Health Minister Resigns

FAMILY DOCTOR WEEK SPECIAL EDITION CANBERRA

Informing the Canberra Doctor medical community since 1988 Issue 4, 2019 | Canberra Doctor is proudly brought to you by the AMA (ACT) Limited. Circulation: 1,900 in ACT & region Health Minister Resigns

In late June, Health Minister Meegan Fitzharris announced her resignation from both the ACT Ministry and the Legislative Assembly. On 1 July she stood down as Health Minister and on 5 July departed the Legislative Assembly. First elected as the member for Yerrabi in 2015, by the end of 2016 Meegan Fitzharris was Health Minister in a re-elected Barr Labor Government.

The resignation came as a sur- Mr Barr said, she left a legacy of ber, she has presided over con- prise to both politicians and the important work such as light rail struction of the light rail project public at large with no hint of Ms and long-term decisions across and many changes in the health system,” Fitzharris’ intention emerging portfolios that she had led. before the announcement was “Her workload, particularly in the made. In taking the decision to health portfolio, was extremely resign, Ms Fitzharris indicated It was an challenging yet she was always professional and committed to that she wanted to spend more extremely her duties.” time with her young family and heavy workload ‘ The ACT Greens acting leader, could not commit to a further and Minister four-year term following the Oc- Caroline Le Couteur, released a Fitzharris had statement in which she said that tober 2020 ACT election. many calls on Ms Fitzharris’s leadership had “been invaluable in improving Tributes for Meegan Fitzharris: surprise resignation (Photo: Canberra Times). her time both Canberra’s health system.” Former Minister in and out of Heavy Workload away from the health portfolio. It tinuing difficulties in the ACT Chief Minister Andrew Barr was was an extremely heavy workload public hospital system, will hope- the Legislative During her time as Health Min- fulsome is his praise for the out- and Minister Fitzharris had many fully be able to bring the Govern- going Minister, saying that while Assembly ister, Ms Fitzharris also had the calls on her time both in and out Transport portfolio including re- ment’s focus back to Health. he had tried to talk her out of of the Legislative Assembly. sponsibility for the construction Further information about the quitting, he fully respected and Opposition leader, Alaistair Coe The new Minister for Health, Ra- and commissioning of the light new Minister is on page 11 of this understood her decision, “I sup- also praised Ms Fitzharris, “Dur- rail project. There’s no doubt that chel Stephen-Smith, comes into edition of the Canberra Doctor. port it, I support her and I always ing her time in the Assembly, in this heavy workload and dual re- the portfolio without the burden will.’’ he said. addition to being a local mem- sponsibilities took some focus of Transport and, given the con- Continued page 10...

VOLUME 31, No. 4 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 President’s Notes WITH PRESIDENT, DR ANTONIO DI DIO

Your Family Doctor and You: fought off the co-payment a cou- my tendency to chat a bit ( I call it Partnering for Health ple of years ago, then got a com- “talking”, they call it “ranting, pon- mitment to end the rebate freeze, tificating, and in the case of the Hello all and thanks again for then had our input listened to in the your continued work in medicine Brumbies or Dragons, uncontrol- MBS review debate, and now earli- for Canberra. Sometimes this job lably sobbing”) makes me less ef- er this month had the first rebate seems to be all about hospitals and ficient than some others, perhaps! increase of significance for years. the ACT public hospital system, Saffron speaks of the need for and it’s easy to forget that every More importantly, the Federal AMA calm where there is none, and single day, most of the doctors in has successfully lobbied to have kind words to soothe addled tem- this and every town, are in gener- indexation into these rebates for pers, and she is right. I’ve lost al practice. As are most medical our patients, and I’m proud to have count over the years the number premises, and the vast majority seen the immense efforts that AMA of times I’ve felt I’ve contributed of patient encounters. And, to my put into that effort start to pay off. nothing, just listened to a tale of relentlessly jaundiced GP’s eye, GPs are value for money woe, which was greeted with my so is the toughest work, the most patient’s thanks for being so help- generalised presentations, the Unfortunately, despite all that work ful. And all I did was listen. sharpest required focus, and the and success, it is painfully obvious greatest fulfilment and reward. to those of us in general practice She’s right, though, because when our flock are distressed and upset Having a Federal AMA president that the extraordinary increases about all the stormy seas they’re being a GP in Tony Bartone, I know in health expenditure every year in sailing ( two metaphors and the that at the national level we have Australia are not evenly distribut- sentence ain’t over yet – Mr Blain a real understanding of the issues ed – such is the complexity of the in year 8 English would be ready that beset us daily. The demand system that it would be foolish to attempt it – but the payment made to strangle me by now) they need grows, the patients themselves Dr Antonio Di Dio: diamonds or kind words? (Photo: Jamila Toderas). ask for more complexity at each to general practitioners being fro- us more than ever, especially if encounter, other professionals zen for much of the last decade there’s nothing we can do to fix it. my first ever patient as an intern reason why we are here. I got a lot and agencies seek out the parts demonstrates eloquently just how Sometimes knowing that some- years earlier involved a 1 am man- of gloriously unnecessary pastries one cares is the best, not the sec- of our work that they can easily do much value for money the army of ual disempaction in the bowels and muscular homemade grog out ond-best, response of all. without seeking the tough parts, GPs in Australia are to the system. of RPA Hospital, I knew that the of that encounter, and a love of my and cost pressures never abate. I’m proud to be part of that group, Purls, on the other hand, lives by universe was delivering me a mes- community that I realised, perhaps Thanks to extraordinary work although my partners, Saffron and the Armstrong Principle of finding sage. On this occasion, the eighth for the first time, could be recipro- from our Federal counterparts, we Purls, would happily point out that diamonds in the sand, her code for gastro patient arrived, and looked cated in a way more than that of feeling every breast carefully for the and sounded exactly the same, but just satisfied customers. lump you expect not to be there. And just felt in some way indefinably Funny thing about general practice, then it’s there. I’ve seen her save different. the seven kids with gastro I saw ACT Dermatology welcomes several lives this way, and cannot before the meningococcal child – imagine a better way to practice. Before my eyes the rash appeared, Dr Rachael Anforth to its team and less than forty minutes later they were ALSO the reason I was Diamonds and kind words he was intubated in nearby Con- there. One of them was ill because of staggeringly poor parenting, and DR RACHAEL ANFORTH: MEDICAL AND SURGICAL DERMATOLOGY Twenty years ago, on a busy Sat- cord Hospital. Not for a minute that family did exceptionally well urday morning in Five Dock, I saw does this demonstrate any particu- With particular interest in general medical dermatology including acne, with years of love and support. eczema, psoriasis, biologics, hyperhidrosis, pigmentary disorders as well as seven consecutive children with lar competence of mine, but rather the medical and surgical management of skin cancer. simple gastro-enteritis. Just like the diamonds among the sand, the Continued page 9... A/PROF ANDREW MILLER: MEDICAL AND SURGICAL DERMATOLOGY With particular interest in advanced medical and surgical management of skin cancer, bullous disease, connective tissue disease, autoimmune NEED A JP? disease, psoriasis, acne and eczema. Certification of documents, DR CATHERINE DRUMMOND: MEDICAL DERMATOLOGY witnessing of signatures, With particular interest in Paediatric and Vulval Dermatology, as well as DR MUHAMMAD KAHLOON statutory declarations advanced medical management of bullous disease, connective tissue Specialising in Robotic and Laparoscopic Urological Surgery and affidavits disease, autoimmune disease, psoriasis, acne and eczema. PROSTATE MRI Fusion guided trans perineal prostate biopsy, All Doctors continue to accept new referrals, by facsimile 6247 3621 Robotic radical prostatectomy for prostate cancer, or email: [email protected] BPH including laser prostatectomy treatment and UroLift procedures For Urgent appointments, please contact the Practice Manager at BLADDER Justice of the Peace (ACT) [email protected] Haematuria, bladder stones and bladder tumours KIDNEY DISEASE Laparoscopic surgery for kidney cancer and kidney stones Conveniently located in Garran TESTICULAR TUMOURS and close to south side hospitals. CIRCUMCISION Urgent patient treatment can be arranged by contacting our of ce

