The magazine of the Medical Eye Specialists
News Volume 17 Issue 3, Spring 2014
In this Issue:
The RANZCO Congress is nearly here! Medicare Advisory Update Innovations in Technology are changing the face of eye care Contents
President’s Update 4
Censor-in-Chief’s Update 6
CEO’s Update 9
Branch Updates 11 5 25 Member Updates 15 Annual Scientific Congress 25
International Development 28
Feature Article - Innovations in Technology are changing the face of eye care 31
People Profile - A/Prof Anthony Kwan 34
RANZCO Museum 37
Other Lives - Dr Hessom Razavi 38
RANZCO Eye Foundation 42
Obituaries 44
Scholarship Report 47 28 Calendar of Events 51 Classifieds 53
Cover photo: Cataract surgery, Cambodia
31 38 RANZCO News is published by The Royal Australian and New Zealand College of Ophthalmologists as information for its members. The views expressed in the publication are those of the authors and not necessarily of the College. The inclusion of advertising in this publication does not constitute College endorsement of the products or services advertised. The Royal Australian and New Zealand College of Ophthalmologists A.C.N 000 644 404 Editor: Avril Cronk, Sub Editor: Louise Treloar, Design and layout: Francine Dutton 94-98 Chalmers Street Surry Hills NSW 2010 Australia Ph: 61 2 9690 1001 Fax: 61 2 9690 1321 E-mail: [email protected] Website: www.ranzco.edu
RANZCO NEWS SPRING 2014 - 3 President’s Update
College in Good Spirits Accreditation can help an organisation to: As College President, I’ve had the • Provide independent recognition that the privilege to contribute to RANZCO organisation is committed to safety and quality, News over the last two years. • Foster a culture of quality, • Provide consumers with confidence, During this time I’ve made comments about many aspects of • Build a better, more efficient organisation with professionalism from a broad perspective. quality and performance assurance, There have been discussions on the importance of • Increase capability, integrated care, which is of great significance in light of the • Reduce risk, current legal action questioning the determination of the • Provide a competitive advantage over scope of practice for glaucoma treatment for optometrists organisations that are not accredited, and by the Optometry Board of Australia under legislation of the • Comply with regulatory requirements, where
Australian Health Practitioners Regulation Authority. relevant.
It remains pivotal that we keep our own house in order and, to that end, the discussions around ethical practices and acknowledgement of the principles of our updated In Australia the government established the Australian Professional Code of Conduct served to remind Fellows of Commission on Safety and Quality in Health Care (ACSQHC), appropriate expectations to ensure excellent outcomes for who have developed the National Safety and Quality patients. Health Service (NSQHS) Standards. These standards As a result of the RANZCO office review last year a provide a nationally consistent statement of the level Membership Services department was created. This has of care consumers should be able to expect from health improved the Continuing Professional Development (CPD) interface, the most commonly used link the College has with services. In New Zealand there are no equivalent standards Fellows, and as a result there has been an improvement for ophthalmic practices but the New Zealand Ministry of in compliance. CPD is intended to make sure that we as Health have confirmed that practice accreditation in line ophthalmologists are performing well. The next phase is with the NSQHS Standards would be considered relevant in to ensure our places of practice and the integrated teams their jurisdiction. we work alongside are also up to high and consistent professional standards. This is the rationale behind our intention to facilitate voluntary practice accreditation, and The 10 National Safety and Quality Health the anticipation that there will be political pressure to make Service Standards are: this mandatory in the future. Demonstrating to regulatory 1. Governance for safety and quality in health authorities that we are striving to improve many aspects of service organisations our performance may well be taken into account as the real 2. Partnering with consumers threat of revalidation looms. 3. Preventing and controlling healthcare associated What is practice accreditation? infections 4. Medication safety Practice accreditation is the process by which an 5. Patient identification and procedure matching independent and recognised body deems a practice has to 6. Clinical handover meet a set of criteria or standards. RANZCO regards practice 7. Blood and blood products accreditation as a means of ensuring a high and consistent 8. Preventing and managing pressure injuries level of service is provided to all patients, as a means to track 9. Recognising and responding to clinical performance and to improve outcomes. In Australia and deterioration in acute health care New Zealand, practice accreditation for ophthalmic practices 10. Preventing falls and harm from falls is not mandatory yet, however, it is mandatory for general practitioner practices.
4 - RANZCO NEWS SPRING 2014 president’s update
Who provides practice accreditation? cycle will cost a practice less than $1,200. The cost for non- RANZCO fellows is much higher, around $4,500. The Australian Health Service Quality Accreditation Scheme (AHSQAS) has approved a range of Accreditation providers. The main steps in the proposed accreditation process are: Quality Innovation Performance (QIP) is one such approved 1. Registration accreditation provider and are a wholly owned subsidiary of 2. Self-assessment Australian General Practice Accreditation Limited (AGPAL); 3. Application the provider of choice to more than 4,000 general practices, 4. Desktop assessment using AccreditationPro, a QIP approximately 75% of a defined market. product RANZCO has engaged QIP to assist in interpreting and 5. Accreditation decision applying the 10 NSQHS Standards to ophthalmic practices; 6. Recognition adding in examples specific to ophthalmology and selecting 7. Monitoring and improvement evidence that is relevant and measurable. The Fellows I am confident that we are doing the right thing by getting working with QIP are members of the RANZCO Professional on the front foot with accreditation as part of RANZCO’s Standards Committee and are supported by Mrs Tanya wider commitment to best patient outcomes and before Parsons, CPD and Professional Standards Manager. As it becomes a mandatory requirement. If you’d like more well as contributing to the interpretation and evidence information, please contact CPD and Professional Standards requirements, the Committee and QIP will also be developing Manager, Tanya Parsons at the College. resources to assist practices undergoing accreditation. Finally, QIP will manage and oversee the accreditation Dr Stephen Best process, although Fellows should feel free to contact President RANZCO for support. Why accredit your practice? Most importantly, practice accreditation is a recognised means to improve service delivery to your patients. Further, RANZCO expects that practice accreditation will become mandatory in the future and would like to set the standards in advance of government. This is an opportunity to define the conversation. Acting first provides RANZCO with an opportunity to demonstrate its commitment to safety and quality by implementing a self-regulated accreditation scheme that is responsive to the needs and expectations of the profession, provides a sound evidence-based approach to accreditation, and focuses on education and support to assist ophthalmology practices to meet the requirements of a set of robust professional standards. How is RANZCO approaching it? RANZCO’s relationship with QIP does not preclude Fellows from using other accreditation service providers. However, as the Professional Standards Committee will work closely with QIP, you can be assured that their accreditation program is 100% oriented to ophthalmic practices. QIP is RANZCO’s preferred accreditation provider and QIP is offering discounted rates to RANZCO members. Accreditation will initially be done through desktop audits, with the first round of accreditation being valid for two years and then subsequently running in three year cycles. The first two year Dr David Andrews and Dr Stephen Best at the Council mid year meeting
RANZCO NEWS SPRING 2014 - 5 Censor-in-Chief’s Update
Ophthalmic Sciences and Ophthalmic Focus on Selection Basic Competencies and Knowledge Selection Exams Applications for selection to commence on the Vocational The 2014 semester 2 Ophthalmic Sciences (OS) exams are Training Program in 2015 were received from 109 applicants. underway and planning for these exams is going smoothly Training Network Selection Committees reviewed these through the collaborative efforts of RANZCO Examiners, applications together with summarised referee reports. Fellows, College staff and invigilators. The semester 1 Interviews with shortlisted applicants were conducted in Ophthalmic Basic Competencies and Knowledge (OBCK) each network in August, with the process finalised through exam was held at Sydney Eye Hospital on 30 May. The OBCK the National Ophthalmology Matching Program on 1 exam consisted of 14 clinical stations, covering posterior and September. I offer my congratulations to all those appointed anterior segment examinations, pupil assessment, ocular motility, refraction, communication and data. Twenty-four and wish them well as they embark upon their new careers. candidates sat this exam and I congratulate the 22 candidates A Selection workshop was held in May to provide who passed. Chaired by Dr Neil Murray, the exam was training to the RANZCO representatives who are on conducted by Drs Peter Martin (Examiner in Charge), Andrea each of the Training Network Selection Committees. This Vincent, Ridia Lim, Christine Younan, Tu Tran, Daya Sharma, workshop was a success, with a well-received presentation Kiran Sindhu and Sam Lerts. Dr Ikke Sumantri, Chair of from A/Prof Chris Roberts who presented on interview the National Examination Board, Indonesian College of techniques and authentic tasks. This workshop began Ophthalmologists, also attended as an invited observer. discussion on improved methods for interviewing and the As well as the examiners, I would like to thank the College is currently researching further tools to assist the Registrar of the Court, Dr Alex Hamilton, for his efforts Training Network Selection Committees. in arranging suitable patients for the exam, equipment
OBCK, from left: Mr Craig Dobney, Dr Sam Lerts, Ms Penny Gormly, Dr Kiran Sindhu, Dr Ikke Sumantri, Dr Tu Tran, Dr Christine Younan, Dr Daya Sharma, Dr Andrea Vincent, Dr Neil Murray, Dr Ridia Lim, Dr Alex Hamilton and Dr Peter Martin
6 - RANZCO NEWS SPRING 2014 censor-in-chief’s update
set up and arranging the exam assistants. Thanks also to to review the College’s work-based assessment methods the RANZCO staff who attended and managed the exam and tools is now invited. If you are involved in the training arrangements, as well as to the hospital staff and exam program and would like to participate, please contact assistants who helped to ensure a smooth process. Ms Neridah Baker , Manager, Curriculum and Course Dr Neil Murray has been appointed as Chair-OBCK Board Development. of Examiners. Dr Catherine Green stood down from this role after six years, however she continues as Chair-OS Board of Communications workshops Examiners. As OBCK Chair, Dr Green led a major review of The third Simulation Communications and Clinical Scenario the OBCK curriculum standard, as well as ensuring the exam Workshop was held in Sydney on 14 June 2014. The workshop process remained fair and robust. I would like to thank Cathy targeted 1st and 2nd year trainees, providing them with the for her continued commitment to education and training latest research on communicating with patients in a clinical within the College. setting. The format of the workshop was highly interactive, Advanced exams with the participants being presented with a range of pre- Six candidates presented in semester 2 for exams in and postoperative ophthalmic clinical scenarios and complex Ophthalmic Pathology, to be sat in decentralised venues. Once communication issues. again a robust and fair exam was prepared by Chair Dr Max Conway and the Board of Examiners in Ophthalmic Pathology. Fifteen candidates registered for the Semester 2 RANZCO The workshop targeted 1st and 2nd Advanced Clinical Examinations (RACE) written and clinical year trainees, providing them with the exams, which were held in Brisbane with Dr Diana Conrad as latest research on communicating with Examiner in Charge. I would like to thank Dr Conrad, RACE Chair Dr Justin Mora, RACE examiners and exam assistants patients in a clinical setting. for their commitment to conducting this exam to the highest standards. I would also like to acknowledge the contribution “ The workshop was facilitated by Prof Stewart Dunn, of the patients who volunteered to assist with both OBCK Professor of Psychological Medicine at the University of and RACE, as these exams would not be possible without Sydney and Director of the Pam McLean Communications them. I have been impressed by the high degree of preparation Centre. Stewart and his staff are internationally recognised evident in the candidature. for their skill in leading innovative workshops in medical communication. “ Curriculum The trainees were split into groups of five or six and At its May meeting, the Qualification and Education rotated through five different scenarios with trained Committee (QEC) resolved that additional time was professional actors taking the role of the patient. Each necessary for its members to review the content of the group was accompanied by a facilitator to ensure maximum revised Clinical Curriculum Performance Standards. The comments received by the due date (10 June 2014) have effectiveness of the scenario and an ophthalmology been reviewed by the Curriculum Committee. Once the consultant was also present to provide clinical expertise and amendments to the complete set of curriculum documents patient/doctor advice where required. have been finalised, they will be referred for out-of-session endorsement by the QEC and then, the Board. Once adopted, it is anticipated that the new standards will be implemented for the December 2015 RACE examination. The Anatomy Curriculum review team met for the first time in late June. Supported by one of Australia’s leading anatomy educators, Prof Paul McMenamin, Cathy Green’s team will develop a revised curriculum focused on supporting clinically-relevant learning in this most fundamental area. As I have written many times, the education mission of RANZCO is dependent on contributions of time and energy Fellows volunteering their time at the Communications Workshop; from the Fellowship. Your participation in a working group Drs Michael Hennessy, Colin Thompson and Con Petsoglou
RANZCO NEWS SPRING 2014 - 7 censor-in-chief update
Specialist International Medical
Graduates In December 2013 the Medical Board of Australia announced changes to the specialist recognition pathway, to be implemented from 1 July 2014. The most significant change was that applications for specialist recognition will go directly to the relevant specialist college and no longer
via the Australian Medical Council. The Medical Board of
Australia also redefined the definitions of comparability, but
continues to allow considerable flexibility as to how each
college conducts its assessments.
