South Australia - August 2019

A message from your South Australian Regional Committee Chair

I would like to invite you to this year’s SA Annual Scientific Meeting (ASM) to be held on Saturday, 30 November at the Adelaide Convention Centre. This year's theme is 'specialists together' which will showcase the breadth of College activities.

All Advanced Trainees are encouraged to submit abstracts for the Trainee Research Awards. Shortlisted presentations will occur during the ASM and award winners are sponsored to attend RACP Congress 2020 in Melbourne.

I am pleased to announce that the ASM will be followed by a Regional Convocation Ceremony for new Fellows, which we have successfully advocated to trial in South Australia this year. This will be open to all recent and new Fellows residing in South Australia who have not yet attended a ceremony. If you are a South Australian resident Fellow who has graduated within the last five years and have not received an invitation yet, but would like to attend then please contact RACP Member Services.

I'd like to remind all Fellows of the changes to CPD made by the College in anticipation of the changing requirements by the Medical Board of Australia.

I encourage you to listen to the Pomegranate Health podcasts regarding this to gain a better understanding of these changes. There are two podcasts about CPD, the first podcast provides background and the second podcast explains how to ensure you meet the new requirements. As you may know, Pomegranate Health is available from Apple Podcasts, Spotify or any Android podcasting app.

There will also be a local CPD information session held on Monday,19 August.

Within our specialties we have the opportunity to craft specific activities to meet these requirements.

The South Australian Regional Committee has been involved in several areas of advocacy:

  • The Committee raised concerns with the Minister for Health and Wellbeing regarding refugee access to emergency ambulance services, on behalf of our paediatric colleagues.

Additionally, the Committee was consulted on the South Australian Law Reform Institute (SALRI) review of abortion law, and provided a reply supporting the RACP Position Statement on Sexual and Reproductive Health Care for Young People.

I would like to welcome our new Regional Senior Executive Officer, Katherine Economides to the team in the SA/NT Office.  Katherine leads the office team, supports the Regional Committee and facilitates our policy and advocacy activities.

Lana Rohde, our Member Support Officer (appointed earlier this year) has commenced a schedule of regularly visiting our training hospitals – you may see her at a Grand Round.  Lana is available to assist you with any questions about training, education, CPD or anything related to the College. Lana can be contacted via email.

The SA Regional Committee seeks to support and represent the views of the Fellowship. I welcome your assistance.  There is an opportunity to contribute to the life of the College by serving on the Committee, and I encourage you to consider this.  I can be contacted via email.

Dr Rob van den Berg MMBS FRACP
SA Regional Committee Chair
 

A Message from the SA Trainees’ Committee Co-Chairs

The inaugural SA Fellowship Ceremony will be held as part of the RACP SA Annual Scientific Meeting on Saturday, 30 November 2019. This will enable freshly appointed Fellows of the RACP to attend a formal ceremony to celebrate their achievement and many years of hard work. Previously, ceremonies have only been held in Sydney and Melbourne, which prevented many Fellows from attending due to family and work commitments. This is an important milestone that the Trainees' Committee and the South Australian Regional Committee has strongly advocated for. We’d like to thank Dr Rob van den Berg in particular for his efforts over the years in realising this.

Recent events the Trainees’ Committee were involved in organising include the Basic Training Weekend Lecture Seminar held 22-23 June. This was well attended and received, with teleconferencing to trainees in the Northern Territory. Upcoming events include the New Fellows Forum on Tuesday, 20 August 2019 and the Advanced Trainee Forum/Research Project Workshop  on Tuesday, 17 September. We hope to see many of you at these events.

Best wishes,


Dr Daina RudaksDr Yang Du       








Dr Daina Rudaks and Dr Yang Timothy Du
Co-Chairs, SA Trainees’ Committee
 

Queen’s Birthday 2019 Honours List

The RACP South Australian Regional Office would like to congratulate Emeritus Professor Anthony Radford and Dr David Everett for the outstanding work recognised in the Queen’s Birthday 2019 Honours for significant service to medicine.

