Surgical News April 2013
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Surgicalthe royaL austraLasian CoNewsLLege of surgeons april 2013 Includes Post Op 12 page Lifestyle section The College of Surgeons of Australia and New Zealand UCK -A L A C N S D A to Auckland 2013 WelcomeConvenors have an exciting program in store for the 2013 ASC postautumn Lifestyle op 12page lifestyle section 12 page Autumn lifestyle Cycling through post op appears in Surgical section News loves to ride each c ntents The Tasmanian surgeon who season inside Europe UCK -A L A C 10 Annual Scientific N S D Congress 2013 A See you in Auckland 2013 16 Indigenous Health at the ASC The Inaugural Indigenous Health Forum 18 ASC 2013 More on the program 20 Library Report New resources for members 22 International 10 Development REGULAR PAGES Success in Timor-Leste 6 Relationships & Advocacy 22 13 Dr BB G-loved 25 Flexible Training 14 Poison’d Chalice Dr Pancha on part-time 31 PD Workshops training 39 Curmudgeon’s Corner 44 Book Club 26 Drawing for Surgeons Kellee Slater and a rewarding course 20 32 Successful Scholar Anand Segar’s Foundation for Surgery scholarship 34 Regional Awards Congratulations on your achievements Correspondence to Surgical News should be sent to: [email protected] Letters to the Editor should be sent to: [email protected] Or The Editor, Surgical News, Royal Australasian College of Surgeons, College of Surgeons Gardens. 250-290 Spring Street, East Melbourne, Victoria 3002 T: +61 3 9249 1200 F: +61 9249 1219 W: www.surgeons.org ISSN1443-9603 (Print) ISSN 1443-9565 (Online) Surgical News Editor: David Hillis / © 2013 Royal Australasian College of Surgeons / All copyright is reserved. The editor reserves the rights to change material submitted / The College privacy policy and disclaimer apply – www.surgeons.org The College and the publisher are not responsible for errors or consequences from reliance on information in this publication. Statements represent ON THE COVER: the views of the author and not necessarily the College. Information is not intended to be advice or relied on in any particular circumstance. See you in Auckland! Advertisements and products advertised are not endorsed by the College. The advertiser takes all responsibility for representations and claims. Pic by Keiran Scott Published for the Royal Australasian College of Surgeons by RL Media Pty Ltd. ACN 081 735 891, ABN 44081 735 891of 129 Bouverie St, Carlton. Vic 3053. Courtesy New Zealand Tourism Surgical News April 2013 / PAGE 3 The Royal Australasian College of Surgeons A particularly valuable presentation was provided by Professor Phil Carson from Darwin Hospital. He undertakes seeks a GENERAL his professional practice in the midst of two large networks of colleagues. SURGEON to work in The first is as a general surgeon where he is linked either by mentoring or tele/video conferencing with many sub-specialty Timor Leste (East Timor) surgeons around Australia who provide direct support for the more difficult or technically challenging clinical situations. As he President’s stated so clearly, the best time via air-ambulance to an operating Perspective theatre in a major hospital in another region is 14 hours. Are you up for the His other network is the very large group of medical challenge? practitioners – non-surgeons – who undertake surgical [ ] procedures throughout the Northern Territory who rely equally on access to Phil and his colleagues to be able to provide the care that is required for the patients they If you are: are treating. It was an incredibly powerful, yet pragmatic • A formally qualified and registered general presentation. surgeon with a FRACS (or similar qualification) Culture eats strategy for breakfast It was not surprising that he was asked, “How would • Keen and experienced to teach junior medical you replicate your model in…” The response highlighted staff he College maintains important partnership those interpersonal and support in the workplace issues. We • Passionate about assisting in the development of arrangements with the RACP and the Canadian all know places where collaboration, communication and a surgical service College of Physicians and Surgeons. In mid-March teamwork would produce vastly improved services and a • Sensitive and adaptable to cultural differences T • Available for deployment in late 2013 for at least we held a number of workshops on issues like CPD and much more rewarding professional practice. revalidation, work-based assessment and clinical decision It was after Phil tried to explain the key interpersonal issues 12 months making in conjunction with an open one day seminar for success that the facilitator echoed the comment made … then we would love to hear from you! on ‘Serving the Community: Training Generalists and famous