With funding from the National Health and Medical Research Council of Australia, we’ve been conducting research on the My Health Record. To understand more about one of the documents within the record, we recently reviewed the legal and ethical issues surrounding Advance Care Directives in Australia, and considered implications for storage in the My Health Record (see McCarthy et al., 2017).

There are many legal and ethical issues relating to Advance Care Planning and Advance Care Directives in Australia, and both doctors and patients navigate complex legal issues relating to legal capacity to make decisions, and either create or identify the validity of Advanced Care Directives. Advance Care Planning holds opportunities and benefits for those who engage with the process, and an Advance Care Directive gives individuals the chance to determine the care they will receive in the future, when they are no longer able to express those wishes.

A recently published paper shows that boosting self-efficacy - defined by psychologist Albert Bandura as “one's belief in one's ability to succeed in specific situations or accomplish a task” - can reduce the impact of social isolation experienced by one-third of students undertaking rural placements.

The subjective feeling of social isolation can be defined as a sense of not belonging to a community or geographical area. Studies suggest that perceived social isolation contributes to depressive thoughts and/or distress, and renders medical students less likely to pursue a rural career after graduation.

However, social isolation can be addressed through enhancing the attribute Bandura said plays “a major role in how one approaches goals, tasks, and challenges.”

A survey* of young people attending a regional music festival has found that factors such as an awareness of their blood alcohol concentration (BAC), and having more than five hours sleep and less than six drinks the night before made them feel safer to drive in the morning.

The survey of 409 participants - 66 were drinking during the morning of the survey and were excluded - 60.4% of them male, was conducted by medical students from Western Sydney University, overseen by Dr Sabrina Pit from the University Centre for Rural Health North Coast, and the STEER youth project, which provides voluntary breath testing at North Coast music events and other events, including private functions.

UOW Students Holly, Lara, GP Preceptor Nic Cooper and Practice Manager Carol Pachos – GP Super Clinic Grafton

When I was allocated Grafton by my university I expected my year-long placement to occur in a stereotypical small town where everyone knew each other, and nothing ever happened. In my imagination, the sleepy town had an equally sleepy hospital and GP clinics - a close-knit community that made it difficult for outsiders to fit in.

I was prepared to be lonely and bored in yet another bastion of poor immunisation amongst the beauty of the North Coast. However, despite what the locals will jokingly tell you, I found Grafton to be bustling with activity. There was always some festival or local event, from the pomp and ceremony used to celebrate the jacaranda trees with tourists from around the world, to the humble Grafton show or even the competitive weekly pub trivia. Locals warmly included you into the local community. Strangers greet you in the street and generous unexpected hospitality was often offered, even if you had just met them.

Protest at Nimbin Mardigrass, photo dated 2008 by Mombas2 Peter Terry [CC BY-SA 3.0 from Wikimedia Commons]

Call it what you will – names include grass, ganja, hootch, loco weed, whacky tabacky, Mary Jane or her cousin, Alice B Toklas – cannabis has never been regarded by the mainstream as anything but a recreational drug… until now.

Suddenly in Australia marijuana (another of its names) has been moving into the therapeutic ‘space’, sanctioned by government as suitable for prescribing as an aid to alleviating, although not curing, a range of conditions, some of them paediatric.