Emeritus Professor Radford was appointed a Member (AM) in the General Division for significant service to medicine, to medical education, and to global health, and Dr Everett was appointed an Order of Australia Medal (OAM) in the General Division for service to medicine as a paediatrician.

We are pleased to provide a summary of their service:

Prof Anthony RadfordEmeritus Professor Anthony Radford (AM)

For over 60 years my focus has been on teaching, research and the provision of good healthcare for all and especially to the isolated and disadvantaged in Australia and overseas.

Graduating in Adelaide, I undertook postgraduate studies in Liverpool, Edinburgh and Harvard in Tropical Medicine and Epidemiology. I spent ten years in Papua New Guinea, where I was involved in the establishment of the new medical school, especially its educational programs in community settings, as well as being the doctor for a remote rural community of 50,000 people.

Returning to Liverpool I developed and implemented the first multidisciplinary public health degree program in Europe. In 1975 I took up the Foundation Chair in Primary Care and Community Medicine at Flinders University. It was the first appointment from grants provided by the Whitlam government to encourage Australian medical schools to address the significant gaps in medical training, especially general practice and public health.

In the age of promoting better community healthcare at national and local levels, especially for remote communities, our team established the most comprehensive program in these undergraduate topics in Australasia and included foundation courses in death, dying, loss and bereavement, care of the elderly, counselling, and care of disadvantaged groups including Aboriginal health. These areas provided the foundation for our research programs.

My special interests were in the delivery of primary healthcare, immunisation, aged care and palliative care. I worked with community groups to support and promote their goals for better health. We established a 'nest' of GPs to teach and provide service in A&E and other clinical departments, as well as placing students in both rural and urban practice settings - in “Wards without Walls”. We also developed the first geriatric unit.

In 1986 I established a one-month summer intensive course to prepare health care professionals for work in less resourced areas. Over 1,000 participants have now attended these in Australia, the USA, Brazil, Taiwan and Britain. I have undertaken consultancies with WHO, UNICEF, World Vision, several NGOs in various areas of primary heathcare across five continents. After retiring from academia, I enjoyed being a locum GP in rural and remote South Australia.

Dr David Everett (OAM)
Dr David Everett, one of our well-respected Paediatrians, has had many notable roles throughout his career, including:

  • Deputy Head of Paediatrics and Child Health, 2003-2012.
  • Director, Paediatric Physician Training, 2001-2013.
  • Director of Clinical Training, Women's and Children's Health Network, 2013-2016.
  • Member, Board of Children, Youth and Women's Health Service, 2004-2005.
  • RACP Elected Member, Paediatrics & Child Health Division Council, 2018.
  • RACP Fellowship, Paediatrics & Child Health Division Council, 1986
  • Awarded Consultant of the Year, Women's and Children's Hospital RMO Society, 2013.

 

New workshop: statistics and evidence-based medicine for trainees and clinicians 

When: Saturday, 7 September 2019 from 9am to 4pm
Where: RACP SA/NT Office, Level 2, 257 Melbourne Street, North Adelaide
Note: Video and audio conferencing is available. Email us for details
Register: By email

"What exactly is p-value?"
"Are observational studies meaningless compared to randomised trials?"
"How certain are you when you tell your patients about their diagnosis and treatment?"

It is our privilege to present the first RACP South Australian run workshop on evidence-based medicine and medical statistics. Register to the event, which will be held on Saturday, 7 September 2019 from 9am to 4pm at the RACP SA/NT Office, or access the video-conference.

This workshop is designed to improve your skills in: 

  • understanding medical statistics
  • communicating investigation and treatment outcome probability to patients and colleagues
  • interpreting study results of scientific papers
  • improving quality of patient care.

The topics covered will help Basic Trainees prepare for the upcoming written exam. It incorporates examples that can be applied to all specialities in various practice settings. You will work through real-world questions via interactive sessions, and succinct written material will be provided.  

