2011 Clinical Education and Training Institute Annual report 2011

1. Clinical Education and Training Institute
Annual Report 2010-2011
Clinical education
for excellence
in patient care

2. Legislation Health Services Act 1997, Order Amending Schedule 2 of the Act
(insertion of entry for Clinical Education and Training Institute) June 2010.
Clinical Education and Training Institute Annual Report 2010-2011
State Health Publication Number (CETI) 110268
ISSN 1839-7549
Key words: Clinical education, New South Wales Australia.
Suggested citation for manuscripts and publications:
Clinical Education and Training Institute Annual Report 2010-2011.
Clinical Education and Training Institute, Sydney, October 2011.
Clinical Education and Training Institute
Building 12, Gladesville Hospital, GLADESVILLE NSW 2111
Locked Bag 5022 GLADESVILLE NSW 1675
Tel. (02) 9844 6551 Fax. (02) 9844 6544
Homepage: www.ceti.nsw.gov.au Email: information@ceti.nsw.gov.au
© CETI 2011. This work is copyright.
It may be reproduced in whole or in part for study or training purposes
subject to the inclusion of an acknowledgement of the source.
Further copies can be downloaded www.ceti.nsw.gov.au
Acknowledgements
Images on cover and pages 16, 25, 30, 32 and 35 courtesy of Audio Visual Services, Sydney Local Health District
Images on pages 3, 18, 20 and 24 thanks to allied health staff at Prince of Wales Hospital
Images on pages 6 and 10 thanks to nursing & midwifery staff at Orange Base Hospital

3. Contents
Letter of submission 02 2. Report against our goals 16 3. Our people 36
1. Overview 02 Goal 1: Education and training Management and staff 36
supporting safe, multi-disciplinary, Committees 37
Who we are and what we do 03
team-based, patient-centred care 16
Management and structure 05 4. Financial report 48
Goal 2: Professional development
Chief Executive’s report 08 to build clinical skills, knowledge, 5. Appendices 90
General Manager’s report 09 competency and capacity 18 Compliance requirements 90
Operational highlights 10 Goal 3: Workforce management 21 Internal audit and risk statement 95
Publications and resources 12 Goal 4: Flexibility, innovation and Abbreviations 96
Conferences/forums 13 quality in learning 24
Glossary 97
Our strategic plan 14 Goal 5: Improved standards in
Index 99
Overview of financial performance 15 education and learning 26
Goal 6: Knowledge and knowledge
management 28
Goal 7: Communication 30
Goal 8: Collaboration 32
Evaluation 34
CETI > ANNUAL REPORT 2010/11 1

4. 1 Overview
Letter of submission
The Hon Jillian Skinner
Minister for Health
Governor Macquarie Tower
1 Farrer Place
SYDNEY NSW 2000
Dear Minister
We have pleasure in submitting the Clinical Education and Training Institute (CETI) Annual Report 2011.
The report complies with the requirements for annual reporting under the Annual Reports (Statutory
Bodies) Regulation 2010 under the Annual Reports (Statutory Bodies) Act 1984.
This report summarises our performance for 2010-2011, our first year of operation. This report
enunciates the education and training programs coordinated by CETI, outcomes from the programs
and collaborative achievements. It includes comments on our financial results and our contributions
to the development and improvement of education and training across the NSW health system.
We commend to you this report on the Clinical Education and Training Institute’s involvement in the
development and delivery of innovative and collaborative training programs for health professionals
in the NSW, supporting excellence in patient care.
Yours sincerely
Professor Steven Boyages Dr Gaynor Heading
Chief Executive General Manager
2 OVERVIEW

5. Who we are and what we do
Our history 1. To provide leadership, and work 3. To design, commission, conduct,
The Clinical Education and Training closely with area health service and coordinate, support and evaluate
Institute (CETI) was established on other public health organisations and such other postgraduate clinical
1 July 2010 by the NSW Government clinical training providers, to ensure education and training programs
under the Health Services Act 1997 the development and delivery of as the Director-General may direct
as one of the “four pillar” key health clinical education and training across from time to time
organisations recommended by the NSW public health system which: 4. To design, commission, conduct,
the 2009 Garling Inquiry. CETI is a a. Supports safe, high quality, multi- coordinate and support professional
statewide multidisciplinary education disciplinary team based, patient development programs to enable
and training agency dedicated to the centred care clinicians to become skilled teachers,
support and development of the health b. Meets service delivery needs clinical leaders, trainers and
workforce and quality and safety in and operational requirements supervisors
patient care. c. Enhances workforce skills, 5. To develop and oversee
As part of CETI’s formation, two flexibility and productivity performance evaluation programs
existing agencies and their functions – 2. To design, commission, conduct, for post graduate clinical education
the Institute of Medical Education and coordinate, support and evaluate and training in the NSW public health
Training (IMET) and the NSW Institute a clinical education and training system
of Rural Clinical Services and Teaching program for all new graduate clinical 6. To set standards for prevocational
(IRCST) – were absorbed into CETI. and clinical support staff in the public medical training and accredit
health system, which supports their institutions for prevocational
Determination of functions
roles in providing safe, high quality, education and supervision
CETI is a Statutory Health Corporation
with a determination of functions: multi-disciplinary team based, patient
centred care
CETI > ANNUAL REPORT 2010/11 3

