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Health Sciences profile

Dr Rachelle Martin

PositionLecturer
DepartmentDepartment of Medicine (Wellington)
QualificationsDipPhys MHSc PhD
Research summarySupporting disabled people to access equitable health-optimising services, programmes and policies
Teaching

Lecturer, Rehabilitation Teaching and Research Unit (RTRU), Department of Medicine Wellington.

I teach general rehabilitation and neurological rehabilitation papers and provide supervision to masters' and PhD students.

Memberships
  • Internal Medicine Society of Australia and New Zealand
  • Australian and New Zealand Society of Nephrology
  • Fellow of the Royal Australasian College of Physicians
ClinicalI am a Consultant General and Renal Physician, practising full-time in the public health system, at Southland Hospital, since 2017.

Research

I aim to develop equitable health-optimising policies and programmes, enabling people who experience disability to live well across their lifespan. I also aim to conduct research that supports the development of empowering mana-enhancing health services - acknowledging and building on people’s capabilities and strengths.

I optimise research real-world impact by ensuring that new evidence and knowledge is directly translated into improved ways of working – often within the process of research itself. I am committed to participatory methods that listen to and enhance the voices of disabled people, ensuring their perspectives influence health-related policy, programme and service delivery decisions, and work in partnership with Māori researchers to ensure kaupapa Māori responsiveness.

I often use realist review, research or evaluation methods to unpack the ‘black box’ of complex health programmes by developing a theoretically based understanding of ‘what works for who, in which contexts, to what extent, and how?’. As such, my research supports a nuanced understanding of how people are able to (or not) respond to intervention resources and/or programme mechanisms, and how different contexts (i.e. personal, environmental and societal) may impact on equitable health outcomes.

Additional details

Teaching

I am passionate about medical education.

As a Clinical Senior Lecturer in Medicine at the Southland Campus of the Otago Medical School, I host and teach medical students and trainee interns during their Medicine attachments at Southland Hospital.

I believe that a firm generalist foundation to clinical practice is important for all doctors, regardless of specialty. My teaching is focused on helping students to acquire clinical knowledge and skills that will aid them in developing this core of generalist clinical acumen.

I am an examiner for the medical school final examinations.

I was awarded the 2018 Otago Medical School Invercargill Campus Senior Medical Officer Award for Excellence in Teaching, and a 2019 award for teaching from the Department of Medicine.

I am closely involved in the training of resident doctors. As Director of Physician Education, I supervise physician trainees undertaking their RACP specialist training at Southland Hospital. I am an RACP clinical examiner.

I have presented an invited talk at the 2018 Internal Medicine Society of Australia and New Zealand (IMSANZ) scientific conference.

Clinical commitments

I am a Consultant General and Renal Physician, practising full-time in the public health system, at Southland Hospital, since 2017.

I was born and raised in Palmerston North. I graduated from Otago Medical School in 2006, with an MB ChB with Distinction, and prizes and distinctions in Medicine, Surgery, Paediatrics and Psychiatry. I also completed a Bachelor of Medical Science with First Class Honours research degree. I undertook my specialist training throughout New Zealand, including at Dunedin, Hawke’s Bay, Waikato, Middlemore and Auckland City Hospitals. I completed my Fellowship of the Royal Australasian College of Physicians (FRACP) in January 2017, specialising in both General Medicine and Renal Medicine.

As a General Physician, I have a broad and in-depth knowledge and experience of all areas of Internal Medicine, and manage a full spectrum of medical problems in my patients. I enjoy the challenge of the broad, complex, undifferentiated nature of secondary hospital General Medicine. I take a holistic approach to my work, treating patients not as ‘diseases’ or ‘diagnoses’, but as fellow human beings, for whom I am privileged to care.

As a Renal Physician, I provide specialist inpatient and outpatient care to patients with kidney problems.

Publications

Nunnerley, J. L., Martin, R. A., Aldridge, M., Bourke, J. A., & Simpson, I. (2021). Access to community support workers during hospital admission for people with spinal cord injury: A pilot study. Spinal Cord Series & Cases, 7, 3. doi: 10.1038/s41394-020-00370-6

Dunn, J., Martin, R. A., Hackney, J. J., Nunnerley, J. L., Snell, D., Bourke, J. A., … Derrett, S. (2021). Early vocational rehabilitation for people with spinal cord injury: A research protocol using realist synthesis and interviews to understand how and why it works. BMJ Open, 11, e048753. doi: 10.1136/bmjopen-2021-048753

Snell, D. L., Martin, R., Surgenor, L. J., Siegert, R. J., Hay-Smith, E. J. C., Melzer, T. R., Anderson, T. J., & Hooper, G. J. (2020). Wrestling with uncertainty after mild traumatic brain injury: A mixed methods study. Disability & Rehabilitation, 42(14), 1942-1953. doi: 10.1080/09638288.2018.1542461

Martin, R. A., Dickie, B., Skinner, H., Hurring, S., Marshall, R., & Hanger, H. C. (2020). Implementing a 'Safe Recovery' fall prevention program: Refining intervention theory using realist methods. Australasian Journal on Ageing, 39, e259-e270. doi: 10.1111/ajag.12795