Our expert speakers are:

  • Dr Philip A Clayton, Senior Consultant Nephrologist, CALHN; Deputy Executive Officer, ANZDATA registry
  • Dr Anthony Chuang, cardiology Advanced Trainee, SALHN; Master of Medicine [Cli Epi]; Sydney University

 

Upcoming events

Continuing Professional Development information session

When: Monday, 19 August 2019
Where: video-conference to the RACP SA/NT Office
Register: via the event webpage

Do you want to understand the recent changes to CPD?  Are you predominantly in private or rural practice and unsure about how to meet the new requirements?  This session is designed to answer all your questions and give you guidance in adjusting to the new framework.

SA New Fellows' Forum

When: Tuesday, 20 August 2019
Where: RACP SA/NT Office, Level 2, 257 Melbourne Street, North Adelaide
Register: via email

Join us at this free event to hear about experiences, tips and important information for new Fellows and Advanced Trainees moving into Fellowship.

Learn more about:
  • CPD requirements
  • medico-legal issues
  • private practice versus public
  • working across multiple sites.

My Health Record information session

When: Tuesday, 3 September 2019
Where: video-conference to RACP SA/NT Office
Host: RACP and Australian Digital Health Authority
Register: via the event webpage

With nine out of ten Australians now having a My Health Record (MHR), this event will introduce and detail a number of topics for specialist physicians and their patients including:
  • MHR benefits, features and functionality
  • implementing and adopting MHR as part of your clinical workflow
  • privacy and security obligations and how this can be communicated to patients.
  • the access, view and upload function of a patient’s clinical documents

Host a SPDP face-to-face workshop

Contact your local Member Support Officer or the Supervisor Learning Support Unit  for assistance in organising a workshop at your local site or upcoming specialty Annual Scientific Meeting.

Become a SPDP facilitator

Are you a Fellow who is interested in medical education and facilitating skill-based workshops with your peers? Become a SPDP online course or face-to-face workshop facilitator.
Facilitators plan, manage and provide guidance for SPDP workshops to ensure each workshop is:
  • credible; physicians are best placed to facilitate training for their peers
  • focused on supervisor needs; ensure relevancy to supervisors from all training programs
  • accessible and flexible; adaptable workshop design which can be held at ASM and in local settings.

Navigating Safe Patient Transfer: What Can Go Wrong? | RACS/SA Audit of Surgical Mortality

When: Thursday, 5 September 2019
Where: Port Lincoln Hotel, 1 Lincoln Highway, Port Lincoln

The South Australian Audit of Surgical Mortality (SAASM) is offering a free seminar on the topic of ‘Navigating safe patient transfer: What can go wrong?’. The seminar will be held on Thursday, 5 September at the Port Lincoln Hotel from 4pm. Refreshments will be available after the session.

Register via the Royal Australasian College of Surgeons (RACS) website. For more information contact SAASM on +61 8 8239 1144 or via email.

Statistics and evidence-based medicine for trainees and clinicians

When: Saturday, 7 September 2019 at 9am to 4pm
Where: Video-conference to RACP SA/NT Office, Level 2, 257 Melbourne Street, North Adelaide
Register: via the event webpage

The topics covered will support basic physician trainees in their preparation for the upcoming written exam but will also incorporate real-world examples that can be applied to all specialities in various setting of practice.

Dinner in honour of Associate Professor Mitra Guha - save the date

When: Saturday, 26 October 2019
Where: Adelaide Convention Centre
Host: Adelaide Medical Students' Foundation

The Adelaide Medical Students' Foundation is organising a dinner to thank Associate Professor Guha and honour her outstanding service. Not only will this be an excellent opportunity to say 'thank you', it will also be a fantastic chance to catch-up with colleagues and indulge in a great night out at the Adelaide Convention Centre.

For further details please contact Dr Liza Phillips or Dr Thomas Crowhurst

South Australian Annual Scientific Meeting - save the date

When: Saturday, 30 November 2019
Where: Adelaide Convention Centre
Details: On the event webpage

The SA Regional Committee will be hosting a full day Annual Scientific Meeting (SA ASM) on Saturday, 30 November 2019 at the Adelaide Convention Centre. The theme for the SA ASM is 'Specialists Together'.

