AFPHM eBulletin – 15 November 2019
Tribute to Dr Barbara Bauert
On behalf of our AFPHM members, the AFPHM Northern Territory members would like to acknowledge the recent passing of our respected member, Dr Barbara Bauert.
Dr Barbara Bauert devoted her working life to public health services and Aboriginal health in the Northern Territory. She commenced her work in NT at the Royal Darwin Hospital in 1984. Transferring to remote health, she became the Senior Medical Officer in the Darwin Rural region. She subsequently went back to work at the RDH, where she continued until recent retirement.
It was in her role as Director of Clinical Training at the hospital that she made a major contribution to medical education and training in the Northern Territory. She was one of the foundation members of the Faculty of Public Health, and did a great deal to support the education and support for medical students, general practice registrars and Advanced Trainees in public health. Barb made an enormous contribution to the pastoral care of medical students in the early years of the NT Medical Program. As Assistant Dean Student Affairs, she was the first port of call for students and staff with concerns about the health and welfare of students. She displayed her deep compassion for, and commitment to, the early student cohorts.
She was particularly focused on training Aboriginal and Torres Strait Islander peoples as doctors and medical specialists. Her knowledge, understanding and connection with Aboriginal people was highly valued by her colleagues and patients. She was an advocate for and helped establish the first Aboriginal Interpreter Service, and was the local lead for the 'Respecting Patient Choice' to improve end-of-life care.
A message from your President
With Australia’s economy being somewhat precarious, and the strong likelihood that the climate emergency will have a drastic negative impact on Australia’s, and our global economy, it is timely to consider the health impacts of economic recession. Australian economist Ross Garnaut’s recent book
echoes the words of renowned British economist, Sir Nicholas Stern in his review of the economics of climate change
more than 10 years ago, in emphasising the negative impact of climate change on the global economy. Over time, Australia’s social services, including public health services have declined, with budgetary constraints being a motivating factor.
A recent article
in Lancet Global Health
by Thomas Hone and colleagues assessed the impact of Brazil’s economic recession on mortality. In contrast to some studies of the impact of recession on mortality in high income countries, the authors found that mortality in Brazil increased with increasing unemployment. This was largely due to increases in cardiovascular and cancer mortality. The effect was not small – the authors estimated there were around 31,000 excess deaths in Brazil between 2012 and 2017 due to unemployment. The good news is that municipalities with high expenditures on social protection and health services did not have the same increases in mortality related to unemployment.
Previous studies in high income countries have found decreasing mortality with increasing unemployment, particularly due to cardiovascular disease and motor vehicle crashes. Researchers have ascribed this to increased physical activity, improved nutrition and less driving during hard times. Some recent studies, including one by Christopher Rhum in the Journal of Health Economics (volume 42 (2015), pp 17-28), however, have found increasing mortality due to cancer and external causes particularly suicide and accidental poisonings during recessions.
Our growing income inequality and failure to maintain unemployment benefits at a liveable level, together with decreased funding for health, particularly public health, points to Australia’s vulnerability to negative health impacts of a recession. Public health physicians and the College can play a critical role in advocating for strengthening social supports and public health services during economic decline. As in Brazil, our health depends on it.
Associate Professor Linda Selvey
AFPHM Faculty Awards
AFPHM President’s Awards for Outstanding Contribution
Nominate a Fellow or Advanced Trainee of the AFPHM for the AFPHM President’s Awards for Outstanding Contribution to recognise their extraordinary contribution to the Faculty in any of the following areas:
- education, training and assessment
- policy and advocacy
- trainee commitment
Nominations opened 1 November 2019, closing Friday, 31 January 2020.
Indigenous scholarships and prizes
Do you identify as Aboriginal, Torres Strait Islander or Māori and wish to pursue a medical career as a physician? The RACP Indigenous Health Scholarship Program supports medical graduates and current RACP trainees on your chosen career path to becoming a physician.
The scholarships provide a funded pathway through Basic, Advanced, Faculty or Chapter Training in Australia and/or New Zealand. Applications close Saturday, 30 November 2019, so submit your application today.
The RACP President's Indigenous Congress Prize is open to medical students, junior medical officers and RACP trainees who identify as Aboriginal, Torres Strait Islander or Māori. The selected applicant will receive support to attend RACP Congress 2020 in Melbourne. The opportunity allows you to gain educational and networking opportunities, as well as exposure to career pathways within the College.
The prize includes:
- full registration for RACP Congress 2020, held in May in Melbourne
- return economy airfares to Melbourne
- up to three nights accommodation.
Please encourage anyone you know who is eligible to apply before applications close on Friday, 31 January 2020.
Further details are available on the RACP Foundation website.
Meet your RACP Congress 2020 Program Committee representative
Read what inspires Associate Professor Peter Hill AFPHM to be on the RACP Congress Program Committee, what you can expect from attending and what he is looking forward to most at RACP Congress 2020.
What inspired you to join the Congress Program Committee for RACP Congress 2020?
As a member of the Fellowship Committee, Congress is one of the most tangible mechanisms for face to face engagement with Fellows, and the richness of its program promotes an interface for the diversity of the College.
