Pub: CMC TOTS Page: 1 Date: 17-OCT-2009 Plate:CMYK page 36:
Vol:10 No:9 October 2009 2009 No:9 October Vol:10 Support Scheme for Rural Specialists, of rural medicine. the unique nature to share surgeons workshops provided a forum for The recent THE ROYAL AUSTRALASIAN COLLEGE OF SURGEONS AUSTRALASIAN COLLEGE THE ROYAL Annual Scientifi c Congress (ASC) Page 22: c Congress Annual Scientifi ASC is calling for abstracts. The 2010 Perth Fellows page 32: Retired to get up in the morning. it’s a reason meaning in retirement, A hobby has greater Have scalpel – will travel! Page 14: surgeon. Barry in Ethiopia, working as a general Hicks started his medical career THE COLLEGE OF SURGEONS OF AUSTRALIA AND NEW ZEALAND
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What is the cost of a free ticket? of a free cost isWhat the s President of the College I discuss I discuss College of the s President many with issues of professionalism and This Fellows includes groups.
There are, regrettably, numerous well well numerous regrettably, are, There of profes- erosion to sinister aspect Another A Trainees, representatives of specialty societies societies of specialty representatives Trainees, regulatory eges, coll other and associations, offi and senior government bodies practitioner of medical examples documented Patients and locally. overseas misconduct both has been profession and the harmed been have Some of self-regulation. failure for criticised although the ed be justifi may criticism of the and dominantly involved has routinely failure The themselves. bodies regulatory of the failure under government, from response predictable regu- greater has been citizens, from pressure This has been profession. of the latory control new national and the most notable UK, in the in processes and accreditation registration this here. will accelerate Australia commercialisation sionalism progressive is the of medicine and surgery this – practice of the and care patient that perception the give can community of the not our fore- health are the of radiol-The corporatisation most concern. established inogy is both well and pathology specialties and other sectors public and private Pathologists at varying speeds. following are pressure under severe been in have particular cal practitioners are nostalgic for the “good old “good the nostalgic are for practitioners cal were and self-regulation when autonomy days” groups, various professional the for a given practitioners. specialist medical for particularly and ethos the that an expectation was There would of being practitioner culture a medical innately understand acceptable enable us to It boundaries of behaviour. and principles gone. have days those appears Ian Gough President Pub: CMC TOTS Page: 4 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP4/Vol:10 No:9October2009 NEWS REGIONAL Chair, NewZealandNationalBoard Jean-Claude Theis public healthpublic servicesfor the benefi New t ofall has the potential to reduce waste andincrease sation throughDHB’s working together. This the MRG. It recommends better resource utili- or national level. hasbeen recognisedThis by could bemanaged more efficiently ataregional tion ofmanyad area. their in spending haslead toThis duplica- (DHB), whichthe determine prioritiesofhealth million peop as health growthfront-line slows. spending fi for areduction ofbureaucracy, waste andinef- that the MRG recognised and called issue this growing health bureaucracy. Itpleasing to is see ices ascompared to the ‘back offi hasgone into c front line funding andmanyofitsreport recommendations. Board the supports general tenor ofthe MRG acute services. New ZealandThe National and the eversurgery increasing pressure on to with struggle longwaiting for lists elective with servicescontinue demandandsurgical 10 years hasnotbeen this sufficient to keep up over increasessubstantial the funding last in and advances medical in technology. Despite system resulting from anageing population increasing health demandonthe public slow-down economic in growth andanever challenges we face asaresult ofapredicted defiintrinsic ciencies. It the outlines signifi health servicesandits funded publicly of our provides agood account ofthe state current on the New Zealand Health System and T ciencies andthe moving ofresources to the New Zealand hasapopulation offour One wonders how muchofthe increased a Ministerial Review Group (MRG)a Ministerial ofHealthMinister the is by report recenthis document released by the How muchoftheincreasedfundinghasgoneintofrontlineclinicalservices? le and21 Health District Boards ministrative processes, which “Meeting the Challenge” linical serv- cs o the of ces’ cant devoted to improving the patient’s overall jour- equipment cost andpatient outcomes. covering, for example, operating theatre time, adequate consideration ofcost benefi to c individual sector. such Currently decisions are oftenleft toment prior implementation across the health proceduressurgical acontrolled in environ- for better evaluation ofnewtechnology and vested into clinical services. There is also a call lead to savings substantial which could berein- ered for cost medical high devices. could This MRG recommends asimilar modelbeconsid- successfulvery costs. atcontrolling drug The pharmaceutical purchasing authority, hasbeen the mostsignificant impact oncosts. andthat day toservice their day decisions have knowledge ofthe requirements ofthe health recognising that c bestrengthenedership across sector the public stronglyreport recommends that c hasbeen eroded. decisionment in making The ofc the detriment decades to deliver the anticipated benefi changes health in management the in lasttwo the failureMRG ofthe hashighlighted report the servicesin metropolitancentralising areas. eration rather than big brother over taking and ofcoop- spirit thethe in true regionalis service specialities, surgeons certain ing in solongas the centres smaller whohave diffi local health services. help would certainly This recommended, leaving DHB’s charge in oftheir national andregional truly of all servicesis Zealanders. andfunding planning Centralised bottlenecks andoverallineffi barriers, through thehealthsystembyremoving to improvingthepatient’s overalljourney beendevoted “Considerable efforthasalready Considerable effort hasalready effort beenConsiderable In New Zealand PHARMAC, acentral withIn line other recent reports, the linic linical staff wh linic ians or hospitals without ians have the greatest culties attract- ose involve- linical lead- t analysis ts, to to ts, health system currentlythe andin future. to meet the challenges faced by the public give usamandate to lead the change required the political to will engage with c the challenges ahead. Let’s hope that there is a critical analysisofthe situation current and document are clear andwell founded based on Review Group Ministerial mendations this in the Government needs to act now. recom-The strong health public system andwell funded New Zealanders continue to have access to a tries, order andin that notsustainable is Newin Zealand, andprobably other in coun- system thein public to manage the acute care. hospitals does notreduce the ofstaff availability that anyincreased use of privatebe important posts private in hospitals. However, itwould accelerate training ofsurgical the establishment complex elective cases. cooperationThis may also well ascontinue to deliver the growing of number hospitals to manage increasing their acute load as stressed hospitals. public could helppublic This and take the pressure chronically our over- off sector could boostthe ofelective delivery services relationship between the private andpublic to better useprivate hospitalfacilities. A stronger resources throughafailure andopportunities process. this assist will National andSafety Programme Quality care. MRG’sThe callfor ofa the establishment signifiin cant savings andimproved of quality Reducing errors andcomplications result will clinical waste andmake health care safer. However alotmore work required is to reduce barriers, bottlenecks andoverall ineffi ney throughthe health system by removing ciencies.” Itclear is that health expenditure growth Finally, the waste theof highlights report linic ciencies. ians and Pub: CMC TOTS Page: 5 Date: 17-OCT-2009 Plate:CMYK & ADVOCACY RELATIONSHIPS RELATIONSHIPS We responded with a concise and persua- a concise with responded We of a story heels on the This story followed The College will continue to do its utmost utmost do its to willThe continue College Vol:10 No:9 October 2009 SURGICAL NEWS P5 / Vol:10 tired and discredited argument that it is the it is the argument that and discredited tired specialist medical colleges which, by virtue ofa to obstacle great the are mentality, shop closed on went It specialists. medical more producing training could the of specialists that suggest to our done at universities. effectively be more published the President, the from letter sive such out that pointed which day, following consider- an arrangement involve would Fellows that given expense, able additional also We training bono. pro provide currently including studies, numerous to attention drew Competition Australian the by one conducted our into and Consumer Commission(ACCC) of anti- no evidence found have which College, part specialist on the of the competitiveness medical colleges. days. ranwhich several Courier in the Mail for in doctors that allegations This concerned long hours such working were Queensland inevitably being serious were that mistakes College the putting again responded, We made. a story of obvious regarding record on the importance all Fellows. to The Media – Always looking for a “good” story of journal- example ner isThere perhaps no fi than “angle” most negative the lookingists for of our audits of surgical release regular the at College of the examples These are mortality. quantifying and analys- most transparent, its of mortalitying incidents improve so as to future. the into delivery of surgicalthe care in the interested less are of course, The media, enhance- proven purpose audits – the of the that fact in the – than ment of surgical care died. have patients being done daily work great the that ensure to of attention the is to brought Fellows its by task can that cult diffi however public, the sensationalist more the by be made sometimes media. of the branches c meet- ive media ive ing, for exam- for ing, se more react se more ear’s Victorian Victorian meet ear’s surrounding the Safety Checklist.” include the publicity “Recent examples of Recent examples of such management management of such examples Recent in Brisbane’s An appeared which article The International Society for Surgery’s Inter- Surgery’s Society for The International scientifi various regional the Finally, proactive media work launch of the Surgical development and formal management skills. management compa- device medical that include allegations induce- inappropriate doctors offered had nies their products. using, consider or use, to ments the to a letter with responded The College and published President the by signed editor, deploring conduct such Age, Melbournein the code College’s the to attention and drawing in has been which on this matter, of conduct February. since place the Courier revisited Mail in mid September ple, was covered by local media in local and around by covered was ple, The 2008 held. it was where Traralgon city of the consid- the notable for was meeting Queensland Courier in the Mail. it received erable coverage Reactive Media media attract to way best But the of course more never are Journalists err. is to interest a problem detect when they than interested times such At sense scandal. better, even or, and perception, to seat a back reality takes must exerci College the funding for the College’s Rural Surgical funding College’s the for Program. Training in early Adelaide held in Week, Surgical national media releases, subject of four the was September, in interviews. media all resulted of which media generate to capacity a proven ings have Last y interest. le and Engaging media the oactive efforts are oactive oactive media work media work oactive
c Congress is the most promi- is the c Congress
The College continues to bring attention to the great work done by the Fellows to the great work done by to bring attention The College continues le the work of Fellows. While the of Fellows. work le the
n ongoing challenge facing the College College the facing challenge n ongoing raise profi to its need is the identify it can which opportunities by
c conference of the Provincial Surgeons Surgeons Provincial of the c conference The regular conferences with which the the which with conferences The regular You will not be surprised to hear that these will these not be surprised that hear to You uence public opinion and the policies of publicuence policies opinion the and
Proactive Media Proactive of pr examples Recent publicityinclude the surrounding devel- the Surgical of the launch and formal opment to hard worked The College Checklist. Safety time the from in this project, interest generate Organisation’s Health World the endorsed we formal the to in January of this year prototype of the Tasman, of the sides on both launches, of the version Zealand and New Australian August. checklist in important are opportuni- is associated College ties to profi Annual Scientifi giving rise sometimes to year, of the nent event confer- other media releases, more or a dozen The annual of media. eye the catch can ences scientifi Alice Springs, held in recently Australia, of of raising means aware- an effective proved rural facing surgery challenges of the ness of Commonwealth cessation the – not least A Ian Dickinson Vice President sometimes rudely interrupted by the need to rudely to need sometimes the interrupted by media negative react to coverage. governments. A key means of achieving this means key A governments. inthe media interest generate is to objective on issues position and its College of the work issues of broadly, more surgery to and, relating generate to hard work also We public health. being done by work great in the media interest individual Fellows. and pr positive essentially infl Pub: CMC TOTS Page: 6 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP6/Vol:10 No:9October2009 laparoscopic surgery the potentialofcolorectal helped DrLamunderstand Pheils Travel Fellowshiphas The MurrayandUnity SCHOLAR SUCCESSFUL S scopic colorectal in Asia,” unit Dr said. Lam colorectal the andis largest surgery laparo- worldis famous asapioneer laparoscopic in Department ofColorectalThe there Surgery Island with over 1600 acute in-patient beds. referral Hong hospitals in Kongtertiary two oneofonly Hospital is major (PYNEH) bedoneviaopenstill surgery. procedures other which in countries would development, manylaparoscopic undertaking theandtechnologicalleading world skills in hospitals,ral meant that surgeons there were lation andthe concentration refer- oftertiary keyholeusing surgery. to complex undertake colorectal procedures had increased own his confi dence andability “tremendous” andsaidexposure to such skills oscopic colorectal surgeons the in world as lapar-alongside someofthe mostoutstanding College Tumour HospitalBeijing. in Medical Sciences Medical andPekingUnion Hongin Kong andthe Chinese Academy of Hongin Kong, of the Prince Wales Hospital the Pamela Youde Nethersole Eastern Hospital May lastyear, Drwas Lam avisitingFellow at Hongin Kong andChina. From to February est centres ofexcellence colorectal in surgery work alongside surgeons atthree ofthe larg- tion with of the Prince Wales Hospital Hong colorectal resection Hong in Kong conjunc- in “The unit performed the unit fi “The Pamela “The Youde Nethersole Eastern He saidthe sheer size ofthepopu- Chinese He describedthe experience ofworking and Unity Pheils Pheils and Unity Travel Fellowship to attached toused the the funding Murray ydney colorectal surgeon Dr Francis Lam Broadening skills andknowledge Broadening skills rst laparoscopic per day.” to perform more than frozen 60 sections house’ pathologists within the theatre complex operating theatres were sobusythey had ‘in- c and to oftheir bepart ofsuch alargefunctions specialisthospital China,”in hesaid. some ofthe mostadvanced medical facilities hospital with 22 operating theatres, ithas more than 1200 beds. As aspecialistcancer centres with for Beijing in disease malignant he describedasan “incredible” experience. visited Beijing, hospitalin the tumour which he said. refifurther ne my laparoscopic techniques,” improve Ilearnt from and thelive skills surgery to applygave and opportunity methe unique ised courses for surgeons andtrainees. This endoscopic-laparoscopic with surgery special- Hong in Konglished to provide in training MASTC the which is fi rst such centre estab- Centre (MASTC) attached to the PYNEH. access to the Minimal patient andon-callduties andwas given full theatreincluding work, ward rounds, out- of the work conducted atthe colorectal units who speaks Chinese, was involved aspects all in Coloproctology. President ofthe Hong Kong Association of Chung, the HeadCliff ofDepartment and Li, atthe PYNEH, the Chief-of-staff andMr colorectal surgeons the in world, Michael Mr andrenowned skilled two ofthe mosthighly to have to work had the opportunity alongside 1000 laparoscopic colorectal resections.” Kong in 1992 andhassince performed over of theirclinicalactivities.” of suchalargespecialisthospitalandtobepart “It wassimplyamazingtowitnessthefunctions “It to was amazing simply witness the oneofthe hospitalis major referral “This three Hong Kong, in After months Dr Lam “I was fortunate to access have full to the to visit Hong his Kong,During Dr Lam, Dr saidhewas Lam particularly fortunate Access Surgery Tra Surgery Access linical activities. The ining he said. expertise,” their generositytheir sharing in Professor for from Beijing ZhouZhixiang from Hong Chung Kong aswellDr Cliff as Fellowshipling andto Drand Michael Li Les Bokey to helping my in organise Travel- to ProfessorI amalso particularly grateful thatinvaluable the support College provided. of Prince Wales HospitalSydney. in consultant colorectal surgeon attached to the colorectal surgery. to undertaken in expand andtraining skills to helpcover the costs associated with travel to either a Trainee or Fellow ofthe College Pheils. It hasavalue of$10,000 awarded andis donation made by the late Professor Murray was followingship established agenerous surgery.” oftheing potential ofcolorectal laparoscopic my knowledge also base my but understand- skills, broadened hasnotonly and my skills who are aggressive, very advanced very their in laparoscopic colorectal surgeons the in world, and working alongsidesomeofthe fi careers,” hesaid. ofsuch cases their throughout a handful most surgeons here would belucky to see forThat usin Australia because amazing is with unit from over his tumour 1000 cases. oftheaudit management ofretroperitoneal were ofgreat value. viasuchgained volume anenormous ofcases, size ofthe population andthe specialistskills some ofthe presentations, based again onthe testinal Tumour Conference andsaid Beijing in travelling towhile attend Gastroin- the annual “I feel for honoured very andthankful the nowDr is Lam back in Australia a andis Pheils andUnit Murray TravelThe Fellow- “Listening to these scientifi “One speaker there presented aten-year Dr saidhealso had Lam the opportunity c presentations nest Pub: CMC TOTS Page: 7 Date: 17-OCT-2009 Plate:CMYK NEW TONEW COUNCIL hink of the College processes; processes; College the of hink This major change was undertaken, admit- undertaken, was This change major although the that note to isIt interesting bastards?” we “Are is The obvious question and future, present past, JR’s, all the So to Vol:10 No:9 October 2009 SURGICAL NEWS P7 / Vol:10 tedly with some reluctance in some quarters. So in some quarters. some reluctance with tedly Surgical Educa- on the sitting JR’s have now we committees and other Boards Training and tion and training functions selection in the involved as spies, viewed Initially some were College. of the soon was It ointment”. in the ies “fl and informers various health from persons these that apparent a lot had bodies and government departments func- the to way in a constructive contribute to often senior health They are College. of the tions of how knowledge a good administrators with Australia. functions in and health hospitals no are and we authorisation has lapsed ACCC many Boards conditions bound its by longer as members of their JR’s keep to chosen have time in their work attend JR’s Most their Board. butas a part salaried some do duties of the interstate. from travel whom I have with JR’s the often asked I have t what they worked surprise openness at the express they invariably decisions. fairness of the and the processes of the not made are decisions the that They note also competi- exclude to or interests vested protect to of surgical interest best in made the but are tion, community. and of the education do and please contributions your for thanks honest”. bastards the “keep to continue cantly cantly Editor: Dr David Hillis Dr David Hillis News Editor: Surgical Australasian College of Surgeons © 2009 Royal All copyright is reserved. The College privacy policy and disclaimer apply – www.surgeons.org The College and the publisher are not responsible for errors or consequences from Statements represent the views of the author reliance on information in this publication. Information is not intended to be advice or relied on in and not necessarily the College. any particular circumstance. Advertisements and products advertised are not endorsed by the College. The advertiser takes all responsibility for representations and claims. ACN 92 007 412 008 Community Network Ltd Published by Fairfax hat we charge too much too charge hat we hinks t hinks It is this latter point of view that caused caused point of view that isIt this latter children have a very strong point on this of view a very strong have children Is family. the within remain better had that matter public the t it that as out seen of are we it that our services? Is for seen are we it that man? Is common the with touch is structure unfair that to a governance as having and is anti-competitive? aspiringTrainees and Consumer Competition Australian the to review in their 2003 Commission (ACCC) various up open the College the demand that representa- to and committees boards critical signifi jurisdictions of the who were tives College. of the decisions the by affected The late Don Chipp talking to a journalist in the Tally room The late Don Chipp talking to a journalist in the Tally Why are we seen in such a derogative way? Why are we seen ISSN 1443-9603 (Print) ISSN 1443-9565 (Online) Cover photograph by Binh Nguyen
Correspondence to Surgical News should be sent to: [email protected] Letters to the editor should be sent to: [email protected] Surgical News, The Editor, or Australasian College of Surgeons, Royal College of Surgeons Gardens 250-290 Spring Street, Victoria 3002. East Melbourne +61 3 9249 1219; fax: 3 9249 1200; Tel:+61 www.surgeons.org Internet:
“Keep the bastards honest” bastards the “Keep
r. Nit Picker has a sense of humour. of humour. has a sense Picker Nit r. believe thisis to I know hard that not I was I admit that but he does.