by Peter Drucker: “Culture eats strategy for breakfast”. ACTIVITIES I had heard the remark before – I think we all have. However, Extending Specialists’. The Faculty of Medicine and Health Sciences of the it does not just relate to management gurus or the Ford Motor This follows on our highly successful seminar last year National University of Timor Leste has started delivering Company where this saying was a clear motto to turn the about ‘The Medical Professional in the 21st Century: an 18-month Post Graduate (PG) Diploma course in five company around. Competent, Fit and Safe’ and again was successful in streams: Surgery (including Orthopaedics), Anaesthesia, bringing key educational and regulatory decision makers It has recently been used in the wake of the Staffordshire Obstetrics, Paediatrics and Internal Medicine. RACS is an from Australia, New Zealand and Canada to discuss the review within the NHS as they come to grips with how a important implementing partner funded by AusAID. An important issues that will be impacting on surgeons in the culture of compassion, caring and consideration (to which all experienced and passionate General Surgeon is required very near future. health-care staff would surely aspire) was replaced by one of to join the Timor Leste Program. Generalism and Specialisation are key strategic issues callous disregard, fear and disinterest. And here it was again – Your role has two main aims; you will mentor and teach for our College and affect all branches of surgery. They can not in the motor car industry or in the NHS, but applying to be considered from different perspectives, the individual hospitals that people in the audience knew so well – too well. junior doctors enrolled in the PG Diploma in Surgery surgeon, the professional organisation and also the views of So how do we change culture? Generalism is one aspect of together with national and other international faculty the community, government and its jurisdictions, and our the “culture” the community expects us to espouse and aspire members; and you will also contribute to the development employers. to, and our response to this challenge is one way in which the of an appropriate and sustainable surgical service together The latter stakeholders in particular are keen to promote But it is not only our recognised specialties where there community will judge us. How do we create models where with the two Timorese general surgeons. generalism and are less than enthused about the increasing is concern with Obstetricians and Gynaecologists as well as generalism is desired, respected? This calls for cultural change. Clinical work forms part of the job, but is always directed trend to super specialisation. During the seminar many Ophthalmologists and Radiologists working in smaller and To change culture we have to change attitudes by challenging towards mentoring and training the junior medical staff scenarios were discussed and both the joys and sorrows of smaller areas of anatomical interest. This has been analysed and modelling alternative attitudes that have credence within and medical trainees. An attractive remuneration package programs highlighted. by health economists as well as health managers. There was the same environment. includes accommodation in Timor Leste’s vibrant capital city It is becoming increasingly evident that unless we an interesting discussion how this drive to sub-specialties For surgeons, we sometimes think that culture is a touchy- continue to recognise the importance of our generalist is now producing a totally uneconomical model of ‘on-call’ feely component that belongs with the HR department. LOCATION training from an individual and professional perspective, arrangements in major and metropolitan health services. However, others will say that “culture” is a key driver that has You will work at Hospital Nacional Guido Valadares then employers and regulators will step in and enact the Not surprisingly some hospitals have now responded in to be set or adjusted periodically, in response to a changing (HNGV), the national hospital in Dili outcome they require. their recruitment processes to a ‘commitment’ to on-call environment, to maintain our position as a respected and The drive to specialisation is occurring across all of the availability in the ‘overall specialty’ that cannot be sub- autonomous professional organisation within our community. Interested? nine specialties in which the College awards a specialty divided or delegated. Our response to the increasing calls by the community Send your CV & Cover Letter to RACS today! – not just general surgery and orthopaedic surgery. In the future, jurisdictions will demand surgeons for “generalist” trained and capable surgeons is one way the The gastrointestinal tract seems to be divided