
Jacinta Spry
Jacinta Spry is in her fourth (and final) year of a graduate entry medical course. Jacinta chose to complete her rural selective in Nhulunbuy through the NT Rural Clinical School Rural Selectives Package program. Through this program students complete 2 terms in Alice Springs and 2 terms in Nhulunbuy.
Here she shares her experiences …
Nhulunbuy is a remote, vibrant and welcoming township of 4,000 people on the northeast coast of Arnhem Land and it’s only 15 km from one of the largest Aboriginal communities on the Gove Penninsula. Nhulunbuy is the hub of a number of medical and other services that support eight other major Aboriginal communities, and many more homelands and outstations in the area. For the past 36 years it has been the site of a massive Alcan bauxite mine and refinery that produces 3.8 million tonnes of alumina per year and employs nearly 1,500 people in the area. It you have a passion for remote and Aboriginal health, but still enjoy the comforts and support of living in a town, it’s a great place to be.
As a Flinders student I got a taste for tropical medicine and Indigenous
health during my 3rd year at Royal Darwin Hospital. I was keen to get out into the communities and homelands where Country and Culture are strong, yet so is the grip of infectious and chronic disease with a crisis of poverty, overcrowding, and reportedly the lowest rate of Medicare expenditure per capita. Arnhem Land also has a wet season that turns roads into rivers and keeps everything but the mossies away.
The Yolngu people of East Arnhem have a fascinating life, law and language. The complex and sophisticated Yolngu systems of kinship, rights and responsibilities, creation, land and ceremony still permeate everyday life. I’m discovering how people belong to one of two moieties called Dhuwa or Yirritja. I’ve learnt for instance, the morning star, water goanna and stringybark are Dhuwa; while the evening star, stingray and cycad are Yirritja. In the Gove Peninsula and surrounding area, most Yolngu belong to one of sixteen clans, of which eight are Dhuwa and eight are Yirritja. Yolngu Matha is the second most commonly used language in the NT. It’s not easy when there are five different ways of pronouncing the letter n – luckily people are only too helpful to assist in any attempt you have at speaking Yolngu.
Flinders University NT Rural Clinical School spent much time and thought in developing this new six month Rural Stream for fourth year students. As the first student to come to Nhulunbuy under this program, I am blown away by the resources, support, clinical and cultural opportunities that are on offer. My partner and I have fantastic accommodation in a modern tropical style house on the edge of the town lease, with access to a 4WD vehicle, bicycles, internet and computer facilities, a medical and cultural library, and the help of two dedicated (one administrative and one medical) staff and many other willing helpers. We will spend three months here before traveling south to Alice Springs for a further three months, to compare and contrast another remote town and Indigenous health setting. We feel very lucky to have these opportunities even though I am still studying. The aim is to have such a good time as a student that we might plan to come back one day – and it is working!
For my first 6 weeks here I’ve been based at Miwatj Aboriginal Health Centre, where the NT Rural Clinical School Nhulunbuy Office is located. Through this AMS, I am able to do my own consults at the clinic, travel to nearby Marngarr community clinic to do outreach clinics; work with doctors, Aboriginal Health Workers, a nutritionist and participate in the activities of Layhnapuy Health who travel out to homelands to provide both general and special health services including audiometric assessments and midwifery care.
In addition, I spend a few mornings a week at Gove District Hospital doing ward rounds, emergency, working with visiting specialists (psychiatry, gynaecology, surgery, cardiology, you name it), flying out to Ramingining or Milingimbi communities, going on aero medical retrievals, or participating in the public health or clinical work undertaken by the local Centre for Disease Controller only 6 weeks, this diverse program has allowed me to see a huge variety of the weird and wonderful conditions unique to tropical life, and also some of the more serious conditions that sadly continue to plague remote and Aboriginal Australians. Serious renal disease in people my age and younger include multiple cardio-embolic strokes in a 32 year old man; Mucormycosis causing frontal lobe abscess and epilepsy; Leprosy; TB; Trachoma; Melioidosis; coral cuts and snake bites. Plus there are all the heroic hunting stories; “I cut my hand spearing turtle”, “I cut my foot with an axe when making yidaki
(didgeridoo)”, and “that mangrove root speared my foot when I was hunting stingray”.
It’s been a really amazing experience to go with Yolngu families hunting, fishing, walking and gathering bark for painting. They know that land so well. It’s been fascinating to listen to their stories, about the past and their hopes for the future. Jacinta Spry, 4th Year Rural Selective Student.

Jacinta Spry