The SA ASM will incorporate the South Australian Trainee Research Awards providing an opportunity for trainees to present their research abstracts.  Winning abstracts for paediatric and adult medicine trainees will be published in the International Medical Journal or Journal of Paediatrics and Child Health. Winners are also funded to attend RACP Congress 2020 in Melbourne. For further information please email us

SA Regional Convocation Ceremony

When: Saturday, 30 November 2019
Where: Adelaide Convention Centre

Open to all South Australian resident recent and new Fellows who have not yet attended a Ceremony. Invitations will be sent out within the next few weeks. For further information please email us

Clinpath Mile End Laboratory Tour

When: multiple daily 30-minute tours until Thursday, 26 September 2019
Where: Clinpath Pathology, 21 James Congdon Drive, Mile End SA
Host: Clinpath Pathology

Tour Clinpath's new Mile End Laboratory, the first in the world to introduce an Alinity triple module chemistry platform to a GLP track.

Similar to a Scaletrix model, when samples enter the GLP track system they are transported via cars to pre-analytical devices. This includes an Australian first - a bulk loader, centrifuge, de-capper and aliquoters routed onto state-of-the-art analysers.

To register for the 30-minute tours and learn about the journey of the test tube from blood collection to lab processing and archiving, please visit the Clinpath Mile End Laboratory Tour webpage , or for more information contact Charlie Robinson at Clinpath.
 

Recent events

Basic Trainee Weekend Lecture Series
The Basic Trainee Weekend Lecture Series took place on 22 and 23 June at the RACP Adelaide office and was live streamed to participants at Royal Darwin Hospital Campus. This is an annual educational weekend offered to Basic Physician Trainees in years one and two to help prepare for upcoming exams. Guest speakers shared their knowledge and experience whilst presenting on Genetics, Immunology and Antibiotics.

A big thank you to presenters Professor Eric Hann, Dr Tiffany Hughes and Dr Lucy Crawford for sharing their valuable insights. Thank you to Dr Jack Yu for speaking on his experience with the Trainee Research Awards and to South Australia and Northern Territory Trainees Committee members Dr Daina Rudaks, Dr Marty Hansen, Dr Mahsa Gieve, Dr Syed Ali and Dr Yang Du.

Exam Preparation and Panel
We had an entertaining evening presented by the South Australia and Northern Territory Trainees Committee. Dr Simon Rocheleau was informative and light-hearted while sharing his tips to prepare Basic Trainees for their upcoming exams. Topics covered included: handling stress and anxiety in the lead up to exams, effective study techniques and study groups.

Trainee Committee Members representing adult medicine and paediatrics, joined Dr Simon Rocheleau in a panel to share insights on what to expect on the day of exams.

Thank you to Dr Simon Rocheleau, Dr Daina Rudaks, Dr Mahsa Gieve, Dr Alyssa Fitzpatrick and Dr Ben Watson for making this a valuable experience.
 

Farewell message from Associate Professor Mitra Guha

A Prof Mitra GuhaAssociate Professor Guha recently announced her intention to retire later this year after a wonderful career involving decades of enormous contributions to medical education and training in South Australia. Her many years of stewardship of the basic physician training program at the Royal Adelaide Hospital has led to levels of success that are envied around the nation. She has had major other roles including overseeing intern and pre-vocational training at the hospital, leading the accreditation committee of SAMET for many years and contributing to undergraduate teaching at the University of Adelaide.

The RACP South Australian Regional Office asked her to recap her long career.

My career as a physician commenced what seems a long time ago in 1987 when I joined the Royal Adelaide Hospital and the Queen Elizabeth Hospital as an Endocrinologist after completing my training in Adelaide and Boston.

I then spent a year working as a general physician at the Sarawak General Hospital in Kuching in 1988 - a fascinating and educational year where I learnt much in terms of the variety in clinical medicine.

In late 1990 I joined the RAH full-time continuing with endocrinology but also taking up general medicine in the then Professorial Medicine Unit with some sessions in Postgraduate Education. In 1992 the postgraduate education role evolved and I took over as Director of Physician Training looking after the physician training program as well as the other educational activities such as medical grand rounds and the annual Nimmo professor visits.

