Surgical News March 2013 / Page 3 Australia & Waitangi Day Honours Compounded by Financial Imposts, Comes at a President’S Substantial Cost
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SurgicalMarch 2013 the royaL a ustraNewsLasian CoLLege of surgeons More than $1.2 million worth of scholarships inside! The College of Surgeons of Medical images Australia and New Zealand Ensure there is patient consent 2013 c ntents Workshops & Activities 10 Cuba collaboration Professional development supports life-long learning. College From the Global Burden activities are tailored to the needs of surgeons and enable you to of Surgical Disease acquire new skills and knowledge while providing an opportunity for 24 16 Drawn to a homeland reflection about how to apply them in today’s dynamic world. NSW Fellow Raffi Qasabian in Armenia Keeping Trainees on practitioners as to the level of impairment suffered NSW by patients and assist with their decision as to the 18 ASC 2013 9 April, Sydney Track (KToT) suitability of a patient’s return to work. While the Keeping Trainees on Track (KToT) More on the program 9 April, Sydney guidelines are extensive, they sometimes do not This 3 hour workshop focuses on how to manage account for unusual or difficult cases that arise NZ 20 Scholarship from time to time. This 3 hour evening seminar trainees by setting clear goals, giving effective 6 May, Auckland – ASC feedback and discussing expected levels of compliments the accredited AMA Guideline Keeping Trainees on Track (KToT) opportunities for 2014 performance. You can also find out more about training courses. The program uses presentations, College support for encouraging self-directed learning at the start of case studies and panel discussions to provide 6 May, Auckland – ASC term meeting. surgeons involved in the management of medico- Supervisors and Trainers for SET research legal cases with a forum to reflect upon their (SAT SET) 24 Teaching the teachers Supervisors and Trainers difficult cases, the problems they encountered, and 6 May, Auckland – ASC the steps they applied to satisfactorily resolve the Non-Technical Skills for Surgeons The PD course in two REGULAR PAGES for SET (SAT SET) (NOTSS) issues faced. Please note: Fellows will still need to attend very different locations 2 PD Workshops 16 April, Melbourne AMA training to be accredited to use AMA guidelines. 6 Relationships & Advocacy This course assists supervisors and trainers to QLD 36 28 Regional News 8 Surgical Snips effectively fulfil the responsibilities of their very Writing Medicolegal Reports 29 May, Brisbane important roles. You can learn to use workplace AMA Impairment Guidelines 5th ASERNIP-S on simulation 13 Dr BB Gloved 15 July, Sydney Edition: Difficult Cases assessment tools such as the Mini Clinical based training 14 Poison’d Chalice This 3 hour evening workshop helps you to gain Examination (Mini CEX) and Directly Observed VIC 15 Case Note Review Procedural Skills (DOPS) that have been introduced greater insight into the issues relating to providing 30 Successful Scholar 19 March, Melbourne as part of SET. You can also explore strategies expert opinion and translates the understanding Keeping Trainees on Track (KToT) Professor Marcus to help you to support trainees at the mid-term into the preparation of high quality reports. It also explores the lawyer/expert relationship and the meeting. It is an excellent opportunity to gain 11-13 April, Melbourne Stoodley and research role of an advocate. You can learn how to produce insight into legal issues. This workshop is also Surgical Teachers Course from the JMC Fellowship available as an eLearning activity by logging into objective, well-structured and comprehensive 16 April, Melbourne the RACS website. reports that communicate effectively to the reader. This ability is one of the most important roles of an Supervisors and Trainers for SET 32 Flexible Training (SAT SET) expert adviser. Experience from a Non-Technical Skills for 19 April, Melbourne job-share Surgeons (NOTSS) Finance for Surgeons Non-Technical Skills for Surgeons (NOTSS) 19 April, Melbourne 19 July, Melbourne 36 From the archives This workshop focuses on the non-technical skills This whole day course establishes a basic Sailing surgeons which underpin safer operative surgery. It explores Contact the 30 understanding of how to assess a company’s a behaviour rating system developed by the Royal performance using a range of analytical methods Professional SurgicalMARCH 2013 THE ROYAL AUSTRALASIANNews COLLEGE OF SURGEONS College of Surgeons of Edinburgh which can help and financial and non-financial indicators. It Development Correspondence to Surgical News should be sent to: you improve performance in the operating theatre reviews the three key parts of a financial statement; Department on [email protected] More than $1.2 million in relation to situational awareness, communication, worth of scholarships balance sheet, income (profit and loss) and cash inside! +61 3 9249 1106, Letters to the Editor should be sent to: [email protected] decision making and leadership/teamwork. Each flow. Participants learn how these statements are Or The Editor, Surgical News, Royal Australasian College of Surgeons, of these categories is broken down into behavioural used to monitor financial performance. by email markers that can be used to assess your own PDactivities@ College of Surgeons Gardens. 