Suite 24, John James Medical Centre 175 Strickland Cres, DEAKIN ACT 2600 p: 02 6285 2984 e: [email protected] w: www.capitalurology.com.au

[2] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 ISSUE 4, 2019 Capital Health Network: Support to General Practice BY ADJ PROF GAYLENE COULTON, CAPITAL HEALTH NETWORK CHIEF EXECUTIVE

We know that general practice is the cornerstone of the In total there are 22 modules on of- in many of the modules there are primary health care system in Australia. We also know fer through the four support pack- continuous quality improvement that it is faced with increasing challenges: an ageing ages. The modules include some activities that will be sufficient to population, increasing chronic disease, changing workforce that directly target patient care, for meet the PIP QI requirements for expectations, system changes and funding constraints. example, improving utilisation of practices to carry out continuous health assessments and improv- quality improvement activities in ing chronic disease management. partnership with the PHN. To respond to the rapid change Quality Improvement There is also direct support for within the Australian health care Practice Incentive Program practice workforce needs, includ- Our team will work in partnering recruitment, orientation and ship with your practice to identify sector, our approach to support- There are a number of triggers for induction support for GPs, Prac- the modules that are most rele- ing general practice as the Pri- changing what we have done pre- tice Nurses and GP registrars. In vant to your needs. mary Health Network for the ACT viously. The Department of Health relation to business needs, the has continued to evolve. has announced that the Practice Interested in hearing more? modules include, for example, the team has delivered in part- Refreshed approach to Incentive Program (PIP) Quality valuable support in establishing a Please contact the ACT PHN Gen- nership with general practices. Improvement (QI) initiative is com- general practice, implementing a eral Practice Improvement Team general practice support These CHN-initiated projects mencing in August 2019. There are business plan or improving use of on 6287 8099 or practicedev@chn- From August 2019 we are tailor- two main requirements of PIP QI have supported practices to im- digital health in the practice. With- act.org.au ing assistance to general prac- for practices: plement quality improvement tices through a range of four activities that use practice data submit specified data support packages. We want to to provide more targeted care measures to their local PHN work closely with practices to for the relevant patient cohorts. improve efficiency, sustainabili- undertake continuous quality Currently 14 practices are in- improvement activities in ty and quality. Our PHN General volved in the Diabetes Drive and partnership with their local Practice Improvement Team has 16 practices are involved in the PHN. extensive experience in support- Heart Failure Project. We are in a strong position at ing general practice and encom- What’s on offer? passes a range of clinical and Capital Health Network (CHN) to support practices with PIP QI. To fulfil our commitment to im- health-related experience. All Of the 85 accredited practices in proving quality, sustainability our expertise is available to prac- the ACT, 63 practices currently and patient-centred care in gen- tices at no cost. have agreements to share data eral practice, we have identified At the core of this change is sup- with us. This figure will increase four support packages which are port for better utilisation of re- as Pen CS now has the capability made up of targeted modules: sources, improved patient health to be used with Medtech. We are currently testing this with one Process – business outcomes and better support for improvement the workforce. This new approach ACT practice before reaching out provides practices with a more to other Medtech practices. People – workforce equitable allocation of our finite Another trigger for the introduc- Patients – chronic disease resources. We will be transparent tion of the new model is the suc- management and prevention in what support and how much cess of both the Diabetes Drive Programs – links to CHN L-R: CHN Chief Executive Adj Prof Gaylene Coulton, AMA (ACT) President Dr support we can provide. and Heart Failure Projects that programs. Antonio Di Dio and CHN GM – Primary Care Programs Yolanda McKean.

ISSUE 4, 2019 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 [3] AIHW: GPs doing an outstanding job

