emet in far north queensland - ruralhealth.org.au · emet helps to ensure that we are as...
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EMET in Far North Queensland
Dr Liz Mowatt Clinical Lead
Lydia O’Meara Project Support Officer
11 Hospitals
2 Health Services
20+ FACEMs
3 days/week
273 1192 kms
EMET Cairns
Lack of backfill Hospital too busy to leave Travel time and expenses Scheduling challenges
Barriers to Upskilling
Upskill
…our role is to add value through emergency medicine education.
Motto…
Outreach workshops
VideoConference Sessions
o Case-Based Discussions
o Expert Tutorials
Simulation courses
Clinical Immersions
Audits
Disaster Planning
Local Educational Reference Group
Education Modalities
Cairns FACEM Team
Invest in creating high-quality, rural-specific resources Onsite visits enable two-way education Building rapport between rural staff and FACEMs reduces sense of professional isolation Regular evaluation enables learner-centred education PSO crucial as behind-the-scenes coordinator Provide staff travel to SMOs/senior nurses Provide catering!
Lessons Learnt
Professional isolation
“I cannot describe how appreciative we are to have a
consultant onsite – showing us how to better use new
equipment as well as getting an understanding of the context
and challenges of the terrain and environment we work in.
This has helped to remove the feeling of professional isolation.”
-Medical Superintendent
4-Years of EMET Cairns*
198 Onsite Visits 40 Hi-fi Sim Workshops 200+ Case-based discussions 9 Audits
2 200 + Attendees 322 Attendees Approx. 500 cases ATS Category 1
40% MOs 50% MOs Avg. 5/vCBD STEMI
34% Nurses 50% Nurses ED Systems
20% Other 8 spots/Sim Workshop 17 Expert Tutorials**
6% GPs 930+ Attendees
Avg. 10-13/workshop 41 Clinical Immersions 20 Different facilities
Avg. 55/Tutorial
*August 2012-October 2016 ** May 2013-October 2016
Patient Outcomes
“These [case-based] interactive sessions are an invaluable educational and
learning resource for our rural hospital. Patient management is adjusted
following direct, supportive feedback from ED specialists who are fully aware of our staffing, isolation, strengths and limitations. Our professional sense of
isolation is reduced and our actions are accountable. These facts all lead to
improved patient outcomes.”
-Senior Medical Officer
Achievements
Completed: EMC 9 Current: EMC 7 EMD 1
• Service-driven facilities – lack of protected educational time
• Adjusting the pitch to suit a varied audience
• High turnover of management in
some facilities.
• Accessing the program’s federal funding for staff travel.
Challenges
Emphasise development of peer networks to reduce the sense of professional isolation and improve patient outcomes. Support a multi-disciplinary, flexible, multi-modal framework that can adapt to the specific educational needs of each rural facility.
Recommendations
“We are enmeshed in these communities, and we see the patients when they are well, when
they are sick and when they are in Woolworths.
EMET helps to ensure that we are as well-
equipped as we can be to serve our communities when they need it.
When a critical event occurs, you want to feel confident that the care you delivered was the best possible, and you want the community to
feel that too.”
-Medical Superintendent
Benefits of EMET
Thank you
Dr Liz Mowatt Clinical Lead E: [email protected]
Lydia O’Meara Project Support Officer E: [email protected] Twitter: @LydiaOMeara