Priya Martin

The University of Queensland | UQ · Rural Clinical School Research Centre

Objective To investigate the impact of the COVID-19 pandemic on clinical supervision practices of health care workers in health care settings in one Australian state. Method A bespoke survey was developed and administered online using Qualtrics™. The survey consisted of Likert scale and closed questions, with options for free text comments. Numeri...

Much has been documented about the impacts of the COVID-19 pandemic on hard skill development (i.e., skills and knowledge) during clinical placements. Little is known, especially from a student supervisor perspective, on the impacts of the pandemic on soft skills (e.g., communication, teamwork) during student clinical placements. A mixed methods on...

Objective GP vocational training enrolments are declining Australia-wide and, in the Northern Territory (NT), considered by some as ‘…the litmus test for the national scene’ the decline is precipitous. This research investigates the drivers of declining GP training uptake in the NT and identifies and ranks potential solutions. Setting NT, Australi...

This systematic review will synthesise the evidence on consumer involvement in rural health practice, education, and research in order to identify key enablers and barriers to their participation. Findings will inform policy, practice, and research recommendations to maximise consumer involvement in all aspects of rural health, thereby ultimately i...

Introduction: Many healthcare workers have switched from face-to-face clinical supervision to telesupervision since the onset of the COVID-19 pandemic. Given the rise in prevalence of telesupervision and continuing remote working arrangements, telesupervision is no longer only limited to rural areas. As this remains an under-investigated area, thi...

While rural health-care settings are said to be ideal places for the facilitation of interprofessional education and collaborative practice (IPECP) in students, little is known about the rural-IPECP interface. This study explored this interface through student and clinical educator experiences following implementation of a structured IPECP student...

Prospero registered systematic review protocol available from https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=427846.

Background Inadequate distribution of the medical workforce in rural regions remains a key global challenge. Evidence of the importance of postgraduation (after medical school) rural immersion time and subsequent rural practice, particularly after accounting for other key factors, remains limited. This study investigated the combined impact of thre...

Introduction Limited evidence is currently available relating to research acitivity of medical students training in regional or rural areas. Objective To describe medical student interest and participation in research at The University of Queensland Rural Clinical School (UQRCS). Design Annual student expression of interest surveys were collated...

Objective To investigate student supervisor experiences of supervising students on clinical placements since the onset of the COVID-19 pandemic. Background Studies on the impact of COVID-19 on student clinical placements have focused largely on student reports and have been specific to individual professions or topic areas. There is a need to inve...

This unique study investigated the educational and service delivery impacts of a team-based, innovative model of interprofessional education (IPE) namely the Rural Interprofessional Education and Supervision (RIPES) model on participating students, clinical educators, and their workplaces, in rural Australian healthcare settings. Participating prof...

Service user involvement in interprofessional education and collaborative practice remains limited despite the increasing push for this by governments and grant funding bodies. This rapid review investigated service user involvement in interprofessional education, practice, and research to determine factors that enable or hinder such involvement. F...

Background The aim of this national study was to explore the learning experiences of Australia’s medical students who trained rurally during the COVID-19 pandemic in 2020. Methods A cross-sectional, national multi-centre survey was conducted in 2020, through the Federation of Rural Australian Medical Educators (FRAME). Participants were medical st...

Speciality colleges and health services are often well attuned to professional factors, but non-professional needs are less acknowledged and are the focus of this study. This likely relates to limited research about the non-professional needs of early career doctors. This study aimed to describe the non-professional needs of doctors in their early...

Despite a growing body of research into interprofessional education and collaborative practice (IPECP), practical strategies and initiatives are required to assist healthcare workers with implementation. Practical strategies and tips outlined in this paper can support healthcare teams to incorporate IPECP into day-today workplace practices. Beyond...

This rapid review will synthesise the current evidence on medical student involvement in research in order to identify key barriers and enablers. This will ultimately allow for development of strategies to improve medical student research participation in the future.

Interprofessional student placements can not only cater to the added pressures on student placement numbers but can also enhance the work readiness of new graduates. For rural areas, there is a potential for interprofessional student placements to attract the future healthcare workforce. However, tried and tested models of interprofessional placeme...

Aims To synthesize available data on the impact of the COVID‐19 pandemic on clinical supervision practices of healthcare workers and students in healthcare settings. Design A quantitative rapid review of the literature. Data Sources A search of MEDLINE, Embase, PsycINFO, the Cochrane Library and Scopus for English language papers published betwee...

Background Expanding rural training is a priority for growing the rural medical workforce, but this relies on building supervision capacity in small towns where workforce shortages are common. This study explored factors which support the use of blended supervision models (consisting of on- and offsite components) for postgraduate rural generalist...

At The University of Queensland Rural Clinical School, a series of projects are underway that tap into extended reality to ultimately enhance healthcare delivery and healthcare training programs in rural Australia. Extended reality encompasses augmented reality (AR) and virtual reality (VR) which are technologies that enhance or replicate a real-wo...

The COVID-19 pandemic has caused significant disruptions to healthcare student placements worldwide, including already challenged rural areas in Australia. While accounts are emerging of student experiences in larger centers and from a student perspective, there is a need for in-depth exploration of student supervisor experiences in rural areas at...

