Ian Wronski

James Cook University

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William J. McBride

University of Hull

J T LaBrooy

Townsville Hospital

H. Mullner

Australian Institute of Tropical Health and Medicine

Robert MacLennan

Queen's University Belfast

Maggie Grant

University of Stirling

Pam Stronach

James Cook University

AR Ruben

Government of the Northern Territory

Jan Veitch

James Cook University

Richard Hays

James Cook University

Reuben Murray

Cooperative Institutions

James Cook University

Australian Institute of Tropical Health and Medicine

University of Queensland

Northern Territory Health Services

Centre for Rural and Remote Mental Health

University of York

Keele University

Goethe University Frankfurt

Cancer Council Queensland

QIMR Berghofer Medical Research Institute

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An Interview of Ian Wronski

Education for Health (2004)

Ian Wronski

10.1080/13576280410001711076

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Citations (0)

Intern choices for the first graduates of James Cook University

The Medical Journal of Australia (2006)

Richard Hays Ian Wronski Jan Veitch Tamara McCloskey

Officer

10.5694/j.1326-5377.2006.tb00136.x

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Citations (4)

When the tide goes out: health workforce in rural, remote and Indigenous communities

The Medical Journal of Australia (2006)

Richard Murray Ian Wronski

There is compelling evidence for the success of the "rural pipeline" (rural student recruitment and rurally based education and professional training) in increasing the rural workforce. The nexus between clinical education and training, sustaining the health care workforce, clinical research, and quality and safety needs greater emphasis in regional areas. A "teaching health system" for non-metropolitan Australia requires greater commitment to teaching as core business, as well as provision of infrastructure, including accommodation, and access to the private sector. Workforce flexibility is mostly well accepted in rural and remote areas. There is room for expanding the scope of clinical practice by non-medical clinicians in both an independent codified manner (eg, nurse practitioners) and through flexible local medical delegation (eg, practice nurses, Aboriginal health workers, and therapists). The imbalance between subspecialist and generalist medical training needs to be addressed. Improved training and recognition of Aboriginal health workers, as well as continued investment in Indigenous entry to other health professional programs, remain policy priorities.

Scope of Practice

Rural Health

10.5694/j.1326-5377.2006.tb00450.x

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Citations (120)

Augmentation of Pap smear screening of high risk aboriginal women. Use of a computerised process tool within the Broome Aboriginal Medical Service.

PubMed (1998)

Sophia Couzos Ian Wronski Richard W. Murray Helen Cox

The Broome Regional Aboriginal Medical Service (BRAMS) in Broome, Western Australia, conducted a 4 month program to augment the Pap smear screening of Aboriginal women. The emphasis was on those with a past history of abnormal smears, aged greater than 40 years, living in remote communities and very (more than 5 years) overdue.Continuation of existing opportunistic recall processes supplemented by three components: the development of an Aboriginal Health Worker (AHW) run Pap smear clinic; the provision of Aboriginal outstation screening; and active recruitment of targeted women (by AHW staff) using worklists. All components used Healthplanner, a computerised process tool to facilitate targeting and recall.The number of Pap smears taken from the target groups before and after intervention and the proportion screened from the women eligible in each target group at the start of the program.There was statistically significant increase in the coverage of Aboriginal women overall, those over the age of 40 years, and those from remote communities when compared with the same period the previous years. In 4 months, 21-30% of Aboriginal women eligible for Pap smears in these high risk categories including those with past abnormal smears were screened. Over-screening of women did not occur as only 4% of smears taken were from women screened less than 12 months previously. Smears taken by AHW staff were of high quality.Use of a computerised process tool in a remote setting can facilitate selective recruitment of high risk women overdue for Pap smears.

Pap smears

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Citations (4)

Aboriginal health and history

Oxford University Press eBooks (2008)

Maggie Grant Ian Wronski Reuben Murray Sophie Couzos

This publication does not have an abstract. The first paragraph of the Introduction is displayed as the abstract. Sometime in mid 2006, the Indigenous population of Australia reached 500,000, the number often quoted as the population prior to colonisation. The 500,000 milestone is both a symbolic and real victory for Aboriginal survival. Australia now experiences an extraordinary paradox-while Aboriginal peoples make up more than 2.4% of the population and are a vibrant, integral part of Australian culture, there is compelling evidence of massive social, economic, and educational disadvantage experienced by Aboriginal people.

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Disadvantage

Colonisation

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Citations (20)

Excessive rates of childhood mortality in the Northern Territory, 1985–94

Journal of Paediatrics and Child Health (1998)

DT SILVA AR Ruben Ian Wronski Pam Stronach Mandie Woods

To estimate the post-infant/childhood mortality rate (1-14 years) in the Northern Territory (NT) of Australia.A retrospective study of post-infant death in the 10 years 1985-94 inclusive in the NT.Two hundred and forty-four deaths were identified. Compared to a non-Aboriginal, an Aboriginal child was twice as likely to die from accidents, 11 times more likely to die from infection and 3.2 times more likely to die from all causes. Road traffic accidents were the leading cause of accident mortality in Aboriginal children. All children who died in collisions or rollovers were unrestrained. Drowning was the major cause of death amongst non-Aboriginal children aged 1-4 years; none of the residential pools in which drowning occurred had fencing which complied with the recommended Australian fencing standards. Mortality rates from infection were highest in Aboriginal children aged 1-4 years. The overall mortality rate decreased over the 10-year period with a significant reduction in non-Aboriginal but not in Aboriginal children.NT children aged 1-14 years have higher mortality rates than their Australian counterparts and these are significantly higher in Aboriginal compared to non-Aboriginal children. Legislation and enforcement of isolation pool fencing, car seat restraints and safer driving on rural roads could have a significant impact on reducing accident mortality.

Fencing

10.1046/j.1440-1754.1998.00156.x

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Citations (22)

Body site specific incidence of basal and squamous cell carcinoma in an exposed population, Townsville, Australia

Mutation Research/Fundamental and Molecular Mechanisms of Mutagenesis (1998)

Beverly Raasch Robert MacLennan Ian Wronski Ivan Robertson

Body surface area

10.1016/s0027-5107(98)00194-8

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Citations (50)

Vertical integration and its role in workforce education and support: ACRRM's academic role

Australian Journal of Rural Health (2001)

Ian Wronski

10.1046/j.1440-1584.9.s1.1.x

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Citations (2)

The 1993 dengue 2 epidemic in Charters Towers, North Queensland: clinical features and public health impact

Epidemiology and Infection (1998)

William J. McBride H. Mullner J T LaBrooy Ian Wronski

In 1993 an epidemic caused by dengue virus type 2 occurred in several North Queensland population centres. Charters Towers, estimated population 10000, had 155 officially notified cases. An analysis of symptoms was undertaken using a random sample of 1000 residents to determine specificity of symptoms, the subclinical infection rate, and to establish the true extent of the epidemic. Retrospective diagnoses of dengue fever were based on the presence of both serum dengue 2 neutralizing antibody and presence of symptoms. An estimated 20% of the population had dengue fever. The rate of subclinical infections in this epidemic was 14·6%. There were no symptoms that were specific for dengue fever. Bleeding occurred more frequently in people who recalled a previous dengue infection during a dengue 1 epidemic 12 years earlier (55·6% vs. 16·8%, P =0·003). Surveillance for future epidemics should be based on serological and virological confirmation of dengue virus infection amongst symptomatic patient.

Subclinical infection

Attack rate

10.1017/s0950268898001058

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Citations (40)

Towards an appraisal of the health industry.

PubMed (1974)

Ian Wronski

Critical appraisal

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Citations (1)