No doubt you will recall that when the when the that will recall doubtNo you particu- This all sounds somewhat offensive, M I.M.A Newfellow there myself to hear it fi rst-hand but a very reli- it fi hear to myself there he was Apparently me it is so. tells able source Graduates) Medical IMGat the (International part-time the Andrew Roberts, interviews and explaining was Program, IMG the of director Jurisdictional Representatives of the role the that role the it to likened Picker Nit Mr. (JR’s); as their role seen have Democrats Australian the many years. for politics Australian in late the by formed were Democrats Australian their purpose was he vowed 1977 Don Chipp in referring was He honest”. bastards the “keep to including former his own politicians, the to apparently Picker Nit So Mr. Liberals. the party, to was JR’s of the role the that suggesting was honest”. bastards the “keep the us, are to referred “bastards” larly as the on various pay who serve without surgeons Why parties. and working boards committees, teenage My way? in a derogative seen such we are Pub: CMC TOTS Page: 8 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP8/Vol:10 No:9October2009 DEVELOPMENT PROFESSIONAL Chair, ProfessionalDevelopment Rob Atkinson Diploma. You can attend each ofthe work- three face-to-face workshops that make the up oping strategic measurement systems. acompetitiveining susta advantage anddevel- conducting anorganisational/market analysis, process.planning You also will learn more about organisational strategy throughaneffective and knowledge asurgeon needs to develop an Melbourne.ber in Itfocus will onthe skills Strategic Direction’ workshop on 13-15 Novem- strategic planning, register for the ‘Providing totionality the direction ofyour business. andinten- business plan andcan lendstability a strategic plan forms ofyour avaluable part practice or are manager asenior ahospital, in expensive to correct. you If have anestablished avoid the ‘false starts’ that can take years andbe your practice, starting just to vital is planning future begins with strategic planning. If you are H Strategic direction for your business ‘Providing Strategic Direction’ oneof is youIf would liketo learn more about tice? Successful preparation for the tion andprivate ofyour public prac- ow doyou direc- decide onthe future If youhaveanestablishedpracticestrategicplanningisvitaltoavoid‘falsestarts’ The College maintains a small reserve ofacademicgownsfor use byConvocating The Collegemaintainsasmallreserve to your requirements, the College would be pleased to receive it to add to our reserve. to yourrequirements,theCollegewouldbepleasedreceiveitaddourreserve. If youhaveanacademicgowntakingupspaceinyourwardrobeanditissuperfl uous Notice toRetiredFellows oftheCollege We willacknowledgeyourdonationandplacenameonthegown,ifyou approve. Ifyouwouldliketodonateyourgown totheCollege, Fellows andatgraduationceremoniestheCollege. please contact+61392491248. fi of Management, anationally recognised quali- dates awarded being the Advanced Diploma program which culminates in successful candi- academic to point the enrol in full an entry shops aloneactivity asastand or usethem as of the curriculum consultation panel so andis of the curriculum cal Excellence Commission), akey is member Professor Clifford Hughes (CEO of the Clini- outcomes address the issuesfaced by surgeons. representativestry to ensure that lea consultation with the College aswell asindus- the University ofNew England. Partnerships, the of educationarm andtraining Framework.qualifi This cation the under Australian Qualifi Clifford Hughes The contentThe hasbeen customised in cation throughUNE is the generousdonationofherCourt Honourgown Murdochfor The CollegewouldliketothankMary 250-290 SpringStreet,EastMelbourne3002. College ofSurgeonsGardens, Royal AustralasianCollegeofSurgeons, The Conferences&EventsDepartment, Alternatively, youcould mailthegownto cations rning and leadership. ongoing options relation in to management areseries currentlycanvassed being to provide of estimates andcapital investment proposals. management andreporting, to the development plans,responsible budgetary decision making, ment; from the preparation andanalysisof growth.sustain It explores fi foundation for developing business plans to Sydney on26-28 March 2010 andprovides the on Melbourne 18-20 June 2010. tions. nextThe leadership workshop bein will management stylesto enhance workplace rela- and provides them with arangeofappropriate thestand key differences between individuals (DiSC).profi The apsychometric using profistyle behavioural discovery; exploring preferred their leadership thein Diploma, went ofself- onajourney year 15 surgeons, ofwhomwere eight enrolled ness’. At the leadership workshop June in this ofChange’a Climate and ‘Susta tered to the Diploma. undertake impressed with course this that hehasregis- [email protected]. Department on+61 39249 1106, or Please contact the Professional Development Further Information Subject areas workshops for further the in ‘Sustaining Your Business’ heldin being is otherThe two workshops are ‘Leadership in le helpsparticipants to under- nnil manage- nancial ining Yourining Busi- le le Pub: CMC TOTS Page: 9 Date: 17-OCT-2009 Plate:CMYK Accommodation will be available at Sanctuary Cove for $235 per night, accommodation can forms registration only be booked through the College, please email available from [email protected] Provisional program and registration forms and registration program Provisional will be available in the coming weeks, costs for the meeting will be: $AUD REGISTRATION REGISTRATION EARLY Inc GST STANDARD By 15 September 2009 $260 $200 Fellows & IMGs $130 $100 Trainees Medical Students/Other Health $60 $40 Professionals Annual Scientific Congress Perth Convention & Exhibition Centre, Perth, Australia 4 –7 May 2010 ROYAL AUSTRALASIAN COLLEGE OF SURGEONS COLLEGE OF AUSTRALASIAN ROYAL QLD REGIONAL COMMITTEE MEETING STATE ANNUAL Regency SanctuaryHyatt Cove 2009 1 November – Sunday 30 October Friday Royal Australasian College of Surgeons perth’10 2010 AUSTRAUMA AUSTRAUMA Dr Valerie Malka Dr Valerie Animal Injuries Animal Emergencies Orthopaedic Surgery General Emergency Damage Control Nightmares Care Critical ✱ ✱ ✱ ✱ ✱ Contact Lindy Moffat / [email protected] / +61 3 9249 1224 / +61 3 9249 [email protected] Lindy Moffat / Contact 11 – 13 February 2010 February – 13 11 Conference Themes: Emma Thompson Emma Contact: Conferences and Events Department Events and Conferences Royal Australasian College of Surgeons of College Australasian Royal Trauma, Critical Care and and Care Critical Trauma, +61 3 9276 7431 3 9276 I F: +61 1139 3 9249 +61 T: Humanitarian Aid Humanitarian Radiology Trauma Conference Convener: Emergency Surgery Conference Surgery Emergency Mass Casualties Mass Neurotrauma Injuries Paediatric ✱ ✱ ✱ ✱ ✱ College Conferences and Events Management and Events Conferences College Sydney Convention & Exhibition Centre, Darling Harbour, Sydney. Harbour, Darling Centre, & Exhibition Sydney Convention [email protected] I www.austraumaconference.org E: [email protected] Deputy Premier and Minister for Health Mr Paul Lucas will be in attendance on Saturday morning of the conference Cultural and Leadership issues between hospital administration and departments of surgery. Dr Maurice Stevens Dr Maurice Stevens Convener- Dual Theme: in the Public Hospital Sector Changing Surgical Culture and Retrieval Services Surgical Outreach highlights: Program • • Lecture Free welcome BBQ (pig on the spit along the beach front) on the Friday evening • Theile Neville Davis Prize presentations • David • Honoured Guest – Mr Glen Merry and Saturday Gala dinner • activities and presentations on the Friday program Trainee • Outreach programs such as Deadly Ears and Operation Smile • Panel discussions with the Deputy Premier and Minister For Health • hours), SurgeryPanel discussions on topics including: Fatigue Risk Management (safe Connect and Pub: CMC TOTS Page: 10 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP10/Vol:10 No:9October2009 side-effects ofaprocedure or ad which they suffer, and the inherent risks outcomeral from the or disease condition outcomes”. These, more often, are anatu- patients have come to expect perfect results. be no, or noadequate, treatment. Nonetheless, 1 Negligence causesdifferent ofaction: common under law can system)arise liability resulting from: or injury beexpectedmight the in circumstances. the andattention proper ofskill that standard owntheir want ofcare, or the failure to apply attention. unrelatedwhich is to the doctor’s care and (i.e. or someother drug) systemic error, Partner, RussellKennedySolicitors Michael Gorton COMMENTARY LAW T be negligent in failing to informedbe negligent failing obtain in doctor could somecircumstances also in exercise proper care andattention, the In addition to afailure by the doctor to an anaesthetised patient; pressure areas to or other or burns injuries complications; remains tootourniquet longwith vascular the wrong limb being operated on; of the body; administrat administered; or anexcess being drug ofanormal administrat Patients may suffer “adverse medical Under Australian law (following the English Examples ofobviousnegligence are death At law, doctors are responsible only for Liability fornegligenceinAustralianmedicalpracticecanbeacomplexmatter or conditions for which there may Many patients sufferfrom disease he practice notperfect. ofmedicineis Australian perspective onliability ion of a drug in the in wrongion ofadrug area ion ofthe wrong drug; ministrat ion whether the damage that the patient has • whether there hasbeen abreach of duty • ofthethe doctor duty to take reasonable • assess threeusually elements: Inanegligence claim, the will courts Breach ofContract 4 Breach ofFiduciary Duty 3 2 Assault/Trespass courts arecourts now the fi nal arbiter ofnegligence. peers. oftheir at thestandard highest However, does not demandthat doctors perform always practitioner’s ofindividual ability and skills have that skill.” lawThe recognises the vari- person exercisingskilled and professing to requiredis to have that“of skill the ordinary specialty ofthe doctor. andexperiencedegree the ofskill in relevant andstanding,quality and with the requisite carestandard expected ofdoctors ofgood Doctors are asked generally to exercise the The Duty care. suffered aresult is ofthe doctor’s failure of by the doctor; and care ofthe patient; doctor. of the contract between the patient andthe doctor to exercise care due also is abreach sometimes argued that the failure by the In common with anegligence claim, itis breached. is sometimes argued that fi this to discloseanyconflict ofinterest, itis the best interests ofthe patient, andfails the doctor. Where adoctor fails to act in relationship” between the patient and a fi from the arising duty “specialduciary In rare cases, have the Courts recognised patient. committing atrespass onthe or assault proper consent, the doctor technically is adoctorIf treats apatient without relevantmaterial risks to the procedure). consent the patients (informing ofall A specialistpractitioner fi acertain in duciary duty duty duciary eld a medical practitioner had been negligent. to the decide rolecourt aiding in if important Evidence ofmedical experts have will an to anyaction. undertake canbut also apply where the doctor hasfailed the other relevant factors. level ofknowledge andresearch available and doctor, general practices the in profession, the has been met, having regard to ofthe the skills whether determine will the court standard dures of other doctors in similar circumstances, may have regard to the practices andproce- that hasbeen standard met. theWhilst court stances. whether determine will courts The able person” would have taken the in circum- ofcare standard The that is which a “reason- Breach ofDuty to their superior andtheto negligent superior their treatment is doctor escapes byasituation referring liability doctor the junior mayif beliable supervising bilities to another practitioner. hospitalor (The or fail to refer aquestion beyond capa- their rangeofskill outside their perform aduty beliable, will junior theythis negligently if fulfi to practitioners. A offi junior cer required only is hospitalpatientspublic cannotchoose their for patients whochoose physicians. their But toing have that skill”. test satisfactoryThis is person exercising skilled andprofess-ordinary sionals are required to exercise the“of skill the Training doctors or junior likeother profes- Trainees “adverse outcome”. betweenguishes negligence andmerely an the doctor had notbeen negligent. distin- This damage would have nototherwise if arisen consequence ofthe negligence ofthe doctor. tion for lossor damage which they sufferasa Patients beentitled will to claim compensa- Damage Caused Negligence for can arise positive conduct, The patientThe show must that the lossor l the skill required position. oftheir l the skill But Pub: CMC TOTS Page: 11 Date: 17-OCT-2009 Plate:CMYK
is a progressive and Gold Coast Applications are invited for a one year Applications are invited January colorectal fellowship commencing the opportunity 2010. This position offers in a busy to work with CSSANZ members on the Gold Coast, colorectal surgical service experience Queensland. The Unit provides rectal surgery, in laparoscopic colon and oor ammatory bowel disease, pelvic fl infl conditions dysfunction, common anorectal and endoscopy. The Gold Coast Health Colorectal Unit has 3 staff Consultants. Approximately 250 major colorectal resections are performed per year. This position supervises junior (pre- fellowship) surgical registrars, medical students and other observers. The Fellow will offer advice and guidance to a range of other cers, workers including junior medical offi nursing staff, and related clinicians. This position reports to the Director of Division of Surgical Services, Gold Surgery, Coast Hospital. The position is funded 8/10 allowing one full day for private assisting with the CSSANZ Members. Colorectal Fellow Colorectal dynamic city with a growing, multicultural match the diverse health needs population. To of this increasing population, the Gold Coast is actively expanding its health services. ensure these health demands are met, To ed clinical and support staff from a qualifi elds are needed. range of fi First class facilities, extensive training, exciting challenges and a multitude of career opportunities make the Gold Coast the perfect place to advance your career in health. The Gold Coast offers the opportunity to combine professional advancement, job lling satisfaction and relaxation into one fulfi lifestyle. Enjoy all the conveniences of living in a modern city during the week; escape the stress in rainforest hinterland or on world class beaches on the weekend. The Gold Coast has something for everybody. Enjoying your work and enjoying your life, go hand-in-hand on the Gold Coast. Batham, All enquires to Ms. Trinity Surgical Coordinator Gold Coast Hospital 07 55198273 The Vol:10 No:9 October 2009 SURGICAL NEWS P11 / Vol:10 ce gal risks, doctors should doctors gal risks, ngly, hospitals and other and other hospitals ngly, Accordi The staff remains member nonetheless be will therefore doctors Additionally, These issues highlight for need the Doctors should also emphasise to should to emphasise also Doctors appropriate insurance is maintained; appropriate and protocols standards, relevant followed; guidelines are detailed and appropriate is communication maintained with patients; consent” “informed good have they procedures; are and records detailed notes incident an adverse to respond they promptly; if their insurer consult they in doubt, adviser. legal or health institutions are responsible for and for responsible are institutions health omissions or of acts the will be liable for their staff. negligence. their own liable for employ- of their own actions the liable for offi staff, administrative (locums, ees importantThese issues are in etc.). staff, an insuranceconsidering policy whether will cover employer maintained the by staffparticular members. they that ensure to practitioners medical insurance and appropriate adequate have their and for their practice, themselves, for be liable). may whom they (for employees Risk management le minimise To that: ensure maintained; Vicarious liability be held respon- may an employer law, At employee, of its negligence the sible for of his employ- course her in or the acting ment. that follow-up occurs. follow-up that the extent, much greater a to patients, ascer- to call back to patient the for need and should advise of tests, tain results the of failing implications to of the patient the an appointment keep up failing or to follow in detailed terms. made, It is now established that doctors have to to have doctors established that isIt now The law accepts that, in order for medi- for in order that, accepts The law eld. If the state of medical knowledge knowledge of medical state If the eld. One of the obvious areas for negligence is negligence for obvious areas of the One properly or accurately diagnose to failure of the disease condition or particular the patient. ordered on tests follow-up appropriate ensure should have Doctors requested. reports or that, ensure to in place systems appropriate requested, reports or ordered are when tests any that ensure to is a follow-up there time. within detected are outcomes adverse astray. often go can results and test Reports contacting on patients cannot rely Doctors must and doctors up, follow again for them ensure to systems their own have therefore Failure to diagnose or follow Failure up tests Failure to disclose risks/ Failure informed consent has a duty a doctor that recognises The law risk of a material a patient which warn to or procedure is inherent in any proposed treatment. cine to progress, new techniques must be new techniques progress, cine to used, are if techniques such However, tested. is a very highthere standard of disclosure be informed demands patients that required of treatment. forms of alternative The state of medical knowledge requi- the whether affect may factors Other in reached has been standard of care site prac- medical A diagnosis and treatment. knowl- the have to is only expected titioner in person their skilled” “ordinary of an edge fi could of equipment a failure that means measures preventative not be predicted, injury prevent to required as were such relevant at the taken not regularly were of a type of treatment dangers the or time, not be a breach may there unknown, were of duty. not dealt with soon enough, or if or junior the soon enough, with not dealt supervised adequately has not been doctor or instructed.) Pub: CMC TOTS Page: 12 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP12/Vol:10 No:9October2009 DEVELOPMENT INTERNATIONAL B more andpalates. thanlips cleft 400 These Leste since March 2000andhasoperated on Ximenes. Mark Moore traineeDr andsurgical Joao by out Drand was successfully carried program. operationThe lasted 40minutes Assistance for Specialist Services(ATLASS) College’s Australia Timor Leste of Program Australian medical volunteers, ofthe aspart repairedhad herlip cleft by ateam of with aonesidedlip. cleft Governor-General. Baby Quentin was born parents immediatelynamed her afterthe wherethe clinic shewas born. baby’sThe Dr Mark Moore hasbeen visiting Timor In March 2009, baby Quentin Bryce FULL TIMEPOSITIONTOCOMMENCEASAP General SurgeonforDili, Leste(EastTimor) Timor Make arealdifference co-ordinates approximately12specialist surgicalteamvisitsacrossTimorLesteperyear. (generalsurgeon,advisors anaesthetist,physician) atHNGV and emergencydepartment district hospitalsinthecountry. TheATLASS employs programcurrently 3full-timeclinical hospitalforthe5 anditistheonlyreferral of surgicalandnon-surgicalspecialistservices As thenationalhospitalforTimorLeste, HNGVisresponsibleforthe provision of awiderange care services. health oftertiary andassistingwiththedelivery andnurses training oflocalTimoresedoctors tothepeopleofTimor Lestethroughthe quality ofgeneralandspecialistsurgicalservices (ATLASS)Program ofAssistanceforSpecialistServices