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JUNE 2018 BULLETIN ANZCA Slow-release opioids: Leadership changes: Follow-up to Meet our new our statement president and dean on a successful SYDNEY ASM Contents 4 President’s message 30 Slow release opioids: 5 Professor David A Scott leaves Follow-up to our statement strong legacy 34 The reality of humanitarian work in Iraq 6 Changes to council 36 Reflecting on a successful Sydney ASM 8 Chief executive officer’s message 45 Emerging leaders working together Slow-release opioids update 9 Queen’s Birthday honours 48 ANZCA Clinical Trials Network news The ANZCA/FPM recent position statement on slow-release opioids for 9 Letter to the editor 49 ANZCA Research Foundation update 30 acute pain is explained in more detail 10 ANZCA staff awards 51 Faculty of Pain Medicine as not all opioids are the same. 12 ANZCA and FPM in the news: 52 Dr Chris Hayes – a dean who built Opioids, women in anaesthesia and strong relationships chronic pain hot topics for media 54 FPM: Endometriosis – time for action Lesson from the heart for doctors’ 14 ANZCA and government: 57 FPM: Refresher Course Day My Health Record expands wellbeing 58 Anaesthetic history: Women Dr Kate Harding writes from the UK about the suicide 16 ANZCA’s professional documents: anaesthetists in Australia and of her husband Richard, an intensive care consultant, 22 What would you do? New Zealand following his months of anxiety and powerlessness. 18 Can trainees’ (and fellows’ and other 62 What’s new in the library CPD participants’) personal reflections 67 Conversations to enhance learning be used in court? 70 Successful candidates 20 CPD: Meeting practice evaluation activities in private practice 72 Diploma of Advanced Diving and Hyperbaric Medicine High-flying fellow 21 CPD: Medical Board of Australia’s Wing Commander Dr Alex Douglas, Professional Performance Framework 74 A VAST improvement for a recipient of the Medal for Gallantry, resource-limited settings gives a candid account of her service 22 Doctors’ welfare: Learning from 26 Richard’s death 78 Special interest group events in the Australian Defence Force. 25 Have your say...Doctors’ Health and 80 New Zealand news Wellbeing Draft Interim Framework 83 Australian news 26 Fellow profile: Wing commander flies 89 Obituaries Reflecting on the ASM high with Defence medical teams 91 Future meetings More than 2400 ANZCA delegates attended the annual scientific meeting 28 Safety and quality news 36 in Sydney. Some of the program’s scientific and social sessions were organised jointly with the Royal Australasian College of Surgeons. ANZCA Bulletin Submitting letters and other Copyright The Australian and New Zealand material ANZCA may promote articles College of Anaesthetists (ANZCA) We encourage the submission of that appear in the Bulletin in is the professional medical body letters, news and feature stories. other forums such as the ANZCA in Australia and New Zealand Please contact ANZCA Bulletin website and ANZCA social media that conducts education, training Editor, Clea Hincks at chincks@ platforms. and continuing professional anzca.edu.au if you would like to Copyright © 2018 by the Australian development of anaesthetists contribute. Letters should be no and New Zealand College of and specialist pain medicine more that 300 words and must Anaesthetists, all rights reserved. physicians. ANZCA comprises contain your full name, address None of the contents of this about 6700 fellows and 1500 and a daytime telephone number. publication may be reproduced, trainees mainly in Australia They may be edited for clarity stored in a retrieval system or and New Zealand. It serves the and length. transmitted in any form, by any community by upholding the means without the prior written highest standards of patient safety. Advertising inquiries permission of the publisher. To advertise in the ANZCA Cover: Waiting for the 2018 College Please note that any views Ceremony to begin at the 2018 Bulletin please contact [email protected]. or opinions expressed in this ANZCA Annual Scientific Meeting publication are solely those of in Sydney. Contacts the author and do not necessarily represent those of ANZCA. Medical editor: ANZCA Dr Nigel Robertson 630 St Kilda Road, Melbourne ISSN: Victoria 3004, Australia 1038-0981 (print) Editor: Telephone +61 3 9510 6299 2206-5423 (online) Clea Hincks Facsimile +61 3 9510 6786 Art direction and design: [email protected] Action on Fellow in Iraq Christian Langstone www.anzca.edu.au endometriosis Dr Mathew Zacharias Production editor: Faculty of Pain Medicine Until now the condition has been writes about his harrowing Liane Reynolds Telephone +61 3 8517 5337 [email protected] under-diagnosed and poorly but rewarding experience Advertising manager: 54 34 www.fpm.anzca.edu.au treated but a new federal action working with Medecins Vivienne Forbes plan provides funding and hope Sans Frontieres in Iraq. for change, writes FPM Dean Dr Meredith Craigie. 