6. 1 Overview
7. To institute, coordinate and evaluate Our values Our governance
clinical training networks, including COLLABORATION CETI is a statutory body led by the
postgraduate medical training We work in partnership and in teams Chief Executive, with the following
networks, and ensure they support for common goals. statutory committees: Chief Executive
service delivery needs, meet Committee; Audit and Risk Committee;
EXCELLENCE
operational requirements and are, and Finance and Performance
We strive for excellence in our
as far as possible, consistent with, Committee.
communication, programs, products
clinical service network
and resources, services and Our organisational structure
8. In undertaking its functions, to relationships. CETI is comprised of four
consult and liaise with patients and directorates and one centre:
TRANSPARENCY
their carers, clinical and clinical
We champion transparency via • The Allied Health Directorate
support staff. The Department of
our commitment to accuracy, • The Medical Directorate
Health organisations and providers
communication and our code of • The Nursing and Midwifery
of clinical education and training
conduct. Directorate
9. To provide advice to the Department
of Health, Director-General and INNOVATION • The Rural and Remote Directorate
Minister on matters relevant to its We celebrate innovation by embracing • The Centre for Learning and
functions new ideas and emerging technologies Teaching
while building the evidence base. These directorates and the centre
Our vision
Our vision is to build sustainable Our stakeholders are supported by the Office of
capacity to achieve better health for To achieve our aim of excellent CETI (finance, human resources,
the people of NSW through education, patient-centred, team-based care governance).
training and development of the in NSW, CETI works collaboratively Where we operate
clinical workforce. with a broad range of stakeholders CETI operates in NSW. Our head
including patients, clinicians, nurses, office is located at the old Gladesville
How we work
allied health professionals, clinical Hospital, Gladesville, NSW. Our Rural
We achieve our goals through
support staff, partner agencies, and Remote Directorate has its main
investment, innovation and influence.
public health services, private health office in Dubbo NSW with smaller
We coordinate, develop, evaluate
services, professional colleges, clinical offices across the state hosted by
and implement clinical education
training committees and working group Local Health Districts (LHDs).
and training for medical, nursing
members, medical administrators,
and midwifery, allied health, and Principal Office:
vocational and tertiary education
clinical support staff, and enhance Clinical Education and Training Institute
providers, researchers, NSW Health
the capabilities of the workforce by Building 12, Gladesville Hospital
and the Department of Health and
facilitating professional development Shea Close, off Victoria Road
Ageing.
opportunities, accrediting training Gladesville NSW 2111
facilities and providers and allocating Our staff
Locked Bag 5022,
medical intern places. At 30 June 2011, we employed 65
Gladesville NSW 1675
people (permanent/fixed term) in a
variety of roles. Telephone: 02 9844 6551
Facsimile: 02 9844 6544
Home page: www.ceti.nsw.gov.au
Email: info@ceti.nsw.gov.au
Office hours: 8:30am to 5:00pm
weekdays.
4 OVERVIEW

7. Management and structure
Chief Executive
Office of CETI
Medical Directorate Rural and Remote Allied Health Nursing and Centre for Learning
Directorate Directorate Midwifery Directorate and Teaching
CETI is a Chief Executive governed General Manager: CETI facilitates vocational training
statutory body. Dr Gaynor Heading PhD networks to support senior residents
Gaynor has held diverse roles including and trainees (registrars) through a
Chief Executive:
Senior Manager at the Cancer Institute number of specialist training programs
Professor Steven Boyages
MB BS PhD DDU FRACP FAFPHM NSW, Associate Professor at the including Advanced Cardiology, Basic
University of Sydney, and has worked Physicians, Emergency Medicine,
Steven was formerly the Chief
as a research methodologist at the Oncology, Paediatrics, Psychiatry,
Executive of the Sydney West Area
University of Newcastle. Gaynor has Radiology and Surgical Skills. The
Health Service and has professorial
a PhD in Medicine. Medical Directorate provides an
appointments to the University of
orientation resource for international
Sydney and the University of Western Our directorates and centre
medical graduates and also has a
Sydney. Steven continues to work in THE MEDICAL DIRECTORATE
Rural Medical Scholarship Program
the clinical field of endocrinology and The Medical Directorate continues the
that supports medical trainees
was previously the Director of Diabetes work undertaken by the NSW Institute
committed to training and providing
and Endocrinology at Westmead of Medical Education and Training
patient care in rural locations in NSW
Hospital from 1990 to 1999. He was (IMET). The Medical Directorate’s remit
through the continuum of their training
the foundation director of the Centre covers accreditation, intern allocation,
and education years.
for Research and Clinical Policy in prevocational medical training,
NSW Health in 1999. generalist training and specialist THE RURAL AND REMOTE DIRECTORATE
training for clinicians. The Rural and Remote Directorate
continues the work of the NSW Institute
of Rural Clinical Services and Teaching
(IRCST). The main office for the Rural
and Remote Directorate is in Dubbo,
but a number of other smaller offices
exist across NSW, hosted by various
LHDs. The directorate supports rural
and remote health professionals and
builds clinical and service capability
and capacity.
The directorate offers a range
of programs, conferences and
scholarships developed specifically
to meet the needs of our rural and
remote workforce. The staff of the
CETI > ANNUAL REPORT 2010/11 5

8. 1 Overview
Health Directorate is developing
clinical education and training through
innovation and collaboration, building
partnerships to promote excellence,
and adapting and developing new
educational resources. A consultation
forum in June 2011 attended by allied
health directors and leaders from each
LHD helped develop the Allied Health
Directorate’s operational plan for 2011-
2012. The Allied Health Directorate is
establishing a Clinical Education and
Training Advisory Committee to provide
strategic advice and direction.
THE NURSING AND MIDWIFERY
DIRECTORATE
The Nursing and Midwifery Directorate
has been established in order to
identify, review and enhance the
education, training and ongoing
professional development of the NSW
directorate bring a broad base of to restore and maintain optimal nursing and midwifery workforce – the
rural and remote experience to the physical, sensory, psychological, directorate commenced work in May
table when planning, developing and cognitive and social function. 2011 with recruitment of a Nursing
implementing our various initiatives and Midwifery Learning and Teaching
Allied health professionals play
which in turn contribute to an effective Coordinator.
a critical role in the delivery of
and sustainable rural and remote
patient care as members of the The directorate works with the Nursing
health system.
multidisciplinary team. The Allied and Midwifery Office (NaMO), NSW
CETI is a Registered Training
Provider with the Royal Australian
College of General Practitioners and
the Australian College of Rural and
Remote Medicine. Our educational
programs are also endorsed by the
Royal College of Nursing, Australia.
THE ALLIED HEALTH DIRECTORATE
The Allied Health Directorate was
created to give new leadership and
coordination to clinical education and
training for allied health professionals
in NSW. The Allied Health Directorate
represents 23 allied health disciplines
working within the NSW health
system. Those members of the health
professional workforce provide a range
of therapeutic and diagnostic services
6 OVERVIEW