A recent major report from the Australian Institute of “Clearly, Australia’s GPs are doing Health and Welfare (AIHW) has confirmed that GPs are a fantastic job. doing an outstanding job looking after their patients’ “Our dedicated GPs have contin- health, and that patients with a regular GP enjoy a ued to provide exceptional care smoother journey through the health system. despite the impact of the Medicare patient rebate freeze and the rising cost of running their businesses. Released earlier this month, the patients navigate the health sys- report – Coordination of health tem,” Dr Bartone said. “It is crucial that more research care: experiences of information like this is conducted and released. “When patients have to go to oth- sharing between providers for pa- The AMA has been calling for more er specialists, the emergency de- research funding to examine the tients aged 45 and over – provides partment at the hospital, or to al- further evidence of the importance current pressures in primary care lied health care providers, the GP and general practice.” of developing a relationship with a ensures that patient information is usual GP. shared and records are kept. Beware of encroaching AMA President, Dr Tony Bartone, “The report shows that patients Dr Bartone said more research is said that the report, which uses with a usual GP are three times also needed to examine the impact data from the 2016 Survey of more likely to have the information of other health professions en- Health Care, reinforces the theme from their most recent specialist croaching on the scope of practice of AMA Family Doctor Week 2019 – visit and twice as likely to have of family doctors. Your Family Doctor and You: Part- their information following a visit “We are increasingly seeing ef- nering for Health. to the emergency department than forts by pharmacies, for example, Dr Bartone said that 96 per cent patients without a usual GP. to provide ‘health checks’ and pre- scribe medicines in pharmacies “The recently-launched Bupa-Ter- “Every time a patient is lured into of surveyed patients with a usual “This backs Productivity Commis- – often with the support of gov- ry White Chemist deal, which is a ‘health check’, vaccination, or GP reported that their health care sion data from earlier this year ernments looking to make budget asking Bupa members to pay for other medical-related service pro- needs were known by their GP and that found that 91.8 per cent of savings,” Dr Bartone said. health checks at the pharmacy, is vided in a pharmacy, it is a missed that their test, X-ray, or scan re- patients said their GP always or one example that flies in the face opportunity for the provision of sults were always available. often listened to them, 94.1 per “These moves will only fragment quality health care from a family of all the available evidence, which cent said that the GP always or of- the care that Australians receive doctor. GPs vital ten showed them respect, and 90.7 and sacrifice quality care under supports better health outcomes “The report stresses the vital role per cent said the GP always spent the guise of convenience and ac- when patients partner with their “Continuity of care and sharing of of family doctors in helping their enough time with them. cessibility. usual GP. information is all-important. GPs identify emerging risk factors, provide preventive advice, and check on patients’ holistic wellbeing. “The AIHW report is a timely re- Dr Katherine Gordiev minder people should find a usual GP or general practice if they don’t Orthopaedic Surgeon already have one have one. DR OMAR GAILANI Shoulder and Upper Limb MBCHB, DIP O&G, FRANZCOG MBBS (HonsI) FRACS FAOrthA “Family doctors provide trusted, Gynaecological Surgeon quality health care throughout all Dr Gordiev specialises in Arthroscopy, Reconstruction, Replacement stages of life,” Dr Bartone said. Pelvic Floor Medicine and Trauma of the Shoulder and Upper Limb. This includes arthroscopic and open shoulder stabilisation, shoulder replacement, rotator cuff repair, elbow, wrist and hand surgery. She has practiced in Directory of Dr Omar Gailani is pleased to announce a new and innovative Canberra since 2005. Medical Specialists, addition to his services which will offer more choice to Allied Health Professionals gynaecology patients. Dr Gailani’s pursuit of innovation allowed Dr Gordiev undertook Orthopaedic training in Sydney and Canberra & General Practitioners and further specialised for 18 months at the Cleveland Clinic in the with Special Interests his practice to be the rst in NSW and the ACT which offers USA. She regularly attends local and overseas conferences concerned – 14th edition of ce-based hysteroscopy for his patients. Some bene ts are: with developments in the surgical treatment of shoulder, elbow, l No need for Hospital Admission wrist and hand disorders. Dr Gordiev participates in the teaching of 2019 l No time off work / lifestyle Orthopaedic registrars through the AOA training program. l No Anaesthetic costs or risks Dr Gordiev seeks to ensure that her patients are well informed about l Fast comfortable procedure which takes less than 15 minutes all treatment options available to them and to offer a high standard of operative treatment and aftercare. Please visit her website or call her l Consistent patient journey with Dr Gailani practice for advice or more information. l Potential cost saving for self-funded and private patients This diagnostic procedure will allow Dr Gailani to determine and assess patient’s gynaecology

This Directory is publishedCopyright by AMA (ACT) of Limited the Australianas a service to MedicalACT and region Associaion General Practitioners (ACT) Limited during AMA’s Family Doctor Week. This work is the copyright of the AMA (ACT) Limited. All rights reserved. The contents of this work are protected by Copyright Law, including the Copyright Act 1968 (Cth). Therefore, no part of the publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means - electronic, mechanical photocopying, recording health in a safe and comfortable environment or otherwise than by medical and allied health professionals listed in the directory and their staff for their professional use, unless prior permission of AMA ACT has been sought and given. The use of information in this directory for commercial purposes is prohibited. at his Deakin of ces in Canberra. $199 To purchase T a copy contact: Suite 2, Level 2, Equinox 1 P: 02 6285 1813 Phone 02 6260 5249 6270 5410 70 Kent Street, Deakin ACT 2600 F: 02 6162 1008 www.katherinegordiev.com.au E: [email protected] W: www.omargailani.com.au Suite 7 National Capital Private Hospital, Garran 2605

[4] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 ISSUE 4, 2019 A/Professor Andrew Miller awarded AMA Fellowship

The recent AMA National Conference saw Associate Professor Andrew Miller awarded a fellowship of the Australian Medical Association in recognition of his leadership and involvement with the AMA, AMA (ACT) and the Australasian College of Dermatologists.

practised in Canberra and surrounding regions and took the opportunity, on gaining his fellowship, to commence in specialist practice in Canberra in 1993. Associate Professor Miller has recently completed his term as Pres- ident of the Australasian College of Dermatologists (ACD) having previously held a series of educa- tional and administrative positions including as a clinical supervisor, chairman of the NSW Faculty Edu- cation Sub-committee and a Direc- tor of the ACD. Dr Andrew Miller first joined the Dedication to the AMA AMA as an intern in 1981 and has Associate Professor Miller was served, and continues to serve, in A/Prof Andrew Miller AM, right, with AMA President, Dr Tony Bartone. elected President of the AMA (ACT) a variety of elected positions and Limited in 2012 for a two-year ent; he has willingly contributed his “Andrew has been a true champion that this award has been made and, voluntary roles. Andrew is a past term. During his term he was ap- time, experience and expertise and, for his patients, the community, his on behalf of the AMA (ACT), Board President of AMA (ACT) and a pointed to the AMA Federal Coun- being based in Canberra, has often chosen specialty of dermatology and and members – congratulations long-term member of the AMA’s cil as the nominee of AMA (ACT) been called upon to assist in person the AMA. I’m immensely pleased and best wishes Andrew.” Federal Council, of which he has and continues to serve on Federal with the work of the AMA. recently been elected as chair. Council. Andrew has also served AMA (ACT) Associate Professor Andrew Charles Miller AM Born in Sydney, Andrew Miller on the Health Financing and Eco- BSc (Med) (Hons II) 1979, MB BS (Hons II), 1981 FACD 1992 completed his undergraduate nomics Committee and the Audit Locally, Andrew has served as a medical studies at the Universi- and Risk Committee. director and then President of AMA Member – AMA Federal Council (2012-current) ty of New South Wales and then, (ACT) and even now, continues as Chair – AMA Medical Practice Committee (2018-current) As chair of the AMA’s Medical Prac- after having undertaken a stint in Treasurer of AMA (ACT) and a lead Member – AMA Health Financing & Economics Committee (2014-current) tice Committee Andrew has been general practice, trained in Der- negotiator for the VMO Committee involved in a range of matters on Member – AMA Economics & Workforce Committee (2012-2014) matology. Andrew was granted his in contract negotiations. behalf of AMA members including Member – AMA Group Audit & Risk Committee (2013-2014) fellowship from the Australasian the review of MBS item numbers In summing up Andrew’s achieve- College of Dermatologists in 1992. Member – AMA Group Audit Committee (2012-2013) and compliance issues. His con- ments, AMA (ACT) President, Dr Member – AMA Skin Advisory Group (2005-2010) At various stages of his training, tributions to the work of the AMA Antonio Di Dio, wrote earlier this Member – AMA MBCC Skin Advisory Group (2005-2009) Associate Professor Miller had have been thoughtful and consist- year that,

ISSUE 4, 2019 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 [5] Thumbs Up for Pharmacists in General Practice

A successful pilot of non-dispensing pharmacists as part of the health team in general practice has seen the concept extended to four new general practices, according to the Capital Health Network. The ‘Pharmacists in General Practice’ pilot was initially staged across Isabella Plains Medical Centre, YourGP@Crace and National Health Co- op and then evaluated by the University of Canberra.