As a result of these changes, and partly with further
evolution in its processes, the Committee has redeveloped
the web pages relating to Specialist International Medical
Graduates on the RANZCO website, and revised or created
Communications Workshop policies, guidelines and information sheets on many aspects of the assessment process. Feedback from the trainees indicated that the workshop was an outstanding success, not only providing RANZCO is now assuming a more a challenge but at the same time a comprehensive learning experience. direct involvement with the development It is hoped that another similar workshop will be offered in of the New Zealand IMG Committee 2015 and RANZCO would encourage as many 1st and 2nd year trainees as possible to attend. In addition to the significant changes to the Australian Special thanks to the ophthalmology consultants, specialist pathway process, RANZCO has also become Drs Michael Hennessy, Colin Thompson and Con Petsoglou, “more involved in the assessment of International Medical who so generously provided their time and expertise on the Graduates (IMG) in New Zealand. Previously, the Federal day. It was quite obvious how much the trainees appreciated College had no involvement in the assessment of IMGs in having consultants present to advise and guide them New Zealand, which was carried out by the New Zealand “ through sometimes quite confronting situations. branch of the QEC in association with the Medical Council of New Zealand. RANZCO is now assuming a more direct RANZCO acknowledges the financial contribution to involvement with the development of the New Zealand the workshop from the Australian Government under the IMG Committee, whose Terms of Reference were approved Specialist Training Program. in June after consultation between the Censor in Chief, Training posts the New Zealand QEC and the RANZCO Specialist IMG Committee. 2014 has proven to be a busy year for the Training Post The College Coordinator for International Graduates and Inspectorate, with an inspection of the Sydney Eye Hospital Development will provide administrative support to the Metropolitan Network being conducted by Prof Glen Gole new committee, whose role will be to provide advice to the and A/Prof John Crompton in March this year and Medical Council of New Zealand on an applicant’s suitability Drs Brian Sloan and Alex Hunyor Snr travelling south in for registration within a vocational scope of practice in New June to inspect training posts in the South Australia Zealand. Metropolitan Network. Recommendations were made by I would like to thank all Fellows who are involved in the Inspectorate for consideration by QEC. Alex has now the education and training activities and committees of stepped down from his role in the Training Post Inspectorate, the College for your commitment to maintaining the high and on behalf of the College I would like to thank him for standards of the vocational training program in the training of our future colleagues. his expertise and commitment over many years in ensuring that the high standards of training posts in the vocational Dr Mark Renehan training program are maintained. Censor-in-Chief
8 - RANZCO NEWS SPRING 2014 CEO’s Update
for members to ask questions and learn more. Improving At the heart of this whole process is the continuing evolvement of RANZCO into a multi-purpose membership Governance organisation representing the wide interests of ophthalmology in Australia and New Zealand. Much has In the last 12 months the Board has happened over the last 12 months, particularly in the areas of policy development, advocacy and communications. been through an assessment process Numerous external parties are looking more and more at run by the Australian Institute of RANZCO to take the lead in areas of ophthalmology other than just education and training. I will continue to work Company Directors. with the Board to ensure we meet the needs of members and Thankfully this showed nothing to be concerned about but retain our position as the leaders in eye care. did offer some suggestions for improvement, which the I have just returned from Cambodia where I spent a Board is addressing. We have also undertaken a review of few days talking to local ophthalmologists, trainees, the our Constitution, By-Laws and Branch Regulations to ensure University of Health Sciences and visiting outreach clinics. they meet the current and future needs of the organisation This was all in conjunction with a number of partners from and ophthalmology in Australia and New Zealand. Vision 2020 Australia. The feedback is overwhelmingly Unfortunately this was not so good. With this in mind the positive with respect to the work from RANZCO Fellows Board asked for a completely new version of each document, and staff. Although this is only a very small part of what we which the Council reviewed in June. All members will soon do, it is clearly extremely important, and in many cases life receive new documents for consideration and voting will changing, to those on the receiving end. occur at the Annual General Meeting in November. I hope to see many of you in Brisbane at Congress where Why do we need to change these documents? The current we have developed an interesting and wide-ranging program. Constitution, although amended in 2011, is built substantially I’m sure there will be much debate about all the topics I on the Articles of Association which were used to establish have mentioned above, but it certainly makes RANZCO the College almost 50 years ago. Since then a lot has changed and interesting place to work and a lively membership in the world of corporate governance and corporations’ law. organisation. Unfortunately Congress will likely be the last Much of this is not reflected in the RANZCO Constitution, big event for some time for Ms Avril Cronk, our General and in order to improve our overall standards we need to Manager, Community Relations and Congress, as she heads make some significant changes. Rather than further amend off on maternity leave later in the year. We all wish Avril and the existing Constitution we decided to start from scratch. her husband well as they negotiate first time parenthood This also allowed an opportunity to review the By-Laws and with twins, and look forward to her return. Any of you who Branch regulations, which flow from the Constitution. In all have worked or interacted with Avril will know that she this, the objects and purpose of the College do not change. has made an enormous difference to the standard of our The revised documents simply provide greater clarity communications and Congress over recent years. around how the Council, Board and Branches are elected Dr David Andrews and run. They provide clarity around membership. They RANZCO CEO provide a stronger mechanism for dealing with complaints or other issues. They provide an opportunity for Fellows to participate with your College in a more active and transparent way. Importantly, they also align with current best practice and corporations law, which protects not only the Directors but also all members. The documents have been developed with the help of a working group consisting of current Directors, current Councillors, a former President and lawyers who specialise in not-for-profit governance. They have been discussed at the recent Council meeting and a number of Board meetings, which has resulted in numerous amendments. The final versions will be released to all members, along with more a detailed explanation of changes, well before the Annual David with Amanda Vanstone (Vision2020 Australia) and General Meeting. There will be sufficient time at the meeting partners in Cambodia
RANZCO NEWS SPRING 2014 - 9 branch updates
Panda at Adelaide Zoo, the venue for the South Australian Branch Meeting to be held 28-29 March 2015 Branch Updates New South Wales RANZCO website. We look forward to Expo held at Sydney Showground, seeing you there. Sydney Olympic Park on 30 August Chair: Dr Tasha Micheli 2014. The Branch again sponsored a The Branch continues to be very Hon Secretary: Dr Kim Frumar involved in presenting at medical College booth, which was manned Vice Chair and Hon Treasurer: careers events and expos to inform by several Committee members PRESERVATIVE FREE Dr Andrew Chang final year medical students and junior and eye registrars throughout the day. Plans are proceeding well for the 9th doctors about the ophthalmology Asia-Pacific Vitreo-retina Society training program and answer their The Branch’s Annual General Meeting meeting in 2015 (Hilton Hotel, Sydney), queries. These include the following: will be held on Monday 13 October 2014 at the Establishment Hotel, Sydney, which as stated in the previous 1. The ‘Bonded Support Program with Mr Scott Chapman from TressCox newsletter, will be combined with both Career Options Afternoon’ Lawyers as the main guest speaker the 2015 NSW Annual Scientific Meeting (managed by the Australian College on the topic ‘Medicolegal Update’. Drs and Australian and New Zealand of Rural and Remote Medicine) held Michael Delaney and Frank Bors have Society of Retinal Specialists meeting. on Saturday 5 April 2014. also kindly accepted to comment on It was confirmed by the council of 2. The ‘University of Western Sydney the current ‘Expert Witness Panel’ and the Asia-Pacific Vitreo-retina Society Medical Society’s Careers Night’ other related medicolegal issues. A that the new date of the meeting will held at the Campbelltown campus request for Continuing Professional be 31 July – 2 August 2015. This is to on Monday 21 July 2014. I’d like Development points for the latter avoid a clash with the Pan-American to personally thank Ms Christine has been forwarded to RANZCO for Association of Ophthalmology and McGuigan from RANZCO for approval. Asia-Pacific Association of Cataract and having assisted me that evening. Refractive Surgeons meetings. 3. The Annual Australian Medical Dr Tasha Micheli The revised date will be on the Association (NSW) Medical Careers NSW Branch Chair
RANZCO NEWS SPRING 2014 - 11
ALE322_Ranzco_FP_297x210_FA2_OL.indd 1 31/03/2014 10:41 am branch updates
Ministers and government agencies Service are the new mode of screening New Zealand and other relevant bodies on health backed by a retinal reading centre. Chair: Dr James Borthwick postgraduate medical training and Endocrine services are being integrated. Hon Secretary: Dr Stephen Ng workforce issues. Qld Branch overseas training Hon Treasurer: Dr Andrea Vincent Dr James Borthwick scholarships for Queensland registrars NZ Branch Chair are set to begin this year. Funds have With the New Zealand Parliamentary also now been received from the late elections in September, it has been a Dr Les Topham’s estate for further quiet winter in New Zealand. Queensland scholarships next year. It is hoped this Although members of Parliament and Chair: Dr Rowan Porter program will include a commitment the Health Minister have been hard Hon Secretary: Dr Anil Sharma to ‘give back’ on registrars return to meet, the Branch has had several Hon Treasurer: Dr Russell Perrin to Australia by providing teaching, engagements with the Ministry of “If you do one good deed, your reward research or public service commitments Health and the National Health usually is to be set to do another and at public hospitals. Senior fellows are Committee. The main thrust for these harder and better one.” C.S. Lewis. also contributing funds to this project. meetings and presentations has been Qld Branch, with the help of the Most recently it has been announced trying to get equitable care for macular Queensland government, is set on that the state government will degeneration with anti-vascular a course of renewal that began at spend $20 million to address the endothelial growth factor drugs. We the margins of our community and 19,000 patients waiting for their first have been encouraged by the response is growing to involve the whole outpatient appointment over the next of the Ministry and the National Health community. 12 months. The Branch is providing a Committee. The National Health This journey began when non-financial, strategic plan to assist Committee, who report directly to Mr Campbell Newman’s wife began government in instituting changes with the Minister of Health, are looking to ‘Homeless Connect’ in 2006 when the benefits now and beyond the next 12 investigate the pathway for macular current premier of Queensland was months. degeneration treatment. the Brisbane City Council Mayor. Dr Rowan Porter Last year the Branch made Prof Glen Gole, then Secretary of the Qld Branch Chair submissions to a Parliamentary Branch, was approached to participate Committee about the danger of high- with a small optometry team at City South Australia power laser pointers to the eye. We are Hall and participation continues today. pleased our submissions have helped Queensland’s Australian of the Year Chair: Dr Garry Davis in the introduction of new regulations 2011, A/Prof Noel Hayman, the first Hon Secretary: Dr John Landers that have now been passed, introducing Indigenous doctor in Queensland, Hon Treasurer: Dr John Landers invited the Branch secretary to new controls over the importation, Arrangements are well underway for participate in the design of the Centre supply and acquisition of high-power the 2015 RANZCO South Australia for Excellence in Indigenous Health laser pointers. Branch conference, which will be held that opened in August 2013. This Glaucoma New Zealand had a from 28-29 March at the Adelaide Zoo. model of primary care delivery on one successful July raising the awareness Keynote speakers Prof Justine Smith floor and selected specialty services of glaucoma. There were many including ophthalmology on the second from Adelaide, A/Prof Anthony Hall presentations held around the country floor has been successful and is already and Dr Lyndall Lim from Melbourne and interviews with ophthalmologists being copied state wide. will address inflammatory eye disease. on local TV. An innovative program The IDEAS Van, Indigenous diabetes A warm welcome is extended to all of B.I.G. (Beat Invisible Glaucoma) initiative, run by Diamond Jubilee Fellows and trainees for what will be Breakfasts were successfully held Partnerships, is an example of the a stimulating meeting at a beautiful around the country. state wide application of the Centre location, when Adelaide is still in Dr Derek Sherwood, the past Chair for Excellence model. This mobile Festival mode. More details will be of the New Zealand Branch, has been ophthalmology clinic is extending from available soon. elected as Chair of the Council of eight hubs to a further eight smaller Dr Garry Davis Medical Colleges. It is great to have centres this year. The 34 automated SA Branch Chair our ophthalmologists leading such non mydriatic fundus cameras spread an influential group that provides between 63 Indigenous primary care well-informed opinions and advice to centres and the Royal Flying Doctors
12 - RANZCO NEWS SPRING 2014 SAVE THE PERTH DATE 32nd Annual Cornea and Eye Bank Meeting Perth Convention and Exhibition Centre, Western Australia 5-6 March 2015
Visit Western Australia to experience the sunsets over the sea, wineries, cafes and all that the west coast has to offer
Keep up with the state of the art in cornea Guest speaker and Coster Lecturer Prof. Julie T. Daniels Professor of Regenerative Medicine and Cellular Therapy, Director Cells for Sight Tissue Bank (Moorfields Eye Hospital) Video and case presentations welcome
For further details on this meeting Contact Dr Andrea Ang Email: [email protected] Website: http://anz-cornea-society.orgRANZCO NEWS SPRING 2014 - 13
cornea 2015.indd 1 3/09/2014 2:10:23 PM member updates
Member Updates
bodies. The College is committed to to the Professional Code of Conduct Medicare Advisory ensuring that its Fellows comply Committee where it is felt that the Update with all existing aspects of Medicare College’s Professional Code of Conduct and health fund regulations. This has been breached. Fellows should be A recent matter of great concern additional administrative burden of aware that Medicare Australia will be is the introduction by some health “pre-approval”, which is unnecessary increasing its scrutiny of specialist funds of a “pre-approval” process given the very specific wording of the billing practices. The majority of for certain procedures, whereby existing Medicare Benefits Schedule, is Fellows who practice and bill ethically patients may not receive the health not appropriate. Furthermore, such pre- and appropriately have no cause for fund benefits to which they are approval may contravene the Private concern in this regard. entitled unless written approval is Health Insurance Act 2007. Hopefully This issue is by no means isolated sought in advance by their treating this matter will be satisfactorily to ophthalmology, and the recent resolved in the near future. Royal Australasian College of doctor. Unfortunately RANZCO continues to Surgeons (RACS) Council Highlights At present this particularly affects be asked by the Department of Health newsletter featured an article entitled oculoplastic surgeons, but has wide- regarding aberrant billing practices “Extortionate Fees – they are unethical”. ranging ramifications for the profession by a small minority of our Fellows. While over-charging per se is not a as a whole. Any such interference While in some cases there are good fraudulent practice, it is a related area with the doctor-patient relationship explanations for unusual patterns of of professional concern. The RACS is inappropriate and will be strongly practice, it is disheartening to be asked Council concluded that “There was resisted by RANZCO, which is working to explain behaviour that is clearly unanimous agreement that excessive closely with the Australian Society of unethical and in some cases potentially and extortionate fees are damaging to Ophthalmologists, Australian Medical fraudulent. The Medicare Advisory the professional standing of surgeons Association and other professional Committee will refer matters of concern and to the profession itself. They are an
RANZCO NEWS SPRING 2014 - 15 member updates issue that the profession now needs to capping of cataract surgery items been informed that the Department have a very clear position about.” This and the associated anaesthetic items of Human Services plans to increase applies equally to ophthalmology, and in November 2012. It appears that its scrutiny of specialist medical the College Board – via its Professional these practitioners are now charging practice and we can expect to see more Code of Conduct Committee – is exorbitant fees for uncapped items specialists referred to the Professional taking a strong stance on such issues. which are being billed in association Services Review, if inappropriate Please see also the article below by with cataract surgery (when previously practice is identified. RANZCO Vice President and Chair the service was not billed with cataract Apropos the investigation above – of the Professional Code of Conduct surgery). This issue has been referred enquiries are continuing. Committee, Dr Brad Horsburgh. to the Department of Human Services A/Prof Alex P Hunyor for investigation and if inappropriate Advertising Chair, RANZCO Medicare Advisory practice is identified, compliance action Advertising, and the issues arising there Committee will follow. from, have been a problem amongst Fellows for many years. The rules The winds of The use of testimonials surrounding the use of advertising are now much clearer, with the and social media (e.g. change are blowing publication of advertising guidelines
Facebook) is illegal if the on the Australian Health Practitioner through Canberra Regulation Agency (AHPRA) website, practitioner is able to Potential abuse use of www.AHPRA.gov.au exercise editorial control the Medicare Safety Net “over the content on the Long story short – Four weeks ago, I met with (or an arm’s length) testimonials are illegal Dr Megan Keaney who heads the Medical Specialist Services social media website. The use of testimonials and social media (e.g. Facebook) is illegal if the Branch, within the Medical Benefits Medicare provides rebates for practitioner is able to exercise editorial Division of the Department of ‘clinically relevant’ services, those being control over the content on the (or Health. professional services that are judged by an arm’s length) social media website. The College meets with the Department peers to be clinically appropriate. The Testimonials on a third party website on a regular basis to discuss policy proper exercise of clinical judgement, over which the ophthalmologist has no issues relating to Medicare funding in a way that would be approved by “ editorial control are permitted. arrangements, including the structure other ophthalmologists, underpins our The AHPRA Agency website clearly of the Medicare Benefits Schedule current Medicare system. This legal lists the range of penalties which may (MBS), individual MBS items and the framework compliments the RANZCO be enforced, ranging from the issuance Professional Code of Conduct which operation of the Medicare Safety of a rectification notice through to sets out the ethical obligations of Net. Although the Department of practice deregistration. Investigation Fellows. Clearly, providing and billing Human Services has responsibility of inappropriate advertising may for claims payments and compliance, a service that is clinically unnecessary be initiated by the Agency or, more the Department of Health has overall or using the MBS and the safety net likely, following a complaint from policy responsibility for the MBS. to maximise Medicare rebates is not a member of the general public or Many Fellows would be aware that conduct that would be approved by the another medical practitioner. In the there have been a series of changes great majority of Fellows. case of a complaint from a professional to the Extended Medicare Safety Net Historically, Medicare compliance colleague/competitor, full disclosure since its inception in the mid 2000s. has been the responsibility of the of the identity of the complainant and These changes have been designed to Department of Human Services. The natural justice rules must apply. address inappropriate use and include Department of Human Services have It has been an eventful period since capping of safety net benefits for a generally concentrated their efforts the formation of the Professional Code number of ophthalmology items. I in enforcing compliance in general of Conduct Committee. I suspect this was very concerned and disappointed practice, both because the expenditure to learn that the Department of in general practice is very large and also may continue. Health has identified a change in fee because monitoring general practice Dr Brad Horsburgh charging behaviour by a small number billing is relatively easy because of Vice President and Chair, Code of of ophthalmologists following the timed consultations. RANZCO has Conduct Committee