9. Health and other stakeholders to expertise to CETI directorates and activities drawn from the substantial
identify and respond to gaps and the NSW health system. The Centre interprofessional learning literature.
development opportunities in nursing houses the Interprofessional Practice Activities include the Right Start
and midwifery. Major streams of Unit (including the Team Health Program (a pregraduation program for
activity for the Nursing and Midwifery program), and Learning Innovations health profession students), clinical
Directorate in 2011-2012 will establish and Future Technologies. The Centre team modules (aimed at new and
governance for nursing and midwifery provides curriculum, competency and current employees within a clinical
clinical education and training in capability expertise and educational team), policy development (influencing
NSW, support the learning culture for resource development. CETI plays health policies and implementation
nursing and midwifery and provide a leadership role in e-learning and is plans), and system integration
flexible online learning modules that establishing standards and guidelines (working in partnership with existing
build knowledge and skills required for the state. CETI is partnering with stakeholders already developed local
to support a team-based approach to Health Support Services to support training initiatives).
patient care. Work will also be done state-wide e-learning initiatives.
In June 2011, Team Health held an
to develop a guide for nurses and Team Health is a new program inaugural Team Health Consultation
midwives within NSW Health who which aims to improve teamwork, Forum with directors of workforce,
are responsible for staff supervision. communication and collaboration learning and development managers,
THE CENTRE FOR LEARNING for safer patient-centred care and clinical redesign managers, workforce
AND TEACHING better staff experiences. It will design managers and representatives
CETI’s Centre for Learning and do this by implementing team- from CEC, BHI and ACI.
Teaching provides support and based interprofessional learning
CETI > ANNUAL REPORT 2010/11 7

10. 1 Overview
Chief Executive’s report
Health is a nursing and midwifery, interprofessional • A supervisor training course based
knowledge-centred practice and an organisational structure on the Superguide handbook aims
enterprise. Those to support this expanded focus. to provide a certifiable level of
working in health supervision skills to participants in
This year CETI has been working on a
are involved in all clinical professions
number of initiatives across a range of
the business of • Development of training modules
areas. CETI’s major achievements to
generating new for common skill areas including
date have included solutions to training
knowledge (research and evaluation), teaching skills
challenges posed by the increased
imparting knowledge to their workforce
supply of medical graduates (interns), MEDICAL EDUCATION AND TRAINING
(education and training) and applying
the development of an interprofessional • Online prevocational trainee
knowledge for the betterment of health
team program for new starters in health assessment and online prevocational
(service delivery).
and the development of common training term evaluation
CETI was formed as one of the standards and platforms for a state-
ALLIED HEALTH
four pillars supporting public health wide learning management system.
• The Superguide: a handbook for
services in NSW following the We have also produced the Superguide
supervising allied health professionals
2008 Garling Inquiry. CETI builds as a guide for medical supervision will be published in October 2011
capacity, competency, collaboration, and established the Allied Health
communication, coordination, culture • Allied health clinicians and the CETI
Directorate and its advisory committee.
and clinical care models that support Allied Health Advisory Committee will
Other highlights have been: CETI’s identify opportunities for allied health
safe, high quality, interprofessional
new Surgical Sciences Course learning
team-based, patient-centred care that
which is seeking specialist College
meets service delivery needs and NURSING & MIDWIFERY
operational requirements. accreditation; Nursing Grand Rounds
• The Superguide: a handbook for
by videoconference enhancing the
CETI has a huge responsibility to supervising nurses and midwives,
knowledge of 180 rural nurses; and
the people who use and work for our planned for 2011 publication
achieving 50 graduates from the
public health services. We fulfill that rural clinical team leadership and RURAL & REMOTE
responsibility through investment in management programs. We have also • GP Procedural Training Program
new programs, collaborating with established our Nursing and Midwifery developed for an integrated state-
key stakeholders (e.g. universities, Directorate and agreed on a program wide model
colleges, clinical leaders, health • Training and Support Unit for
of work drafted with NaMO.
services, the community) and Aboriginal mothers, babies and
through innovation. Our work helps Planned activities and outcomes for
children will run workshops and
to improve communication, capacity the following year include: training, for staff supporting families
and competency by using blended INNOVATION AND TECHNOLOGY
May I take this opportunity to thank all
learning approaches (e.g. face-to-face, • Future Technologies Unit supporting
those who have worked so hard for
simulation and e-learning) to provide a simulated learning environments
CETI and with CETI to deliver these
responsive health workforce, available and e-learning within LHDs, and wonderful highlights and who are
in appropriate numbers to meet promoting e-learning standards. working together to make our future
growing health service challenges.
INTERPROFESSIONAL / achievements happen.
CETI has built on the excellent work MULTIDISCIPLINARY
of its foundation directorates, Medical • In partnership with LHDs, CETI will
and Rural. Our stakeholders have a develop Team Health’s Right Start
strong desire to maintain discipline- Program consisting of blended
specific directorates as well as creating learning modules which will build
cross-linking inter-professional units. core foundation skills and improve Professor Steven Boyages
CETI has established new programs the workforce readiness of new MB BS PhD DDU FRACP FAFPHM
including e-learning, allied health, graduate health professionals Chief Executive
8 OVERVIEW

