AMD eBulletin 7 April 2017

President's Post

Today we held the first of our two face-to-face AMD Council meetings for 2017.

We had a full meeting agenda which included focused discussions on the current review of site accreditation, trainee wellbeing and the College's development of a position paper on euthanasia and physician assisted death. We considered the role and reporting lines of the AMD Council from May 2018 when a smaller, skills-based Board comes into being, and received advice on the development of the Adolescent and Young Adult Medicine training pathway and the opportunity this new training pathway provides to Advanced Trainees for dual training. AMD Council also workshopped some ideas around a virtual members community to develop Quality and Safety leadership, and will be giving further thought to this idea over coming months.

AMD President-Elect, Professor Paul Komesaroff reported on the AMD project to review and refine the AMD Policy & Advocacy Lead Fellow Network, and Associate Professor Nick Buckmaster reported on AMD's Workforce Data Reconciliation project. The first seeks to develop an appropriate forum to support AMD specialty societies to engage with the College on policy and advocacy issues, while the second is helping to develop an understanding across the College and AMD societies of each other's capacity and capability on workforce needs analysis and planning.

The College's Policy & Advocacy Unit provided AMD members with an impressive and very engaging primer on the College's approach to advocacy, which will be followed in August by a dedicated policy and advocacy workshop to assist AMD specialty societies in developing their advocacy capacity, and to inform the AMD Policy & Advocacy Lead Fellow Network in its forward planning. 

We discussed progress on the implementation of the Model of Collaboration which describes how the College and the AMD Special Societies work together on our shared interests. There was acknowledgement of the inherent complexity involved in mapping out each society's collaboration across the College, and agreement that greater, sustained effort is required to achieve our shared goal of documenting our collaboration and the opportunity it affords us all. We also received a report on the results of the College's 2016 Member Engagement Survey, and discussed the respective member value propositions of the College and the societies.

I hope this gives you a sense of the scope and breadth of the work of the AMD.

This week we have also been confirming the successful participants in our Specialty Society Webinar Service pilot – I look forward to reporting on this in our next eBulletin.

Best wishes,
Grant
Assosciate Professor Grant Phelps
AMD President

World renowned Haematologist recognised with lifetime achievement award

The British Society for Haematology (BSH) honoured Professor Barbara Bain FRACP on Tuesday, 28 March, at the 57th Annual Scientific Meeting, with a lifetime achievement award.

The President of the BSH, Dr Tim Littlewood, said the Society wanted to recognise the exceptional commitment and leadership that Professor Bain has contributed to Haematology. He stated that this is not an annual award, but one reserved for extraordinary people who have contributed significantly over a sustained period.

He added: ‘Professor Bain has made a clinical, academic and teaching commitment not only to British haematology but also internationally over several decades. She is famous for her morphology teaching and her encyclopaedic knowledge.”

Professor Bain said she originally took an interest in haematology due to the combination of clinical and laboratory work that the specialty offered. When asked about her greatest achievements, she noted her contribution to teaching and training medical students and future haematologists. She is most proud of maintaining and developing the St Mary’s courses over 30 years, together with a loyal team of collaborators, so that they now include haemoglobinopathies and BMS-oriented morphology as well as the traditional peripheral blood and bone marrow aspirate morphology and trephine biopsy histology. In addition, another achievement she mentioned is contributing to the development of blood.med as an educational tool that is used by almost all UK trainees and now incorporated into the BSH website.

Professor Bain has been a member of the BSH for over eighteen years. Not only has her contribution to haematology been significant; her ongoing dedication to the Society is tremendously appreciated. She has sat on multiple committees and regularly organised and presented at events. In addition, she has acted as the editor of case studies and image submissions to the BSH website.  

When asked about what advice she would give to students who are just starting out and considering the specialty, she said ‘keep an open mind for a few years and get a broad and deep knowledge of all aspects of haematology before subspecialisation. Don’t forget that laboratory haematology is the basis of what we do – don’t leave it to pathologists.’

The BSH has been bringing haematology professionals together since 1960 with the mission to transform the care provided to patients. With over 1600 members worldwide, they are the largest UK organisation concerned with haematology and the only society to cover all aspects of the specialty.

The BSH produces clinical guidelines, provides grants for research and runs many educational events throughout the year, including the annual meeting, focused on improving haematology education. 

