2013 2014 RANZCO Annual Report
ANNUAL REPORT 2013-2014
Table of Contents
Annual Report 2013/2014
Board of Directors...... 4 President’s Report...... 6 Chief Executive Officer’s Report...... 10 College Operations...... 12 Branches, Committees and Special Interest Groups...... 26 Affiliated Organisations...... 40 Listings of Committees, Special Interest Groups and Other Boards...... 44 RANZCO and Affiliated Staff...... 49
Financial Report 2013/2014
Directors’ Report...... 51 Directors’ Declaration...... 53 Auditors’ Independance Declaration...... 53 Statement of Financial Position...... 54 Statement of Changes in Members Funds...... 54 Statement of Profit or Loss and Other Comprehensive Income...... 55 Independent Auditor’s Report...... 58
RANZCO Annual Report 2013-2014 - 3 Board of Directors Board of Directors
Dr Stephen Best President
A/Prof Mark Daniell Vice President
Dr Bradley Horsburgh Vice President Honorary Treasurer
Dr Mark Renehan Censor-in-Chief
Prof Stuart Graham Chair, ORIA
Dr Diana Semmonds Member
Dr Cathy Green Member
Dr Heather Mack Member
A/Prof Nitin Verma Member
Arthur Karagiannis Member
4 ANNUAL REPORT 2013-2014
Councillors Branches
New South Wales Professors Group New South Wales New Zealand Dr Tasha Micheli Prof Peter McCluskey Chair: Dr Tasha Micheli Chair: Dr James Borthwick Dr Diana Farlow Vice Chair: Dr Andrew Chang Deputy Chair: Dr Stephen Ng Senior Fellows Group Dr Andrew Chang Hon Secretary: Dr Kim Frumar Hon Secretary & Hon Treasurer: Dr Andrea Vincent Dr Kim Frumar Dr Frank Cheok Hon Treasurer: Dr Andrew Chang Victoria * Council also comprises Victoria Dr Malcolm Ferguson entire Board Dr Andrew Crawford Chair: Dr Andrew Crawford Chief Executive Officer Hon Secretary: Dr David Van der Straaten Branch Queensland Dr David Andrews Hon Treasurer: Dr Sukhpal Snadhu Chairs Dr Russel Perrin Dr Rowan Porter Queensland Dr Mark Dal Pra Chair: Dr Rowan Porter Dr Tasha Micheli Dr Andrew Crawford Dr Rowan Porter Dr Anil Sharma Hon Secretary: Dr Anil Sharma South Australia Hon Treasurer: Dr Russel Perrin Dr Darcy Economos South Australia Dr Arthur Karagiannis Chair: Dr Garry Davis Western Australia Hon Secretary: Dr John Landers Dr Richard Gardner Hon Treasurer: Dr John Landers Dr Con Anastas Dr Garry Davis Prof David Mackey Dr Paul McCartney Dr James Borthwick Prof David Mackey Western Australia Chair: Prof David Mackey New Zealand Hon Secretary: Dr David Delahunty Registered Office Dr James Borthwick Hon Treasurer: Dr Rob Paul Dr Derek Sherwood 94-98 Chalmers Street, Surry Hills NSW 2010 AUSTRALIA Tasmania Dr Stephen Ng Phone: +61 2 9690 1001 Chair: Dr Paul McCartney Fax: +61 2 9690 1321 Younger Fellows Hon Secretary: Dr Andrew Traill Email: [email protected] Website: www.ranzco.edu Dr Christine Younan Hon Treasurer: Dr Andrew Jones ABN 80 000 644 404
RANZCO Annual Report 2013-2014 - 5 President’s Report
“The role of ‘educator’ is surely one of the most satisfying available to Fellows. I offer my congratulations to those who have contributed so effectively to the College’s education activities during the past year.”