11. General Manager’s report
Due to Garling’s We initiated the series of consultations Improving outcomes
vision, in CETI we for our Team Health Program and To support the overall goal of
now have a NSW used existing structures (e.g. the improved patient outcomes we have
Health organisation Prevocational Forum) to gain rapid laid the groundwork for evaluating
dedicated to insight into learners’ needs. our activities. The CETI evaluation
supporting the framework is linked to our strategic
Engagement
development of direction and will be refined to ensure
Effective development of clinicians
clinicians’ technical and non-technical that we can report on relevant key
and health professionals involves
knowledge, skills and capability. It is performance indicators. To support
engagement with hearts and minds,
important to have an agency dedicated staff development, a CETI Colloquium
tapping into local strengths and
to learning that can partner with series has been established which
balancing the local with central
stakeholders to drive innovation in provides a forum for exchanging ideas
roles and priorities. CETI strongly
learning, develop learning standards, and theory related to learning, and
supports working collaboratively,
promote resource sharing and support the Office of CETI has supported in-
with stakeholder involvement on our
excellence in learning. Establishing house training related to evaluation,
program committees and clinical
this new institution has been a major technologies and stakeholder learning.
programs being led by clinical chairs.
undertaking, needing leadership and
It has been important to hold a number The breadth of CETI outputs reflects
engagement with stakeholders as we
of consultation forums, particularly staff dedication to improving patient
take on new challenges and integrate
around the establishment of our new outcomes and the clinical experience.
existing programs and systems.
directorates. Another way CETI is I appreciate stakeholder and staff
Leadership and legacy programs supporting engagement is by aiming to efforts and look forward to new learning
The lead time needed to change and make learning resources as accessible initiatives that will develop capacity in
develop people can be shortened with as possible. the health economy.
strong leadership and legacy programs.
CETI staff have been highly engaged
CETI was lucky in this regard as
and have demonstrated resiliency
we were able to build on the strong
as we navigated the old to invent the
activities of two existing Institutes
new. Our expanded remit has been
which were dissolved and had their
reflected in much evidence of our staff
functions transferred to CETI, namely
collaborating across disciplines as they
the Institute of Medical Education and Dr Gaynor Heading
bring their education and training skills
Training (IMET) and the NSW Institute General Manager
and their stakeholder engagement
of Rural Clinical Services and Teaching
skills together. This work has resulted
(IRCST).
in new online resources and a new-look
This legacy supported the creation of website which has laid the groundwork CETI is an agency
new directorates (Allied Health, Nursing for an enhanced learning platform, dedicated to learning
and Midwifery) and a Centre for planned for next year. The notions of
that can partner with
Learning and Teaching with specialist access to learning materials, support
skills in developing interprofessional for local training and limiting resource
stakeholders to drive
learning resources, competencies duplication have shaped CETI’s innovation in learning,
and innovation in learning. We were programs of work and will remain develop learning
able to capitalise on the learnings important. standards, promote
and resources produced by IMET resource sharing and
and IRCST and swiftly commence the
support excellence in
development of new resources e.g.
the Superguide for Allied Health.
learning
CETI > ANNUAL REPORT 2010/11 9

12. 1 Overview
Operational highlights
In our first year of operation We are working collaboratively with Overview of key achievements against goals
CETI has been implementing the our stakeholders to support excellence
GOAL
recommendations from the Garling in learning and training for workers
Report. in the NSW health system including Education and training
training directed to non-traditional supporting safe, multi-
Our new Allied Health and Nursing disciplinary, team-based
areas such as educational leadership,
and Midwifery Directorates have built patient-centred care
generalist hospital skills and medical
on the great work of our foundation
administration, as well as supporting
directorates (Medical, and Rural and Professional
specialist training through professional development to build
Remote)
Colleges. clinical skills, knowledge,
Our new Centre for Learning and competency and capacity
We have produced a number of
Teaching (CLT) has established Team
resources for teaching and learning
Health to promote interprofessional
and to support workforce capacity
team-based patient-centred care, one
building. These resources include
of the key recommendations arising
a guide for supervisors of medical
from the Garling Report. The CLT is
trainees and a number of online
also driving our input into e-learning to
course modules.
establish online standards and flexible
learning. Future Plans
Our success lies in strengthening Workforce management
We have built on sound foundations in
education and training opportunities
a number of key programs including the
in NSW and supporting flexible
allocation of medical interns to training
learning. Our commitment to safe
networks, with the greatest number of
and accessible learning will see
interns ever placed in NSW (one third
further investment in e-learning and
of Australia’s total intern placements).
synthetic learning environments. We Flexibility, innovation
We have done this while working to
plan to appoint the first Clinical Chair and quality in learning
ensure the allocation of resources
in Simulated Learning Environments
and support to rural and remote areas
to lead the strategic development
and the development of the Aboriginal
of synthetic learning across NSW.
Mothers and Babies Training Support Improved standards in
While recognising the importance of
Unit. education and learning
blended learning, we will take on a
Supporting new responsibility for e-learning across
the workforce, NSW and will collaborate with health
services to support access to quality
improving learning
e-learning resources. We will
opportunities and be setting e-learning standards to
Knowledge and
knowledge management
adding value to the support excellence in learning.
NSW health system
Communication
Collaboration
10 OVERVIEW

