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Working within the Rural Health Outreach Fund: A Gynecologists’ Experience

By Associate Professor Amar Trivedi, Obstetrician and Gynaecologist, Outreach Service Provider to Wonthaggi

As a new specialist, I started participating in the Rural Outreach Service program at least 16 years ago with the primary purpose of increasing my patient numbers and widening my patient catchment area. With the passage of time, I started realising that I was really enjoying my visits to the rural area and helping these communities overcome the hardship of not having specialists in their towns.

The people in the towns I visit are genuine and easy to deal with, making my experience very pleasant and enjoyable. The hospital staff are always ready and willing to help and nothing seems too onerous for them. These attributes of our rural areas have kept me going in this program for a long time.

The program provides specialist medical care to the people of rural communities at their doorstep with no additional cost to them. With modern technology such as Skype and tele-health programs, medical specialists can also carry out remote consultations within certain cases. A large majority of surgeries in rural hospitals are done by visiting specialists. In metropolitan hospitals, they are done by trainee specialists, under specialists’ supervision.

I have performed a variety of surgeries including urinary incontinence surgery, pelvic floor repair surgery and diagnostic surgery for gynecological malignancies. Patients requiring further definitive surgery, for example gynecological malignancy, are then transferred to the metropolitan hospitals. However, their subsequent surveillance is made possible by the visiting specialist in their communities through the outreach programs operated by RWAV.

An additional benefit to RWAV’s program is that medical students in the rural placement also benefit from their interaction and teaching from the visiting specialists. Everything from the nature of illnesses reported to bedside manner can be different in regional towns, compared to big cities. Medical students, through their association with RWAV specialists are provided with first-hand experience that is invaluable to their education as health professionals.

I find my visits to rural communities less stressful, more rewarding and the drive is enjoyable, with a short coffee break in between visits. I intend to be part of this program for many years to come.

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F E E D B A C K

For nearly 30 years, Catherine has worked as a consultant, senior executive, adviser and government relations specialist with a particular focus on health, social services, social policy and industry development.  Catherine is currently Partner and Co-founder of Evaluate, an economics consulting company, where she is engaged in the evaluation and development of efficient and cost-effective services and policies, principally in relation to health and lifesciences.  Prior to this, Catherine worked in the health insurance and pharmaceutical industries with responsibilities for government relations, stakeholder engagement, policy development, regulatory affairs and communication in Australia, the United Kingdom and Europe.  Catherine is a graduate of the Australian Institute of Company Directors and a past board member of Marriott Support Services, Melbourne City Mission and Victoria Legal Aid.

BAppSci, GradDipBus, MBus, GAICD, FIML

John is an experienced CEO and senior executive who has held many roles in various hospitals, in government (Health Department), and in professional associations related to healthcare. Until recently, John was the CEO of the Royal Australasian College of Surgeons (RACS), where he had major involvement in various sustainability in healthcare initiatives, Indigenous health and ‘Building Respect’ cultural improvement strategies.
John’s expertise encompasses leadership, strategic policy development, professional standards and government relations. At RACS, he led the college through the COVID-19 pandemic and oversaw the digitisation of a range of member offerings, including aspects of training. He remains a key advocate for good corporate governance and the need for leaner and competent skills-based boards.

RWAV special responsibilities:
• Strategy, Policy and Stakeholder Engagement Committee Member
• People and Culture Committee Member

BBus(HRM)

Lauren commenced in the role of Manager People and Culture in August 2018 and is responsible for leading the implementation of RWAV’s People and Culture strategy, policies, processes, functions and team.

Lauren’s team is committed to implementing activities and initiatives to support the achievement of RWAV’s strategies and strengthen RWAV’s position as an ‘Employer of Choice’.

Lauren is an experienced Manager and HR professional, with a career spanning the professional services, automotive, defence, and not-for-profit sectors.

CPA
Albert Giorgini is the Senior Advisor to CEO at RWAV.

As an experienced finance executive, with an extensive career in public transport and in the automotive and industrial gas sectors, Albert has honed his skills in driving financial performance improvements with a commercial and business transformation focus.

Through his strategic financial skills, Albert has demonstrated an exceptional capacity to lead and develop large teams in complex and changing environments to achieve the financial and regulatory requirements of the business. His extensive experience has given him a deep understanding of the industry and its challenges, equipping him with the expertise to drive impactful change.

Albert has highly developed communication and stakeholder management skills to support his strong planning, analytical and financial performance improvement acumen, always striving to create innovative solutions that drive growth and success.

