Read the highlights of key issues discussed as part of the 02-2018 meeting, held on Friday 17 August 2018.
Adult Medicine Division Council Membership
The Adult Medicine Division (AMD) Council welcomed the following new members:
- A/Professor Nicholas Buckmaster - Elected Fellow, Australia
- A/Professor Joshua Davis - Specialty Society (ASID)
- Professor Donald Campbell - AMD President-elect
- Professor Gregory Crawford – AChPM President
- A/Professor Barbora De Courten - AMD Lead Fellow, CPD
- Dr Martyn Lloyd-Jones – AChAM President
- Professor Len Kritharides - Specialty Society (CSANZ)
- Dr Jacqueline Loprete - Advance Trainee representative
- Professor Pamela McCombe - Specialty Society (ANZAN)
- Professor Graeme Maguire - Elected Fellow, Australia
- Dr Bridin Murnion - Specialty Society (ASCEPT)
- A/Professor David Nicholls - Specialty Society (ARA)
- Dr Sudha Raghunath - Advance Trainee representative
- Dr Daniel Sathianathan - Elected Fellow, Australia
- Dr Tom Wilkinson - Basic Trainee representative
The members below were acknowledged as being reappointed for an additional term:
- A/Professor Kristina Kairaitis - Specialty Society (ASA)
- A/Professor Geoffrey Playford - AMDEC Chair
- A/Professor Deborah Yates - Elected Fellow – AU
- Dr Rebecca Grainger – commenced as NZ AMD Committee, Chair (previously Elected Fellow, New
- A/Professor Catherine O'Connor AChSHM President (previously Acting AChSHM President due to a resignation)
The Chair, Professor Paul Komesaroff referred to his first AMD e-bulletin post and provided a summary of his planned approach to his Presidency. Members received a brief overview of the previous day’s AMD Council planning session which had identified the following key areas of interest: trainee welfare, global engagement, inclusiveness, diversity, and indigenous strategies.
Members also discussed concerns that had been raised regarding the College election process.
College Governance for AMD
Members noted the College Board composition has reduced from nineteen to ten members, and the College Council had been established to prepare for this change as a broad representative forum. The Board is currently looking into devolving decisions to other Colleges bodies, including the College Council.
New Zealand AMD Committee Update
Dr Rebecca Grainger provided members with a short update on New Zealand AMD Committee activities noting that the committee is undergoing a period of renewal with four new specialty society representatives appointed and four current vacancies.
Members discussed the importance of hand hygiene in an examination setting and suggested that the hospitals facilitating examinations should modify their process to ensure that hand hygiene is taken into consideration. Additionally, members recommended that the AMD Education Committee work with the Examiners Committee to include hand hygiene and infection control as part of the assessment process.
Education and Training
Education renewal update
Ms Robyn Burley, Director, Education, Learning and Assessment, joined the meeting and presented a short update on education renewal. Members acknowledged the large amount of work that is underway. Ms Burley highlighted that there is a lot of detailed information that the Education, Learning and Assessment team is streamlining to improve clarity for members.
AMD and MCNZ activity
Prof Richard Doherty, Dean discussed the important relationship the College has with the Australian Medical Council (AMC) and the Medical Council of New Zealand (MCNZ). Prof Doherty provided an outline of the regulations and the College’s obligations under these regulations.
Members discussed mandatory notification and seeking advice on mental health issues. Prof Doherty highlighted that seeking mental health care is not included in the grounds for the mandatory reporting of a practitioner, unless the medical practitioner is at risk of causing significant harm to their patients.
Policy and Advocacy
AMD Policy and Advocacy Lead Fellow Network
Members were reminded of the existence of the Network and the aim to use it as a forum to improve communications between the specialty societies and AMD on policy and advocacy issues.
Mr Patrick Tobin, Director, Policy and Advocacy and members of his management team joined the meeting. Members were provided with an update regarding Evolve. Members discussed the many applications for the Evolve lists, and the need to encourage trainees to consider them for use in their training projects. Members commended the Evolve initiative.
Indigenous Strategic Framework
Members were reminded that the Indigenous Strategic Framework was launched at RACP Congress 2018. Members discussed the increasing the indigenous workforce element included in the Framework. It was acknowledged that it will take a long time to reach parity, and that physician practice needs to be made culturally sensitive and safe for indigenous doctors to participate.
Affirmative action for Indigenous Advanced Trainees
Members discussed whether the College should implement affirmative action for Indigenous trainees to be selected into Advanced Training and agreed that the item should be raised via the College Council.
Women in Medicine
A/Prof Deborah Yates gave members an overview of the Women in Medicine meeting held at RACP Congress in May 2018; job sharing had been discussed and also methods by which the College could support such activities.
A/Prof Yates highlighted the data required to demonstrate how the system is or is not supporting women in medicine. Members agreed it would be useful to establish a working party to discuss and develop these ideas further.
Workforce Profile activity
Members discussed the College’s workforce profile survey which has not yet been widely completed by members. Utilisation of the Australian Health Practitioner Regulation Agency’s (AHPRA) data was raised and members were advised that AHPRA’s database does not capture the detailed level of information required by the College. The College is seeking to identify by specialty, and sub-specialty if appropriate, the full-time equivalent (FTE) of activity in each physician specialty, as well as the post code in which the FTE practice occurs.
RACP Congress 2018 and 2019
Ms Lucy Ladbrooke, Conference and Events Manager, joined the meeting to provide members with an overview of Congress 2018 and 2019. Members were provided with a summary of final 2018 registration numbers and advised that satisfaction scores for the shared interest model are making good traction.
The Council were advised that the 2019 Congress Program Committee had commenced work and had secured oration speakers. It was noted that Dr George Laking has been appointed as the AMD representative on the Congress Program Committee.
AMD 2019 – 2020 Work plan review
Members reviewed the initial workplan that had been received from ThinkPlace. It was noted that the final workplan would be prepared by the AMD secretariat for circulation to the AMD Executive Committee then the AMD Council for prioritisation and comment.
Trainee site feedback
Members briefly spoke to the concept of systematic feedback from trainees being provided regularly rather than only during the site accreditation process, which occurs every five years. Members discussed that many trainees are concerned about speaking out regarding sites. It was agreed that the topics of the New Training Standards and systematic site feedback would be included as items to be discussed at the AMD Council 01-2019 meeting.
The next meeting of the AMD Council is scheduled for February 2019.
Professor Paul Komesaroff, President
Adult Medicine Division