Plenary Session

Shared Decision Making
by Dr Nick Zdenkowski

Dr Nick Zdenkowski is a medical oncologist and clinical researcher with a specialty interest in caring for patients with breast cancer. He sees patients at Gateshead and at the Calvary Mater Newcastle. He works part-time as a Hunter New England Local Health District Clinical Research Fellow, and is a Conjoint Senior Lecturer at the University of Newcastle. He also works as a medical advisor with Breast Cancer Trials, a national collaborative clinical trial group.

Dr Zdenkowski graduated from the University of Newcastle in 2005 with a Bachelor of Medicine, followed by a Graduate Diploma of Palliative Medicine in 2010. In 2012 he was admitted as a Fellow of the Royal Australasian College of Physicians. Subsequently in 2014 he completed a Graduate Diploma of Clinical Epidemiology. In 2018 he completed a PhD, which investigated supporting shared decision-making about neoadjuvant systemic therapy for women with breast cancer.

Dr Zdenkowski has a keen interest in research and believes that to achieve better outcomes for patients, research needs to be embedded in routine clinical practice. He works with a range of researchers across the translational spectrum, aiming to bring important treatment options to the clinic. He is the Australian study lead of the international PALLAS trial. He is principScott Kitcheneral investigator on a number of other clinical trials, including treatment and supportive care interventions. He is on the Breast Cancer Trials Scientific Advisory Committee and the Hunter Cancer Research Alliance Implementation Flagship Steering Committee.

On a personal note, he grew up in Lake Macquarie (NSW), and has 3 rapidly growing children, and a wonderful wife, Katie. He enjoys baking sourdough bread, riding his mountain bike and eating great food. 

Talks and Discussions

Sawbones, Saddle Burns & Soothing Balms - A History of Northern Rivers Doctors 1866-1986
by Dr Neil Thompson
Dr Neil Thompson

Neil Thompson was a consultant orthopaedic surgeon in Lismore for 25 year from the mid 1970s. In retirement he has documented the history of the early medical practitioners of the Far North Coast in his book, Sawbones, Saddle Burns & Soothing Balms, which was first published in 2014 and released as an Amazon Kindle e-book in January 2019.

The psychosocial and cultural determinants of chronic disease
by Andrew Binns
Dr Andrew Binns
Andrew Binns has been practising as a GP in Goonellabah for nearly 40 years and for over 10 years at Jullums Aboriginal Medical Centre in Lismore and its predecessors. He provides primary care outreach services to Ballund-a, a diversionary NSW Corrective Service facility where the residents are young men who have come through the custodial system.

Closing the Gap in Medical Communication
by Marion Tait 
Dr Marion Tait completed her post-graduate medical training in SA + NT, and trained for FRACGP whilst having children on the North Coast of NSW. She has worked solely in ATSI health for 13 years, with almost  a decade spent in Casino. 
Effective communication is essential in all Interactions, and especially important in patient-centred health care. Further complexity is added with cross-cultural communication. 

The History of Medical Cannabis
by Bob Lodge
Dr Robert Lodge
 Dr Lodge follows up on his presentation last year about Cannabinoids in Neurology

Evidence Based Medicine v Patient Centred Medicine
by Louise Imlay
Louise trained at the University of Newcastle before pursuing training in Haematology largely based on the Central Coast and Royal North Shore Hospital. Having grown up in a regional area she was keen to pursue a career outside of the city and moved to the Northern Rivers in 2016 with her husband and colleague Dr Joe Gormally. 

Life as a JMO in the Northern Rivers
by Zhi Sia

From medical student to PGY1 then PGY2, Sia looks at the challenges faced and the fun enjoyed as a junior medical officer, both at work and after hours.

- Jowita Kowslowska 

Rural Surgical Training
by Sally Butchers

An update on the Northern Rivers Health Directory
by Arthur Proudfoot
Dr. Arthur Proudfoot general practitioner working at Keen Street Clinic and at the Casino Aboriginal Medical Centre.
He will be giving an update on, GP Referral, an aid to general practitioners for making effective and efficient referrals and for other specialist and allied health practitioners to provide up to date information on there field of practice/focus directly to the General Practitioners that will bring them the clients they want.

"A Moveable Feast. Maintaining effective treatment for obstructive sleep apnoea, Rare Wines and Respiratory Infections"
by Joe Duncan
Joe Duncan
Dr Joe Duncan is a Respiratory and Sleep Physician who has recently moved to the Northern Rivers. He has completed training at Royal North Shore Hospital in Sydney. Prior to entering medicine he was an Oenologist, making wine in Australia and in France. 

Addiction Medicine in the Northern Rivers - An Update
by Bronwyn Hudson
Dr Brownyn Hudson 
Dr Bronwyn Hudson is the founder and principal GP at the Yellow Gate Medical Clinic in Banaglow. She specialises in addiction medicine and runs an outpatient opioid treatment program. Bronwyn is giving us an update on how our prescribing habits have changed since the codeine reschedule, on the Special Commission of inquiry into the Drug ‘Ice’, and on the The North Coast Collective Initiative”. 
by Sharyn White 
Sharyn White is the Director, Systems and Services Integration at the North Coast Primary Health Network.

Panel Discussion

"Discharge Summary or Same Day Handover?"

David Guest
David Guest is a GP in Goonellabah. He has been involved with the Northern Rivers General Practice Network since its inception. 
Kat McLean
Dr Katrina McLean is a Gold Coast-based GP, Assistant Professor in the School of Medicine and Health Sciences at Bond University and an administrator on the Doctors Down Under Facebook Group. She has co-authored an article in the MJA's Insight+ magazine on the topic of Discharge summary versus clinical handover.
Tony Lembke
Tony Lembke is a GP in Alstonville, NSW. He has served on a number primary health care organisations for many years at local, state and national levels. He is a strong proponent of the Medical Home model of primary health care delivery and has liaised with the local hospital residents for many years to improved GP / hospital communication.
Scott Kitchener, Director of Medical Services, Grafton Hospital. Scott is a public health physician who has worked on both sides of the primary / secondary care divide. He has a special interest in clinical handover. 
Sabine Ringkowski, Resident Medical Officer, Lismore Base Hospital

Closing Remarks - NoRDocs Organisers