aimstoimprove theavailability and Managed by theRoyal Australasian CollegeofSurgeons(RACS), theAustraliaTimorLeste forqualifi locumopportunities Short-term ed generalsurgeonsarealsoavailable. qualifi cations tobeconsidered. applying fromoutsideAustraliaandNew Zealandwillneedtopossessequivalent The positionisopentoqualifi ed generalsurgeonsinAustraliaorNew Zealand.Individuals ofSurgery totheTimoreseHeadofDepartment support inthisyoungnation.Amajoraimofappointmentwillbetoprovide surgical services surgeon keen tousehis/hersurgical, skillstoimprove teachingandleadership the Valadares (HNGV).Thisuniqueandrewarding roleisbestsuitedtoanexperienced inHospitalNacionalGuido delivery in TimorLesteaswell asassistingwithservice ofsurgicaltraining A generalsurgeonisrequiredtoleadthedevelopment anddelivery Governor-General of Australia visited 2008 before just Her Excellency, the aby Quentin December was in born Baby well Quentin doing training in cleft lip surgery. lip cleft in training of sort This andhasstarted programme AusAID funded College’s program. ofHealthTimorese ofthe aspart Ministry visits are collaboration in organised with the Quentin before theoperation Dr Ximenes hasbeen atraineeofthe contacted. listedapplicantswillbe Only short convenience [email protected] a covering letterandCVatyourearliest Please sendyourapplicationincluding Ph: +6707257125 [email protected] ATLASS Team Leader Dr EricVreede OR Ph: +61392767436 Program Offi cer RA Ms KarenMoss conditons oftheappointmentto: Please directenquirieson program. Sciences in Timor with the assistance ofthe been trainedthroughthe Institute ofHealth Gusmaoand Eugenio haveAbilio Quintao aspectstant ofthe specialistteams program. oneofthe is capacity mostimpor- building Quentin aftertheoperation CS International Projects CS International Pub: CMC TOTS Page: 13 Date: 17-OCT-2009 Plate:CMYK Further Information Melbourne (NZAPS) Auckland Working Together to Bridge Sydney the Divide, Together Working ASM) (QLD Sanctuary Cove ASM) (QLD Sanctuary Cove click on Professional Development. on Professional click business, leadership and management abilities. and management leadership business, WORKSHOPS 2009 WORKSHOPS +61 3 9249 1106, by email [email protected] email [email protected] +61 3 9249 1106, by Please contact the Professional Development Department on Development Please contact the Professional or visit the website at www.surgeons.org - select Fellows then - select Fellows at www.surgeons.org or visit the website PROFESSIONAL DEVELOPMENT DEVELOPMENT PROFESSIONAL DATES: WORKSHOP 2009 - NOVEMBER OCTOBER VIC 24 October 10 November SET), Lorne (AGFSM) (SAT Trainers Supervisors and 13-15 November SET), Melbourne (SAT Trainers Supervisors and Direction, Melbourne Strategic Providing 14 November Cancer Clinicians, Skills for Communication WA 25 November SET), Perth (SAT Trainers Supervisors and NZ 17-18 October Auckland the Flight Deck, From 20 November SET), (SAT Trainers Supervisors and NSW 9 November Administrators: Surgeons and 17 November Wollongong SET), (SAT Trainers Supervisors and QLD 28 October 30 October Brisbane Interactions, Mastering Professional Mastering Interactions, Intercultural 1 November SET), (SAT Trainers Supervisors and 15 October SET), Cairns (SAT Trainers Supervisors and PROFESSIONAL DEVELOPMENT DEVELOPMENT PROFESSIONAL In 2009 the College is offering exciting new learning opportunities new exciting In 2009 the College is offering designed to support Fellows in many aspects of their professional aspects of their professional designed to supportin many Fellows lives. PD activities will assist you to strengthen your communication, communication, to strengthen your PD activities will assist you lives. ategic planning process? Over 2½ ategic planning process? Over ne orkshop focuses on a better understanding of the surgeon- orkshop focuses y w surgeons and medical administrators relationships administrator ant a solid understanding of the str ogether to Bridge the Divide SAT SET SAT 24 October – Lorne (VIC AGSFM) 1 November – Sanctuary Cove (QLD ASM) 10 November – Melbourne 17 November – Wollongong 20 November – Auckland (NZAPS ASM) 25 November – Perth supervisors to This three hour course is aimed at enabling and trainers Supervisors and l the responsibilities of their important roles. fulfi effectively on focuses SET) Course (SAT Training Surgical Education and Trainers been adopted use of the workplace assessment tools that have effective the management of as part to improve strategies of SET and explores opportunityunderperforming and is also an excellent trainees to gain insight requirements and the including legal into the College policies and processes, appeals process. NEW Surgeons and Administrators: Working T 9 November – Sydney This full da days you can gain the skills and knowledge to produce and implement can gain the skills and knowledge you days a strategic to establish will be on how Focus an organisational strategy. will also learn more You planning process. direction through an effective sustaining a competitive analysis, about conducting an organisational/market measurement systems. strategic and developing advantage Communication Skills for Cancer Clinicians 14 November - Melbourne workshop Victoria, this four-hour The Cancer Council In partnership with skills communication step-by-step evidence-based, on teaching you focuses to patients and their bad news the challenge of delivering that break down families. and a strategies the communication A clinical psychologist will demonstrate new your to practice you actor enables with an experienced exercise role play environment. skills in a safe medical administrator working relationship and development of more working relationship and development medical administrator in This workshop is offered health service management. cooperative The College of Medical Administrators. Australian with the Royal collaboration learning are to: objectives key • responsibilities and priorities understanding of the roles, a greater of Have • surgeon and medical improving for strategies practical Develop Strategic Driection NEW Providing 13-15 November – Melbour W Pub: CMC TOTS Page: 14 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP14/Vol:10 No:9October2009 IN THENEWS FELLOWS in 1968 Ethiopia, fi rst goingthere years inseveralperiods Hickshasspent16 Barry I dull indeed. dull ences that make fi rst world medicineseem recently experi- writtenhis abookdescribing to work. andinfrastructure the support He has ateaching postoffered if determine has him to in Ethiopia 1968. to He about to is return prove that thenotyet is era history. working with the poor in continuesAfrica, to humility embracesonly the latter description with both atleastis oneFellow ofthe College whonot general surgeon may seem longpast. Yet there tion, then missionary the ofthe era Christian North Trip 2005 to age this anendin ofsub-specialisa- broadest ofthe meaning title are coming f the days ofthe general surgeon the in Titled “Have– Will Travel!”Scalpel Hicks, Barry Mr general surgeon, fi and pride but who, but and pride after decades Have Scalpel – Will Travel! , the auto- rst went doctors between –andin saved manylives. theatre; offi took oncorrupt cials andlocal witch ownhis soasto meagre have salary assistance in stranger; paid the wages of out ofhospitalstaff bepresentedmust with the severed ofa penis let ofvillagecustoms which abride-to-be in ence to youth. his fact,in to out beadisconcertingrefer- turned obstetrics in which, andgynaecology but skills an acknowledgement increasing rapidly ofhis the baby doctor, whichatfi hethought rst to be beside him. medical texthis books stand opened onaviolin impoverished hospitaltheatres sometimes with a general surgeon Shashemane working in in Fellowship in 1967, as Hicks life Mr began his teacher andmentor. aregionin ofEthiopia, to later asa his life surgeononly for more than two millionpeople central South Australia, time asthe throughhis trucks onthesuch saltlakes jobsasdriving in when hesupplemented scholarship with his then South in asamedical student Australia early from days biography life his describes his Over consequent decades the heran gaunt- He was known by the local as Ethiopians afterreceiving shortly in his Africa Arriving colleague, hasseen the best andbrightestyoung as Director at ofSurgery Townsville Hospital. Soddo, Shashemane and Addis Ababa andhere and both in AustraliaAfrica working there in andadopted natural six children his he raised long. With wife Robin, his ateacher, beside him, ment decree, Hicks Mr could never stay away for personal customs we strongly to sought eradicate.” done early enough. It was obviouslyoneofthe informed, that the procedures had notbeen or someother infection, itwas proof, we were died, asthey did, notinfrequently, from tetanus themselvesdrag the inside child. the If child to holdofthe uvula grabbing stop spirits evil a longfi ngernail,” hewrites. was doneto “This atthe the backcut off uvula ofthe throat with as aprophylactic measure, the custom was to for patients. his ofcandles, byonly the light to dowhathecould west, Hicks Mr operated onthe sick attimes most advanced pathology rarely the seen in labour, to andspear gun-shot wounds to the Scenery from a triptoSoddo Mr HicksMr haswitnessed the ofa murder Forced to leave atvarioustimes through “Sadly alotof healthy babies diedbecause, From sick children, to women obstructed in illness, political revolut ion andgovern- Pub: CMC TOTS Page: 15 Date: 17-OCT-2009 Plate:CMYK cul- ve treated people with people with treated over at gun point” over at gun he challenges of lifeAfrica inhe challenges seem “It was exciting and challenging; and frustrat- exciting was “It visit please book, of the Mr Hicks’ a copy For Indeed, t Indeed, some stupid done things have “I the picking by remember up a policeman “I a prisoner refusing release remember to “I with be outspoken to foolish I was guess “I I did did things. I also some audacious “But Vol:10 No:9 October 2009 SURGICAL NEWS P15 / Vol:10 disease pathology I had never seen and never and never seen never I had disease pathology see. thought to ing and satisfying; terrifying I rewarding. and life and am only sorry loved takes age that have and health energy and good some of the away visit I will In this next try down. me slow made enough I have man, as an older if, and assess be of help still.” to strength www.havescalpelwilltravel.com at the website ties as routine challenges, but tend to tolerate tolerate to but tend challenges, as routine ties and downright cussedness laziness, colleagues’ of rest the easily than less even malevolence as I saw Barry all about knows this, us do. away walked have I would I fear myself... for more.” up for popping but he kept beaten, inspired him to continuing – from have only to explosion, after being in singed an ether operate treatment medical seek to sick the convincing to taking to doctors, witch the by offered that over government. on the in the Mr writes Hicks during lifetime,” my autobiography. scruff and of his seat pants the of his and neck tried to when he ce him offi out of my forcing report victim’s an accident bribechange me to a rich driver. exonerate to up in was which traction femur a fractured with to back be taken I knew he would because that prison and left untreated. issues as such with when faced government the imported equipment refusing release them to ability the me to cost It duty. paid had after we some years. a visa for get moni- frequently anaesthetics own most of my and hands of an eyes through the toring them untrained person and I have OBE and the recipient of the College Interna- College of the recipient and the OBE and in PNG his work for in Medal 2002 tional book: the to foreword in the writes He Yemen. pioneer bush have “Those in the do best who truly diffi unavoidable and accept qualities mission hospitals weremission hospitals taken “During the revolution“During the our fi “I chose to focus on my time in Ethiopia, I in time Ethiopia, on my focus to chose “I there surgical part work of my “The biggest when I lived lived have very to glad “I’m and a life of tenacity Mr has lived Hicks Unilateral Thyroid Large Thyroid known. If some people are challenged by my my by challenged are If people some known. should be chal- We good. Christian – that’s faith a I became places. of these need the by lenged faith. of my because overseas and went surgeon hit but I don’t faith that apologise for I don’t bible. the with head the over people of an idea readers give to particularly suppose, partic- did there, of surgery we that breadth the surgery is so much of western that ularly now sub-specialist surgery. but along with and gynaecology, obstetrics was trauma injuries including burns I treated that range of general and did a wide and wounds surgery some neuro and orthopaedic and even surgery. and vascular an interest- it has been worse or better for because I I did what I could. surgeon As a general ing life. surgeons general western about younger wonder be very I imagine because they’d now there going of their narrowness of the because hard-pressed and training paucity of investigations and the do.” to need would afraid do what they to AM, Clezy, Ken Professor to according courage, ve e of Ethiopia even thoughe of Ethiopia even cult to work within their Shortly he is to return to Ethiopia to inves- Ethiopia to returnShortly to he is to has always been fall “It very me to easy for mission the within when working least “At experience my explain this book to wrote “I doctors leave Ethiopia for better pay and condi- pay better Ethiopia for leave doctors decades, for seen, and has also elsewhere tions lack for care medical from turned sick away the still away. he cannot walk yet of resources, Associ- him as offered position a teaching tigate of Surgery Jimma at the University Professor ate a will make He Ababa. Addis of 400km west is enough there on whether based decision certainly are There not infrastructure available. or patients available the treat enough to surgeons under and post-graduate students. the teach to peopl the with in love be very diffiit can he said. system,” we that and supplies materials the get could we I when at Shashemane, one stage, At needed. that advisor a senior government by told was medi- of the doing 90 cent per missions were of cent per 10 about in Ethiopia with work cal our fi During revolution the personnel. the at gun point. over taken mission were hospitals and most changed have Times years. the over I have world the not experienced have people Pub: CMC TOTS Page: 16 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP16/Vol:10 No:9October2009 REPORT ASERNIP-S Surgical Director, ASERNIP-S Guy Maddern and researchers. prepared by ateam ofsurgeons, consumers asernip-s/publications.htm. was summary The fi dermal andpermanent semi-permanent on injectable systematic ofthe full review summary English andpermanent Injectable semi-permanent • andLong-lasting (semi-permanent • from HIV medication: related andfor fat wrinkles the lossin face available, found that forASERNIP-S age- From ofscientifi the number small Main messages D rary dermal fi dermal rary face look, afuller compared with more tempo- fi dermal at the safety andeffectiveness oflong-lasting Procedures looked (ASERNIP-S) –Surgical and Effi cacy Register ofNew Interventional defi the face to due treatment for Immuno- Human related wrinkles, or lossoffat (2)abnormal in ciency Virus (HIV). ciencySafetyAustralian Virus The satisfaction. fillers, andgive patients levels high of fidermal lastlongerllers than temporary years. products are safe for longer than fi studies after treatment. scientifi Not enough Many studies re fias temporary term. the in llers short ofthethe face skin appear atleast assafe fi dermal permanent) injectedllers into The followingThe information aplain is injectedllers to into the give skin the availablellers atwww.surgeons.org/ face to treat patients with (1)age- may beinjected ofthe into the skin fiermal arellers substances which have been doneto show that these llers. ported lumps in the in faceported lumps Patient informationonpermanentandsemi-permanentdermalfi llers
c studies c ve ve c Dermal FillersDermal stop taking his or her medication. his stop taking life. As aresult, the patient may then decide to as having HIV andhaving areduced of quality can lead toThis the recognisable person being cheeks, aperson’s making face lookhollow. HIV can result fat abnormal in lossfrom the Some ofthe medications given to people with HIV-associated lossoffatintheface tobegins sag. The lips get thinner the face, near andlines mouth andnose. their As peopl Age-related wrinkles fi tollers treat: for patients over alonger oftime. period ers are needed to collect information onoutcomes fi dermal and permanent able semi-permanent are injected ofthe into theface, skin to replace Injectable fi dermal arellers substances which Injectable dermalfi More high quality scientifi More quality high This information the about useofdermal is This e get on older they develop wrinkles and the skin ontheand theface skin llers c studies on inject- ll- the face to treat patients with (1)age-related long-lasting fi dermal ing of intollers the skin look atthe safety andeffectiveness ofinject- Synthetic long-lasting fi• canllers maintain • Temporary or permanent).