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
-
1 million Australians with undiagnosed thyroid disorders remain at risk of irreparable damage
The Australian Thyroid Foundation is a national not-for-profit organisation with charity status aimed at patients and the healthcare community. The ATF’s focus is to support and educate its member base and promote our Good Thyroid Health Messaging throughout the Australian Community.
Australian Thyroid Foundation, CEO Beverley Garside attending the breakfast gave her response to the Federal Budget and the Foundation’s pre-budget submission, which was not granted.
-
The quest to create an Australian framework for a Palliative Care Pharmacist
Helen Stone is the State and Territory Manager SA & NT for the Pharmaceutical Society Australia. Her professional interests include palliative care, pharmacist professional services, mental health, leadership, and management.
She has recently led teams of pharmacists in innovative pharmacy practice models including in aged care, GP practice, palliative care and dementia support. This has contributed to the body of evidence for sustainable funding for embedded pharmacist roles in primary care and aged care settings.
-
Space Health & Medicine on Australia’s Clinical Launchpad
Professor Smart is a veteran, medical doctor, health leader, aerospace medicine specialist, and retired Royal Australian Air Force (RAAF) senior officer. She is currently at the Professor, Military and Aerospace Medicine at the Australian National University (ANU), and serves as the Interim Director of the ANU Defence Institute, and as a Mission Specialist at the ANU Institute for Space. She previously served as the University’s COVID-19 Public Health Lead from 2020 to 2022.