The evaluation concluded that hav- out which medications to adjust in ing a pharmacist on board increased order to improve outcomes for our the quality of prescribing, increased patient,” said Dr Deery. support to GPs, saved GPs time and reduced costs to patients. “When a patient is getting a health assessment or care plan com- Following the pilot, a new program pleted, the patient meets with the has been launched by the CHN, via nurse, then I review their medica- an EOI process, that has seen sup- tion and then we all come together port provided to another four gen- with the GP to discuss findings at eral practices to employ a part- a case conference with the patient. time pharmacist. The successful Patients appreciate this wrap- general practices are Althea Well- around care. I have also seen that ness Centre, Conder Surgery, GPs now have a better relationship Gungahlin Medical Practice and with community pharmacies as Health Plus General Practice. I’m often a communication point YourGP@Crace between community or hospital pharmacies,” said Ms Naun- Following the end of the of the pilot funding, Isabella Plains Medical ton-Boom. Centre and YourGP@Crace have Isabella Plains both continued to employ a phar- Medical Centre macist. Dr Mel Deery, YourGP@ Crace Practice Principal, said that Dr Divya Sharma, Isabella Plains their GPs were so committed to Medical Centre Practice Princi- pal, has also continued to employ having the pharmacist contin- for patients with conditions such as Capital Health Network Chief Ex- ing improvements. This demon- ue that the GPs have co-invested a pharmacist and said that she diabetes, arthritis, Crohn’s disease ecutive Adj Prof Gaylene Coulton strates how we can use our local in extending pharmacist, Katja would highly recommend to other and hypertension. His assistance in said that Capital Health Network’s knowledge to co-design solutions Naunton-Boom’s, employment. general practices to get a pharmacist on board. The evaluation this area is invaluable and his ad- role is to advance the way health with clinicians to meet community “Our pharmacist Katja is a great report found that 100% of patients vice has resulted in improved med- care is delivered in Canberra. need, which are timely, effective ication management. Our patients support for questions that GPs surveyed wanted a pharmacist in and high worth.” really like seeing Brendon as he “The success of this pilot and sub- ask and helps save us time. For general practice to continue. example, I currently see a patient provides them with extra time, val- sequent new program is a good Pharmacist Katja Naunton-Boom developing renal failure who is on “Our pharmacist Brendon Wheatley ue and ultimately improved patient example of how CHN designs ser- said she is a key part of the care 15 medications. Katja has worked has been conducting clinical audits care,” said Dr Sharma. vices that fill gaps and deliver last- team.

Are you looking for operating time? Or consulting rooms? Barton Private Hospital has availability in 3 operating rooms on various days. As a locally owned business we deliver health care in all specialties to the Canberra community which include: Paediatric, Plastic and Reconstructive Surgery, Gynaecology, Urology, Opthalmology and Occular Plastic Surgery, Dental Surgery, Periodontistry, Fertility and IVF, Podiatry Surgery, Pain Management, Orthopaedics, General Surgery, ENT, Vascular & Others 1 We are now welcoming surgeons of all ABOUT BARTON PRIVATE HOSPITAL and provides a unique experience > Involving our patients in decision specialties from all over Australia. • Barton Private Hospital has a for patients, with accommodation making through the Barton Private 2 We have the latest equipment to unique model of care in 5 star in a luxurious and relaxing hotel Hospital Consumer Committee. make sure surgeons and patients get accommodation with safety, customer environment and the safety of 24 hour > Being committed to Research. nursing care. Our Nursing staff are the best experience throughout their service and value for money being > The Ethics Committee overseas and amongst the most experienced and journey. on the top of our list. Our promise is approves all research conducted at skilled in Canberra and have advanced 3 We have vacancies in our operating the very best of pre, intra and post- Barton. rooms to accommodate new surgeons operative care. life support training. > The Credentialing Committee is of all specialties. • Barton Private Hospital is a fully • All patients rooms are spacious and responsible for the credentialing of 4 We help new surgeons promote their licensed and accredited hospital include ensuite, and our meals are all doctors working at Barton Private services amongst GP’s and Allied situated in the heart of the provided from the Hotel Realm in-room Hospital. Health Professionals in Canberra Parliamentary Triangle in Canberra. We dining menu. A family member or and the NSW Coast and surrounding provide both day surgery and overnight carer can stay overnight with their > The Barton Private Hospital Medical areas. hospital accommodation depending on loved one if they wish and enjoy Advisory Committee is actively 5 Full time and sessional high quality our patients’ needs. We have recruited complementary meals and the 5 star involved in making sure that safety is Medical consulting rooms are the most competent professionals in hotel experience. on the top of our list. available within the Barton medical their respective fields to ensure that you We continue to strive to provide excellent > A newsletter with the latest updates precinct. receive the best possible care. patient care by: and news is available to read online on 6 Our prices are the lowest in Canberra, • Our 10 beds BARTON WARD is > Benchmarking against 40 other our website and as a hard copy at the for insured/self-funded patients. located at the 5 star Realm Hotel similar organisations around Australia hospital. Should you be interested and for more information please contact Jessy McGowan the CEO on 02 6152 8980 or email: [email protected]

[6] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 ISSUE 4, 2019 Dr Martin Laverty appointed AMA Secretary-General

The Federal AMA has appointed Dr Martin Laverty as its new Secretary General. Dr Laverty has an extensive background in health advocacy and the not for profit sector AMA President, Dr Tony Bartone, said that Dr Laverty’s appointment follows an extensive search for an experienced health executive.

