Victoria - April 2021
Colleagues, I know how busy you all are, so I will be brief. Once again thank you to everyone for their work with COVID-19 last year – especially our junior doctors, and infectious diseases, general medicine, respiratory and geriatrics specialists. I would also like to thank our teams and the leaders in the Health Department and Government.
We are continuing with our webinar program this year. You're invited to the Advanced training opportunities in rural and regional centres webinar held on Saturday, 15 May and the webinar for OTPs on Saturday, 17 July. Later in the year, we may restart face-to-face meetings. To keep updated with webinars as they are scheduled, please read the RACP Events communication sent to you on the first Wednesday of each month, or visit the RACP events listing webpage.
I also encourage you to listen to the recordings of some of our recently-held events:
- A short history of medicine by Professor Michael Pain. Well, a two-hour history of medicine, but it's great if you want a quick tour.
- Climate change: What we can do – With presentations from Nick Talley, DHHS on what they are doing and the links with pandemics and bushfires.
- Updating our skills in psychiatry – Learn what the Royal Commission has recommended and how best to manage anxiety/depression, addictions, and psychiatric issues in the elderly.
A friendly reminder that all Fellows and trainees are able to access the College Learning Series, which follows the syllabus for the FRACP written exam and goes through major topics in each of the specialties. There is no charge for any of these programs and I encourage you to access them.
Kind regards,
Professor Judy Savige FRCP FRACP FRCPA PhD MSc Dip Mgmt
Victorian Regional Committee Chair
Thank you to everyone who participated in the 2020 consultation on the proposed common learning, teaching and assessment (LTA) programs for Advanced Training (AT). Your feedback was used to refine the programs and ensure they are robust and appropriate. The common LTA programs for Advanced Training have now been finalised.
The common LTA programs will establish a baseline for learning, teaching and assessment across all AT programs. As each specialty undertakes their program-specific curricula reviews, they will build on the common LTA programs to meet the needs of their specialty.
This year, in collaboration with Curriculum Advisory Group, we will continue to support the first six specialty groups to undertake the development process:
- Cardiology (Adult Medicine)
- Cardiology (Paediatrics & Child Health)
- Gastroenterology
- Geriatric Medicine
- Nephrology
- General Rehabilitation Medicine.
Find out more
It is now only two days until the start of RACP Congress 2021 and time is running out to secure your tickets to the face-to-face event in Melbourne. Over six cities, the entire event is being live streamed from various locations. Remember that when you purchase your face-to-face ticket for one of the six cities, you can also live stream the entire RACP Congress 2021 program. Online access to the RACP Congress 2021 sessions will be available exclusively to those who register, so do not miss the opportunity to hear from expert voices across a range of topics.
For those of you making the journey to Melbourne, join us for the VIC 2020 Trainee Research Award recipient presentations.
When you register for RACP Congress 2021, you will also have access to sessions such as:
- Remote retinal scanning: Transforming early detection outcomes
- Genetic discovery and translation in neuromuscular diseases
- Our digital health future, today
- Climate change in the Pacific
- Advancing Women in Healthcare
- Artificial intelligence: Ready or not here it comes
- Building a solution space for Indigenous health at the RACP: Transformations, challenges and opportunities.
Find out more
I have undertaken oncology training in the UK and Australia. I am currently working as a medical oncologist at Austin Health and completing post-doctoral studies with the Tumour Targeting Laboratory at Olivia Newton-John Cancer Research Institute. I am also a member of the RACP Victorian Regional Committee.
My interests are in the areas of brain tumours, head and neck cancers and genitourinary malignancies. My research is focused on the development and characterisation of novel anti-ErbB3 antibodies to combat cancer. I am passionate about patient-centred care with a particular interest in improving patient outcomes by a multidisciplinary approach integrating cutting edge research and open communication. As a RACP Victorian Regional Committee member, I am committed to promoting and enhancing high-quality care, strengthening research skills and access, and advocating best care in all areas of the state.
What is the most rewarding aspect of your role?
I consider myself extremely fortunate to be in a position that allows me to help and comfort others. My patients continue to surprise me every day. Their poise, strength, positivity, and gratitude in the face of adversity is phenomenal. I am delighted when I see the happy and satisfied faces of my patients. I feel my role fulfilled when my interventions allow them to live the life they desire with their loved ones.
What does a typical day at work look like for you?