6 Over the last 12 months at The Royal Continuing Professional Development Australian and New Zealand College Continuing Professional Development (CPD) is extremely of Ophthalmologists, there has been important to ensure patients receive the highest quality of patient care. Additionally, participation in CPD is now a significant activity driven by the Board requirement for medical registration. and implemented by our CEO within the CPD is a vital aspect of what RANZCO provides its framework of our strategic plan. The main Fellows. The way the College structures and implements CPD has been reviewed this year to enable Fellows to areas of focus continue to be Education more easily complete the requirements. Additionally and Training, Membership Services, the CPD team, led by Dr Peter Macken, have developed a Policy, International Development, and cataract audit tool to be released at the Brisbane Congress. Communications and Publications. Policy and International Development Education and Training RANZCO has been involved in multiple policy activities over the year, with many submissions filed with Education is rightly at the heart of RANZCO’s mission. Government and regulatory authorities so that our The Vocational Training Program produces outstanding opinions are voiced. On the international development young doctors, well-prepared to commence practice in side, RANZCO Fellows have again been very active with the Australia and New Zealand as general ophthalmologists. implementation of curriculum, teaching and examination Under the guidance of the Qualification and Education processes to ensure sustainable ophthalmology services. Committee, (QEC), the College implements and continuously reviews the policies and procedures that It has been pleasing to see the College contribute to underpin the quality of the program. The robustness of capacity building initiatives in Cambodia, Vietnam, the training program relies heavily on the collaborative Indonesia and the Pacific Islands region, seeking Dr Caroline Catt graduating to RANZCO Fellowship at the 2013 engagement of Fellows in every aspect of its operation, to enhance professional standards and strengthen RANZCO Congress from curriculum review and examination committee ophthalmology education. I would like to thank the service, to supervision and remediation of trainees in International Development Committee, led by Dr Neil are making it easier for staff to better and more efficiently the workplace, and the accreditation of training posts. In Murray, for their persistent work in this area. meet Fellows’ needs. These developments will continue in line with the RANZCO Strategic Plan, the past year has the year ahead. also seen the investigation of possible new educational Communications and Publications offerings commence. Excellent College Meetings and Events This year RANZCO has started to promote the The role of ‘educator’ is surely one of the most satisfying ophthalmology profession amongst the community, I was able to attend and present at the Branch Meetings available to Fellows. I offer my congratulations to those during the year. They provide the ideal opportunity highlighting the important work all Fellows do. This will who have contributed so effectively to the College’s for colleagues to meet and improve their skills and increase in intensity in 2014-15. education activities during the past year, and encourage knowledge. The state Branch Chairs and Executives that any of those who might like to become involved to offer The College also invested in improving IT services; quicker support them need to be acknowledged for the running of their services. internet lines, a new file management system and intranet these important meetings.
RANZCO Annual Report 2013-2014 - 7 The 45th Annual Scientific Congress was held in Hobart Finances in early November 2013 and was a great success, thanks to the efforts of the Scientific Program Committee and Board This year our financial situation has been remarkable member A/Prof Nitin Verma and his Committee. RANZCO due to an improved investment strategy, ably led by our hopes to continue this standard over the coming years. Honorary Treasurer Dr Brad Horsbourgh and Finance Manager Mr Andrew Young. This has meant that the Committees College has been able to support several initiatives for the benefit of Fellows, including plans to renovate and Numerous new committees were formed this year, expand our existing offices at Chalmers Street, create new particularly within the policy area, and it was pleasing to see many new Fellows opting to get involved to make a fellowships awards and advance our CPD program. contribution to our College via expressions