The importance of clinical supervision, a professional support and clinical governance mechanism, to patients, healthcare workers and organizations has been well documented. Clinical supervision has been shown to support healthcare workers during challenging times, by reducing burnout, enhancing mental health and wellbeing at work, and improving jo...

Interprofessional education and collaborative practice (IPECP) have recently gained much momentum in the Australian state of Queensland. The public health service in Queensland consists of several hospital and health services, spanning larger metropolitan and smaller regional and rural sites. The Cunningham Centre is a registered training organizat...

Objective The COVID-19 pandemic has adversely impacted medical students' learning experiences. Students in one Australian Rural Clinical School were surveyed to investigate the impact of disruptions to clinical placements and satisfaction with educational changes implemented as a result of the pandemic. Design Cross-sectional survey. Setting The...

Introduction: Rural generalist (RG) doctors are broadly skilled to provide comprehensive primary care, emergency and other specialist services in small, distributed communities where access is otherwise limited because of distance, transport and cost limitations. In Victoria, Australia, the Victorian Rural Generalist Pathway (VRGP) represents a sig...

[Journal of Practice Teaching and Learning] It is acknowledged that the adverse effects of the COVID-19 pandemic will be long-lasting on healthcare organisations. Consequently, healthcare teams will need to work more collaboratively, supporting each other better in the post-pandemic period. Pre-registration clinical placements in healthcare settin...

Access the article here - https://www.ruralhealth.org.au/partyline/article/enhancing-quality-telesupervision-better-support-rural-health-workforce

In early 2020, the COVID-19 pandemic emerged, posing multiple challenges to healthcare organisations and communities. The Darling Downs region in Queensland, Australia had its first positive case of COVID-19 confirmed in March 2020, which created understandable anxiety in the community. The Vulnerable Communities Group (VCG) was established to addr...

Objective To review the impact of clinical supervision of post-registration/qualification healthcare professionals on healthcare organisational outcomes. Background Clinical supervision is a professional support mechanism that benefits patients, healthcare professionals and healthcare organisations. Whilst evidence is growing on the impact of clin...

Read this article here - https://issuu.com/aushealthcare/docs/the_health_advocate_-_november_2021/12

Background Medical training is a long process that is not complete until doctors finish specialty training. Getting into specialty training is challenging because of strong competition for limited places, depending on doctors’ chosen field. This may have a negative impact on doctor well-being and reduce the efficiency of the medical training system...

Evidence is mounting regarding the positive effects of Interprofessional Education and Collaborative Practice (IPECP) on healthcare outcomes. Despite this, IPECP is only in its infancy in several Australian rural healthcare settings. Whilst some rural healthcare teams have successfully adopted an interprofessional model of service delivery, informa...

One of the key challenges with implementing and sustaining interprofessional education initiatives is the lack of governance structures and processes to guide them. This case study presents a process evaluation of an intersectoral advisory group that facilitated a novel interprofessional clinical education model in rural health settings in the stat...

There is a lack of theory about what drives choice to be a generalist or specialist doctor, an important issue in many countries for increasing primary/preventative care. We did a realist evaluation to develop a theory to inform what works for whom, when and in what contexts, to yield doctors’ choice to be a generalist or specialist. We interviewed...

Background Specialty colleges and health services play a key role in supporting doctors in their early careers, fostering a highly skilled workforce to respond to the community’s healthcare needs. In doing so, they are often well attuned to professional factors, such as long or uncontrolled work hours, but non-professional factors are less acknowle...

This article outlines the impact of COVID-19 on staff clinical supervision and offers some solutions for strengthening clinical supervision arrangements to enhance healthcare outcomes for staff, patients and organisations. This free access article can be accessed from https://onlinelibrary.wiley.com/doi/full/10.1111/jan.14483

Background: Given the workforce challenges in rural Australia, there continues to be a lack of structured interprofessional education (IPE) opportunities in clinical settings. The Rural Interprofessional Education and Supervision (RIPES) model of student placement was developed and implemented in 2017-18 to address this gap. An advisory group consi...

Objective: The objective of this review is to develop an aggregated synthesis of qualitative and quantitative reviews to derive recommendations for policy and practice relevant to clinical supervision (CS). Introduction: Clinical supervision is a process where supervisors and supervisees engage in guided evaluation and reflection on current prac...

Commenting on Jackson et al.'s review, the authors of this commentary draw attention to the need for better understanding of the impact of clinical supervision on patient outcomes.

Problem: Recruitment and retention of rural doctors remains a challenge in Australia. The Queensland Rural Generalist Program was developed to address this challenge and provides a range of tailored professional development opportunities to support rural medical training, recruitment and retention. The Rural Generalist Vocational Preparation Works...

Abstract Background The benefits of clinical supervision are more pronounced for health professionals in rural and remote areas. Most clinical supervision studies to date have occurred in metropolitan centres and have used the survey methodology to capture participant experiences. There is a lack of qualitative research that captures participants...

There is an urgent need to build clinical supervision capacity in rural Australia. This paper outlines the issues in the current landscape and proposes some recommendations.

