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Clinical Senior Lecturer Marc Gutenstein

Emergency Physician
Rural Hospital Medicine Specialist



Dr Marc Gutenstein is a Clinical Senior Lecturer at the Rural Health Academic Centre, Ashburton Hospital. He has led the development of the 'Rural Interprofessional Simulation Course' to train interprofessional rural hospital teams in trauma and emergency management.

Dr Gutenstein convenes the 'GENA 723 Trauma and Emergencies in Rural Settings' paper for the University of Otago's rural postgraduate programme. He also works at Nelson Hospital as Emergency Physician.

Research Interests

  • Simulation based education for rural hospital trauma and emergency teams
  • Simulation and clinical event debriefing
  • Decision support technology for Emergency and Rural Hospital practitioners
  • Clinical co-design of digital decision support pathways


Gutenstein, M., Holland, K., Civil, I., & Than, M. (2022, November). Mahi Tahi in action: Networks. Panel discussion at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Miller, R., Nixon, G., Pickering, J. W., Stokes, T., Turner, R. M., Young, J., Gutenstein, M., Smith, M., … Watson, A., George, P., … Than, M. (2022). A prospective multi-centre study assessing the safety and effectiveness following the implementation of an accelerated chest pain pathway using point-of-care troponin for use in New Zealand rural hospital and primary care settings. European Heart Journal: Acute Cardiovascular Care, 11(5), 418-427. doi: 10.1093/ehjacc/zuac037

Kiuru, S., Gutenstein, M., & Withington, S. (2021). Exploratory survey of procedural sedation and analgesia practice in sample of New Zealand rural hospitals: Existing guidelines do not support current rural practice. Rural & Remote Health, 21(1), 6320. doi: 10.22605/rrh6320

Miller, R., Young, J., Nixon, G., Pickering, J. W., Stokes, T., Turner, R., … Gutenstein, M., … George, P. M., … Than, M. (2020). Study protocol for an observational study to evaluate an accelerated chest pain pathway using point-of-care troponin in New Zealand rural and primary care populations. Journal of Primary Health Care, 12(2), 129-138. doi: 10.1071/HC19059

Gutenstein, M. (2019). Daring to be wise: We are black boxes, and artificial intelligence will be the solution. Emergency Medicine Australasia, 31, 891-892. doi: 10.1111/1742-6723.13363

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