Positive exposures to rural medicine as a student translated into then planning my junior doctor years around building skills to use as a Rural Generalist. I was lucky to be part of a cohort doing a full year in East Gippsland, Victoria, which built on the positive exposure I had had as part of my John Flynn Program Placements in Broome, WA. I related most to the clinicians I met in these settings, and am lucky to continue to have the opportunity to work with, and learn from them now more than 10 years later.
I saw the program mentioned in the Country Watch email. Subsequently a colleague and I were discussing a case that reminded me to go back and enrol in the program. When discussions about drug and alcohol use are initiated by patients, I am mindful of being ready to take the opportunity to respond in a timely way with appropriate (and local) options to support decreasing use and/or cessation. I’m always on the look-out for new approaches and resources to add to my toolkit to contribute to my confidence in doing this. Equally, I know that I am more likely to proactively start discussions about topics where I feel current in the ‘facts’ and have resources that I can rely on to quickly refer to.
The DAAE program includes links to a number of online resources that it was good to have the opportunity to familiarise myself with. I have since used them already in facilitating discussions with patients, in particular some of the brief intervention tools from the Insight website.
Completing the program was a reminder for me of the wide range of presentations that include an element of drug and/or alcohol use as an important contributor and/or result of the presenting issue. I am always mindful of how powerful the language we use can be in our discussions with patients, I liked the summary of useful phrases and reflection on this included in the program.
Drug and alcohol can be wrapped up in a wide range of presentations: an opportunistic discussion as part of meeting a new patient or a pre employment or driving medical; a contributor to a medical condition; a concern expressed by a friend or family member; a specific request for assistance in withdrawing…
Feeling confident in our own knowledge of current recommendations, potential harms and support options means we can effectively provide brief interventions and advice to support individuals, their families and their communities. The needs will vary between all communities, urban, rural and remote, however the support services and structures may not be equitably distributed according to need.
Reminder of the importance of the language we use when talking about drugs and alcohol to patients, colleagues and friends. To ask about alcohol and drug use openly at any opportunity - and have some online resources that I have bookmarked and used to back myself up after starting these conversations!
I found it very accessible and easy to work through the discreet modules over a series of sessions.
I think the course is pitched in a way that it can provide foundations and/or build on existing knowledge - with additional information and resources to dive into more deeply if you want to as you work through the modules.