Stepping Up Telehealth: Using telehealth to support a new model of care for type 2 diabetes management in rural and regional primary care

Our proposal is to pilot the feasibility and acceptability of a telehealth intervention to enhance care in rural general practice for people with out-of-target Type 2 Diabetes (T2D). Our research program builds on the UK Medical Research Council framework in developing a model of care intervention that is well matched to the setting of General Practice and to the experiences and priorities of patients. We undertook an exploratory qualitative study, leading to the development of a practice-based intervention that we pilot tested for feasibility and acceptability before undertaking a larger pilot and a cluster RCT. We based our work on Normalisation Process Theory (NPT), a sociological theory of implementation, which describes how new practices become incorporated into routine clinical care as a result of individual and collective work. NPT suggested that our model of care intervention would need to be patient centred and include all members of the multidisciplinary diabetes team, including Endocrinologist, RN-CDE General Practitioners (GP), and generalist Practice Nurses (PNs). All of these groups are involved in the �work� of insulin initiation.The research reported in this paper is a project of the Australian Primary Health Care Research Institute which is supported by a grant from the Australian Government Department of Health and Ageing under the Primary Health Care Research Evaluation and Development Strategy

The Visit (VR)

The Visit, 2019 VR - The Visit is an interactive VR project, developed from a ground-breaking research project conducted by artists and psychologists working with women living with dementia. Visitors are invited to sit with Viv, a life-sized, photorealistic animated character whose dialogue is created largely from verbatim interviews, drawing us into a world of perceptual uncertainty, while at the same time confounding stereotypes and confronting fears about dementia. Like the women who co-created her, Viv experiences various dementia-related symptoms, including hallucinations and confabulation (unconscious fabrication as means of making sense of information). She is also insightful and reflective. Viv is living a life and coming to terms with a neurological change. In the interactive VR work Viv is ‘aware of’ and responds to the visitors presence in her home but the piece invites quiet attentiveness rather than the kind of interaction characteristic of gaming. Visitors sit with and listen to Viv without judgement, irritation, pity or despair, finding a way into her world.Director and Producer: Jill Bennett Art Director and Production Design: Volker Kuchelmeister Cast: Voice actress: Heather Mitchell Motion Capture actress: Emma Kew Script: Jill Bennett, Natasha Ginnivan Script consultants: Melissa Neidorf, Gail Kenning, David Pledger Interviewees/contributors: Prue Uther, Joan Eva, Jennifer Bute, Wendy Mitchell Researchers: Natasha Ginnivan, Chris Papadopoulos, Melissa Neidorf, Gail Kenning. Motion Capture: Joe Holloway Voice recording: Tobias Gilbert 3D Artist: Chris Norris, Jason Dobra 3D scanning: Matt Cabanag (UNSW LITEroom) LIDAR: Bruce Harvey (UNSW Engineering) Music: Peter Sculthorp

Attaining full professor: Women’s and men’s experiences in medical education

Introduction: The underrepresentation of women among senior faculty members in medical education is a longstanding problem. The purpose of this international qualitative investigation was to explore women and men's experiences of attaining full professorship and to investigate why women remain underrepresented among the senior faculty ranks. Methods: Conducted within a social constructionist orientation, our qualitative study employed narrative analysis. Two female and two male participants working in medical education were recruited from five nations: Australia, Canada, the Netherlands, United Kingdom and United States. All participants held an MD or PhD. During telephone interviews, participants narrated the story of their careers. The five faculty members on the research team were also interviewed. Their narratives were included in analysis, rendering their experiences equal to those of the participants. Results: A total of 24 full professors working in medical education were interviewed (n = 15 females and n = 9 males). While some aspects were present across all narratives (ie personal events, career milestones and facilitating and/or impeding factors), participants’ experience of those aspects differed by gender. Men did not narrate fatherhood as a role navigated professionally, but women narrated motherhood as intimately connected to their professional roles. Both men and women narrated career success in terms of hard work and overcoming obstacles; however, male participants described promotion as inevitable, whereas women narrated promotion as a tenuous navigation of social structures towards uncertain outcomes. Female and male participants encountered facilitators and inhibitors throughout their careers but described acting on those experiences differently within the cultural contexts they faced. Discussion: Our data suggest that female and male participants had different experiences of the work involved in achieving full professor status. Understanding these gendered experiences and their impact on career progression is an important advancement for better understanding what leads to the underrepresentation of women among senior faculty members in medical education