When intern training become formalised under the then version of SAMET (Council for Early Postgraduate Training in SA) I was asked to assume the role of Director of Clinical Training as well. My position was reconfigured so that I undertook half my time in Endocrinology and half as Director of Postgraduate Education which included both the roles supervising physician trainees and interns as well as other postgraduate education activities. Additionally, within the Endocrine Department I assumed the role of Director of Diabetes Services.

I have really enjoyed my time at the RAH – the collegiality and friendships I have formed and the many trainees who have come through the programs have provided such joy and stimulation that would be hard to match in many careers. I have also had the privilege to work closely with the medical program of the University of Adelaide and with the national education committees of the RACP.

What is the most rewarding aspect of your role?
Both aspects of my work have their own rewards. Recently saying goodbye to patients whom I have looked after for nearly 30 years in the diabetes and endocrine clinics has made me realise how lucky I have been to get to know many of them. It has been wonderful to see them coming to clinic and talking of their aspirations, their new jobs, their marriages, the birth of their children, to share a little of their happy times and to give them help and encouragement when things were not so good. 

The interns and trainees who have come through the RAH have been a great bunch of enthusiastic and committed young people whose commitment and dedication has been a very great pleasure to witness. They all work so hard, study hard and yet keep their sense of humour and enjoyment of life – I think South Australia is lucky to have them.

What does a typical day at work look like to you?
Throughout the year the one constant is the outpatient clinics which occur several times each week. Another constant is the meetings, which mostly pertain to education, but also other matters that are strewn over the week as so many raisins in a fruit bun. A number of these I chair so are hard to escape from.

Otherwise the days vary – when on ward service I have ward rounds several times during the week. This involves not only our own in-patients but because endocrinology is a consultative specialty, seeing patients all over the hospital in other units. I thoroughly enjoy this aspect of my work, not only for the clinical challenges but also bumping into colleagues in other departments and stopping for brief chats.

The educational year is full of activities – from welcome and orientation of new interns and trainees, teaching sessions and face-to-face individual meetings a number of times during the year. These meetings are a great pleasure as they are opportunities to catch up with trainees at a personal level and get to know them better. 

How do you manage work/life balance
I find this a tricky question to answer as I believe that work is an integral part of life and not something separate from it. Medicine can be a very demanding taskmaster and the critical thing is to acquire the skill of turning off from work when one has left work

One key is to have passionate interest in other things that can capture one’s mind as much as medicine. I love reading and the arts (as a consumer only unfortunately – have very little talent in any practical aspect of it) and enjoy the theatre, music, dance etc. All are stimulating and enlivening after a busy day.

Are there any patient/trainees’ success stories that you can share?
There are many – hard to keep track of them all. Patients who have had diabetes for over 30 years and have no complications; many who have struggled over years but have finally reached acceptance of their conditions and living very well with them. Had large pituitary tumour and have been cured. Patients living adventurous lives in spite of their conditions.

Trainees all of whom have done so well that they are able to shine in their careers all over the world and have achieved chairs and high office in many places. Trainees who have struggled with the course yet have emerged triumphant in the end. The continuously successful pass rates we have had in the College exams is a true reflection of the hard work of the trainees and the enormous effort and contribution made by the physicians and Advanced Trainees in the hospital – we have been fortunate indeed in the commitment of the current physicians to the training of the future physicians in the state

With warm regards

Associate Professor Mitra Guha  MBBS FRACP FRCP
Director of Post-graduate Education

A farewell dinner will be hosted on Saturday, 26 October 2019. For further information, please refer to the upcoming events section of this newsletter.
 

Trainee Research Awards

Applications for this year’s Trainee Research Awards for Excellence are open until Saturday, 31 August 2019

The Trainee Research Awards provide a wonderful opportunity for trainees to present their research at a regional event. Trainees selected at each regional event will have the opportunity to present at RACP Congress 2020 in Melbourne.

Last year’s selected South Australian representative, Dr Jack Yu, presented on ‘Electronic medical records in a word document’ at the Research and Innovation Showcase at the recent RACP Congress 2019 in Auckland, New Zealand.

For more information please visit the Foundation webpage.
Submissions close Saturday, 31 August at 5pm AEST.
 