of interest. College Staff and Office Bearers Leadership Development Program I have been very well supported by our two Vice Council at the mid-year meeting in June 2014 Six Fellows graduated at the November Council Meeting Presidents, A/Prof Mark Daniell and Dr Brad Horsbourgh, from the inaugural Leadership Development Program, This year we have further refined the Code and distributed along with a highly functioning and committed Board. which is part of RANZCO’s charter to build the leadership it to all Fellows, Trainees and Associate Members. We have undertaken a governance review that has and advocacy skills of Fellows. Very ably run by Board culminated with the revision and updated constitution member Dr Cathy Green, the 2014-15 18 month program Collaborative Integrated Team Care that was discussed at the recent mid-year Council commenced in June, at the mid-year Council meeting, meeting, and will require ratification at the forthcoming The concept of collaborative integrated team care has been working to develop the next generation of ophthalmic Annual General Meeting. It was indeed a great pleasure at the forefront of RANZCO’s activities since February 2013, leaders. to chair the recent Council meeting as the enthusiasm for when the Optometry Board of Australia, under the auspices progression of our strategic goals was evident! Council of the Australian Healthcare Practitioner Regulation Agency, published a change to the guidelines for the Thank You Changes to Council this year included the departure of diagnosis and management of glaucoma, recommending Drs Sam Lerts, Con Moshegov, Ivan Young, Thomas independent care by optometrists. Similar developments We have a wonderful group of talented staff. Their Edwards and John Dyer; we thank them for their have since occurred in New Zealand. dedication and hard work is greatly appreciated. I would contributions. This financial period we welcomed Drs especially like to thank Dr David Andrews, our CEO, Andrew Chang, Kim Frumar, Anil Sharma, Christine RANZCO, along with the Australian Society of who has been untiring in his work professionalising the Younan and Andrew Hamilton to Council. Ophthalmologists, has focused its efforts this year College. on ensuring a collaborative approach remains the RANZCO Code of Conduct way forward. Guideline changes should be driven by I also wish to thank all Fellows, particularly our College educational experience, not legislation! Committee members, for their input and expertise, The RANZCO Code of Conduct has been formulated by without this, RANZCO would not retain its excellent Independent parallel professional care is not the answer the Board over the last few years; it expands the College reputation not only in Australia and New Zealand, but and certainly not the solution in terms of recognised best Oath, and reflects the Australian Medical Board and the globally. of Medical Council of New Zealand (MCNZ) regulations. patient safety practices and outcomes, yet there exists a The Code is a living document which highlights aspects of real tension related to medical workforce and the increased Dr Stephen Best professionalism based around core competencies. burden of care associated with an ageing population. President
8 “Collaborative teamcare has been at the forefront of RANZCO’s activities since February 2013.”
RANZCO Annual Report 2013-2014 - 9 Chief Executive Officer’s Report
“As the leaders in eye care, we are immediately recognised from ministerial level down as the organisation that will provide reasoned and useful advice in a timely manner.”
10 The past year has seen a continued focus that transparency of decision-making, accountability to the the unflappable Censor-in-Chief Dr Mark Renehan. Mark’s Board, Fellows and members, and the collegiality of staff leadership typifies our efforts to improve service and on strengthening services, improving has greatly improved as a consequence of all this work. governance, and in particular the educational standards. governance and working to achieve From talking to international colleagues it is clear that Advocacy RANZCO is a world leader in ophthalmic education and outcomes aligned with our strategic plan. therefore the service to patients. Policy and advocacy have been big growth areas. We Fortunately we have had great staff stability, are closely involved with the Australian Society of Operations the Board remained the same as the year Ophthalmologists in relation to the court case against the Optometry Board of Australia. At the time of writing, the RANZCO remains in a very strong financial position as before and has provided excellent hands-on case waits to be heard in the Queensland Supreme