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SURGICAL NEWS THE ROYAL AUSTRALASIAN COLLEGE OF SURGEONS VOL 18 NO 7 AUGUST 2017 From Angkor Surgery & Improvements to Monash motherhood to MALT Dr Sophy Khan, Surgeons Dr Amiria Lynch shows us that Latest system International Award recipient parenting is possible in any enhancements explained environment SURGICAL NEWS August 2017 Vol 18 No 7 18 August 2017 Vol The College of Surgeons of Australia and New Zealand Contents 12 18 FEATURE: SURGERY AND MOTHERHOOD TRAUMA COURSE TURNS 21 Surgical News chats to Dr Amiria Lynch Highlighting the Definitive Surgical Trauma Care (DSTC) course 24 22 36 FROM ANGKOR TO MONASH JAMES RAMSAY RESEARCH GRANT BUILDING RESPECT Dr Sophy Khan, Surgeons RAAS examines the optimum program IMPROVING PATIENT SAFETY International Award recipient for improving access to surgical Partners signing up to simulation training, often in rural areas operate with respect REGULAR FEATURES: The best way out is always through. 4 PRESIDENT'S 8 BB GLOVED 28 WORKSHOPS/ 41 MEDICO- 45 CASE NOTE MESSAGE COLUMN EVENTS LEGAL REVIEW Robert Frost COVER: Dr Amiria Lynch with Nikolaos at the opening of Melbourne's Monash Children’s Hospital (MCH) Paediatric Surgical Simulation and Tele-health Centre Correspondence and Letters to the Editor to Surgical News All copyright is reserved. The editor reserves the right to change material Speak to a RACS Support Program consultant to debrief and should be sent to: [email protected] submitted. The College privacy policy and disclaimer apply - www.surgeons.org. The College and the publisher are not responsible for errors or consequences process some of the challenges, stressors and concerns that T: +61 3 9249 1200 | F: +61 3 9249 1219 for reliance on information in this publication. Statements represent the views W: www.surgeons.org are faced by Surgeons, Surgical Trainees and International of the author and not necessarily the College. Information is not intended to be ISSN 1443-9603 (Print)/ISSN 1443-9565 (Online) advice or relied on in any particular circumstance. Advertisements and products Medical Graduates. advertised are not endorsed by the college. The advertiser takes all responsibility Surgical News Editor: RACS CEO for representations and claims. Published for the Royal Australasian College of Australia 1300 our eap (1300 687 327) New Zealand 0800 666 367 © Copyright 2017 - Royal Australasian College of Surgeons. Surgeons by RL Media Pty Ltd. ACN 081 735 891, ABN 44081 735 891 of 129 convergeinternational.com.au All rights reserved. Bourverie St, Carlton Vic 3053. PRESIDENT’S PERSPECTIVE The Aboriginal and Achieving Aboriginal, Torres Strait Torres Strait Islander motif The motif design was created to symbolise RACS commitment to help Close the Gap in Aboriginal and Torres Strait Islander Islander and Māori recognition to SET of Aboriginal and Torres Strait Islander decent, disadvantage across Australia. With dual who meet the minimum requirements for training to be concepts in mind, it features two snakes for developing and implementing RACS policy and selected into the SET program. This has been taken up by winding around the winged staff symbolising medicine, position papers and for developing programs that benefit several training boards and many others are considering and can also be seen as Rainbow Serpents entwined Indigenous Health. A major priority is building stakeholder the initiative but need to define the minimum standards. together carving out the land, creating our rivers and relationships with Indigenous communities and key RACS also welcomes Professor Martin Nakata as Education mountains. The white dotted pathways descend from the representative groups such as Te ORA, the Māori Medical Advisor to RACS on Indigenous matters. Martin is Pro Vice mountains, flow through the rivers and ascend back to Practitioners Association, the Australian Indigenous Doctors’ Chancellor of Indigenous Education and Strategy and Head the skies reforming as rainbows, the spirit of the Serpent. Association (AIDA), the National Aboriginal Community of Australian and Torres Strait Islander Centre at James Symbolic of medicine, the two snakes winding around the Controlled Health Organisation (NACCHO) and the Cook University, Townsville. Professor Nakata has worked in winged staff also symbolise Aboriginal and Torres Strait Leaders in Indigenous Medical Education (LIME) Network. areas of Indigenous education for 36 years, and in the higher Islander and non-Indigenous people coming together. The The culmination of this committee’s activity was the RACS education sector for the last 20 years. His research focus has heights of the rainbow also symbolise greater professional Aboriginal and Torres Strait Islander Health Action Plan and been on higher education curriculum