SURGICAL NEWS the ROYAL AUSTRALASIAN COLLEGE of SURGEONS Vol:10 No:4 May 2009
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SURGICAL NEWS THE ROYAL AUSTRALASIAN COLLEGE OF SURGEONS Vol:10 No:4 May 2009 The selection of Surgical Trainees, page 20 What needs to be done in order to achieve best-practice selection of Trainees? Trainees Association, Page 14 “All surgical Trainees contribute to the education of junior staff.” International Development Page 22 Finding the time to volunteer your surgical services is a worthwhile experience. Rowan Nicks Scholarship Page 34 “It was a wonderful and life-changing time for me.” THE COLLEGE OF SURGEONS OF AUSTRALIA AND NEW ZEALAND P01 cover SN MAY09.indd 1 30/04/2009 9:44:46 AM 7Zfj^X` "ZcYh?jcZ(%!'%%. IVa`idjhWZ[dgZ?jcZ(%VWdji]dlndjXVciV`ZVYkVciV\Zd[ i]Z;ZYZgVa<dkZgcbZci»hcZliZbedgVgn(%iVmVaadlVcXZdc cZlWjh^cZhhXVghVcYZfj^ebZciejgX]VhZh# LVcibdgZ^c[dgbVi^dc4 IVa`idndjgBZYÃcGZaVi^dch]^eBVcV\Zgdc&(%%(+&&'' dgk^h^ibZY[^c#Xdb#Vj# :a^\^W^a^inXg^iZg^VVeea^Zh#IVmYZYjXi^dchYZeZcYdcndjg^cY^k^YjVaX^gXjbhiVcXZh#Ndjh]djaYhZZ`^cYZeZcYZciiVmVYk^XZdciVmVi^dc bViiZgh# 6eea^XVWaZ aZ\^haVi^dc ]Vh nZi id WZ gZaZVhZY# BZY[^c ;^cVcXZ 6jhigVa^V Ein A^b^iZY 67C -. %,% -&& &)-# 6 l]daan dlcZY hjWh^Y^Vgnd[CVi^dcVa6jhigVa^V7Vc`A^b^iZY!VcYeVgid[i]ZC67=ZVai]heZX^Va^hiWjh^cZhh#G68H%*$%. EgVXi^XZ:fj^ebZciBdidgkZ]^XaZGZh^YZci^Va^ckZhibZciegdeZgin8Vh][adl7jh^cZhhWVc`^c\IZgbYZedh^ih=dbZ P02-07 SN MAY09.indd 2 30/04/2009 9:47:33 AM PRESIDENT’S PERSPECTIVE Post Fellowship Education and Training The progressive development of specialisation in surgery Ian Gough President Post Fellowship Education and Training A key issue for broader professional practice and medical and surgical practice in particular over the past 50 years has been the progres- sive development of specialisation. This has undoubtedly led to advances and improved standards that are then more broadly avail- able to the various professions and also to the community. The critical issue of formally accrediting education and training in sub-specialty areas has been under discussion at senior levels of the College and Specialty Societies and Associations for the past two years. At Febru- ary Council there was agreement to formally establish the Post Fellowship Education and “Independent groups and the specialty societies Training Committee and to start the assess- can still approve other programs as they see fi t.” ment/accreditation process for surgical sub- specialty areas. The guidelines that have now been A thorough consultative process is vital is signifi cantly more specialised than approved will assist proponents to plan to the success of this accreditation, as is the that provided at a generalist level in one for the creation of new training programs. ownership by the Specialty Societies that are or more of the College’s nine specialty Importantly this process has been devel- active in the area of clinical activity. Sponsor- training programs oped to approve programs that seek College ship by at least one of the Specialty Societies 4. A defi ned curriculum based on College accreditation and this will need to be done is essential to the start of the accreditation competencies in association with the Specialty Societies process. The assessment process must then 5. In-training formative assessments and Associations. Accreditation is considered involve all relevant Specialty Societies and they 6. A mechanism to certify satisfactory important due to the central role that the will be formally involved with the Assessment completion of training College has in maintaining surgical education subcommittee. 7. A faculty of surgical supervisors and and training standards. However, it is impor- The key criteria for the Assessment educators tant to understand that it is not exclusive. Inde- subcommittee are 8. Continuing professional development. pendent groups and the specialty societies can 1. Demonstrated need based on public still approve other programs as they see fi t. As benefi t The full Post Fellowship Education and an example a number of universities are now 2. Justifi cation on the basis of a specifi c and Training committee will consider the report of profi ling courses and degrees that provide unique knowledge base the Assessment Subcommittee and will make a Z formal structures in this post-fellowship 3. Evidence that the proposed program recommendation formally to Education Board training area. provides education and training that and then to Council. ➔ SURGICAL NEWS P3 / Vol:10 No:4 May 2009 P02-07 SN MAY09.indd 3 30/04/2009 9:47:42 AM If the recommendation is for approval and common standards for education and train- sation where Fellows can and do confi ne their is accepted then the mechanisms of its delivery, ing of future surgeons exists. It was the lack practice. This is particularly the case for Fellows administration, funding and commitment to of these common and acceptable standards who are based in metropolitan practice and are education, research and scientifi c activities will that led to the formation of the College in 1927. associated with