Beyond enrolments: a systematic review exploring the factors affecting the retention of Aboriginal and Torres Strait Islander health students in the tertiary education system.

BACKGROUND: Indigenous Australians are under-represented in the health workforce, with large disparities between rates of Indigenous and non-Indigenous people in every health profession, including nurses, medical practitioners and all allied health professionals. Yet Indigenous people have long requested to have Indigenous practitioners involved in their health care, with this increasing the likelihood of culturally safe care. To address the shortage of Indigenous health professionals, it is important to not only recruit more Indigenous people into health courses, but also to support them throughout their studies so that they graduate as qualified health professionals. The aim of this systematic literature review was two-fold: to identify the factors affecting the retention of Indigenous students across all tertiary health disciplines, and to identify strategies that support Indigenous students to remain with, and successfully complete, their studies. METHODS: Eight electronic databases were systematically searched between July and September 2018. Articles were screened for inclusion using pre-defined criteria and assessed for quality using the Mixed Methods Assessment Tool and the Joanna Briggs Institute Checklist for Text and Opinion. RESULTS: Twenty-six articles met the criteria for inclusion. Key factors reported by students as affecting retention were: family and peer support; competing obligations; academic preparation and prior educational experiences; access to the Indigenous Student Support Centre; financial hardship; and racism and discrimination. The most successful strategies implemented by nursing, health and medical science faculties to improve retention were multi-layered and included: culturally appropriate recruitment and selection processes; comprehensive orientation and pre-entry programs; building a supportive and enabling school culture; appointing Indigenous academics; embedding Indigenous content throughout the curriculum; developing mentoring and tutoring programs; flexible delivery of content; partnerships with the Indigenous Student Support Centre; providing social and financial support; and 'leaving the university door open' for students who leave before graduation to return. CONCLUSIONS: Universities have an important role to play in addressing inequities in the Indigenous health workforce. A suite of measures implemented concurrently to provide support, starting with recruitment and pre-entry preparation programs, then continuing throughout the student's time at university, can enable talented Indigenous people to overcome adversities and graduate as health professionals.

Pick-up of early visual information to guide kinetics and kinematics within a group of highly skilled baseball batters.

This pilot study integrated sport expertise and biomechanics methodologies within a baseball batting task. Purpose was to examine differences within a highly skilled group of baseball batters to use visual information to guide weight transfer and bat movements. One batter who played at Major League Baseball (MLB) level was compared to five batters who played at Australian Baseball League (ABL) level in a case-control design. Batters faced pitchers in a simulated competition and attempted to hit pitches, while vision was temporally occluded during ball flight or not occluded. Time of weight transfer (kinetics), as well as bat downswing initiation and duration (kinematics) from the point of ball release, were compared between the MLB batter and ABL batters. Results indicated that the MLB batter coordinated his striking pattern by completing his weight transfer earlier than the ABL batters. His bat downswing was also initiated earlier than some ABL batters, but there was no difference in duration of bat downswing between batters. All batters initiated bat downswing prior to completion of weight transfer. Understanding of motor expertise is furthered using a novel methodology.