Chapter updates

Australasian Chapter of Addiction Medicine Update

I am overwhelmed by the success of the 2017 International Medicine in Addiction (IMiA) conference which took place at the new International Convention Centre (ICC) Sydney from 24 to 26 March. 720 delegates attended from 17 countries and the quality of speakers and presentations was superb.  It was particularly pleasing to see many trainees and a number of medical students in attendance. I particularly want to thank Professor Dan Lubman for leading the Organising Committee in developing such a strong conference program and delivering such a high quality conference. 

Congratulations to the recipients of the AChAM Indigenous Prize, Mr Luke Walker (Australia) and Mr Jordan Tewhaiti-Smith (New Zealand) and the recipient of the Research Project Prize for 2016 Dr Jon Cook. Recipients were awarded certificates at the IMiA Conference dinner at Dockside, Cockle Bay Wharf.

An RACP Lunch Session took place at the conference, with close to 70 AChAM members in attendance discussing a range of matters including education, the draft AChAM Evolve list of low value medical interventions and the new Medicare item numbers for Addiction Medicine. 

Planning for IMiA 2019 will commence soon, with the lead convenor role rotating to the RACP. 

The Chapter Committee met for the first time in 2017 on 29 March. There was healthy dialogue across a range of discussion items including policy matters such as over-the-counter codeine, e-cigarettes and medicinal cannabis, Addiction Medicine Vocational Scope of Practice in New Zealand and establishment of the Australasian Professional Society on Alcohol & other Drugs (APSAD) Medical Special Interest Group.

Associate Professor Adrian Reynolds
Australasian Chapter of Addiction Medicine President
 

Australasian Chapter of Palliative Medicine Update 

The Chapter Committee is currently in a brief hiatus as we wait to review expressions of interest for the Spirituality Training Working Party – we look forward to progressing this piece of work in the near future. We will also continue to work with the Chapter Committee, Training Committee and the Australian and New Zealand Society of Palliative Medicine (ANZSPM) to fill their nominated positions. 

We are ramping up to the first face-to-face Chapter Committee meeting in mid-May and have two of our AChPM Fellows taking part in an ethics session at RACP Congress 2017.  Professor Paul Komesaroff, President-elect of the Adult Medicine Division will be chairing the session which will consist of a series of case reports and discussion amongst the audience. The cases will cover palliative care and clinical decision-making and Dr Brian Le and Dr Linda Sheahan will be involved. If you are attending Congress, I am sure you will find this session of interest.

The Chapter has also recently been consulted on several policy ​and advocacy matters including the draft RACP submission to the Victorian Government’s Discussion Paper on a Voluntary Assisted Dying Bill. 

If there is something particular you want to see in these Chapter updates or if you have something of interest you would like to contribute, don’t forget to pass on any feedback or suggestions to PallMed@racp.edu.au 

Dr Simon Allan
Australasian Chapter of Palliative Medicine President 
 

Australasian Chapter of Sexual ​Health Medicine Update 

The Sexual Health in Aboriginal and Torres Strait Islander Communities Working Party met for their second meeting on 30 March and discussed current Aboriginal and Torres Strait Islander sexual health initiatives and stakeholders, media strategies, goals and objectives and a draft work plan. The Working Party will continue to meet on a monthly basis. 

The Annual Scientific Meeting and Trainees’ Day held on 18 and 19 March were both incredibly successful events, with over 100 ASM attendees and 16 trainees at the Trainees’ Day. Initial feedback from post-event surveys so far has indicated that attendees were very happy with the day and the quality of speakers and topics. 

I’d also like to offer my congratulations to Dr Nicholas Comninos, the winner of the Penelope Lowe Prize for his presentation on ‘When an STI isn’t an ‘STI’: Extensive Genital Ulceration Presenting to the Sexual Health Clinic’.

Dr Graham Neilsen
Australasian Chapter of Sexual Health Medicine President 

RACP Congress 2017 – something for everyone

The new ‘shared interests’ focus of RACP Congress will bring together the popular clinical and specialty sessions for each Division and Faculty with experts in their field presenting on the ‘big issues’ that are relevant to all specialists including: obesity, disability, cognitive bias, moral obligations and medicinal cannabis.

