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Download the Whole Edition Here Volume 17 Number 2 January 2009 Journal of Military and Veterans’ Health Abstracts from the 2008 AMMA Conference The Journal of the Australian Military Medicine Association 18th Annual AMMA Conference 30 October - 1 November 2009 Make a date with the Gold Coast. The 18th Annual AMMA Conference will be held at the Gold Coast Convention and Exhibition Centre, Gold Coast, Queensland from 30 October – 1 November 2009. Learn about new and exciting advances in military medicine and veterans health and discuss experiences, review concepts and ideas. The Call for Papers will be distributed in late February 2009. Registrations will open in April. We look forward to seeing you on the Gold Coast! Journal of Military and Veterans’ Health Table of Contents President’s Message............................................................................................................................................3 2008 Conference Repor t...........................................................................................................................................5 Conference Address ........................................................................................................................................... 7 2008 AMMA Conference Abstracts ................................................................................................................. 12 Keynote Presentation ....................................................................................................................................12 Health Safety and Human Factors ........................................................................................................... 12 Workforce........................................................................................................................................................ 15 Perspectives in Deployment and Data Deployment Health Surveillance .......................................... 18 Capability........................................................................................................................................................ 22 A Clinical Miscellany I ............................................................................................................................... 27 The Millinneum Cohort ...............................................................................................................................31 Training I ..................................................................................................................................................... 33 Health Practice and Governance .............................................................................................................. 35 Ethics ............................................................................................................................................................. 38 Transitions .................................................................................................................................................... 40 Training II..................................................................................................................................................... 42 A Clinical Miscellany II .................................................................................................................................44 Crisis? What Crisis? - Crisis and Capability .......................................................................................... 46 Mental Health ...............................................................................................................................................49 Of Symptoms, Psychology and Deployment ...........................................................................................51 Inside this edition This edition of the Journal is given over to the A full conference report follows the abstracts, publication of the abstracts from a highly successful highlighting the success and benefits to members and Association Annual Scientific Conference held in the disciplines of health and medicine in the military Hobart in October 2008. and veterans’ contexts. Around 70 papers were read from a wide range of international and local speakers ranging across all the health professions. Volume 17 Number 2; January 2009 Page 1 Journal of Military and Veterans’ Health EDITORIAL BOARD Dr Russell Schedlich (Editor in Chief) Assoc. Prof. Scott Kitchener (Managing Editor) Dr Graeme Cannell Dr Peter Leggat Prof Malcolm Sim Dr Bob Stacy Australian Military Medicine Association PATRON MAJGEN Paul Alexander Surgeon General Australian Defence Force COUNCIL President Russell Schedlich Vice President Nader Abou-Seif Secretary Janet Scott Treasurer Neil Westphalen Council Members Kerry Clifford Greg Mahoney Andrew Robertson Geoff Robinson Public Officer Paula Leishman STATEMENT OF OBJECTIVES The Australian Military Association is an independent, professional scientific organisation of health professions with the objectives of: • Promoting the study of military medicine • Bringing together those with an interest in military medicine • Disseminating knowledge of military medicine • Publishing and distributing a journal in military medicine • Promoting research in military medicine Membership of the Association is open to doctors, dentists, nurses, pharmacists, paramedics and anyone with a professional interest in any of the disciplines of military medicine. The Association is totally independent of the Australian Defence Force. ISSN No. 1835-1271 Page 2 Journal of Military and Veterans’ Health Editorial President’s message This edition of JMVH is devoted to the publication its efforts to promote research and knowledge of the abstracts from the highly successful 17th expansion in military medicine and veterans’ conference of the Association held in October 2008 health. in Hobart. Included are the conference report and I would also like to congratulate Major-General Jeff the address presented by the Surgeon General, Rosenfeld RAAMC on his appointment as Surgeon- Major-General Paul Alexander RAAMC, outlining General Defence Health Reserves. The Reserves the recent changes to the Defence Health Services are not only fundamental to the operation of the and the priorities for the future. For those who Defence Health Services but are a significant and attended the conference, I hope that this offering vital component of the membership of AMMA. They will refresh the memory of an outstanding event; also provide, for both Defence and the Association, for those who could not attend I am sure that it a means to cross-pollinate knowledge and skills will serve as a valuable addition to their lexicon of between the military and civilian health sectors. knowledge. JMVH is working to publish the best History has shown that many of the great advances of the papers presented at the conference in the of medicine are made within the military during coming months. war, and on many occasions these lessons are Changes at the top forgotten. The Association and its links to both the active military, the reserves and the civilian Over recent months there have been some changes professions can play a key role in ensuring that to the Association leadership. this does not occur in the future. Jeff’s position First and foremost, with his retirement from active as head of the Defence Health Reserves is vital service, AMMA says farewell to Rear Admiral in nurturing this, and I am sure that much Graeme Shirtley as its Patron. Graeme has had collaboration between us will occur in the future. a long and distinguished career both in his Within the Association’s management structure, civilian professional life as a Radiologist, which Scott Kitchener decided not to stand for re-election he has managed to mix with active involvement to Council and I would like to acknowledge and in the Reserve Forces. During his time as Patron thank him for his contribution and work for the of AMMA, Graeme has been a solid supporter of Association in the role of a Council member and the Association, its aims and objectives. Along also on the Editorial Board of the Journal. Scott with Council and members, I thank him for his has taken up the position of Managing Editor of involvement with AMMA and wish him all the best JMVH and will drive its day-to-day management for the future. and publication. Major-General Paul Alexander has agreed to take I welcome Neil Westphalen to the Association up the position of Patron of AMMA in accordance Council. Neil has served in the Navy for many with the Association’s constitution. Paul joined years and has wide ranging clinical, management the Army in 1976 and transferred to the Reserves and occupational medicine experience. He has in 1998 after pursuing a significant clinical and taken up the position of Treasurer and I am sure leadership career. As a Reservist he held leadership will guide Council in directions that ensure the positions in the Army Health Reserves as well as financial health of the Association. being active in General Practice in clinical, policy and management roles. Returning now to the World events Permanent Forces and being appointed Surgeon As we move into a new year, significant world General Australian Defence Force, Paul has driven events are evolving that are likely to impact on our some significant changes to the structure of the professional lives now and into the future. Defence Health Services that are outlined in his paper. These, associated with the drive
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