“The AMA Board has chosen a “These are some of the policy is- Chief Executive with advocacy and sues I’ve worked on for the last dec- deep health policy experience, a ade. At the AMA, I’ll help the AMA background in working behind the strategically shape its campaigns scenes with Ministers and Depart- to address these challenges. ments, and a strong track record in campaigning for national health “International experience shows reform,” Dr Bartone said. that the role of General Practice has expanded and excelled, par- “With a PhD in Governance, Dr ticularly in coordinating chronic Laverty has built a reputation as a illness, achieving better health strategic campaigner and a collab- outcomes, and creating greater orative leader of Canberra-based productivity, efficiencies, and val- advocacy organisations and teams. ue for governments with stressed “Dr Laverty was a campaigner for health budgets. private hospitals during the Rudd “The AMA has critically been driv- Government, and a campaigner for ing recent Departmental policy aged care and the social determi- focus on general practice, recog- nants of health during the Gillard nising that it is a solution to many Government. of our health challenges. “In more recent times, he has led “Promoting organisational capa- organisations advocating for re- bility and ensuring appropriate mote and rural medical services, resourcing will remain crucial in mental health services, and dental the AMA retaining its strategic Dr Martin Laverty (centre), with AMA President, Dr Tony Bartone (right) and AMA Board Chair, Dr Gino Pecoraro. health care throughout the terms leadership in health advocacy,” Dr of the Abbott, Turnbull, and Morri- Laverty said. and the Australian Charities and son Governments.” Not-for-Profits Commission Ad- Background visory Board. He is a Director of Dr Laverty said he is looking for- Health Direct. ward to the opportunity ahead as Dr Laverty is currently the Chief Executive of the Royal Flying Doc- the AMA responds to the issues Dr Laverty is a former member of tor Service (RFDS) of Australia. confronting the medical profes- the NSW Public Service Commis- sion and the health system. In that role, he secured funding for sion, a former Chair of the NSW Challenges facing the AMA expanded RFDS services, estab- Heart Foundation, and a former lished its Canberra staff team, and Director of three NSW disability “I will work closely with the Presi- initiated the RFDS research and services charities. dent and the AMA Federal Council advocacy agenda. to promote the calibre and central A lawyer by training, Dr Laverty’s FAST-TRACK UROLOGY importance of the medical profes- Prior to joining the RFDS, Dr Laverty PhD was in board governance of sion within our healthcare system was the Chief Executive of Catholic health care organisations. He also If you wish for your patients who are experiencing inappropriate in the face of many challenges,” Dr Health Australia, a Canberra-based holds an honorary appointment as delays in diagnosis and treatment, be Fast Tracked to avoid long Laverty said. member body of public and private Adjunct Professor at the Universi- waiting times, Dr Maurice Mulcahy at Canberra Urology can Fast hospitals and aged care services. ty of Western Australia’s Not-for- Track your patients through the private sector for all urological “The nation’s hospitals are Profit Initiative. conditions including the following: strained. Private health is at the Dr Laverty is a Federal Govern- crossroads. And health prevention ment-appointed Director of the Na- Dr Laverty lives with his young • Acute Presentation of Ureteric Colic with is inadequately funded. tional Disability Insurance Agency family in Canberra. Non-contrast CT Urogram and FBC, UEC & MSU • Stone Disease • Haematuria • Elevated PSA VALE • Bladder Outlet obstruction (BPH) • Testicular Cancer The president, Dr Antonio Di Dio, Board members and staff • Renal Masses of AMA (ACT) extend their sincere condolences • Other Urological Cancers and Conditions to the family, friends and colleagues of PLEASE PHONE: 02 6281 0222 Dr Tom Faunce, Dr Roma Bedford and Dr Stephen Lloyd EMAIL: [email protected]

ISSUE 4, 2019 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 [7] [8] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 ISSUE 4, 2019 CASUAL CONVERSATION: Have you issued the required notice to your regular casual? BY TONY CHASE, AMA (ACT) MANAGER, WORKPLACE RELATIONS AND GENERAL PRACTICE

Effective from 1 October 2018, the Fair Work Commission has incorporated a new provision into awards relating to the right of a casual employee to convert into a permanent employee either for part-time or full-time employment.

er may decline such a request on reasonable grounds, and must provide a response within 21 days of the request being made. Reasonable grounds for declining such a request are set out in the new clause, but for example may include where the employer has good reason to believe that the position will not be available in a twelve-month period. This decision and a recent decision of the Full Court of the Federal Court of Australia in the matter of WorkPac Pty Ltd v Skene deter- 2018. The changes apply to for- amount paid to compensate receive for all or some of The new clause defines “regular mined that long term casual em- mer, existing and new casual em- the person in lieu of the time that they were casual employee” as one who, in ployees may be entitled to receive ployees. entitlement that casual incorrectly classified as a annual leave and potentially other employees are not entitled to the preceding 12 months worked The new regulation allows employ- casual employee. benefits normally available to per- under NES, such as personal a pattern of hours on an ongoing ers to claim that the employee’s Updated Awards and the new manent employees. leave and annual leave basis which without significant ad- casual loading payments should wage rates can be accessed by justment they could perform as a Double dipping be offset when working out entitle- Despite being classified by AMA (ACT) members using their full-time or part-time employee Following the WorkPac decision, ments owing to the employee for the employer as a casual log-in to the web page at ama-act. under the provisions of the award. the Federal Government moved to the relevant NES entitlements. employee, the employee was com.au and then going to the ‘Re- address concerns about ‘double in fact a full-time or part- sources’ tab. Issuing notice This applies where all the follow- time employee for some or dipping’, and to provide some pro- ing criteria are met: Employers are now required to tection for employers that some all of their employment for Should members have any ques- provide a copy of this new provi- casual employees may seek to re- An employee is employed by the purposes of the NES tions on this matter or any oth- sion to their current casual em- ceive the casual loading AND the their employer on a casual The employee has made er workplace related matter you ployees. In some circumstances, permanent benefits such as paid basis a claim to be paid for one are invited to contact Tony Chase, an employee may choose to apply annual leave, in certain circum- The employee is paid a or more NES entitlements Manager, Workplace Relations and to the employer to convert to per- stances. This regulatory change casual loading that is closely (that casual employees do General Practice on 02 6270 5410 manent employment. An employ- came into effect on 18 December identifiable as being an not have) that they did not or [email protected] President’s Notes…continued ...from page 2 this month with a groin hernia ac- tres, the occasional politician who we love. In “The Doors of Percep- If I find a group of professionals as tually has a Hodgkin’s node sitting thinks that medicine starts with tion”, Aldous Huxley spoke some of kind and decent as all the GP’s I One of them did not have gastro at quietly in their inguinal region. But an ED presentation and ends with the most beautifully crafted drivel all, but the early features of coeliac know I will be the most pleasant- the privilege, the reward, the hon- a discharge summary, the allied of the century, presaging Willian S disease. And yet another had a par- ly surprised of people – I am so our of this gig is in every one of the practitioners who look at our work Burroughs and others who just cut ent who needed to report the slight- proud to be a GP, and look with others too. Every one of them is and appropriate all the parts they to the drug addled chase of non- est symptoms to the GP, using the thanks to the tirelessly patient special, every one has a reason for think are easy, we can choose to sense philosophy, and yet Huxley child in a tragic custodial battle. being there, and at the risk of both friends I work with, and the mostly be insular, concerned and anx- did identify to my young eyes that sentimentally Italian prose, every friendly patients we care for , for My colleague is spot on in that we ious. But I say no. what you choose to look at deter- one of them needs us. as long as we all muddle along to- are there every day to find the one We have a strong compassionate mines only part of what you see – gether. Yes it can be tough, but if patient who we came to work this We’re in this together Federal representative group that it’s also how you look at something day or this week who absolutely So yes, we live under siege if we is tireless in representing us, and – your attitudes, your prejudices, remember that we are all in this needed us. The fourteenth patient choose to see it that way. The re- even if we did not, our choice every your capacity for love and kindness together, and how important this of the day with fatigue being the one sources allocated to everything day is between seeing what we can and forgiveness – that creates work is, I for one will always be with leukaemia. The twelfth patient from gym shoes to walk in cen- find distressing and seeing what what you perceive. grateful for this shared privilege.