Although optimal clinical supervision has long been thought to include a supportive, pastoral or restorative element (Kadushin, 1992), it has tended to be marginalised by the more business‐like components of ‘normative’ and especially ‘formative’ supervision (the managerial and development elements). Within the nursing profession in the UK, supervi...

This presentation focuses on post-registration health professional supervision between different professions.

Objective The aim of this study was to identify the factors contributing to high-quality clinical supervision of the allied health workforce in rural and remote settings. Methods This quantitative study was part of a broader project that used a mixed-methods sequential explanatory design. Participants were 159 allied health professionals from two...

Abstract Objectives The aim of the study was to compare the differences in learning outcomes for supervision training of health professionals across four modes namely face-to-face, videoconference, online and blended modes. Furthermore, changes sustained at three months were examined. Design/Methods A multi-methods quasi-experimental longitudinal...

Clinical supervision (CS) works best when based on a collaborative working alliance between the supervisor and the supervisee, leading to a range of benefits to patients, health organisations and health professionals (Martin, Copley & Tyack, 2014). However, the optimal approach to collaboration is far from clear, as sometimes a firm and even ‘disag...

Clinical supervision is a professional support mechanism for health professionals aimed at developing the skills, knowledge and competence of the supervisee. Clinical supervision has been shown to benefit health professionals, patients and healthcare organisations. The ultimate purpose of clinical supervision is the delivery of safe and high qualit...

Health professionals are increasingly expected to do more with less. A resource-constrained healthcare environment, expanding scope of clinical roles and increased demand for healthcare all contribute to this seeming conundrum. Consequently, health professionals are relying more on professional support mechanisms in the workplace (Saxby, Wilson & N...

Clinical supervision is the least investigated, discussed and developed aspect of clinical education (Kilminster & Jolly 2000) despite being essential within initial professional training and mandated by governments. Even the basic concepts lack precision (Milne 2007; Martin et al. 2017; White 2017). A popular form of supervision is peer supervisio...

The purpose of this paper is to clarify what work-based IPE is, challenge some common misconceptions about its values in clinical settings and highlight tools that will assist with its implementation in such settings.

Introduction Whilst telesupervision (clinical supervision undertaken using communication technology) is being used more frequently, there is limited information on what factors influence its effectiveness and quality. We undertook this systematic review to address this gap. Methods Eligible telesupervision studies were identified following targete...

Clinical supervision is integral to continuing professional development of health professionals. With advances in technology, clinical supervision too can be undertaken using mediums such as videoconference, email and teleconference. This mode of clinical supervision is termed as telesupervision. While telesupervision could be useful in any context...

Background: Workforce recruitment and retention issues are common in highly dispersed regions such as Queensland in Australia. Provision of student placements in these non-metropolitan areas is one way of promoting staff recruitment. However, healthcare professionals in these areas face a number of challenges in accessing training opportunities in...

This paper clarifies what clinical supervision means and addresses the confusion around clinical supervision terminology

Background/aim: Clinical supervision is important for effective health service delivery, professional development and practice. Despite its importance there is a lack of evidence regarding the factors that improve its quality. This study aimed to investigate the factors that influence the quality of clinical supervision of occupational therapists...

Introduction: Globally there is an increased emphasis on the provision of high quality healthcare and improved productivity under mounting financial constraints. Interprofessional collaboration and practice are considered crucial in promoting teamwork and optimising patient outcomes. However, there is a lack of structured, evaluated interprofession...

Background: Allied health professionals practicing in rural and remote areas are often faced with barriers that prevent them from accessing professional development opportunities. In order to address this barrier, a tailored professional development program was developed and implemented by the Cunningham Centre in Queensland, Australia. The purpos...

Background: Health professionals practising in countries with dispersed populations such as Australia rely on clinical supervision for professional support. While there are directives and guidelines in place to govern clinical supervision, little is known about how it is actually conducted and what makes it effective. The purpose of this study was...

Objective Improving the quality and safety of health care in Australia is imperative to ensure the right treatment is delivered to the right person at the right time. Achieving this requires appropriate clinical governance and support for health professionals, including professional supervision. This study investigates the usefulness and effectiven...

Invited presentation at the QRTN SIMposium

Background: Clinical supervision has gained wide recognition in recent years as an essential component of a practitioner's continuing professional development. However, confusion exists in professional literature regarding the most effective models, styles, processes and methods of clinical supervision. Aim: This article outlines the elements re...

O158 EFFECTIVENESS OF CLINICAL SUPERVISION OF OCCUPATIONAL THERAPISTS IN QUEENSLAND Priya Martin 1,2 , Zephanie Tyack 1,2 , Jodie Copley 1,2 1 Queensland Health, Rockhampton, Central Queensland Hospital and Health Service, Queensland, Australia 2 The University of Queensland, Brisbane, Queensland, Australia Introduction: Clinical supervision has be...

Aims The main aim of this study was to identify the changes over time on the functional status of people with spinal cord injury in a sample of the South Indian population, integrated in the community, following rehabilitation. It also aimed at evaluating the adaptations that occurred in that time period, in order to facilitate planning of services...