medic MAGAZINE OF THE AUSTRALIAN MEDICAL ASSOCIATIONSA (SOUTH AUSTRALIA) INC. Election 2018: 4HEHEALTHPLEDGES (ISTORICAGREEMENTFORRURALPRACTICEs4RANSFORMING(EALTHnTHEROUND UP .EW-EDICAL"OARD0ROFESSIONAL0ERFORMANCE&RAMEWORKs-ENTALHEALTH !-!3! ANDSOCIALMEDIAs.EWFEDERAL2URAL(EALTH-INISTERs-OTORING Volume 31 Number 1 March 2018 FOOT & ANKLE IMAGING BRAIN PATHOLOGIES LIVER ELASTOGRAPHY CARDIAC IMAGING OPTIONS THYROID & BREAST LUMPS LOWER BACK PAIN RESPIRATORY Commited to Referrer Educaton Previous Educaton Events Dr Jones & Partners contnues to ofer RACGP accredited educaton for GPs, ofering opportunites for practtoners to develop their knowledge ▪ SAHMRI Oncology and skills in accordance with the QI&CPD program. The learning ▪ Liver Elastography outcomes are planned and organised with the use of an evidence-based Respiratory Imaging needs assessment and relate specifcally to the domains of general ▪ & Assessment practce, with the key aim of improving patent care and management. ▪ Imaging of the Foot & Ankle Our recent events have been delivered by a sub-specialised Radiologist ▪ Lower Back Pain and Specialists in Gastroenterology, Respiratory & Thoracic Medicine, Imaging the Injured Knee Orthopaedics and Neurosurgery. The event structure encourages ▪ interactvity by way of Q&A and case studies. This format has been ▪ Cardiac Imaging Optons well received by atending GPs. ▪ Head & Stroke Imaging ▪ Thyroid & Breast Lumps www To register your interest for upcoming events, visit www.drjones.com.au/referrer-educaton Doctor Led • Patent Focused • Quality Driven drjones.com.au Dr Jones & Partners is pleased to introduce Associate Professor Christen Barras A/Prof Barras has extensive experience in private radiology practce and teleradiology. In 2015-16 he was a Diagnostc Neuroradiology Fellow at The Natonal Hospital for Neurology and Neurosurgery, Queen Square, Charing Cross Hospital, Moorfelds Eye Hospital and King’s College Hospital, London and became the second Australian to serve as a Consultant Neuroradiologist at Queen Square in 2017. Christen is a Senior Afliate at the South Australian Health and Medical Research Insttute (SAHMRI) and an Associate Professor at the University of Adelaide. He was the Stroke Imaging Fellow at Royal Melbourne Hospital (RMH), with four years on the frst Acute Code Stroke team. His research has been published in Stroke and The American Journal of Neuroradiology, and was awarded the Toshiba Prize for best scientfc presentaton by the RANZCR in 2012. Christen will be located at Dr Jones & Partners Burnside and Kurralta Park practces, St Andrew’s and Calvary Wakefeld Hospitals. A/Prof Barras joins Dr Jones & Partners with subspecialty expertse in all aspects of Adult Diagnostc Neuroradiology including advanced brain imaging techniques and spinal pain procedures, Head and Neck Imaging, Dental/Maxillofacial Imaging and Emergency/Trauma Radiology. Doctor Led • Patent Focused • Quality Driven drjones.com.au Contents 8 3 President’s column Mental health 4 News & views Dr Bawa-Garba; Preventing suicide in new hospital’s dark the medical profession few minutes; Royal The Final Report of the National Commission: a big call Forum on Reducing Risk of Suicide in the Medical Profession – jointly 5 Editor’s letter convened by the AMA and Doctors’ 7 SA Election 2018 Health Services Pty Ltd – was AMA calls for urgent released recently. health remedy 11 Transforming Health The wash-up 15 14 AMA(SA) dispatches Cover story 19 Rural health Election 2018: More support needed The health pledges 20 Council News Election 2018: who has promised 22 Australia Day Honours what? In this article are some of the undertakings and activity from parties 23 Charity on areas highlighted by the AMA(SA) Backpacks 4 SA Kids and of interest to those in health – 25 Student medals some good, some not so good. 26 Graduation 2017 28 Student news 17 31 Motoring Rural health 33 Social media Historic agreement 35 Council update landed for rural health New student reps A landmark agreement, delivered 37 Leisure by former AMA(SA) Council member and National Rural Health 39 In practice Commissioner Prof Paul Worley, has 43 The Schedule been reached to develop a national framework for Rural Generalist 44 Practice notes medical specialty. Australian Medical Association medicSA Disclaimer Neither the Australian Medical Association (South Editorial (South Australia) Inc. Australia) Inc nor any of its servants and agents will Editor: Dr Philip Harding AMA House, Level 2, !61 Ward Street, have any liability in any way arising from information Managing Editor: Heather Millar or advice that is contained in medicSA. The North Adelaide SA 5006 Director of Policy and Communications: Eva O’Driscoll statements or opinions that are expressed in the PO Box 134 North Adelaide SA 5006 magazine reflect the views of the authors and do Cover image not represent the official policy of the Australian Telephone: (08) 8361 0100 © istock/skynetphoto; Nu Young, Leap Studio Medical Association (South Australia) unless this Facsimile: (08) 8267 5349 Advertising