I am working part-time as a medical oncologist at Olivia Newton-John Cancer and Wellness Centre, which is affiliated with Austin Health. After beating Melbourne traffic, I have a clinic on Monday morning to consult patients with primary brain tumours. We are lucky to have brain tumour support officers and a clinical nurse specialist attached to our clinic. Their expertise makes a remarkable difference in patients’ lives. We routinely discuss all our patients in the post clinic meeting to ensure all health needs are addressed. Afterwards, I spend time in the laboratory and plan my week’s work. This is usually followed by a medical oncology unit meeting.
During my lab days, I focus my skills on designing and interpreting experiments aimed at investigating ways to use anti-ErbB3 antibodies in the management of malignant conditions. Lab days have a different pace to clinical days. Much of my time is invested in optimising experiments using techniques such as western blotting, immunohistochemistry and flow cytometry analysis. Lab work has taught me that patience truly is a virtue.
What is it about your work that makes you want to get out of bed each morning?
I have a strong work ethic, which I have inherited from my father. I want to excel in my field and give my best to all my patients. With my research, I envision making a significant difference in the lives of people battling cancer. These factors drive my passion for my work and motivate me to get out of bed every morning.
How do you manage work-life-balance?
Keeping a work-life balance is challenging. There are invariably days when work will spill over into family time. I try to minimise those days. This requires a great deal of organisation. I avoid taking work worries to my home to ensure that ’at home‘ time is for my family and me.
I regularly go on holidays and spend quality time with my family. I try not to check emails when on vacation. I devote time to boost my physical, social, mental, spiritual health and well-being, and I surround myself with like-minded family and friends who understand the many challenges faced by physicians.
Are there any patient success stories that you can share?
One of my patients with primary brain tumours has just given birth to twins. This joyful news exhilarated all of us. This is only possible due to investing in world-class cancer facilities to treat brain tumours.
Dr Sunday Pam, a paediatrician based at Rockhampton Hospital, received a call from Rockhampton Zoo for the treatment of an unlikely patient. Below is Dr Pam’s account of treating the chimpanzee patient, Gandali.
I received a call on 1 December 2020 – it was the head of an allied health department, with an explanation that their request was ‘weird’. I was silent. “Are you still there? Pop your seat belt on” he said. “I have been asked by the Zoo Manager to get you to see a 10-month-old infant chimpanzee following possible severe injuries from a fall.” I could not laugh, cry, or even speak. My silence betrayed me. He continued, “Human doctors generally see them instead of veterinarians because they are closer to humans.” Reference was made to a local human subspecialist who sees the adult chimps. In this case, the local vets had been consulted and declined.
My mind went to ‘what about registration regulations?’ I was reassured that this was not an issue for the above reasons. I was asked for my number to give to the lovely zoo manager, a few minutes later she called. I was again reassured and now I was getting interested, but cautiously. I was invited to name my fee and to decide how I would be paid. I quickly declined and told her that it would be my contribution to the local zoo.
Having heard the story and the behaviour of the animal, I suspected an intracranial bleed and recommended a quick CT. This would need to be under general anaesthetic. The vets, doctor and nurse were willing to give the general anaesthetic but not make any decisions on the health of Gandali.
At 7pm, my recipe-style cooking was interrupted to head to the radiology outfit in town for the celebrity CT. On arrival, I had difficulty touching the animal due to fear of zoonoses. The pictures will show me standing far away from Gandali. My physical examination with gloved hands, was similar to what I would do for a child with the same history. It was based on symmetry to rule out lateralising signs. There were none, however, there were bruises on the head, ear, and arm on the same side. This reinforced my suspicion and confirmed my request for the CT.
The CT was preceded by celebrity pictures with the sick animal. Finally, Gandali was under general anaesthetic and the CT completed without further ado. The CT showed as normal, later confirmed by the radiologist. Again, my reading of the image was purely on principles of symmetry and appearance in the human child. I cleared my chimpanzee patient of severe intracranial bleed. Gandali returned to the zoo that night.
By the next morning, I had become a celebrity Chimp Paediatrician, that I had never trained for, with only the very basic principles of medicine delivered by me.
Dr Sunday Pam FRACP
Image one (at start of article): Dr Sunday Pam and Primate Keeper Blair Chamma and Gandli, Image two: Chimp Gandali in MRI, Image three: Chimp MRI, Image four: Chimp Gandali sedated.
