AFPHM eBulletin – 26 July 2019

Webinar #6 2019: Infectious diseases

Dr Jeremy McAnulty, the Director of Health Protection NSW, will draw upon his experience of working with communicable diseases to demonstrate effective management of infectious diseases in public health. Dr McAnulty will also discuss various control measures for infectious diseases and what to do in the event of an outbreak. 

Presenter:  Dr Jeremy McAnulty 
Date:  Tuesday, 30 July 2019
Time:  3pm AEST
Location: Online

For information on how to join this webinar, please see the event listing on the RACP website

To watch previous webinars, go to our Youtube playlist.

If you are interested in presenting a future webinar, please contact AFPHM@racp.edu.au.

A message from your President

With the end of July approaching, we are now well into the second half of 2019. This is a good time for us to reflect on our work and the work our colleagues have been involved in this year. Several Faculty and RACP awards are open for nomination or submission through the RACP Foundation.

All AFPHM trainees are welcome to submit an abstract for the RACP Trainee Research Awards. Submissions are due on Saturday, 31 August for Australia and Wednesday, 7 August for New Zealand. I also encourage all AFPHM trainees to consider participating in their regional competition for the Gerry Murphy Prize, which will be held in October/November across each of the regions. This is an opportunity for trainees to receive feedback on their work from AFPHM Fellows and their peers. 

If you know of any medical students who have been involved in public health work through their university, please inform them that they may be able to submit their work for the AFPHM John Snow Scholarship, which opens on Thursday, 1 August. Finalists receive full registration to attend the RACP Congress  2020, including the AFPHM Members Dinner, as well as travel assistance inclusive of accommodation.

For AFPHM Fellows, there are a number of RACP awards and medals open for nominations at the moment. These include the John Sands Medal, the College Medal, Eric Susman Medal, RACP International Medal, RACP Medal for Clinical Service in Rural and Remote Areas, RACP Mentor of the Year, RACP Trainee of the Year. These are open for all members of the Faculty. I encourage you to consider nominating your colleagues who deserve to be recognised for their work. Dr Jeremy McAnulty was awarded the honour of RACP Mentor of the Year at the recent RACP Congress. This is a huge honour and a good reminder that AFPHM members are also eligible for RACP awards. Congratulations Jeremy and I look forward to other AFPHM members being recognised in the future.

Associate Professor Linda Selvey
President, AFPHM 

The Pacific Health Meeting: Update from AFPHM Trainee Representative

Dr Laksmi Govindasamy attended the Pacific Public Health Leaders Dialogue meeting hosted by the AFPHM on Friday, 21 June 2019, as the AFPHM Trainee Representative. This network may provide useful opportunities for trainees who are interested in undertaking portions of their training overseas in the Pacific. Dr Govindasamy encourages interested trainees to contact the Faculty Office via AFPHM@racp.edu.au to be directed to key contacts from this network.

Suggestions from public health physicians on meeting the changes in the 2019 MyCPD framework

There are important changes to the MyCPD framework that came into effect in January 2019 that will affect all physicians. These changes are in response to requirements flagged by the Medical Board of Australia.

This update on the changes provides:

  • a link to an expanded list of example activities for the MyCPD framework that includes a greater number of non-clinical examples, many of which were suggested by public health physicians
  • plan to meet these new requirements that has been suggested by Public Health Physicians in consultation with the CPD unit. The plan provides examples that you will need to adapt to your own circumstances. There are also AFPHM specific ‘frequently asked questions’ and a range of resources
  • a new set of non-clinical example activities that will meet categories two and three.

The CPD team is happy to answer any questions you may have, please don’t hesitate to contact us on the details below.

There are also a number of upcoming CPD Information Sessions listed on the RACP Events web page. Upcoming sessions are scheduled for the ACT, SA and VIC.

Australia
Phone: 1300 697 227
Overseas: +61 2 9256 5444 
MyCPD@racp.edu.au 
New Zealand
Phone: 4 460 8122
Overseas: +64 4 460 8122 
MyCPD@racp.org.nz 

Fellowship medals

Nominations are now open for these College prizes acknowledging outstanding contributions and achievements made by Fellows and trainees in their respective fields:

Successful nominees are presented a medal at the RACP Congress 2020 in Melbourne and receive full Congress registration, return economy airfares and up to three nights' accommodation.