development and the equity as well as improved health, social and economic JOHN BATTEN the RACS Māori Health Action Plan, which were launched academic preparation of Indigenous students. His guidance wellbeing for all Aboriginal and Torres Strait Islander President in 2015 and 2016, respectively. The Indigenous Health and wise counsel will be invaluable as we move to realise people and communities across Australia. Committee coordinates the implementation and evaluation our Reconciliation Action Plan and together guide our his autumn has seen landmark action across of the Health Action Plans and oversees RACS commitment Trainees and Fellowship in achieving cultural safety in their The motif was developed by Marcus Lee. Born and raised Australia, calling for evidence of progress in achieving to improve cultural competency of the surgical workforce professional activities. in Darwin, he is a descendant of the Karajarri people and Trecognition and equity for our Aboriginal and Torres and increase the number of Indigenous medical specialists, “Partnering for good health and wellbeing for Indigenous is proud of his Aboriginal heritage. Strait Islander peoples. including Surgeons. Australians” is a collaboration between the Australian As we mark the ten year anniversary of the "The One of the key activities of the Aboriginal and Torres Government, the Council of Presidents of Medical Colleges Intervention" and its divisive legacy, we also now look to Strait Islander Health Action Plan was the development of (CPMC), AIDA and NACCHO to Closing the Gap in the recent Uluru statement, asking how we as a country the Reconciliation Action Plan, which was undertaken in health outcomes between Indigenous and Non-Indigenous TRAUMA / RURAL SURGICAL FELLOWSHIP can navigate and reconcile our colonial past, and move to collaboration with Reconciliation Australia. This enables Australians. As a member of CPMC, RACS has signed up to embrace a new future. RACS fellowship to contribute to the national reconciliation work in partnership to deliver the Governments National ROYAL DARWIN HOSPITAL (CLINICAL) RACS has a rich history of activity in this important area. effort by the establishment, through the Foundation for Aboriginal and Torres Strait Islander Health plan 2013- Associate Professor Kelvin Kong Surgery, of 6 RACS scholarships awarded to Aboriginal, Torres 2023, and to be an active party in the current revision of the A position exists for a suitably qualified candidate for 12 months (pictured, left), an Otolaryngology, Head Strait Islander and Māori medical students and junior doctors Implementation Plan. commencing late January/early February 2018. and Neck surgeon, championed the to attend the ASC, and 2 Indigenous SET Trainee scholarships. Finally, June 30 saw the launch of the Aboriginal and Torres The position is funded by the National Critical Care & Disaster cause within the Fellowship to address The award and scholarship recipients were presented at the Strait Islander Network, a key initiative highlighted as part of Response Centre (NCCTRC) and there is opportunity for planning the iniquitous disadvantage within our Indigenous Health breakfast at the ASC in Adelaide. the RACS Reconciliation Action Plan. The Network provides and participating in disaster response, and opportunities for trauma research. The position is based at Royal Darwin Hospital First Nations peoples, raising awareness The Foundation for Surgery, the philanthropic arm of a forum to promote, connect, and support members of the but involves outreach work to regional hospitals in Katherine and of Indigenous health needs, particularly RACS, this year identified Indigenous health as a priority RACS community who share interest and commitment Gove, as well as visits to isolated Indigenous communities. in ear disease, education and training in and supports projects aimed at promoting the health and towards improving Aboriginal and Torres Strait Islander As a ‘General Surgeon’ you will have the opportunity to definitively both New Zealand and Australia. wellbeing of disadvantaged communities. health outcomes. The network aims to link interested manage subspecialty areas such as neurotrauma, Kelvin brought together a RACS The current Chair of the Indigenous Fellows, Trainees and IMGs, encouraging the exchange of burns, vascular, paediatrics, urology and thoracic surgery, both electively and in Indigenous Health Working Group Health Committee, Dr David Murray knowledge skills and experience, fostering collegiate support acute care /trauma. in 2005, culminating in the formation (pictured, right), is a Darug man from the for engagement through outreach, research and advocacy This position would be of interest to those of the Indigenous Health Committee in 2009,

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