(semi-permanent fi fi a person looks younger or healthier. Dermal lost fat andrestore shape sothat the natural or maymorellers betemporary long-lasting and stimulate itto become thicker slowly. work because they to cause react the skin away. Other fi canllers take afew monthsto injected to into straight the itup plump skin (permanent).not atall Somefi canllers be break down slowly (semi-permanent), or the cosmetic effect longer because they treatment without permanent. itbeing effect. Hence the patient the out can try need regular treatments the to maintain back into the body. means that patientsThis toup 12 monthsbefore absorbed being materials such ascollagen, which can last The aim ofthe review aim wasThe toASERNIP-S arellers made ofbiological Pub: CMC TOTS Page: 17 Date: 17-OCT-2009 Plate:CMYK ne Vol:10 No:9 October 2009 SURGICAL NEWS P17 / Vol:10 Acknowledgments courtesy is The provided image sculpture glass surgeon/artist. of Mr Randall Sach, Further information please ASERNIP-S, on information more For contact: ASERNIP-S Surgical Guy Maddern, Professor Director, Stepney, 553 PO Box Australia 5069 South 7513 8 8363 T: +61 2077 8 8362 F: +61 E: [email protected] W: http://www.surgeons.org/asernip-s niques before they are widely used. Each review review Each used. widely are they niques before evidence, or information, all relevant collects treat to used on new and standard techniques The quality is of evidence condition. a medical recommen- ASERNIP-S makes then assessed. the of and effectiveness safety on the dations College, the by endorsed are that procedures and Australia in and surgeons hospitals sent to with and published website on the overseas, consumers. summaries for llers: substances hepatobiliary, small bowel, thyroid, colorectal, ventral and incisional hernia. ventral and incisional hernia. colorectal, thyroid, small bowel, hepatobiliary, accommodate a maximum of 15 attendees. eterinary Clinic in Werribee Attendees will rotate through fi ve stations including small bowel, upper GI, upper GI, small bowel, ve stations including Attendees will rotate through fi The morning and afternoon sessions will be identical and each can Advanced Laparoscopic Skills and Neck Surgery. workshops will be held on Two • • • *Early registration is recommended. CME approved by RACS Further information and if you would like a provisional programme please contact Lindy Moffat, Conferences & Events at RACS + 61 3 9249 1224 or [email protected] Workshops 2009 at the University of Melbour 29 October, Thursday, V (Review published in February(Review 2009) fi llers injected into the skin can increase skin the increase into can llers injected fi appearance the and improve thickness its were most patients face; patient’s of the procedure. of the result the with happy be effective to appear The procedures are studies long-term but more time, over skin the with deals how see to needed period. a long time over products these injected into the skin of the face to change facial facial change to skin the face into of the injected appearance ASERNIP-S review: literature conducts and effective- safety on the reviews literature are they before of new surgical techniques ness system. care health the into accepted widely information, all relevant collects review Each on new and standard techniques evidence, or condition. a medical treat to used Glossary injectable dermal HIV fi HIV: What is ASERNIP-S? ASERNIP-S College. is a program of the on the ASERNIP-S reviews literature conducts new surgical of tech- and effectiveness safety c studies was low; low; was studies c and bruising, with the the with and bruising, ve years. ve laparoscopic mesh and incisional hernia repair breast cancer; thyroidectomy; and damage control laparotomy most common complication being lumps complication most common While many studies skin. under the these to did not report what happened some lumps that reported others lumps, treatment. and some needed disappeared long- determine the not possible to was It no because procedure of the safety term products at these c study looked scientifi fi than longer In general, complications from the the from complications Safety: In general, temporary not serious, and were procedure injection of the most being a result with of a matter within resolving and itself included complications These days. redness swelling, For patients with age- with patients Effectiveness: For abnormal wrinkles who have or related treatment, HIV due to face in the loss of fat permanent semi-permanent and dermal Sessions on inguinal hernia repair, refl ux surgery, right hemicolectomy ux surgery, refl Sessions on inguinal hernia repair, for abdomen; sentinel node biopsy the unclosable How I do it sessions on closing ssures Update yourself on botox® injection for anal fi *Book now as it is Melbourne Cup Weekend *Book now as it is Melbourne Cup A 1 ½ day meeting for general surgeons presented by the Alfred Hospital, Melbourne. Alfred Hospital, A 1 ½ day meeting for general surgeons presented by the • • • Controversies & Current Techiniques & Current Controversies 30-31 October 2009 Sebel Hotel, Albert Park The Conference dinner will be held at the MCG with famous Australian sports The Conference dinner will be held at the MCG with famous Charlton as the Tony and Mike McKay and Linley Frame Anderson, personalities; Phil and violinist Sally Cooper will be performing. Alan Kogosowski Pianist MC. Annual Scientific Meeting Annual Scientific Meeting Coalface Updates The number of scientifi found ASERNIP-S Group Review the however, that: • wrinkles, or (2) abnormal loss of fat in the face face in the (2) abnormal loss of fat or wrinkles, HIV. for treatment dueto What is the evidence? • Pub: CMC TOTS Page: 18 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP18/Vol:10 No:9October2009 1 Tested using aslicingcamat50rpmonBetaTec machinewith a45gramload. fi bre thatprovidesincreasedprotection againstcuts. Caution: Thisglovelinerprovidesnoprotectionagainstpuncturesandisnotcut-proof,but ismadefromahigh-strengthpolyethylene trademark ofE.I.dePontNemoursandCompany oritsaffi liates. Spectraisaregistered Inc. trademarkofHoneywellInternational Ansell ®and™are trademarks ownedbyAnsellLimitedoroneofitsaffi liates. ©2009 AnsellLimited.AllRightsReserved.Kevlar isaregistered Orthopaedic Surgery Otolaryngology –Head&NeckSurgery Plastic andReconstructiveSurgery Urology Neurosurgery Cardiothoracic Surgery General Surgery vacancies ontheCourt,inspecialtyof: Fellows areaskedtonotethefollowing Applications fromeligibleFellowswillingtoserveontheCourtshouldbeforwarded tothe Department ofExaminationstheCollegenolaterthanMonday1December2009. GLOVE OURLATESTLAUNCH LINERS, AUSTRALIAN THEATRESWITHANSELL’S CUT-RESISTANT UNPRECEDENTED HANDPROTECTION HASARRIVEDIN [email protected], orvisitourwebsiteatwww.professional.ansell.com.au. please contactourAnsellCustomerServiceteamon1800337 041, emailusat For more informationabouttheseproducts ortorequest samples, Protect yourmostimportantassetwithAnsell’s Cut-Resistant GloveLiners. Liner provides increased protection whilemaximisingdexterityand comfort. static sparks.Thecontinuousfi lamentconstructionoftheCut-Resistant Glove electricity thanKevlar®,whichhelpstoimprove comfortandreduce theriskof material lighterthanKevlar®.Spectra®absorbslesswaterand conductsless Ansell Cut-ResistantGloveLinersare made withSpectra®polyethylenefi bre, a than latex. protection duringrigorous procedures providing 17timesmore cutresistance appropriate handprotection. TheCut-ResistantGloveLinerprovides superior vascular procedures, aboutsafetyand andforanyothersurgeonsconcerned This glovelinerisanidealprotective underglove fororthopaedic,trauma,and of Cut-ResistantGloveLinerstoitssurgicalrange. aboutinjuriesintheatres,Following ariseinconcern Ansellannouncesthelaunch • • • EAST MELBOURNEVIC3002 250 -290SpringStreet Royal AustralasianCollegeofSurgeons Department ofExaminations or postto [email protected] your curriculumvitaeto: with Court ofExaminers,pleaseforward yourapplication form Should youwishtoapplybeanExaminer/memberofthe Forinquiries,[email protected] College website. and ConductoftheFellowshipExaminationcanbefoundon The policyinrespecttoAppointmentstheCourtofExaminers website www.surgeons.org areavailablefordownloadingviatheCollege Application forms 1 ROYAL AUSTRALASIAN COLLEGEOFSURGEONS FOR THE FELLOWSHIP EXAMINATION COURT OFEXAMINERS COURT Pub: CMC TOTS Page: 19 Date: 17-OCT-2009 Plate:CMYK Vol:10 No:9 October 2009 SURGICAL NEWS P19 / Vol:10 Pub: CMC TOTS Page: 20 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP20/Vol:10 No:9October2009 of theRuralSurgeonsAward Graham isaworthyrecipient surgeon DoctorJohn As aneducatorandmaster onyour achievementsCongratulations AWARDS COLLEGE what can setting. beachieved the in rural excellencesurgical example that ashining of is andpublication.audit anillustrationof is This by commitment to anddemonstrated detail by teachingpolitan hospital. was achievedThis major vascular asgood asanymetro- surgery setting which produced arural outcomesin in such aspecialistpractice could beestablished and overcame them. He demonstrated that setting. arural in He faced manychallenges lar surgeon developed asolovascular practice practice. the perhaps is fiThis rst time avascu- in Lismore 1992 vascular to afull-time establish colleagues ofhis hemovedto the surprise to had astrong practice. interest rural in Much academic vascular practice andthe life. city surgeon. He seemed setfor asuccessful Shore Hospital asa Vascular and Transplant andthenFlinders Concord Hospital Sydney. 1983 Registrar asSenior in Vascular at Surgery in Vascular Surgery. He to returned Australia in Collegeand thenasResearch atKings Fellow dom, Infi atthe initially Cumberland the in United King- training then further did tal, Sydney Fellowship andgained in 1974. He both leader asurgical andeducator. tion. aworthy Johnis Graham recipient as commitment to excellence surgical andeduca- to asdemonstratedservice RuralSurgery by 2002 in Council to recognise conspicuous RuralSurgeonsThe Award was created by -Rural SurgeonsAward 2009 Doctor JohnCampbellGraham John also demonstrated leadership rural in was nottoThis bethe case. John had a In 1985 hewas appointed to Royal North John trainedatRoyal Shore North Hospi- rmary lways lways Surgeons Award. aworthy is Graham recipient ofthe Rural course this 20in years on. the limit of resources. He continues to instruct management stress whenunder whenreaching of the course, demonstrating amethodologyof “Dingo Creek” concept, which sets the scene ronment. John credited is with developing the major within resourced trauma anunder envi- setting whoare oftencalledto upon manage educational experience for surgeons the in rural force for for energy this John was to provide an and propagation course. ofthis driving The was akey player the in adaption, development ment ofSevere Trauma (EMST)course. John by the College to become theManage- Early sored course trauma was adopted andadapted Support the instructor course, in be involved the in provider initial course, then whotravelledgroup to Nebraska order in to education.surgical John was oneofthe initial ofthe FellowshipChair ServicesCommittee. Scientifi activities andworked ofthe asChair Annual 2008. until ofCouncil member Rural Surgery. hebecame In2006 anelected the representative ofthe Divisional Group of 2001 College hejoined 2006 as until Council then President ofthe Provincial Surgeons. From politics.surgical In 1997 hebecame Secretary in in 1998. In that sameyear, a healso undertook South Wales, becoming a Fellow ofthe College otolaryngology, New head in andneck surgery hecompleted in but (UK) specialisttraining his training commenced the in United Kingdom at Oxford University the in UK. surgical His apost-doctoralundertook research fellowship Otolaryngology atthe sameuniversity andthen He completed aPhDatthe Department of Medicine atthe University ofMelbourne. Professor Stephen O’Leary graduatedin John MitchellCrouch Fellow, 2009 Professor Stephen O’Leary- Citation kindly provided by Phil Truskett As aneducator andamaster surgeon, John He hasmade asignifi cant contribution to John was astrong contributor to College c Congress Review Committee and ( ATLS ). College spon- American This Advanced Trauma Life Fellowship for 2009. worthy recipient ofthe John Mitchell Crouch leadershipacademic in surgery.and his He a is recognisedally research cochlear in implants of surgery, internation- particularly throughhis contribution tooutstanding the advancement of the Board Research ofSurgical since 2006. ofthemember College andhasbeen amember and Fellows. Professor O’Leary also is anactive research postgraduate and supervises students commitment to training, surgical postgraduate the Royal Children’s Hospital. He hasastrong Victorian Eye Hospital andEar (RVEEH) and Cochrane Collaboration: Ea positions for Auditorial Neurotology andThe logicum Amiticiae Sacrum. He holdseditorial ties Otorhinolaryngo- the Collegium including several prestigious international medical socie- and international meetings of amember andis presented ofprestigious atanumber national the Netherlands. Otologyin atthe Utrecht Medical Centre in clinical and Cochlear Implant C c also holding ofOtolaryngology lastyear,of Chair while the up position andtaking ofMelbourne sity worked asanacademic surgeon atthe Univer- grated academic andc range ofother journals. Group Disorders giants of20 Under Professor Charles Drake, oneofthe following training in Australia Alexandra Hospital for in Children 1979 Prince HospitalAlfred (RPAH) andthe Royal to the atRoyal Department ofNeurosurgery College andwas Neurosurgery appointed in Michael Fellowship Besser his obtained ofthe AM -ESRHughesMedal Associate Professor MichaelBesser skull base andoncologicalskull neurosurgery. vascularnial disordersaswell aspaediatric, expertisegained the in treatment ofintracra- Citation kindly provided by Julian Smith Stephen asurgeon is whohasmade an In recent years Professor O’Leary has Professor O’Leary hassuccessfully inte- and post-doctoral research fellowship th century neurosurgery, century Michael linical andreviews articles for a positions atthe Otology linical practice, having linics at the Ro r nose a and Canada. nd Throat yal Pub: CMC TOTS Page: 21 Date: 17-OCT-2009 Plate:CMYK ion elds, elds, linical linical linical Asso- linical ministrat ngly C Accordi One of the most outstanding of of the One surgeons Involved in the development of a prescrip- development in the Involved by provided kindly Citation Vol:10 No:9 October 2009 SURGICAL NEWS P21 / Vol:10 academics and heads of their departments. of their departments. and heads academics meticulously has been Michael his generation, c the both from on his patients focused to contribution cant signifi a most has made surgery. Australian 1998 until his retirement. He was honoured honoured was He until his retirement. 1998 for in 2001 (A.M.) Australia of Order the with medicine. services to training, neurosurgical of curriculum tive training the of many neuro- oversaw Michael all. to mentor a valued becoming surgeons, on to gone have registrars of hisMany former in neurosurgical subspecialtybe leaders fi with- and has been and humane perspectives when he under- prepared totally out exception he has set The example their treatment. took in all aspects his and colleagues registrars to McGee-Collett and surgical care of neurosurgery patient from audit and ad teaching, to prowess is a most deserv- Besser Michael Professor ciate Medal. Hughes ESR of the ing recipient Martin + 61 3 9249 1211
rst rst Associ- International Scholarships Secretariat Scholarships International College of Surgeons Australasian Royal Gardens College of Surgeons’ Street 250 – 290 Spring 3002 Victoria East Melbourne Australia Telephone: Fax: [email protected] Email: + 61 3 9276 7431 If you would like to help or require further to help like would If you please contact the International information, details: on the following Secretariat Scholarships ulminating in in ulminating c meetings and published and c meetings cult to cial cial scientifi His opinion and care has often been been has often His opinion and care and drive planning initiative Michael’s Neurosurgical in the served many roles He Michael was appointed a Clinical Clinical a appointed was Michael cult cases from other teaching hospitals in hospitals teaching other from cases cult sought from colleagues who referred the most the who referred sought colleagues from diffi Australia. of neuro- provision optimum the ensured of adoption early the surgical services with neurosur- to adjuncts technological evolving as frameless stereotaxis, such gery at RPAH fi radiosurgeryAustralia’s stereotaxic and Imaging Resonance Magnetic intraoperative . scanner c (NSA) Australasia Society of College the Within of President. position the of Councillor those included have his activities to In addition and Examiner in Neurosurgery. neurosurgi- international several convening presentations 65 he has given meetings cal at offi in University Neurosurgery at the Professor ate of Director Area the and was 1996 in of Sydney Service from Health Area of his Neurosciences 87 papers. papers. 87 c are provided with training with training c are provided nd suitable accommodation for visiting scholars. If you have a If you scholars. visiting for accommodation nd suitable Through the RACS International Scholarships Program, young young Program, Scholarships the RACS International Through developing from nurses health professionals and other surgeons, Asia and the Pacifi in countries fi helping, in and are interested accommodation or suitable spare room people who to are seeking are able We details. please send us your our overseas for environment and welcoming a comfortable provide appreciation. rental and eternal a resonable for exchange scholars in opportunities to visit one or more Australian and New Zealand Australian one or more opportunities to visit the scholars to acquire the knowledge, allow visits These hospitals. health of improved and contacts the promotion neededskills for two from duration in and can range country, their own in services weeks to 12 months. it is often diffi nature of theseDue to the short visits, term ACCOMMODATION FOR VISITING SCHOLARS – WE NEED YOUR HELP! YOUR WE NEED – VISITING SCHOLARS FOR ACCOMMODATION Michael was one of the fi rst to bringrst to fi one of the was Michael colleague, his nose and throat ear With Melanoma the to appointed was Michael to Australia the techniques of microscopic of microscopic techniques the Australia to most the aneurysms, of vertebrobasilar repair of neurosurgical cult demanding and diffi such for His published outcomes conditions. surgeons best of the those to equal were cases internationally. upon many operated Michael Pohl, David neuromas acoustic with of patients hundreds and pituitary minimal morbidity. tumours with such to approach “team” the They consolidated instru- was Michael challenging conditions. establishmentmental early in the of interven- of vascular neuroradiological treatment tional his at radiologicaldisorders with colleagues (RPAH). Alfred Hospital Prince Royal 1980s. in the RPAH to Unit when it transferred Thompson he published one John Professor With series of intracranial management largest of the literature. medical melanoma inmetastatic the of hundreds treating for outcomes His treatment meningiomas demand- with and other patients excellent. ing tumours brain of the were Pub: CMC TOTS Page: 22 Date: 17-OCT-2009 Plate:CMYK Congress Scientifi c Convener David Oliver Congress Convener Michael Levitt www.asc.surgeons.org the PerthASC,clickon For furtherinformationon PERTH ASC 2010 by the conveners. the scientifi andthec programs Visitors invited to Fellows all and Trainees November. in 2010. Provisionalbeposted will The Program dateing for research abstracts 25 is January website,Congress ‘asc.surgeons.org’.clos- The next page), or itcan bedownloaded from the edition this in ofSurgical News (please see Fellow or a Trainee. of valueyour in everyday practice, whether a the mostrecent c Faculty to present the mostrecent research and conveners have drawn together anoutstanding ees: ‘Update ononcoplastic techniques’ and for delegates, all whether Fellows or Train- Masterclasses that fi should of breast reconstruction. There betwo will for radiotherapy impact upon the timing and the ways which the in requirements noma-in-situ, pre-operative chemotherapy provided updates onthe areas carci- ofductal cancer education. andsurgical withgist research andc Houston. Professor Kuerer oncolo- asurgical is prestigious MD CancerAnderson Centre in Visitor, Professor Kuerer Henry from the Peter Willsher. Peter hasinvited asthe RACS convened is program BreastThe surgery by Breast Surgery T SURGICAL NEWSP22/Vol:10 No:9October2009 Over the monthswe coming highlight will for Call The Abstracts form included is Peter hasasked Professor Kuerer to 79 forhe planning the forthcoming and Perth well is advanced. PerthThe th Annual Scientifi Annual linical mater linical interests in bre broadinterest nd c Congress in in Congress c ial which will be ial which will Call forCall abstracts ast Novartis. Zeneca, Johnson andJohnson Medical and on Wednesday night, sponsored by Astra- sections combine for will section their dinners by Covidien. and $500). The Trainee’s supported is Prize and presentation by a Trainee (certifi bea will Trainee’s for Prize the best abstract by younger women with breast cancer. There session covering the particular problems faced issuesforand lifestyle breast surgeons, anda new technologies breast in cancer, training aspects andcomplications ofbreast surgery, ‘Breast –interpretation MRI andapplication’. Colorectal Surgery ‘‘Pelvic exenteration techniques including from Professor Michael Solomondiscussing Masterclasses: the fi laparoscopic for surgery colon cancers. trial, a clinical study that compared o presenting for data the survival the ALCAss involved. Peter Mr include will This Hewitt whichofthe members in Colorectal section are devoted to showcasing a number of clinical trials Surgeons and Trainees. session be will A further prestigious Mark K research paper presentations, the including sessionsThree have also been allocated to of laparoscopic procedures. andopen surgical entations onhow surgeons perform avariety three include will sessionspres- ofaudiovisual of rectal cancer. Inaddition to this, the program role oflaparoscopic the in management surgery managementsurgical ofCrohn’s andthe disease the Royal ofMedicine. Society Surgeons andthe Coloproctology Section of ident ofboth the Association ofLaparoscopic colorectal surgery. Roger Motson apast is pres- laparoscopic surgery, the particularly in fi Hospital, UK. He anacknowledged is expert in consultant surgeon atColchester General funded Visitor Professor is Roger Motson, Colorectal program. surgery College-The Professor Cameron Platell convening is the The Breast surgery and Endocrine surgery surgery andEndocrine BreastThe surgery Other sessions address will the medicolegal The ColorectalThe section offer will two Professor Motson bepresenting will onthe illingback Prize for Younger rst (Wednesday) be will pen versus eld of cate cate sored by Johnson andJohnson Medical. skyline.city Colorectalspon- is The dinner River andoffers spectacular viewacross the South Perthrestaurant in overlooks the Swan Wednesday at night ‘Cocos’. outstanding This addresswill ‘Colorectal misadventures’. Oncology section, andthe second (Thursday) pelvic cancers’, association in with the Surgical en bloclateral pelvic sidewallfor recurrent in which he is very well very which he is in qualified to speak. into activism’, environmental journey anarea seat beltlegislation. on talk will ‘A Bill surgical andactivism anti-smoking ing for compulsory involvement activism environmental in includ- the environment. of hasalonghistory Bill France where hehasbeen abookon writing surgeon, Castleden from Bill hasreturned afternoon. to the research facilities Park the in atKings Dampier in 1699. We have avisit arranged edge ofthe plants since the of visit W fl coverwill the evolution ofthe diversity ofthe WA: plant diversity’. ofhigh anisland This deliverwill apresentation titled ‘South West internationally Park. recognised Kings He featurewill DrMarchant, Neville from the the Expand Your Horizonsprogram. additional cost to Associates attendance asis at thein Associates’ program. Attendance atno is program, which are now offi Surgeons andthe program History Surgical Associates are encouraged to attend the Senior signifi The Associates hasundergone program a Associates Program perfect Perth. perfect invitation to present. Australian ofHealth Minister hasaccepted the President’s Lecture. Harry, Dr Kim the Western nolonger Marshall will the bedelivering Barry Due to unforseen circumstances Professor President’s Lecture ora and an overview of the gaining of knowl- andanoverview ora ofthe gaining The ColorectalThe section on is dinner A retired Western Australian vascular The fi We look forward to welcoming you to cant revamp. InPerth, registered all rst Expand Your Horizonssession cially incorporated illiam Pub: CMC TOTS Page: 23 Date: 17-OCT-2009 Plate:CMYK Call for Abstracts Call for
