villages, this doesn’t mean the medical teams spend all their time working,” says Stewart Kreltszheim, No Roads to Health Project Manager.

“We get to trek through an iconic region in Australia’s history; our mornings are usually spent on the track while the afternoons and evenings are in the villages running clinics and seeing patients”.

Jo and Stewart recently learned about an incredible story of survival from the village of Kagi after their first expedition last year.

“The wife of one of our porters went into an obstructed labour and they went to see their local community health care worker which just wouldn’t have happened before. The community health care worker was able to keep mother and baby alive overnight with radio support from his supervisors until a plane could be organised by No Roads Expeditions to pick her up and take her to hospital in Port Moresby for a C section. Mother and baby are now doing well,” explains Jo.

“It’s stories like these we hope we’ll hear much more of

next time we visit in November”.

The No Roads to Health initiative aims to send at least two medical teams per year into remote villages. These teams will educate village women in particular and administer general medical care to the locals. The training will include maternal health, infant health and well-being, breast feeding, wound and infection management, and nutrition.

This is where you can help.

If you have experience in any of the above mentioned fields we’d love to hear from you. Midwives are in particular need for the November 2013 trip.

For more information including travel dates, costs and itinerary details visit www.noroads.com.au and follow the medical expedition to PNG link on the homepage.

To chat to the No Roads to Health Team, email [email protected] or call Stewart on 0418 369 113.

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Indigenous Health

Dental Assistant Sharni Bartlett talks about leaving Brisbane to take up a career in the Northern Territory (NT) as a remote health professional. Sharni has worked on short-term paid placements in a number of remote Indigenous communities in the NT, including Galiwin’ku, Alpurrurulam, Borroloola, Timber Creek, Yarralin and Kalkarindji.

I took a real leap of faith when I quit my full-time job and decided to give remote work a go. I really wasn’t sure what to expect or just what I was getting myself into. Almost two years since my first placement with RAHC I’ve

I’ve found my dream job! Dental Assistant Sharni Bartlett talks about working remote

Elcho Island (Galiwin’ku)

I’ve made some wonderful life-long friends working remote. We all share a sense of adventure, a desire to make a difference and shoes permanently stained red from the dirt.

“ “

Remote Area Health Corps (RAHC)

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their dedication to ensuring my placements are successful. It’s reassuring to know that they are only ever a phone call away if you need them. I’ve made some wonderful life-long friends working remote. We all share a sense of adventure, a desire to make a difference and shoes permanently stained red from the dirt. Talking with other dental teams is always a highlight of my trip. Hearing about their experiences and sharing tips about the places we’ve been is such a valuable part of the process. I can’t wait to head out bush again, it’s always such an adventure. There’s no doubt in my mind that I’ve found my dream job!

RAHC offers short-term paid placements to urban-based health professionals. With placements of 3 weeks to 3 months, you can make a difference by improving the health and wellbeing of Indigenous Australians. And you don’t have to give up your regular job back home.

For more information about remote placements with RAHC, visit www.rahc.com.au

worked in a dozen or more communities and have had an amazing time along the way.

For me, working in the Top End has been a great eye opener and a wonderful way to learn about our land and Aboriginal culture. While working with RAHC I’ve been fortunate enough to work in some of the most remote and untouched parts of Australia, a perk you won’t find in many dental assisting jobs that’s for sure. Every placement is different, as is every community, so being adaptable, a problem solver and being able to think outside the box is all part of the job. I’ve learned some really valuable skills out bush that I have no doubt will help me in any working environment I find myself in, in the future.

Since day one of the application process, I’ve found the RAHC team extremely supportive and have been so impressed by

I can’t wait to head out bush again, it’s always such an adventure. There’s no doubt in my mind that I’ve found my dream job!

“ “15

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Ian Yates AMChief Executive

COTA AuSTRAliA

Tony O’HareManaging Director

The COmmuniTy SeRviCeS GROup

Estelle FyffeChief Executive Officer

AnneCTO

Navigating the Complexities of Consumer Directed Care

Mitigating risk & delivering quality under reform

28th & 29th August 2013, The Sydney Boulevard hotel, Sydney

May conference & workshops completely sold out. Register early to avoid disappointment!

Frank Crupi Chief Executive Officer

milpARinkA

Workshop AHow to broker & manage quality

Workshop BOperationalising consumer directed care

Mid & Post Conference Workshops

The Health Scoop subscribers quote CC*HS when registering to SAVE 100!

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Jeff FiebigManager Program DevelopmentACH Group

Paula TroodGeneral Manager Residential Services & Quality, Compliance and Continuous ImprovementBenetAs

Glenys WebbyDirector of Strategy and Planning ServicesBlue CAre

Key speakers

Researched by

Residential Aged Care Delivery Models

Transitioning to responsive & flexible services under reform

18th & 19th september 2013, CQ Functions, Melbourne

Annie GibneyDirector Residential Aged CareWesley Mission BrisBAne

Attend & explore

Changing models of rAC service delivery

How to define & ensure quality of care

How to prepare your organisation for consumer directed care

strategies for implementing supportive models for special needs groups

Register 3 delegates at the ‘standard price’ & bring a 4th delegateFREE!To registerphone 1300 316 882 fax 1300 918 334 [email protected] www.residentialagedcaremodels.com

Hear expert insights & see case studies from 10 leading RAC providers

Workshop A Delivering resident centred care & optimising resources

Workshop BImplementing consumer directed care & managing the bottom line

Pre & Mid Conference Workshops

The Health Scoop subscribers quote CC*HS when registering to SAVE 100!

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Indigenous Allied Health Australia2013 National Conference

Visit our website for more details:www.iaha.com.au

HEALTHY FOOTPRINTSLEADING GENERATIONAL CHANGE26-27 NOVEMBER 2013 | HILTON ADELAIDE

EARLY BIRD REGISTRATIONS NOW OPEN

ARE YOU INTERESTED IN ABORIGINAL ANDTORRES STRAIT ISLANDER HEALTH?

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