Six years ago, my husband and I purchased a small property of just under two acres in Southwest Gippsland. It was to be a rural retreat on weekends, a place to relax and unwind in the country for ourselves and extended family. My husband had also semi-retired and was keen to pursue activities like woodworking and practising his billiards. The clincher for our place was the lovely views from the back deck with a creek running through the property, a solid shed big enough for a full-size billiard table and it was a little over an hour from home in Melbourne. Over the last six years we have come to really love our country cottage and the garden. We have had a lot of fun weekends with family and friends and learnt a lot about life in regional Victoria.
Before we bought our country place, I was not a gardener. Gardening was low down my priority list well behind family, work as an occupational physician and spending time with friends. However, with the happy opportunity of more time and a place to garden in a beautiful environment, I have developed a passion for gardening.
Gippsland is gloriously green most of the year with wonderful rich clay soil and good rainfall compared to other areas of Victoria. When we bought the property, it had an-established orchard, a few flower beds, and a vegetable patch next to an old chook shed. Over the last few years, we have developed more garden beds, built wicking beds for the vegetables, and added a few more fruit trees. Our garlic harvest in December last year was pretty good, and I am gradually learning how to propagate and prune plants for our garden beds.
The health benefits of spending time in the garden are well known, either just being in the garden amongst plants and wildlife or actively working in the garden. I have always had a love of learning and am enjoying the challenge of understanding soil, plant growth, garden design, climate and the environment including its wildlife.
We are fortunate that the creek at the bottom of our property fed by a natural spring provides a constant source of water for the garden. However, we are dependent on pumps to get it up the hill to the tank and hoses. Which leads me onto another great aspect of country living, the generosity of its people and their community spirit.
We have some lovely neighbours who early on gently guided us through the essentials of managing a rural property. The first time the water pump broke down, our 80-year-old neighbour spotted me looking confused holding an empty hose and came over to help. Ray traced the problem back to the pump and said, “you’ll need Frank to fix that” and provided his number. Frank and I have since become mates. He is a man of few words who arrives in his ute at all hours of the day or night, to fix your pump. He is quick to help and slow to send us a bill, an attribute not uncommon in the country. Two years ago, a large bushfire in the Bunyip state park put us on our first Watch and Act alert. Our neighbours were immensely helpful checking in on us and providing practical advice and reassurance – they had seen it all before.
Another thing we have learnt about living on a country property is that you need quite a few tools and a bit of machinery, like chain saws, ride on mowers and various battery powered pruning tools. This was an area where I could apply my occupational medicine skills to assess and manage the risks of working in the garden. We are well decked out in personal protective equipment, first aid and snake bite kits, and have read the instructional safety manuals.
However, recently I came across a hazard that I was completely unprepared for and had an injury that landed me in hospital for two nights. In occupational medicine jargon I had a lost time injury and the boss (i.e. me) was not happy that I had not assessed and managed the risks adequately. Whilst pulling out weeds wearing gardening gloves, I was suddenly stung on the left middle finger by an Australian Jumping Jack Ant that stormed out of its burrow aggrieved by my intrusion. I had previously been stung twice by ants without any significant consequence. However, on this occasion 12 hours later I developed an allergic reaction with marked swelling of my hand and arm well beyond the scope of physician heal thy self.
During my time in emergency in a role reversal, answering questions about my injury rather than asking them, I had opportunity to reflect on how patients interpret our questions and how I might improve my history taking to ensure that I fully understand my patient’s history and the impact of their injuries. I was very well cared for by my medical colleagues and have a new respect for the six-legged wildlife in my garden, and new gardening gloves.
Whilst again pulling weeds last week, I pondered how gardening and medicine have quite a bit in common - both require a thorough understanding of the science and at times you need to think creatively when applying the science - the art of medicine and the art of gardening. I also wondered if my time in hospital could count as a CPD activity, given the event contributed to my occupational medicine knowledge and changed my history taking practice.
Dr Andrea James, AFOEM
Image three: Myrmecia pilosula, courtesy of the Australian Society of Clinical Immunology and Allergy
Congratulations to the Fellows from Victoria who have been awarded RACP Foundation Research Awards for 2021.