250-290 Spring Street, East Melbourne, Victoria 3002 performance as well as your colleagues. surgeons.org or visit T: +61 3 9249 1200 F: +61 9249 1219 W: www.surgeons.org Polishing Presentation Skills ISSN1443-9603 (Print) ISSN 1443-9565 (Online) www.surgeons.org The College of Surgeons of Medical images 12 September, Adelaide Australia and AMA Impairment Guidelines - select Fellows Surgical News Editor: David Hillis / © 2013 Royal Australasian College of Surgeons / All copyright is reserved. New Zealand Ensure there is patient consent The full-day curriculum demonstrates a step-by- 5th Edition: Difficult Cases The editor reserves the rights to change material submitted / The College privacy policy and disclaimer apply – www.surgeons.org step approach to planning a presentation and tips then click on 29 May, Brisbane The College and the publisher are not responsible for errors or consequences from reliance on information in this publication. Statements represent ON THE COVER: for delivering your message effectively in a range of Professional the views of the author and not necessarily the College. Information is not intended to be advice or relied on in any particular circumstance. Medico-Legal The American Medical Association (AMA) settings, from information and teaching sessions in Development. Advertisements and products advertised are not endorsed by the College. The advertiser takes all responsibility for representations and claims. Know your limits on Impairment Guidelines inform medico-legal hospitals, to conferences and meetings. Published for the Royal Australasian College of Surgeons by RL Media Pty Ltd. ACN 081 735 891, ABN 44081 735 891of 129 Bouverie St, Carlton. Vic 3053. patient images. P27 Surgical News March 2013 / PAGE 3 Australia & Waitangi Day Honours compounded by financial imposts, comes at a President’s substantial cost. Perspective However, the dilemma is not to change yet again, but make work what we have. In his letter to the Secretary of State for Health (page 5), the Inquiry Chairman highlighted: “The extent of the failure of the systems shown in this report suggests that a fundamental change is needed. This does not require a root and branch reorganisation Clinical Leadership – the system has had many of those – but New Zealand New Year Honours it requires changes which can largely be do not recall the county of Staffordshire well, despite my implemented within the system…” Dame Companion of the NZ Order of five years training in United Kingdom. Famous for its Merit (DNZM) Ipotteries, it is a midlands county with the green rolling We make same mistakes hills that England does so well, combined with a dedicated Making work what we have – not throwing Dame Judith Potter (Expert Community industrial base. ‘the baby out with the bath-water’ is always Advisor on NZ National Board) Like much of England, it has suffered in the post- the challenge. The dilemma for Australia and Thatcher era without the benefits of the buzz of the New Zealand is that our Governments and Officer of the NZ Order of Merit (ONZM) ‘financial hub’ of London. That is my recollection and Departments of Health have this lemming-like Associate Professor Ian David Campbell although I was aware of the ‘Stafford Hospital crisis’, I was attachment to follow the United Kingdom’s still not expecting the devastating report from the ‘Francis approach and policies some three to five years Inquiry’ that has just been released. later. Perhaps our ‘leaders’ can short-circuit the It is a sobering read, for many reasons. I have a lingering process and read section 1.123 of the report (page fondness of the NHS; I completed my surgical training in its 67) in the section of ‘common values: putting hospitals. It was an important part of the formation of my the patient first’: surgical career. It provided free healthcare to a population “The overarching value and principle of the of over 50 million. For all its faults, I had always felt that the NHS Constitution should be that patients are NHS had its ‘heart in the right place’. put first, and everything done by the NHS However, reading the lengthy report with its 290 and everyone associated with it should be recommendations, it makes you wonder whether those informed by this ethos” thoughts were justified. Maybe that is what compelled the What a novel thought slipped into my mind, Australia Day Honours then Secretary of State for Health, the Rt Hon Alan Johnson as I read this. Over the two months of this year, Member of the Order of Australia (AM) MP to say to the House of Commons: experience data, with a focus on systems, not outcomes’ and the health related press has been ‘captured’ by “I apologise on behalf of the government and the NHS ‘staff treated patients and those close to them with what funding cuts, bed closures, government brawling – Associate Professor Andrew Donald for the pain and anguish caused to so many patients and appeared to be callous indifference’ (Page 13 of report).