16 - RANZCO NEWS SPRING 2014 member updates
Consequently, the review would have to sufficient to warrant them being able to be heard in two or more blocks with the seek the review. strong likelihood that this would force OBA still refuses to pay costs the matter into the 2015 sittings of the awarded against it by Justice Douglas court. Not desirable at all. in the earlier sitting case. We have Glaucoma court We need a public adjudication as continuously expressed our frustration soon as possible, the other side of and concern at the lengthy delays case delayed again course want to do anything they can to occasioned by OBA’s approach to the review. We have made it clear avoid going to court. As all of you are no doubt aware, that there is no room for any kind of Both the Australian Society of there has been a further lengthy settlement. This is going to court. Ophthalmologists (ASO) and RANZCO delay to our Supreme Court action. On behalf of all ophthalmologists, agreed that deferring the case until the I would like to express my sincerest Disappointing and frustrating to end of the year would, at the end of the say the least! gratitude to Profs Ivan Goldberg and day, result in a quicker judgement. Stuart Graham for their Herculean At a recent directions hearing in the The Honourable Justice Alan Wilson effort in providing the expert Supreme Court of Queensland, Justice will now commence the review on testimony, multiple hours with the Anthe Philippides heard assessments 1 December and 10 consecutive sitting lawyers, reading and responding to from both sides and, with so much days have been allocated for the the endless affidavits that we have evidence to be led and a large number hearing. Hopefully more than enough received. Their commitment to this is of witnesses to be cross-examined, it time to have everything heard. unwavering. I can't wait to see their was determined that it would require a You should also be aware that the expert testimony presented in court. full seven to eight sitting days to hear. OBA has again complicated this issue I also want to thank Dr David The volume of affidavit material and occasioned further delays by Andrews and RANZCO for their and number of witnesses being sought once more challenging the standing unwavering support and assistance to by the Optometry Board of Australia of both the ASO and RANZCO to seek the ASO in meeting this challenge. The (OBA) has been described as almost a judicial review of the glaucoma already tight bond between us has been unheard-of for a judicial review. ruling. This is despite an unequivocal cemented even further. Justice Philippides told the hearing determination early this year by Justice Roll on December... that she had only one, five-day block James Douglas that both organisations Dr Arthur Karagiannis of time available prior to Christmas. have legitimate interests in the matter ASO President
Current courses include: Development projects, and the RHCE Stream One • Intercultural Learning; appropriate College contact so • Indigenous Health; you can get involved; providing online • Management Essentials; and • A regularly updated list of CPD resources for • Peer Review and Audit. upcoming events and CPD Podcasts and resources for activities of particular interest rural specialists workshop facilitators are also to rural health practitioners; and available. • A Useful Links page, making it Medical specialists working in To access the courses and easy to navigate to sites that rural Australia can now access modules simply register on the site offer locum support, grants, and CPD resources through the www.ruralspecialist.org.au. An a range of rural and Indigenous Australian Health Practitioner health services. newly upgraded Rural Health Regulation Agency registration The site will continue to expand, Continuing Education (RHCE) number is required; however with more resources to be added as website. medical students or health workers they are developed. in rural areas who do not have a Developed by participating registration number can email the Specialist Medical Colleges such as RHCE Program Management Unit at RHCE is an initiative of the Australian RANZCO, through the RHCE Stream [email protected] to ask Government, Department of Health One sub-program, these resources for access. and is managed by the Committee of and modules are applicable across Other site content includes: Presidents of Medical Colleges specialisations and available to all • Details about other RHCE registered health professionals. Continuing Professional
RANZCO NEWS SPRING 2014 - 17 member updates
be guiding the work to ensure that the We will be sending out instructions Update from program is relevant to Fellows. If you to any Fellows on Committees and the Membership are interested in participating in the Groups that explain how the new pilot program, please contact Mrs Tanya system will work. If you already have Services Team Parsons via email [email protected] a Windows email account (Outlook. or phone 02 9690 1001. Continuing Professional com, OneDrive, Windows Phone, Xbox Younger Fellows, LIVE or Hotmail) then you are half Development the way there. If not, we will be asking The Continuing Professional Practice Managers you to create an account. Please ask Development (CPD) Committee and and Senior Fellows at the staff member who supports any Secretariat have been focussing Congress Committees or Groups you are on for on ways to assist Fellows with more information and keep an eye out The Younger Fellows Advisory Group CPD compliance, as well as on the for some ‘walk-through’ instructions has been working hard to put together introduction of some initiatives to and tips and tricks. an interesting program for Congress. improve access to CPD resources and This includes a Younger Fellows Dinner, tools: Associations Forum sponsored by Avant, at the Stokehouse • A register of Fellows willing to Many of you may not be aware Restaurant on Monday evening and a participate in peer review practice that RANZCO is a member of the Younger Fellows Course as part of the visits is being developed to help Associations Forum; a commercial, main scientific program, tentatively facilitate this CPD activity. There member-based network of associations, scheduled for Tuesday. The Congress are also templates that will charities, clubs, societies and other section of the RANZCO News includes assist you in preparing for and not-for-profit organisations. I recently more information on Younger Fellow conducting practice visits on the attended their National Conference to activities, as well as all the latest on the CPD section of the website. learn more about the challenges and Senior and Retired Fellows activities. • The development of the RANZCO opportunities facing organisations in The RANZCO Practice Managers’ Clinical Audit Tool is progressing the not-for-profit space. There was Conference timetable is available well – high level specifications good representation from medical on the Congress website have been agreed on and a associations, charities and Colleges. The (http://www.ranzco2014.com.au). major theme centred on the move from demonstration tool for cataract Registration is reduced for Practice face-to-face to online, for everything surgery is being built for review Managers who are members of RANZCO from meetings to courses and events. and testing by the CPD Committee and we also welcome non-member RANZCO’s upcoming foray into online and Clinical Audit Working Group. Practice Managers to attend the collaboration is timely and we hope you • The Rural Health Continuing Conference, so please spread the word will find it a more user friendly way of Education supported project to among your networks. carrying out the invaluable Committee create education modules for Also keep a look out for updates on and Group work that so many of you tele-ophthalmology is also moving the Museum, which will have a display donate your time and skills to doing. forward. A plan for the content in the main trade hall and lunch time of the modules has been drafted talks taking place in the adjacent Senior Alex Arancibia and the Steering Committee are and Retired Fellows’ Lounge. General Manager, Membership Services discussing how this content should be presented. Exciting new IT If you would like any information on developments these initiatives, contact Mrs Tanya Do you serve on a RANZCO Parsons via email [email protected] or phone 02 9690 1001. Committee? Early October will see the launch of an Professional standards exciting new development for RANZCO Work has commenced to develop Fellows who are involved in Committees a voluntary practice accreditation and Groups. RANZCO will be launching program, with Quality Innovation a new online space where Committee Performance (QIP) reviewing the and Group members can log in to applicability of the National Safety access and share documents and chat. and Quality Health Service and New RANZCO is currently using SharePoint Zealand Health and Disability Services for file management and as an intranet standards to ophthalmology. The but come October, it will also become an Practice Managers Conference during the Professional Standards Committee will online collaboration space. 2013 RANZCO Congress in Tasmania
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in simple enough terms the scope of and we wish him well in his future Human Research the study. Sometimes an application endeavours. Ethics Committee is unclear about how investigators There has been a concerted effort are going to randomise patients or to streamline some of the processes It’s been nearly 10 years since utilise power calculations if limited within the committee and to this end RANZCO decided to form a Human participants are recruited for the study. there have been several small, albeit Research Ethics Committee which To help prospective investigators there important, changes to the way the was officially registered with are several resources on the RANZCO committee operates. There is now the National Health and Medical website which can guide researchers a scientific sub-committee which Research Council in August 2005. into producing a scientifically and operates in conjunction with the ethically sound application. Ethics Committee, whose role is to Over that period there have been assess whether the application has dozens of applications, ranging from Another area that scientific merit. This can sometimes be simple practice audits which were the case where studies may be lacking classified as low or negligible risk to has been improved is something as simple as a control group full clinical studies. The variation in in the assessment of to which the test arm of the study is the types of research has also been compared against. This is obviously an interesting. Some of the studies studies that are low and/ important part of any study and one have involved the use of different or negligible risk. that is often neglected by investigators drug combinations to treat diseases “ who have not had much research such as glaucoma, while others have There has been a steady change in experience. centred on instruments or lenses the mix of Human Research Ethics Another area that has been used by ophthalmologists such as Committee members over the last improved is in the assessment of a visual tracking system for laser few years. The National Health and studies that are low and/or negligible surgery or monitoring different types Medical Research Council requires that risk. Committee members were recently of intraocular lenses in vivo. The representatives come from differing “ asked to develop and refine a PDF incidence of surgical complications backgrounds, including Fellows and lay fillable form that would simplify the has also been a common topic for persons. Our most recent female lay process of filling in and assessing a low investigation by ophthalmologists and person appointees are Ms Kylie Lloyd and/or negligible risk study. Once such information from these types of studies who comes from a scientific research a study is submitted to the College, it no doubt adds to the knowledgebase of background (Masters of Public Health is quickly reviewed by the scientific all those involved in this area. at Boston University) and sub-committee who then pass it on to Ms Wendy Radford as the Pastoral a subset of the full Ethics Committee. care representative. Mr Bradley To help prospective That way only a few key people are Sheehan is our most recent male investigators there are involved and it expedites the whole lay person appointee who has had process, allowing for speedier responses several resources on the extensive clinical and regulatory back to the investigators. experience in the conduct of studies RANZCO website which If you would like to submit a locally and overseas. Bradley also has a can guide researchers into research proposal to the RANZCO high degree of knowledge in regard to Ethics Committee, then perhaps “producing a scientifically National Ethics Application Forms and the best place to start would be the the Clinical Trial Notification/Clinical and ethically sound RANZCO website which goes through Trial Exemption processes, including some of the information in more detail application. those overseas as well as regulatory and includes meeting dates. Application affairs and therapeutic product forms and other links can be found Of course not all studies submitted manufacture. We are very fortunate to at www.ranzco.edu/HREC or email are approved at the first submission have these two committed people on [email protected] and often the principal investigator our committee. Recently our longest will need to resubmit their application. serving lay person committee member Prof Mark Radford The most common reasons for resigned; Mr Robert Cann bought Chair, Human Research and Ethics resubmission revolve around patient“ to the committee an unparalleled Committee privacy and consent, and this is often commitment to detail and was able to combined with a poorly written patient pick up on even minor inconsistencies information sheet which fails to explain in any application. He will be missed
RANZCO NEWS SPRING 2014 - 19 member updates
Clinical and CEO JIF 2009-2013 Experimental 2 1.977 1.964 1.953 Ophthalmology 1.95
2013 Impact Factor 1.9 The 2013 Journal Citation Reports 1.85 have been published. 1.8 We are pleased to announce that 1.766 1.755 RANZCO’s scientific journal, Clinical 1.75 and Experimental Ophthalmology (CEO), has maintained the high Impact 1.7 Factor (IF) achieved over the past two years, recording a new IF of 1.95 (a very 1.65 2009 2010 2011 2012 2013 slight drop from the 1.96 recorded for 2012). This ranks CEO 24th of the 59 making the journal more attractive Most downloaded: ‘Anatomy and ophthalmology journals listed, and to both contributors and readers. physiology of the human eye: effects among the top general ophthalmology This excellent news is the result of a of mucopolysaccharidoses disease journals. dedicated and focused drive by the on structure and function – a review’ The IF of an academic journal is a Editors, Editorial Board, RANZCO and by Colin E Willoughby, Diego Ponzin, measure reflecting the average number Wiley-Blackwell to publish top quality Stefano Ferrari, Aires Lobo, Klara of citations to recent articles published international research in a prestigious Landau and Yadollah Omidi in the journal, calculated by dividing journal. The journal’s Editors, Remember – free access the number of citations made in the Prof Bob Casson and A/Prof Salmaan for Fellows IF year to articles published in the Al-Qureshi, would like to thank all preceding two years, by the number those who have contributed to CEO’s RANZCO Fellows and trainees have full of articles published in the same two success over the past few years. access to all CEO articles, from issue 1 in 1973 to the current issue. Simply login year period. It is frequently used as a to the ‘Membership Services’ section proxy for the relative importance of a 2013 top articles of the RANZCO website, and click the journal within its field, with journals Most cited: ‘Femtosecond laser cataract ’CEO Journal‘ link. with higher IFs deemed to be more surgery: technology and clinical important than those with lower ones. practice’ by Timothy V Roberts, Michael Victoria Cartwright A high IF suggests a quality journal, Lawless, Colin CK Chan et al. Managing Editor, CEO Journal
In October 2013, the TGA contacted acetonide (IVTA). As a result, the TGA Authorised RANZCO, concerned by the high are now allowing Fellows to use the Prescriber Scheme volume of requests being made by Authorised Prescriber Scheme to ophthalmologists under the SAS for use prescribe IVTA instead of using SAS. for Intravitreal of triamcinolone acetonide, a product Under the Authorised Prescriber Triamcinolone not listed on the Australian Register of Scheme, Fellows do not have to apply Therapeutic Goods. to the TGA on a patient-by-patient Acetonide In negotiations with the TGA, basis as per the SAS, but rather may Fellows can now apply to the the College emphasised the value of prescribe to patients with a specified Australian Government Therapeutic triamcinolone treatment in certain condition in their immediate care Goods Administration (TGA) to circumstances and described the without further TGA approval. There is become Authorised Prescribers of difficulties associated with finding an obligation, however, to report to the unregistered triamcinolone under a sponsor for this product. It was TGA the number of patients treated on the TGA’s Authorised Prescriber subsequently agreed that RANZCO a six monthly basis. Scheme, instead of using the Special would develop guidelines for Fellows Should you wish to apply to the TGA Access Scheme (SAS). on the use of intravitreal triamcinolone to become an Authorised Prescriber,
20 - RANZCO NEWS SPRING 2014 member updates details on the information and forms to Fellows endorsed by RANZCO and Fellows may also like to refer to be provided to the TGA are available on approved by the TGA are expected the document Access to unapproved the Health Professionals section of the to follow RANZCO’s Clinical Practice therapeutic goods – Authorised TGA website, www.tga.gov.au Guidelines for the Use of Intravitreal Prescribers on the TGA website, The TGA website also sets out Triamcinolone Acetonide available which provides guidance on the basic information on the requirement to on the Policies page of the RANZCO principles governing the supply of website. The document provides obtain endorsement from an ethics unapproved therapeutic products guidance regarding the appropriate committee. Fellows who do not have under the Authorised Prescriber patient selection and clinical indication access to an ethics committee can mechanism, and reporting of adverse for the use of IVTA. Included are request an endorsement letter from outcomes associated with the use of specific guidelines for the appropriate unapproved therapeutic goods. RANZCO (being a specialist college preparation of the medication, having expertise relevant to treatment prevention and management of the RANZCO Policy and Advocacy Team of the condition for which use of the possible complications of IVTA, the product is being sought) by emailing manner in which to obtain informed RANZCO Policy Officer, Ms Ritu Mohan, consent for the use of IVTA, as well as at [email protected] appropriate documentation of its use. mEYE World Photographic Competition 2014 – Call for Entries The Macular Disease Foundation Australia is calling for entries into the fourth annual mEYE World Photographic Competition and is asking all Australians to submit a photograph that captures the theme: ‘a sight worth saving’.