RACP Congress 2017 program highlights include:
  • The Priscilla Kincaid-Smith Oration: 'The challenges of managing the health care of a nation and the role physicians play in meeting those challenges. Insights from Australia’s new Chief Medical Officer' – Professor Brendan Murphy.
  • The Obesity Panel Session with Professor Louise Baur, Dr Armand Casolin, Ms Jane Martin and Professor Boyd Swinburn.
  • 'What were you thinking? Cognitive bias and diagnosis' with Associate Professor Ian Scott and Dr David Heslop.
  • 'The human rights and moral obligations of physicians in the contemporary political environment' with Emeritus Professor Gillian Triggs, Dr Brett Sutton, Dr Georgia Paxton and Professor Peter Brooks, chaired by National Medical Reporter for the Australian Broadcasting Corporation Ms Sophie Scott.
  • The Howard-Williams Medal: 'A journey in search of child health: from Dien Bien Phu to Fitzroy Crossing and Christmas Island' – Professor Elizabeth Elliott AM.
  • The Cottrell Memorial Lecture: 'Has reversing atherosclerosis become the new gold standard in the treatment of cardiovascular disease' – Professor Stephen Nicholls.
Join us in Melbourne from Monday, 8  to Wednesday, 10 May for RACP Congress 2017, register via the Congress website.

Consultation – new policy on Post Fellowship Specialty Recognition

The RACP is seeking feedback on the draft Post Fellowship Specialty Recognition Policy which is proposed to replace the current Recognition in a Specialty Policy without completion of the relevant Advanced Training Program Policy (2010).

FIND OUT MORE

RACP submission to Medical Council of New Zealand recertification consultation

The RACP made a submission to the Medical Council of New Zealand consultation on strengthening recertification for vocationally registered doctors.

FIND OUT MORE

Update on the Clinical Exam for Examiners and Other Fellows

This update on the Clinical Exam for Examiners and other Fellows has been released by the Paediatrics & Child Health Clinical Examination Committee.

FIND OUT MORE

Continuing Education Workshops – 2017 Dates Announced 

Four Continuing Education Workshops will be held in 2017. 

The first, on Saturday, 22 April, will feature presentations on obesity and diabetes, and updates on immunology and haematology.

Each workshop is broken into three 45 minute sessions, with each session focusing on an update in a certain specialty allowing members to update their knowledge in areas that are not their area of expertise.

FIND OUT MORE

National Youth Week: a time to think about the health of our young people

National Youth Week is an annual, week-long celebration of young people throughout Australia which runs from Friday, 31 March to Sunday, 9 April this year.

It is an opportunity for young people to express ideas and views and to act on issues that affect their lives, including their health and wellbeing. 

FIND OUT MORE

Consultation: National Framework for Maternity Services led by Queensland Health

Queensland Health are leading the development of a National Framework for Maternity Services.

FIND OUT MORE

Clinicians’ Challenge 2017 – Improve today, transform tomorrow 

The Clinicians’ Challenge is an exciting joint initiative by the Ministry of Health and Health Informatics New Zealand (HiNZ). It is an opportunity to show your vision and creativity, and how you are using information and technology to revolutionise and improve patient care. There are two categories for entries: new ideas or active project/development.

New idea 

Share your idea for a disruptive innovation for a digital system or application to deliver health services in new ways. The goal is to improve patient outcomes, improve workflows, bring efficiencies or support better integrated care.

Active project/ development

Share an innovation for a system or application you are developing, or have already developed. It should improve the way you work, support better patient care, and deliver efficiencies and better integrated health services.

Entries close on Friday, 16 June 2017. For further information, see the New Zealand Ministry of Health website

MSD Hubert Stuerzl Memorial Educational Award 2017

The Cooperative Trials Group for Neuro-Oncology (COGNO) is pleased to call for applications for the MSD Hubert Stuerzl Memorial Educational Award 2017.
 
The purpose of this award is to encourage education and training in the field of neuro-oncology and will provide up to $15,000 for the successful recipient to:
  • attend an international neuro-oncology scientific meeting
  • undertake a neuro-oncology preceptorship during 2017-2018.
The Award is open to applications from individuals with a clear interest in the field of neuro-oncology and includes:
  • Advanced Trainees in Medical Oncology, Neurology, Radiation Oncology, Neurosurgery, Pathology or Radiology
  • Medical Oncologists, Neurologists, Radiation Oncologists, Neurosurgeons, Pathologists or Radiologists of no more than 5 years standing who are enrolled in full-time post-graduate research (PhD or MD).
Further details regarding the eligibility criteria, application requirements and selection criteria are available on the COGNO website.