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Award
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Recipient
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Institutuion
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Project
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The Robert Maple-Brown Research Establishment Fellowship
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Dr Surein Arulananda
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Dana-Farber Cancer Institute (USA)
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Therapeutic exploitation of minimal residual disease in EGFR-mutant non-small-cell lung cancer
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Fellows Research Establishment Fellowship
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Dr Ada Cheung
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The University of Melbourne - Department of Medicine / Austin Health
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Safety of transdermal estradiol in transgender women during surgery - a randomised double-blind placebo controlled trial.
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RACP Fellows Career Development Fellowship
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Prof Barbora de Courten
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Monash University
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Effect of carnosine on walking endurance in patients with type 2 diabetes and peripheral vascular disease
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RACP Research Establishment Fellowship
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Dr Edward Mark Giles
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Monash University / Hudson Institute for Medical Research
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Interferon epsilon as a novel epithelial regulator of host-bacterial interaction in homeostasis, infection and inflammation
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The Robert Maple-Brown Research Establishment Fellowship
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Dr Rimma Goldberg
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Monash University
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Cell based regenerative therapy for inflammatory bowel disease
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RACP Research Establishment Fellowship
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Dr Yet Hong Khor
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Institute for Breathing and Sleep, Austin Health
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Interstitial lung disease: Towards improving disease burden management for better patient outcomes
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Jacquot Research Entry Scholarship
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Dr Prasanti Kotagiri
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Cambridge University (UK)
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A biomarker and pathway discovery program in autoimmune renal diseases
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RACP Fellows Research Entry Scholarship
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Dr Joanna Lawrence
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UNSW / Royal Children's Hospital
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Hospital sustainability: Improving value of care
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Aotearoa New Zealand Fellows Research Entry Scholarship
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Dr Michael Kuan-Ching Lee
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University of Melbourne / Peter MacCallum Cancer Centre
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Targeting RNA processing in pancreatic cancer
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RACP Research Establishment Fellowship
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Dr Kylee Hannah Maclachlan
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Memorial Sloan Kettering Cancer Center (USA)
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Defining genomic instability in multiple myeloma
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Diabetes Australia Research Establishment Fellowship
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Dr Anthony James Pease
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Monash University
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Towards optimal implementation and use of diabetes management technologies for people living with type 1 diabetes
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Bayer Australia Medical Research Establishment Fellowship
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Dr Aparna Dodla Rao
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University of Melbourne / Peter MacCallum Cancer Centre
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Identifying novel metabolic biomarkers and therapeutic targets in patients with melanoma
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RACP/Foundation for High Blood Pressure Research Establishment Fellowship
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Dr Hariharan Sugumar
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Baker IDI / Alfred Health
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A randomised controlled study of ablation compared with optimal medical therapy for paroxysmal atrial fibrillation in heart failure with preserved ejection fraction (HFpEF)
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Vincent Fairfax Family Foundation Research Entry Scholarship
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Dr Hari Wimaleswaran
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Institute for Breathing and Sleep / Austin Health
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Acute and accelerated silicosis: identification of disease biomarkers and potential therapeutic targets
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Jacquot Research Establishment Fellowship
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Dr Limy Wong
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Monash University, Eastern Health Clinical School
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The basis and mechanisms of sarcopaenia in chronic kidney disease
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RACP AFRM Research Development Scholarship
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Dr Jamie Young
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Peter MacCallum Cancer Centre
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Long-term effects of a multidisciplinary program in a cancer survivor population
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The Foundation would like to express its appreciation to the Grants Advisory Committee as well as other Fellows whose generous contribution of time and expertise have made the review process for these awards possible.
Applications for the 2022 funding round will open on Monday, 3 May 2021. Upwards of 50 awards up to a total value of $2.5M are available across the different categories:
Applications for the following other award categories will open Tuesday, 1 June 2021:
AChPM Award for Outstanding Contribution to the Discipline of Palliative Medicine
Nominate a Fellow for their outstanding contribution to Palliative Medicine. The award includes a cash prize of $500 and a certificate formally presented at the ANZSPM Conference in September 2021. Please see the website for further details. Nominations close 30 June 2021.
AChSHM Jan Edwards Prize
The Jan Edwards Prize is awarded for the best research-based abstract oral presentation by a registered AChSHM trainee. The prize includes $500 and a certificate. For further details and to apply please visit the website. Applications close 31 May 2021.
We're busy planning various webinars for Autumn and Winter and encourage you to register. You can also access past events and webinars recordings.