Join the South Australian Trainees’ Committee

The South Australian Trainees’ Committee seeks enthusiastic and motivated paediatric, adult medicine, rehabilitation, occupational medicine and public health trainees to join the South Australian Trainees’ Committee.

This is a fantastic opportunity to get involved with post-graduate medical education and College representation.

Meeting four times per year, the committee is responsible for addressing educational and wellbeing issues that affect trainees across the state. We organise several annual educational events for trainees and are always looking for new ways to support and assist trainees.

This is not a time-consuming commitment and is very manageable while you are preparing for exams. There is also the opportunity to extend your involvement at a national level on various working-groups and committees. No prior experience is required and we welcome applicants from all stages of training.

For further information about the role please visit the SA Trainee Committee EOI.
 

Participate in the new ethics online learning course

Ethics lies at the very heart of what it is to be a physician and is as relevant now as it was when first discussed two and a half thousand years ago. The ethics online learning resource focuses on the sorts of ethical issues that are a constant feature of health care, and it also addresses some of the ideas that underpin ethics, such as the relationship between ethics and the law and the difference between ethics and rights. 

The aims of this resource are to:

  • encourage discussion and broaden thinking about the main ethical issues facing physicians
  • encourage reflection on appropriate courses of action in situations that may be ethically challenging
  • challenge participants’ understanding of, and attitudes towards, ethics
  • model ethical practice
  • help participants reflect on their own and their profession’s ethical commitments.

Register today

Medical students are invited to apply for the John Snow scholarships for 2019

The Australasian Faculty of Public Health Medicine (AFPHM) is celebrating the 10th year of the John Snow scholarships. Applications are open until Monday, 30 September.These scholarships provide opportunities for medical students to increase their appreciation of public health medicine as a medical speciality and potential career path.

Nine scholarships are available each year, representing 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 this scholarship are available on the website. Please do not hesitate to contact the RACP Foundation for more information.
 

2019 MyCPD Framework: have you planned your CPD to meet the new requirements?

The new 2019 MyCPD Framework came into effect in January 2019. It changes the CPD activities you need to record to meet CPD requirements.

The framework is designed to help you prepare for future regulatory requirements to be introduced with the Medical Board of Australia’s Professional Performance Framework (PPF). The Medical Board launched the PPF in response to the final report from the Expert Advisory Group on re-validation.

The RACP’s simplified framework strengthens CPD by engaging Fellows in a range of CPD activities from three categories. CPD activities are required in at least two of the following categories:

  • educational activities
  • reviewing performance
  • measuring outcomes.

Activities in the educational activities category are worth one credit per hour. Activities under the reviewing performance and measuring outcomes categories are worth three credits per hour.

Your annual CPD requirement is still a minimum of 100 credits. Each category is capped at 60 credits. You do not need to record credits in all three categories.

You can continue to choose which CPD activities to complete as long as you can record a minimum of 14 hours of activities that review performance and/or measure outcomes.

Further details are available on the CPD webpage.

Resources are available to assist you with meeting the new requirements including:

The CPD Team are happy to answer your questions. If you need further information or advice, please contact them on 1300 697 227 or via email.

mycpd-framework-changes-600px
 
 

Pomegranate Health podcasts

Training in the Bush Podcast PicPomegranate Health is RACP’s award-winning podcast that explores compelling questions about the culture of medicine. Listen to the interesting discussions between clinicians, researchers and advocates on pertinent and thought-provoking topics. Each episode is developed with the guidance of RACP members, to inspire excellence in practice.

One of our newest episodes Training in the bush sees the podcast team visiting physicians based in Dubbo Base Hospital. The hospital services a catchment of 130,000 people spread across an area the size of Great Britain. Whilst the need in the area is high, Dubbo presents an example of strong clinical leadership and training across numerous specialties.

Past podcasts include:

Subscribe today to be among the first to find out about new episodes. Podcasts are available on Spotify, Apple Podcasts and any Android podcasting app.

Do you have an idea you want to discuss, or just want to give some feedback? Email us
  

Royal Adelaide Hospital moving from provisional to accredited status

In 2018, the Royal Adelaide received 12-month provisional accreditation from RACP. Some of the issues raised were related to the move to the new Royal Adelaide Hospital.

