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Volume 22 | Issue 01 Page 6 Spotlight on | Page 9 2021 finance and budget report New beginnings Financial advice that’s as free from self-interest as you are Doctors Wealth Management is part of Avant, Dr Chris Hughes the mutual owned by doctors for more than Avant member 125 years. So when it comes to understanding the financial complexities of doctors and their families, our advisers couldn’t be in better company. That’s not the only reason you can look forward to financial advice that’s more relevant, more insightful and more attuned to your individual needs as a doctor. As salaried employees of an organisation owned by doctors, you can be sure our advisers are always working in your best interest. Over 50% of Australian doctors trust Avant with their professional reputation. Now, you can trust us to look after your financial wellbeing too. To learn more about the difference that financial advice tailored for doctors can make to your financial wellbeing, book an appointment today. Contact us 1800 128 268 avant.org.au/doctorswealthmanagement Always in a doctor’s best interest Important disclaimer: The material contained in this publication is of general nature only. It is not, nor is intended to be legal, accounting, tax or financial advice. Doctors Financial Services Pty Ltd (DFS) and its related entities have not considered your individual objectives, financial situation and needs in providing this information. If you wish to take any action based on the content of this publication we recommend that you seek appropriate professional advice. While we endeavour to ensure that this information is as current as possible at the time of publication, we take no responsibility for matters arising from changed circumstances, information or material. DFS and its related entities will not be liable for any loss or damage, however caused (including through negligence), that may be directly or indirectly suffered by you or anyone else in connection with the use of information provided. Doctors Wealth Management is a registered business name of Doctors Financial Services Pty Ltd ABN 56 610 510 328, AFSL 487758. Doctors Wealth Management Financial Advisers are Authorised Representatives of DFS. DWM0070_1120 Surgical News | Volume 22 | Issue 01 3 RACS leadership President’s perspective 4 Treasurer’s budget 6 Spotlight on UNVEILING UNVEILING THE New beginnings THE COLLECTIONS COLLECTIONS of the ROYAL AUSTRALASIAN A scientific congress like no other 13 COLLEGE OF SURGEONS New framework to increase access Unveiling some unusual objects from the fascinating collections of the Royal Australasian College of Surgeons, this book opens with an archetypal GEOFFREY DOWN and symbol of the College, the Great Mace. It continues with an exploration of a to surgery for bariatric patients 15 GEOFFREY DOWN diverse group of objects loosely bound together by type. Furniture, ceramics ELIZABETH MILFORD and silverware vie with paintings and sculpture. A miscellany of surgical instruments, dating mainly from the nineteenth and twentieth centuries, feature the carbolic spray used by Lord Lister at the Glasgow Royal Infirmary, The Indigenous picturedSurgical below. Developed in 1869,Pathways the spray was designed to kill airborne bacteria, but had some side effects. Everyone attending the operation inhaled the spray and if the patient had been anaesthetized using chloroform, the vapour decomposed into chlorine gas. and Program 16 ELIZABETH MILFORD At the other end of the spectrum, a large collection of historic medical books contains many rare and early editions such as those by Vesalius and Paré. Objects often have interesting stories connected to them, contributing Welcome to theto thenew complex web ofRACSTA relationships that have created Chair a surgical College. 19 Confirming the importance of valuing and preserving heritage, Unveiling the Collections will enrich present generations and benefit those in the future. Open house at RACS South Australia 20 HOR BO C OK N S Unveiling the CollectionsA 21 A A USTRALI HOR BO C OK Introducing the Global Health Section 22 N S A A A USTRALI Articles of interest Dr Samantha Pillay 23 Dispatch from New York 24 Cultural change and patient safety: a joint summit 27 Results of the telehealth survey 28 Educators of Merit 29 Digging deeper into Australia and New Zealand road crash statistics 38 Specialist Training Program supports rural health strategy 39 Global Health Historical Deux et deux font cinq: when things do not Correspondence and letters to the editor for Surgical Local instructor team conducts paediatric News should be sent to: [email protected] life support training in PNG 14 add up 42 Editor: Abderazzaq Noor The surgeons of Vanity Fair magazine: Sir T: +61 3 9249 1200 Contributing writers: Sharon Lapkin and Saleha Singh Scholarship William Arbuthnot Lane 44 www.surgeons.org New Zealand surgeon’s ground-breaking ISSN 1443-9603 (Print)/ISSN 1443-9565 (Online). work to change patients’ lives 10 © Copyright 2021, Royal Australasian College of Surgeons. All rights reserved. All copyright is Scholarship supports new renal reserved. The editor reserves the right to change transplant program 18 material submitted. The College privacy policy and disclaimer apply – www.surgeons.org. The College Research scholarship and grant and the publisher are not responsible for errors or opportunities for 2022 48 consequences for reliance on information in this publication. Statements represent the views of the author and not necessarily the College. Information is not intended to be advice or relied on in any particular Research circumstance. Advertisements and products Highlights from the November Annual advertised are not endorsed by the College. The advertiser takes all responsibility for representations Academic Surgery Conference 32 and claims. Published for the Royal Australasian Case note review 34 College of Surgeons by Printgraphics Printgreen. ABN 93 005 519 997 of 14 Hardner Road Mount Waverley, One stop shop for plastic surgery Trainees Victoria 3149 Australia. established 36 Exceptional DCAS program planned 37 Cover image: Ness Flett 4 RACS leadership President’s perspective While we have entered a new year, it of Surgeons (RACS) CEO, John Biviano, government and other stakeholders looks like the COVID-19 pandemic will and the General Manager – Fellowship to ensure the long-term sustainability be with us for a while longer. With Engagement, Etienne Scheepers. As well of surgery in our healthcare system. border restrictions coming and going as meeting with Dr Brendan Murphy, the Specific topics touched on during the throughout December and January, I am Secretary of the Australian Government visit included fee transparency and sure it was a very different Christmas Department of Health; Professor Paul the government’s Medical Cost Finder break for many and a strange, but Kelly, the Chief Medical Officer; Dr Nick website, telehealth, reforms to use increasingly familiar, way to start 2021. Coatsworth, infectious disease physician; of the title ‘surgeon’, elective surgery Last year I regularly wrote about how and other members of the Australian during the pandemic and reforms to the College had been forced to adapt by Government Department of Health the management of the Prosthesis implementing processes and different leadership team, we met with the Hon List, among others. It was a productive ways of working that may have taken Mark Coulton MP – Minister for Regional visit with most displaying significant several years, or even decades, to occur Health; the Hon Chris Bowen MP – Shadow engagement in the issues, as well as had the pandemic not hit. The challenge Minister for Health; and others from the interest in collaborating more closely for us in 2021 will be to continue to Professional Services Review Agency, with the College into 2021 and beyond. integrate the lessons learned and the Australian Medical Association, the Another key topic in our Canberra use this experience to allow us to Private Hospitals Association and the discussions was rural health, and the be as productive as we possibly can Consumers Health Forum. recently released Rural Health Equity be and deliver excellent value to our In all meetings we conveyed the view Strategic Action Plan. I would like to membership. that, as Australia overcomes COVID-19 thank past and present members of the I ended 2020 by travelling to Canberra and looks to rebuilding, RACS is keen to RACS Rural Surgery Section who led the with the Royal Australasian College take a more engaged role in working with development of this. The plan is focused Surgical News | Volume 22 | Issue 01 5 on building partnerships and raising In addition to other efforts in New recommendations that will support awareness with our stakeholders to Zealand, we advocated through the further change. ensure there is inclusivity and a shared Ministry of Health for a change to Lastly, I am pleased to share a understanding of health equity for our resident medical officer rotation dates publication titled Unveiling the rural, regional and remote communities. (from pre-Christmas to January- Collections with you. It was written by Later this year, the College will convene February). The change was agreed to by Geoff Down, the College curator, and a forum to deliver a sustainable surgical all District Health Boards and relevant Elizabeth Milford, our archivist. The service in Remote Central and Northern unions and will be implemented in early book focuses on the many significant Australia (RCANS). The forum will devise 2021. and unusual objects in the College strategies to implement a RCANS Training This will be a key year for the future collections. Network and a RCANS selection initiative direction of our College in many ways. I take this opportunity to wish you all a for selecting junior doctors who are Following receipt of a proposal from happy and prosperous 2021. already living, working and committed to the New Zealand National Board in a remote area.