Dr Julie Burrows
Research Academic
University Newcastle Department of Rural Health
- Email:julie.burrows@newcastle.edu.au
- Phone:(02) 6755 3519
Career Summary
Biography
I am a Tamworth-based Research Academic at the University of Newcastle Department of Rural Health (UONDRH). Since graduating from the University of Sheffield with a degree in Microbiology in 1989 I have gained a broad range of experience in the field of molecular microbiology, working in the veterinary, food and health domains in the both public and private sectors. In 2002 I completed my PhD studies into the molecular profiling, detection and phylogenetic analysis of bacilli found in food processing facilities before taking a break from research to spend time raising my children.
Since joining the UONDRH in 2010 I have worked on a variety of research projects. I co-ordinated a multi-centre randomised controlled trial investigating measures taken to prevent gastric aspiration during rapid sequence intubation in Emergency departments (2010-2015). I have been responsible for database management in the Gomeroi gaaynggal research program and data collection, management and analysis for the UONDRH allied health student follow-up study (2011-current). I am now the chief investigator of a research project that will track workplace outcomes for both University of Newcastle and University of New England BMed graduates.
My current research interests include health workforce recruitment and retention and Aboriginal and Torres Strait Islander health.
Research Expertise
I am experienced in the use of molecular techniques a variety of fields; detection and typing of clinically or commercially important microorganisms, gene regulation, veterinary vaccine research. I am also experienced in database management, statistical analysis, survey design.
Collaborations
As part of my work at the University of Newcastle, I have worked in research teams with members from Hunter New England Local Health Network and the University New England. I also work as part of a multidisciplinary team based at the University of Newcastle Department of Rural Health that includes the disciplines of medicine, radiography, physiotherapy, nutrition and dietetics, pharmacy, occupational therapy, Indigenous health, speech pathology and mental health.
Qualifications
- PhD (Agriculture), University of Sydney
- Bachelor of Science (Honours), University of Sheffield - UK
Keywords
- Database management
- Health workforce
- Longitudinal studies
- Molecular Detection Tests
- Molecular Typing
- Molecular microbiology
- Randomised Controlled trials
Languages
- English (Fluent)
Fields of Research
Code | Description | Percentage |
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420399 | Health services and systems not elsewhere classified | 100 |
Professional Experience
UON Appointment
Title | Organisation / Department |
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Research Academic | University of Newcastle University Newcastle Department of Rural Health Australia |
Academic appointment
Dates | Title | Organisation / Department |
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9/2/2010 - 31/12/2015 | Research Academic | University of Newcastle Department of Rural Health Australia |
4/4/2000 - 14/12/2001 | Research Scientist | Institute of Medical and Veterinary Science, Adelaide Australia |
20/3/1995 - 31/1/2000 | Research Scientist | CSIRO - Commonwealth Scientific and Industrial Research Organisation Food Science & Technology |
2/2/1993 - 17/3/1995 | Research Assistant | Cyanamid Websters Australia |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (22 outputs)
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2023 |
Brown LJ, Wakely L, Little A, Heaney S, Cooper E, Wakely K, et al., 'Immersive Place-Based Attachments in Rural Australia: An Overview of an Allied Health Program and Its Outcomes', Education Sciences, 13 2-2 [C1]
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2022 |
Seal AN, Playford D, McGrail MR, Fuller L, Allen PL, Burrows JM, et al., 'Influence of rural clinical school experience and rural origin on practising in rural communities five and eight years after graduation', Medical Journal of Australia, 216 572-577 (2022) [C1] Objective: To examine associations between extended medical graduates¿ rural clinical school (RCS) experience and geographic origins with practising in rural communities five and ... [more] Objective: To examine associations between extended medical graduates¿ rural clinical school (RCS) experience and geographic origins with practising in rural communities five and eight years after graduation. Design, participants: Cohort study of 2011 domestic medical graduates from ten Australian medical schools with rural clinical or regional medical schools. Main outcome measures: Practice location types eight years after graduation (2019/2020) as recorded by the Australian Health Practitioner Regulation Agency, classified as rural or metropolitan according to the 2015 Modified Monash Model; changes in practice location type between postgraduate years 5 (2016/2017) and 8¿(2019/2020). Results: Data were available for 1321 graduates from ten universities; 696 were women (52.7%), 259 had rural backgrounds (19.6%), and 413 had extended RCS experience (31.3%). Eight years after graduation, rural origin graduates with extended RCS experience were more likely than metropolitan origin graduates without this experience to practise in regional (relative risk [RR], 3.6; 95% CI, 1.8¿7.1) or rural communities (RR, 4.8; 95% CI, 3.1¿7.5). Concordance of location type five and eight years after graduation was 92.6% for metropolitan practice (84 of 1136 graduates had moved to regional/rural practice, 7.4%), 26% for regional practice (56 of 95 had moved to metropolitan practice, 59%), and 73% for rural practice (20 of 100 had moved to metropolitan practice, 20%). Metropolitan origin graduates with extended RCS experience were more likely than those without it to remain in rural practice (RR, 2.0; 95% CI, 1.3¿2.9) or to move to rural practice (RR, 1.9; 95% CI, 1.2¿3.1). Conclusion: The distribution of graduates by practice location type was similar five and eight years after graduation. Recruitment to and retention in rural practice were higher among graduates with extended RCS experience. Our findings reinforce the importance of longitudinal rural and regional training pathways, and the role of RCSs, regional training hubs, and the rural generalist training program in coordinating these initiatives.
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2020 |
Luethi N, Bailey M, Higgins A, Howe B, Peake S, Delaney A, et al., 'Gender differences in mortality and quality of life after septic shock: A post-hoc analysis of the ARISE study', JOURNAL OF CRITICAL CARE, 55 177-183 (2020) [C1]
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2019 |
Udy AA, Finnis M, Jones D, Delaney A, Macdonald S, Bellomo R, et al., 'Incidence, Patient Characteristics, Mode of Drug Delivery, and Outcomes of Septic Shock Patients Treated With Vasopressors in the Arise Trial', SHOCK, 52 400-407 (2019) [C1]
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2019 |
Wolfgang R, Wakely L, Smith T, Burrows J, Little A, Brown LJ, 'Immersive placement experiences promote rural intent in allied health students of urban and rural origin', JOURNAL OF MULTIDISCIPLINARY HEALTHCARE, 12 699-710 (2019) [C1]
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Nova | |||||||||
2018 |
Trethewy CE, Doherty SR, Burrows JM, Clausen D, 'Ideal Cricoid Pressure Is Biomechanically Impossible During Laryngoscopy', Academic Emergency Medicine, 25 94-98 (2018) [C1] Objective: This study was a prospective, randomized controlled trial of rapid sequence intubation (RSI) with cricoid pressure (CP) within the emergency department (ED). The primar... [more] Objective: This study was a prospective, randomized controlled trial of rapid sequence intubation (RSI) with cricoid pressure (CP) within the emergency department (ED). The primary aim of the study was to examine the link between ideal CP and the incidence of aspiration. Method: Patients¿>¿18 years of age undergoing RSI in the ED of two hospitals in New South Wales, Australia, were randomly assigned to receive measured CP using weighing scales to target the ideal CP range (3.060¿4.075¿kg) or control CP where the weighing scales were used, but the CP operator was blinded to the amount of CP applied during the RSI. A data logger recorded all CP delivered during each RSI. Immediately after intubation, tracheal and esophageal samples were taken and underwent pepsin analysis. Results: Fifty-four RSIs were analyzed (25 measured/29 control). Macroscopic contamination of the larynx at RSI was observed in 14 patients (26%). During induction (0¿50 seconds), both groups delivered in-range CP. During intubation (51¿223 seconds), laryngoscopy was associated with a reduction in mean CP below 3.060 kg in both groups. When compared, there was no statistically significant difference between the groups. For 11 patients, pepsin was detected in the oropharyngeal sample, while three were positive for tracheal pepsin. Seven patients (four control/three measured) were treated for clinical aspiration during hospitalization. As a result of the finding that neither group could maintain ideal range CP during laryngoscopy, the trial was abandoned. Conclusion: Laryngoscopy provides a counter force to CP, which is negated to facilitate tracheal intubation. The concept that a static 3.060 to 4.075¿kg CP could be maintained during laryngoscopy and intubation was rejected by our study. Whether a lower CP range could prevent aspiration during RSI was not explored by this study.
