Current direction of the schemeIt was decided that this gap in student support could best be met through a model based on the Tasmanian Doctors' Health Advisory Service. Ailing students will be linked with appropriate clinicians, primarily via a web-based referral system. This system will enable "mentors" with an interest in student health to be drawn from a relevant specialty for a specified period of time on an "as-needed" basis, with confidentiality maintained.
The proposed changes to the scheme present several advantages. Rather than dictating a long-term contact with a mentor, it allows for students to make brief contact with a mentor to deal with problems as and when they arise. Students are not discouraged from forming ongoing relationships with their mentors, nor from building up a network of contacts with a number of doctors. Students may approach each mentor in a selective fashion to deal with a range of issues, including health, career, medical politics and study, and do so in the way they feel most comfortable with.
The use of the web in this scheme also allows rural and remote doctors and students to participate, and no longer disadvantages fifth- and sixth-year students at teaching sites far from the main campus. Instead, the opportunity now exists to locate a mentor in their local area and build new networks that should make their stay in the north or north-west of the State more enjoyable and fulfilling. International students, who have been identified as one group having particular difficulty during their time in rural areas, may gain more support and guidance from the new scheme.
For doctors, the new scheme provides various categories of involvement to choose from. They are able to dictate just how much or how little they would like to be involved and the types of information or advice they feel comfortable providing.
While such a model is theoretically simple, its development has highlighted a number of issues. These include:
Protecting the interests of doctor mentors and preventing their being misused (or abused);
Developing an adequate network of mentors to meet a range of student needs;
Defining the limits of confidentiality and indicators for disclosure when student ailments prevent satisfactory ward work or study practices; and
Identifying an acceptable avenue for disclosure and action by a medical school given the lack of an independent regulatory body for medical students.