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Article ; Online: Mapping nutrition within medical curricula in Australia and New Zealand: a cross-sectional content analysis.

King, Ryan E / Palermo, Claire / Wilson, Alyce N

BMJ nutrition, prevention & health

2023 Volume 6, Issue 2, Page(s) 196–202

Abstract: Objective: To systematically map nutrition content in medical curricula across all 23 medical schools in Australia and New Zealand accredited by the Australian Medical Council (AMC).: Methods: A cross-sectional content analysis was conducted. ... ...

Abstract	Objective: To systematically map nutrition content in medical curricula across all 23 medical schools in Australia and New Zealand accredited by the Australian Medical Council (AMC). Methods: A cross-sectional content analysis was conducted. Learning outcomes for 20 AMC-accredited medical curricula were extracted from online repositories and directly from universities in February to April 2021. Nutrition relevant learning outcomes or equivalent learning objectives/graduate attributes were identified. Nutrition learning outcomes were analysed according to Bloom's revised taxonomy to determine whether outcomes met cognitive, psychomotor or affective domains and at what level. Results: Of the total 23 AMC-accredited medical curricula, 20 medical schools had learning outcomes able to be sourced for analysis. A total of 186 nutrition learning outcomes were identified within 11 medical curricula. One medical school curriculum comprised 129 of 186 (69.4%) nutrition learning outcomes. The majority of outcomes (181, 97.3%) were in the cognitive domain of Bloom's revised taxonomy, predominantly at level 3 'applying' (90, 49.7%). The psychomotor domain contained five nutrition learning outcomes (5, 2.7%), while the affective domain contained none. New Zealand medical curricula (153, 82.3%) contained 4.6-fold more nutrition learning outcomes than Australian curricula (33, 17.7%). When comparing clinical and preclinical years across curricula, the proportion of learning outcomes in the psychomotor domain was 3.7-fold higher in clinical years (4.08%) versus preclinical years (1.15%). Conclusion: There is wide variation across medical curricula regarding the number of nutrition learning outcomes. This may lead to varying competency of medical graduates to provide nutrition care in Australia and New Zealand.
Language	English
Publishing date	2023-11-09
Publishing country	England
Document type	Journal Article
ISSN	2516-5542
ISSN (online)	2516-5542
DOI	10.1136/bmjnph-2022-000522
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Public health physicians: who are they and why we need more of them - especially in Victoria.

Wilson, Alyce N / Moodie, Rob / Grills, Nathan

Australian and New Zealand journal of public health

2021 Volume 45, Issue 2, Page(s) 93–94

MeSH term(s)	Health Workforce ; Hospitals, Public ; Humans ; Physicians ; Public Health
Language	English
Publishing date	2021-03-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	1323548-5
ISSN	1753-6405 ; 1326-0200
ISSN (online)	1753-6405
ISSN	1326-0200
DOI	10.1111/1753-6405.13090
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Article ; Online: Public health physicians

Alyce N. Wilson / Rob Moodie / Nathan Grills

Australian and New Zealand Journal of Public Health, Vol 45, Iss 2, Pp 93-

who are they and why we need more of them – especially in Victoria

2021 Volume 94

Keywords	Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2021-04-01T00:00:00Z
Publisher	Wiley
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Wilson and Homer reply to Papadakis.

Wilson, Alyce N / Homer, Caroline S E

The Australian & New Zealand journal of obstetrics & gynaecology

2020 Volume 60, Issue 3, Page(s) E7

Language	English
Publishing date	2020-06-06
Publishing country	Australia
Document type	Letter ; Comment
ZDB-ID	390815-x
ISSN	1479-828X ; 0004-8666
ISSN (online)	1479-828X
ISSN	0004-8666
DOI	10.1111/ajo.13164
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Article ; Online: Abortion care at 20 weeks and over in Victoria: a thematic analysis of healthcare providers' experiences.

Malek, Mary / Homer, Caroline Se / McDonald, Clare / Hannon, Catherine M / Moore, Paddy / Wilson, Alyce N

BMC pregnancy and childbirth

2024 Volume 24, Issue 1, Page(s) 112

Abstract: Background: In many countries, abortions at 20 weeks and over for indications other than fetal or maternal medicine are difficult to access due to legal restrictions and limited availability of services. The Abortion and Contraception Service at the ... ...