SPECIAL EDITION 2018 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 [9] Health Minister Resigns …continued

...from page 1 nity and health sector staff. Of from health and towards trans- course, she is not alone in find- Mixed Legacy port and the light rail. ing these challenges difficult but Difficulties started early On announcing her resignation, the ACT Government, if anything, Minister Fitzharris received con- From the beginning Ms Fitzharris siderable praise from both her was hampered by the campaign political allies and foes alike, as From the promise to build the ‘SPIRE’ well as many in the health sec- beginning Ms Centre; a promise that seeming- tor. Having held the Health port- Fitzharris was ly emerged overnight during the folio from October 2016 until July ‘ 2016 campaign. With the Canber- 2019, Meegan Fitzharris oversaw hampered by ra Liberals having adopted the a range of significant events and the campaign earlier ACT Labor plan to build dealt with a series of challenges a new tower block at Canberra over that time. promise to build Hospital, ACT Labor sprung a Despite those challenges, Ms the ‘SPIRE’ mid-campaign surprise by prom- Fitzharris has been accessible Centre; a ising to build a new Surgical Pro- and collaborative, she has listened cedures, Interventional Radiolo- promise that gy and Emergency Centre. and taken a genuine interest in the seemingly concerns of consumers and the Consequently, the promise to people working in ACT healthcare. emerged build the ‘SPIRE’ Centre has seen She has listened to the concerns overnight a continuously unfolding series Chief Minister Andrew Barr: staying on. raised by AMA (ACT) with interest of challenges with changes to and has been available to discuss during the 2016 the ‘SPIRE’ Centre has been an- tion ‘around 2022’, the start date is the proposed location, facilities, matters as they arose. nounced that will see it put back now to be ‘sometime’ in 2023-24. campaign delays in the start of construc- to early 2021. But ultimately, Ms Fitzharris tion and delays in the proposed Waiting times and was not able to bring the health made the situation worse by the opening date. As recently as the While the campaign announce- Accreditation system performance into line heavy workload that was given to last few days, a further delay in ment included a commitment to While SPIRE has presented unique with expectations of the commu- her and the policy biases away the start date for construction of have the SPIRE Centre in opera- difficulties, it’s the range of other Doctors’ health resources

Are you looking for a GP? If you’re a junior doctor or medical student and looking for a GP please contact AMA (ACT) and we will assist you to find a local GP.

Doctors’ Health Resources online AMA’s Doctor Portal: Doctors Health Advisory Service https://www.doctorportal.com.au/doctorshealth/resources/ http://dhas.org.au/resources/resources-for-junior-medical-officers.html On the DHAS website itself. JMO Health: AMSA students and young doctors: http://www.jmohealth.org.au/ http://mentalhealth.amsa.org.au/about-the-campaign/ Partly funded by DHAS and a range of other organisations. http://mentalhealth.amsa.org.au/keeping-your-grass-greener/

[10] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 ISSUE 4, 2019 New Health Minister: Rachel

issues that have been a consistent of workplace culture in the ACT reminder of the difficult lot Mee- public healthcare system. To her gan Fitzharris has faced. credit, the then-Minister com- Stephen-Smith Surgical waiting times and emer- mitted to release the Review’s gency department waiting times report and recommendations in Ms Rachel Stephen-Smith has been appointed as have consistently underper- full and followed through on that ACT Health Minister to replace Meegan Fitzharris. Ms formed almost every other Aus- promise in March of this year. Stephen Smith trained as an economist at the Australian tralian jurisdiction over the past National University before working for the Productivity three years and have been stub- The Review findings were Commissions, the Consumer Health Forum and the bornly resistant to improvement. wide-ranging and identified a Department of Prime Minister and Cabinet. series of problems within the In addition, the serious issues hospital system and particular- identified in the preliminary ac- From 2005 to 2009, Ms Ste- mediately appointed to cabinet. ly in regard to how the various creditation survey of ACT Health in phen-Smith was Chief of Staff Her initial appointments were parts of the health system relate early 2018 provided a further ex- and Principal Adviser to Senator as Minister for Aboriginal and ample of the difficulties that faced to each other. Ms Fitzharris had Kim Carr and again held that Torres Strait Islander Affairs, the then Health Minister. While it made a start of the implement- position between 2014 and 2016. Minister for Disability, Minister was good news that accreditation ing the Review recommendations In between those appointments, for Children, Youth and Fami- was ultimately achieved, along but it will fall to the new Health she worked for the Department the way the then Director-Gener- lies, Minister for Employment Minister to undertake the bulk of of Innovation, Industry, Science al departed and ACT Health was and Workplace Safety, Minister the work. and Research including a stint split in two. It remains unclear for Community Services and So- at the Australian Embassy in whether the ‘split’ will have any New Ministers Washington DC. cial Inclusion and Minister for significantly beneficial effect on In the ministerial re-shuffle that Multicultural Affairs. the ACT healthcare system. In 2016, Ms Stephen Smith was followed , Rachel Stephen-Smith elected to ACT Legislative As- Ms Stephen-Smith was appoint- Culture Review has been allocated the health sembly representing the elec- ed Health Minister with effect New ACT Health Minister, Rachel portfolio while Chris Steel takes Finally, last year saw Ms Fitzhar- torate of Kurrajong and was im- from late June. Stephen-Smith (Photo: Jamila Toderas) ris set up a wide-ranging review over as the Transport Minster.

Doctors Health Advisory Service http://dhas.org.au/resources/resources-for-junior-medical-officers.html On the DHAS website itself. AMSA students and young doctors: http://mentalhealth.amsa.org.au/about-the-campaign/ http://mentalhealth.amsa.org.au/keeping-your-grass-greener/

ISSUE 4, 2019 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 [11] New MBS guidelines for diagnostic imaging referrals

Medicare has refreshed its guidelines for doctors on how to request an MBS-eligible diagnostic imaging service for their patient.