If you have a mentor or colleague you wish to recognise, now is the time to nominate them for one of these prestigious awards. Nominations must be submitted by Monday, 16 September 2019.

Full details are available on the RACP Foundation website. You may also email the RACP Foundation for enquiries.

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 on: 

  • AFPHM Council
    The AFPHM Council invites Fellows who identify as Aboriginal, Torres Strait Islander and/or Maori 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 afphm@racp.edu.au 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 afphm@racp.edu.au, 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 afphm@racp.edu.au if you are interested in applying for this position.
  • Chair, AFPHM Western Australian Regional Committee
    This is an opportunity for AFPHM Fellows residing in Western Australia to lead the AFPHM Regional Committee’s activities. Please submit an Expression of Interest form and your CV to afphm@racp.edu.au if you are interested in applying for this position.

College Gender Equity in Medicine meeting

You are invited to join your fellow members at an RACP Gender Equity in Medicine meeting on Tuesday, 20 August 2019 to showcase important gender equity initiatives and discuss the roles our College and membership can play to promote gender equity. 

Spaces are limited, so please register by Thursday, 15 August to avoid disappointment. 

When: Tuesday, 20 August 2019 
Time: 6pm to 8pm (AEST)
Where: RACP Sydney Office
              Level 19, Governor Maquarie Tower
              1 Farrer Place
              Sydney
Or
               RACP Melbourne Office
               Presentation Room
               Level 2, 417 St Kilda Road
               Melbourne
Or
               Via teleconference – dial in details will be provided on registration.

Commencement of the Queensland notifiable dust lung disease register

In response to the emergence of occupational dust lung diseases, including coal workers’ pneumoconiosis and silicosis, changes to the Public Health Act 2005 and the Public Health Regulation 2018 provide a legislative framework for Queensland Health to establish a notifiable dust lung disease register (NDLD register). 

Notifiable diseases include the following diseases caused by occupational exposure to inorganic dust:

  • cancer
  • chronic obstructive pulmonary disease including chronic bronchitis and emphysema
  • pneumoconiosis including asbestosis, coal workers’ pneumoconiosis, mixed dust pneumoconiosis and silicosis.

From 1 July 2019, Queensland medical practitioners from the following specialities are required to notify the NDLD register if they make a diagnosis of a notifiable dust lung disease:

  • occupational and environmental medicine
  • respiratory and sleep medicine.

These specialists will be required to notify the NDLD register about a notifiable dust lung disease within 30 days of diagnosis using the approved form. Notifications will be able to be submitted to the NDLD register via a secure portal.

For further information please visit the Queensland Health website.

John Snow Scholarships

AFPHM is celebrating the 10th year of the John Snow Scholarships. These scholarships provide opportunities for medical students to increase their appreciation of public health medicine as a medical specialty and potential career path. 

Nine scholarships are available each year, with recipients selected from each State/Territory of Australia and New Zealand. All medical students currently enrolled in Australian or New Zealand medical schools are encouraged to apply.

The selected representatives are invited to present at RACP Congress 2020 in Melbourne. Trainee registration and travel assistance of up to $400 are included. An overall winner will be presented with a certificate in recognition of their achievement.

Full details about these scholarships are available on the RACP Foundation website.

Aotearoa New Zealand Trainees' Day 2020 – earlybird registration open

Register today for the Aotearoa New Zealand Trainees’ Day 2020. This event is developed by trainees for trainees and will be held on Saturday, 4 April 2020 at The Heritage Hotel in picturesque Queenstown.

If you are an RACP trainee, this event is for you. Whether you are a Basic or Advanced Trainee, adult medicine or paediatrics, Trainees’ Day will be inspiring and relevant for wherever you are in your training journey. Offering a variety of big picture topics and professional skills building, every NZ trainee should attend Trainees’ Day at least once during Basic Training and once during Advanced Training.