Abstract	Background: In many countries, abortions at 20 weeks and over for indications other than fetal or maternal medicine are difficult to access due to legal restrictions and limited availability of services. The Abortion and Contraception Service at the Royal Women's Hospital in Victoria, Australia is the only service in the state that provides this service. The views and experiences of these abortion providers can give insight into the experiences of staff and women and the abortion system accessibility. The aim of this study was to examine health providers' perceptions and experiences of providing abortion care at 20 weeks and over for indications other than fetal or maternal medicine, as well as enablers and barriers to this care and how quality of care could be improved in one hospital in Victoria, Australia. Methods: A qualitative study was conducted at the Abortion and Contraception Service at the Royal Women's Hospital. Participants were recruited by convenience and purposive sampling. Semi-structured interviews were conducted one-on-one with participants either online or in-person. A reflexive thematic analysis was performed. Results: In total, 17 healthcare providers from medicine, nursing, midwifery, social work and Aboriginal clinical health backgrounds participated in the study. Ultimately, three themes were identified: 'Being committed to quality care: taking a holistic approach', 'Surmounting challenges: being an abortion provider is difficult', and 'Meeting external roadblocks: deficiencies in the wider healthcare system'. Participants felt well-supported by their team to provide person-centred and holistic care, while facing the emotional and ethical challenges of their role. The limited abortion workforce capacity in the wider healthcare system was perceived to compromise equitable access to care. Conclusions: Providers of abortion at 20 weeks and over for non-medicalised indications encounter systemic enablers and barriers to delivering care at personal, service delivery and healthcare levels. There is an urgent need for supportive policies and frameworks to strengthen and support the abortion provider workforce and expand provision of affordable, acceptable and accessible abortions at 20 weeks and over in Victoria and in Australia more broadly.
MeSH term(s)	Pregnancy ; Female ; Humans ; Victoria ; Attitude of Health Personnel ; Abortion, Induced/psychology ; Contraception ; Health Personnel/psychology ; Qualitative Research ; Health Services Accessibility
Language	English
Publishing date	2024-02-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2059869-5
ISSN	1471-2393 ; 1471-2393
ISSN (online)	1471-2393
ISSN	1471-2393
DOI	10.1186/s12884-024-06299-0
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Article ; Online: Challenges of being a maternity service leader during the COVID-19 pandemic: a descriptive analysis of the journey.

Tan, Annie / Wilson, Alyce N / Bucknall, Tracey / Digby, Robin / Vogel, Joshua P / Homer, Caroline Se

BMC pregnancy and childbirth

2023 Volume 23, Issue 1, Page(s) 279

Abstract: Background: In Australia, maternity care services provide care for pregnant and postpartum women and their newborns. The COVID-19 pandemic forced these services to quickly adapt and develop policies and procedures for dealing with transmission in health ...

Abstract	Background: In Australia, maternity care services provide care for pregnant and postpartum women and their newborns. The COVID-19 pandemic forced these services to quickly adapt and develop policies and procedures for dealing with transmission in health care facilities, as well as work under public health measures to counter its spread within the community. Despite well-documented responses and adaptations by healthcare systems, no studies have examined the experiences of maternity service leaders through the pandemic. This study aimed to explore the experiences of maternity service leaders, to understand their perspectives on what happened in health services and what was required of a leader during the COVID-19 pandemic in one Australian state. Methods: A longitudinal qualitative study collected data from 11 maternity care leaders during the pandemic in the state of Victoria. Leaders participated in a series of interviews over the 16-month study period, with a total of 57 interviews conducted. An inductive approach to developing codes allowed for semantic coding of the data, then a thematic analysis was conducted to explore patterned meaning across the dataset. Results: One overarching theme, 'challenges of being a maternity service leader during the pandemic', encompassed participant's experiences. Four sub-themes described the experiences of these leaders: (1) needing to be a rapid decision-maker, (2) needing to adapt and alter services, (3) needing to filter and translate information, and (4) the need to support people. At the beginning of the pandemic, the challenges were most acute with slow guideline development, rapid communications from the government and an urgent need to keep patients and staff safe. Over time, with knowledge and experience, leaders were able to quickly adjust and respond to policy change. Conclusion: Maternity service leaders played an important role in preparing and adapting services in accordance with government directives and guidelines while also developing strategies tailored to their own health service requirements. These experiences will be invaluable in designing high quality and responsive systems for maternity care in future crises.
MeSH term(s)	Infant, Newborn ; Female ; Pregnancy ; Humans ; Maternal Health Services ; Pandemics ; COVID-19 ; Delivery of Health Care ; Victoria ; Qualitative Research
Language	English
Publishing date	2023-04-24
Publishing country	England
Document type	Journal Article
ZDB-ID	2059869-5
ISSN	1471-2393 ; 1471-2393
ISSN (online)	1471-2393
ISSN	1471-2393
DOI	10.1186/s12884-023-05614-5
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Article ; Online: Portable digital devices for paediatric height and length measurement: A scoping review and target product profile matching analysis.

