AFRM eBulletin – 26 July 2019

Perioperative medicine sub-specialty

The College of Anaesthetists (ANZCA) is focused on creating a training program and accredited post-graduate qualification in the sub-specialty of perioperative medicine (POM). 

POM is the multidisciplinary, integrated care of patients from the moment surgery is contemplated through to recovery. It involves, inter alia: Preoperative evaluation, risk assessment and preparation, intraoperative care, postoperative care (including monitoring, rehabilitation and post-discharge), communication and handover to primary care or referrer. The perioperative specialist will help patients navigate the healthcare system and co-ordinate their care by different clinicians and sub-specialties through shared decision-making. The goal is to improve the patient experience, reduce postoperative complications, reduce inpatient hospital days and reduce early re-admissions following surgery. 

By 2023, ANZCA aims to have a formal perioperative medicine qualification. The specifics are still in the early phases, but it will be a tier one or two level qualification, supported by ANZCA’s education and training business unit. The structure will be similar to the Faculty of Pain Medicine Fellowship and will allow specialist trainees and Fellows to complete the program. As part of the transition to a formal qualification, there is a robust and consistent recognition of prior learning process to 'grandfather' those already practising perioperative medicine into the qualification. 

This POM group within ANZCA is completely inclusive: surgeons, physicians, intensivists, anaesthetists, and general practitioners, are working collaboratively to advance perioperative medicine. I am an RACP and AFRM representative on the POM steering committee. We meet regularly and frequently to shape and plan for the POM education and training program. Any interested medical practitioners may join the POM special interest group (SIG).

I am enthusiastically looking forward to hearing from the AFRM membership about POM. It would be ideal as a pathway to specialist practice for many of our fellows. 

Dr Rabin Bhandari FAFRM 

A message from your President

Rehabilitation Medicine Society of Australia and New Zealand ASM Adelaide 2019 and changes to the RACP MyCPD Program

Hopefully most AFRM members are already aware that the 4th Annual Scientific Meeting of the Rehabilitation Medicine Society of Australia and New Zealand (RMSANZ) will be held from Sunday, 20 to Wednesday, 23 October 2019 at the Adelaide Convention Centre. The RMSANZ ASM is our premier local rehabilitation medicine conference and a must for those interested in the latest and best information about what’s happening in our specialty. The theme for the conference is ‘Contemporary rehabilitation: Knowledge translation, collaboration and community engagement’ and there is a great line up of speakers including Dr Mark Bayley from Canada and Dr Alberto Esquenazi from the USA. A draft program is now available and I encourage you to register for this excellent conference if you have not already.

I also draw your attention to changes to the College MyCPD program that have occurred for the 2019 year. MyCPD is transitioning to support Fellows to meet changing regulatory requirements in both Australia and New Zealand and one of the main changes in 2019 is the reduction in the number of CPD categories from five to three – educational activities (category 1), reviewing performance (category 2) and measuring outcomes (category 3). More changes are also planned in coming years, so this is definitely an area to keep your eyes on. Further information can be found on the RACP website.

All the best,

Professor Tim Geraghty 
President, Faculty of Rehabilitation Medicine

New Australasian Rehabilitation Outcomes Centre factsheet

The Australasian Rehabilitation Outcomes Centre (AROC) is the clinical quality outcomes registry for rehabilitation medicine in Australia and New Zealand. It is a joint initiative of the Australian rehabilitation sector (providers, funders, regulators and consumers). 

See the AROC factsheet (PDF) for more information.

Rehabilitation Medicine Society of Australia and New Zealand's fourth Annual Scientific Meeting

On behalf of the Rehabilitation Medicine Society of Australia and New Zealand (RMSANZ) and the organising committees, we are delighted to invite our colleagues to the RMSANZ ASM 2019 to be held in Adelaide from Sunday, 20 to Wednesday, 23 October. 

The theme for the conference is 'Contemporary rehabilitation: Knowledge translation, collaboration and community engagement'. This theme speaks to our unique strengths while also highlighting exciting areas of future growth.

For more information please visit the event website

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.

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.

Expressions of Interest – RACP Fellowship Committee Specialty Society Representative

An opportunity has arisen for an RACP Fellow who is a specialty society member to join the RACP Fellowship Committee.  

The Fellowship Committee is a peak RACP Board Committee that works closely with all College bodies to support the enhancement of services to members and identify ways to increase the engagement of members across the College. The Fellowship Committee meets four times per year: twice face-to-face and twice via teleconference.

The successful candidate will work collegiately with other members to make recommendations to the Board on important issues that will impact all College members. Areas the Fellowship Committee is responsible for include:

  • oversight of development of member services
  • developing processes to support the pastoral care needs of Fellows
  • engagement surveys to assess the engagement of members and their satisfaction with College services 
  • the College’s cultural assets, including the History of Medicine Library 
  • RACP Congress, Ceremony and College wide celebrations and events 
  • the process of awarding Honorary Fellowships, College awards and medals
  • management of the College elections and generic rules and guidelines as appropriate.

The RACP invites College Fellows belonging to a specialty society to submit an EOI for this opportunity. If you are interested in being involved, please complete the expression of interest form and submit it to Fellowship.Committee@racp.edu.au by 9 August 2019. 

Further details of the vacancy are available on the expression of interest webpage

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.

Fellowship medals

Nominations are now open for these College’s 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.

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.

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.

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.

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.

Career opportunities

New South Wales

Victoria

View all positions vacant

Events and conferences

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 events are coming up.

Trainee 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 events are coming up.

Bi-National Training Program (BNTP)

NSW Lecture Series – Wednesday and Saturday sessions

Rehabilitation Medicine Society of Australia and New Zealand (RMSANZ)

RMSANZ is the professional body for Rehabilitation Physicians and Trainees in Australia & New Zealand.

Australasian Rehabilitation Outcomes Centre

The Australasian Rehabilitation Outcomes Centre (AROC) is the national rehabilitation medicine clinical registry of Australia and New Zealand.

AFRM contact details 

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

AFRM Faculty enquiries (including Council and committees):
Stacey Barabash, Executive Officer, AFRM
Phone: +61 2 8076 6315
Email: afrm@racp.edu.au

AFRM NZ Committee
Executive Officer DFAC’s NZ
Email: nz_afrm@racp.org.nz 
 
AFRM Education and Training enquiries:
Education Officer
Phone: +61 2 8076 6350
Email: rehab@racp.edu.au  

AFRM oral examination enquiries:
Examination Coordinator 
Phone: +61 2 9256 5422
Email: examinations@racp.edu.au  

AFRM training site accreditation enquiries:
Education Officer
Phone: +61 8247 6233
Email: accreditation@racp.edu.au 
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