Court. we look to the challenges and initiatives ahead. We will support. This period also saw a wide range of Similar changes with respect to independent optometry continue to defend our position around patient safety and practice have come into effect in New Zealand, so we are best practice, whatever the outcome of legal arguments. Fellows and members actively involved in a watching and investigating what action needs to be taken. We are looking at our educational services to train not myriad of activities at RANZCO. On a more regular basis, RANZCO works with many only quality ophthalmologists, but the allied ophthalmic Australian and New Zealand government departments community as required. We will continue to raise the bar Governance providing input on medications, clinical practice, standards with respect to professionalism and setting community of care, workforce, Medicare billing, professional standards, expectations and where possible we will provide We operate in an environment of increased regulation, Indigenous eye health and more. As the leaders in eye care, membership services which allow Fellows to interact on oversight and review, whether we like it or not, and as we are immediately recognised from ministerial level down many levels through conferences, committees, development a membership organisation we owe it to our members as the organisation that will provide reasoned and useful and aid work. It will be another busy and exciting year. to have the best possible governance for RANZCO. The advice in a timely manner. I thank Mr Gerhard Schlenther, Dr David Andrews Board and management take this very seriously and, as a our General Manager responsible for policy, and Ms Ritu Chief Executive Officer result, the Board instituted their own externally facilitated Mohan, our expert in this area, for lifting the bar over the review with the assistance of the Australian Institute of past 12 months, but they can only provide responses due to Company Directors. Fortunately the outcome showed no the many, many Fellows providing advice, so thank you all. major areas of concern, but did provide suggestions for further improvement. Senior management all underwent Education o externally facilitated 360 reviews, which has provided Education remains the core of RANZCO with our biggest invaluable insights into how we best work together and staff team, capably managed by Ms Penny Gormly. Some with the many people involved with RANZCO. A review roles were shuffled over the year to accommodate changes of our investment managers resulted in a change to in need. Fortunately none of the staff left and everyone JBWere and a subsequent uplift in the portfolio value was able to settle quickly into new areas of responsibility. with significantly lower risk. We reviewed all RANZCO The result has been better interaction with Trainees, a committees and created a few new ones, retired a few that more rapid and appropriate response to issues, and a were fairly inactive and revamped others. We opened the continually improving curriculum. Like all aspects of committees to all Fellows and members via expressions RANZCO this relies heavily on input from Fellows, many of of interest and discovered strong interest from many whom give hundreds of hours, weekends and nights for no Drs Darcy Economos, Arthur Karagiannis, David Andrews and wishing to work on RANZCO committees. Overall, I feel financial reward. Steering this ship for the past six years is Neil Gehling
RANZCO Annual Report 2013-2014 - 11 College Operations
“In its 2013- 2016 strategic plan, RANZCO has committed to supporting ophthalmology through training ...”
12 Membership New Fellows In the 2013/14 financial year the following doctors have been admitted to Fellowship of the College and ratified by Council. In Memoriam Elaine Wei-Tinn Chong 9 July 2013 Michael Richard James Thew 7 May 2014 Michael Kevin Birch (S-IMG) 9 July 2013 Jern Yee Chen 7 May 2014 During the year the College received, with sadness, Hema Karthik (S-IMG) 29 July 2013 Dania Qatarneh (S-IMG) 20 May 2014 notice that the following members passed away: Andrea Zarkovic 29 July 2013 Sing-Pey Chow 20 May 2014 Graham Richard Hay-Smith (S-IMG) 29 July 2013 Kenneth Gek-Jin Ooi 22 May 2014 A/Prof Hector Maclean – Vic Dr Ron Parker – Vic Uday Bhatt (S-IMG) 12 August 2013 Katherine Masselos 24 June 2014 Dr Peter Anderson – NSW Dr Don Perriam - SA Anna Lee-Yen Pang 2 September 2013 Anthony Peter Moriarty (S-IMG) 24 June 2014 Dr Lindo Ferguson – NZ Dr James Martin OAM – Vic Paul Reginald Tandy 11 September 2013 Matthew David Green 30 June 2014 Sharon Rachel Morris (S-IMG) 18 September 2013 S-IMG = Specialist International Medical