Annual Scientific Congress Perth Convention & Exhibition Centre, Perth, Australia –74 May 2010
Royal Australasian College of Surgeons perth’10 Pub: CMC TOTS Page: 24 Date: 17-OCT-2009 Plate:CMYK research andinvitedpapers Submission ofabstractsfor 2 Pleaseensurethatyouindicate ontheAbstract 12. Tables, diagrams,graphs,etcCANNOTbeaccepted 11. Thetiming(presentationanddiscussion)ofallpapers 10. A50wordCVisrequiredfromeachpresenterto 9. Authorssubmittingresearchpapershaveachoice 8. Presentations(slideandvideo)willonlyhaveelectronic 7. Abbreviationsshouldbeusedonlyincommonterms. 6. Excludingtitle,authors(fullgivenfirstnameandfamily 5. Non-scientificpapers,eg.Education,History, Military, 4. Researchpapersshouldfollowtheformat: 3. Thetitleshouldbebriefandexplicit. 2. Authorsofresearchpaperswhowishtohavetheir 1. Several pointsrequireemphasis: Submission. website http://asc.surgeons.orgclickingonAbstract This isaccessedfromtheAnnualScientificCongress Abstract submissionwillbeentirelybyelectronicmeans. best abstractandpresentation fromaTrainee willalso Surgery program).Fivehundred dollarprizesforthe hernia managementfromaTrainee intheGeneral Bard prize(bestresearchrelatedtoabdominal Education prize(forbestresearchpaper)orthe (best researchpaperfromaTrainee); theSurgical meeting are–Tom ReeveprizeinEndocrineSurgery Younger Fellow). Otherprizestobeawarded duringthe Colon &RectalSurgerygivenbyaSurgicalTrainee or for theMarkKillingbackPrize(bestscientificpaperin Submission sitewhetheryouwishtobeconsidered of thecomputersoftwareprogram. in theabstractsubmission.Thisisduetolimitations in correspondencesenttoallsuccessfulauthors. Notification ofthetimingpresentationswillappear is atthediscretionofConvenereachSection. facilitate theChairman’sintroduction. in theprogram. specialties orspecialinterestgroupsparticipating considered. Submissionsareinvitedtoanyofthe of twospecialtiesunderwhichtheirabstractcanbe correspondence senttoallsuccessfulauthors. available intheCongressProvisionalProgramand PowerPoint support.Audiovisualinstructionswillbe in bracketsafterthefirstfulluseofword. For uncommonterms,theabbreviationshouldbegiven will NOTappearintheabstractbook. this allowance.Ifyouexceedlimit,theexcesstext the ‘Tools menu’.Any referencesmustbeincludedin words). InMSWord, thiscountcanbedeterminedfrom 1750 charactersandspaces(approximately250 name) andinstitution,theabstractmustnotexceed the above. Medico-Legal, mayunderstandablydepartfrom Methodology,Purpose, Results,Conclusion. after theclosingdatewillnotbeconsidered. the Abstractsubmissionsite.Abstractssubmitted Call forAbstracts,theProvisionalProgramandon website havingregardtotheclosingdatesin submit theirabstractelectronicallyviatheCongress programs attheAnnualScientificCongressmust abstracts consideredforinclusioninthescientific Perth Convention&ExhibitionCentre,Perth,Australia ([email protected]) determine whyaconfirmatoryhasnotbeenreceived at theRoyalAustralasianCollegeofSurgeonsto received. Inthiscircumstance,pleaseemailBinhNguyen within 24hoursitmaymeantheabstracthasnotbeen submission site.Ifyoudonotreceiveaconfirmationemail email confirmationofreceipttheabstractinto The submittingauthorofanabstractwillALWAYS receive Authorsmustberegistrantsatthemeetingfortheir 13. or [email protected] contact BinhNguyen,forassistanceon+61392491279 If thereareanydifficultiesregardingthisprocess,please OF AUTHORS. BYSUBMITTED COLLEGESTAFF ONBEHALF WILL NOTBEACCEPTED, BE NORWILLABSTRACTS PLEASE NOTETHAT PAPER ORFACSIMILE COPIES OF INVITEDSPEAKERSIS8MARCH2010. THE CLOSING DATE SUBMISSION FORABSTRACT IS25JANUARYSUBMISSION 2010. THE CLOSING DATE FORSCIENTIFICPAPER ABSTRACT SUBMISSION’. AND CLICKON‘ABSTRACT GOTOhttp://asc.surgeons.org TO SUBMITANABSTRACT Important Information lsr fAsrcs25January2010 15March2010 2October2009 Closure ofEarlyRegistration Closure ofAbstracts Abstract Submissionopens Important Dates Congress inadditiontotheabstract. screens atthevenue.Posters willbeplacedontheVirtual Congress andwillbeavailableforviewingoncomputer All posterswillbepresentedelectronicallyduringthe Scientific Posters S aae MsLindyMoffat MsAngelad’Castro MrCampbellMiles Executive Officer, Western Australia MsPenny Anderson Regional Manager, Western Australia MrDavidOliver ProfChristobelSaunders ASC Manager MrRupertHodder ASC ScientificCo-ordinator MrHarshaChandraratna Executive CommitteeMember Executive CommitteeMember Executive CommitteeMember Scientific Convener Convener Executive OrganisingCommittee or theVirtualCongress. abstract toappearinthepublications,onwebsite for oneoftheseprizesontheabstractsubmissionsite. Surgical Trainees mustregistertheirintentiontoapply surgery, UpperGIsurgeryandVascular surgery. (reconstructive prizeandaestheticprize)Trauma General surgery, Hepatobiliarysurgery, Plasticsurgery surgery (inadditiontotheMarkKillingbackPrize), be offeredinBreastsurgery, Burnsurgery, Colorectal RACS AnnualScientificCongress Mr MichaelLevitt Pub: CMC TOTS Page: 25 Date: 17-OCT-2009 Plate:CMYK Lunch Plenary Masterclasses Scientific Sessions Lunch Plenary Scientific Sessions Scientific Sessions 4 –7 2010 4 May perth’10 Lunch Sectional Dinners Congress Dinner Sectional Dinner President’s Lecture Lectures Keynote Lectures Keynote Lunch Dinner Plenary Scientific Sessions Sessions Scientific Scientific Sessions and Younger and Younger Morning Tea Morning Tea Morning Tea Morning Tea Afternoon Tea Tea Afternoon Afternoon Tea Afternoon Tea Masterclasses Masterclasses Masterclasses Keynote LecturesKeynote Lectures Keynote Lectures Keynote Lectures Keynote Keynote Lectures Keynote Sectional Dinners Fellows & Trainees & Trainees Fellows Scientific Sessions Scientific Sessions Scientific Sessions Scientific Sessions Scientific Sessions Scientific Sessions Plenary Pain Medicine Pain Plastic & Reconstructive Surgery Rural Surgery Senior Surgeons Surgical Education Surgical History Surgical Oncology Surgery Transplantation Surgery Trauma Upper GI Surgery Surgery Vascular in Surgery Women rainers for 4.30pm 6.00pm Reception Ceremony competent Workshops 1. Polishing 1. Polishing Professional Convocation Development SET (SAT SET) SET (SAT patients better: Monday 3 May 4 May Tuesday 5 May Wednesday 6 May Thursday 7 May Friday and T orkshops 1 and 2 Become culturally Welcome Cocktail Welcome Presentation Skills 2 & 3. Supervisors 4. Understand your W Session 4 Session 3 Session 2 Session 1 7.00am – 8.20am 4.00pm – 5.30pm 2.00pm – 3.30pm 1.30pm – 2.00pm 3.30pm – 4.00pm Breakfast session 8.30am – 10.00am 10.30am – 12noon 7.00pm – 11.00pm Bariatric Surgery Breast Surgery Burns Surgery Colorectal Surgery Craniomaxillofacial Surgery Endocrine Surgery General Surgery Head & Neck Surgery Hepatobiliary Surgery International Forum Medico-Legal Military Surgery Surgery Paediatric 12.30pm – 1.30pm 12 noon – 12.30pm 10.00am – 10.30am Research Paper Specialties consideration and inclusion in the scientific program in the following areas: Authors of research papers and posters are invited to submit abstracts for Authors of research papers and posters Perth ASC 2010 Program Overview ASC 2010 Program Perth Pub: CMC TOTS Page: 26 Date: 17-OCT-2009 Plate:CMYK one elw MrRichardMartin – AssocProfGeoffreyWhite DrKatharineDrummond Younger Fellows MrBrendanStanley Women inSurgery Vascular Surgery MrKrishnaEpari MrSudhakarRao – TBA Upper GISurgery Trauma Surgery DrMaryTheophilus Transplantation Surgery MrJohnHanrahan Trainees Association – Surgical Oncology DrSueTaylor Surgical History MrGordonBaron-Hay Surgical Education Senior Surgeons Rural Surgery Surgery Plastic &Reconstructive MrDavidRead Mr Colin Kikiros Belgium Pain Medicine Paediatric Ssurgery ProfJaquesPirenne Military Surgery ProfDavidWood Medico-Legal MrAndrewMitchell International Forum UK USA Hepatobiliary Surgery MrRichardLewis MrJeremyTan Head &NeckSurgery ProfRogerMotson ProfMarkKuerer MrDeanLisewski General Surgery ProfCameronPlatell Professor FionaWood Endocrine Surgery DrPeter Willsher Colorectal Surgery Burns Surgery ProfJeffHamdorf Breast Surgery Bariatric Surgery Scientific Conveners conference websitehttp://asc.surgeons.org Keep abreastofprogramdevelopmentsonthe ABN 29004167766 College ofSurgeons Royal Australasian rfLcDliir rfJcusPrneBelgium ProfJacquesPirenne Prof LucDelriviere Prof ChristobelSaunders Mr NeillKling Mr MarkLee DrTony Van Havenbergh Dr DavidHolthouse Prof AlanSkirving Mr MaxBaumwol Dr SuzanneRea Australia East Melbourne,Victoria,3002 SpringStreet 250-290 College ofSurgeons’Gardens Sponsored Visitors College &Industry – Dr CherrieAbraham Dr EricVerhoeven Prof SimonLaw Mr ThomasDehn(BJS) Assoc ProfGrantMcArthur Dr MarkBowyer USA Prof LauraEsserman Prof CliffordHughes USA Mrs LindadeCossart Dr DavidBorgstrom Dr JeromeStevens Dr Wayne Perron Dr DavidFisher Prof ClaesLauritzen Dr DanielBennett Australia Dr JamesHagen Dr RichardBittar USA Dr RosslynWalker Lt ColTodd Rasmussen Assoc ProfPeter Cosman Prof EnricoCoiera – Dr SubramaniaIyer Prof AshokShaha Prof KarimHaouet Dr Frederick Moore Dr GeoffreyThompson Prof TWJLennard TBA Prof MichelGagner Dr Paul Cirangle W: W: E: [email protected] +61 392767431 F: +61392491273 T: www.surgeons.org perth’10 Canada Netherlands Australia Hong Kong UK Australia USA Australia UK Netherlands Canada Canada Sweden USA USA Australia Belgium Australia Australia India USA Tunisia USA USA UK USA USA 4 –7May2010 Perth Convention&ExhibitionCentre,Perth,Australia Annual ScientificCongress Information issubjecttochange. NOTE: Informationcorrectattimeofprinting. Pub: CMC TOTS Page: 27 Date: 17-OCT-2009 Plate:CMYK ians cations, cations, and leads and leads lways thought hink so. There There so. hink SERVICES SURGICAL ion and bureaucracy, ion and bureaucracy, ministrators ministrators Suddenly I had 70 Suddenly 70 I had continued... be To surgical issues. surgical issues. individual making surgeons complaints, suggestions or or suggestions complaints, demands. Ramifi demands. not in my a word previously ministrat vocabulary, was instantly at was vocabulary, of every thought. forefront the upon me And it dawned then – democracy was going to fail, fail, to going was – democracy had to be another way. way. be another to had to poor progress in advancing in advancing progress poor to majority rule was inappropriate. majority rule inappropriate. was inertia? I didn’t t inertia? I didn’t Worse, I was now stranded between between stranded now I was Worse, the surgeons, who had been my “broth- my been who had surgeons, the ers in arms” and an administrative struc- administrative an and arms” in ers selves to be pulled in every conceivable be pulled in every to conceivable selves perfect producing ultimately direction old Reg? Would they have allowed them- allowed have they Would old Reg? would my namesakes do, Ulysses and good and good Ulysses do, namesakes my would ture as fi rmly immoveable as ever. What as ever. rmly immoveable ture as fi Surgeons are trained to be great decision decision be great trained to are Surgeons So now I had joined the “dark side”. It was was It side”. “dark joined the I had So now Vol:10 No:9 October 2009 SURGICAL NEWS P27 / Vol:10 trying to treat patients, and there was “them” “them” was and there patients, trying treat to ad enemy, – the inherent indi- surgeon’s each trying thwart to enemy? the who was But now, vidual nobility. upon me dawn disturbing to A thought began a focus provide to an enemy I needed – maybe rationalisations? my for as profes- as well dextrous technically makers, that characteristic the But now, sionally wise. – indi- and defended valued previously I had I plans management the viduality – threatened this that recognise to I soon came inhad mind. in and trepidation fear individuality produces mindsthe of hospital ad replied “I just liked the name”. Reginald was was Reginald name”. just the liked “I replied me – I grew up time inthe for not a problem spiritAnsett entrepreneurial in and that Reg A organisation. a great creating struc- and getting of a Reg” “bit as a of myself all of his hospital will in take the in place tures ingenuity of the and no doubt consideration horse. Trojan occasional life in healthcare my Previously confusing. clinic “us”, was there – clear been had icted, icted, ions or agreed percentages percentages agreed ions or hink I have have I hink handled these sorts of things. sorts of things. handled these The options were mind-boggling. However, However, mind-boggling. were The options one of the I am now a commit- I did get However rst message - get everything in - get want writ- you rst message commit- emotionally are months they 12 rst clinical colleagues colleagues clinical We either live in a world of fee for service with service with for of fee in a world live either We on a or individual patients with interaction some by salary be settled to seems structure that mutual slang- union government to remote “money be labelled to want I didn’t ing match. liberty the but that hungry” I took of contacting anaesthetist. friendconsulting of my be an equity and nor partner to not going I was opt share think I did be techni- could that of dividends of an entity the increase to way a great cally bankrupt were messages two However worth”. “net family’s The an impression. made should have really fi is It so true; no contract. sign the you ing before who needs person the than more you one wants only another are After you that signature. your after or whinging resources head department for agree to them - get The second a salary review. and try make to want may you changes all the to In the months. 12 rst fi in the them and achieve fi could – how you They appointed you. to ted willAfter you that a mistake!! made have they become and you own be on your dispensable. more remarkably The honeymoon will be over. whinging heads department and I t – of course, But if honeymoon cystitis! I ever one of these another for apply of jobs I will sure try make and points. two on those myself a surgical implementing ment to and I must admit I am structure, of making a fan increasingly this organi- it is what Maybe structure work. sational infl me when they did to parents my of names the with christened me, sorry, having As a child, and Reginald. Ulysses mother my I asked poem, epic Homers’ read call me Ulysses to she chose whether be she thought I would because resourceful, determined, brave, she “No” an inspirational leader. ood sign .... The .... view for the the view for lways a g
Chalice – poison’d? Continued….. – poison’d? Chalice
ection, the interview revealed that I had that interview the revealed ection, As management decisions go, my appoint- my go, decisions As management “Life defi ning” means change of course but of course change means ning” defi “Life responded. I had They smiled had at me…. Director of Surgical Services. It was one of was It of Surgical Services. Director ning like when you moments… lifethose defi often reminisce over my inter my over reminisce often cult human resources issues, interests in interests issues, humancult resources
when the examiners, sorry interview the panel examiners, when the at you….. than rather you, laugh with maybe a speeding bullet”- than “faster ment was commented but no-one ever them I impressed either of competition depth on the about the a chat and have “come call to phone I bells. rang It a few after. day the was contract” my that way the by impressed been never had I somewhere in the meaning are concepts like concepts meaning in the are somewhere lambs and uncertainty. and abattoirs precipice, On refl a a split personality“I’m – one part of me said can’t they this, need I don’t surgeon, successful partThe of me wanted other intimidate me!” inher- instinct, The competitive me. want to them ent in survival – as powerful all as the surgeons In reality, in. – kicked in species instinct all other function- I was interview a blur, most of the was brain in neutral, being, competitive ex ing as a refl precipice the feel I could inmouth overdrive. jump! to and I knew I wanted approaching the for developments KPI’s, plan, Strategic handling service and surgicalhealth services, diffi to them got I even and research…. education A jokes. laugh at some of my arrive home late one night and your wife says “I “I one night says arrive wife home late and your car the keep can you clothes, your packed have and grov- owers (a lot of fl house!” but the I want you!) tell I can situation that elling remedy to Professor U.R. Kidding U.R. Professor I am now stranded between I am now stranded my “brothers in arms” and an administrative structure as rmly immoveable as ever fi Pub: CMC TOTS Page: 28 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP28/Vol:10 No:9October2009 SAFETY SURGICAL T on www.surgeons.org Wellington. Parliament, itwasBuilding, heldatParliament colleges medical specialist Zealand launch was also well attended by the New colleges. The medical specialist the of by representatives Members ofParliament ment House, andwas well attended Canberra Journal ofMedicine. New England The the were trial earlieryear this published in stances andadiversity ofpatients. Results of representing ofeconomic avariety circum- hospitals around ateight thetrialled world World Health Organisation andwas (WHO) Augustin 4 7 7. CherylWinter, President ofACORN,IanGough,BruceBarraclough, AlanMerry&RobynLawson,ACORN8.TheNewZealandlaunch FederationofPerioperative Nurses(IFPN),MargieCowling,ANZCA&PatriciaMacKay,College ofOperativeRoomNurses(ACORN), JamesHarrison,International ANZCA 5.TedMaddern Weaver, TheRoyalAustralian andNewZealandCollegeofObstetriciansGynaecologists,IanDickinson &HodoHaxhimolla6.RobynLawson,Australian hon 3.IanGough,theHonNicolaRoxon&Mukesh Haikerwal,exPresident oftheAustralianMedicalAssociation 1. Ian Civil,theHonTony NewZealandMinisterforHealth&AlanMerryfrom theAustralian&NewZealandCollegeofAnaesthetists (ANZCA)2.IanCivil&DamianMcMa- Ryall, The Surgical Safety Checklist can be found The Australian launch was heldatParlia- It based is onaprototype developed by the launched in Australia andNew Zealand was Safetyhe Surgical Checklist and Members of and Members of
