AMD eBulletin – 16 December 2022

A message from your President

AMD treeG’day and kia ora

It is hard to believe we have reached the end of the year. Despite the COVID-19 pandemic declaration still being active, this year has seen many aspects slowly return to pre-COVID life. For many, travel has once again become a common occurrence. As the holiday season quickly approaches, we can once again make social plans without fear of lockdowns and border closures. Sadly, despite these changes, the impact that COVID-19 has had on the medical industry is still being felt and may not alleviate anytime soon. Echoing the sentiments of my colleague, Professor Brian Wood (AMD President-elect), no matter your approach to this time of year, I urge everyone to take care of themselves, physically and mentally, when and where they can over December and January.

Being ‘right’ is the easy bit

In finishing my first year as AMD President, I have been reflecting on how the College and its members communicate and advocate. I applaud the passion so many members bring to our College. Nonetheless, at times I find it is worthwhile listening to and sharing advice that has previously been given to me when I’ve thrown myself at an issue with a frustrating lack of success. Being right is the easy bit.

It is a simple phrase, but what does it really mean? For me, it often means confusing how I define a problem versus how to develop an effective and achievable solution. Typically, this is because it is far easier for one - or a few people - to define a complex problem, while solutions to such issues usually require from many. I can also sometimes assume that each problem only has one sensible solution, and that is often just the solution I have first thought of.

Recently I undertook media training and was advised that Twitter was the way to get a message out there and to link with reporters and media outlets. Under the instruction of first listen, and then tweet, I dipped my toe into a world I had previously associated with prior American presidents. Aiming to protect myself from extremist views and intolerance, I thought liking prominent and reputable healthcare-related groups would be safe. Nevertheless, I had the disconcerting experience of seeing how social media platforms, even in our profession - populated by intelligent and tolerant people, can provide a succinct and amplified microcosm for these situations. Situations of confusing the problem and the solution, assuming the first considered solution is the only one, and, disconcertingly, thinking the first solution to a problem should somehow be to advocate for destroying the current system with no consideration of what should stand in its place. And this realisation was simply by following Australian and British healthcare provider groups and experts!

So, as we head into 2023 I think I will avoid Twitter, aim to better define problems, work with others to find solutions, and resist the urge, at the first hint of frustration, to tear the entire edifice down.

International Medicine in Addiction (IMiA) conference

Registrations are open for the 2023 International Medicine in Addiction (IMiA) conference. This biennial event is being held from 17 to 19 February 2023. It is convened by the Australasian Chapter of Addiction Medicine (AChAM) in conjunction with the Royal Australian and New Zealand College of Psychiatrists and the Royal Australian College of General Practitioners. Early bird registration is open till 23 December 2022.

Read more and register

Australasian Chapter of Sexual Health Medicine (AChSHM) annual Scientific Meeting

The 2023 AChSHM Annual Scientific Meeting (ASM) is being held face-to-face in Sydney on Saturday, 18 March 2023, from10am to 4pm AEDT. The Annual Trainees’ Meeting on be held the day before on Friday, 17 March 2023. More information and registration details will follow.

Specialty Society Webinars

I want to take the opportunity to thank the specialty societies involved with the 2022 Specialty Society Webinar Series. This year, seven specialty societies participated in the series and presented 23 webinars. I encourage you to view these webinars via Medflix, the College’s online learning platform.

Thank you to the AMD Chapter Presidents

Thank you to the three AMD Chapter Presidents for all of their work with our three Chapter Committees and ongoing advocacy associated with their specialties:

  • Professor Adrian Dunlop, President of the Australasian Chapter of Addiction Medicine (AChAM)
  • Associate Professor Peter Poon, President of the Australasian Chapter of Palliative Medicine (AChPM)
  • Dr Massimo Giola, President of the Australasian Chapter of Sexual Health Medicine (AChSHM)

Collectively, our trainees and Fellows have faced many challenges this year and I am sure I speak for all of us when I say we remain committed to improving the experience for all.

AMD crabIf you would like to discuss any of the above, I encourage you to reach out to me or the Chapter Presidents via the AMD secretariat at adult.med@racp.edu.au or on the RACP Online Community (ROC).

In the interim, be kind to yourself and one another, and best wishes for the holiday period. As physicians we often believe our patients must always come first. For a couple of weeks, at least, remember that you and family also deserve attention and care.

