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dc.contributor.authorMonrouxe, Lynn Ven_AU
dc.contributor.authorHockey, Peteren_AU
dc.contributor.authorKhanna, Priyaen_AU
dc.contributor.authorKlinner, Christianeen_AU
dc.contributor.authorMogensen, Liseen_AU
dc.contributor.authorO'Mara, Deborah Aen_AU
dc.contributor.authorRoach, Abbeyen_AU
dc.contributor.authorTobin, Stephenen_AU
dc.contributor.authorDavids, Jennifer Annen_AU
dc.date.accessioned2021-10-19T02:28:13Z
dc.date.available2021-10-19T02:28:13Z
dc.date.issued2021
dc.identifier.urihttps://hdl.handle.net/2123/26532
dc.description.abstractINTRODUCTION: The assistant in medicine is a new and paid role for final-year medical students that has been established in New South Wales, Australia, as part of the surge workforce management response to the COVID-19 pandemic. Eligibility requires the applicant to be a final-year medical student in an Australian Medical Council-accredited university and registered with the Australian Health Practitioner Regulation Agency. While there are roles with some similarities to the assistant in medicine role, such as assistantships (the UK) and physician assistants adopted internationally, this is completely new in Australia. Little is known about the functionality and success factors of this role within the health practitioner landscape, particularly within the context of the COVID-19 pandemic. Given the complexity of this role, a realist approach to evaluation has been undertaken as described in this protocol, which sets out a study design spanning from August 2020 to June 2021. METHODS AND ANALYSIS: The intention of conducting a realist review is to identify the circumstances and mechanisms that determine the outcomes of the assistant in medicine intervention. We will start by developing an initial programme theory to explore the potential function of the assistant in medicine role through realist syntheses of critically appraised summaries of existing literature using relevant databases and journals. Other data sources such as interviews and surveys with key stakeholders will contribute to the refinements of the programme theory. Using this method, we will develop a set of hypotheses on how and why the Australian assistants in medicine intervention might 'work' to achieve a variety of outcomes based on examples of related international interventions. These hypotheses will be tested against the qualitative and quantitative evidence gathered from all relevant stakeholders. ETHICS AND DISSEMINATION: Ethics approval for the larger study was obtained from the Western Sydney Local Health District (2020/ETH01745). The findings of this review will provide useful information for hospital managers, academics and policymakers, who can apply the findings in their context when deciding how to implement and support the introduction of assistants in medicine into the health system. We will publish our findings in reports to policymakers, peer-reviewed journals and international conferences.en_AU
dc.language.isoenen_AU
dc.subjectCOVID-19en_AU
dc.subjectCoronavirusen_AU
dc.titleSenior medical students as assistants in medicine in COVID-19 crisis: a realist evaluation protocolen_AU
dc.typeArticleen_AU
dc.identifier.doi10.1136/bmjopen-2020-045822


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