Soller, Tasmyn / Huang, Shan / Horiuchi, Sayaka / Wilson, Alyce N / Vogel, Joshua P

PloS one

2023 Volume 18, Issue 7, Page(s) e0288995

Abstract: Background: Routine anthropometry of children, including length/height measurement, is an essential component of paediatric clinical assessments. UNICEF has called for the accelerated development of novel, digital height/length measurement devices to ... ...

Abstract	Background: Routine anthropometry of children, including length/height measurement, is an essential component of paediatric clinical assessments. UNICEF has called for the accelerated development of novel, digital height/length measurement devices to improve child nutrition and growth surveillance programs. This scoping review aimed to identify all digital, portable height/length measurement devices in the literature or otherwise available internationally. We also assessed identified devices against the UNICEF Target Product Profile (TPP) to identify those of highest potential for clinical and public health use. Method: We searched four databases (Medline, Embase, CINAHL and Global Health) and the grey literature between 1st January 1992 and 2nd February 2023. We looked for studies or reports on portable, digital devices for height or length measurement in children up to 18 years old. Citations were screened independently by two reviewers, with data extraction and quality assessment performed in duplicate and disagreements resolved. Devices were evaluated and scored against the 34 criteria of the UNICEF TPP. Results: Twenty studies describing twelve height/length measurement devices were identified, most of which used prospective validation designs. Additional devices were found in the grey literature, but these did not report key performance data so were not included. Across the twelve devices, only 10 of 34 UNICEF criteria on average could be fully assessed. Six met UNICEF's ideal accuracy standard and one device met the minimum accuracy standard. The Leica DistoD2 device scored highest (41%), followed by Autoanthro in a controlled environment (33%) and GLM30 (32%). These devices may be high potential for further assessment and development, though further research is required. Conclusion: While 12 portable, digital devices exist for child height/length measurement, insufficient data are available to fully assess whether they meet the industry's needs. Although some devices show promise, further research is needed to test the validity of these devices in varying contexts, and continued development and commercialization will be important to improve reliability and precision of these devices for widespread use.
MeSH term(s)	Child ; Humans ; Reproducibility of Results ; Public Health ; Anthropometry ; Dissent and Disputes ; Global Health
Language	English
Publishing date	2023-07-26
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0288995
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Article ; Online: Are Australian junior doctors failing to act as health advocates? A qualitative analysis.

Maloney, Daniel P D / Moodie, Rob / Daube, Mike / Wilson, Alyce N

Australian and New Zealand journal of public health

2022 Volume 46, Issue 4, Page(s) 527–532

Abstract: Objective: To explore junior doctors' attitudes towards and experiences of health advocacy practice and teaching in Australia.: Methods: Semi-structured interviews were conducted with 15 junior doctors across Australia. Data were thematically ... ...