Professor Graeme Maguire
President, Adult Medicine Division


AChSHM President’s Post

Kia ora koutou,

Here we are at the end of 2022, and as we look back on this year I would like to commend the sexual health community for all their hard work and dedication. This year has been another challenging one for many of us. I hope you are able to take some time out over the holidays to rest and recuperate.

Looking ahead to 2023, I remind you to please register for the 2023 AChSHM Annual Scientific Meeting (ASM) to be held on Saturday, 18 March. Stay tuned for more information including speaker announcements.

The Training Committee in Sexual Health Medicine (TCSHM) is seeking to increase its review panel that assists with case study and/or project marking for our Advanced Trainees. Marking guidelines with FAQs will be sent to new markers to assist the process. For more information on joining our marking panel, or to request an EOI form, please contact the Sexual Health Medicine Education Officers via email shmedtraining@racp.edu.au.

A special thank you to the AChSHM Committee Members who have assisted with the development of the Chapter workplan for 2023 to 2025. I look forward to sharing the sexual health medicine work plan initiatives with the wider AChSHM community next year.

If there are any items you would like to raise with the Committee, or if you have any feedback for us, please feel free to contact us through our secretariat at shmed@racp.edu.au via the RACP Online Community (ROC).

Best wishes for a safe and happy holiday period. I look forward to working with you in 2023.

Ka kite anō au i a koutou!

Dr Massimo Giola
Australasian Chapter of Sexual Health Medicine President


AChPM President’s Post

AProf Peter Poon

Hello and kia ora,

I would like to start by extending a big thank you to Dr Debbie Barham, Dr Judith McEniery, Dr Martha Mherekumombe and all of the Spirituality Working Group members for successfully delivering a series of virtual workshops over four weeks in November. An incredible amount of work went into the development of the workshops, for which I was privileged to attend in the final week, and I commend the team for doing an outstanding job. Of course, all of this would not have been possible without the ongoing contribution and support of Professor Doug Bridge.

Please note the End-of-Life Law for Clinicians (ELLC) has a new free training module about Aboriginal and/or Torres Strait Islander peoples and the end-of-life law. It can be accessed via the Palliative Care Education and Training Collaborative. Designed with Indigenous health professionals and communities across Australia, the module aims to help all health professionals to:

  • understand legal considerations that can arise in the context of caring for Aboriginal and/or Torres Strait Islander peoples and families at the end-of-life.
  • recognise how health professionals can provide culturally safe and culturally responsive end-of-life care.

Additionally, the Australian Institute of Health and Welfare has released the latest data regarding palliative care services in Australia. Find out more on their webpage.

Regarding the discontinuation of prolonged-release hydromorphone (Jurnista) in Australia, your Committee, in conjunction with Palliative Care Australia (PCA), Australian and New Zealand Society of Palliative Medicine (ANZSPM), and the Society for Hospital Pharmacists Australia, is writing to the Therapeutic Goods Administration (TGA) to voice our concerns in a hope that alternative medicines may be sourced. Concurrently we plan to communicate the same to the company.

Lastly, we are still looking for members to join our Palliative Medicine Marking Panel. The Panel assists with case study and/or project marking for our Advanced Training and Clinical Diploma Trainees. To apply please see the following expression of interest details. Volunteering your time can also contribute towards you Continuing Professional Development (CPD) and can be included on your CV, though we understand that this is not the key motivation in helping. Thank you to those who have already put their hands up; we will ensure your requests are processed expediently.

Do you have a question for your Chapter Committee? We welcome any feedback or comments, so please feel free to contact us through the Chapter secretariat at PallMed@racp.edu.au or via the RACP Online Community (ROC).

Please take care of yourselves and have a wonderful break over the holiday period. I look forward to seeing and working with you in 2023.

Associate Professor Peter Poon
Australasian Chapter of Palliative Medicine President


AChAM President’s Post

Hello and kia ora

In this final edition for 2022, I would like to thank the addiction medicine community for another busy and productive year.

I am pleased to advise that the 2023 International Medicine in Addiction Conference (IMiA), will be held at the Melbourne Convention and Exhibition Centre on 17 to 19 February 2023. The Conference will explore the theme of collaborate, innovate, and survive. Bringing together expert international and local voices, this event should not be missed. The early bird registrations are open until 23 December. I encourage you to secure your place.

RACP Evolve has released an animation to share the Australasian Chapter of Addiction Medicine (AChAM) Top-5 recommendations to reduce low value care. The animation was recently shared at the Australasian Professional Society on Alcohol and other Drugs 2022 Conference in a RACP Evolve exhibition to promote the Australasian Chapter of Addiction Medicine Top-5 recommendations.