As well as detailing mandato- ry requirements, the guidelines also include advice on the level of clinical detail required, the importance of ensuring clinical relevance, and issues to consider when assessing the benefits and/ or risks to patients. The guidelines refer requesters to the Royal Australian and New Zealand College of Radiologists (RANZCR) Education Modules for Appropriate Imaging Referrals which contain decision support tools for selected clinical sce- MEDICAL BENEVOLENT narios, and to consumer-focused ASSOCIATION OF NSW information which may be useful for their patients, such as RAN- ZCR’s Inside Radiology website. BY DOCTORS The guidelines are contained FOR DOCTORS in the Explanatory Notes of the Medicare Benefits Schedule and are available online here: www.mbansw.org.au http://www9.health.gov.au/mbs/ fullDisplay.cfm?type=note&q= IN.0.1&qt=noteID&criteria= The Medical Benevolent IN%2E0%2E1 Association of NSW (MBANSW) Provides a free and confidential support service to Canberra doctors in need and their family. Financial assistance and counselling support are available to colleagues who have fallen on hard times through illness or untimely death. Support is also available to medical practitioners who may be experiencing difficulties at work or in their personal relationships. The MBANSW is funded by your donations; please allow us to continue to provide support and assistance to your colleagues in need by making a donation to the Medical Benevolent Association Qantas Club membership rates Annual Appeal. Donations can be made visiting our website www. mbansw.org.au for AMA members

If you are concerned about your own situation or that of a colleague, please contact the MBANSW Social Worker, Joining Fee: $240 (save $140) Meredith McVey on (02) 9987 0504. 1 Year Membership: $390.60 (save $119.30)

AMA ACT membership 2 Year Membership: $697.50 (save $227.50) entitles you to access this (all rates are inclusive of GST) Member Reward Partner To renew your Qantas Club Corporate Membership For further information or an JirraJirra WinesWines contact the secretariat to obtain the AMA application form please contact the Jirra Wines corporate scheme number. AMA ACT secretariat on 6270 5410 Fax: 6227 5171 e rea You don’t need to go to Tuscany for For new memberships download the application or download the application from the : 2 616 1 good Italian wines. Canberra has a Members’ Only section of the AMA ccommodation only climate very close to Tuscany’s. from the Members’ Only section of the AMA ACT Conditions may apply and you must produce your Conditions may apply and you must produce your website: www.ama-act.com.au ACT website: www.ama-act.com.au membership card to access these benefi ts. membership card to access these benefits.

[12] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 ISSUE 4, 2019 Medical Board launches Medical Training Survey: rate your medical training

Australia’s doctors in training will soon have the chance to tell medical educators, employers, governments and regulators what they think about medical training in Australia.

The Medical Training Survey (MTS) training, specialist colleges, em- – set to run from 1 August to 30 ployers, educators, the AMA and September 2019 – will ask Aus- the AMC, working closely with tralia’s 30,000+ doctors in training health practitioner regulators to about the quality of their training develop the MTS. and identify issues that could im- The survey is funded and coor- pact on patient safety, including dinated by the Medical Board of environment and culture, unac- Australia and AHPRA, and ad- ceptable behaviours and the quali- ministered at arms’ length by an ty of supervision. independent survey provider, EY The MTS will be anonymous, con- Sweeney, which will analyse the fidential and accessible online. information and develop reports. Survey results will be used to im- The Board and AHPRA will not prove medical training in Austral- receive any information that ia and be reported publicly, while identifies individuals. Results will protecting individual privacy. not be published when there are ‘We want every doctor in training fewer than 10 participants. in Australia to do the survey, so The survey will be open to all doc- we get a clear picture of what is tors in training in Australia. This going well and how the training includes interns, hospital medi- provided now can be improved,’ cal officers, resident medical of- said Medical Board Chair, Dr ficers, non-accredited trainees, Anne Tonkin. postgraduate trainees, principal ‘The survey will be good for train- house officers, registrars, spe- ees in the short term and good cialist trainees and international their trainees, the MTS will bring ‘For the first time in Australia, will have a clear and comparative for patient safety in the longer medical graduates. Career med- together the views of trainees the MTS will start to build a com- baseline for continuing improve- term, as we strengthen the train- ical officers who intend to under- from every medical discipline prehensive, national picture of ments,’ Dr Tonkin said. ing of doctors who provide medi- take further postgraduate training and every state and territory. The the strengths and weaknesses More information can be found at cal care to us all,’ Dr Tonkin said. in medicine can also participate. questions in the MTS draw on of medical training across states https://www.medicalboard.gov. It has been a team effort to de- While some specialist colleges topics and issues covered in ex- and territories, medical disci- au/registration/medical-train- velop the MTS, with doctors in and jurisdictions already survey isting surveys. plines and stages of training. We ing-survey.aspx

Membership Rewards Program Partners ~ 10% discount*

Belluci’s Restaurants The Essential Ingredient Jirra Wines (Phillip) Ph: (02) 6282 1700 (Kingston) Ph: (02) 6295 7148 Fax: 6227 5171 (Manuka) Ph: (02) 6239 7424 – Inspiring great cooking with ingredients, – You don’t need to go to Tuscany for good Italian wines. Canberra has a climate very close to – Award winning, casual Italian dining. books and cookware. Tuscany’s. * conditions apply. Hotel Realm Joanne Flowers Evo Health Club (Barton) Ph: (02) 6163 1888 (Manuka) Ph: (02) 6295 0315 (Barton) Ph: (02) 6162 0808 – Hotel Realm. – Accommodation only. – Beautiful Flowers and Gifts.

* conditions may apply. JirraJirra WinesWines

ISSUE 4, 2019 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 [13] Mini book reviews: REVIEWED BY ASSOCIATE PROFESSOR JEFFREY LOOI, ANU MEDICAL SCHOOL

The Long Take: Robin Robertson Beowulf: Seamus Heaney Pan MacMillan 2018, WW Norton 2007, ISBN 978-1509846887 ISBN 9780393330106

This is a haunting dirge that follows a This evocatively illustrated edition of Canadian veteran of World War Two Heaney’s magisterial translation adds suffering from Post-traumatic stress vision to the lyric, complementary to disorder through late 1940s to early 1950s Heaney’s own bardic reading (audiobook) New York, Los Angeles, San Francisco of the epic poem. Lively, immersive and and LA again. A daring combination of deftly carved; the poem sounds a skaldic blank verse and crafted prose, the novel sonorous spell of the heroism of Beowulf adumbrates with tones of loss, grief, in his early battles with Grendel and longing and the harrowing of war, set Grendel’s mother and his doom-laden against the chiaroscuro of post-war final battle as an aged king with the America – echoing the long take in a film dragon. The explanatory notes succinctly noir. Robertson, a distinguished poet, assist the reader in understanding has also translated the plays “Medea” the context of the poem as well as the and “Bacchae” by Euripides and “The selection of the illustrations. Long Take” has as tragic gravity as those ancient tales of pathos.