This year’s competition boasts a high profile judging panel including media identity and Patron of the Macular Disease Foundation Australia Ms Ita Buttrose AO, OBE, iconic Australian artist Mr Ken Done, 2013 Healthcare Professional category winner, Chris Barry internationally recognised photographer 18). Mr Chris Barry, an ophthalmic Entries must be submitted online Mr Rex Dupain and one of Australia’s photographer from Sorrento in and in conjunction with 30 to 60 longest serving news photographers, Western Australia, took out last year’s words that explain how the entrant’s Mr Alan Pryke. The competition Healthcare Professionals category photograph shows ’a sight worth provides an opportunity for enthusiasts with a striking image of a tropical saving’. Entries will be judged on their and budding photographers to showcase creativity, composition, content and storm looming over Gantheaume their talent while raising awareness of technique. Point in Broome (pictured above). macular disease and supporting the Foundation in its pursuit to save sight. “This beautiful world around us To enter visit There are four categories for entry contains many magnificent sights. The www.meyephotocomp.com.au The mEYE World Photographic including open (general public), mechanism of seeing seems so fragile Competition runs from healthcare professional, macular and delicate compared to the vastness 2 September to 12 November 2014. disease community and junior (under of the world around us”, he wrote.
RANZCO NEWS SPRING 2014 - 21 member updates
Honours and Awards Pride of Australia Medal Prof David Mackey Nominations awarded prestigious A/Prof Nitin Verma The Pride of Australia Medal Harvard fellowship celebrates the unsung heroes of the Lions Eye Institute Managing Director appointed as Hospitaller, community, this year two of our Prof David Mackey has secured one St John Ambulance Fellows have been nominated. of only two Australian Fellowships to Australia attend the Harvard Business School’s A/Prof Nitin Verma has been Prof Stephanie Watson Strategic Perspectives in Non-profit appointed as Hospitaller for St Management course in Boston later Prof Stephanie Watson, ophthalmic this year. John Ambulance Australia. The surgeon specialising in cataract, corneal David joins a select group of Hospitaller has responsibility for and laser surgery with expertise in non-profit sector leaders who promoting the work of the St John eye disease in adults and children was are responsible for shaping their ophthalmic programs. nominated for a Care and Compassion organisation’s direction, mission, medal in the Pride of Australia awards. St John Ambulance Australia policies and major programs. is primarily known for its first aid Dr James Muecke AM services at events, first aid training, first Dr James Muecke, South Australian aid kits and products, and running the ophthalmologist and founder of Sight ambulance service in Western Australia For All, has been has been nominated and Northern Territory. St John also for a Pride of Australia Care and supports some ophthalmic programs in Compassion Medal for his work. Australia, Timor Leste and Jerusalem. The title Hospitaller provides a link to the history of St John. In the 11th century, the Order of St John established a hospital in Jerusalem to care for sick and poor pilgrims. The order was known as the Hospitallers of St John in Jerusalem.
Prof Stephanie Watson Dr James Muecke Prof David Mackey
Queen’s Birthday Frank has been greatly involved with Honour RANZCO for a number of years. Frank is Chair of the Senior and We would like to congratulate Retired Fellows' Group which was Dr Frank Cheok for receiving a formed to ensure that we retain an Medal of the Order Recipients ongoing meaningful association with (OAM) for “service to medicine, our Senior and Retired Fellows, who particularly ophthalmology, to are over 65 years of age. The main focus professional organisations and to of the group is to organise a social the community”. program at the Annual Congress. Frank was amidst the list of Frank was very modest in accepting distinguished Australians recognised his award: “Thank you. I was honoured in this year's Queens Birthday for myself and the College but humbled awards. Along with being highly and happy for Mee-Na and the regarded for his pioneering work in family. Also surprised as it was totally phacoemulsification cataract surgery, unexpected.” Dr Frank Cheok and his wife Mrs Mee-Na Cheok
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The RANZCO Leadership Development Program, June 2014
LDP participants were able to attend. to the Bay of Plenty region of New RANZCO “I thought the Council meeting was Zealand. Andrew’s initial expectations Leadership highly informative and was exactly for the program were to develop what I was hoping to experience. It effective leadership and negotiation Development was also refreshingly informal – people skills, learn to delegate more and how to really could speak their mind,” said motivate people to embrace change and Program Jane. Andrew added “Whilst I had a progress. “Following the first session, I vague idea of how some of the College think my expectations are achievable. The RANZCO Leadership worked due to being an examiner in Development of effective leadership Development Program (LDP) is Basic Sciences, it was interesting to obviously starts with understanding part of RANZCO’s charter to build see the workings of RANZCO on some what leadership is. When I first asked leadership and advocacy skills major issues affecting the College myself that question I struggled to within its Fellows. The first session overall.” come up with an adequate definition! Some of the skills learnt in the first for the 2014/2015 group was held Jane works at the Royal Perth Hospital and at the Western Eye – she is session alone were highly relevant from 21 to 22 June. looking to develop her skills and work and useful. Having an increased We spoke to two participants Drs Jane in training and teaching ‘on the run’, understanding of people and different Khan and Andrew Thompson about finding useful tools for both trainees personality types was a great place to their expectations and experiences and trainers to improve the learning start. I expect future sessions will build from the program. experience for all. “I am also interested on other skills that are important in The first session highlighted the in the potential to train ophthalmic good and effective leadership.” future direction of the program assistants and technicians under the “I look forward to the LDP and aims of the LDP, focussing on umbrella of RANZCO.” requirement to complete a self-directed participants getting to know one Initially Jane hoped that the project as it will be a great opportunity another and looking at personality program would give her an idea of the to put into practice skills that will be profiles. The participants had mechanics of the College and potential learnt on the program while hopefully completed an online assessment prior roles she may be specifically skilled making a positive contribution to to the session and received their own towards. “I hope to extend myself ophthalmology. Skills learnt on the personality profile which enlightened through this program and put my hand LDP so far have already come in many to read about themselves in a up to be more involved – ‘the more you useful when dealing with landscapers, report that was extremely accurate. put in – the more you get out.” builders and bank managers! So, the Andrew recalls, “I learned how I interact Andrew works at Park Street Eye LDP has a useful impact on all areas with people according to my and Clinic, Tauranga, New Zealand – with of one’s life not just work,” concludes their personal styles, how I like to be areas of special interest in glaucoma Andrew. interacted with and how I tend to react and medical retina. “This practice is Both Jane and Andrew are already in certain situations.” an association of independent eye looking forward to the next session, This session also coincided with specialists that provides both private scheduled for 30 January to 1 February the College Council meeting, which and public ophthalmology services 2015.
RANZCO NEWS SPRING 2014 - 23 One device, One drop, One range.
Brisbane city The RANZCO Congress is nearly here! The weekend after who will discuss evidence in glaucoma Accommodation practice, to change our thinking about While most accommodation directly G20 will see Brisbane’s glaucoma and how we treat it. And next to the Brisbane Convention and Dr Garry Brian presenting the Hollows Southbank come alive Exhibition Centre has now sold out, with the ophthalmic lecture on Wednesday afternoon there are still many four and five star who will discuss the need to find a hotels available on the other side of the profession. broader alliance with those working in river, a nice walk, or a short taxi ride developing countries to effect lasting away. Please view www.ranzco2014. The Program is ready! change. com.au/accommodation for more The Scientific Program Committee The final program and speakers can information. have been busy grading and allocating be accessed from the Congress website: the 260 rapid fire papers, posters and www.ranzco2014.com.au Make sure your name films which were submitted. “We were Registration is down for the social very impressed by the number of Registration is easy, simply go to events! submissions for our second call for www.ranzco2014.com.au/registration Welcome Reception abstracts this year, this shows the true and follow the prompts. quality of the meeting,” Prof Helen Gallery of Modern Art While registration is included as Saturday 22 November Xal-Ease is an aid to help ease the administration of Pfizer glaucoma eye drops, Danesh-Meyer, Chair of the Scientific part of Fellows membership, you dispensing a single drop of medication directly into the eye. Making daily eye Program Committee. must register to attend by 31 October Arrive at 6.30pm to have a drink and 1 drops easy to instil may help to enhance patient satisfaction with treatment. At Congress this year you will hear to not incur a fee. To qualify for the view some of Brisbane’s finest modern from excellent presenters such as complimentary registration you must art, then join friends and colleagues for Glaucoma speaker Dr Richard Wormald, have paid your 2014/2015 RANZCO fees. canapés overlooking the Brisbane River.
Reference: 1. Nordmann JP et al. Eur J Ophthalmol 2009;19(6):949–56. TM Trademark and ® Registered Trademark. © 2014 Pfi zer. All rights reserved. Pfi zer Australia Pty Limited. ABN 50 008 422 348. RANZCO NEWS SPRING 2014 - 25 38-42 Wharf Road, West Ryde NSW 2114. Pfi zer Medical Information: 1800 675 229. PEPX0013 P8373 1/14.
PEP0013_XalaEase_RANZCO_FP.indd 1 3/5/14 10:20 AM annual scientific congress
Graduation Ceremony and hall, if one wishes to have a chat or Speakers networking President’s Reception discussion with an expert in their areas lounge area Sofitel Brisbane of interest and “pick their brains” over Relax and meet up with colleagues and lunch, you can put your name down Sunday 23 November invited speakers at the networking with sponsors during the breaks. It’s area, which can be found in the centre Welcome new graduates into the a great opportunity to ask questions of the trade hall. fold, listen to inspiring guest speaker, and get to know the experts on a more Amanda Vanstone, celebrate the personal level,” says Congress Convenor Other meetings held on achievements of some outstanding A/Prof Anthony Kwan. Fellows, thank the outgoing President Friday 21 November and Senior/Retired Fellows and welcome a new President. Saturday 22 November Following the ceremony, enjoy Sofitel’s Senior and Retired Fellows can again well renowned food and service at the sit down with a cup of coffee or tea The International President’s reception. and chat to colleagues in the Senior Development Workshop and Retired Fellows lounge area. At Congress Dinner Friday 9.00–5.00pm, Queensland lunchtime you will hear presentations Eye Institute Hillstone St Lucia such as one by local Brisbane retired Tuesday 24 November ophthalmologist and artist Dr Grahame This interactive workshop is suited to Readshaw. Grahame is the author of those interested in development work. The 2014 Congress dinner is sure to Keep it Simple System for Watercolour The keynote speaker will be Dr Nag Rao, impress, set in a ‘Queenslander style’ Painting and Looking Up: Looking Back Founder and Chair of LV Prasad Eye venue with lovely views. Guests will at Old Brisbane. Institute. The program will also feature enjoy a diverse menu and numerous There will be a dinner for Senior presenters from the Asia Pacific region musical acts. and Retired Fellows on Monday and RANZCO Fellows. Participants are Breakfast and dinner 24 November, at French restaurant encouraged to share experiences and Era Bistro (a five minute walk from knowledge with others in low resource sessions the Convention Centre). An invitation settings and with Fellows. You can now register for various has gone out to all Senior and Retired The workshop is facilitated by the Breakfast sessions and one dinner members. For more information or International Development Committee session on the registration form. If you to attend please contact Mrs Kathy and RANZCO Asia-Pacific International registered early and didn’t get to select Kiernan on [email protected] or Development unit. For more them, you can easily log back in and (02) 9690 1001. information please contact Ms Kate update your registration or email Morrison, Asia-Pacific Project Officer, on [email protected] RANZCO Museum 02 9690 1001, or [email protected] Sunday breakfast, 6.30 – 7.45am: The exhibit, which will be situated Allergan and Abbott in the main trade hall, will include ANZSRS Meeting Monday breakfast, 7.00 – 8.15am: multiple posters concerned with Saturday 12.30–5.00pm Novartis the evolution of cataract surgery Brisbane Convention and through the ages–couching, early Exhibition Centre Monday dinner, 6.00pm onwards: C20 through to the development of Alcon The Australian and New Zealand phacoemulsification. The exhibit Society of Retina Specialists will hold Tuesday breakfast, 6.45 – 8.00am: features the evolution of congenital their meeting at the Convention Centre Bausch and Lomb and Bayer cataract surgery and the work of Sir on Saturday at 12.30pm. Lunch will be Wednesday breakfast, 6.45– 8.00am: Norman Gregg. Early instruments, held beforehand at 12.00pm. ANZGIG Glaucoma Breakfast their sterilisation, post operative care Sponsored by Alcon and accounts by Fellows of their early CPR Refresher course In the trade hall experiences with cataract surgery will Saturday 22 November also be featured. Additionally, there will 4.00pm–5.30pm Lunch with an expert be an exhibit on orthoptic diagnostic Brisbane Convention and For the first time this year, Fellows and therapeutic equipment and posters Exhibition Centre and Trainees can put their name down relating to the history of amblyopia. Are your CPR skills a bit rusty? Attend to have an informal discussion with Videos of early cataract surgery and a 1.5-hour CPR refresher course on expert speakers on any topics during interviews about nursing eye patients Saturday afternoon at Congress to the lunch break. “There will be tables of in 1950 will be playing on screens refresh your knowledge and skills. ten, at a dedicated section in the trade during the day. Fee: $50 per person.