By implementing Evolve recommendations, together we can enhance the quality and safety of healthcare, free up resources to provide patients with the tests, treatments, and procedures they need, and contribute to the reduction of the healthcare system’s carbon footprint.

A special thank you to the AChAM Committee Members who have assisted with the development of the Chapter workplan for 2023 to 2025. I look forward to sharing the addiction medicine workplan initiatives with the wider AChAM community next year.

If you have any feedback, questions, or comments for me or the Committee, please get in touch through our secretariat at AddictionMed@racp.edu.au or via the RACP Online Community (ROC).

Take care, and I look forward to seeing and working with many of you in 2023!

Professor Adrian Dunlop
Australasian Chapter of Addiction Medicine President


Your Continuing Professional Development (CPD) requirements are evolving

2023 MyCPD Framework

In 2023, the Medical Board of Australia and the Medical Council of New Zealand will strengthen recertification requirements for physicians. The College has drawn together core requirements of both regulators to create the 2023 MyCPD Framework.

You can access the interactive handbook and find other useful documents, templates and videos, such as the 2023 MyCPD Framework Explained webinar recording and the Decoding CPD: Categories 2 and 3 video series via the MyCPD platform.

For more information, visit the Continuing Professional Development webpage or contact us. We support you to comply with your CPD requirements, whatever your individual circumstances may be.

My RACP. MyCPD Home

From 1 January 2023, all Australian medical practitioners will need a CPD Home. 

Your RACP Fellowship means you already belong to a quality CPD Home. If you are already participating in our MyCPD program, you don’t need to do anything. If you are not using our MyCPD program, you can email the CPD team to obtain free access as part of your RACP membership.

You have never stopped learning. We’re here to make sure that continues. 

My RACP. MyCPD Home.


Australian Parliamentary inquiry into online gambling and its impacts on those experiencing gambling harm – joint RANZCP/RACP submission

This joint submission provides the perspectives of physicians, paediatricians and psychiatrists on the need for thorough regulation of online gambling provision and an integrated public health response when treating those experiencing gambling harm.


PBS Authorities: Changes to Digital Access

From 1 December 2022, prescribers can submit certain Authority Required ‘Written’ (written) PBS medicines on the schedule using the Online PBS Authorities system (the system). This means you will no longer need to submit authority applications, prescriptions, and test results for these medicines. Instead, you will be able to use the system to apply for authority approval and provide evidence digitally.

Find out more


RACP COVID-19 Living Narrative Update

The College’s COVID-19 Expert Reference Group is pleased to advise that the RACP COVID-19 Living Narrative has been updated to reflect the College’s COVID-19 activity up until November 2022.

View the update


Consultation open for new draft Advanced Training curricula

You can help shape the future of our training programs. Consultation is now open for the following draft curricula. Visit the specialty pages below to review the draft curriculum and provide your feedback.

Specialty curriculum

More details

Feedback link

Closing date

Nephrology

Visit the website

Complete the feedback form

Monday, 19 December by 5pm AEDT

Cardiology

Visit the website

Complete the feedback form

Sunday, 15 January by 5pm AEDT

Gastroenterology

Visit the website

Complete the feedback form

Monday, 30 January by 5pm AEDT

Watch this short video to find out more about the curriculum development process and how you can contribute to the consultation. If you have any questions, please email curriculum@racp.edu.au or contact Member Services.


Specialty Society Webinar Series

Our College collaborates in many ways with affiliated specialty societies, including via the Specialty Society Webinar Series.

The series has been running since 2017. This year, seven societies took part and presented 23 webinars. In case you missed them, all webinars were recorded and are available to view on Medflix, the College’s online learning platform.

We would like to extend our thanks to the societies for their participation, and to all those who gave their time to present and attend.


IMJ v52

Internal Medicine Journal – November 2022

The November 2022 issue of the Internal Medicine Journal (IMJ) is now live on the Wiley Online Library and the RACP website (log in using your RACP login credentials). Access articles tweeted on IMJ's Twitter account for free, for a limited time. The easiest way to access the IMJ is via the Wiley Online Library App, find out how you can access it.

Key highlights from the issue are:

  • Takotsubo syndrome in New Zealand: Knowledge and challenges
  • Hypertension in the older person
  • Insulin sensitivity and bone mass following cancer treatment
  • Low dose opioids on chronic breathlessness
  • Triggers for autoimmune encephalitis
  • Equity in nephrology workforce.