Australian Digital Health Agency and Avant Mutual webinar
You're invited to our webinar held on Saturday, 29 May from 10am to 12pm. Data, technology, and medical indemnity insurance in healthcare is more important than ever before. Learn all about these incredibly relevant topics at this interactive webinar.
Register now
Overseas trained specialists and the Australian healthcare system
Held on Saturday, 17 July from 10am to 12pm. if you are an overseas specialist, this webinar is for you. You'll gain access to vital information about the Australian healthcare system.
Register now
Practical Skills for Supervisors incorporates the overarching themes of developing trainee expertise and using coaching techniques to improve feedback practice.
This workshop focuses on delivering feedback using two frameworks, the GROW model and the four areas of feedback. By using these models, supervisors can facilitate change and growth in trainees towards expert performance.
Learning objectives are to develop a culture for learning, provide feedback and improve performance and deliver feedback in challenging situations.
SPDP 1:
- Wednesday, 7 April 2021, 2.30pm to 5.30pm: face-to-face
- Thursday, 8 April 2021,1pm to 4pm: via Zoom
- Thursday, 6 May 2021, 9am to 12pm: via Zoom
- Wednesday, 5 May, 6pm to 9pm: Face-to-face
SPDP 2:
- Thursday, 8 April 2021, 9am to 12pm: via Zoom
- Tuesday, 11 May 2021, 9am to 12pm: via Zoom
- Tuesday, 15 June 2021, 9am to 12pm: via Zoom
SPDP 3:
- Wednesday, 14 April 2021, 1pm to 4pm: via Zoom
- Wednesday, 21 April 2021, 1pm to 4pm: via Zoom
- Thursday, 29 April 2021, 9am to 12pm: via Zoom
- Tuesday, 18 May 2021, 3pm to 6pm: via Zoom
- Tuesday, 25 May 2021. 2pm to 5pm: via Zoom
Register now
We’re hosting more online events than ever before, so have introduced a condensed monthly events digest. The first one was sent to you on 7 April, but you can also read it online.
This monthly communication will be sent to you on the first Wednesday of each month, to provide you with an opportunity to virtually attend events from all over Australia and Aotearoa New Zealand. We hope this makes your life that little bit easier and we look forward to seeing you at our next event.
Read the April events digest
Online reporting systems for medical conditions and disabilities impacting fitness to drive and licensing are now established in two states – New South Wales and Victoria. These systems connect examining health professionals directly with the driver licensing authorities, with the aim of streamlining the reporting process to support timely decision making about driver licensing and improved management of ongoing medical reviews.
The Victorian Online Medical Report (OMR) was launched in October 2020, and already accounts for over 50 per cent of reports submitted to VicRoads, reflecting the readiness among health professionals to secure a more real-time and systematic process. The high adoption rate of the online form to date highlights the benefits for health professionals and drivers.
Personalised homepage supports management of fitness to drive
The Victorian OMR is accessible via the VicRoads webpage and enables each health professional to establish a unique user homepage through which they can enter, manage and submit fitness to drive reports. Draft reports can be saved while awaiting further information and completed reports can be accessed for two years. Reports can be created in pdf form and saved to patient files or shared (with patient consent) to support multidisciplinary care.
Patient/driver identifiers connect you with previous assessment outcomes and licensing decisions
Within the VicRoads system, each driver is identified by their licence and case numbers (corresponding with the current review process). This means that some existing information can be pre-populated within the electronic form, saving time and supporting information accuracy. Drivers receiving a request for a fitness to drive assessment from VicRoads will present with a letter detailing these identifiers.
A ‘smart’ form that links to the assessing fitness to drive national standards
The VicRoads system makes the most of ‘smart’ technology to step the user through the main medical conditions impacting fitness to drive and link directly to the licensing criteria contained in the national standards on the Austroads website. This can mean a significant time saving as well as supporting a thorough assessment and consist decision-making.
Certainty of report submission
The ability for the health practitioner to directly submit fitness to drive reports electronically to VicRoads helps to overcome issues such as failure of patients to submit the report to VicRoads and other transmission failures, such as those that may be associated with faxed or mailed reports. The system is reassuring for patients as well, as it provides confirmation through a system-generated reference number that their medical report has been received by VicRoads. The health practitioner should provide their patient with this reference number, and/or a copy of the report generated by the system, as it is the individual patient/driver’s responsibility to ensure that their report has been received by VicRoads.