26 - RANZCO NEWS SPRING 2014 annual scientific congress
CPD Workshops Associated meetings Other Congress Saturday 10.30am-12.30pm and Practice Managers’ activities 1.30pm–3.30pm Conference Touting and Twittigation – Surviving the Bike riding Sunday 23–Wednesday social media minefield. If you would like to go on a bike ride 26 November 2014 Presented by MIGA. while in Brisbane, join Fellow Dr Phung Fee: $50 per person. Please register via the Congress Vu on Saturday morning at 6.00am website, a draft program is available at outside the Regatta Hotel at the bus Saturday 22 November, www.ranzco2014.com.au stop on Coronation Drive. Please email 10.30am–12.30pm and Phung at [email protected] 1.30pm–3.30pm Orthoptics Australia Conference or [email protected] Telehealth – Risks, Responsibilities and for more information. Sunday 23–Wednesday Reward and Advertising your practice. 26 November Partners’ activity Presented by MDA National. If your partner is attending Congress Fee: $50 per person. If you would like to register for the Orthoptics conference, please visit the this year and is interested in meeting Orthoptics Australia website at up with other partners for coffee www.orthoptics.org.au and a stroll of some of Brisbane’s finest art galleries on Monday, please General Practitioners’ contact [email protected] for more Workshop information. Saturday 22 November 2014 Queensland Eye Institute Register your interest: www.insightgpeducation.com.au/ease The Australian Ophthalmic Nurses’ Association Saturday 22 November 2013
Please visit www.aona.org.au for more information.
City Botanical Gardens Kangaroo Point Cliffs
Gallery of Modern Art, the venue for the Welcome Reception
RANZCO NEWS SPRING 2014 - 27 Chair and CEO of Vision 2020 Australia and David Andrews discussing Global Consortium project activities with partners in Cambodia International Development RANZCO Fellows program, returned to PEI this year to is being facilitated by RANZCO within teach cornea. He commented that “the the framework of the East Asia Vision continue to strengthen students were really engaged with the program, supported by the Department the capacity of the next teaching and motivated to learn. After of Foreign Affairs and Trade. generation of Pacific seven years of going to PEI I think this RANZCO, in partnership with the was the most successful visit”. Vietnam Institute of Ophthalmology Feedback from the trainees Island ophthalmologists and the Ho Chi Minh City Eye Hospital, consistently indicates that the majority identified retina as a priority area in through teaching of their learning needs were entirely Vietnam. Specialised training to build visits to the Pacific Eye met and the content of the teaching the capacity of local ophthalmologists Institute (PEI). sessions have positively impacted on their practice. For example, is required to address emerging RANZCO facilitated teaching visits to a better approach to patients in diseases such as diabetes. PEI are now in its 4th year with Drs terms of recognition, follow up and “I chose retina because I have fallen Antony Bedggood, Brian Sloan, Peter investigation, being more vigilant, in love with it since I was a resident in Cooper, Michael Loughnan and John better history taking, and helping them Vietnam. Besides that, we don’t have Dickson. They have already completed to better understand a complex topic enough retina specialists in my hospital visits in neuro-ophthalmology, and improving their exam skills. in Ho Chi Minh City. A long-term retina oculoplastics, paediatric ophthalmology, fellowship will enable me to strengthen cornea and strabismus respectively. Building retina capacity my skills in clinical examinations Over half of the Fellows who in Vietnam and basic diagnostics,” said Duc Anh. visited PEI in 2014 are returning for the second or third time. Michael, a Dr Hua Anh Duc is the first Vietnamese The Fellowship also provides an Melbourne based corneal specialist ophthalmologist to commence a Retina opportunity for Duc Anh to develop who was involved in the development Fellowship at LV Prasad Eye institute in networks with peers and mentors at LV of the specialist visiting teachers India. The 15 month Retina Fellowship Prasad Eye Institute, who will provide
28 - RANZCO NEWS SPRING 2014 international development support when he returns to Vietnam. Islands, to discuss clinical issues with clinical photo, whereupon participants On return from his Fellowship, Duc RANZCO Fellows familiar with the then have the opportunity to identify Anh will work as a retinal subspecialist. local context. The online platform the issue, suggest the appropriate He will also be expected to transfer his was specifically developed with the treatment and discuss. Another part knowledge to his peers, trainees, basic intent of extending and deepening the of the site allows for Pacific Island eye doctors and nurses, thus creating learning experience for both present trainees and ophthalmologists to share sustainability in the workforce. and past Pacific Eye Institute students interesting cases and seek advice on by keeping them connected with management and diagnosis. There is Pacific Eyes Online visiting RANZCO specialist teaching also a journal club which allows for Developed by RANZCO, Pacific Eyes staff. sharing of relevant peer-reviewed Online allows Pacific Eye Institute At the beginning of each month, a publications and discussion. clinical staff and trainees, and other RANZCO Fellow posts a relevant case ophthalmologists from the Pacific study accompanied by a de-identified
RANZCO CEO visits University of Health Sciences
RANZCO CEO David Andrews visited the University of Health Sciences (UHS) in Phnom Penh, Cambodia in August 2014 to review progress of the collaboration between UHS and RANZCO and discuss future plans.
Pictured right: Visiting the simulation lab at UHS, which will include a wet lab area to be developed in collaboration with RANZCO in 2015
David Andrews and Amanda Vanstone, Chair Vision 2020 Australia, in scrubs observing cataract surgery in Cambodia
RANZCO NEWS SPRING 2014 - 29 feature Cyclosporin 0.05% Eye Drops article Interferon Alfa-2b 1million IU/ml Eye Drops
Cephazolin 1mg/0.1ml Injection Mitomycin C 0.02% and 0.04% Ophthalmic Solution
Bevacizumab 1.25mg/0.05ml Intravitreal Injection Azithromycin 1% Eye Drops and Ointment
Take a closer look at customised medication for your patients Innovations in Technology are We’re a specialist compounding pharmacy that can prepare sterile and non-sterile medications in a range of strengths, combinations and dosage forms. changing the face of eye care Our experienced team can reproduce the most basic out of stock items right through to helping you solve complex medication problems. By embracing technology, many efficiencies have been gained in Our compounding facility uses state of the art equipment to ensure the highest quality end product. the day-to-day practice of Dr Brendan Cronin (pictured left) at the Queensland Eye Institute. Not limiting tech benefits to his own practice, he is now using new technology to provide free digital ophthalmology resources for patients, medical students and GPs – To find out more about how compounded medications can TM benefit your practice and patient outcomes, call us on in the form of iPhone apps, audio ‘textbooks’ and online courses. 1300 725 868 or email us [email protected]
RANZCO NEWS SPRING 2014 - 31
CCP1499_12B_RANZCO News Ad.indd 2 16/04/13 9:15 AM feature article
After resisting the ‘paperless office’ for some time, Brendan photos of the eye as a diagnostic tool and the image can go decided to make the most out of technology to streamline straight into medical records software,” says Brendan. “The the way his practice functioned. “People often complain that adaptor is suitable for most of the equipment GPs already paperless medical record systems actually slow them down. have, so there is very little outlay. The adaptor costs about I thought that for about a year, until I started using one and $100 instead of buying a very expensive piece of technology making it work for me the way I want it to work. It is now which could generally cost around $10,000. This type of thing unequivocally much faster than using a paper-based patient can change things for doctors in emergency departments, record system.” GPs and medical students – perhaps not so much for ophthalmologists.” For me, it saves an enormous Eye Dr app
Last year Brendan worked with an IT student and amount of time – at least 30% of all developed a free iPhone app to help patients manage their my letters can be auto-generated,” eye conditions. The app is called ‘Eye Dr’. It has a number
says Brendan. of features including reminders for when eye drops or
other medications are due, screening tools for macular One“ benefit is the way Brendan uses his computer systems degeneration (Amsler grid), and educational videos on to generate automatic letters for different diseases. “For glaucoma and macular degeneration. routine reviews, the software can automatically generate The app also has a ‘keratitis mode’ which patients can use a letter for me, it can put in the patient’s vision, their intra- to remind them to take their eye drops hourly for 48 hours. ocular pressure and automatically insert an image. It can “At this stage the Eye Dr app is only available for Apple even send the letter straight to the GP or optometrist.“ It’s iPhones, there’s no android version as yet,” says Brendan. very fast and cheap and very effective. I don’t have to dictate the letter or get someone to type it or send it out. For me, it Audiobook saves an enormous amount of time – at least 30% of all my Since launching the app, Brendan has moved on to letters can be auto-generated,” says Brendan. developing other online resources. He recently wrote and released an audiobook ‘textbook’ for medical students called Data integration ‘Ophthalmology for Medical Students’. It is available now Brendan says one of the best things about technology in from iTunes and Amazon for a small fee. However Brendan ophthalmology practice now is ‘integration’. “For example, is currently working on a website to go with it, and the aim we used to separately look at a scan and a photo and an is for the audio-textbook to be free to download, so medical angiogram. Now ophthalmic companies are working towards students can just jump online and listen to it or download overlaying all of these in the one report, so you can have it to their digital device at no cost. Brendan says while a photo of the retina overlaid with the Optical Coherence the audiobook is not designed to teach medical students Tomography scan and then overlay an angiogram on that. everything, it is a good resource which can be updated constantly. “It won’t ever go out of date. This makes the information that was traditionally in textbook format now PROUD AUSTRALIAN He recently wrote and released an easily accessible and instantly downloadable so students MANUFACTURERS OF: audiobook ‘textbook’ for medical can listen to it on their phone on the train on the way to uni students called ‘Ophthalmology for each day.”
Medical Students’. Last year Brendan worked with “This allows the structural and functional analyses of the same“ parts of the eye, matching them up with each other an IT student and developed a free to provide more accurate diagnosis, better assessment of iPhone app to help patients manage disease progression and monitoring of treatment.” their eye conditions. The app is Patented systemic relief of dry eyes, formulated Available in 3 AREDS based formulas: Smartphones called ‘Eye Dr’. and developed in Australia. Over 83% of patients • Macutec Essentials – Full AREDS2 recommended ratio “ who responded to a self-assessment survey claimed • Macutec Once Daily – For easy compliance Smartphones and tablet devices have become almost “ ubiquitous now, and with that the push to develop associated Online ophthalmology course that symptoms reduced and eye drop usage was • Macutec + Omega 3 macular health with the cut in half.1 benefits of fish oil. devices and applications for use across every sector, Building on his ‘Ophthalmology for Medical Students’ online including healthcare. “There is an attachment now for an audiobook, Brendan is currently working on a complete iPhone that allows GPs and medical students to take up-close ophthalmology course for universities. “Students will be able “ FOR SAMPLES AND LITERATURE PLEASE CONTACT STILTEC 32 - RANZCO NEWS SPRING 2014 PH. 1800 622 883 OR E. [email protected] 1 IN HOUSE RESEARCH FULL DETAILS AVAILABLE UPON REQUEST. to access this course from their smartphones. It will be free “What I’m designing is very general across ophthalmology,” and interactive and they can log-on and get the textbook in adds Brendan. “It is intentionally accessible and non- audio form as well as have video lectures and slideshows. threatening, so there’s less barriers to learning. It should be Each day they’ll also get Tweets and Facebook updates which going live in mid-2015. Getting the website right is complex, will have little facts about ophthalmology.” but we’re taking our time, doing it well, and making it very secure so students can’t hack it and cheat. And if, over time, It is intentionally accessible and people say it needs to include this or it doesn’t cover that, the non-threatening, so there’s less course content can be rapidly and regularly updated, changed and kept progressive and relevant.” barriers to learning.
Brendan is designing the course so universities can sign up to it for a nominal maintenance fee but students will have “free access to the course via a username and password. “It will all be done through the website, and it is designed so students won’t be able to sit the online exam until they’ve watched all of the videos, signed up to all the Tweets,“ done all the interactive eye examinations and all the pre-reading. It is designed so it’s all digitally logged – the university can actually see what the student has or hasn’t done. And the computer does it all; the uni just gets an email saying the student has passed or failed.” People Profile – A/Prof Anthony Kwan
A/Prof Anthony Kwan was recently appointed Chair of the Australian and New Zealand Society of Retinal Specialists (ANZSRS) and is the 2014 Congress Convenor. During this busy time we caught up with Anthony to learn about how he got to where he is today and his future plans.