5
2 1 4. SpencerBeasely, JohnQuinn,theHon PeterDutton&Guy 6 3 8
Pub: CMC TOTS Page: 29 Date: 17-OCT-2009 Plate:CMYK
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The conference is open to all keen all keen is open to The conference Cycling Medicine Down Under Cycling Medicine Down Email *<;;05.,+.,HSSV^Z`V\[VLSLJ[YVUPJHSS` =LYPM`WH[PLU[Z»4LKPJHYL -\UKTLTILYZOPW :\ITP[.HW*V]LYHUK2UV^U.HWJSHPTZ :\ITP[4LKPJHYLHUK)\SR)PSSJSHPTZ :\ITP[7HWLYSLZZ+=(JSHPTZ :PTWS`LU[LYWH[PLU[KL[HPSZHUKP[LTU\TILYZ 9LJLP]LWH`TLU[HK]PJLMYVTM\UKZ 4LKPJHYL +LZJYPW[PVUZHUKHSS-\UKZ»J\YYLU[MLLZHYLWYLSVHKLK 4\S[PWSL6WLYH[PVU-VYT\SHH\[VTH[PJHSS`HWWSPLK @V\JHUJYLH[L`V\YV^UUVU4):P[LTZPMYLX\PYLK Pub: CMC TOTS Page: 30 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP30/Vol:10 No:9October2009 DEVELOPMENT INTERNATIONAL allied healthallied professionals. atbuilding Aimed host nations, volunteer surgeons, nurses and the symposium, representatives including from Tenggara Timur. (PNG),Guinea the Pacifi are dedicated to East assist Timor, Papua New co-ordinatedPrograms throughthe College medical assistance to countriestary need. in strong andcentral ethos ofproviding volun- in millions ofdollars AusAid funding, hasa the Pacifi with the variousneeds ofhost nations across toits match ability the assistance provided designed to helpthe College constantly improve opment Symposium heldin August. sec Colleges’ the major recommendations to come ofthe out to bedelivered byteams visitingsurgical were more focussed educational surgical packages T International Medical Development This year,This more than 180 delegates attended College amajorThe is co-ordinator of 2006,First heldin the is symposium national aidwork andthe need for surgeons amore effective role inter- in he design ofprotocols to allow Trainee c region. ond International Medical Devel- The Collegeiscommittedtoimprovinginternationalassistance c Islands andNusa because both sides involved the in provision remained vital. cal andeffective communication systems within the region meant thatshifts practi- outstanding, constant social andeconomic of Fellows to international aidremained theGuest saidthat contribution while School ofMedicine andHealth Science, PNG. Health, PNGIsi andSir Kevau, Dean ofthe of Medicine, Dr Malau, Clement of Secretary ciate Professor atthe Fiji ofSurgery School Development, Professor McCaig, Eddie Asso- for Secretary InternationalParliamentary BobMcMullan,Honourable the Australian aid work. knowledge international throughtheir gained fora forum volunteer Fellows to pass onthe aswellthey saw asproviding asmostuseful sentatives to explain theofassistance type the allowed symposium repre- hostcountry countries andthe international aidproviders, effective communication systems between host “This symposium is very important important very is symposium “This Co-convenor ofthe meetingGlenn Mr Speakers atthe meeting included the existed at times apoor correlation between ients of medical equipment. He said there now communication between the donors andrecip- from the meeting was the need for enhanced assistance.”this health professionals dedicated to providing the surgeons, nurses, anaesthetists andother experiencestheir andthe great enthusiasm of sented, the diverse rangeofspeakers sharing given the wideofhostnations variety repre- as possible. meetingThe was astrong success sides ofthe equation toasoften getting itright suggestedsium agreat commitment from both stretch the development asfar dollar we can. we have to constantly consider how best to educationalpost-graduate assistance -while to conduct specifi c surgeries to others seeking one nation wanting specialistteams to fl such needs are constantly evolving –from because countriesneed mainly ofindividual can beextremely diffi cult attimes to meet the sit down together andlisten to each other. It of international medical development need to Mr Guestsaidacentral thatMr issue arose “However, the atthe strong sympo- turnout y in in y 1 Pub: CMC TOTS Page: 31 Date: 17-OCT-2009 Plate:CMYK hink it is,” is,” it hink ablish useful hat we designed designed hat we “A suggestion was made at the at the made was suggestion “A issue because this a complex “Yet said, Ewing Professor Associate received the feedback we “All “While there is absolutely no doubt is absolutely “While there t time is it think “I a process that can measure the impact impact the measure can that a process co-ordinate can that of our assistance, also can that and research follow-up component educational the that ensure and visit is as practical team of each useful and situation particular in each to that For it. make can countryas we is effec- there sure make to need we work host each between communication tive to need We program. countryand each to need data and analyse and we collect packages. tailor educational this achieve to one way symposium that establishment the an educa- of for was design to College the tionalist within data the co-ordinate to packages, such host coun- between as a focus act and to surgeons. and volunteer tries it aid matters, all international as with aid the on how decisions to down comes spent.” dollar is best the challenges, the despite that however, on-going the symposium demonstrated and New Australian of enthusiasm provide to professionals health Zealand in need. nations those to assistance meeting und the people fo that suggested and useful be rewarding it was to in that and positive very honest very interactive, est people to and allowed special- professions, across relationships and nationalities.” ties sor Hamish Ewing, who has visited East who has visited Hamish Ewing, sor said the 2002, since every year Timor t of assistance benefi the measure to need educational co-ordinate better and to themes central been also had packages meeting. of the voluntary the made that contribution profession- and allied health Fellows by are we outstanding, be to continues als and can we where perhaps at a time now know at we so that should devise systems what each providing are we that a glance while provide us to wants host nation that and others ourselves to proving also t as we do is as good what we said. Ewing Professor Associate Vol:10 No:9 October 2009 SURGICAL NEWS P31 / Vol:10 ional said. cult cult under- cult for them them for cult ast Timor Program, ast Timor Program, “There have been cases where gener- where cases been have “There catalogue a centralised “Although issue central Mr said another Guest the not given are Trainees “Often Mr Guest said highlights of the Profes- Associate convenor Fellow what equipment donors wanted to to wanted donors what equipment could and what host nations give sensibly use. have organisations ous and well-meaning as a such equipment provide to wanted a hospital in to example for scanner CT main- the not have does that region the expertise technical the or budget tenance Guest Mr running,” it keep to as an suggested were and warehouse that recognised it was solution, ideal diffi an extremely this was College. of the taking scope the beyond a set of guidelines the from However, is and a prac- is achievable host nations of guiding appropriateness way the tical equipment.” of donated strong the was raised meeting the at Zealand and New Australian by desire in the role a larger play to Trainees He development. of medical provision few next the over work said he would to devise a set of protocols months to the within involvement Trainees’ guide internat Colleges’ of the framework programs. in opportunity involved become to provided work outreach some of the host nations because College through the but specialists by visits want frequently of tomor- specialists the are trainees the when they them catch to want We row. enthusiastic are when they young, are of private responsibilities the and before diffi it more make practice to have we yet travel out time to take to their involve- whereby a system design training on the of not impact ment does Mr Guest said. surgical local trainees,” involve- strong the included meeting the of nurses, ment and enthusiasm involvement and on-going presentation Profes- by development in international Director Medical the Scott, David sor for the Colleges’ E Professor by made contribution and the of Director Medical the Watters, David Project. c Island Pacifi the Isi Kevau, Clement Malau, Greg Fernandez,1. Isi Kevau, Clement Malau, Greg Don Marshall, Ian Gough & Glenn Guest 2. Rowan & Michael Henderson Remedios & Ruben David 4. Neil Wetzig Low 3. Valerie Nicks & Gordon Rawson & Jambi Garap 6. Vince Cousins, Perry Burstin & Malcom Baxter 5. Richard 6 5 4 3 2 Pub: CMC TOTS Page: 32 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP32/Vol:10 No:9October2009 FELLOWS RETIRED shoulder reconstruction,”shoulder hesays. theone stageStutz andhad driving to have a ten-tonne my andIinjured truck at shoulder the driving. Someofthe big cars likea handle the romance the in appearance, all is notin ofromanceair them believe about but me, can think of such vintage cars as having an thein mechanics ofrestoration. Somepeople challenge. says that each onerepresented anirresistible the “basket-case” category purchase, upon he andwith mostofthe carsof engineering in has got ofcontrol, out yet with love alife-long it mayalittle excessive, sound likeahobby that purchase, a 1950 Riley. Royce Silver Shadow andlastly, mostrecent his convertible, Minor Morris anMGB, aRolls a 1929 Coupe, Stutz Six two Austin 7s, a 1951 limousine,Daimler a 1928 Stutz, Straight-Eight Melbourne, hasanearly-1930s Stuchbery Mr know. Now parked garages in spread around ous automobiles ever produced, heshould andrestoringing someofthe mostglamor- them.in working cars onhis more than tootling around likes to build, to which is say that heenjoys on them, hesays, ofthe andheis that group like topatios build andthose wholiketo sit the metaphor ofpatios. There are those who vascular surgeonKen uses Mr Stuchbery W retire, dietoosoon outside workwhenthey who don’thaveinterests We allknowthatsurgeons But thatone ofmanysacrifi just But is appeal“The to the in engineering, meis andsays themWhen helists laughs all 50 afteralmost yearsAnd ofrebuild- tion ofvintage cars, retired towards fi his attitude his hen describing The romanceThe ofvintage cars n collec- ne ces Mr Mr ces getting itright,” hesays. togetheron amachineandputting things and surgery, it’s the still sameinterest working in there still but ing are strong similarities with have Ishould pursuedacareerif engineer- in service. Sometimes refl upon ection Iwonder mythe national during Corps Armoured as Iwent throughuniversity, andlater joined theandworked in country up onmy own cars building. the fi were hospitalhours after his over to learn precious freeschool to timeoff racing night Some decades ago healso ofhis spenthours passion. ofhis pursuit hasmade in Stuchbery maintained the carsmaintained for the fi particularly for thefi British and industry lm restored, andsourced maintained veteran cars, Welham whowas amechanic whoalso afterapatienting by theHarold nameofMr Icouldn’tbut even get itstarted,” helaughs. note the under windscreen meto it sell asking the andasked Daimler him to it. him sell decided left in study toAmerica his pursue the in England in 1960s. A whohad friend ested surgery vintage cars in whenstudying Mr Stuchbery says hefi Stuchbery Mr “I had aninterest mechanics in growing “I was aregistrar then andIwas look- “I came back from holidaysandhe’d a left ofpanel beatingne arts and car body lm rst became inter- Genevieve. from a bad back andithad become atradition royal cars because had suffered Queen Mary there, andclaimed they were always into put found aninfl cushion,atable was which Iknew explains Stuchbery. Mr royal family. astoopinion whether itonce belonged to the wholookedstaff afterthe cars was asked his into the of grounds Windsor Castle, oneofthe owned Stuchbery. by Mr When they drove it shots and Welham suggested the using one of Edward needed for aDaimler VIII fi onthe abdicationworking onadocumentary a strange co-incidence occurred. A fi as agreat surprise.” itwassaid hethought aroyal car which came then Mr Welham came around to lookatitand Ineeded the likeaholein head but was agift I could get was 25 from pounds the wreckers. used amounts enormous ofpetrol andthe best one muchwanted itparticularly because it didn’t work. ClearlyIcouldn’t itandno- sell I went throughbecause straight the breaks time Itook itout, atthe first setoftraffi “He put his hand behind the“He back handbehind his seat put and mansaidhecould soonprove“This it,” Before itto shipping Melbourne, however, “So my gave friend itto meinstead which to the helpmeget but fi itstarted “He son-in-law around senthis
1936 Edward the 8 State Limousine
th lm-maker c lights ll-in ll-in rst Pub: CMC TOTS Page: 33 Date: 17-OCT-2009 Plate:CMYK rning, rning, hink is is hink lm appearances, lm-maker lm-maker unknowingly many of his cars have been many of his have cars eet are worth quite a lot, with with lot, a quite worth are eet Indeed, Indeed, “At one stage my wife said she was sick sick said she was wife my one stage “At what or While cars, some of the Yet still Mr Stuchbery while that says Yet are which convertibles a few have “I It was not until Stuchbery was It the brought “Out of all the Daimlers then still in Daimlers of all then the “Out Perhaps that was the magic moment the was that Perhaps t an infl atable cushion for her.” atablefor cushion t an infl elds to help him parts and elds to manufacture nds fascinating. nds to fi almost entirely rebuilt, with Mr Stuchbery with almost rebuilt, entirely calling on a range of friends in a range of fi components. rare source something and wanted cars monster of the and bits about collecting smallerwent so I in parts 7 but were the Austin of an pieces disarray disorder and such in despera- that 7 which Austin I boughttion an intact least but at was a basket-case itself was it should be how see so I could complete put together.” at worth were cars, of the remained some of now only paltry sums, purchase comprise Mr that gracious automobiles the fl Stuchbery’s Daimler still makingthe fi who all surgeons know that we because when they work outside interests have don’t he says. soon,” die too retire, most recently in a TV production based on based production TV in a most recently 1940. London in tripRobert Menzies to so he can charged batteries all the he keeps out if him, car whim the each takes take and in remains their upkeep his interest maintenance. a spin on a out for take to pleasant quite is of a show-off a bit but day there good I would whereas I suppose, about that factor they In some ways on them. just work rather in retire- me now meaning for greater have up mo in get the to as a reason ment, car back to Australia that he learnt that the the that he learnt that Australia to back car limousine state the in fact, Daimler was, his abdication VIII before Edward by used Simp- marryWallis to notorious the 1936 in Mr isson which a twist that Stuchbery still fi England fi the chose Edward’s own car which I t which car own Edward’s chose extraordinary,” he says. extraordinary,” Later, off life-time interest. the kicked that he bought two the in Melbourne, back in the on their restoration working Stutzs, body a friendnights a car who was with builder. Vol:10 No:9 October 2009 SURGICAL NEWS P33 / Vol:10 3 1 4 2 1. Ken in the 1928 Stutz 8 speedstar 2. A 1950 Riley 3. A 1964 MGB 4. A 1928 Austin 7 Pub: CMC TOTS Page: 34 Date: 17-OCT-2009 Plate:CMYK The SURGICAL NEWSP34/Vol:10 No:9October2009 The Surgeons’ Bookclub
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Written by adequately without being fi Dying Words: Endangered Languages and Endangered Dying Words: Us What They Have to Tell Nicholas Evans | 9780631233060 April 2009 | Pbk ook Pub: CMC TOTS Page: 36 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP36/Vol:10 No:9October2009 SPECIALISTS RURAL SSRS Projectleader Ollapallil (Jacob)Jacob with ‘high risk’ foot complications. recognise, assess andtreat diabetic patients workshops demonstrating how to effectively medicine in Australia. an appreciation natureofrural ofthe unique ates to (IMGs) engage with peers whoshare Trainees andInternational Medical Gradu- projects for provide surgeons, anopportunity regional, andremote rural Australia. The projects for medical specialists working in ProfessionalContinuing Development (CPD) SSRSThe provides fi Scheme forSupport RuralSpecialists (SSRS). T focus on: andexcitingopportunityto The DSTCcourseisaninvigorating to announcethecoursesfor2010. Association for Association T DSTC Australasia The fiThe rst workshop targeted the c projectThe to aimed deliver of aseries • Insight intodiffi withlearned cult traumasituations • Hands onpracticalexperiencewithexperiencedinstructors techniqueincritically illtraumapatients • Operative • Surgicaldecision-makingincomplexscenarios major thoracic, cardiacandabdominalinjuries controlandtheabilitytohandle techniques ofhaemorrhage andinternational) (both national Department ofHealth and Ageing’s throughthe funding obtaining in ful yearhis the College was success- again rauma Surgery andIntensive Care)ispleased rauma Surgery in association withIATSICin association (International Outback workshopshaveprovidednewinsightsintocaringholistically Diabetic foot management nnil upr for support nancial Definitive SurgicalTrauma Care Course(DSTC) linical sionals attended the workshop with the feedback 70 surgeons, Trainees health andallied profes- amputation,including patients. at-risk in Over that can betaken to avoid intervention, surgical diabetic foot risk andthe stepsment ofhigh the manyfactors which infl Conference. workshopThe to sought address with the Provincial Surgeons of Australia (PSA) on Springs Wednesday 29 July, conjunction in to good foot care. vascular assessmentapproaches andpodiatric on workstations casting techniques, including ment. was followedThis by ofhands- aseries perspectives ofeffective diabetic foot manage- overview ofthe andtheoretical epidemiology participants the morning wereDuring given an addition in toand IMGs health care workers. 21 participants included surgeons, Trainees diabetic foot risk to management. high The andholistic approacha multi-disciplinary andnutritiontotry provide participants with lar andorthopaedic surgery, radiology, podia- together specialists from endocrinology, vascu- team andaround in Springs.Alice It brought The secondThe workshop was also heldin Alice (61 2)98283928oremail: To obtainaregistration, form on please contact SoniaGagliardi Surgeons forallConsultantandfi nal yeartrainees. DSTC isrecommendedby The Royal Australasian Collegeof surgeons and Australian DefenceForce Personnel. Moduleisanoptionalthirddayforinterested The Military setting. themtodevelop theseskillsinasimilar nursing andallows registerednurseswith experienceinperioperative It isaimedat Perioperative Nurses Trauma CareCourse(DPNTC)isheld. DSTC courses theDefiIn conjunctionwithmany nitive uence the manage- the uence sonia.ga gliardi@ss wahs.nsw.gov.au Ruben SebbenandMorgyn Warner. Mark Hamilton, Holmes, Christian Sara Jones, Neil Cohen, BenBeamond, Sajiv Cherian, Robert Fitridge, Ferris, Linda David Armstrong, presentersand all involved the in workshop; and salvage procedures. surgical wounds, management ofcharcot arthoropathy ischaemic diabetic foot, management ofcomplex sepsis/osteomylitis, revascularisation ofthe assessment,radiological management offoot peri-operative management, neuropathic pain, were addressed including clinical assessment, topics critical to the diabetic foot management andaninfectiousgist diseases specialist. Several podiatrists, arenal specialist, anendocrinolo- orthopaedic and vascular surgeons aswell as experts fromofspecialities avariety including refl diabetic patients. workshopThe presentations approachdisciplinary to the management of workshop was the focus amulti- onutilising educational andenjoyable for involved. all received indicatingthat the meeting was highly ected approach this asthey were delivered by My thanks go to the project group advisory the elementin success important ofthe An 16-17 November2010 Melbourne: 2010 2-4 August Auckland: 28-29 July2010 Sydney: 27July 2010 Module): Sydney (Military 8-9 February 2010 Melbourne: 2010 COURSES: Pub: CMC TOTS Page: 37 Date: 17-OCT-2009 Plate:CMYK “You get started in research and it can be a and it can started in get research “You incredibly it’s day end of the at the “Yet and grateful honoured he was said He to “This like it offered and others scholarship like surgeons young “They that mean lling to feel that you are contributing to a contributing to are you that lling feel to Vol:10 No:9 October 2009 SURGICAL NEWS P37 / Vol:10 medicine outside surgery, became fascinated fascinated became surgery, medicine outside put it aside to cult nding it diffi it and is fi by hisining. tra to back and go but the begin with to and arduous process slow You know. to want you more know the you more next nd out what happens fi to end up fascinated for down tools put the be very to hard and it can he said. up later,” pick to else someone fulfi value be of great could that body of knowledge future.” in the and patients surgeons to College. support such the from received have and very generous are College through the he said. important,” profoundly practice clinical from away step can myself on adding a while simply concentrate to for and to knowledge c and medical scientifi to having without do that to chance the be given worryto about taking shifts on extra pay to table means on the mortgage put food or the effective, on producing concentrate can we that meaningful, useful research.” cult cult linically in terms terms in linically “The problem with prostate cancer is that is that cancer prostate with “The problem The Eric made has been Bishop scholarship on the said he took Trainee, a Newell, Dr “That means that it can be quite diffi be quite it can “That that means cult to predict,” Dr Newell said. Newell Dr predict,” to cult Brad Newell we know that well-differentiated tumours tend well-differentiated know that we while indolently undifferenti- the behave to but aggressively behave tumours to tend ated grade tumours intermediate be verythe can diffi to manage such patients c patients such manage to treat- aggressive offer to of knowing whether by that then, hoping, are We not. ment or use it be able to may we understanding CD151 giving infor- surgeons marker as a prognostic prostate particular way which into mation found have Already we tumours might behave. amounts increased with cancers prostate that motility cell increased have to tend of CD151 prognosis.” and a poorer the from donation a generous possible due to The is intended scholarship Ericlate Bishop. time take to who wish supportto applicants undertake a to positions clinical from away a with and comes project full-time research $5000 in departmental with of $55,000 stipend maintenance. of areas as an opportunity explore to research
