Shared Medical Appointments for Registered Nurse Facilitators

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There is sufficient research to suggest that shared medical appointments (SMAs_ have a promising role to play in modern health and patient care. If the SMA model can overcome its primary barriers of funding, stigma and transparency issues, SMAs could be successfully integrated into the healthcare system – thus creating new roles for registered nurses and offering patients previously under-researched health benefits.

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Shared medical appointments (SMA) have emerged as a new way for healthcare professionals to see clients in medical settings. Typically, they involve one or more healthcare practitioners seeing a group of patients concurrently. There is usually a designated ‘facilitator’ (e.g. nurse) present, who explains the session, answers questions and manages the process. An SMA can be thought of as both an individual consultation and a group peer support session.


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Editorial Team
Ausmed’s editorial team is committed to providing high-quality, well-researched and reputable education to our users, free of any commercial bias or conflict of interest. All education produced by Ausmed is developed in consultation with healthcare professionals and undergoes a rigorous review process to ensure the relevancy of all healthcare information and updates to changes in practice. If you have identified an issue with the education offered by Ausmed or wish to submit feedback to Ausmed's editorial team, please email with your concerns.
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Madeline Gilkes
Madeline Gilkes, CDE, RN, is a Fellow of the Australasian Society of Lifestyle Medicine. She focused her Master of Healthcare Leadership research project on health coaching for long-term weight loss in obese adults. Madeline has found a passion for preventative nursing. She has transitioned from leadership roles (CNS Gerontology & Education, Clinical Facilitator) in the acute/hospital setting to education management and primary healthcare. Madeline’s vision is to implement lifestyle medicine to prevent and treat chronic conditions. Her research proposal for her PhD involves Lifestyle Medicine for Type 2 Diabetes Mellitus. Madeline is a Credentialled Diabetes Educator (CDE) and primarily works in the academic role of Head of Nursing. Madeline’s philosophy focuses on using humanistic management, adult learning theories/evidence and self-efficacy theories and interventions to promote positive learning environments. In addition to her Master of Healthcare Leadership, Madeline has a Graduate Certificate in Diabetes Education & Management, Graduate Certificate in Adult & Vocational Education, Graduate Certificate of Aged Care Nursing, and a Bachelor of Nursing. She is working towards her PhD.
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What do others think?

45 reviews by Ausmed Learners
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Junyi NIU
20 Jul 2021
Michelle Mulholland
14 Aug 2019
Interesting area for developing educational opportunities for the chronically illness.
Susan Blashki
29 Mar 2023
Registered Nurse
This is an area that I have had limited experience with and I feel that it will enhance the patient care within the area I am now working. Shared medical appointments increase both patient and clinicians knowledge and often will bring new eyes on to situations that would be improve with a different approach. It lessens the patient's isolation of feeling as if they are the only ones going through the issues and may lend significant support and improved outcomes.
Melinda Kelly-Hamilton
28 Oct 2021
Rosily Anthony
13 Oct 2021
Julie Gentle
17 Sep 2021
4 / 5
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