Graduate. Edwin Crescenta Figueira 20 September 2013 Gerald Liew 25 October 2013 Benjamin Martin Hoy 30 October 2013 CATEGORY 30/06/11 30/06/12 30/06/13 30/06/14 Meon Lamont (S-IMG) 17 November 2013 FELLOWS New South Wales 370 397 396 398 Trent Courteney Roydhouse 26 November 2013 Victoria 225 223 200 237 Mitchell Lawlor 14 December 2013 Vignesh Raja (S-IMG) 17 December 2013 Queensland 167 159 142 173 Gurmit Singh Uppal (S-IMG) 11 January 2014 South Australia 79 83 65 81 Simon Edward Skalicky 14 January 2014 Western Australia 83 80 69 84 Chee Yiong Kang 20 January 2014 Tasmania 18 19 16 21 Joshua Shun Yuen 20 January 2014 Sunil Kumar Warrier 20 January 2014 New Zealand 140 141 121 131 Logan Dudley Robinson 20 January 2014 TOTAL 1082 1102 1009 1125 David Patrick Francis 27 January 2014 HONORARY FELLOWS 18 20 21 23 Thomas Llewellyn Edwards 31 January 2014 Paul Alexander Athanasiov 3 February 2014 OVERSEAS FELLOWS 63 62 72 57 Jonathon Qiang-Wei Ng 4 February 2014 ASSOCIATES Trainee 171 162 174 172 Ching Hui Ng 4 February 2014 Orthoptic 68 41 37 26 Sudha Cugati 5 February 2014 Practice Managers 120 90 94 97 Sophia Louise Zagora 18 February 2014 Tse Wing Season Yeung 12 March 2014 Ordinary 8 6 8 18 Dan Quoc Bao Nguyen (S-IMG) 19 March 2014 International 32 24 36 21 Shaheen Pravin Shah (S-IMG) 19 March 2014 Ophthalmological 2 2 2 n/a Mei Hong Tan (S-IMG) 19 March 2014 Manyi Jenny Ip 6 May 2014 TOTAL MEMBERSHIP 1564 1509 1453 1539 RANZCO Annual Report 2013-2014 - 13 Honours and Awards During the reporting period a number of Other Awards RANZCO Fellows and members gained Dr Shaun Dai A/Prof Graham Lee recognition for their work. Dr Shaun Dai was presented the Community award by At the 5th World Glaucoma Congress in July, the New Zealand Health Foundation for Asian and Ethnic A/Prof Graham Lee won the Film Festival’s Grand Prize. Medal of the Order of Australia Communities. The organisation focuses on health and His film “Challenge of the tube” was one of 30 short- Dr Darryl John Gregor medical issues and related services for Asian communities, listed films from around the world related to glaucoma management, surgery and new devices. Dr Darryl Gregor was awarded the Medal of the Order of as well as promoting exchanges between Asian countries Australia (OAM) for his service to ophthalmology and to and New Zealand in health and related areas, and bridging For College awards given out at the Annual Scientific education. Asian communities with mainstream government and Congress, please see page 25 non-government organisations. Queen’s Birthday Honours - Medal A/Prof Ivan Goldberg of the Order Recipients (OAM) The Glaucoma Foundation presented its 2013 Robert Ritch Dr Francis Poh Gwan Cheok Award for Excellence and Innovation in Glaucoma to Dr Francis Cheok was awarded the Medal of the Order A/Prof Ivan Goldberg. The award recognises the of Recipients for service to medicine, particularly contributions of individuals who have played a significant ophthalmology, to professional organisations and to the and unique role in promoting the medicine and science of community. glaucoma.
Prof David Mackey Dr Shaun Dai A/Prof Ivan Prof David Mackey Goldberg Prof David Mackey secured one of only two Australian Fellowships to attend the Harvard Business School’s Strategic Perspectives in Non-profit Management course in Boston. A/Prof Gordon Sanderson A/Prof Gordon Sanderson was awarded the Prime Minister’s Supreme Award for Tertiary Teaching Excellence. The Tertiary Teaching Excellence Awards celebrate New Zealand’s finest tertiary teachers – as recognised by their A/Prof Gordon A/Prof Graham Dr Darryl Gregor Dr Francis Cheok organisations, colleagues and learners alike. Sanderson Lee
14 Education and Development Qualification and Education Committee The Qualification and Education Committee (pictured right) contributes much time, energy and expertise to the College to ensure we continue to meet RANZCO’s mission to drive improvements in eye healthcare in Australia, New Zealand and the Asia-Pacific region through continuing exceptional training, education, research and advocacy. RANZCO is very grateful to the many Fellows involved. Awards for Excellence in Training Awards for Excellence in Training for ‘Excellence in The QEC at the 45th Annual Scientific Congress in Tasmania, November 2014 planning, communication, assessment and evidence based In the Victorian network, an interim inspection was inspection was conducted at the Sir Charles Gairdner professional practice’ were presented during the 2013 conducted in June 2013 at Broadmeadows Hospital with Hospital, however it was recommended the previous post Congress to the following supervisors: 12 month provisional