A model of multidisciplinary professional development for health professionals in rural Canterbury, New Zealand

Bidwell, Susan; Copeland, Andrea

doi:10.1071/hc17049

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…Access to continuing education via locally based programs can help in ensuring that rural practitioners do not feel professionally isolated, and it is likely to be undertaken in rural settings in a way that encourages interprofessional input and can encourage retention [105]. Access to high quality information via the internet and use of webinars has changed the landscape for professional development [106][107][108]. Such connectivity is generally readily available in developed countries [107,108], although attendance and keeping up to date may be difficult for time-poor rural practitioners.…”

Section: Workforce Challengesmentioning

confidence: 99%

Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review

Thompson

Nedkoff

Katzenellenbogen

et al. 2019

IJERPH

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This narrative review explores relevant literature that is related to the challenges in implementing evidence-based management for clinicians in rural and remote areas, while primarily focussing on management of acute coronary syndrome (ACS) and follow up care. A targeted literature search around rural/urban differences in the management of ACS, cardiovascular disease, and cardiac rehabilitation identified multiple issues that are related to access, including the ability to pay, transport and geographic distances, delays in patients seeking care, access to diagnostic testing, and timely treatment in an appropriate facility. Workforce shortages or lack of ready access to relevant expertise, cultural differences, and complexity that arises from comorbidities and from geographical isolation amplified diagnostic challenges. Given the urgency in management of ACS, rural clinicians must act quickly to achieve optimal patient outcomes. New technologies and quality improvement approaches enable better access to rapid diagnosis, as well as specialist input and care. Achieving an uptake of cardiac rehabilitation in rural and remote settings poses challenges that may reduce with the use of alternative models to centre-based rehabilitation and use of modern technologies. Expediting improvement in cardiovascular outcomes and reducing rural disparities requires system changes and that clinicians embrace attention to prevention, emergency management, and follow up care in rural contexts.

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Section: Workforce Challengesmentioning

confidence: 99%

Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review

Thompson

Nedkoff

Katzenellenbogen

et al. 2019

IJERPH

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“…Embarking on an international collaboration was an ambitious undertaking both by the CCG and Pegasus Health, even given the evolution of the Pegasus SG programme so that it could be delivered equally well in person or remotely to local or distant groups. (14,15) While the NZ health system is similar to UK in many respects and has many UK-trained GPs practising there who understand both contexts, it nevertheless required further work to adapt it to the UK context.…”

Section: Methodsmentioning

confidence: 99%

Intercontinental translatability of a peer-led GP education model from New Zealand to the UK: a pilot study

Hudson,

Walmsley,

Bidwell

et al. 2024

BJGP Open

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BackgroundPegasus Small Group education for General Practitioners (GPs) is a professional development programme that has been delivered in Canterbury, New Zealand for over 30 years. Peer developed content is delivered in small groups supporting interactive discussions informed by evidence and locally relevant data.AimAn international collaboration between South Tyneside Clinical Commissioning Group (CCG) in the UK and Pegasus Health in Canterbury New Zealand aimed to determine whether the Canterbury model of Small Group (SG) professional development for GPs was transferrable to the South Tyneside context.Design & settingThis was a pilot qualitative study testing proof of concept for the Pegasus Small Group GP education model of professional development in another country.MethodTo test the concept, three pilot sessions on Persistent Pain, Screening, and Optimising Treatment were delivered between November 2021, and March 2022. Four UK GPs were trained as SG leaders and a member of the Pegasus team liaised with various UK GPs in South Tyneside to adapt topics for the local context. The use of videoconferencing (MSTeams, Zoom) to deliver support, training, and the programme itself had been developed and refined in the pandemic so that it could be run entirely online without losing its core components or interactive nature.ResultsThirty-one, 50 and 61 GPs respectively from the 68 registered GPs attended the three sessions, 90% of whom rated the overall quality as good or excellent. These results and other positive feedback from attendees provided a mandate for a further extension over the following months.ConclusionThe pilot proved the potential for health systems to collaborate globally despite geographical distance. A wider evaluation to assess the impact of the education initiative is needed to determine the impact on patient care and to demonstrate the benefits of supporting the small group peer education model.

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“…A key strength of school health services is that they are community-based, capture where children reside and are accessible to families. School health services can reduce inequities by removing barriers to accessing health care, such as transportation, appointment schedules, and inconvenient locations 5 . In addition, the services offer an opportunity to address the broader determinants of health 6 .…”

Section: Executive Summarymentioning

confidence: 99%

Silos and Systems

Williams

2023

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Executive Summary Education and health are interrelated. Education is positively associated with health behaviours, life expectancy, and morbidity and is an established social determinant of health. However, for learning to occur, children must be healthy, ready, and able. All too frequently, ill-health compromises learning and school attendance, leading to long-term negative consequences throughout life. Positioning health services alongside schools, and upholding collaborative intersectoral working, has positively impacted education and health outcomes for children and young people internationally. In New Zealand, however, the education and health sectors work in silo with no formal directive to do otherwise. Achieving and maintaining inter-sectoral collaboration is therefore challenging, piecemeal, and time-consuming. It is further complicated by system structure, competing priorities, and differing perspectives of the two sectors and those working within them. This multicase study of three urban primary schools explored the relationship between school staff and health services and the influences on this relationship. The study focused on the experiences and perspectives of participant principals, teachers, teacher aides, administrative staff, and Special Educational Needs Co-ordinators (SENCO) working with health services. Data were collected through semi-structured interviews, observations, and reviews of staff professional development and other related learning opportunities. The findings highlighted the uncoordinated working relationship between the health and education sectors in New Zealand and the current barriers to achieving workable, inter-sectoral collaboration. This study has confirmed the need for better inter-sector alignment while acknowledging the interdependence of both sectors. Collaborative inter-sectoral work between education and health is critical. The findings from this study recommend developing and implementing a national policy enabling these sectors to work together to achieve optimal education and health outcomes for children and young people in New Zealand.

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A model of multidisciplinary professional development for health professionals in rural Canterbury, New Zealand

Cited by 9 publications

References 10 publications

Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review

Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review

Intercontinental translatability of a peer-led GP education model from New Zealand to the UK: a pilot study

Silos and Systems

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