The Trainees' Day offers professional development and community building opportunities for all trainees at any stage of training. It is also supported as a recognised skills day by New Zealand District Health Boards and attendance costs are reimbursable. Earlybird registration is open now.

Trainees’ Day is an opportunity to connect with the wider trainee community, take time out to think broadly and strategically about your career, and hear practical wisdom from experienced physicians and other professionals.

Register now for the RACP Aotearoa New Zealand Trainees’ Day 2020.

For more information email the RACP New Zealand team.

Recognising outstanding contributions and achievements

Hominum servire saluti – to serve the health of our people.

The annual awards for outstanding contributions made by members of the RACP in their respective fields are of special importance and highly valued by their recipients. Our College and the broader medical community benefit in many different ways and in recognition of this, the criteria for The John Sands Medal and The College Medal have changed to clearly define these differences.

Nominations are now open for:

  • the John Sands Medal, recognising a Fellow who makes a significant contribution to the welfare of the RACP and its members
  • the College Medal, recognising a Fellow who makes a significant contribution to medical specialist practice and improving the health of people
  • the Howard Williams Medal, recognising a Fellow who has made an outstanding contribution to improving the health of children and young people in Australia or New Zealand.
  • the Trainee Research Awards, providing a wonderful opportunity for trainees to do an oral presentation of their research at a regional event and if selected, also present at the RACP Congress 2020 in Melbourne in May.

For further details on our medals and prizes, please visit the Foundation webpage.

AMC Expressions of interest 

The AMC is inviting expressions of interest from their membership for the Progress Reports Sub Committee with positions for an Aboriginal and/or Torres Strait Islander member, a Māori member, and a member experienced in medical education.

The position descriptions, expected time commitment, information about the Sub Committee and application process are detailed in the following position descriptions.

Expressions of interest close Monday, 5 August 2019.

For more information, please contact Juliana Simon, Accreditation Policy Officer at specaccred@amc.org.au or +61 2 62709752.

New Pomegranate Health episode

Ep48: Training in the Bush Part 1 – Country NSW

A third of Australia’s population is classified as regional or remote, but since it’s such a big place it’s hard to provide comprehensive heathcare all over. As a result, chronic disease gets treated later and mortality is 1.3 times higher than it is in major cities, according to the Australian Institute of Health and Welfare.

There are only 42 per cent as many specialists per 100,000 population in regional areas as there are in major cities, but  research shows that these experiences are more likely to lead to permanent careers in the country.

In this episode we visit the country town of Dubbo about six hours drive northwest of Sydney. The Dubbo Base Hospital services a catchment of 130,000 people spread across an area the size of Great Britain. While need in this area is high, Dubbo presents an example of strong clinical leadership and training across many specialties.

Harkness Fellowships in Health Care Policy and Practice 2020-21

The Commonwealth Fund's Harkness Fellowships in Health Care Policy and Practice provide a unique opportunity for mid-career health services researchers and practitioners from Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway and the United Kingdom to spend up to 12 months in the United States, conducting original research and working with leading US health policy experts.

My Health Record – opportunities to better serve the population

When: Monday, 26 August 2019, 6pm to 7pm (AEST)
Where: Online 

Join Dr Rosalie Schultz, Associate Professor Nick Buckmaster and the Australian Digital Health Agency for an interactive panel discussion on the opportunities My Health Record has for Indigenous health, integrated care and more. 

Register now 

Boost your genomics knowledge

The Clinical Genomics for Physicians online course introduces physicians in Australia and New Zealand to the emerging field of clinical genomics. It aims to enable physicians to use genomics appropriately in their practice and engage with its evidence-based integration into the broader health system. It features video interviews with physicians already using genomics, interactive tools, quizzes and case studies.

The course covers:

  • human genome structure and function
  • genome sequencing and testing process
  • applications of genomic testing in healthcare
  • discussing genomic testing and results with patients and their families
  • ordering a genomic test or referring to genetics services
  • interpreting a genomic report
  • ethical, legal and social issues.

RACP Online Learning Resources are free for RACP members and count towards Continuing Professional Development requirements.