The Eric scholarship Bishop
he 2008 recipient of the Eric of the Bishop recipient he 2008 is Bradley Dr Newell, scholarship, concentrate to scholarship using the “We are trying to determine if tumours if tumours determine to trying are “We “We do know that they modulate cell func- cell modulate they do know that “We as part of his PhD, research on the Taking understand- a better said that Newell Dr
ed in human cells,” he said. ined human cells,” T on laboratory research into understanding into of on laboratory research of behaviour in the CD151 of protein role the research said the Newell Dr cancer. prostate cally aimed at understanding the specifi was motility of cell and as a mediator of CD151 role migration. cell likely more are of CD151 up-regulation with CD151 metastasise less tumoursto than with about a lot is CD151 known Not expression. family iswhich of part tetraspanin of the iden- been have 30 than less of which proteins tifi tion and that they bind to other proteins on proteins other bind to they and that tion entering new are but cell we of the surface the no- because territory this project with research cancer in at their prostate role one has looked most preva- the though it is now even before, men.” affecting lent solid cancer organ and Hospital Austin at the is based Newell Dr at scientists with in is collaboration working in Research of Medical Institute Monash the at Institute Melbourne O’Brien and Bernard under the is working He Hospital. Vincent’s St Damien Professor supervisionAssociate of and Health, Austin at of Urology Head Bolton, of Clini- Director Albert Frauman, Professor at Therapeutics and Drug Pharmacology cal Health. Austin prognostic better to lead could ing of CD151 and potentially workup in patient information cancers. some prostate for treatment targeted The scholarship has given The scholarship to Dr Newell a chance concentrate on research without wage worries Pub: CMC TOTS Page: 38 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP38/Vol:10 No:9October2009 database ofinformation the hospitalhasagreat successful operationsmeans Having conducted10,000 IN THENEWS FELLOWS milestone whenheconducted his 10,000 Pinczewski, lastmonth reached arare medical A many patients were experiencing painfrom that hospital time was reduced to two days but scope to operate the andusing patellar tendon, another months, six ever,” if hesaid. people to unable for straighten the leg fully plastermonths in andoncrutches with many to to spendup aweek to hospitalandup in six look.initial procedureThat required patients with anarthroscope perhaps used to have an reconstructionknee was anopen surgery of rapidtechnological advance. had been fortunate to have graduatedatatime science andinnovation, Dr Pinczewski said he year. contribution to ofhis Speaking surgical ican Academy ofOrthopaedic Surgeons next method surgical toof his the prestigious Amer- invited to present the 15-year follow-up results multiple awards for research his andhasbeen teachingand Europe the technique, haswon dure adopted by the rest ofthe world. technique hasbecomehis amainstream proce- reduce the possibility frompain andmorbidity the donor site and andinterferencetendon autograft screw fi the useofthe patellar tendon with ahamstring repair the anterior by cruciate ligament replacing Dr Pinczewski developed anewtechnique to operation atthe Mater HospitalSydney. in In 1993, “Then whenwe“Then began the using arthro- “When Ifi rst beganwork, this doing Dr Pinczewski hastravelled throughthe US Designed to strength, enhance knee limit ligament reconstructive ligament surgery, Dr Leo to the revolution arthroscopic in knee n orthopaedic surgeon whocontributed of future osteoarthritis, of future A medical milestone xation. th such such had ruptured his cruciate ligament requiring the requiring cruciate ligament his had ruptured was to about break into elite soccer England, in she had given because the year before her son, who her tendons. was the secondThis setoftendons young people,” in injuries further hesaid. are the preventing hamstrings in important atthe same timewhile we are notsure how tendon.hamstring old elite netballer viathe useofher mother’s been conducted to repair theofa knee 15-year- travelling Fellowships to advance research. his andhaswon of Sport and Medicine in anumber from thenique Australian Conference ofScience Research Excellence Award for newtech- his MeetingGeneral three times, haswon the AustralianOrthopaedic Association Annual ton Trust for Prize Memorial Best Paper atthe Medicine Centre. of the Sydney North Orthopaedic andSports ac and is orthopaedic surgery to helping tal its establish strong reputation for working attheof his life Mater Private Hospi- basis.”than andonawalk-in-walk-out anhour countries. Now conducted is the surgery less in at onestage we were exporting the device to 17 people for again thehiring fi yearsrst time in and closed down. saidtheyThey would, they began weapons whichtary had but since been virtually been to established manufacture mili- originally the Small FactoryArms Lithgow in which had company to make them for usandwe approached acquaintance anddesigned ithimself. one. Instead, he sat down with anengineering no medical device company w no appropriate screw already designed and moment, Dr Pinczewski saidhecould fi came whenwe decided to useascrew.” as the patella tendon sothe break-through solve that problem they but were notasstable tendon theusing hamstring could possibly them another. giving lem while We that knew the donor site effect which in fi “So offered her mother kindly very to donate “Girls that age tend to have tiny tendons Dr Pinczewski saidhis 10,000 He was been awarded the Evelyn Hamil- Dr Pinczewski hasspentthe vast majority we“Then had to fi nd someone, some Yet that seemed while likeaclassic eureka xed oneprob- linical director illing to make th ACLhad nd accomplished leads oneonandon.” the perfect result how andunderstand that is 10,000 ofanything, the to but struggle achieve of my co-workers. One does to notsetout do steps small been donein andwith the support costs.of reducing future patientvidual andthe health system terms in replacementjoint –both to benefi and themorbidity need possible for future goalsthe driving ofmy research was to reduce withdid the older methods,” hesaid. nearanywhere the or severity consistency they to don’t osteoarthritis developing to be seem andscrewhamstring reconstruction surgery that we can say that patients whohave the have agreatofinformation database andfrom 10,000 such operations now means that we and morbidity. satisfaction camepatient’s from limiting pain development, Dr greatest Pinczewski saidhis and the career-long interest innovation in and bone defi total replacement hip with proximal femoral prosthesis hip an interlocking for revision sion ofcemented total replacements hip and designed cement removal blades for the revi- replacementpartial knee surgery. He hasalso to balance dynamically the ligaments during to think, he devisedasetofinstrumentation bor from Sydney to Perth with that all time few years ago, cycling while across the Nullar- fi since his repair surgery rst leap forward. A andimprovingdesigning methods ofknee was prepared to dothe samefor her daughter.” had been sopleased with recovery his that she same reconstruction surgery. However, the family co-workers.” with thesupportofmy done insmallstepsand have madeallbeen “Any advancesthatI “Any advances that Ihave made have all because hugely is oneof satisfying “That “Most importantly, having conducted Yet despite the recent milestone surgical Dr Pinczewski hasnotstopped t ciency. t the indi- the t hinking, Pub: CMC TOTS Page: 39 Date: 17-OCT-2009 Plate:CMYK Vol:10 No:9 October 2009 SURGICAL NEWS P39 / Vol:10 ess service Dr John Corboy (1969-2007) was elected chair of the Royal Dr John Corboy (1969-2007) was elected Association in Trainees’ Australasian College of Surgeons ess representative leader and a selfl 2007. He was a great of the Royal Australasian College of Surgeons. of Trainees to his peers his time and wisdom. His He gave generously and his tenacious passion service to the profession energetic despite personal adversity was remarkable. for surgery commemorates Trainees for surgical This distinguished award exceptional achievements and recognises Dr John Corboy’s The John Corboy Medal is awarded service by other Trainees. who demonstrates the characteristics annually to a Trainee for which John was admired. is made to a candidate who shows some or all of The award the following qualities in the performance of his/her duties, in the manner and community, in service to the surgical training or by lment of their surgical to the fulfi approach their commitment to and involvement with the community of Trainees: surgical leadership • Outstanding • Selfl • Tenacity • of the College Service to Trainees www.surgeons.org Please download nomination form from [email protected] or email fi Deadline is close of business Friday 30 October 2009 is now being formed. It will have a Board including members from including members from It will have a Board is now being formed.
Medal
Corboy
the John The Academy of Surgical Educators The Academy of the College Council as well as two specialty society and association representatives, two representatives from from two representatives association representatives, as well as two specialty society and the College Council medical education. and two non-surgeon experts in academic surgeons each of the from will be one member There representation. will have broader The Advisory Committee to the Board education, two in surgical two Fellows with a demonstrated interest thirteen specialty societies and associations, trainee representation. Surgeons as Educators committee and of the current academic surgeons, two members and expertise in education and particularly education of surgeons, then If you have enthusiasm, experience members ideally should also have level. Board advisory committee or board please consider involvement at the governance experience. the Dean of to the College through or directly group or other representative Please contact your specialty group or +61 3 9247 1206. Education at [email protected] 26 October 2009 Deadline for nominations is Monday Areinterested? you Expression of Interest! Pub: CMC TOTS Page: 40 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP40/Vol:10 No:9October2009 MEMORIAM IN Information deceased about Fellows Our condolencestothefamily, friendsandcolleaguesofthefollowingFellows these oftenlackthedetailrequiredbygroupsinterestedinspecifi The NationalHealthDataDictionaryrecommendsacoresetofgenericdataitemsforclinicalcancerregistrationhowever quality ofdatacollected. please contactTrenna [email protected] orphone0293579439. For informationonthedevelopment ofBreastcancerspecific data itemsforclinicalcancerregistration, Hard copiescanbeorderedbyphoning1800624973. Breast cancerspecific dataitemsforclinicalcancerregistrationisavailabletodownloadatwww.nbocc.org.au/resources. dataset forbreastcancertohelpensureanationallyconsistentapproach todatacollectionandreportingofbreastcancerdata. NBOCC iscommittedtoworkingincollaborationwithkeystakeholders topromotetheadoptionofclinicalminimum Cancer Audit. been alignedwiththosealreadyinuseacrossAustraliaincludingthe RoyalAustralasianCollegeofSurgeonsNationalBreast stakeholders, includingtheRoyalAustralasianCollegeofSurgeons. Wherepossible,theseitemsanddatadefi The dataitemsanddefinitions weredevelopedthroughamultidisciplinaryworkinggroup,inconsultationwithkey analysis, andwhereappropriate,datapooling. In response,NBOCChasdevelopedbreastcancerspecific dataitemsforclinicalcancerregistrationtofacilitatecomparative NBOCC haslaunchedthe whose deathhasbeennotifi ed overthepastmonth Breast cancerspecific dataitemsforclinicalcancerregistration not the practice ofSurgical News to publish We readers would liketo that notify itis Raymond Che-Wai Wong Hong Kong Robert (Bob) Vance Sutherland Thompson Harold Frederick Story VIC William Copland NZ Shirer RefshaugeWilliam Dudley ACT PLYMOUTH NZ Heather Mackintosh NEWThomasina Ivan Lichter AUCKLAND NZ NeilLewisSAGraham Hong Kong Ling NgKit Paul MHaniehSAAhmed John Grant, Mackinnon VIC QLD Michael Gallagher NSWJames Ellis Morrison Biswas SABimalendu Peter John Batchelor VIC c tumours. page andclick onInMemoriam. website www.surgeons.org go to the Fellows Fellows onthe InMemoriam under College alongwithpublished the names ofdeceased obituaries. whenprovided Obituaries are NT [email protected] WA VIC [email protected] TAS SA [email protected] QLD [email protected] NZ [email protected] NSW [email protected] ACT your Regional Offi of aFellow, please contact the Manager in youtheIf College wish to ofthe notify death Informing theCollege [email protected] [email protected] [email protected] , aimedatimprovingthe ce. They are ce. They nitions have Pub: CMC TOTS Page: 41 Date: 17-OCT-2009 Plate:CMYK nity, as her as nity, rst centuries.” rst FOUNDATION FOUNDATION FOR SURGERY ne 19th century heritage is still 19th ne cial portraits hang in Treasury Treasury portraitscial hang in Another view of Melbourne Another by istaken Lastly, Hazel Westbury will exhibit her own own her will exhibit Westbury Hazel Lastly, Surgeons, family and friends are all invited family and friends all invited are Surgeons, Westbury Enquiries Hazel to and RSVP cult genres of painting, it attracts the artist the it attracts painting, of genres cult Vol:10 No:9 October 2009 SURGICAL NEWS P41 / Vol:10 Sobolev’s creative work. Being one of the most Being one of the work. creative Sobolev’s diffi possibility the to it provides not only because and the technique an impeccable demonstrate a portrait likeness, precisely ability convey to sitter. of the inner the world reveal but to also offi Vladimir’s The Sporting Victoria, Society The Royal Place, Sea. of the Star Mary’s and St Hall of Fame Ilona Schneider. photographer Tasmanian in experience global with in Europe, Trained urban land- the Ilona has picked portraiture, affi she has a great which with scape, and richness to adding depth evident, strongly fi and twenty twentieth of the that topic and interpretation of Faces of Melbourne. of Melbourne. of Faces and interpretation topic resi- former A city landscape. the to contribution 170- the with in love she fell dent of Collins Street, “status as having described boulevard, year-old cities great the of one of grandest as the street upon an urban landscape Age, Victorian of the and continue worked have many masters which to work Its today. fi to attend the opening on Thursday, November November Thursday, opening the on attend to GalleryVictorian Cato in the at pm, at 6.00 12 the Albert – just across Society Street Artists’ Melbourne the College. from road 284. 166 422 +61 rst international FELLOWSHIP GRANT FELLOWSHIP TRAVELLING Vladimir Sobolev, the Russian Master who Master Russian the Vladimir Sobolev, Vladimir in role The a special portrait takes Applications close 5.00pm October 30, 2009. Applications close 5.00pm October 30, For an application form and further information, please contact the Younger Fellows Secretariat, Fellows Secretariat, For an application form and further information, please contact the Younger on +61 3 9249 1122 Glenda Webb, or email [email protected] Application requirements Please attach a short to the information CV in addition below. proposed All applicants are required to provide details of planned visit (approximately 1 page) including Details ts of this activity. details of work and/or study to be undertaken and envisaged benefi itinerary, sponsorship nancial support or funding already secured (e.g. personal funds, research grants, of any fi and/or other grants) and the proposed use of the Grant funds should also be included. Fellowship Grants are each valued at AUD$7,500. The Convidien Healthcare Travelling llins’ Collins’ Professor — commission a portrait. at the portrait shown was completed recently Oxford. his for just prior leaving to College exhibi- will be one of the portrait, the painted Born in Moscow, show. November in the tors hisVladimir fi awarded was 40 past the and over 12 art of age prize at the and exhibiting extensively, has travelled years carrying out of commissions in many corners Art of Fine at Professor former A world. the Art of Fine and currently College Moscow the a truly he remains Russian visiting Professor as his painting realist basis. with painter, One of Vladimir Sobolev's potraits ne the Faces of Melbourne Faces
COVIDIEN HEALTHCARE HEALTHCARE COVIDIEN
aces of Melbourne, the forthcoming forthcoming the of Melbourne, aces Victorian at the boutique exhibition Society — only walking distance Artists’ It is hoped the faces and facades that will that and facades faces the isIt hoped Arts of DMT Director Westbury, Hazel The Younger Fellows Committee in partnership The Younger with Covidien Healthcare, is pleased to offer Scholarships (value $7,500 two Travelling Fellows who are AUD each) to assist Younger travelling overseas in 2010 to further post Fellowship studies and diversify their surgical experiences. Fellow of the The applicant must be a Younger College (within ten years of gaining Fellowship) at the time of submitting their application, who is planning to travel overseas within the next 12 months to further post Fellowship studies prior to returning to Australasia to practice.