13. KEY ACHIEVEMENTS
• Set up Team Health and interprofessional training modules • Review of induction process for international medical and
• Called for expressions of interest to run interprofessional training nursing graduates
for new graduates under our Right Start program • Supporting rural team-based clinical improvement process
• Contributions to policy to enhance team-based care • The Leadership and Management Essentials Program trained
31 from a range of disciplines over nine months
• New Allied Health Directorate established as a major initiative to • Basic Sciences in Oncology Course (BSOC) reached 40
promote training and learning resources for allied health professionals participants over 95 teaching sessions
• New Nursing and Midwifery Directorate established to support the • New Surgical Science Intensive Course developed for those not
training needs of nursing and midwifery enrolled in the RACS Surgical Education and Training (SET)
• GP Procedural Training Program supported 25 rural positions • Training and Support Unit for Aboriginal Mothers, Babies and
• Basic Physician Training (BPT) increased numbers and helped Children (TSU) established
achieve higher pass rates • Hospital Skills Program (HSP) expanded with four new core units
• Physician Education Program (PEP) by video and online assisted under development
192 trainees • Building Future Leaders Program trained 22 potential leaders
• Psychiatry education support by providing access to workshops • Reviewed training in medical administration to develop a model
and developing resources with online access for training and career development
• Paediatrics professional qualities curriculum development • Rural Research Capacity Building Program
• New online resources for emergency medicine trainees to help
prepare for exams
• Increase in GP placement training sites for medical interns • Clinical medical supervision resource Superguide produced and
from four to 47 distributed with similar guides for allied health and nursing and
• Allocated one third of national intern training places midwifery planned
• Specialist Training Program to address workforce distribution • Supporting the rural workforce through 84 scholarships, sponsoring
and increase Aboriginal workforce participation rate 30 clinicians to attend NSW Health Expo and employing an Aboriginal
• Supported rural rotations for training networks, increased rural clerical trainee
training places in Basic Physician Training and travel support for • Working with Health Workforce Australia to expand training capacity
rural paediatric trainees
• Supporting the increasing use of simulation in training • Developing e-learning standards to enhance online learning and
• Publishing online resources to support a range of training programs training content and access
and workforce development • Nursing Grand Rounds via videoconference enhances learning
• Promoting evidence-based training in our collaboration with other for 180 nurses
training bodies
• Providing access to the Teaching on the Run program (TOTR) • Improving assessment training in the Hospital Skills Program and
enhancing doctor educator and supervision skills and training producing a DVD Assessment in Action
21 new TOTR facilitators • Planning a Multi-Medical Supervisors Forum for second half of 2011
• CETI’s leadership program for current and future clinical leaders • Staff capacity building that is providing enhanced education services
trained 22 participants and learning support in the NSW Health system
• Working with RACP to improve standards of physician training • Developing a learning management system (LMS) to support
service delivery increased online access to learning resources
• New supervision guide for doctors produced and work commenced • CETI website development to promote access to resources and
on a supervision guide for allied health professionals support
• New online e-education resources developed to support training • Exploring web-based applications for rural access
programs and access to learning • Planning webpage for GP Procedural Training Program
• Developing e-standards for uploading resources • New LinkedIn group for allied health professionals
• Informing our stakeholders and seeking input via a range of • Fostering wider communication through our collaborations,
media and opportunities eg website, forums. E-newsletter programs and resources
(cetiscape) and social media (Facebook, LinkedIn) • Engaging Junior Medical Officers through quarterly JMO Forums
• Working with the other health “pillars organisations” – CEC, • Collaborating with Local Health Districts in trainees allocations
ACI and BHI and research programs
• Collaborating with Medical Colleges and Fellowships on • Collaborating with the Rural Doctors Network on training and
training programs research programs
• Collaborating with Cancer Institute NSW on Basic Sciences • Working with Health Workforce Australia on workforce capacity
in Oncology Course and allocation
CETI > ANNUAL REPORT 2010/11 11

14. 1 Overview
Publications and resources
Resources developed PUBLICATIONS AND OTHER RESOURCES • Magin P, Adam J, Heading G,
ONLINE RESOURCES • The Doctor’s Compass – a guide to Pond D. Perfect Skin: the media
• Online learning management system prevocational training developed by and patients with skin disease: a
for the Basic Sciences in Oncology the JMO Forum for junior doctors qualitative study of patients with
Course • Superguide: a handbook for acne, psoriasis and atopic eczema.
• Online component for Psychotherapy supervising doctors in training Australian Journal of Primary Health
Workshops • DVD Assessment in Action has Vol. 17, 181-185, Jun 2011
• Mental Illness in People with been produced and distributed to • Luckett T, King MT, Butow PN, Oguchi
Intellectual Disability for Psychiatrists all Network Directors of Hospital M, Rankin N, Price MS, Heading
and Psychiatry Trainees Training. This DVD demonstrates G. Choosing between the EORTC
• Online component for Advanced the use of MiniCEX as an assessment QLQ-C30 and FACT-G for measuring
Training Leadership and Management tool in history taking and physical health-related quality of life in cancer
Tutorial Package for Psychiatrists examination scenarios. clinical research: issues, evidence
• Positive Cardiometabolic Health: and recommendations. Annals of
• Osteoporosis: joint project with the
an early intervention framework for Oncology Feb 2011
Agency for Clinical Innovation (ACI):
online learning in development patient on psychotropic medication • Webster E, Thomas M, Ong N and
to improve detection and early Cutler L (2011) Rural Research
REPORTS
management of osteoporosis by Capacity Building Program: capacity
• Allied Health Clinical Education
junior doctors building outcomes. Australian Journal
and Training Future Directions
of Primary Health, Vol. 17, No. 1,
• Emergency medicine online Primary Consultation Report – June 2011
Mar 2011, 107-113
Exam preparation • JMO Forum Report – May 2011
• Magin P, Heading G, Adams J, Pond
• Emergency medicine NSW Fellowship • External Report on the Outcome
D. Sex and the skin: a qualitative
examination preparation course. The of the National Audit of Internship
study of patients with acne, psoriasis
e-learning resource for this course is Acceptances Pilot Project Clinical
and atopic eczema. Pyschology
intended to compliment the face to Year 2011 – March 2011
Health Med. Aug 15 (4): 454-462
face teaching and provide access to • External Review of the Prevocational
trainees who are unable to attend. • Luckett T, Butlow PN, King MT,
Training and Education Network
It has information for the weekly Ogulich M, Heading G, Hackl
System in NSW Final Report –
tutorials and practice sessions, an NA, Rankin N, Price MA. A review
November 2010
up to date timetable and contact and recommendations for optimal
Articles for publication in peer outcome measures in anxiety,
details for the local convenors at
reviewed journals depression and general distress in
each hospital site.
• Better methods of assessing trainees studies evaluating psychological
• Common urological emergencies
and evaluating the outcomes of interventions for English-speaking
• Managing minor burns training (Assessment research adults with heterogeneous cancer
TRAINING MODULES conducted by the Prevocational diagnoses. Supportive Care Cancer.
• Advanced Training Leadership and Training Council) – submitted to Oct: 18(10): 1242-1262. Epub July 2,
Management Tutorial Package for Medical Journal of Australia 2010
Psychiatrists • Overview of the Hospital Skills • Duncombe R (2011) Receptionists
• Psychotherapy curriculum Program – submitted to Medical in Intake in Community Health.
• Core Professional Skills for Journal of Australia Australian Health Review, Vol. 35,
Hospital Skills No. 2, Jun 2011, 164-167 (from Rural
• Emergency Medicine for Hospital Research Capacity Building project)
Skills
• Aged Care for Hospital Skills
• Mental Health for Hospital Skills
12 OVERVIEW