BMed, MMedSci, FRACGP, FARGP, FACRRM, DipPractDerm, DipMedHyp, DipFP, DipBusAdmin, GAICD

Morton is an experienced GP and medical educator. He is currently in clinical general practice in suburban Melbourne and previously practised in rural Victoria for 10 years. Morton is Chair of the General Practice Mental Health Standards Collaborative and a past Chair of the Mental Health Professionals Association and is a board member of the Mental Health Professionals Network. He is also the Medical Director of the Royal Flying Doctor Service in Victoria. He is a member of the RACGP Victoria Council.

RWAV special responsibilities:
• Board Director
• Governance Committee Member
• Strategy, Policy and Stakeholder Engagement Committee Member

LLB, BSc, MMgt (Strategic Foresight), GAICD

As a lawyer and business consultant, Jane has worked for many years with company boards and executives across a range of areas including IP commercialisation, SaaS businesses, healthcare products/services, privacy compliance and data/IT security. Jane is General Counsel for ID Consulting. She has served as a Director of BreastScreen Victoria, Ballarat Health Services and chairs RWAV’s Governance Committee.

RWAV special responsibilities:
• Chair of the Governance Committee
• Audit and Risk Committee Member

BMBS, MBA, FRACP, FRACMA, FAICD

Grant is a retired physician and gastroenterologist whose specialist
clinical practice was in regional and rural Victoria. In the latter part of his career, Grant moved into management and leadership roles at organisational and system level, with a focus on clinical quality and clinical engagement.
Having worked for government in several jurisdictions, through this, Grant has held leadership roles in the national safety and quality agenda, and has also held major professional level roles including a 2-year period as President of the Adult Division of the Royal Australasian College of Physicians from 2016–18.
Grant teaches clinical governance with a focus on helping healthcare boards and executive teams understand this critical aspect of their work, and consults to organisations on their clinical governance and nclinical leadership.
Grant is an experienced and qualified board director, having attained
Fellowship of the Australian Institute of Company Directors in 2018,
and currently chairs a major sporting organisation.

RWAV special responsibilities:
• Board Chair
• Chair of the Strategy, Policy and Stakeholder Engagement Committee
• Nominations and Remuneration Committee Member

BA (Hons), BEc, Grad Dip Bus, MBA, FGIA, FAICD

Roger is an experienced CEO, Chair, non-executive director, board consultant and course/workshop facilitator, with experience in the health, human services, law enforcement, regional economics, disaster relief, education, transport and environmental industries. He has sat on and chaired numerous private company, public sector and not-for-profit boards and audit and risk committees. Roger has also consulted with numerous boards, published numerous articles and conducted webinars on corporate governance, risk and strategy. He brings strong governance experience, commercial acumen, risk management and strategy skills combined with a passion for innovation and business development.
Currently, Roger chairs the Victorian Emergency Relief and Recovery Foundation, is a director and chair of the Audit and Risk Committee for Melba Support Services, and is an independent member of the Victorian Collaborative Centre for Mental Health and Wellbeing.
Roger is a Fellow of the Australian Institute of Company Directors and has completed their Boardroom Mastery program, and is also a Fellow of the Governance Institute of Australia. Roger is currently a facilitator, assessor and writer for the Australian Institute of Company Directors and teaches their Company Directors Course,
as well as numerous other short courses.

RWAV special responsibilities:
• Chair of the Audit and Risk Committee

BSci(Hons), DipLang, MD, FRACGP, FACRRM, DRANZCOG(Adv), GAICD

Louise is a rural GP obstetrician practising in a number of locations across Central Victoria where she delivers general practice, obstetric and sexual health services. After growing up in a small town, she has lived experience of the difficulties of accessing healthcare in rural and regional areas, and is dedicated to advocating for equitable health outcomes, regardless of geography. In addition to her clinical duties, she undertakes consulting, medical education and advocacy work. She is also a non-executive director and the current President Elect of the RDAV. Louise recently returned to study in 2024 and is undertaking a Masters of Public Health through The University of Melbourne.

RWAV special responsibilities:
• Strategy, Policy and Stakeholder Engagement Committee Member
• Audit and Risk Committee Member

Snezana is a Human Resources leader with more than 15 years of experience in management, playing a pivotal role in driving team transformations across diverse industries, including FMCG, automotive, government, and non-profit sectors.

With a curiosity for business and its associated complexities, Snezana fosters collaborative partnerships to cultivate a highly motivated workforce that effectively executes strategic plans.