oor Cato Gallery will provoke both philoso- both Gallery Cato oor will provoke F from the Melbourne College (430 Albert Street (430 Melbourne the College from of a selection East Melbourne) — explores defi which and places personalities the city. capital Victorian charming ground- of the walls on the appear fl raise aim is as the to and philanthropy phy This will Surgery. for Foundation funds the for in rst of a series of annual exhibitions fi be the Foundation. aid of the will sponsoring and the body, International November. 12 Thursday on show the open gift special This buy that timing is to perfect for Collins John did Christmas as Professor do or Bruce Barraclough Foundation for Surgery Chair, The fi rst in a series for the rst in a series for the The fi Surgery, Foundation for this exhibition opens on November 12 Pub: CMC TOTS Page: 42 Date: 17-OCT-2009 Plate:CMYK H ATSCU N EBRAVNAEAEICESN H EEISO UIESTAE FORRACS FELLOW AND TRAINEES. TRAVEL THEBENEFITS OFBUSINESS AREINCREASING ANDMEMBER ADVANTAGE THE QANTAS CLUB NO H EEISO H ATSAIRLINELOUNGE MEMBERSH THEQANTAS OF ENJOY THEBENEFITS PCA EOITDRTSFRRC ELW ANDTRAINEES. FELLOWS FORRACS RATES SPECIAL NEGOTIATED BENEFITS MEMBER To discussyour optionscallMember Advantage on1300853352,orvisitwww.memberadvantage.com.au andloginbytyping ‘RACS’. 5% DISCOUNT* membership arealsoavailable. Rates for1yearnewmembership, renewals, partnersandNewZealand FREE enrolmentinQantasfrequentflyerprogram * Ratesquotedarein AUD andincludeaonceoffQantasClubjoiningfeeof$230Member Advantage management feeof$55. New 2yearQantasmembership$855 EXCLUSIVE GET AN Join Today. Claim Today. Plus, enjoy5%offpremiums! WAITING PERIODS 2 &6MONTH WAIVED^ * (save $255) (save $82.50) visit n oi bytyping ‘RACS’. www.memberadvantage.com.au andlogin For moreinformationcall Member Advantage on1300853352or SMARTER RENTING, GREATER SAVINGS * DiscountsapplicabletonewandcurrentHCFhealthpoliciesonly. rehabilitation andpalliativecareservices, whichhavea2monthwaiting period, arealsoexcludedfromthiswaiver offer. more than6months, including12monthsforobstetricservices, orpre-existingailmentsandconditions. Psychiatric, Onlyavailable tonewmemberstakingoutHospitalandExtras cover. Waiver doesnotapplytowaiting periodsof ^ Fellow or Trainee. cover premiumsasaRACS Member Advantage You alsoreceiveanexclusive5%* immediate claimson: 2 &6monthwaiting periodswaived through Member Advantage andgettheusual health insurance. Take outhospitalandextras cover Don’t wait toaccessthemanybenefitsofprivate before youcanuseyourcover. Some healthfundscanmake youwait months FLY INSTYLE AND BEREWARDED Physio Chiro General dental
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IP. Pub: CMC TOTS Page: 43 Date: 17-OCT-2009 Plate:CMYK . / FOUNDATION FOUNDATION FOR SURGERY Expiry
Revenue
for the year is million Ms S Pretty Ms Ralph JT Mr J Snell New South Wales Besser Professor Associate B Tratt Victoria Mr H Drakos M EllisDr J Padget Dr
ongoing support $2.02 thank you for your Vol:10 No:9 October 2009 SURGICAL NEWS P43 / Vol:10 . NZ Bankcard International Scholarship Program Diners Club International Development Program International Development NEW ZEALAND NEW 7451 PO Box Zealand South New Wellington +61 4 385 8247 Tel: Fax: +64 4 385 8873 AMEX Visa I have a potential contribution to the Cultural Gifts Program a potential contribution to the Cultural I have General College Bequests General program Scholarship and Fellowship of my gift in any College Publication permission for acknowledgement I do not give Mastercard Please send your donations to: Please send your for Surgery Foundation COUNTRIES & OTHER AUSTRALIA College of Surgeons Australasian Royal College of Surgeons Gardens 250 - 290 Spring Street VIC 3002 MELBOURNE EAST Please debit my credit card account for $ Name - Block Letters Card Holder’s I my donation to go to: like would Signature Card Holder’s Date YES, I would like to donate to our Foundation for Surgery. to our Foundation to donate like YES, I would the College is able to support Research & International Outreach Programs. $1000, donation over With every Speciality: Facsimile: Name: Address: Telephone: College of Surgeons) for Australasian $ (payable to Royal My cheque or Bank Draft Credit Card No: Your Foundation. Your passion. Your skill. Your legacy. Your Your donation to the Foundation helps children like these have better access to healthcare donation to the Foundation helps children Your Thank You for donating to to donating for You Thank Surgery for Foundation the Pub: CMC TOTS Page: 44 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP44/Vol:10 No:9October2009 Chair, MedicoLegalCommittee Neil Berry Australia of legalworkshopsacross assessments inaseries aid explorationofdiffi cult Case-based discussionwill LEGAL MEDICO • AMA shops are: 4 ‘Diffi cost $75, supper. which includes a light mately two to three the in evening hours and other capital cities. for approxi- Eachrun will successful, workshops further beheldin will Melbourne, andSydney Brisbane 2010. in If assessments. case-based discussionto explore diffi practice in guidelines using AMA impairment Medico Legal CPDrequirements, please you regards require anyassistance in to your to beissued will Fellows 2010. January in If 2010.1st January with the 2010-2012 commencing on triennium to coming Development is aclose triennium 2007-2009The Professional Continuing Medico LegalRequirements Development (CPD)– Continuing Professional T • AMA 5 ‘Diffi • AMA 5 ‘Diffi New Year. Venues anddates beconfi will the earlyrmed in Writing Reports Sydney for Court: • Thursday Thursday 11th 2010 February Thursday 19thThursday 2010August Saturday 20th November 2010 Tuesday 9th November 2010 The proposedThe dates for medico legal work- workshopsThe bepiloted will in The 2009 CPD recertifiThe cation form data AMA ‘Diffi which will focuswhich will onthe application of ofnewworkshops aseries offering is he Medico Legal Section Executive cult Cases’: Melbourne cult Cases’: Sydney cult Cases’: Brisbane cult cult Cases’ Workshops through the process. to anyFellow assist or education provider sional Standardsdepartment are happy always for CPDapproval. the in members Profes- Staff shop andrequest anapplication they submit activities to contact the provider ofthe work- or have participated relevant in educational and we encourage Fellows all of whoknow limited to the activities offered by the College, of Professional Standardson +61 39249 1282. contact the Recertifi return-to-work. Direct access to the work- reports are required a successful to support ofa greater ofwhattype understanding as several factory workers personnel, production aswell andsafety staff with the company doctor, management injury offered to meet surgeons the opportunity Broadmeadows,Plant in Victoria. visit The day 14 October 2009 atthe Ford Assembly Patients Back to Work’ took place on Wednes- Course ‘Getting Bridging cine Surgical Your fiThe rst factory for visit Occupational Medi- Factory Visits Occupational Medicine: Accrual ofMedico Legal not CPDpoints is The siteThe enabled visit surgeons to gain cation Offi cer, Department Medico Legal Secretariat on+61 39276 7473. pleaseMedico contact Legal the enquiries tional medicine, factory visits or for anyother the 2010 program. For regarding details occupa- South Wales currentlyinvestigated is being for be avoided. may occur andpotentially can how injuries patients are ableto perform, how injuries post-surgical whatfunctions ment including ofthe workplaceunderstanding environ- place can enablesurgeons to develop abetter [email protected] contact the Secretariat, Kevin Mr Wickham, at can befound at www.medleg.com or you can number. on +61 39944 8842 andquote the reference number 1834244. Please contact direct Alison atspecial ratesClub for the meeting, reference November ata cost of$88.00 per person. the clubrooms ofthe RACV onSaturday 14 Victoria (RACV), Bourke Street, Melbourne. November at the Royal Automobile of Club and continue onSaturday 14 andSunday 15 College, onFriday Melbourne 13 November Of Musculoskeletal Injuries’, atthe begin will meeting, themed Medical‘The Assessment The AOA/College combined Medical Legal 15 November2009 (AOA)/ CollegeAnnualMeeting,13- Australian OrthopaedicAssociation [email protected] tion on+61 39276 7473 or Medico Legal Secretariat for more informa- the Medico Legal Section please contact the youIf are interested becomingof amember in of theMedicoLegalSection? Interested inbecoming amember A future visit at a mining facility in New More regarding details the conference availableion is atthe RACV Accommodat conferenceThe beheldin will dinner FeeNormal $440.00 2009) $385.00 Fee paid to (If prior 31st October, Early Registration fees for the meeting are: Pub: CMC TOTS Page: 45 Date: 17-OCT-2009 Plate:CMYK . ess below for a brief isit the website addr www.prosolution.com.au www.prosolution.com.au/RACS team provides genuine team provides Web: Level 57, MLC Centre, Martin Place, Sydney Level 57, MLC Centre, | [email protected] is a boutique financial services firm that advises surgeons nancial planning matters including business income structures, Email:
“The Top 5 Financial Mistakes Made By Surgeons & How To Avoid Them” Avoid To 5 Financial Mistakes Made By Surgeons & How Top “The Level 8, 51 Queen Street, MelbourneLevel 8, 51 Queen Street, |
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for a limited time a limited for Free exclusive report exclusive Free This report provides a ‘no holds barred’ assessment of what we have identified as the top 5 mistakes a ‘no holds barred’ provides This report V wealth. that surgeons make which dramatically destroy Pub: CMC TOTS Page: 46 Date: 17-OCT-2009 Plate:CMYK SURGICAL NEWSP46/Vol:10 No:9October2009 Honorary TreasurerHonorary Keith Mutimer him asuccessinhisownright plenty inhiscareertomake battlegrounds andfound nephew operatedon A renownedsurgeon’s REPORT HERITAGE S overwhelming numbers ofwounded numbers men.overwhelming with inadequate supplieswith anddealing tasks to surgical minor struggling performing the orderedwalking wards ofahospitaland havemust beenofashock something –from speculation. However, experiences initial his ences the in Peninsula War are the subjectof no specific accounts, Cooper’s Bransby experi- the Peninsula ment during War. As we have ant surgeon the in Ordnance Medical Depart- to in Bransby 1819 work was his asanassist- army the following year. prompted uncle, by his the in found himself at the United Borough Hospitals in 1811 and will find excellently informed in his profession. has seen an immense fi with theDuke of Wellington in thePeninsula and Bransby Cooper whohasbeen surgeon in thearmy returned. Ihave therefore sent my relation Mr nephew to Bransby recipient. anunknown by Astley Cooper in 1819, itrecommends his treasures the in College’s Archive –written letterThe above transcribed another is ofthe known. whowas Blake But Bransby Cooper? The ‘immense fi ‘immenseThe CooperBransby was Astley Cooper’s pupil June June Astley I was at Windsor lastnight and am just My dear Sir tial teacher, the nameofthe 19 urgeon to royalty, anatomist andinfl surgeon, Sir Astley Paston Cooper well- is Who was Blake Bransby Cooper? eld ofpractice’ attributed eld ofpractice and whoyou I am yours truly very th Century Century 25 Cooper th uen- 1819 a Lieutenant Grattan ofthe 88 Grattan a Lieutenant was harrowing, andaneye-witness account by drugs andfi drugs role supplyingwater,supporting dressings, surgeons providedAssistant likeBransby a diseases such astyphus, anddysen- malaria a far more formidable enemy oflarge armies: ,Misérables it was theputrescence ofwounds. follower so vividly described in Victor Hugo’s Les forest dog, nor theforest wolf, nor even thecamp nor pestilence, or thewandering and starving HistoirePaysan says his d’un As Chatrian in Wars; manydiedfor want oftimely treatment. thewhelmed medicalthe servicesin Peninsula and theground around thetables was dyed red. courtyard the about heaps in lay earlier removed and laid over barrels. The arms and legs theyhad on men placed on doors wrenched off their hinges tables. Stripped to thewaist and bloody, theyworked battle ofFuentas d’Onoro in 1811: Rangers describes the chaos attending the The workThe ofmedical teams aftereach battle Chatrian’s account brief omits mention of The soldier’s greatest foe was not famine sheeroftheThe numbers wounded over- [He]…found thesurgeons at their improvised PHOTOGRAPHS COURTESY OF THE WELLCOME LIBRARY, LONDON eld tourniquets. th Connaught Connaught : College the in 1840s. College andGaleLecturer andwas atthe Aris death his until in 1853, became aFellow ofthe He continued assurgeon atGuy’s hospital seem to have had asuccessful career. surgical such afamous uncle, Cooper Bransby does practice andthe advantage dubious ofhaving notional recompense for trouble. his Wakely nephew’s onhis received only but behalf position.his Signifi cantly, Astley Cooper sued cal abilities and the role ofpatronage securing in subsequently died–questioned surgi- both his operation took nearlyandthe anhour patient lithotomy operation onStephen Pollard – the Wakely, Bransby’s whendescribing ill-fated as asurgeon! For in 1828, editor Lancet Thomas patronage excellently being then his informed position may well have owed more to uncle’s his was appointed asurgeon atGuy’s Hospital. His Cooper and, studies resumed surgical his in 1825, resulting epidemic brought 500 deaths. areacamped anotorious malarial in andthe Badajoz in1811 for example, Wellington’s army the Peninsula War. On its withdrawal from tery were rife in the military camp Elizabeth Milford College Archivist Despite professional suchonhis slurs from theReturning Peninsula War, Bransby mezzotint byWHSummersafterEUEddis Bransby BlakeCooper, 1842,photogravure of coloured etching byDickeyFubsAbove: Lancet, 1828,possiblyafterThomasWakely, Pictured left:TheCooper’s Adzversusthe aigns of Pub: CMC TOTS Page: 47 Date: 17-OCT-2009 Plate:CMYK Experien Insurance Services is part owned by Investec Experien Pty Ltd. Insurance Vol:10 No:9 October 2009 SURGICAL NEWS P47 / Vol:10 Donald will come from Adelaide for the evening and will Donald will come from talk about the Collection. A selection of the instruments one of Australia’s Not only is Donald will be on display. rst fi he was also the neurosurgeons most prominent Chair of the History Section of the College. The Committee welcomes anyone with an interest and / history in surgical to attend or neurosurgery to be a most what promises evening. interesting
RSVP to Ms Megan Sproule +61 3 9249 1220 or RSVP to Ms Megan Sproule by Monday 12 October. [email protected] Please indicate the names of the people attending.
td (Experien Insurance Services) which is an authorised representative of Financial Wisdom Limited AFSL 231138 (AR No.320626). Experien representative is an authorised td (Experien Insurance Services) which Experien is a subsidiary of Investec Bank
A residential mortgage up to 100%, an offset account and account and an offset mortgage up to 100%, A residential thinking! fresh Mortgage Insurance. Now that’s no Lender’s for owner occupiers flexibility provide Our mortgage products price, or up to 95% of of the purchase up to 100% to borrow without Lender’s properties, price for investment the purchase to tailor loans to is also plenty of room There Mortgage Insurance. – such as a unique, circumstances accommodate your individual combine In addition, all of our products account. fixed rate offset finance rates, dedicated expert the benefits of competitive interest process. consultants and a quick and easy approval to Make your move and contact the specialists committed professionals. innovative financial solutions to healthcare providing Australia wide 141 131 1300 NSW QLD SA VIC WA Home in in Home on innovation Donald Simpson Donald (OME ,OANS s !SSET &INANCE s $EPOSIT &ACILITIES s #OMMERCIAL 0ROPERTY &INANCE s 'OODWILL 0RACTICE 0URCHASE ,OANS s )NCOME 0ROTECTION ,IFE )NSURANCE s 0ROFESSIONAL /VERDRAFT and conditions, fees and charges Terms assessment criteria. Bank (Australia) Limited ABN 55 071 292 594 (Investec Bank).Investec Experien Pty Limited ABN 94 110 704 464 (Experien). Investec is subject to our credit All finance Statement and consider whether Disclosure please contact Experien, a division of Investec Bank, for a copy of the Product products, making any decision to invest in these issued by Investec Bank. Before are Deposit products apply. Insurance is distributed by Experien Protection/Life at any time without notice. Income these products the right to cease offering reserve We financial and investment objectives and circumstances. suit your personal these products Insurance Services Pty L The College is very fortunate to have received a The College is very fortunate to have received the Neurosurgical collection of historic instruments from Society of Australasia. Donald Simpson has been the Honorary Curator of this Collection for many years and catalogue of it. comprehensive a has produced to the College celebrate the transfer of the Collection To Committee on long-term loan the Heritage & Archives 28 October on Wednesday will be holding a presentation 2009, beginning at 5:30pm in the Hughes Room. An evening with Pub: CMC TOTS Page: 48 Date: 17-OCT-2009 Plate:CMYK Ansell isat trademark of Honeywell Performance Fibers. © trademark ofHoneywellPerformanceFibers. © Be Ansell sure. your hands?BeAnsell Looking forabetterwaytoprotect Ansell’s Cut-ResistantGloveLinersare madewithSpectra Spectra www.professional.ansell.com.au asset appropriate handprotection. and foranyothersurgeons aboutsafetyand concerned underglove fororthopaedic, trauma,vascularprocedures, and comfort.Thisglovelinerisanidealprotective during rigorous procedures whilemaximising yourdexterity than latex,providing superiorcutresistance andprotection polyethylene fibre, amaterial17timesmore cutresistant with Ansell’s Cut-ResistantGloveLiners. rademark ownedbyAnsellLimited,orone ofitsaffiliates. ® polyethylenesterilepersonalprotective gloves. Protect yourmostimportant 2009 AnsellLimited.AllRightsReserved. Spectra ® isaregistered ®