Abstract	Objective: To explore junior doctors' attitudes towards and experiences of health advocacy practice and teaching in Australia. Methods: Semi-structured interviews were conducted with 15 junior doctors across Australia. Data were thematically analysed. Results: Three themes were identified: i) participants inconsistently understood and practised health advocacy, with many failing to conduct any advocacy work; ii) distinct factors motivated and enabled participants to undertake health advocacy; however, these were largely unrelated to any formal medical education; iii) the current medical workplace and education system is non-conducive to health advocacy practice given the numerous barriers faced by junior doctors when engaging with health advocacy. Conclusions: Health advocacy is generally poorly taught, weakly understood, and rarely performed despite being one of the four core graduate competencies of the Australian Medical Council (AMC). The AMC must clearly define health advocacy and its scope in their outcome statements, and this must be translated into medical education curricula and advocacy opportunities in the workplace. Implications for public health: Doctors are well-placed to act as public health advocates, yet they are denied the encouragement and training to do so. With the growing burden of complex and sensitive public health issues, junior doctors should be trained and encouraged in health advocacy.
MeSH term(s)	Attitude of Health Personnel ; Australia ; Curriculum ; Humans ; Medical Staff, Hospital ; Physicians ; Qualitative Research
Language	English
Publishing date	2022-06-09
Publishing country	Australia
Document type	Journal Article
ZDB-ID	1323548-5
ISSN	1753-6405 ; 1326-0200
ISSN (online)	1753-6405
ISSN	1326-0200
DOI	10.1111/1753-6405.13266
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Article ; Online: Funding received from breastmilk substitute manufacturers and policy positions of national maternity care provider associations: an online cross-sectional review.

Qassin, Salma / Homer, Caroline S E / Wilson, Alyce N

BMJ open

2021 Volume 11, Issue 12, Page(s) e050179

Abstract: Objectives: Maternity care providers play an essential role in supporting women to breast feed. It is critical that their professional associations limit influence from breastmilk substitute (BMS) manufacturers. Aims of this study were (i) to examine ... ...

Abstract	Objectives: Maternity care providers play an essential role in supporting women to breast feed. It is critical that their professional associations limit influence from breastmilk substitute (BMS) manufacturers. Aims of this study were (i) to examine whether maternity care provider associations had policy or positions statements addressing BMS marketing and (ii) to explore the type of funding received by these associations. Design: An online cross-sectional review. Setting: National or regional maternity provider professional associations in Australia, New Zealand, the USA, Canada and the UK. Participants: Twenty-eight maternity care provider (obstetricians, midwives, nurses and others involved in perinatal care) professional association websites. Interventions: Websites were examined from November 2019 to October 2020. Primary and secondary outcome measures: Evidence of BMS industry funding and policy or position statements addressing acceptance of funding from industries such as BMS. Results: Policies addressing the BMS industry were found for 14 associations (50%). UK-based associations (5/5, 100%) and perinatal associations (4/6, 67%) were most likely to have a policy. Six associations (6/28, 21%) received some form of BMS financial support. The highest rates of BMS support were seen in the form of event advertising (5/28, 18%); closely followed by event sponsorship (4/28, 14%). At a provider level, obstetric associations had the highest rates of BMS support (2/4, 50%). At a country level, US-based associations were most likely to receive BMS support (3/7, 43%). Conclusions: BMS industry financial support was received by one-fifth of maternity care provider associations. Half of these associations had policies addressing BMS marketing. BMS industry support can create conflicts of interest that can threaten efforts to support, protect and promote breast feeding. Healthcare provider associations should avoid BMS funding and at a minimum have policy or position statements addressing BMS marketing.
MeSH term(s)	Breast Feeding ; Cross-Sectional Studies ; Female ; Humans ; Maternal Health Services ; Milk, Human ; Policy ; Pregnancy
Language	English
Publishing date	2021-12-21
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2021-050179
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Article ; Online: Rethinking the use of 'vulnerable'.

Munari, Stephanie C / Wilson, Alyce N / Blow, Ngaree J / Homer, Caroline S E / Ward, Jeanette E

Australian and New Zealand journal of public health

2021 Volume 45, Issue 3, Page(s) 197–199

MeSH term(s)	Humans ; Vulnerable Populations
Language	English
Publishing date	2021-04-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	1323548-5
ISSN	1753-6405 ; 1326-0200
ISSN (online)	1753-6405
ISSN	1326-0200
DOI	10.1111/1753-6405.13098
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