What are the top three important topics you want to create for your stream?
With academic interests in diversity and extending health access to more marginalised communities, Indigenous health is an obvious priority – particularly with current debate around recognition and voice. Rural specialist training and recruitment is a major challenge for the College and for health service provision. Gender equity is a critical issue that will shape the future of the College.
What are you most looking forward to at Congress 2020?
The theme of Congress invites an exciting exploration of both our science and humanity – it should provide some stimulating content and interaction.
Associate Professor Peter Hill is an academic and public health physician, with research and teaching interests in global health governance and policy and Indigenous health policy in Australia. He is Associate Professor, Global Health Systems in the School of Public Health at The University of Queensland. His research and teaching interests currently focus on heath in the Sustainable Development Goals, primary healthcare, health systems strengthening and universal health coverage. He is a Fellow of the Royal Australasian Faculty of Public Health Medicine, a member of the National Council and serves on the RACP Fellowship Committee.
Visit the RACP Congress website
to find out more about the program and to register for RACP Congress 2020 – Balancing medical science with humanity, Melbourne Convention Centre, 4 to 6 May.
AFPHM training resources
A reminder to all AFPHM trainees, the following resources are available for your training:
Other resources you may be interested in, include:
Seeking AFPHM representatives for committees
Are you willing to represent your colleagues and be a voice for the Faculty? Would you like to be part of creating positive change within the Faculty?
The Faculty is currently seeking Expressions of Interest for the following positions:
- AFPHM Council
The AFPHM Council invites Fellows who identify as Aboriginal, Torres Strait Islander and/or Māori to submit an Expression of Interest to join the AFPHM Council. This is a chance to advocate for and support AFPHM members across Australia and New Zealand. Please contact email@example.com for further details.
- Members, AFPHM Regional Committees
If you are interested in supporting and advocating for your local colleagues within the Faculty, please consider submitting an Expression of Interest form and your CV to firstname.lastname@example.org, for one of the vacant member or Chair positions on your local AFPHM Regional Committee.
- AFPHM Northern Territory Regional Education Coordinator
This is an opportunity for AFPHM Fellows residing in the Northern Territory to further their leadership experience by supporting local trainees, supervisors and mentors through the AFPHM Training Program. Please submit an Expression of Interest form and your CV to email@example.com if you are interested in applying for this position.
Many Government decisions on workforce are based on anecdotal data. As a response to this we are updating our records to assist our future decision making for physician education programs.
Did you know the hours you work, the professional activities you are engaged in and where you work impact the paediatrics and adult medicine workforce?
You’ll find My Work Profile in MyRACP.
MyRACP supported internet browsers are Microsoft Edge, Chrome, Firefox and Safari.
How does My Work Profile benefit you?
Workforce data will be made available to you and will help:
- new Fellows decide which geographic area to work in Australia and New Zealand
- new Fellows choose between private or public practice
- you understand how your work hours compare with your peers
- the RACP and stakeholders including government policy-makers make better workforce decisions, based on current data
- Fellows understand activities they are undertaking; research, administration or clinical.
Hear what others have to say about My Work Profile
For more information, please read the My Work Profile FAQs. For details on what data will be collected and how it will be stored, please read the Privacy Statement.
Launch of the 2019 MJA-Lancet Countdown on health and climate change
Listen to experts discuss report highlights and key challenges at the Sydney MJA-Lancet Countdown Launch at Macquarie University on 28 November 2019 at 4pm. The RACP was involved in the development of the MJA-Lancet Countdown Policy brief for Australia, which will be launched as part of this event.
Register on the event website
if you wish to attend.
Tri-nation Alliance International Medical Symposium
Registrations are now open for the Tri-nation Alliance International Medical Symposium (IMS), 20 March 2020, Amora Hotel Sydney, Australia.
Now in its ninth year IMS is an annual event that reinforces the strong historical relationship between medical professions from Canada, New Zealand and Australia. Cementing these ties, a formal agreement between the Royal College of Physicians and Surgeons of Canada, The Royal Australasian College of Physicians, The Royal Australasian College of Surgeons, The Australian and New Zealand College of Anaesthetists and the Royal Australasian College of Psychiatrists created the Tri-Nations Alliance.
The IMS 2020 theme, Providing care to underserved populations is relevant to health professionals from all member countries. With a focus on higher medical education, delegates will explore how specialist training can support and enhance access to healthcare for critical populations experiencing difficulties in accessing healthcare, potentially due to location or isolation, social determinants or other specific issues.
Visit the IMS website
to find out more about the program and to register.
Represent the College on the Australian Gun Safety Alliance
The RACP joined the Australian Gun Safety Alliance earlier this year and we are now seeking a member to represent the RACP on the Alliance.
The Alliance's objectives are to:
- ensure a safer community for Australian children
- have all jurisdictions comply with the National Firearms Agreement
- increase public awareness of the poor compliance by all Governments
- hold governments to account for their non-compliance
- contribute to a balanced public conversation about the importance of a strong gun safety framework.