Questions of consent
Electronic submission of a fitness to drive report brings us to consider questions of consent, as previously, the patient/driver would have likely submitted the report to VicRoads themselves. For patients already subject to medical review, the request for a medical report is directed to the driver in writing via the mail and includes the license and case numbers (as described above). In providing this letter to the examining health professional, consent to submit the report to VicRoads is implied and no additional consent process is required, although it is advisable to explain the system to a patient involved in this process for the first time.
In cases where the OMR is used to make a first notification of a medical condition that may impact fitness to drive, consent is not implied. However, the system does facilitate the consent process by asking “Is the patient aware of this assessment?”. The examining health professional can also include additional notes in the report about the consent process.
There may be situations where the examining health professional is submitting a report without the patients’ consent, in circumstances where they hold significant concerns about driver and public safety. In such cases, the health professional would answer “no” to the question “Is the patient aware of this assessment?”. The health practitioner may also add comments saying “This is a confidential report” or similar wording, in the additional comments at the end of the OMR Assessment section if they wish.
As an alternative, to make a first notification, the health professional can also send VicRoads an email outlining the patients details and their concerns about their patients’ health and driving. Health professionals who make a confidential notification in good faith are protected from legal action, and VicRoads will not share their identity without their consent (unless it is required by law).
Find out more about the new VicRoads online medical report - watch this short video and go to the VicRoads website. VicRoads welcomes feedback about the Online Medical Report via email.
Serge Zandegu
Driver Licensing Services Manager, VicRoads - Registration and Licensing Services
Approved by Department of Transport 220321
Online course: Physician wellbeing in challenging times
Physicians often fail to put on their own oxygen masks when dealing with the challenges and stresses that come with practising during a pandemic. This online course explores in-depth how to better support your own wellbeing, as well as the wellbeing of your staff and colleagues through compassionate leadership. The course covers concepts, strategies, and tools to help you mitigate the impact, set healthy boundaries, prevent burnout, and build support networks during a crisis.
Enrol now
Fellows and trainees of all specialties are invited to enrol in this new Qstream course, which has a mid-May start. The course is designed to provide practical strategies to help you enhance your teaching skills and effectively balance teaching with a busy workload.
You'll access in-depth case studies with questions that are sent directly to your inbox at spaced intervals over a three-week period. Each question takes just ten minutes to complete, and participants are encouraged to discuss the case studies and share opinions with others through secure, online discussion forums.
The course is designed to enhance your knowledge in adult learning, provide practical strategies to incorporate effective teaching skills into day-to-day settings, and encourage self-reflection and peer discussion.
Enrol now
This is the third and final part of the series on gendered medicine. We step back and look at the way that health care and research are funded. It’s been said that the health needs of women are undervalued by our existing fee-for-service model, down to individual item numbers in the Medicare Benefits Schedule. There’s also evidence that diseases predominantly experienced by female patients receive less research investment. Is this blatant sexism or a symptom of structural imbalance, and what do we do about it?
Guest
Dr Zoe Wainer BMBS, PhD, MPH (Director of Clinical Governance, BUPA)
Listen now
Expressions of Interest are still open for Fellows in the Adult Medicine and Paediatric & Child Health Divisions to join our team of accreditors. As an accreditor, you play a vital role in ensuring the delivery of high-quality workplace training. Your contribution to accreditation can also count towards your annual CPD credits.
Please submit an Expression of Interest (EOI) form by Wednesday, 30 June to accreditation@racp.edu.au.
What are the opening hours of the RACP Victorian Regional Office?
Victorian staff currently work from home due to COVID-19 measures. Normal business hours, Monday to Friday from 9am to 5pm, remain unchanged.
Where is the RACP Victorian Regional Office located?
The RACP Victorian Regional Office is currently closed to members and staff are currently working from home. However, the address is: Level 2, 417 St Kilda Road, Melbourne VIC
What is the contact number for the Victorian Regional Office?
You can reach our office on (03) 9927 7700 or Member Services on 1300 697 227.
Where can I park at the Victorian Regional Office?
Off street parking is available off St Kilda Road and all-day parking is available under 417 St Kilda Road (fees apply).
How do I book a meeting?
Although the office is currently closed due to COVID-19, we can assist you with booking virtual meetings. Please email us or call (03) 9927 7700 racpvic@racp.edu.au