Tasmania — November 2018

A message from your Tasmanian Regional Committee Chair

Hello everybody. Firstly, let me introduce myself I am Dr Rajesh Raj your new Chairperson of the RACP Dr Rajesh Raj Tasmanian Regional Committee. I am very honoured to have the position and look forward to continuing the great work of the Committee from the previous term. 

The 2018 RACP Tasmanian Conference was held in Burnie on Friday, 2 November and was a great success. Please see the article below for more information on what was a very educational event for members, and a great opportunity to network with colleagues and celebrate the great work of our members.

This edition of the eBulletin also includes information on the winner of the RACP Tasmanian Research Award, and information on the upcoming New Fellow and Advanced Trainee Forum. This edition’s ‘Tasmanian Spotlight’ section features an article on Dr Anagha Jayakar and services in community paediatrics. If you have a service or member you would like to nominate to be the feature for the Tasmanian spotlight section, or any other content to contribute please let us know.

As this is the last edition of our newsletter for 2018 I would like to take this opportunity, even though very early, to wish all our Tasmanian members and their families a happy and prosperous holiday season and New Year. 

Dr Rajesh Raj MD,DM (Nephrology), MBA, MRCP (UK), FRACP, Grad Cert (Palliative Care)
Chair, Tasmanian Regional Committee

Tasmanian spotlight — focus on members and services 

Tasmania's first Community Paediatrician Dr Anagha Jayakar presented at the RACP Tasmanian Dr Anagha Jayakar Conference. Here she shares her experiences with you.

It has been an absolute privilege to work as the first Community Paediatrician in Tasmania from January 2011. The community paediatric team includes me and three Advanced Trainee Community Paediatric registrars. We are actively supported by our Child Safety Liaison Officer Alice Clifford, as well as our paediatricians, nurses and admin staff in the outreach clinics, development and behaviour clinics, the Providers of Sexual Assault Care (PSAC) service, the teaching program and multidisciplinary meetings.  I would like to share my thoughts and experiences of the incredible journey so far.

In 2011 The HEARTS Project aimed to improve outcomes for children in out of home care (OOHC). The acronym stood for health, education, activities, records, tracking and supports. HEARTS helped with setting up a clinic, data linkages, research in OOHC and established ongoing links with the Child Safety Service.  
Community Paeds team- Tas

In 2012 Community Paediatric Outreach clinics enabled us to see children and families near their homes. Clinic attendance improved and improved links with the community organisations were developed. We now have outreach clinics in Bridgewater, Geeveston, Sorrel and Clarence.

In 2013 we focused on developing a paediatric sexual abuse care 24-hour service and peer review meetings. We have a 24 hour on-call roster and cases referred in the previous month are discussed in our monthly multidisciplinary meetings attended by Police, child safety, sexual assault support and forensic services. The peer review process and interagency collaboration has been an incredible learning experience for all.

Pictured: The Community Paediatrics Team in Tasmania.

In 2014 the TAS Child Safety Network was formed with a vision to facilitate change to prevent child abuse and neglect in Tasmania and to share information about best practice in this field. To date, we have had workshops focusing on the following topics: protective behaviours, problematic sexualised behaviours, impact of family violence on children and their developing brains, non-violent communication and sleep.

In 2015 we launched our Community Paediatrics Advanced Trainee Teaching Program. It includes a weekly teaching schedule for Advanced Trainees on child protection, development and behaviour related topics. Via videoconferencing, the schedule is offered to all community paediatric and Advanced Trainees in the state.

In 2016 we began to hold monthly complex behaviour and multidisciplinary meetings. In each meeting we discuss four complex cases. The meetings are attended by appropriate school staff, child safety, child psychiatry, early intervention, police, community paediatrics teams and other professionals. The meetings allow us to share understanding and develop a therapeutic plan for the children discussed.

In 2017 we focused on setting up a Development and Behaviour Assessments Training Clinic. Assessments undertaken include Griffiths and the Autism Diagnostic Observation Schedule (ADOS).

This year we have focused on interstate collaborations and set up the Tasmanian Gender Service and Fetal Alcohol Spectrum Disorder (FASD) assessment workshops. The Tasmanian Gender Service was set in collaboration with the Child and Adolescent Mental Health Service (CAMHS) where children with gender dysphoria are managed as needed. We sought guidance from the Royal Children's Hospital (RCH) Gender Clinic.

FASD assessment workshops and referral pathways are being developed by the community paediatric team in collaboration with FASD Tasmania and Patches – Western Australia.

Moving forward, we are looking at setting up a community paediatric website next year and also getting support for community paediatrics up and running in the rest of the state. The journey goes on.

RACP Tasmanian Conference a great success

The 2018 Tasmanian Physicians Conference was held on Friday, 2 November 2018 at the North West Cancer Centre in Burnie with a great turn out of members from across the State. Dr Jo Burnand provided a wonderful presentation on ‘Trainee in difficulty’ providing insights from both a supervisors and trainee perspective

The day kicked off with presenters from the north and north-west areas showcasing local work on services and research in renal support and lung disease. Later in the morning attendees listened to informative presentations on community paediatrics and assisting trainees in difficulty.