Registration open: New Zealand College of Public Health Medicine Annual Scientific Meeting

The New Zealand College of Public Health Medicine is pleased to invite AFPHM members to the 2019 Annual Scientific Meeting. This year the overarching theme is 'Enhancing public health in the Pacific Blue Continent'. The focus for the Wednesday will be 'Improving health in the Pacific'. Thursday's focus will be 'Improving the health of Pacific people in New Zealand'.

Date: 11 to 13 September 2019
Location: Waipuna Hotel & Conference Centre, Auckland, New Zealand
Registration and program: Visit the event website 

New Informed Financial Consent Guide launched

The RACP is one of 13 leading medical colleges, societies and associations to co-badge the Australian Medical Association's Informed Financial Consent: A Collaboration Between Doctors and Patients. Other co-badged organisations include two RACP affiliated specialty societies, the Australasian Sleep Association and the Thoracic Society of Australia and New Zealand. The guide aims to empower patients to better understand medical costs, and engage in conversations with their doctors about their fees. It was launched on 23 July at Parliament House in Canberra by the Minister for Health, Hon Greg Hunt MP.

Ethics and high-cost drugs evening event

On Wednesday, 19 June 2019, an evening Ethics Committee event on ethics and high cost drugs was held at the College and webcast and recorded. Dr Narcyz Ghinea presented on current and projected pharmaceutical spending patterns and the degree to which current trends are sustainable and may contribute to low-value care. Dr Wendy Lipworth presented the results of an empirical study which examined the strategies used by Australian cancer physicians to manage dual loyalties when prescribing high cost cancer medicines, between patient advocacy and health resources stewardship. Dr Linda Sheahan FRACP provided an organisational ethics perspective on the role of Local Drug and Therapeutics Committees in overseeing the judicious use of medicines in hospitals, and decision making around drug approvals for Individual Patient Use (IPUs).

Dr Ghinea and Dr Lipworth’s presentations are now available to view online

World Congress of Internal Medicine invitation

The World Congress of Internal Medicine will take place in Cancun, Quintana Roo, Mexico from 1 to 5 December 2020. The congress objective is to promote scientific knowledge, collegiality and friendship among internal medicine doctors from all over the world. 

The main topic of the congress will be 'Present and Future of Internal Medicine'. The Mexican Organising Committee, along with the International Society of Internal Medicine (ISIM) and many other international societies are preparing an amazing scientific program with the participation of world experts and will have a variety of academic delivery formats to allow diversity in presentations and learning; these will include keynote lectures, symposia, open forums, workshops, expert discussion, scientific oral abstract presentation and more. The collaborative nature of the meeting has the intention to have a strong influence and steer the pathway of the future of internal medicine in the second quarter of this century. 

In addition to the strong academic and scientific collaboration and experience, we also want you to enjoy the incomparable hospitality of Mexico. We have prepared a formidable sociocultural program that will offer the beauty of Mexico.  

For more information visit the World Congress of Internal Medicine website.

Apply for the 2020 Master of Applied Epidemiology program

No, it's not a cricket match. Do you want to be on the frontline addressing public health threats? Do you want sound skills in epidemiology and to be able to use these to make a difference? Do you want to add experience to your CV while you’re getting a degree? If so, the Master of Applied Epidemiology (MAE) is for you.

The MAE program is Australia’s long standing and globally recognised Field Epidemiology Training Program. This is a two-year research degree that emphases learning at work, from work and for work. You will spend the majority of your time in a field placement (typically a government health department of other appropriate health organisations) conducting useful and important projects while supported via a tax-free scholarship of $50,000 per annum for your degree. The MAE provides excellent training in epidemiology for aspiring public health doctors and some public health registrars have been able to count the time taken completing this degree towards their Fellowship of Public Health Medicine.

The MAE has been run by the National Centre for Epidemiology and Population Health at the Australian National University since 1991. The scholars before you have investigated over 300 outbreaks, established or evaluated multiple surveillance systems, conducted important projects into communicable and non-communicable disease and then gone on to hold senior positions in health in Australia or work with international organisations including the World Health Organization. Seventeen per cent of graduates are Aboriginal or Torres Strait Islander persons. 

If you are interested in the MAE, please see the NCEPH website or contact mae.rsph@anu.edu.au.

