Te Kika : The Village Peter Crampton Vienna's Allgemeines - - PowerPoint PPT Presentation

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Te Kika : The Village Peter Crampton Vienna's Allgemeines - - PowerPoint PPT Presentation

Inspirational tales from Te Kika : The Village Peter Crampton Vienna's Allgemeines Krankenhaus 1784 Hospital ward - Charcot late 1800s Figure 1 depicts the overall geographical distribution of health sciences students on placements.


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Peter Crampton

Inspirational tales from Te Kāika: The Village

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Vienna's Allgemeines Krankenhaus 1784

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Hospital ward - Charcot late 1800s

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Figure 1 depicts the

  • verall

geographical distribution of health sciences students on placements. Placements vary in length

  • f time from

two days to six months

Figure 1. Map depicting health sciences student placement locations

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M Heffer, Canadian Interprofessional Health Collaborative, 2009

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3 5 9 14 5 16 6 27 13 6 6 20 7 10 2 18 17 8 3 20 8 6 3 20 13 9 4 30 5 8 4 12 11 8 3 37 3 4 6 9 Adult Medicine Anaesthesia Emergency Med General Practice O&G Paeds Psychiatry Surgery

1st Choice of specialty (%) compared with NZ SMO workforce 2014

CMSQ (2014, n=455) Exit (2012-4, n=899) PGY1 (2013, n=190) PGY3 (2015, n=202) Workforce (2014, n=9437)

Source: Warwick Bagg: Compiled from Medical Schools Longitudinal Data Base and Tracking Project, and MCNZ Data

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The Flexner Report 1910

  • Medical practitioners

should be scientists

– Science should underpin the patient workup – Investigation and practice were “one in spirit, method and object”

Peter Crampton Division of Health Sciences

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The Flexner Report 1910

  • Faculty members should

engage in research

– “Only research will keep the teachers in condition”

Peter Crampton Division of Health Sciences

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The development of the medical school ~12th Century

  • First recorded public

laurea (degree) in medicine, following examination, awarded in 1268 in Bologna

  • Course length 5 – 6

years

Peter Crampton Division of Health Sciences

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Peter Crampton Division of Health Sciences

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Māori medical student intake at Otago

Number of Māori students currently in the programme as at 2017 = 218

17

Peter Crampton Division of Health Sciences

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Main messages

  • Transformation of health professional

education from institutions into community settings

– New investment and shift of resources is required – Thank you for being part of this transformation

  • Time for a refresh of primary health care policy

– Focus on equity of access – Focus on health workforce training, teaching and research embedded in communities – Need to restructure funding and system-support for primary health care

Peter Crampton Division of Health Sciences

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Acknowledgements

  • Sue Pullon
  • Warwick Bagg
  • Colleagues in Te Kāika
  • Te Putahitanga
  • Te Rūnanga o Ngāi Tahu
  • Community-based teachers

Peter Crampton Division of Health Sciences