2 ANZCA Bulletin June 2018 3 President’s message Professor David A Scott leaves strong legacy • We will all be perioperative Number one. When I left Adelaide to “He is a deeply thoughtful and practitioners, but some of us will return to Alice Springs I was concerned be “perioperative specialists”, who, about professional isolation, and about considerate person, of true integrity similarly to how pain specialists lead closing doors professionally. Professor pain medicine – will lead the education, Don Moyes, the Director of Anaesthesia and who is always prepared to listen.” training, professional standards and at the Queen Elizabeth Hospital, told me research into perioperative medicine “I think it’s great you’re going to Alice. that will benefit us all. Let me offer you a 0.1 FTE which you can The list of ANZCA’s achievements over the past two years is • Perioperative medicine will be led take as a one month block each year, to reconnect with your colleagues. You’ve substantial, but a number of them directly reflect David’s energy (but not owned) by anaesthetists, and vision. Research funding to support our fellows reached because we are best placed to provide got my phone number, if ever you need $1.74 million in 2017, and we have seen the establishment of an the necessary co-ordination, logistical some advice, and whenever you do return Emerging Investigators Sub-Committee, the latter support, vision and energy for this there will be a job here for you”. of which is to support the next generation of researchers. collaboration. So the whole process of going out bush was framed as a positive and supported The college developed a first-ever Joint Position Paper on The second issue I want to discuss is how experience, with no worrying concerns Day Surgery in Australia with the Royal Australasian College we need to address all of the six domains that I would be “forgotten”. The message of Surgeons and the Australian Society of Plastic Surgeons, of healthcare delivery – safe, timely, is that we can all be more encouraging, initiated discussions about whether we want to present ourselves I come into this role with a somewhat effective, efficient, equitable, patient- reassuring and supportive of young different background to my predecessors. as anaesthesiologists or anaesthetists, progressed the evolution focused (STEEP). people who are prepared to go and do a I work in Adelaide, in intensive care of perioperative medicine, strengthened international relations Equity of healthcare relates to access, stint in the bush. and anaesthesia, primarily in the outer with our sister colleges overseas, and developed five-year treatment, and outcomes. Number two. Minority groups are more suburbs, in public and private. strategic plans for overseas aid work and Indigenous health. We have achieved absolute world- likely to engage with a workforce whose I previously spent the best part of Of particular note has been David’s stewardship of the class excellence in delivering safe and diversity includes representation from a decade in central Australia, mainly development of a strategic framework to address bullying, high quality clinical care. Our ongoing their community. In addition, the M ori with the Royal Flying Doctor Service, ă discrimination and sexual harassment, and the Doctors’ challenge is to ensure that everyone in the pain medicine specialist in New Zealand, in Indigenous primary health care Support Program. community benefits from that care. There or the Aboriginal anaesthetist in northern and retrieval medicine, and later as As a leader he has fostered, and represented a strong are three distinct groups who don’t enjoy Australia provide valuable role models. the director of anaesthesia at the Alice culture of professionalism. David has achieved a national and equity of that care. Put very simply, it Through encouragement and support of Springs Hospital. international reputation for clinical and academic excellence, doesn’t matter how good our care is if it’s aspiring young anaesthetists and pain I have been lucky to have married and it is perhaps easy for these accolades to overshadow the not reaching people. specialists, we can facilitate this diversity. David A Scott enjoys widely recognised expertise such a wonderful woman, Sue, and to important facts that he is a deeply thoughtful and considerate The first group are our rural Number three. Let me make a pitch for have four really great kids. Daryl Catt, in research, safety and quality, pain medicine, person, of true integrity and who is always prepared to listen. communities, who are subject to the the WFSA’s “Fund a Fellow” program, the anaesthetist at Alice Springs hospital It is these attributes that have driven him to work so tirelessly as ongoing mal-distribution of specialist which is addressing the global shortage of medical leadership, and cardio-thoracic when I was a young fella, wisely told our president to ensure he has done all he can for his colleagues, anaesthetists, and the challenges of anaesthetists.