BCom, MPP, EdD, DipEd, Claritas/CFA Investment Certificate, MAICD

Rosemary has had a varied career as an academic teaching economics, public policy and industrial relations, and as a consultant, advocate, health union official and as a director. She brings strong governance and strategic skills to the Board, as well as knowledge and depth of experience in health policy, economics and investment.
Rosemary is currently a member of the Investment Committee of Cbus, a major Australian superannuation fund.
She was the Secretary of the Victorian Psychologists Association Inc for 20 years and was Assistant Secretary and Secretary of the Medical Scientists’ Association of Victoria, which counts dietitians and audiologists among its members.
Rosemary knows first-hand the difficulties in attracting and retaining health professionals in rural and regional Victoria.
Rosemary is a member of the Medical Association for the Prevention of War, and a committee member of Quit Nukes.

RWAV special responsibilities:
• Chair of the People and Culture Committee
• Governance Committee Member

With a rich background of consulting and in-house people and culture roles with the corporate, government and community sectors, Andrea is responsible for leading the implementation of RWAV’s People and Culture strategy, policies, processes, functions and team.

Andrea has significant experience in leading teams across culture, capability, diversity, equity, leadership, organisational development and learning programs as well as core human resources partnering.

With a strong focus on building and maintaining psychologically safe organisations, Andrea’s team is dedicated to ensuring that RWAV is a place where people can work well and be well at work.

Martin is a governance professional and lawyer with experience in private practice and in-house legal roles. He has been a company secretary for public and private sector organisations across a range of industries including VicTrack, Regis Healthcare Limited and Dairy Australia Limited. He holds Bachelor of Laws and Bachelor of Commerce degrees from the University of Melbourne, a Graduate Diploma in Applied Corporate Governance from the Governance Institute of Australia (GIA) and is a fellow of the GIA.

Social Work (BA Hons), DipSW

With a background in social work and a proven record in recruitment, project management, and business development, Jo brings strategic leadership and a wealth of experience in driving positive outcomes within the health, human services, and State Government sectors.

Jo specialises in managing health professional recruitment and outreach programs, including the More Doctors for Rural Australia and 3GA programs. Her focus is on implementing innovative workforce strategies and clinical governance to bolster RWAV’s mission of enhancing healthcare accessibility in rural and regional Victoria.

Having previously excelled at RWAV, Jo spearheaded successful internal change initiatives while fostering strong relationships with external stakeholders. Her efforts consistently align with RWAV’s strategic direction, ensuring a cohesive approach to driving impactful change.

Beyond her professional expertise, Jo’s passion lies in uniting communities and championing positive transformations in rural healthcare in Victoria.

RN, GradDip(Health Promotion), PRINCE2, Mini MBA

Kate is a Registered Nurse highly experienced in health promotion and project management. Her people and program management skills enable her to be agile and adaptable while maintaining an outcomes focus on improving quality access to primary healthcare.

Kate’s extensive experience working with all levels of government, the community and stakeholders across the sector have provided her with insights into the challenges rural communities and health professionals face. Kate has led the design and delivery of many innovative and strategic health promotion and grants programs, supporting better access to health services, health information and activities across communities. Whilst at RWAV, Kate has led the transformation of the RWAV grants program, enhanced the administration of a number of programs and developed the RWAV allied health portfolio. She has also led the development of the RWAV research program of activities.

Having worked at RWAV since 2020, Kate will continue positively influencing the rural healthcare workforce and access to services.

Msc (Fin), FCCA, FGIA, CA

Shay brings over 20 years of financial
management experience in commercial and not-for-profit organizations. He has a
rich and varied experience in multiple finance and leadership roles in the
United Kingdom and Australia, including CFO, GM Finance & IT, Commercial
Manager Operations, Finance Manager and Accountant.

His extensive leadership experience is
augmented by an FGIA, FCCA, CA, a Masters in Finance and an undergraduate degree in
accounting and finance.

Lauren Cordwell

Chief Executive Officer

BHlthSci(Hons) MPH PostGradDipMgt GAICD AFCHSM

Lauren Cordwell is the Chief Executive Officer at RWAV. Lauren has been an integral part of the RWAV team since 2018, demonstrating a remarkable strategic vision to improve access to health care in rural Victoria. As an experienced senior executive and health policy analyst, she is committed to finding practical solutions to address the challenges preventing communities in rural Australia from accessing affordable and safe healthcare. For over 20 years, Lauren has designed and implemented innovative programs with communities, health professionals and government agencies that continue to have a lasting benefit. Many of these programs relate to primary healthcare, general practice, workforce, First People’s health and community engagement. 

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