The Alliance counts the Australasian College of Emergency Medicine (ACEM), the Australian and New Zealand Intensive Care Society (ANZICS) and the Public Health Association of Australia (PHAA) amongst its current supporters.
The Alliance holds quarterly teleconferences for about one hour and has ad hoc special interest groups which meet at the convenience of interested members.
If you are interested to represent the College on the Alliance, please email your CV and some information about your interest and expertise in the area of gun safety to AFPHM@racp.edu.au by Friday, 29 November 2019.
Tools to help you meet your CPD requirements
Participating in audit activities is one of the key ways doctors will meet requirements of the MyCPD Category 3 – Measuring Outcomes. If you’re unsure how to do an audit, or deciding an area of your practice to audit, we have developed an audit template to help you.
The audit template:
- provides a guide to completing an audit
- explains each step and provides a link to other resources that may assist Fellows.
For audit ideas, access the following resources:
Accredited AFPHM training positions
As a part of the AFPHM training program, trainees are expected to complete their core training in an AFPHM accredited training position.
A list of accredited AFPHM training positions is available on the RACP website
Marrabinya is a Wiradjuri word meaning 'hand outstretched'. It’s the name of a service in the Western New South Wales Primary Health Network which financially supports Indigenous Australians to attend specialist consultations. Aboriginal and Torres Strait Islander Peoples receive specialist medical care 40 per cent less often than non-Indigenous Australians. It’s easy to imagine communities out in the red desert and blame culture clash or the tyranny of distance, but most Indigenous Australians live in cities or regional communities. The Marrabinya staff explain how socioeconomic factors and institutional biases can accumulate to prevent Aboriginal patients from receiving the care they need.
Marrabinya is an exemplary model of principles that RACP has formalised in the Medical Specialist Access Framework
. Indigenous leadership, cultural safety, person and family-centred approach and a context-specific approach can all contribute to great gains in the health of Aboriginal and Torres Strait Islander people.
Marrabinya Executive Manger Donna Jeffries and chronic care link staff Desley Mason, Kym Lees, Possum Swinton, Sandra Ritchie, Donna Jeffries, Melissa Flannery, Joanne Bugg, Jacob Bloomfield and Gaby Bugg.
Fellows of the RACP can claim CPD credits via MyCPD
for listening to this episode.
Subscribe to Pomegranate Health in Apple iTunes
or any Android podcasting app
Be part of the change to improve physician mental health
We’ve partnered with the Black Dog Institute and are looking for supervisors to join the Randomised Controlled Trial (RCT) as part of the development of an online mental health training program.
The program will give supervisors the skills to better manage and support the mental health needs of trainees.
As a part of the RCT you will be asked to complete:
- four questionnaires over six-months
- the online HeadCoach for Physicians program:
o consists of nine modules (less than 10 minutes each)
o can be completed over three-weeks at your own pace
o can be completed on your computer, tablet or phone.
Register for the RCT today on HeadCoach for Physicians website or contact firstname.lastname@example.org if you have any questions.
More information on the main trial, including information about confidentiality, is available in the participant information sheet.
This research has been reviewed and approved by The University of New South Wales Human Research Ethics Committee. If you have any complaints or concerns about the research project please email email@example.com or phone +61 2 9385 6222 quoting the following number: HC190628.
Discover your online learning options today
We understand you’re busy and on-the-go so discover our quality online education. Accessible anywhere and optimised for mobile on-the-go learning, access a range of online learning courses, resources, lectures, curated collections and podcasts. Developed by members, for members, the interactive nature of our online learning resources enable you to learn from your peers.
RACP Online Learning Resources
are free for members and count towards Continuing Professional Development (CPD) requirements
Find out more
Expression of Interest
Check the Expressions of Interest page at any time, to find out if there are any opportunities that are of benefit to you.
View all positions vacant.
Conferences and events
The Royal Australasian College of Physicians publishes notices of events and courses as a service to members. Such publication does not constitute endorsement or mandating of any such events or courses.
- Communicable Diseases Control Conference, Tuesday, 19 to Thursday, 21 November 2019, Canberra, ACT
- Preventing Overdiagnosis: Winding back the harms of too much medicine, hosted by Wiser Healthcare, Thursday, 5 to Saturday, 7 December 2019, Sydney, NSW
- World Public Health Nutrition Conference, Tuesday, 31 March to Thursday, 2 April 2020, Brisbane, QLD
Go to the events list at any time to see what other events are coming up.
AFPHM contact details
(AUS) 1300 69 7227
(NZ) 0508 69 7227
AFPHM Faculty enquiries (including Council and committees):
Rachel Smith, Executive Officer
Phone: +61 2 9256 9622
AFPHM Education and Training enquiries:
Phone: +61 2 8247 6286
AFPHM Oral Examination enquiries:
Examination Coordinator, Assessment and Selection Unit
Phone: +61 2 9256 9681
AFPHM training site accreditation inquiries:
Site Accreditation Unit
Phone: +61 2 9256 9674
AFPHM CPD enquiries:
Office of the Dean (CPD)
Phone: +61 2 8247 6285
AFPHM New Zealand enquiries:
RACP New Zealand Office
Phone: +64 4 472 6713