Closing ​date for ​applications is Friday, 2 June 2017. Applications should be sent by email to cogno@cogno.org.au

RACP Foundation Awards and Prizes

Applications for the RACP Foundation Study Grants for 2017 open on Monday, 10 April. 

The grants are available for RACP Fellows and trainees to undertake further educational training, develop educational initiatives, present research at or attend a conference, gain technical experience, or partake in work shadow experience.

The grants include: 
  • The Eric Burnard Fellowship (value up to $10,000), to support Fellows or trainees in the area of neonatology. 
  • The Macquarie Health Corporation Gaston Bauer Work Shadow Grant (value up to $3,000), for rural Fellows and trainees to undertake a short course Work Shadow Program with specialists at a hospital or institution.
  • M D Silberberg Study Grant (value up to $5,000, to support and encourage advancement of knowledge in matters connected with the field of cardiology.
  • New Zealand Education Development Grant (value up to NZ$10,000), to support and encourage advancement of knowledge in an area relevant to the applicants field of medical study.
  • RACP AFOEM Education Development Grant (value up to $10,000), to support and encourage advancement of knowledge in matters connected with the field of occupational and environmental medicine.
  • RACP AFRM Education Development Grant (value up to $10,000), to support and encourage advancement of knowledge in matters connected with the field of rehabilitation medicine. 
  • AChSHM Education Development Grant (value up to $4,000),to support and encourage the advancement of knowledge in Sexual Health Medicine.
The grants close on Monday, 29 May 2017. 

For more details regarding eligibility criteria or the application process, please contact the Foundation’s Senior Administration Officer by email  foundation@racp.edu.au 

Career Opportunities

New Zealand

Clinical Fellowship position in Adult Congenital Cardiology, Greenlane Paediatric & Congenital Cardiac Service

Closing Date: 16 April, 2017
Enquiries and applications: Pettina Coates (ADHB) at Pettinac@adhb.govt.nz or Dr Tim Hornung, Clinical Lead for ACHD at thornung@adhb,govt.nz. Please apply online via the Auckland District Health Board website

Victoria

General Medicine Advance Trainee, Alfred Health
One position to start immediately.
Enquiries: ​Associate Professor Harvey Newnham or Dr Ar Kar Aung on +61 3 9076 2000 H.Newnham@alfred.org.au or A.Aung@alfred.org.au

Clinical Service Head, Addiction Services, Alfred Health 
Closing date: 23 April, 2017 
Enquiries: Associate Professor Simon Stafrace +61  3 9076 2218

Expressions of Interest

We have introduced a new way of advertising Expressions of Interest. 

You can now check the Expressions of Interest page at any time, to find out if there are any opportunities that are of benefit to you.

Events

View all ​Adult Medicine events.

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

MABEL Policy Brief, Issue 3 - Solving Australia’s rural medical workforce shortage

The Centre for Research Excellence in Medical Workforce Dynamics’ (incorporating the Medicine in Australia: Balancing Employment and Life (MABEL) Survey) latest Policy Brief, Issue 3, entitled “Solving Australia’s rural medical workforce shortage” is now available online.

Download the Policy Brief, Issue 3 on the MABEL website.  

Agenda items for the 12 April 2017 PICO Advisory Sub-committee (PASC) Meeting

Application PICO Confirmations for consideration:

1372.1 - MRI for patients with colorectal carcinoma (CRC) with suspected hepatic metastases or patients with suspected hepatocellular carcinoma (HCC) for the purposes of staging
1376.1 - 70 gene signature (MammaPrint) for use in breast cancer to quantify the risk of disease recurrence and predict adjuvant chemotherapy benefit
1455 - Proton Beam Therapy for patients supported under the Medical Treatment Overseas Program
1464 - Breast Magnetic Resonance Imaging for improved definition of the breast cancer primary
1466 - Vertebroplasty for severely painful osteoporotic vertebral fractures of less than 6 weeks duration
1467 - Obstetric MRI
1468 - SIR-Spheres for the treatment of hepatic metastases, and other indications not listed on the MBS
1473 - A 50 gene signature assay for predicting breast cancer recurrence
1475 - Ablative fractional laser resurfacing for burn scar treatment
1476 - Genetic testing for childhood syndromes
1483 -  Micro-bypass stenting for open-angle glaucoma
1496 - Micro-bypass stenting for open-angle glaucoma (external to Schlemm's canal)

For more information on these applications please visit the MSAC website.
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