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2018 |
May J, Brown LJ, Burrows J, 'In-Place Training: Optimizing Rural Health Workforce Outcomes through Rural-Based Education in Australia', Education Sciences, 8 1-9 (2018) [C1]
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2017 |
Brown L, Smith T, Wakely L, Wolfgang R, Little A, Burrows J, 'Longitudinal tracking of workplace outcomes for undergraduate allied health students undertaking placements in Rural Australia', Journal of Allied Health, 46 79-87 (2017) [C1]
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2017 |
Peake SL, Delaney A, Bailey M, Bellomo R, Bennett V, Board J, et al., 'Potential Impact of the 2016 Consensus Definitions of Sepsis and Septic Shock on Future Sepsis Research', Annals of Emergency Medicine, 70 553-561.e1 (2017) [C1] Study objective The influence of the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) on the conduct of future sepsis research is unknown. We seek ... [more] Study objective The influence of the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) on the conduct of future sepsis research is unknown. We seek to examine the potential effect of the new definitions on the identification and outcomes of patients enrolled in a sepsis trial. Methods This was a post hoc analysis of the Australasian Resuscitation in Sepsis Evaluation (ARISE) trial of early goal-directed therapy that recruited 1,591 adult patients presenting to the emergency department (ED) with early septic shock diagnosed by greater than or equal to 2 systemic inflammatory response syndrome criteria and either refractory hypotension or hyperlactatemia. The proportion of participants who would have met the Sepsis-3 criteria for quick Sequential Organ Failure Assessment (qSOFA) score, sepsis (an increased Sequential Organ Failure Assessment score =2 because of infection) and septic shock before randomization, their baseline characteristics, interventions delivered, and mortality were determined. Results There were 1,139 participants who had a qSOFA score of greater than or equal to 2 at baseline (71.6% [95% confidence interval {CI} 69.4% to 73.8%]). In contrast, 1,347 participants (84.7% [95% CI 82.9% to 86.4%]) met the Sepsis-3 criteria for sepsis. Only 1,010 participants were both qSOFA positive and met the Sepsis-3 criteria for sepsis (63.5% [95% CI 61.1% to 65.8%]). The Sepsis-3 definition for septic shock was met at baseline by 203 participants (12.8% [95% CI 11.2% to 14.5%]), of whom 175 (86.2% [95% CI 81.5% to 91.0%]) were also qSOFA positive. Ninety-day mortality for participants fulfilling the Sepsis-3 criteria for sepsis and septic shock was 20.4% (95% CI 18.2% to 22.5%) (274/1,344) and 29.6% (95% CI 23.3% to 35.8% [60/203]) versus 9.4% (95% CI 5.8% to 13.1%) (23/244) and 17.1% (95% CI 15.1% to 19.1% [237/1,388]), respectively, for participants not meeting the criteria (risk differences 11.0% [95% CI 6.2% to 14.8%] and 12.5% [95% CI 6.3% to 19.4%], respectively). Conclusion Most ARISE participants did not meet the Sepsis-3 definition for septic shock at baseline. However, the majority fulfilled the new sepsis definition and mortality was higher than for participants not fulfilling the criteria. A quarter of participants meeting the new sepsis definition did not fulfill the qSOFA screening criteria, potentially limiting its utility as a screening tool for sepsis trials with patients with suspected infection in the ED. The implications of the new definitions for patients not eligible for recruitment into the ARISE trial are unknown.