Read the journal


Pomegranate Health podcast — Ep89: What we know about long COVID

podcast pom health

Ep89: What we know about long COVID

ADAPT is a prospective cohort study that has been following up on COVID-19 patients since the earliest days of the pandemic. It has allowed researchers to track the emergence of long COVID; a syndrome that includes symptoms such as ongoing breathlessness, fatigue, chest tightness and "brain fog".

Over the course of the study, participants have contributed blood cells, cardiac and brain MRIs, tests of respiratory function, and more. The research has uncovered molecular and functional correlates that are helping to explain long COVID. Meanwhile, clinicians at the long COVID clinic at St Vincents’ Hospital, Sydney, are successfully applying rehabilitation strategies drawn from the treatments of chronic pain and other functional disorders.

Guests

  • Professor Gail Matthews MRCP FRACP (Head of Infectious Diseases, St Vincent's Hospital, Sydney; Kirby Institute)
  • Dr David Darley FRACP (St Vincent’s Hospital, Sydney)
  • Professor Steven Faux FRACGP FAFRM FFPMANZCA (Director Rehabilitation and Pain Medicine, Vincent’s Hospital, Sydney)
  • Professor Bruce Brew AM FRACP FAAN (Director of the Peter Duncan Neurosciences Research Unit, St Vincent's Hospital Sydney)

Please visit the Pomegranate Health web page for a transcript and supporting references. To claim learning credits login to MyCPD at this link, review the prefilled activity details and click save. Subscribe to new episode email alerts or search for ‘Pomegranate Health’ in Apple Podcasts, Spotify, Castbox, or any podcasting app.


IMJ On-Air podcast — Ep3: Making sense of HACs 

podcast imj on air

Ep3: Making sense of HACs

Clinical complications suffered by patients during hospital stays are assumed to be preventable and to provide some metric of quality of care. Dr Graeme Duke and his colleagues at the Eastern Health Intensive Care Research have sought to validate the clinical significance of hospital-acquired complications (HACs) identified within their service. In this podcast, Dr Duke and IMJ editor Professor Ian Scott discuss their research and its implications for the national hospital-acquired complications program.  

Guests

  • Dr Graeme Duke FCICM, FANZCA (Eastern Health Intensive Care Services)
  • Professor Ian Scott FRACP (University of Queensland, Princess Alexandra Hospital)

References
Graeme J Duke et al. Clinical evaluation of the national hospital-acquired complication programme Internal Medicine Journal 2021; 52(11); 1910-1916.

Please visit the Pomegranate Health web page for a transcript and supporting references. To claim learning credits login to MyCPD at this link, review the prefilled activity details and click save. Subscribe to new episode email alerts or search for ‘Pomegranate Health’ in Apple Podcasts, Spotify, Castbox, or any podcasting app.


It is time to complete your ‘My Work Profile’

My Work Profile captures the professional activities of physicians across a range of roles and geographical sites. By completing your My Work Profile you help us support advocacy activities on behalf of our members and inform future workforce planning.

We listened to your feedback about completing your My Work Profile, so this year we have simplified the questionnaire, so it should only take five minutes to complete.  In recognition of your time, if you complete your profile between November and February, you will go into a draw to win a $300 Prezzee gift card. We have three gift cards to give away, with one winner chosen at random at the end of each month.

Complete your profile or find out more.


mm

Mentor Match – now available on the ROC

Mentor Match is an innovative program to help you connect with other members, based on your mentoring preferences and professional goals. Mentors provide guidance and support to mentees, while mentees are given the opportunity to develop personally and professionally and receive constructive feedback to improve performance and outcomes.

Find your perfect match


Medical Services Advisory Committee

Medical Services Advisory Committee – upcoming meeting

Appraisal by the Medical Services Advisory Committee (MSAC) meeting on 30 to 31 March 2023. See all scheduled agenda items for the 87th Medical Services Advisory Committee (MSAC) meeting.

See all applications to be considered

It’s the most wonderful time of the year

Member AdvantageDuring December, your member benefits platform brings you savings on all your Christmas shopping. Enjoy the festive season with our 12 days of Christmas. There are new offers, savings and prizes on offer every day. Log in to your Australia or Aotearoa New Zealand benefits platform today. Available online 24/7. That's your Member Advantage. *Terms and conditions apply.

Australian member access    Aotearoa New Zealand member access


Other news and events

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Career opportunities 

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