As you did your medical degree How was the transition and ophthalmology training in from working in England to England, what made you decide Australia? to come to Australia? Are you It has been a relatively smooth transition. glad you made that decision? Having worked in Perth helped me to After completing my schooling and medical understand the Australian ophthalmology degree in England, and ophthalmology training program and Medicare system. training at Moorfields Eye Hospital in Spending another 18 months at Moorfields London, I wanted to broaden my experience for another fellowship prior to our with a fellowship overseas. I was fortunate relocation gave me time to plan for our to be given that opportunity by Prof Ian McAllister in Perth, Western Australia. I move. I am very fortunate to have a very had a great year both in terms of clinical supportive wife and it helps that she can experience and personal development; it practice as a GP here. Most of the colleagues was wonderful for my family as my wife’s both in Queensland and interstate have family lives in Australia. When I was offered been very receptive and supportive, and an exciting position that encompasses this has made the transition at work both clinical and academic challenges at pleasant. Lastly having worked in London Queensland Eye Institute by Prof Lawrie for over 10 years, I got to know a number Hirst in Brisbane, it was not a difficult of the Australian and New Zealand decision for me to move to Australia where my children can also be close to my wife’s ophthalmologists who came to London for family. It has been 10 years since I first set their fellowships; it was like meeting up foot in Australia and everyone in the family with old friends again when we see each is pleased with our choice. other at meetings.
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RANZCO NEWS SPRING 2014 - 35 people profile
What lead you to specialise as a vitreoretinal interesting, for example electrodiagnostic flavour in the most surgeon/retinal specialist? recent meeting. We are always looking forward to collaborate and exchange ideas with other retinal specialists overseas, Like a lot of ophthalmologists, I like microsurgery. With the so we are very excited that the mid-year ANZSRS meeting advent of small gauge vitreoretinal surgery, it makes vitreous will be held in conjunction with the 9th Asia-Pacific Vitreo- and retinal surgery more challenging and exciting than ever retina Society congress in Sydney in 2015. Lastly, the biggest before. Hence I became more interested in and passionate with this specialty. We are blessed that we live in a time when challenges of this role are to continue to galvanise the retinal there are so much advancement in the field of retina, there community and to update our members with the latest isn’t a dull moment at work. development in the retina world. I hope I can do a good a job as my predecessor, Dr Willie Campbell from Melbourne. What are your major roles in ophthalmology clinical work, teaching and research at the How is your role as Congress convenor moment? going? What exciting things does Brisbane I have certainly been keeping myself busy since I started in have to offer for this year’s congress Brisbane. For clinical work, I spend one day a week in a public location? hospital, Mater Health Services, and also act as their director I am given the task of being the convenor this year; it gives of ophthalmology. Moreover, I have clinical commitments me the perfect opportunity to thank the College for letting in Brisbane and in the Gold Coast. For teaching, being an me into ‘their family’ and my colleagues who have welcomed Associate Professor at the University of Queensland, I am me since I arrived in Australia 10 years ago. Brisbane has regularly involved with teaching, mentoring and lecturing really developed over the past 10 years, and is now aptly ophthalmic trainees, optometrists and GPs. For research, called a world city. Those who have not been to the city apart from clinical trials, I am fortunate that, at Queensland for a while will surely be amazed and impressed by its Eye Institute, we have a great team of scientists who let me transformation. The Congress will follow straight on from help them in retinal cell culture work which has been my the G20 world leaders meeting at the very same convention interest since working on retinal transplantation at the centre, so the city will definitely still be buzzing with Institute of Ophthalmology, London. With the increasing excitement. The reception will be held at the famous Gallery commitment, I sadly had to relinquish a number of College of Modern Art that has secured a number of exclusive roles including basic sciences (anatomy) examiner, member exhibitions for the past few years and the Congress dinner of the Queensland RANZCO Qualification and Education will be celebrated at an iconic Queenslander style homestead Committee, section editor of the College journal (Clinical – the Hillstone St Lucia. It is a grand old homestead set and Experimental Ophthalmology), and Board member of the Ophthalmic Research Institute of Australia. I am most amongst the rolling acres of the St Lucia golf course. The grateful for the experience I gained through these roles organising committee is certain that our guests will have a and I strongly encourage young fellows to participate in memorable and enjoyable time. College activities as these experiences are both fulfilling and rewarding. Congratulations on your new role as Chair of ANZSRS, what plans do you have for this special interest group going forward? What do you think are the biggest challenges of this role? As I mentioned earlier, it is an extremely exciting time to be involved in the management of retinal diseases as there are so many therapies and new emerging treatments that can potentially help our patients. It is an absolute honour to be asked to become the Chair of ANZSRS, and I am most grateful for the opportunity and the support I receive from my interstate colleagues. With an increasing number of trainees choosing retina as their subspecialty, ANZSRS membership numbers are increasing. Our mid- year symposium and the annual ANZSRS meeting at the RANZCO Conference are well attended. We are planning to A/Prof Kwan relaxing by having a fencing duel with his teenage son have different themes to these meetings to make them more at one of this year’s Queensland Foil Fencing Open competitions
36 - RANZCO NEWS SPRING 2014 ranzco museum RANZCO Museum Early 20th Century cataract surgeons were often itinerant. Multiple devices for transporting surgical equipment were developed, as in this handsome four drawer instrument case. The ivory handled instruments were sterilised by soaking in alcohol. The surgery was performed gloveless with an assistant holding a light. Cataracts were removed through a Graefe section by extra capsular expression with the aid of magnifying loupes. This fine pair of folding cataract knives suited below the portability of the surgeons. Made of tortoise shell and stainless steel, they required re-sharpening and testing between each case on kid skin drums in which the weight of the knife was enough to perforate the stretched skin if the knife was sharp enough.
Museum at Congress Preparations are well advanced for the Museum Exhibition at RANZCO Brisbane which includes a large collection relating to the history of cataract surgery. Some excellent posters, are being prepared for the Museum and a prize will be awarded to the winner of the best poster in honour of Dr Jim Martin, the former Curator of the Museum. Any enquiries regarding submission of a poster which is in a separate section to the other scientific posters, should be made to the Curator at [email protected] Due to renovations at the Eye and Ear Hospital in Melbourne, the whole museum storage area has to be packed up and transported to a new location for the duration, which is expected to last between two and three years. Again I am very grateful to the tireless work given by my assistants and volunteers. Dr David Kaufman Curator
Pictured left: Delegates looking at the Museum Exhibition in Tasmania 2013
RANZCO NEWS SPRING 2014 - 37 other lives
Other lives – Dr Hessom Razavi (picture courtesy of Darren Tynan)
Poetry, bikram yoga, hip-hop and Lions are just a few of Hessom’s passions – not to mention his work in public health and rural/remote ophthalmology.
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Public health ramshackle communities, personalities galore and of course ‘the Gap’; folks in poor health, less access to education, alcohol Dr Hessom Razavi, RANZCO 5th year Trainee, has been abuse and so on.” Through this work Hessom also experiences interested in public health and the way it compliments wonderful interactions, instances of hope and success. “I like medicine since medical school. “It’s about how ‘simple’ changes to think our work is contributing to change in its own small such as sanitation, clean water and vaccinations can have a way. I love the sense of humour in Aboriginal communities. huge impact… it’s strange but I even enjoyed statistics and Sometimes you see a deep acceptance of life, which is epidemiology!” This interest led Hessom to the MSc in Public humbling. The story of Indigenous Australia and colonisation Health for Eye Care from the London School of Hygiene and is complex, barbed and unfinished, not one that I pretend to Tropical Medicine. “It was a natural fit, a niche topic looking understand, and cause for lots of reflection this year.” at prevention of blindness in developing countries, along the lines of VISION 2020.
This curiosity morphed into a fundraiser
and awareness event, where I was blindfolded for 24 hours
The teaching was excellent and I enjoyed it immensely, and it culminated in a field study in Iran on childhood “blindness. Ultimately public health is about equity, a person’s right to basic health care regardless of their background or circumstances.” This Master’s program confirmed Hessom’s interest in the area of public health and led to a year of work as a Research Fellow with the course organisers at the“ International Centre for Eye Health, within the London School of Hygiene and Tropical Medicine. “Working with colleagues like Profs Clare Gilbert and Allen Foster was inspirational, and I met many others doing similar work in places like India and South Africa.” It’s an aspect of ophthalmology that Hessom would love to continue. Fellowship with Lions Eye Institute in remote Western Australia This passion of public health has continued and this year it’s taken the shape of an ‘Outback Fellowship’, providing outreach work to rural and remote communities in Western Australia with A/Prof Angus Turner. “It’s rewarding work, personally and professionally. Diabetic retinopathy is the ‘tsunami’ that may well influence my future career path as Hessom being aided by friend and sighted guide Puneet Sayal much as anything.” He feels this is a natural fit. “Angus and I have been chatting since 2008 so in retrospect this year was always going to happen – thankfully the funders agreed.” Lions Outback Vision is all about health equity, providing city-level services to rural and remote communities, through outreach visits by optometrists and ophthalmologists, all working together. There’s also the emerging role of telehealth, using technology to bridge the gap, which Hessom believes will only grow in future. “As you’d expect there are a high proportion of Aboriginal patients, with problems like dense cataracts and severe diabetic retinopathy, and often simply the need for glasses. And the unit aims to be evidence-based, with a research arm as well.” Hessom works in many remote areas such remote areas as Halls Creek. “It’s amazing, I think, and sometimes confusing.” He recalls flying in on a Cessna (small, piston-powered aircraft) and seeing a side of Australia which you might not otherwise know. “Immense landscapes, Hessom blind–folded for a fundraising/awareness event
RANZCO NEWS SPRING 2014 - 39 other lives
Hip-hop guide, Puneet Sayal. We kicked off the event at a restaurant called ‘Dans le Noir’ in Clerkenwell, which is pitch black (not a Hessom has been hip-hop dancing since high school. “I’m single photon of light), and where your waiters and guides are smitten by its confidence and energy. Hip-hop has many actually blind – an interesting role reversal. The experience connotations, often negative, and people need to understand was artificial for me, obviously, but it did raise funds for that there is ‘good hip-hop’ and ‘bad hip-hop’, just like cheap childhood blindness, and I got a small taste of the importance goon versus quality wine.” Hessom believes that often the of dignity and inclusion when dealing with anyone with a hip-hop that makes it onto the radio is the cheaper stuff; you disability.” need to search for the quality. “At its core hip-hop is about Also being a wildlife enthusiast, particularly big cats, expression, language and storytelling. It is rooted in the Hessom wrote an article about his experience in The West history of West African ‘griots’, traditional bards who were Australian newspaper. An excerpt reads: “Back in Perth at often royal advisers. With the slave trade and evolution of the Lions Eye Institute, we study toxoplasmosis and posterior black music in America, hip-hop emerged in the late 70’s. uveitis. But when I dream, I see those majestic cats, that Breakdancing is the dancers’ ‘offshoot’ of hip-hop.” Hessom green quartz valley, and an eye-to-eye relationship with the still performs at gigs and festivals, though he is now leaning proudest, fiercest predators in Africa.” towards words more than actions – “my body leans closer to 40 Along with writing articles such as the above, Hessom than 30.” has been writing poetry since 2006, on his own and as part of writers’ groups. “I have been fortunate enough to have It’s a great complement to a technical, great mentors and be published. It’s a great complement to a technical, scientific career – I’m sure there’s some right-brain/ scientific career – I’m sure there’s left-brain ‘synergistic’ explanation.” some right-brain/left-brain Other interests ‘synergistic’ explanation. Hessom is a huge fan of bikram yoga, which is practiced in a Writing room heated to 40°C. “It is the ultimate sweaty salve after a “ long day of work.” Hessom wrote an article for the Community Eye Health Journal after one day watching a blind man with a cane “My family are awesome! We are originally from the negotiate a busy sidewalk in London, then realising that Lorestan province of Iran and speak a mixture of Farsi and he had no idea what it was like to be blind. “This curiosity English at home, otherwise known as ‘Finglish’.” morphed into a fundraiser and awareness event, where“ I You can read some of Hessom’s articles and poetry via the was blindfolded for 24 hours, aided by a friend and sighted RANZCO blog: www.ranzco.edu/blog
Hessom performing - photograph courtesy of Darryn Tynan
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His Excellency General the Honourable Sir Peter Cosgrove AK MC (Retd) and Her Excellency Lady Cosgrove RANZCO Eye Foundation
JulEYE 2014– donations as possible in order to attain 2014 Public Relations our predicted level of funding and to Campaign attracts enormous hopefully over-achieve our financial Again this year, to provide our year budget, as well as relieve funding messaging renewed focus, we media exposure pressure into the first quarter for 2015. conducted a national News Poll – an JulEYE 2014 was our strongest With one quarter online survey that revealed Australians media year yet. National coverage for are still taking their eye health for remaining of The our Community Service Advertising granted. With renewed messaging, RANZCO Eye has been widespread, with our ‘Black our public relations campaign saw Spot’ campaign supported by some Foundation’s calendar widespread support across Australia’s very high calibre national and state- financial year, we national media. Highlights included wide media including: Channel 10, articles in national publications such as predict that we will have Channel 7, Sky News, Prime 7, FOX The Sunday Telegraph, Daily Telegraph, reached our budgeted Channels International, FOXTEL, The BUPA Magazine and Readers Digest fundraising levels in Daily Telegraph, The Sunday Telegraph, (Australia), as well as coverage on Bauer Media and The Australian Radio Channel 10’s Daily Edition and Prime order to cover our Network. We were pleased to report 7 Tamworth (local news) as well as a committed program that all confirmed media outlets were valuable selection of radio, online and funding by the end of committed to running our adverts well print media segments. The Foundation into August, with some having already was engaged in more than 64 interviews the third quarter. committed to providing exposure for (still counting at the time of writing) Our primary focus from September our campaign at other times of the year across radio stations nationally with onwards will be to attract as many including World Sight Day in October. more than 580 air plays to date (final
42 - RANZCO NEWS SPRING 2014 ranzco eye foundation
Highlights included media activity for JulEYE (Facebook The RANZCO Eye Foundation and JulEYE blog). This focus worked continues to applaud the great work articles in national well with us hitting our target of of our teams from ophthalmologists, publications such as more than 650 ‘Likes’, which has built the researchers in various programs a community of people genuinely and to the eye care teams in the field The Sunday Telegraph, interested eye health. that bring sight and new hope to the Also via social and traditional Daily Telegraph, BUPA more disadvantaged communities. media, The RANZCO Eye Foundation “ This incredibly vital work helps us to Magazine and Readers ran a competition exclusively through Digest (Australia), as Harvey Norman. We were thrilled to get a step closer towards delivering receive in excess of 1700 entries for this on our vision to give every person the well as coverage on competition. opportunity to see, and our mission Channel 10’s Daily In addition, merchandise promotion to lead efforts to preserve sight and Edition and Prime 7 through ophthalmology practices was provide resources to prevent avoidable good again this year – thank you to blindness throughout Australasia. Tamworth (local news) everyone who participated. and a valuable selection Early indications show that the reach 2015 RANZCO Eye for our 2014 public relations and Foundation/Novartis of radio, online and print advertising campaign will far exceed media segments. previous JulEYE campaign reach and and Bayer Medical circulation figures. figures will be available at the end Retina Scholarships of September 2014). The count at the The RANZCO Eye Following advice from the selection time of writing revealed The RANZCO Foundation announces committee, The RANZCO Eye Eye Foundation was fortunate to have Foundation has recently awarded more than 900 media ‘hits’ across the the appointment of the two medical retina scholarships for nation, over a variety of well-respected Governor-General as 2015 to Dr Matthew Simunovic metropolitan and regional electronic“ Patron (RANZCO Eye Foundation/Novartis and print media. It is impossible to The RANZCO Eye Foundation is Medical Retina Scholarship) and estimate the value of this coverage to delighted to announce the appointment Dr Chandra Balaratnasingam (RANZCO the foundation. of the Governor-General, His Eye Foundation/Bayer Medical Retina Once again behind the campaign Excellency General the Honourable Scholarship). These scholarships will this year was Mr Kirk Pengilly and his Sir Peter Cosgrove AK MC (Retd) as be announced formally as part of daughter April, helping to spread the Patron. His support will be invaluable the Congress Opening Ceremony on word about the importance of having as we continue to shine the spotlight Sunday 23 November 2014. your eyes checked regularly. Kirk on the often overlooked problem of eye and April played a major role in The health in Australia and its surrounding Jacinta Spurrett RANZCO Eye Foundation’s 2014 Social regions. CEO, The RANZCO Eye Foundation
