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Surgicalthe royaL austraLasian CoNewsLLege of surgeons May 2012 Vol: 12 No:10 Nov/Dec 2011 The College delivers Competency Training Standards, p28 The College of Surgeons of Australia and New Zealand Hearing the next generation Important initiative from the Foundation of Surgery p22 c ntents 12 Wattle & Fern – the New President’s Gown A lighter gown will make If you’re a doctor in presidential travelling easier 14 A Surgeon’s Treasure training interested in A treasured compass has a research placement, made it to the public domain would $25,000 or 16 International Development $50,000 help? Professor David Wood delivering the HPV Avant is delighted to announce the launch vaccine in PNG of the Avant Doctor in Training Research 18 Successful Scholar 42 Scholarships Program. Matthew Hong delivering REGULAR PAGES Each year we will award two full-time on efficiency 8 Surgical Snips 11 Poison’d Chalice scholarships to the value of $50,000 each and 22 Foundation for Surgery four part-time scholarships of $25,000 each. 13 Dr BB Gloved Important initiatives from 21 Ina Training Let us help turn your dream of that elusive generous donations 25 Law Commentary PD Workshops research placement into a reality. 28 Competency Training 36 27 The College delivers a world first on standards 25 Regional News 28 How New Zealand fares on As a recipient of grants in the past, I would encourage healthcare quality you to put as much detail as possible into the application, and safety it’s worth the time and effort to get it right. 35 Academic Surgery Important for both junior Dr Gareth Crouch and senior surgeons Cardiothoracic Registrar (SA) SurgicalTHE ROYAL AUSTRALASIAN COLLEGENews OF SURGEONS MAY 2012 Member, Avant’s Doctor in Training Advisory Council Vol: 12 No:10 Nov/Dec 2011 The College Correspondence to Surgical News should be sent to: delivers world first Competency Training [email protected] Standards, p28 Letters to the Editor should be sent to: [email protected] Or The Editor, Surgical News, Royal Australasian College of Surgeons, College of Surgeons Gardens. 250-290 Spring Street, East Melbourne, Victoria 3002 +61 3 9249 1200 +61 9249 1219 www.surgeons.org T: F: W: The College of Surgeons of Australia and Applications open at 9am on 13 February 2012 and must ISSN1443-9603 (Print) ISSN 1443-9565 (Online) New Zealand Hearing the next be received by 5pm on 31 May 2012. generation Surgical News Editor: David Hillis / © 2012 Royal Australasian College of Surgeons / All copyright is reserved. Important Indigenous initiative from the Foundation of Surgery p22 The editor reserves the rights to change material submitted / The College privacy policy and disclaimer apply – www.surgeons.org For more information or to download the application form, The College and the publisher are not responsible for errors or consequences from reliance on information in this publication. Statements represent ON THE COVER: please visit www.avant.org.au/scholarship Australia’s Leading MDO the views of the author and not necessarily the College. Information is not intended to be advice or relied on in any particular circumstance. An important initiative Advertisements and products advertised are not endorsed by the College. The advertiser takes all responsibility for representations and claims. from the Foundation of 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. Surgery p22 Surgical News May 2012 / PAGE 3 AVAINS371_DIT Scholarship Advert_210x297.indd 1 7/03/12 5:26 PM Pagetop 2012 Definitive Surgical Trauma Care (DSTC) and Definitive Perioperative Trauma Nursing Care Courses President’s Perspective 2012 COURSES: Sydney (Military Module): 24 July Nonetheless, our perspective needs to be heard in the corridors of power, be they at jurisdictional Sydney: 25-26 July level or through the workplace. Auckland: 30-31 July + 1 August Anticipation There is no reason why surgeons should Perth: 24-25 October An exciting few years are ahead of us not contribute in a meaningful way to the development of health policy, particularly where it Melbourne: 30 Nov, + 1 December pertains to us. This will be a challenge as we have his President’s perspective is being ‘penned’ just less expertise and are looked upon with caution The DSTC course is an invigorating and exciting before the Annual Scientific Congress in Kuala by many. This is not a reason not to progress this opportunity to focus on: TLumpur, Malaysia. It looks like being a terrific issue, however. • Surgical decision-making in complex scenarios meeting. With a variety of top quality international speakers, The second message from the strategic planning • Operative technique in critically ill trauma patients a record number of submitted abstracts and an above weekend was the importance of the College • Hands on practical experience with experienced average number of early registrations, the 2012 ASC should