DIARY OF A PARAMEDIC IN A PRIMARY HEALTH CARE CLINIC Examining the attributes and practices of paramedics working in primary health care contexts
With
Alecka Miles, Lecturer
Edith Cowan University, Western Australia &
Community Paramedic,
Dianella Family Medical Centre, Western Australia
PEOPLE IN HEALTH CARE SEGMENT
Filmed in Perth, Western Australia | October 2025
Alecka Miles is a lecturer at Edith Cowan University and works as a paramedic in a multidisciplinary team at Dianella Family Medical Centre in Metropolitan Perth, Western Australia.
Community paramedic roles have a history in Australia, dating back to 2007 in New South Wales and followed by similar initiatives in South Australia and New Zealand. Alecka’s position emerged after she sought to evaluate how paramedics could integrate into general practice, ultimately leading to a job offer post-COVID lockdown in 2020. Her skills, particularly in cannulation, proved valuable as healthcare shifted towards primary care.
In her role, Alecka conducts community health assessments, providing insights from her paramedic background. She notes a significant learning curve, having expanded her role far beyond her initial experiences in ambulance services.
Alecka’s research aims to explore the practices and demographic characteristics of paramedics working in primary healthcare contexts in Australia and New Zealand.
At Dianella, she collaborates with nurses and other healthcare professionals, emphasising patient-centred and holistic care. Their teamwork is characterised by mutual respect and recognition of each other’s strengths, fostering a supportive environment for managing both urgent care and chronic disease management.
Australian Health Journal spoke to her about her day to day experience in general practice.
Source: Written from transcript
Footage credit: ACPIC24, Australasian College of Paramedicine
-
GP Health of The Nation
As Australia’s largest professional general practice organisation, the RACGP represents more than 43,000 members, including more than 24,000 Fellows who have completed specialist training (or its equivalent). These are the frontline GPs who treat almost 22 million patients across the country every year.
Each year the runs a survey across Australian Doctors. This year’s report reflects the experience of more than 1300 RACGP Fellows from across Australia. Despite this and other achievements, the share of total government healthcare spend for primary care is in decline.
-
Dr Anjali Jaiprakash, Robobiologist from Queensland University of Technology
Dr Anjali Jaiprakash is a robobiologist working at the intersection of medicine, engineering and design, with a transdisciplinary approach to develop medical devices that translate robotic vision into affordable systems that can be used to improve healthcare outcomes. Anjali has experience in the fields of medical robotics, medical device, orthopaedics, trauma, bone and cartilage biology. She spoke with Anne Dao following her talk “The Robot Doctor Will See you Now” at Australian Healthcare Week 2019.
-
Clinical trial site in primary care setting open for novel therapies in psychiatry
Over the past decade, Paratus has been involved in over 200 clinical trials across 4 clinical site locations. Now a fifth site, the newly opened Melbourne site will cater to both primary care and psychiatry, specifically designed for psychedelic studies.
The new Melbourne site will be a focused on primary care studies specifically expanding access to psychiatric research, a growing area of unmet need. Australian Health Journal met with 3 recent hires brought in to support clinical trials across the organisation and in psychiatry in Melbourne.