15. Conferences/forums organised,
supported or attended
• Occupational Therapy Australia 24th • Australasian Prevocational Forum,
National Conference & Exhibition November 2010 (attended by Ros
2011 29 June – 1 July, Gold Coast Crampton, Simon Willcock, Greg
(attended by Jacqueline Dominish) Keogh, Craig Bingham, Kirsten
• Team Health Consultation Forum, Campbell, Jeremiah Jacinto,
Sydney June 2011 (organised by representing CETI, and also by 4
CETI) CETI-sponsored JMOs – Dr Ricki
• CETI Allied Health Clinical Education Sayers, Dr Lucy Cho, Dr Matt
and Training Future Directions Stanowski, Dr Hamish Dunn)
Consultation Forum, Sydney June • 2nd NSW Rural and Remote Health
2011 (Organised by CETI) – 31 Conference, Albury November 2010
participants including CETI staff (100 rural clinicians supported to
with all 18 local health districts and attend)
specialty networks represented as • NSW Prevocational Forum, Sydney
well as the NSW Department of August 2010 (organised by CETI)
Health attended by over 110 people
• Emergency Medicine Inaugural involved in prevocational training
Trainee Conference Day, Liverpool (30 supported by CETI to attend)
Hospital May 2011 (supported by
CETI) – 60 participants
• Junior Medical Officer JMO Forums –
held four times per year (organised by
CETI). In 2010-2011 they were held
September and December 2010, and
March and May 2011
• Hospital Skills Program Forums,
November 2010 and April 2011
(organised by CETI)
• 11th National Rural Health
Conference, Perth March 2011
(27 rural clinicians supported to
attend)
JMO Forum March 2011
Allied Health Consultation Forum June 2011
CETI > ANNUAL REPORT 2010/11 13

16. 1 Overview
Our strategic plan
CETI is working to achieve our goals 2. Professional development and 7. Communication
with the aid of a strategic plan to guide training to build clinical skills, 8. Collaboration
the development and outcomes of our knowledge, competency and
As part of our quality improvement,
programs and activities. A planning capacity
CETI will conduct an annual review of
day was held in November 2010 which 3. Workforce management our strategic plan and continue to work
led to the current eight goals with 4. Flexibility, innovation and quality on developing and strengthening our
associated operational plans. These in learning evaluation process.
eight goals are: 5. Improved standards in education In Section 2 of this report, information
1. Education and training that supports and training is provided about our programs and
safe, high quality, multi-disciplinary, 6. Knowledge and knowledge activities under each of these eight
team-based patient-centred care management goals.
14 OVERVIEW

17. Overview of financial performance
CETI commenced its activities in July Income 2010-11
2010 and was funded primarily by
the NSW Government with $12.881
million, allocated through the NSW NSW Govt 95.1%
Department of Health. Other revenue of Interest 1.5%
$662,558 was generated in 2010-2011.
Course and other income 1.1%
Program funding for the coordination
Cancer Institute NSW 0.8%
of education, training and accreditation
activities was received from the AHPRA 1.0%
Cancer Institute NSW, Australian GPET 0.4%
Health Practitioner Regulation Agency
Actual Funding 2010-11 $13.70M
(AHPRA) and General Practice
Education and Training Limited. This
was supplemented by conference
revenue, course income and interest Expenditure 2010-11
on cash deposits.
Employee services 44.2%
Expenditure in 2010-2011 was
$10.67M, with employee and Clinical Education and training 17.4%
Chair costs of $4.7M. Expenses directly Administration 13.3%
related to the facilitating of education Sponsorship 0.2%
and training programs amounted to Research Programs 3.0%
$1.86M and administration expenses
Medical Scholarships 5.9%
were $1.36M. The remaining 25%
GP Procedural grants 16.0%
($2.67M) was expended on research
grants, training programs and Actual Expenses 2010-11 $10.67M
scholarships.
Grants included the promotion and
Financial Highlights
coordination of the GP Procedural
Training Program, aimed at GPs Financial Performance $ ‘000 Financial Position $ ‘000
and GP registrars in rural practice Operating revenue 13,697 Current assets 5,860
to provide opportunities to acquire Operating expenditure -10,556 Non-current assets 445
additional skills to equip them for
Net result before depreciation 3,141 Current liabilities -1,961
practice in rural NSW. Grants were
Depreciation -117 Non-current liabilities 0
also allocated to rural clinicians
through the Rural Research Capacity Net result 3,024 Equity 4,344
Building Program (RRCBP), which
Cash and cash equivalents at the end of the reporting period 5,090
aims to increase the number and
range of people with knowledge and
skills in rural health care evaluation It is expected that the budget for Maternal Infant Health Services
and research. Research grants were the current functions will increase in (AMIHS); Building Strong Foundations
offered to clinicians in psychiatry and 2011-2012. The Training and Support for Aboriginal Children, Families and
emergency medicine. Scholarships Unit for Aboriginal Mothers, Babies Communities (BSF); Quit for new life;
were awarded to health practitioners to and Children (TSU), a relatively new and the Indigenous Early Childhood
provide financial assistance to support program being managed by CETI, is Development National Partnership
continuing professional development being established to provide targeted Agreement (NPA-IECD) programs
through training and learning initiatives. education to staff working in: Aboriginal across NSW.
CETI > ANNUAL REPORT 2010/11 15