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2017 |
Brown LJ, Smith A, Wakely L, Little A, Wolfgang R, Burrows J, 'Preparing graduates to meet the allied health workforce needs in rural Australia: Short-term outcomes from a longitudinal study', Education Sciences, 7 (2017) [C1]
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2017 |
Mah B, Weatherall L, Burrows J, Blackwell CC, Gwynn J, Wadhwa P, et al., 'Post-traumatic stress disorder symptoms in pregnant Australian Indigenous women residing in rural and remote New South Wales: A cross-sectional descriptive study', Australian and New Zealand Journal of Obstetrics and Gynaecology, 57 520-525 (2017) [C1] Background: Pregnancy can be a stressful time for many women. There is ample evidence of numerous physical and mental health inequities for Indigenous Australians. For those Indig... [more] Background: Pregnancy can be a stressful time for many women. There is ample evidence of numerous physical and mental health inequities for Indigenous Australians. For those Indigenous women who are pregnant, it is established that there is a higher incidence of poor physical perinatal outcomes when compared with non-Indigenous Australians. However, little evidence exists that examines stressful events and post-traumatic stress disorder (PTSD) symptoms in pregnant women who are members of this community. Aims: To quantify the rates of stressful events and PTSD symptoms in pregnant Indigenous women. Methods: One hundred and fifty rural and remote Indigenous women were invited to complete a survey during each trimester of their pregnancy. The survey measures were the stressful life events and the Impact of Events Scale. Results: Extremely high rates of PTSD symptoms were reported by participants. Approximately 40% of this group exhibited PTSD symptoms during their pregnancy with mean score 33.38 (SD¿=¿14.37) significantly higher than a study of European victims of crisis, including terrorism attacks (20.6, SD¿=¿18.5). Conclusions: The extreme levels of PTSD symptoms found in the women participating in this study are likely to result in negative implications for both mother and infant. An urgent response must be mounted at government, health, community development and research levels to address these findings. Immediate attention needs to focus on the development of interventions to address the¿high¿levels of PTSD symptoms that pregnant Australian Indigenous women¿experience.
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2013 |
Cave G, Raghavan M, Burrows J, Harvey M, Chauhan A, 'Liposomal binding of imipramine in human red cell/albumin solution with simulated plasmapharesis', Journal of Pharmaceutical Technology and Drug Research, 2 8 (2013) [C1]
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2013 |
Wakely L, Brown L, Burrows J, 'Evaluating interprofessional learning modules: health students' attitudes to interprofessional practice', JOURNAL OF INTERPROFESSIONAL CARE, 27 424-425 (2013) [C1]
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2012 |
Trethewy CE, Burrows JM, Clausen D, Doherty SR, 'Effectiveness of cricoid pressure in preventing gastric aspiration during rapid sequence intubation in the emergency department: Study protocol for a randomised controlled trial', Trials, 13 1-6 (2012) [C3]
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Show 19 more journal articles |
Conference (19 outputs)
Year | Citation | Altmetrics | Link | |||||
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2022 |
Brown L, Heaney S, Crowley E, Squires K, Urquhart L, Burrows J, 'Nurturing dietetic students in a rural year-long immersion program to influence return to rural practice', Adelaide, SA (2022)
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2019 |
Brown L, Urquhart L, Squires K, Crowley E, Heaney S, Hicks A, Burrows J, 'Better Than Expected - Rural placements offering diversity of practice for dietetic students', Gold Coast, QLD (2019)
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2019 |
Brown L, Smith A, Wakely L, Wolfgang R, Little A, Burrows J, 'Mapping rural workforce outcomes from a longitudinal study of allied health graduates', Brisbane, QLD (2019)
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2015 |
Brown LJ, Smith T, Wakely L, Burrows J, Wolfgang R, Little A, 'Conversion by immersion: outcomes of short and long-term rural allied health placements', People Places Possibilities - 13th National Rural Health Conference, Darwin (2015) [E3]
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2015 |