moving our CPD program into a more meaningful instructors (both national and international) be an outstanding event. space. Almost all of us attend enough educational • Insight into difficult trauma situations with learned techniques of haemorrhage Given that surgeons are somewhat notorious for booking activities to fully comply with the educational control and the ability to handle major thoracic, late and even turning up without prior arrangement, as well requirements. What needs more robust cardiac and abdominal injuries as high levels of interest from our Malaysian Colleagues, monitoring is our commitment to audit both of the College is confident of an outstanding conference in a our practices and within an in-depth peer-reviewed The DSTC course is recommended by the Royal Australasian brilliant venue. I am personally aware of many people taking methodology. College of Surgeons for all consultant surgeons who participate the opportunity of not only contributing in KL, but then This can be achieved in a number of ways in care of the injured and final year trainees. It is considered essential for surgeons involved in the management of major using it is a launching pad for further travel. We are so much including good quality morbidity and mortality trauma and those working in remote, regional and rural areas. closer to many other destinations. meetings. The College has worked incredibly The ASC in 2013 is in Auckland and already arrangements diligently with numerous stakeholders to ensure This educational activity has been approved by the College’s are well in hand for a fantastic event there. By dint of our Mortality Audit function has progressed to CPD programme. Fellows who participate can claim one point per hour (maximum 18 points) in Category 4: Maintenance of circumstance, the ASC in 2014 is now being planned as a The 2014 ASC will now be in Singapore. being well regarded and surgeon friendly. Clinical Knowledge and Skills towards the 2011 CPD totals. parallel meeting with the College of Anaesthetics. It will However, we must be doing more than that. be held in Singapore. Martin Richardson, an orthopaedic CPD and audit of our practices is not an option The Definitive Perioperative Nurses Trauma Care Course (DPNTC) is held in conjunction with many DSTC courses. It is aimed at surgeon from Melbourne will be the coordinator. for the community. They demand it and rightfully Although RACS was aiming to be in Melbourne and His contribution has been extraordinary in times that registered nurses with experience in perioperative nursing and demand that the professional bodies like the allows them to develop these skills in a similar setting. ANZCA in Sydney, circumstances beyond our control have often have been demanding. He has purposefully steered the College ensure it. If the College does not assume colluded to enable parallel meetings – the first since 2000. discussions between the College and the various Specialty this responsibility it will be imposed upon us by The Military Module is an optional third day for interested surgeons and Australian Defence Force Personnel. One to keep free in the diaries! The ASC is the premier Societies through troubled waters. The College’s role in being an outside body with models that will not fit, and event for surgery in South East Asia and with an increasing the accredited body for training in surgery and awarding the not work to improve standards, and certainly will DSTC Australasia in association with IATSIC (International number of multi-disciplinary groups now involved with the FRACS is critical. not be surgeon oriented. Association for Trauma Surgery and Intensive Care) brings you courses for 2012. meeting, there is a very broad program in both the plenaries A new relationship between the College and the 13 Other areas discussed at the strategic planning and the scientific sessions that appeals to all specialties specialty societies is being negotiated and will reflect the weekend were Council Governance and the within the broader ‘surgical church’. Societies’ increasing role in all aspects of College activities, fiduciary responsibility of Councillors, the College DSTC is recommended by The Royal As President, I wish to acknowledge the outstanding especially education. Seeing this incorporated in a principle business model and where surgery might be in the Australasian College of Surgeons for all commitment from my predecessor, Mr Ian Civil. His based Memorandum of Understanding / Service Agreement next decade. Consultant Surgeons and final year trainees. leadership of the College was exemplary, not only in the past needs to be bedded down over the next six months. So my term as President has just started. I look two years as President, but in more than 20 years of service In the Council strategic planning weekend, held just forward to meeting you at the many meetings of before Easter, two clear messages were apparent.