is so stated. Although all accepted advertising Email: [email protected] Heather Millar 0409 196 401 material is expected to conform to ethical standards, Website: www.amasa.org.au such acceptance does not imply endorsement by Production the magazine. Typeset and printed for the AMA(SA) by Executive Contacts All matter in the magazine is covered by copyright, Douglas Press Pty Ltd. ISSN 1447-9255 (Print) President and must not be reproduced, stored in a retrieval ISSN 2209-0096 (Digital) Dr William Tam: [email protected] system, or transmitted in any form by electronic or mechanical means, photocopying, or recording, After hours: (08) 8361 0100 Unsolicited material: Unsolicited editorial material should be sent to the without written permission. Chief Executive Officer AMA(SA) c/- the Managing Editor no later than six Images are reproduced with permission under Joe Hooper: (08) 8361 0109 weeks prior to the target month of distribution. limited license. medicSA MARCH 2018 1 heading 2 medicSA MARCH 2018 William Tam President’s Report Election time: standing for health S I write this report, it is just also a must. With that in mind, we are areas. Increased rural training places a few short weeks until the also calling for a new Clinical Senate to for specialists would bring needed skills Aelection. The major and minor provide advice directly to the minister and support. And funding for ongoing parties are still rolling out their policies: for health, as well as increased local professional development for country the contest of ideas is afoot. Soon, authority for clinical leaders to make doctors should be stepped up. South Australians will cast their votes decisions in their health networks. The AMA(SA) is promoting an and we will know more about what the The right information is one part of investment in a hybrid model of care, next four years will hold. However the the equation – another is appropriate including hospital specialists, rural GPs cards fall, the AMA(SA)’s task will be the planning. Both come together in another and medical trainees, and an increased same – to advocate for health and the of our key calls for this state election scope of services in larger hospitals. patients and communities we serve. – a clinician-led review of services for Country Health should also be The past years have been a challenging children, and development of a child responsible not just for clinical care but time, with major changes. We have health plan. Health starts in the cradle also clinical research and training. These a shiny new biomedical precinct, and the right start means a better future. are all part of the picture. Other priorities and the doors are open at the new Of course, the future of the Women’s include local medical representation Royal Adelaide Hospital. Various and Children’s Hospital is a major in hospital governance, improved other hospitals are also sporting new element – and the AMA(SA) is calling access to mental health care, fixing additions, with more planned to come. for the co-location of the ‘full package’ procurement, and increased support for The Transforming Health reform project with the new RAH, not a piecemeal rural patients and families who need to has come and gone but left major approach that divides women’s and travel for health care. reconfigurations in its wake. The EPAS babies and children’s services. These are just a few snapshots of some electronic medical record system Planning is also integral to rural and of the areas we have been highlighting. continues, at least for now, but remains regional services, which is another There are many more. Over 50, in fact, a hot-button issue. key priority area for the AMA(SA). are detailed in our People-First Health Ambition is writ large in much that has For too long, rural and regional SA Strategy for South Australia, released been attempted, but with high risks has been under-served by our city- in the election lead-up. We have had a attached. Battles of ideas have become centric health system. Not only is it number of commitments from the major battles over data, and its interpretation. under-funded, there is also a failure and minor parties as to what measures Numbers are argued over and to plan for and invest in the skills and they would adopt, some already straightforward questions descend into support that will be needed to keep our reflected in policy announcements to linguistic tangles and semantics. What is rural services flourishing. I was glad to date. Our work is not done though. We a bed, and how do you count it? Who is visit the south-east late last year and will continue to fly the flag for health over a clinician? What does ‘better’ look like? hear about many of the issues first- the days, weeks and years to come, hand from rural members, and their with your help. We are up for those arguments, but comments underlined many of the wouldn’t it be nice to avoid some of You can find updates on policy issues we have been raising in them? One way is by having a source announcements on our website, and our advocacy.