Brown LJ, Smith T, Wakely L, Wolfgang R, Little A, Harries-Jones H, et al., 'Engaging allied health students in experiential learning: The rural immersion experience', ANZAHPE-AMEA 2015 Conference, Newcastle (2015) [E3]
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2014 |
Wolfgang RL, Brown L, Smith T, Wakely L, Harries-Jones H, Little A, Burrows J, 'Diving deeper - outcomes of a rural immersive experience for allied health students', Surf's Up: Ride the Waves SARRAH National Conference for Rural and Remote Allied Health Professionals, Kingscliff NSW (2014) [E3]
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2013 |
Harries-Jones H, Burrows J, Smith T, Brown L, wakely L, 'Interprofessional learning: from the Start for the Future', ANZAHPE 2013 Conference Handbook & Program, Melbourne (2013) [E3]
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2012 |
Smith AN, Wakely LT, Brown LJ, Burrows JM, 'Integrating interprofessional learning into rural clinical placements - Assessing student's attitudes', Symposium Program. Interprofessional Education for Quality Use of Medicines, Newcastle Beach, NSW (2012) [E3]
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Show 16 more conferences |
Grants and Funding
Summary
Number of grants | 1 |
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Total funding | $15,000 |
Click on a grant title below to expand the full details for that specific grant.
20171 grants / $15,000
Yearning to yarn: Using ‘Aboriginal ways of knowing and learning’ to support clinical placement experiences of Aboriginal health professional students$15,000
The aim of this project is to establish a framework to enable rural health professional educators to “teach for equity”. At the core of the framework is the notion of “yarning” as a way of understanding and supporting Aboriginal knowing and learning. To develop this framework the experiences of two groups engaged in clinical placements will be explored through yarning with:
(i) Aboriginal medical and allied health students who have undertaken or undertaking clinical placements
(ii) Clinical educators from the University of Newcastle and healthcare settings.
These insights gained will inform educators’ pedagogical strategies and perspectives when engaging with Aboriginal students studying in a range of health professions. Within our collaborative dialogical inquiry, we will use ‘appreciative inquiry’ to take this project into the complex space of Aboriginal and non-Aboriginal interaction, digging deeply into the potential positives of cross-cultural human interaction to bring about understanding and change.Funding body: Centre for Excellence in Equity in Higher Education (CEEHE)
Funding body | Centre for Excellence in Equity in Higher Education (CEEHE) |
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Project Team | Simon Munro, Anne Croker, Karin Fisher, Julie Burrows, Leanne Brown |
Scheme | CEEHE Commissioned Project |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Research Supervision
Number of supervisions
Current Supervision
Commenced | Level of Study | Research Title | Program | Supervisor Type |
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2023 | Masters | Teledermatology For Rural Areas: Experiences And Perspectives Of Australian Dermatologists And Dermatology Trainees | M Philosophy (Medicine), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
Research Projects
Rural Health Workforce 2011 -
Research into UONDRH allied health and medical graduates rural workforce outcomes
Gomeroi gaaynggal Longitudinal research project 2013 -
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Research Collaborations
The map is a representation of a researchers co-authorship with collaborators across the globe. The map displays the number of publications against a country, where there is at least one co-author based in that country. Data is sourced from the University of Newcastle research publication management system (NURO) and may not fully represent the authors complete body of work.
Country | Count of Publications | |
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Australia | 22 | |
Germany | 2 | |
Finland | 2 | |
United Kingdom | 2 | |
Hong Kong | 2 | |
More... |
Dr Julie Burrows
Position
Research Academic
UDRH & RCS
University Newcastle Department of Rural Health
College of Health, Medicine and Wellbeing
Contact Details
julie.burrows@newcastle.edu.au | |
Phone | (02) 6755 3519 |
Fax | (02) 6761 2355 |
Office
Building | Tamworth Education Centre (TEC) |
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Location | Tamworth , |