The responses to this were evaluated earlier this year, in April 2019. At this review, the following were confirmed:

  • the institution of consultant-led morning handover following night shifts,
  • the creation of a funded 0.2 FTE Deputy Director of Physician Education to support the numbers of Basic Trainees at the Royal Adelaide Hospital
  • ensured adequate outpatient or ambulatory care exposure for Basic Trainees.

Therefore, the Royal Adelaide Hospital has been accredited for five years, from December 2017 to February 2022, with re-accreditation scheduled for 2023.

Dr Liza Phillips MBBS (Hons), FRACP, PhD, MS (Epi)
Endocrinologist -  Royal Adelaide Hospital, Postdoctoral Research Fellow and Clinical Lecturer - University of Adelaide, Deputy Director Physician Education - SA Pathology
 

Australasian Chapter of Palliative Medicine

Prof Greg Crawford picThe Chapter of Palliative Medicine is an active and busy group of people. The Chapter sits within the Adult Medicine Division of RACP. The Chapter was created in 2000 with the granting of Foundation Fellowships and the development of a formal training program in palliative medicine. Specialty status was achieved in 2006. You can find out more about what we do through our recent communique.

The Chapter also has a Training Committee that oversees all palliative medicine advanced training in Australia and New Zealand, both adult and paediatric and both streams i.e. entry from basic physician training and laterally with a recognised Fellowship of specified Colleges.

The Committee commenced work to review its Evolve list of low-value clinical practices. The original list was written a number of years ago with an intended audience of non-palliative medicine specialists in mind. Since then, the focus for Evolve has shifted to be specialty-specific. Evolve is an initiative led by specialists at the RACP to drive high-value, high-quality care in Australia and New Zealand. 

One of the two newly developed recommendations asks palliative care specialists to limit routine use of anti-psychotic drugs to manage symptoms of delirium. This reflects current evidence that anti-psychotics are associated with increased symptoms and reduced survival in patients with mild-to-moderate severity delirium.

The second recommendation calls on physicians to target referrals to bereavement services at those family members and caregivers who are experiencing more complicated forms of grief. Evidence shows that most of the bereaved are resilient and there is no empirical basis for offering routine referrals to bereavement services to relatives of patients in palliative settings. Read more at the palliative medicine Evolve list.

One of our founding Fellows, Associate Professor Will Cains OAM was awarded the RACP College Medal for 2019 in Auckland recently. Will has provided a large and enduring contribution to the specialty of palliative medicine within RACP, Australia and internationally. He was an early pioneer who led the development of specialty recognition of palliative medicine within the College. He continued to support and nurture its development with commitments to training and advocacy within the College and other peak organisations in Queensland and Australia over decades.

The AChPM Committee has been developing a business case to pilot a spirituality training workshop, and work is underway to develop an online symptom management module. Our Advanced Trainees are already required to complete a module on pain management.

The Chapter is actively involved in advocacy and advice about opioid prescribing for palliative care patients. There is quite rightly attention about the use of prescription opioids in our community. We are concerned to ensure that safe and appropriate prescribing for people facing the end of their lives is not compromised by actions that might have unintended consequences for this group of people, as has already occurred in other countries

Professor Greg Crawford
President, Royal Australasian Chapter of Palliative Medicine
 

Frequently asked questions

What are the opening hours of the RACP SA/NT Office?
Monday to Friday, 9am to 5pm

Where is the SA/NT Office located?
Suite 7, Level 2, 257 Melbourne Street, North Adelaide SA 5006

How do I contact the SA/NT Office?
Contact the office via phone +61 8 8465 0970 or email racpnt@racp.edu.au
Contact Member Services via phone 1300 697 227 or email member.services@racp.edu.au

Where can I park at the SA/NT Office?
Two-hour street parking is available in Melbourne Street and all-day parking opposite the Old Lion Hotel (fee applies)

Meeting Room Bookings for South Australian Regional Office?
For all room bookings, please email us or phone +61 8 8465 0970.
 

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