Imagine if the big moments in your life looked like this? 1 in 4 Australians are at risk of losing all or part of their vision due to eye disease. 75% of vision loss is preventable or treatable if caught early. Get your eyes tested this JulEYE. eyefoundation.org.au
RANZCO NEWS SPRING 2014 - 43 obituaries in memory of
44 - RANZCO NEWS SPRING 2014 obituaries in memory of Dr Peter Anderson 14 August 1925 – 8 May 2014 Distinguished St Vincent’s ophthalmic corneal graft surgery with the best surgeons of the day. He also made regular trips to India performing sight saving surgeon Dr Peter Anderson passed surgery at numerous eye camps. This started in 1974 when away on 8 May 2014, aged 88. Peter he went to Bihar in India to help with an eye camp and he was a member of the St Vincent’s subsequently returned in 1975, 1976, 1978, 1984 and 1990 to teach corneal grafting taking corneas for this purpose. department of ophthalmology since Dr Frank Cheok recalls the eye camps, “Peter had an amazing 1957 and was still practising on a relationship with the Jesuit Indian mission in Hazaribagh. part-time basis, seeing patients three He inspired me to go and the next year Ross Benger and Alex Hunyor came as well. The eye camps were run in weeks before he died. conjunction with Rotary and we worked with the local Peter will be remembered as a very practical, friendly and professor of ophthalmology Dr Kashap and his team. We did forthright ophthalmologist. He cared very much about his intracapsular surgery with sutures and Dr Kashap did Graefe patients and they cared about him. He was a devoted and section which was much faster with no sutures. innovative ophthalmic surgeon, particularly in corneal and We operated by the light of a torch. In the hall there were cataract surgery. Peter specialised in corneal transplantation rows and rows of preoperative patients having drops and surgery in the 1960s, and was also an early advocate of cotton wool in either right or left ear to indicate which eye intraocular lenses for cataract surgery, implanting the was to be operated on. There was great confusion as the second intraocular lens in Australia at St Vincent’s Hospital. cotton wool tended to fall out so this was substituted by He retired from surgical practice in the early 1990s ( not sticking plaster on the patient’s temple”. making the transition to phacoemulisification – Peter was In 1984 Peter began consulting in medico legal work and a at a departmental meeting when phacoemulisification was couple of years later became a member of the Medico Legal being discussed and, on being told that you have to use both Society. He wrote articles on contact lenses in the Australian hands and both feet simultaneously during the procedure, Medical Journal, and also in the Australian Journal of he proclaimed in his characteristic deep gruff voice “I’m not Ophthalmology on complications of corneal grafting. a bloody monkey!”) but continued consultations and seeing Peter had a long association with Rotary and also with patients on a part-time basis at St Vincent’s Clinic, as well as Riverview College. He was a past president of the Old his practices in Hornsby and Macquarie St. Peter was active Ignations Union. in any meeting and made his views plain, always in a friendly and forceful manner. Peter was a keen sportsman – an excellent skier in his Peter was born at Burwood in 1925, the third in a family younger days (winning a cross-country race from Charlotte’s of four children. He went to school at Santa Sabina in Pass to Thredbo) and surfed all his life, particularly from the Strathfield, and then to Riverview as a boarder. He enjoyed family holiday home on the NSW central coast. He was also his school years, loved his sport, (including handball, and an excellent snooker player, and many an afternoon found swimming) and even repeated his final year so that he could him playing snooker at the University Club in Sydney after a play in the 1st XI cricket team, in which they were beaten morning’s consultations. Later in life he took up golf with a outright in every game. Peter finished high school in 1942, passion. On the back cover of the booklet at his funeral was went to Sydney University to study Arts, and enrolled in the a typical Peter quote – “Golf is a bit like life–one damn thing Royal Australian Airforce in April 1944. He trained as a radio after the other, but hope springs eternal for a good score one telephony operator and spent the remainder of the war in day.” New Guinea. Peter had a wonderful marriage to Joy for over 60 years, He started medicine in 1946, and after graduating was a and was farewelled by Joy, their seven children and many resident at Lewisham Hospital and then an eye registrar grandchildren, together with numerous colleagues, friends at St Vincent’s from 1954 to 1956. He obtained his Diploma and patients at a moving funeral at St Mary’s Church in of Ophthalmology at Sydney University in 1956 and was North Sydney. His son Anthony noted in the eulogy that awarded the Cedric Cohen Memorial Prize for the best Peter “had a glint in his eye and a playfulness of a kid his results in the Diploma. His particular field of expertise whole life… he was playful, witty and gregarious.” He will be was cataract surgery, corneal grafting, contact lenses and general ophthalmology. In 1964 he spent six weeks overseas long remembered and sorely missed. in London, France, New York and San Francisco studying Dr John Kennedy
RANZCO NEWS SPRING 2014 - 45 obituaries in memory of
Prof Arthur Lim and the cards he sent were always received with much 24 April 1934 - 30 August 2014 interest. His was a giant in Medical visionary and pioneering eye ophthalmology and a world surgeon Professor Arthur Lim has leader with a profound died at age 80. and world-wide influence. I would like to send Medical visionary and pioneering eye surgeon Professor condolences on behalf of Arthur Lim has died at age 80, on 30 August 2014. the International Council of Arthur, who had worked closely with many RANZCO Fellows, Ophthalmology to Arthur’s passed on peacefully at home with his loving family and family and colleagues. We close ones by his side. are all the richer for having Of his many achievements, Arthur was the founding Medical Director of the Singapore National Eye Center known Arthur and the (SNEC) and the Singapore Eye Research Institute and the poorer for his passing.” National University Hospital’s ophthalmology department. Prof Ian Constable AO: “Arthur Lim harboured a He was a strong supporter of the Asia Pacific Academy of personal vision to raise the quality of Ophthalmology in Ophthalmology (APAO) and has served as APAO’s Secretary Singapore and the Asia-Pacific region to world best standard General and contributed to the development of APAO all his professional life. He trained in Moorfields then set globally. up a flourishing practice. He was a great teacher and set Many senior RANZCO Fellows remember working with up microsurgical courses all over Asia. He set up his own Arthur and share their memories below: publishing firm and wrote numerous practical textbooks Prof Frank Martin AM: “Arthur Lim was the most in many languages. He drove the fledgling Asia-Pacific influential figure in the development of ophthalmology in Academy of Ophthalmology as secretary - general to include the Asia Pacific region. He collaborated with colleagues in all Nations in the region. He raised the funding, ensured Australia and New Zealand most notably Profs Ian Constable major Government backing and built the Singapore National and Frank Billson in establishing microsurgery courses Centre. He set up large scale cataract training programmes in to bring modern cataract and other surgical procedures China largely with his own money. to the developing world. He established an eye hospital Through all this Arthur nurtured a fond relationship with in Tianjin China and supported it not only with his work but financially. Arthur was a giant in ophthalmology Australia and New Zealand. His two daughters were educated and is responsible for the strength of the APAO in world here and one stayed permanently in each country. ophthalmology.” An icon and founding father of modern Singapore, Arthur Prof Hugh Taylor AC: “I well remember first meeting Lim will be fondly remembered.” Arthur when he came to Melbourne for a microsurgery Prof Doug Coster AO: “Arthur Lim was a large presence course while I was a registrar. He was always most generous in ophthalmology. He was responsible for elevating with his time and his interest and I often saw him at things Singaporean ophthalmology to the current high level it like IAPB meetings and of course ICO. The ICO he organised enjoys. He achieved this through his own efforts - he had a in Singapore in 1990, was a triumph and I think he had his large practice with patients seeking him from all over Asia photograph taken with every single delegate. He essentially - and by encouraging and creating opportunities for the was the APAO for close to three decades and transformed next generation. He was part of the Singapore elite and the it into the dynamic regional body it is today. Of course this nationalistic fervour that underpinned the nations rapid international work and contribution is almost insignificant development in so many fields. He was a true internationalist when put alongside the transformation of eye care in with friends and associations all over the world - including Singapore itself. When Arthur returned from training in Australia. He didn’t hesitate to involve people from around London, ophthalmology in Singapore was nascent at best. With his vision, energy, creativity and hard work, Singapore the world in his efforts to develop ophthalmology in became a world leader, work you and the team he trained are Singapore. At a personal level his enthusiasm was infectious. continuing. Whether pursuing his clinical practice in ophthalmology, or Whenever we met, he was always cheerful and interested, anything he was involved in, writing, publishing, painting full of ideas and energy. He also loved painting and I etc. he attacked the activity with extraordinary zeal. His remember several times being shown his latest paintings relentless enthusiasm was the key to his many successes.”
46 - RANZCO NEWS SPRING 2014 scholarship report
Prof Sir Peng Khaw (wearing his knighthood medal) and his surgical team: Dr Mark Chiang is on the left Scholarship Report
This was my third long trip to the UK My weekly schedules during the Mark Chiang but the first time with my family. I had fellowship varied depending on the Senior Fellow in previously spent over two years as a different research and education Glaucoma and Education glaucoma research fellow on separate activities. The fixed sessions were the occasions at Birmingham and Midland triple session outpatient clinics on I was extremely Eye Centre under the wing of Peter. Wednesdays and the triple session fortunate to have This experience prepared me well theatre on Thursdays with Peng. Being for this advance fellowship in both one of the most prominent figures been accepted as a paediatric and adult glaucoma. in ophthalmology, Peng is a man full The first mission after arriving in fellow in glaucoma and of energy and enthusiasm that most London was to find a comfortable and people would have trouble keeping education at Moorfields affordable accommodation with good up with. Despite his multiple roles Eye Hospital, UK for schools nearby for my five-year-old covering research at the Institute of daughter. At the same time the place a period of 1.5 years Ophthalmology as well as clinical and needed to be convenient in terms of administrative/executive activities from mid-2012. The transport. This proved to be quite a glaucoma component challenge but we ended up living in at Moorfields, he was always easily was supervised by the East Finchley, a beautiful and quiet approachable and looked after his suburb on the Northern Line just fellows well. recently knighted Prof outside zone 2 where I could get to A typical Wednesday would start Sir Peng Khaw and the Moorfields in approximately with glaucoma teaching undertaken by education component 30 minutes with a single tube ride. a different consultant in the morning, This was essential as I knew some of following with the paediatric glaucoma was supervised by Prof Peng’s clinics and theatre sessions can clinic at the Children’s Eye Centre. Peter Shah. finish very late! I am sure this is “the clinic” where
RANZCO NEWS SPRING 2014 - 47 scholarship report New products one would manage the most severe paediatric glaucoma in the UK, if not in the world. Not infrequently, we to help you save would also manage overseas patients including performing their operations. We would also see all the preoperative precious time. patients for Thursday the day before because of the unpredictability of paediatric glaucoma. There had been many occasions where the actual cases/ operations performed on theatre day became totally different to the original The Future In Pattern Scanning A Faster, Fully booking! Optical Biometry Fovea Friendly Automated OCT During this time, I have & Topography Micropulse Laser also learnt the importance Here Now of research and education, and how they can complement and enhance “the clinical aspect of The innovative and children friendly Richard Desmond Children’s Eye Centre medicine. it could extend much beyond! After 2013 and the Second National Glaucoma theatre or during the course of the day, Think Tank held in Birmingham. After the paediatric glaucoma clinic, we would review the postoperative Furthermore, I co-authored several even your staff wiLL find we would move to the main Moorfields patients to make sure they were fine book chapters as well as participated Eye Hospital to see the adult glaucoma the fuLLy automated before their discharge. For those who in the 9th World Glaucoma Association patients. They were, once again, some of oCt-hs 100 easy to use had had higher-risk surgery, we also Consensus Meeting on Childhood the most complex cases that one would reviewed them the next day. For the Glaucoma in Vancouver, Canada. • Multi-spot pattern scanning for • 10 layer recognition ever see. It was quite amazing to see“ paediatric patients and their families, Needless to say, I still have lots of efficient retinal photocoagulation • 70,000 a-scans/sec 3D imaging the amount of time which the patient there is a Ronald McDonald House materials and papers to catch-up on! would wait just to see Peng, as this Choose the right ioL for • standard coagulation with • up to 13mm x 10mm Disc- right in the Children’s Eye Centre This Fellowship has provided me ™ sometimes meant close to midnight! Optimizes wavelengths: IQ 532 Macular scans which I think has made a tremendous with many of the clinical and surgical every patient During the Fellowship, I have learnt not or true yellow IQ 577™ lasers • true 3 micron axial resolution difference in patient management. skills required for the management of just from Peng himself, but also from • Fast - typical measurements • Confluent laser patterns for • unmatched image quality complex glaucomas in both children 1 other consultants, colleagues, as well as obtained in less than 5 seconds tissue-sparing MicroPulse™ • Multi-racial normative database patients from Moorfields. I will always treasure and adults. During this time, I have • accurate axial length cornial protocols* • Comprehensive Ganglion Cell also learnt the importance of research The theatre day usually started this once-in-a-lifetime radii for precise IOL selection • Compatible with Iridex, Haag- analysis with a preoperative ward round to and education, and how they can experience deeply. complement and enhance the clinical • Easy tO usE - 3 clicks to report steit and Zeiss style slit lamps • sLO Preview and eye tracking make sure all the paediatric patients • anterior segment module and their parents were ready, and aspect of medicine. Even though The education component of this had no further questions in their Fellowship training was tough, it was mind. This was essential as paediatric Fellowship was supervised by Peter enjoyable and fulfilling. I have made so “who operates at both Moorfields and many friends who, with no doubt, will glaucoma surgery must not be taken lightly, and must be performed by in Birmingham. He had been a mentor become leaders in their own field in the those with adequate training. It can be and a friend who was always available future. Equally as important as training, for advice and help. During this time, “ my family also had a great time in the regarded as one of the most high-risk operation there is. A typical theatre day I was fortunate enough to be exposed UK and we had the opportunity to generally consisted of several paediatric to the world of qualitative research travel to different parts of Europe for glaucoma tubes or tube manipulations, and patient reported outcomes. I was short holidays during school breaks. At OptiMed we have the latest innovative diagnostic instruments followed by adult drainage surgery also involved in several educational I will always treasure this once-in-a- to help you and your staff save precious time. which could either be a trabeculectomy projects, including the glaucoma lifetime experience deeply. Call 1300 657 720 or visit www.optimed.com.au for more information. or a tube. We always tried to finish subspecialty day at the Royal College Thankyou to RANZCO and Abbott theatre before 9pm but sometimes of Ophthalmologists Annual Congress Medical Optics. Phone 1300 657 720 Email [email protected] Web www.optimed.com.au sydney • melbourne • brisbane • perth • adelaide • auckland 48 - RANZCO NEWS SPRING 2014 Ophthalmology in Zimbabwe The College of Health Services at the University of Zimbabwe, Department of Ophthalmology, is very appreciative of any teaching/ equipment that we are able to offer from our resources in Australia and New Zealand.