larger hospitals. There is little be detailed in a Memorandum of Understand- Since then much of the direct responsibility has advantage in holding back the ambitions of ing and a Service Agreement. moved to the Specialist Societies and Associa- groups who wish to practice predominantly in With this approach now accepted by Coun- tions. However they act in partnership with the a sub-specialty or cross-disciplinary area. With cil, the Post Fellowship Education and Train- College and there are agreed models for deliv- the formation of the Post Fellowship Education ing Committee is being formed and no doubt ery of the program across all specialities. The and Training Committee there is now a mecha- applications will be received in the near future standards of this are verifi ed by the College’s nism to formally accredit and recognise training as a number of groups such as colo-rectal, hand formal involvement with the accreditation in these sub-specialty areas. and craniofacial surgery to name but a few, have process of the Australian Medical Council. While the present discussion is on sub- been requesting this over recent years. Within our current accreditation there are specialisation, the community requires gener- nine specialities. There is no current proposal to alists, particularly in regional, remote and Historical and Current Context change this and the requirements to develop any outer metropolitan areas. Surgeons in all disci- It is important to understand the historical new specialty are set at a high level. This is delib- plines and locations deserve encouragement context of this development as changes always erate as any proliferation beyond our present and professional satisfaction. The College of produce some anxiety. The College’s key role nine specialties would not necessarily be in the course supports all Fellows in establishing and is to ensure that surgical standards are being best interest of our patients and the community. maintaining high levels of surgical practice for maintained and to ensure the structure and However, there are many areas of speciali- the benefi t of our patients. Dean of Education Applications are invited for the position of Dean of Education. understanding of adult learning and a demonstrated record in The position is nominally 0.8 EFT to encourage both a the development, implementation and evaluation of innovative signifi cant commitment to the role and also the fl exibility education programs are essential. Importantly they will to maintain some external responsibilities. Although have demonstrated leadership within complex professional predominantly located at the College headquarters in environments. Melbourne consideration will be given to applicants who need to be based in other cities of Australia or New Zealand. The appointment is available as an initial three year contract, renewable by mutual agreement. Salary package is negotiable The College is associated with a number of Surgical Societies depending on qualifi cations and experience. and Associations and is the Australian Medical Council accredited provider of Surgical Education and Training to over 7,000 Fellows and Trainees. Importantly the College is now developing an Academy of Surgical Educators who are The position description and statement are available on the key faculty delivering our courses and training programs. the College’s web-site at www.surgeons.org Further The appointee will be in the key leadership role to develop information is available from Dr David Hillis, Chief and promote a strong and collaborative educational ethos Executive Offi cer by telephoning + 61 3 9249 1205 or throughout and beyond the College. email [email protected] The appointee will be a Fellow of a medical college, ideally Applications in writing to the Chief Executive Offi cer, possessing a postgraduate qualifi cation in education or Royal Australasian College of Surgeons, 250 - 290 Spring research. They will be experienced in managing within a Street, EAST MELBOURNE VIC 3002 by June 30 2009 complex environment requiring substantial consultation. An SURGICAL NEWS P4 / Vol:10 No:4 May 2009 P02-07 SN MAY09.indd 4 30/04/2009 9:47:52 AM RELATIONSHIPS & ADVOCACY Trauma care in our hospitals Surgical leaders in our major hospitals need to continue to advocate for better trauma care tal and more peripheral centres. A brief survey of the major trauma services in Australia reveals considerable uncertainty as to the best arrangements and, it must be said, Ian Dickinson the inevitable play of political considerations. Vice President In New South Wales the State Government chose not to embrace the Garling Report’s recommendation that there be three or four n last month’s issue of Surgical News I major trauma centres. Victoria has two, and addressed several of the issues relating to one major paediatric trauma service. In South Ioptimal trauma management in our public Australia it has been suggested there be one. In hospitals. While hospital administrations need Western Australia it has been suggested there to put in place trauma management systems be one.