Pictured: Dr Jo Burnand delivering a wonderful ‘Trainee in difficulty’ presentation, providing insights from both a supervisors and trainee perspective.

The highly competitive RACP Tasmanian Trainee Research Awards were held in the afternoon. Presentations and submissions  were of a very high quality. The day session concluded with a presentation and lively discussion on the impacts of e-health in Tasmania.

The evening session saw a chance for members to network before participating in the Supervisor Dr Ray Russo facilitated the SPDP Workshop 2 for the evening session Professional Development Program (SPDP) Workshop 2 on teaching and learning in healthcare settings which featured a sit down dinner for participants.

The RACP conference was a great success and those who attended gave great feedback. All Tasmanian members are encouraged to keep an eye out in future editions of this eBulletin for information about the 2019 conference.

Pictured: Dr Ray Russo facilitating the SPDP Workshop 2.

Advocacy efforts ongoing

Your Tasmanian Regional Committee enables positive interactions and liaison points with health-related organisations and regulators to support initiatives that improve health outcomes for local communities. The Committee has been very active in 2018 in a number of areas.

Over the last couple of years the Committee has been advocating for health services for vulnerable populations, particularly those with intellectual disability. In 2019 the Committee is looking towards advocating for vulnerable populations with chronic pain.

The Committee also produced an Election statement ahead of the 2018 Tasmanian State Election. It was distributed to leaders of the major parties and received written responses in the days leading up to the election from Liberal and Labor Party leaders. The Premier’s letter and Opposition Leader’s letter are on our website. Following the election in June, a Committee representative met with the Shadow Minister of Health, Ms Sarah Lovell MLC, to discuss the Election Statement and the health needs in Tasmania.

The College, through the Tasmanian Committee, is often canvassed to provide local feedback or opinion on a number of topics. Three examples in 2018 were: accessibility and the quality of mental health services in rural and remote Australia, raising the age of criminal responsibility and reforms for alcohol and drugs services in Tasmania.

Top honour for Dr Michael Thompson

Tasmanian Dr Michael Thompson is the regional Trainee Research Awards winner who will represent theDr Michael Thompson receiving his winners certificate and letter from conference MC Dr Evelyn Bowles-Funk state at RACP Congress 2019 in Auckland, New Zealand. 

The Tasmanian RACP Trainee Research Awards were held on Friday, 2 November at the RACP Tasmanian Conference. Four finalists presented. After extensive deliberation by our judging panel, Dr Michael Thompson was judged the winner in the field of Adult Medicine for his abstract titled: Untreated parental multiple endocrine neoplasia type 1 increases offspring childhood mortality, but does not adversely impact fertility in a multigenerational cohort.  Dr Thompson receives return flights, registration and three days accommodation to showcase his research at RACP Congress 2019.

We thank all  trainees who submitted abstracts and presented. The topics were all of great standard and were very well received by the large audience. Thank you also to our judging panel – Associate Professor Robyn Wallace, Dr Barry Gilbert and Dr Rajesh Raj.

The annual RACP Trainee Research Awards identifies and acknowledges the best trainee research presentations in each state and territory. The awards are funded from donations received from members.  Representatives from all of the various Australian states are selected to attend RACP Congress 2019 following local competitions.

Pictured: Dr Michael Thompson receiving his winners certificate and letter from conference MC Dr Evelyn Bowles-Funk.

Your Trainees' Committee — Victorian Tasmanian Trainees’ Committee (VTTC)

The VTTC is a forum for all Victorian and Tasmanian trainees that advocates at the state and national levels in a number of domains. These include training, assessment, education, promoting research, professional development and workforce. It also advocates for trainee wellbeing and provides an unbiased forum for trainees to raise their issues and concerns.

If you would like to speak to one of our committee members directly please view the current membership list and contact details. Alternatively, you can bring anything to the attention of the committee by emailing racpvic@racp.edu.au

Are you a New Fellow or Advanced Trainee approaching Fellowship?

Our free upcoming New Fellow and Advanced Trainee Forum will assist you with the transition from being a Trainee into Fellowship. It will be held online for Tasmanian members on Saturday, 24 November, or in-person at the RACP Victorian office. 

Presenters are still being finalised, but topics to be explored include:

  • Private practice and maintaining hospital links
  • Should I do a PHD?
  • Medical legal aspects
  • Finance for the physician
  • Physicia and trainee wellbeing
  • Managing the transition from trainee to Fellow

A workshop on cultivating self-awareness is included and participants will be provided with materials to support their journey into Fellowship. This session begins at 9am and finishes at 2.30pm. 

More information can be found on the event page. To register your interest email tas@racp.edu.au.

Explore discounted dining and attraction offers near you

To save on dining, leisure activities and entertainment benefits, use the benefits map on your RACP benefits website. Once you are logged in, simply click “Benefits Near Me” to bring up a range of offers and venues available around your location. Member Advantage

Traveling somewhere? Move the map to your destination to discover the local offers. Then click on Redeem to access your discounts on the chosen benefits or to bring up the digital benefits card and apply your discount when you are at the venue.

For more information, visit your RACP Member Advantage website or call 1300 853 352.

*Terms and conditions apply.

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