Applications are open from 1 July to 15 August 2019.

eLearning Module – Cultural Competence

The RACP has developed a module titled Australian Aboriginal, Torres Strait Islander and Māori Cultural Competence which is available to all members (login required) via digital.learning@racp.edu.au. This is a useful module for those wanting a deeper understanding on traditional Australian and New Zealand cultural practices. The module can be completed in your own time and will enhance your clinical practice, particularly when working with Aboriginal, Torres Strait Islander and Māori communities.

Important information about the cessation of workers entitlements to medical, hospital and rehabilitation expenses

As a result of the application of section 59A of the Workers Compensation Act 1987, one or more of your patients may soon no longer have their claim for medical, hospital and rehabilitation expenses compensated through the workers compensation system. They may need your assistance to prepare for this change.

The date these changes come into effect will vary, with some patients ceasing entitlements from September 2019.

If you are providing treatment/services to a patient(s) affected by these changes, you should gain a clear understanding from each patient when their entitlements will cease and let them know the costs of any treatment/services provided after that date will be their responsibility.

Treatments/services provided after the cessation date will not be paid by the insurer, even when previously approved.

The State Insurance Regulatory Authority (SIRA) encourages you to tailor your approach to affected patients and work collaboratively with insurer case managers to ensure patients receive appropriate support before their entitlements end.

You might consider actions to:

  • discuss and inform your patient(s) of medical and support services available to them and make referrals where appropriate. This could include through publicly-funded community, state or federal systems, or where applicable, services funded by private health insurers.
  • prepare a discharge plan with your patient(s) with the goal of developing self-management strategies to promote independence from healthcare. This will assist them with longer-term management of their injury or condition. 

For more information, you can read the Section 59A Information for health providers fact sheet, visit www.sira.nsw.gov.au or contact the patient’s workers compensation insurer case manager.

University survey: Feasibility of electronic prescribing systems to manage antibiotic prescribing

A quarter of antibiotic prescriptions in Australia have been deemed to be inappropriately prescribed. Electronic prescribing systems are a tool that may help reduce this inappropriate prescribing.

As a part of a research project, an online voluntary survey is being conducted by Mah-laka (student researcher, MPhil) and Professor Tracy Merlin (principal investigator) (HREC approval number: H-2019-094). Take part in this survey and share your opinion on the feasibility of electronic prescribing systems to manage antibiotic prescribing in healthcare settings. Your participation may enable recommendations for the integration and implementation of decision support tools into clinical workflow.

This survey has been designed for completion by members of the clinical workforce (aged over 18) who are responsible for prescribing and/or administering antibiotics to patients. The online survey will take approximately eight to 10 minutes to complete. 

As an appreciation of your time and participation in the study, you will be given a chance to take part in a draw to win an iPad or help donate an equivalent monetary amount to the hospital research foundation.

Further information and the survey is available on the SurveyMonkey website.

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.

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.

Go to the events list at any time to see what other events are coming up.

Career opportunities

View all positions vacant

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. 

AFPHM contact details

Member enquiries
Phone:
(AUS) 1300 69 7227
Phone:
(NZ) 0508 69 7227
Email: memberservices@racp.edu.au 

AFPHM Faculty enquiries (including Council and committees):

Rachel Smith, Executive Officer
Phone: +61 2 9256 9622
Email: afphm@racp.edu.au

AFPHM Education and Training enquiries:
Education Officer
Phone: +61 2 8247 6286
Email: publichealth@racp.edu.au

AFPHM Oral Examination enquiries:
Examination Coordinator, Assessment and Selection Unit
Phone: +61 2 9256 9681
Email: examinations@racp.edu.au

AFPHM training site accreditation inquiries:
Site Accreditation Unit

Phone: +61 2 9256 9674
Email: accreditation@racp.edu.au

AFPHM CPD enquiries:
Office of the Dean (CPD)
Phone: +61 2 8247 6285
Email: mycpd@racp.edu.au

AFPHM New Zealand enquiries:
RACP New Zealand Office
Phone: +64 4 472 6713
Email: nz_afphm@racp.org.nz
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