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She has also established a general practice-based research network in Northern Tasmania, another vital element to undertaking research in general practice. The resulting dataset is the largest detailed dataset representing the whole of Australia yet devised. From 2013 to 2015, she undertook the contract for doing so within Tasmania by encouraging practices to sign up to NPSMedicineWise’s MedicineInsight program. It’s vital that people are trained to do this.’ĭr Radford stresses the importance of enrolling general practices in a system where routinely collected EHR data is submitted from across Australia. ‘Routine data collection also means that the effects of a new treatment, for example, can be monitored, as long as the information has been coded correctly. The intervention meant they were able to do so, while the audit gave something back to the general practices involved. It’s been difficult for students to get practical experience in this area.
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‘For example, say you want to investigate how well diabetic patients are being looked after – you can select factors like blood pressure control or blood sugar control, and use software that pulls together all the numbers. All medical clinicians will have to do clinical audit in their careers, so this is an important aspect of their learning. ‘A highlight of my career was receiving $650,000 for an intervention to assist students in gaining practical experience in clinical audit in general practice. ‘I’m primarily a medical educator,’ says Dr Radford. EHRs also make clinical auditing in general practice much easier, which likewise leads to large databases of information. The advent of Electronic Health Records (EHR) has made access to large datasets – large populations of patients – possible in a general practice setting.
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Research and practice complement each other.’Įffective data collection in general practices around the state, including rural and regional areas, plus education surrounding the management and uses of such data collections, are an important aspect to achieving her vision. But my work as a general practitioner has grounded my investigations. There’s a perception among students that general practice is an intellectual desert, that it’s not a place that generates research. ‘It’s the place we should be doing research. Having worked as a GP herself for 32 years, Dr Radford understands the roles research can play in the complex environment of general practice.
‘My vision involves building general practice research infrastructure for the future, thereby increasing Tasmania’s health research capacity.’ Tasmanian born and bred, Dr Radford is dedicated to ensuring better health for her community. This is what motivates Dr Jan Radford’s wide-ranging research interests. The New York grid had been repatterned in a way that made an unwieldy town move more fluidly-surveys now showed vehicular traffic was moving at a better rate since the bike lanes and bike share had arrived.Historically, Tasmanians have experienced poorer health outcomes than populations in other areas of Australia.
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“Under Sadik-Khan's six-year run as commissioner, there had been a full reconsideration about how an entire city moved-the way people got to their jobs and their families and their dinners. In 2013, she helped to introduce the instantly-popular Citi Bike bicycle-sharing program to the city, making New York one of the cycling capitals in the United States. The success of the approach allowed her to create 50 pedestrian zones throughout the city, in the process repurposing 26 acres of space previously allocated to cars. In Times Square, an iconic New York City location visited by 350,000 people every day, this involved the creation of pedestrian zones by painting the asphalt and putting up some lawn chairs. In other words, try an idea to see if it would work if it didn't, try something else, no harm done. For six years, she managed nearly 5,000 employees and was responsible for the operation and management of some 6,300 miles of streets throughout the city's 5 boroughs.ĭespite her access to a budget of some $2 billion, Sadik-Khan adopted a designer's approach to urban innovation: rapid testing and regular iteration. Janette Sadik-Khan was appointed commissioner of the New York City Department of Transportation in 2007.
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