Martin, R. A., Taylor, W. J., Surgenor, L. J., Graham, F. P., Levack, W. M. M., & Blampied, N. M. (2020). Evaluating the effectiveness of therapeutic horse riding for children and young people experiencing disability: A single-case experimental design study. Disability & Rehabilitation, 42(26), 3734-3743. doi: 10.1080/09638288.2019.1610083

Journal - Research Article

Nunnerley, J. L., Martin, R. A., Aldridge, M., Bourke, J. A., & Simpson, I. (2021). Access to community support workers during hospital admission for people with spinal cord injury: A pilot study. Spinal Cord Series & Cases, 7, 3. doi: 10.1038/s41394-020-00370-6

Snell, D. L., Martin, R., Surgenor, L. J., Siegert, R. J., Hay-Smith, E. J. C., Melzer, T. R., Anderson, T. J., & Hooper, G. J. (2020). Wrestling with uncertainty after mild traumatic brain injury: A mixed methods study. Disability & Rehabilitation, 42(14), 1942-1953. doi: 10.1080/09638288.2018.1542461

Martin, R. A., Taylor, W. J., Surgenor, L. J., Graham, F. P., Levack, W. M. M., & Blampied, N. M. (2020). Evaluating the effectiveness of therapeutic horse riding for children and young people experiencing disability: A single-case experimental design study. Disability & Rehabilitation, 42(26), 3734-3743. doi: 10.1080/09638288.2019.1610083

Martin, R. A., Dickie, B., Skinner, H., Hurring, S., Marshall, R., & Hanger, H. C. (2020). Implementing a 'Safe Recovery' fall prevention program: Refining intervention theory using realist methods. Australasian Journal on Ageing, 39, e259-e270. doi: 10.1111/ajag.12795

Martin, R. A., Graham, F. P., Levack, W. M. M., Taylor, W. J., & Surgenor, L. J. (2020). Exploring how therapeutic horse riding improves health outcomes using a realist framework. British Journal of Occupational Therapy, 83(2), 129-139. doi: 10.1177/0308022619865496

Bourke, J. A., Catherwood, V. J., Nunnerley, J., Martin, R. A., Levack, W. M. M., Thompson, B. L., & Acland, R. H. (2019). Using cannabis for pain management after spinal cord injury: A qualitative study. Spinal Cord Series & Cases, 5, 82. doi: 10.1038/s41394-019-0227-3

Levack, W. M., Martin, R. A., Graham, F. P., & Hay-Smith, E. J. (2019). Compared to what? An analysis of the management of control groups in Cochrane reviews in neurorehabilitation. European Journal of Physical & Rehabilitation Medicine, 55(3), 353-363. doi: 10.23736/s1973-9087.19.05795-2

Kayes, N. M., Martin, R. A., Bright, F. A., Kersten, P., & Pollock, A. (2019). Optimising the real-world impact of rehabilitation reviews: Increasing the relevance and usability of systematic reviews in rehabilitation. European Journal of Physical & Rehabilitation Medicine, 55(3), 331-341. doi: 10.23736/s1973-9087.19.05793-9

Martin, R. A., Graham, F. P., Taylor, W. J., & Levack, W. M. M. (2018). Mechanisms of change for children participating in therapeutic horse riding: A grounded theory. Physical & Occupational Therapy in Pediatrics, 38(5), 510-526. doi: 10.1080/01942638.2017.1400492

Snell, D. L., Martin, R., Macleod, A. D., Surgenor, L. J., Siegert, R. J., Hay-Smith, E. J. C., Melzer, T., Hooper, G. J., & Anderson, T. (2018). Untangling chronic pain and post-concussion symptoms: The significance of depression. Brain Injury, 32(5), 583-592. doi: 10.1080/02699052.2018.1432894

Snell, D. L., Martin, R., Surgenor, L. J., Siegert, R. J., & Hay-Smith, E. J. C. (2017). What's wrong with me? Seeking a coherent understanding of recovery after mild traumatic brain injury. Disability & Rehabilitation, 39(19), 1968-1975. doi: 10.1080/09638288.2016.1213895

Martin, R., Levack, W. M. M., & Sinnott, K. A. (2015). Life goals and social identity in people with severe acquired brain injury: An interpretative phenomenological analysis. Disability & Rehabilitation, 37(14), 1234-1241. doi: 10.3109/09638288.2014.961653

Graham, F., Sinnott, K. A., Snell, D. L., Martin, R., & Freeman, C. (2013). A more “normal” life: Residents', family, staff, and managers' experience of active support at a residential facility for people with physical and intellectual impairments. Journal of Intellectual & Developmental Disability, 38(3), 256-264. doi: 10.3109/13668250.2013.805738

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Journal - Research Other

Dunn, J., Martin, R. A., Hackney, J. J., Nunnerley, J. L., Snell, D., Bourke, J. A., … Derrett, S. (2021). Early vocational rehabilitation for people with spinal cord injury: A research protocol using realist synthesis and interviews to understand how and why it works. BMJ Open, 11, e048753. doi: 10.1136/bmjopen-2021-048753

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