Chaired by Prof Rangarirai Masanganise, MB ChB FRCOphthal Waiting room inside the Department of Ophthalmology clinic MMed Sc (Clin Epid), a teaching First year candidates are taught there are 12 postgraduate trainees in program as outlined below is underway basic sciences – anatomy, physiology, the system. but very short of resources. The pathology and pharmacology of the eye American Academy of Ophthalmology at greater depth, optics and refraction Areas of potential has kindly donated a full set of their – and this is combined with clinical collaboration with basic and clinical science program, in work. At the end of the year candidates RANZCO Fellows/ addition to what we have been able to will take a part one examination before submit from here. proceeding to the second year. Members: The Department of Ophthalmology During the second year of the 1. Establishing subspecialty areas has been housed in the former Masters in Medicine program, (e.g. vitreo-retinal, oculoplastics maternity hospital since 1985 and it is candidates choose a research topic and neuro-ophthalmology) by way now a stand-alone department from for their dissertation and work on the of getting honorary attachment to the unit for a specific period surgery since 2010. research projects under supervision, to impart knowledge and skill to do clinical work and get exposure to locals. Assist in identifying an Staff establishment community eye health in the districts. optometrist to come and kick start There are six academic posts, with Candidates are expected to have an Optometry Training Program in three filled to date – one professorial participated in at least five outreach the Department. post vacant, one administrative eye expeditions before completion 2. Identify potential faculty prepared post filled, one chief technician post and should have sound knowledge to come on contract and share filled, two secretarial posts filled, two in medical ophthalmology, neuro- experiences. research nurse posts filled and two ophthalmology, strabismus, general 3. Source equipment for the junior technician posts vacant. ophthalmology and paediatric department, for example: Training programs ophthalmology. • Yag laser; Third year candidates are expected • Argon laser; Diploma in Ophthalmology is a one to complete their dissertations and • Vitrectomy machine; year full-time course. During that year write the final Masters in Medicine • Phaco machine; candidates have lectures on anatomy, Ophthalmology Examination. All • Scanoptic operating physiology and pathology of the eye, students have log books to document microscope with teaching/ common clinical ophthalmic conditions clinical and surgical experience gained assistant pieces and cataract and their management, simple ocular during training. sets. surgery and introduction to refraction. There are six posts allocated per year Candidates will do clinical work, ward for the training program. Currently Dr Michael Treplin rounds, clinics and attend theatre sessions. At the end of the year candidates will be examined and those Contact details: who pass will be given the option to Zimbabwe is a wonderful country and people. I will be delighted to proceed to the full Masters in Medicine answer any queries on logistics and other issues. Ophthalmology program to take a Dr Masanganlse, email: [email protected] break and do clinical work. Dr Michael Treplin, email: [email protected] Masters in Medicine Ophthalmology Please view RANZCO’s Good Practice Guidelines is a three year program after Diploma in http://www.ranzco.edu/index.php/international-development/get-involved Ophthalmology training.
50 - RANZCO NEWS SPRING 2014 calendar of events
SEPTEMBER OCTOBER NOVEMBER/DECEMBER
10-11 October 2014 17-27 September 2014 22-26 November 2014 44th Congress of the European 17th Afro-Asian Congress of 46th Annual RANZCO Contact Lens Society of Ophthalmology Scientific Congress Ophthalmologists http://www.aaco2014china.org https://www.ranzco2014.edu www.eclso.eu
19-25 September 2014 15 October 2014 23-27 November 2014 The 9th Greek Legal and Medical Gala Dinner - Celebrating 50 Years 2014 Bellinzona IREC retreat Conference of the Discipline of Ophthalmology http://www.cems.monash.org/education/ Eugenia Mitrakas https://50yeardinner.eventbrite.com.au irec-course.html Email: [email protected]
1-4 December 2014 26-28 September 2014 18-21 October 2014 XIIth Meeting of the International APGC-ISOHK 2014 Honk Kong 2014 Annual Meeting of American Strabismological Association http://www.apsoprs2014delhi.com/ Academy of Ophthalmology in Kyoto, Japan index.html Email: [email protected] http://www.isa2014.jp/index.html
4-6 December 2014 30 Oct - 1 Nov 2014 Vietnam Optica 2014 - The Int’l 26-28 September 2014 39th Indonesian Ophthalmologists Exhibition of Ophthalmological APSOPRS-OPAI 2014 Association Annual Meeting Professional Industry Email: [email protected] http://perdami.or.id/yogyakarta2014/ http://www.medipharmexpo.com/Intro/ home.html
26-28 September 2014 31 Oct - 2 Nov 2014 13-14 December 2014 th Deutsche Ophthalmologische 112 Annual Meeting of the Korean Ocular Motility Conference – Gesellschaft (DOG 2014) Ophthalmological Society Preparation for RANZCO http://www.ophthalmology.org/ Part II exams http://dog2014.dog-kongress.de/ abstract/2014_112/eng/sub01.html Email: [email protected]
28 Sept - 1 Oct 2014 12th Congress of the SAARC Academy of Ophthalmology http://saocolombo2014.org/ For a full listing of all events please visit www.ranzco.edu and go to the events calendar
RANZCO NEWS SPRING 2014 - 51 classifieds section
Positions Vacant Ophthalmologist associate Fellow in general and rural wanted ophthalmology–Royal Ophthalmologist needed in Darwin Hospital regional Victoria An opportunity exists for an associate- with-view – regular part-time, to Designation: Fellow We are looking for an ophthalmologist full-time - ophthalmologist to join Work Unit: Royal Darwin Hospital to join our new ophthalmic practice in a practice in outer Sydney, in/near a Responsible to: Ophthalmology regional Victoria. National Park. Specialist/ Director of Ophthalmology Service a large area treating a variety In a purpose-built facility, the practice /Medical Co- Director Surgery and of eye conditions, including cataract, has an increasing workload, on-site Critical Care retina and glaucoma. We would like a new Zeiss OCT, IOL master, Humphrey general ophthalmologist preferably Contact: Dr T Mahendrarajah, Field Analyser, Angiography, Pentacam, with subspecialty interest (glaucoma, Phone:+61 8 892 28888 lasers (including Retinal, YAG, SLT cornea, oculoplastics, paediatric Email: [email protected] etc.) procedure room and networked ophthalmology). Latest equipment, Website: www.health.nt.gov.au electronic medical records system. including a heidelberg spectralis, Public hospitals in the region pay Footscray and Coburg areas angiogram, the tango laser and a fee-for-service for public operations of Melbourne require a networked electronic medical records (subject to appointment). There is also system. general and anterior segment private hospital access. Located in a regional town in Victoria ophthalmologist Would suit a young RANZCO less than one hour from Melbourne graduate, subspecialist with general Busy ophthalmic practices located CBD. This is a wonderful career ophthalmology ability or general in the Footscray and Coburg areas opportunity for an enthusiastic ophthalmologist with subspecialty of Melbourne require a general and professional, ideally with a view to interest. anterior segment ophthalmologist for settling in regional Victoria. Must have Australian Specialist full-time or sessional work. Practices For further information please recognition. are well equipped and staffed with a contact the Practice Manager: A significant surgical work-load is highly trained and professional team. [email protected] anticipated. For further information please contact Contact: Paul Practice Manager: Kittyanna Verghese Ophthalmologist required Phone: 0407 246 242 Phone: +61 3 9689 5282. Bondi Junction, Sydney Ophthalmologist – Malvern Ophthalmologist required Long established general ophthalmic South West Sydney practice requires a clinical associate to An opportunity has become available work initially part-time. Would suit a for an ophthalmologist to join a team Well established practice recent RANZCO graduate with general of two experienced ophthalmologists with opportunity for general ophthalmic ability and an interest in a in Malvern (Melbourne Eye Surgeons). ophthalmologist to expand in South subspecialty. Parking available. Close to These modern purpose built rooms West Sydney. Special interests welcome. public transport. Offers patient-centred accommodate adult and paediatric Short or long-term positions flexible personalised patient care. Well trained patients, they are close to amenities sessions and hours. and committed support staff. Start end and directly off the Monash Freeway at Phone: 0414 766 980 (after hours) 2014-early 2015. the Toorak Road exit. Email: [email protected] We welcome young graduates and Contact: John Gregory-Roberts general ophthalmologists. Phone: +61 2 9389 5200 Locum needed for regional For more information please contact NSW practice Andrea Millar, Practice Manager Full-time/part-time general Phone: +61 3 9804 3818 Locum/assistant with view to long- ophthalmologist Email: term needed for regional NSW practice. Busy Newcastle based practice is [email protected] Very busy, well equipped practice with seeking a full-time/part-time general very varied caseload. Suit general with opthalmologist with an interest in sub-specialty interest. medical retina. Phone: 0407 008 166 Contact: Leanne Phone: +61 2 4929 5969 Email: [email protected]
RANZCO NEWS SPRING 2014 - 53 classifieds section
Locum required for school For sale or lease Equipment for sale holiday relief. Wide Bay area, Queensland Well established IOL Master For Sale ophthalmology practice for Fully serviced by Zeiss with Service Suitable for semi-retired Fellow able A New Generation of Multifocal IOLs sale history. In excellent condition and to ‘baby sit’ the practice while the works flawlessley. NOW AVAILABLE IN TORIC Principal is on holidays. Expressions of interest sought for Last serviced Feb 2014, due for next $7000/ week. Accommodation and a well-established ophthalmology service Feb 2015. This model was vehicle. practice of 35 year duration in Mackay. manufactured in 2005. Please email expression of interest to Established regular patient database, the Practice Manager. the specialist surgery has been purpose For further information, please call Email: [email protected] built for an ophthalmology practice Shannen at South West Eye Surgery with four consulting rooms and other Phone: +61 3 5562 4488 Far Locum/associate wanted procedure rooms including minor Email: [email protected] Locum with view to associate required surgery. Equipment available includes Force Triad Diathermy for for long established solo busy inner visual field, IOL master, Cirrus Oct, sale Intermediate Western Sydney practice. General Diode and Yag Lasers. Aspheric Trifocal ophthalmology. Large ethnic base. Rooms located centrally adjacent to SouthWest Eye Surgeons has a Force All modern equipment available. CBD. Parking available for staff Triad Diathermy for sale. Di ractive IOL Phone: 0419 233 393 Phone: +61 7 4951 2577 It includes a footswitch, Dome Bipolar Email: [email protected] switch, smoke evacuator, interlink Near William Bland Centre at cable and a 3 port filter. Adelaide based senior 229 Macquarie Street, Sydney This machine was purchased in ophthalmologist available Newly renovated small office suite February 2013 for $19,000 and we are Available for 2-3 week locums. suitable for sole practitioner. Separate looking for $10,000 ono Anytime and anywhere. reception area, main consultation room Contact: Peter Bradshaw Contact: Dr Alec Jordan and kitchen. Brand new split-system air Practice Manager Email: [email protected] con and kitchen. Immediately available. Phone: +61 8 9721 6633 Phone: +61 8 8267 2192 Rental $480 per week. Lease term Email: [email protected] negotiable. Owner pays water, council Locum ophthalmologist and strata fees. Equipment for Sale Locum ophthalmologist available for Phone 9210 3343 or text 0418 261 213 to 1 x Nikon projection lens meter periods of 1-3 months during arrange inspection.” with or without adjustable metal stand December 2014, January and February $400 2015. Able to do general ophthalmology Contact: Dr Pittar but has extensive subspeciality Phone: +61 2 9416 2722 training in retina. Aspheric Trifocal Email: [email protected] Di ractive Toric IOL Fellow available Fellow available to cover medium or long-term locum/s. FRANZCO. For a full listing of all Subspecialty training in anterior segment, glaucoma and plastics. classifieds please visit Medical retina, laser and injections. Please contact Ed www.ranzco.edu and Phone: 0455 458 288 Email: [email protected] go to classifieds under For more information contact your Bausch + Lomb Territory Manager or Customer Service on 1800 251 150.
membership services © 2014 Bausch & Lomb Incorporated. Product names/ brand names are trademarks of their respective owners. Bausch & Lomb (Australia) Pty. Ltd. ABN 34 000 650 251. Level 10, 12 Help Street, Chatswood NSW 2067 Australia. (Ph 1800 251 150) LOTJ 2014-05-061
54 - RANZCO NEWS SPRING 2014 See Better. Live Better. A New Generation of Multifocal IOLs NOW AVAILABLE IN TORIC
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© 2014 Bausch & Lomb Incorporated. Product names/ brand names are trademarks of their respective owners. Bausch & Lomb (Australia) Pty. Ltd. ABN 34 000 650 251. Level 10, 12 Help Street, Chatswood NSW 2067 Australia. (Ph 1800 251 150) LOTJ 2014-05-061
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