RMIP Staff of 2017
RMIP Course Director Dr Branko Sijnja (right), teaching RMIP students.
RMIP Course Director
Tel 64 3 479 7098
I have enjoyed being a general practitioner in Balclutha for more than 30 years, and have been pleased to be able to contribute to my community through involvement with the health reforms of the early 1990s that culminated in the setting up of the community owned and operated hospital and health centre in Balclutha, Clutha Health First. This has now evolved to a fine integrated community health centre. I have worked in hospital practice in Palmerston North, Dannevirke, Balclutha, Perth, and Bridge of Earn in Scotland. I have always retained an interest in rural hospital medicine and had a longer hospital job in Balclutha, initially full time and then part time since I entered general practice in 1980.
I enjoy health governance and have been a member of the Board that manages Clutha Health First since its inception in 1998, and on the Southern District Health Board from 2004. I have been a member of the New Zealand Medical Association all my working life and am proud to be its current President. I have been involved in implementation panels for aspects of the health policies of both the National and Labour Coalition governments.
I have been teaching medical students since 2000 and from 2009 I have been Director of the Rural Medical Immersion Programme of the University of Otago Medical School, where 20 students spend the whole of the fifth year of their MBChB course immersed in smaller communities. This is now my passion and I am convinced of the value of education in a generalist context as found in provincial and rural New Zealand. I am committed to the integration of primary and secondary health care in our rural and provincial communities.
RMIP Regional Co-ordinator Clutha
Tel 64 3 479 5776
During that time, I did some clinical teaching and became very involved in the politics of medicine. I was the president of the Montana Academy of Family Physicians in 2009, during the time that Barack Obama was attempting to reform healthcare in the US. I was very involved in pushing for increased attention to and funding for the issues of the healthcare disparities and workforce shortages in rural and underserved areas.
All of this has set me up for this very interesting role as a Site Co-ordinator for the Rural Medical Immersion Programme. In 2011, I decided I wanted to have an "adventure" and leave the insanity of the US healthcare system. Somehow Branko got hold of my CV, rang me, and offered me a job which combined the co-ordinator role with taking over his general practice in Balclutha. Big shoes to fill, but being keen and adventurous, I decided to give it a go and here I am!
In addition to enjoying the challenges of working and teaching in rural New Zealand, I am loving living near the ocean in Kaka Point (in the Catlins) and enjoying exploring New Zealand with my partner and daughter.
RMIP Regional Co-ordinator Southland
I first came to New Zealand in 2001 on my elective and fell in love with the lifestyle and country then. However when I went back to the UK to do my finals, circumstances meant that the opportunity to return to New Zealand did not arise. I initially worked in London, then Plymouth and Kent, before returning to London to do my GP training. During my time as a GP registrar, I was becoming disillusioned with suburban General Practice and continued to work at the weekends as an Accident and Emergency Registrar. When I completed my training, I was planning on switching to Emergency Medicine or Paediatrics. However, I saw an advert for a rural GP post on the west coast of Scotland, which included running a small rural hospital with an A&E department. I therefore moved to Campbeltown with my wife and was a partner in that practice for nearly seven years.
During my time in Campbeltown, I became a tutor for rotating final year medical students from the University of Dundee, as well as setting up and tutoring the Kintyre Rural Fellowship Program, which was part of a scheme run by National Education for Scotland, to give newly qualified GPs more exposure to and training in Rural Medicine. I also became the Locality Clinical Director for Kintyre and sat on the Argyll & Bute Health Boards Management Committee, as well as being the Remote & Rural Representative on the Scottish Air Ambulance Clinical Forum.
During this time, we had two children and I was finding that my work commitments were inhibiting family life. We came to New Zealand again in 2011 for a family wedding in Queenstown and the time away from work gave a good opportunity to reflect on our work life balance. We decided that the time had come to make the move down under. We were keen to come to the Central Otago region and I was keen not to lose the acute side of medicine that I enjoy. When the opportunity came to join the Lakes District Hospital in 2012 as a Senior Medical Officer, we moved to Queenstown. Since then, I have gained a Postgraduate Certificate in Clinician Performed Ultrasound, Fellowship of the Division of Rural Hospital Medicine, and a third son!
I feel with the ongoing development of the specialty of Rural Hospital Medicine, it is a very exciting time to be working in New Zealand in that field. I constantly enjoy the variety and challenges thrown at me by the acute side of Rural Healthcare.
RMIP Regional Co-ordinator West Coast
I gained my medical degree from Southampton in 1999, where I worked as junior doctor before joining the Wessex GP training programme. During a sabbatical to Greymouth, I met my husband and also fell in love with the West Coast.
We went back to the UK where I completed my training, gaining additional diplomas in child health, obstetrics and gynaecology, and reproductive healthcare. I have worked in Greymouth for the last 10 years as a GP and Family Planning doctor.
RMIP Regional Co-ordinator Wairarapa
After that I returned to my current position as a partner in the Carterton Medical Centre, where I have been since the beginning of 2004. Last year I was one of six Wairarapa GPs attached to the hospital A&E providing some after hours cover.
I am married to Nicole and we have four boys aged 4–15 years. I enjoy all sports especially golf and tennis. I have recently completed a Diploma in Sports Medicine and I look after the Wairarapa Bush rugby team. I have also been coaching one of my boys’ soccer teams. We live on a small farm block just outside of Carterton. In fact, we have the Carterton sign built into our front paddock. I really enjoy teaching Trainee Interns and PGY2s that we have had attached to our practice. The Carterton Medical Centre is teaching RMIP, Trainee Interns, First Year House Surgeons, and Registrars.
RMIP Regional Co-ordinator Marlborough
His passion for life and people took him to London to study Medicine, spending an elective in rural Bangladesh where he worked in remote solo practice, and met his New Zealander wife, Lauren.
He qualified in 1986, and subsequently trained in internal medicine, attaining Membership of the Royal College of Physicians of Ireland in 1991. He won the inaugural Glaxo-Wellcome respiratory research fellowship in Dunedin, New Zealand, and was elected Lecturer of the Year in 1993.
The excitement and challenge of remote rural family medicine saw Buzz change codes, and on completing his research he resurrected a small practice on the West Coast of the South Island, establishing remote clinics and emergency services for the second largest remote area of New Zealand. Within four years Buzz and his partner were elected Runners up New Zealanders of the Year. He was awarded fellowship of the Royal New Zealand College of General Practitioners in 2002.
Buzz has also experienced remote rural practice in Western Australia and the Chatham Islands. Buzz is a Royal New Zealand College of GP registrar trainer, and a senior lecturer with the University of Otago. He has always been involved in innovation, establishing a new centre for the final year Rural Medical Immersion Programme, and working with Curtin University Western Australia on a novel flow meter for asthmatics.
He is a columnist for GP Pulse magazine, has appeared on radio and television, he has written his first yet-to-be-published book, and has written and produced amateur dramatic productions. Buzz and Lauren have three daughters. Any spare time is absorbed by a bach in the Marlborough Sounds, and a small hobby farm where Buzz has lost count of how many animals his kids have.
RMIP Assessments Co-ordinator (based in Queenstown)
RMIP teachers and administrators 2013