18. 2 Report against our goals
Goal 1: Education and training that
supports safe, high quality, multi-disciplinary,
team-based patient-centred care
Twenty-three expressions of interest
were received and nine programs
were funded
- Developing clinical team education
modules for new and existing staff
in different care settings including
foundational team skills and
empowering high performing teams
• CETI is providing feedback on health
policies and implementation plans to
reflect a team based interprofessional
collaborative approach through setting
up a policy review process with NSW
Health
• We reviewed the induction process
CETI is working to The fundamental goal of CETI is to for international medical and nursing
assure that our health professionals
introduce team- graduates to ensure that they
are technically competent, well trained understand the health context in NSW
based, patient-
and able to work effectively as inter- including responsibilities, values and
centred care and professional teams. working as a team
interprofessional
As stated in the recent Global • The NSW Rural and Remote Clinical
collaborative practice Commission Report of Health Team Leadership Program (CTLP)
through establishing Professional Education: which commenced in 2009 aims to
our Team Health “Redesign of professional health increase leadership and management
Program education is necessary and timely, in skills in interprofessional team
view of the opportunities for mutual environment. The second intake
learning and joint solutions offered which ran from August 2010 to June
The doctors, nurses and allied health by global interdependence due to 2011 had 18 health professionals
professionals will need to replace acceleration of flows of knowledge, from NSW rural health services
the old system where different technologies, and financing across including three GP Visiting Medical
specialists would see the patient but borders, and the migration of both Officers (VMOs) and one Staff
no one person would necessarily take professionals and patients.” Specialist. Participants completed
complete charge of the patient’s care. (Frenk et al; Lancet, Nov 29, 2010)
six rural team based clinical practice
A new model of teamwork will be improvement projects. The program
required to replace the old individual • CETI is working to introduce team- involves collaboration with the Clinical
and independent “silos” of professional based, patient-centred care and Excellence Commission and NSW
care. (Garling Report 1.25) interprofessional collaborative Rural Doctors Network
practice through establishing our
• The Leadership and Management
Team Health Program in May 2011.
Essentials Program (LMEP) is a nine
Team Health is:
month interprofessional program
- Collaborating with tertiary education to develop leaders from a range of
providers and local health districts disciplines in rural areas. It includes
to design and implement programs leadership, management, self-
to prepare pre-graduate health governance and team governance
professionals for the workplace Thirty one participants from rural and
under the Right Start program. regional LHDs completed the program
in 2010-2011
16 REPORT AGAINST OUR GOALS

19. in focus
Get Ready gets the interprofessional
teamwork message out to pre-graduates
Grainne O’Loughlin
As part of our Right Start program to education providers) to design and
address the interprofessional capacities implement programs to prepare pre-
of pregraduate medical students, graduate health professionals for a
one of the key goals identified in the team based workplace. CETI received
Garling Report, CETI is funding a a total of 23 Expressions of Interest;
number of training programs. One with a total of nine programs funded
of these is ‘Get Ready’ - a training to develop programs for pre-graduate
program under development to give health professionals starting work in
students confidence in managing 2012. One of the successful programs
common medical emergencies in an was the Get Ready program: A course
interprofessional team environment. for interprofessional work-place
It is a collaborative effort between readiness in the health service.
St Vincent’s Hospital Sydney, the
Topics covered include roles and
University of New South Wales, The
responsibilities, professionalism,
University of Sydney, Australian
communication skills and teamwork.
Catholic University and the University
Some aspects of the program will
of Tasmania. “Fifty students,
be delivered in a simulated learning
from medicine, nursing, nutrition,
environment, using scenario Fifty students from
occupational therapy, physiotherapy,
based training to develop students’ medicine, nursing,
social work and speech pathology, will
procedural skills, as well as skills nutrition, occupational
take part in a five day program during
in interdisciplinary teamwork.
the course of their student placements therapy, physiotherapy,
The program is set to run from 14
at St Vincent’s Hospital,” explains
November 2011. social work and
Grainne O’Loughlin, Director Allied speech pathology will
Health, St Vincent’s Hospital and “it will “We are very excited to be developing
the program, which is in itself an take part in a five day
be great to see the benefits for patients
interprofessional team exercise,” adds program during the
and staff alike.”
Grainne. “A number of the medical course of their student
CETI’s Team Health program,
students taking part in the ‘Get Ready’ placements at St
established in May 2011 in response
Program are set to join the hospital Vincent’s Hospital
to the Garling recommendation, is
ranks as interns in 2012.”
working to develop a suite of learning
and teaching tools which build St Vincent’s is also developing an
interprofessional collaborative practice interdisciplinary e-learning package
amongst doctors, nurses, midwives and to support the five day face-to-face
allied health professionals working in program. The ‘Get Ready’ program
the public health system in New South will be evaluated, with a view to the
Wales, for safer patient-centred care program being included as part of the
and better staff experiences. state-wide roll-out of Team Health in
2012.
After a consultation process with key
stakeholders and in order to draw on “It will be great to see the benefits
the existing programs of work already for patients and staff alike.”
underway, CETI invited Local Health
Districts (in partnership with tertiary
CETI > ANNUAL REPORT 2010/11 17

20. 2 Report against our goals
Goal 2: Professional development and
training to build clinical skills, knowledge,
competency and capacity
The safety and quality of care provided alignment of service and workshop as at 30 June 2011. CETI is
to patients in public hospitals depends planning for rural procedural GPs participating in a review of PEP
upon the skill of the whole hospital • The Basic Physician Training (BPT) with the RACP
workforce which in turn depends upon Networks Committee collaborated • CETI’s Psychiatry education support
how well they were trained before with the Royal Australasian College has enabled the development
coming to the hospital, and how well of Physicians (RACP) to enhance of a number of resources such
they continue to be trained within the BPT, with five master classes as an online component of the
hospital after they join the staff. conducted, trainee numbers Psychotherapy Workshops, an
(Garling Report 1.61) increased by from 393 to 413, and online resource “Mental Illness in
CETI works in partnership with a pass rates significantly higher than People with Intellectual Disability”,
range of educational providers to national average. CETI successfully an Advanced Training Leadership
build capacity in the health system for managed the 2011 BPT recruitment and Management Tutorial Package
ongoing professional education and and intake. The number of rural and with an online component, and a
learning. regional training positions in BPT Psychotherapy Curriculum. Support
• The GP Procedural Training Program networks increased from 56 in June has also been provided to assist
for skills to equip GPs to practice 2010 to 65 in June 2011 – a 16% state-wide access for trainees
in rural NSW supported another increase to attend workshops on subjects
25 fulltime, part-time and flexible • In 2011 CETI commenced supporting including cognitive behaviour
positions (285 since program the Physician Education Program therapy, psychotherapy, adult
commencement in 2003). A CETI (PEP), a lecture series and clinical education techniques and strategies,
convened stakeholder workshop held exam preparation sessions, as part communications skills, family therapy
in April 2011 provided information of the BPT, delivered by video live to in the context of psychiatric disorders,
to develop an operational plan and hospitals and available for viewing critical analysis and research
strategies to improve the overall online. The lectures commenced methodology, and an introduction to
coordination and management of in February 2011 with 192 trainees psychiatric epidemiology
the program, maximise the number registered and the exam preparation • Emergency Medicine trainees
of participants and enhance the sessions had 98 trainees registered have used CETI’s online education
18 REPORT AGAINST OUR GOALS