AMA ACT membership AMA ACT membership entitles you to access this entitles you to access this Member Reward Partner Member Reward Partner e A News Magazine for all Doctors 3 Holder Place Holder, ACT 2611 eis resarans essenia in the Canberra Region inreien ISSN 13118X25 ROOMS TO RENT : 2 622 17 : 2 62 72 aa : 2 625 71 Published by the Australian For specialist / GP ward winning Insiring great cooing with Medical Association with special interest / casual Italian dining. ingredients boos and cooware (ACT) Limited Conditions may apply and you must produce your Conditions may apply and you must produce your Allied Health membership card to access these benefi ts. membership card to access these benefi ts. 42 Macquarie St Barton (e.g. Physio, Psychologist, (PO Box 560, Curtin ACT 2605) Audiologist etc) Editorial: FOR SALE 2 consulting rooms Peter Somerville GENERAL PRACTICE in with reception service. Ph 6270 5410 Fax 6273 0455 Available 5 days a week. [email protected] TUGGERANONG region Ample parking, AMA Typesetting: Long established disabled toilet, kitchenette. Design Graphix Private billing Ph 0410 080 619 CAREER Contact Richard on CONTACT: 02 6170 3351 or Editorial Committee: [email protected] Peter Somerville 0412 815 961 – Production Mngr ADVICE Dr Ray Cook Dr John Donovan A/Prof Jeffrey Looi HUB Advertising: Ph 6270 5410, Fax 6273 0455 WE HAVE MOVED [email protected] Articles: Don’t Leave Your Career To Fortune Copy is preferred by email to [email protected] The AMA’s Career Advice Service will assist you with: DR OMAR ADHAM in “Microsoft Word” or RTF Obstetrician & Gynaecologist l Career Coaching format, (not PDF) with graphics l Applications, Cs and interiew sills in TIFF, EPS or JPEG format. DR ELIZABETH GALLAGHER Obstetrician & Gynaecologist l Real life adice and DR TWEEN LOW l Much, much more. Disclaimer Gynaecologist & Fertility Specialist The Australian Medical Association (ACT) Lim- MARITA O’SHEA ited shall not be responsible in any manner Physiotherapist whatsoever to any person who relies, in whole For more information: or in part, on the contents of this publication unless authorised in writing by it. [email protected] The comments or conclusion set out in this Specialist Services Medical Group 13 133 6 publication are not necessarily approved or ama.com.au/careers/ endorsed by the Australian Medical Association Lidia Perin Building ph 02 6113 9080 (ACT) Limited. Unit 12, 12 Napier Close, Deakin ACT 2600 web www.specialistservices.com.au

[14] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 ISSUE 4, 2019 AMA ACT membership entitles you to access this r odo ahimolla Member Reward Partner Suite 14, Level 5 National Capital Private Hospital Corner Gilmore Crescent & Hospital Road Garran ACT 2605 h (02) 28 7900 Fx: (02) 6281 7955 Non-VR/VR GP Positions n Prostate cancer treatment n Peyronies disease e ea Evenings and weekends. n Robotic radical prostatectomy n Male incontinence n Robotic partial nephrectomy n Laparoscopic radical nephrectomy : 2 6162 Mixed billing, 70% remuneration n Robotic pyeloplasty n Laser Treatment for BPH otel ealm n Erectile dysfunction n Laser stone treatment Conditions may apply and you must produce your n n membership card to access these benefi ts. Contact David Bailey: 0408 663 977 Penile Implant surgery MRI guided prostate fusion biopsy

AMA ACT membership entitles you to access this Member Reward Partner Dr Anandhi Rangaswamy MBBS, MD, FANZCA, FFPMANZCA Joanne Flowers Ph: (02) 6295 0315 Dr. Anandhi Rangaswamy is a Pain Specialist and – Beautiful Flowers and Gifts Dr Damian Smith Anaesthetist. She completed her Pain Fellowship and Conditions may apply and you must produce your Anaesthetic Fellowship from Nepean Hospital Sydney and membership card to access these benefits. DR SMITH SPECIALISES IN THE FOLLOWING: then went on to do Paediatric Pain Fellowship from Westmead Children’s l Robotic & Computer assisted joint replacement surgery Hospital Sydney. CANBERRA LASER AND l Hip replacement l Knee replacement l ACL reconstruction Dr. Rangaswamy believes in a whole person’s approach to pain management. She GYNAECOLOGY CENTRE l Meniscus repair surgery l Tibial and femoral osteotomies for arthritis works with a multidisciplinary team to get the best outcome for her patients. l Multiligament surgery l Achilles tendon repair Her area of interest includes Back pain, Neuropathic pain, CRPS, Pelvic pain, Patients do not need to have private health insurance Paediatric and Adolescent pain management. She also oﬀ ers evidence based colposcopy & laser to be seen by Dr Smith in his consulting rooms interventional pain management to her patients where appropriate. endoscopic surgery Phone: 6221 9321 Email: [email protected] ACT PAIN CENTRE specialist gynaecology RELOCATED TO NEW PREMISES Suite 1 Calvary Clinic, 40 Mary Po er Circuit, Bruce ACT 2617 treatment of prolapse Suite 4, Level 2, Francis Chambers, 40-42 Corinna Street, Woden ACT 2606 T: 02 6195 0180 F: 02 6147 0669 E: [email protected] and incontinence

Dr. Philip Mutton MBBS, FRCOG, FRANZCOG 6273 3102 39 GREY STREET DEAKIN ACT 2600 FAX 6273 3002 EMAIL [email protected] Orthopaedic Surgeon PRACTICE LOCATION

Dr Wisam Ihsheish MBBS (Adel) FRACS (orth) FAOrthoA Knee arthroscopic surgery, hip and knee We specialise in tax planning and replacements and effective business structuring for general orthopaedics medical and healthcare professionals. Accepting new referrals in Our services include: Canberra and Goulburn • Tax return preparation CANBERRA • Financial reporting 5/5 Baratta St, Crace ACT 2911 Ph 6109 0002 • BAS preparation Fax 6109 0003 • Self-managed super funds GOULBURN • Practice establishment ELLESMERE • Lending services SPECIALIST CENTRE 56-58 Cliﬀ ord St, Goulburn NSW 2580 6257 4144 bonsella.com.au Ph 4823 0223 Fax 4822 5417

ISSUE 4, 2019 CANBERRA DOCTOR: Informing the Canberra medical community since 1988 [15] [16] CANBERRA DOCTOR: Informing the Canberra medical community since 1988 ISSUE 4, 2019