21. resources, including study guide and and clinical skills practice. These • CETI sponsored a trainee position
interactive questions and answers forms will be piloted in Term Four in the Health NSW Biostatistician
for their Primary Examinations 2011 Training Program to focus on rural
Preparation Course and the NSW • CETI is helping to close the gap by issues. This year’s studies have
Fellowship Examination Preparation establishing a Training and Support included an exploration of not
course Unit for Aboriginal Mothers, Babies waiting and discharging against
• CETI administered the Basic and Children (TSU) to deliver a medical advice at NSW Emergency
Sciences in Oncology Course professional development program Departments and an examination of
(BSOC) which teaches core skills and for staff of the Aboriginal Maternal misclassification of Triage 3 patients
competencies in oncology covering and Infant Health Services (AMIHS) in NSW Emergency Departments
anatomy, physics, biology and critical and Building Strong Foundations for • CETI began building a program of
appraisal with links to clinical practice. Aboriginal Children, Families and core skills and interprofessional
In 2010 there were 40 participants Communities (BSF) practice competencies for allied
and 95 teaching sessions. Five • CETI’s new Nursing and Midwifery health professionals working in NSW
scholarships were awarded – three Directorate has been established to hospitals. This new investment will
rural, two metropolitan. An online support transition to practice, fill gaps for the first time provide training
resource e-BSOC has also been and support resource development support for allied health professionals.
developed to support participants for nurses and midwives A consultation forum of allied health
• CETI’s Surgical Skills Training • CETI continued its successful representatives was held in June
Network undertook a number of Hospital Skills Program (HSP) and 2011 which provided input to the
new initiatives including a pilot of a held forums to provide professional future directions of the Allied Health
Practical Professionalism Course development for directors of hospital Directorate
which aims to improve the trainees training and education support officers
understanding and application of and an opportunity for CMOs from The Clinical
non-clinical competencies as well as across the state to train together. A Surgical Training
improve performance in the Royal working group is piloting a workplace- Council Trainee
Australasian College of Surgeons based assessment program for
(RACS) Surgical Education and
Subcommittee
HSP participants. HSP curriculum
Training (SET) entry interviews modules being finalised include: core developed formal
• CETI has developed a Surgical skills, aged care, mental health, and feedback forms
Science Intensive Course in emergency department to assess trainee
conjunction with the University of • CETI is working to develop skilled progress, as well
Western Sydney to assist those on or medical administrators by participating as a logbook to
seeking entry to the RACS program in a review of their training needs
track management
(General Surgery).The course was to develop a sustainable model for
conducted in January / February 2011 training and career development.
of conditions
with 21 participants attending for 10 Extensive consultation has taken and clinical skills
teaching days comprising anatomy, place which will form the basis of practice
physiology, pathology, pharmacology, recommendations regarding training
radiology and assessments and opportunities
has been submitted to RACS for • CETI’s Rural Research Capacity
accreditation Building Program provided face-to-
• The Clinical Surgical Training Council face training in research methods and
Trainee Subcommittee developed project development. This investment
formal feedback forms to assess impacts positively on service delivery
trainee progress, as well as a logbook as evidence drives practice
to track management of conditions
CETI > ANNUAL REPORT 2010/11 19

22. 2 Report against our goals
in focus
Allied Health – a key part of
excellence in clinical care
Pamela Bloomfield and Trish Bradd
CETI’s Allied Health Directorate was by an enthusiasm and commitment to
established in 2011 in recognition of enhance skill and practice development
the fact that allied health practitioners by clinicians themselves. With the
are essential members of the clinical establishment of CETI and the Allied
team but have historically been under- Health Directorate this is an exciting
resourced regarding team support. time for allied health and offers a
According to Trish Bradd, Director of wonderful opportunity to shape the
Allied Health for South Eastern Sydney future in new and innovative ways.”
Local Health District “we are hugely
While it is early days for this new
excited and enthusiastic to work with
directorate, Trish has had an
CETI and address the key issues for
opportunity to collaborate with CETI as
allied health. Education and training
chair of the NSW Health Allied Health
for skill and practice development
Directors Network and as a member
promotes excellence in clinical care
of the steering committee producing
which in turn produces better patient
The Superguide: a handbook for
outcomes. We are only just starting.”
supervising allied health professionals
There are many professions which Steering Committee. She also attended
are encompassed by the term ‘allied the ‘Future Directions’ consultation Education and training
health’, each of which contributes a forum in June 2011 which was held to for skill and practice
unique set of skills and interventions to identify priorities for allied health. development promotes
the patient care journey. Allied health excellence in clinical
“It comes down to what you value
personnel have specialist knowledge
and where you think you can make a care which in turn
in the identification, assessment,
diagnosis, treatment and prevention
difference. By collaborating with CETI produces better
and the Allied Health Directorate, I saw patient outcomes
of disease, disabilities and disorder
there was capacity for significant gains
across the healthcare spectrum.
in promoting a skilled and educated
As a Director of Allied Health since allied health professional workforce in
2006 in the former South Eastern NSW Health. I look forward to further
Sydney Illawarra Area Health Service, opportunities to collaborate with CETI
and with tertiary qualifications in into the future.”
speech pathology and management,
Trish hopes that with the establishment
Trish has over 22 years’ experience in
of strong foundations in education
the health care sector. She is familiar
and training, projects at a local level
with the strengths and opportunities
can complement, align with and
for the allied health profession and
springboard from the overall strategic
reflects that “for many years there has
direction for allied health education
been a lack of dedicated resources
and training provided by CETI.
to coordinate and think strategically
about the education and training needs “I am looking forward to seeing greater
of allied health. Work in this domain allied health involvement in developing
has largely been conducted as an of new models of care and in arenas
‘add on’ to core business, occurring of extended scope of practice and
mainly at the local level and driven interprofessional learning.”
20 REPORT AGAINST OUR GOALS