accreditation provided to one not be re-established as there were insufficient resources • A/Prof Graham Lee, Queensland proposed post. An inspection was also carried out at the for supervision and surgical experience. • A/Prof Mei-Ling Tay-Kearney, Western Australia Royal Victorian Eye and Ear Hospital as a follow up to the In November 2013, the inspectorate travelled to Tasmania • Dr Ross Fitzsimons, New South Wales major 2012 inspection. to inspect one proposed new and one existing post at the • Dr Yves Kerdraon, New South Wales In August 2013, an inspection took place for a proposed Royal Hobart Hospital, as part of the Sydney Eye Hospital • Dr Anne Brooks, Victoria training post at the Gosford Eye Clinic and Wyong Eye Network. Both posts were provided 12 months provisional • Dr Stephen Guest, New Zealand accreditation with a review of the posts scheduled at the Clinic, as part of the Sydney Eye Hospital Network. The • Dr Deepa Taranath, South Australia end of this period. post was provided 12 months provisional accreditation. The Sydney Eye Hospital Network was inspected in March Training Post Network Inspections In October 2013, the Western Australia Training Network 2014 where nine posts were reaccredited for a further three Training posts in each of the training networks are underwent inspection with six posts reaccredited at years at the Liverpool, Concord Repatriation and Royal inspected for accreditation on a three year cycle, with South West Eye Surgeons, Fremantle Hospital and Royal North Shore Hospitals. The inspection of the Bankstown- interim inspections conducted as required. Training Perth Hospital. The Princess Margaret Hospital saw one Lidcombe Hospital saw the temporary accreditation of networks and the training posts within training networks post reaccredited for three years and one post given one post until the end of 2014, with the requirement to are assessed for accreditation against RANZCO approved provisional accreditation in order to allow time to address increase supervised clinic sessions prior to selection of standards for training in ophthalmology. the deficiencies in supervised theatres and clinics. A paper trainees for 2015. At the St George Clinic one post was given
RANZCO Annual Report 2013-2014 - 15 temporary accreditation until the end of 2014, requiring in New South Wales, six in Victoria and two in Western one additional theatre session and one additional clinic Australia. session per month. The senior post at the Royal Prince The annual matching process was conducted by the Alfred Hospital was reaccredited for three years and the National Ophthalmology Matching Program Co-ordinator, junior post provided 12 months provisional accreditation. Dr Ralph Higgins. In May 2014, RANZCO also conducted a Two full-time and one part-time posts at the Westmead Selection Workshop for members of the Qualification and Children’s Hospital and four full-time and one part-time Education Committee who represent the College on the posts at Westmead Hospital were reaccredited for three Network Selection Committees. years, with the view to each part-time post becoming a full-time one, dependent on a satisfactory timetable being Trainee numbers received by the College before registrar selection for 2015. As at June 2014 there were 172 trainees undertaking the One post at St Vincent’s Hospital (shared by the public and Vocational Training Program with 28 in year one, 36 in year private hospitals) was provided provisional accreditation two, 36 in year three, 35 in year four and 37 in their final until the end of 2014 pending an increased exposure to year of training. the private sector, as public sessions alone are insufficient to meet training standards. Finally, the Sydney Eye Vocational Training Program A/Prof Graham Lee and Dr Mark Walland Hospital saw 12 posts reaccredited, however one post will Curriculum Review Project be discontinued from the end of 2014 as it does not meet the required standards of supervision. The retina junior The review of the Vocational Training Program curriculum term may be split into two posts, pending a satisfactory has progressed on schedule during the reporting period. timetable being received by RANZCO, resulting in no loss A workshop was held on 1 February 2014 where Curriculum Committee members and representatives of nine review of training posts at the Sydney Eye Hospital. panels met to identify any omissions or duplications in the RANZCO would like to thank the Chief Inspector, set of draft Clinical Curriculum Performance Standards Dr Peter O’Connor, Senior Inspectors Prof Glen Gole, and to ensure consistency of approach to documenting the A/Prof Mark Elder and Dr Brian Sloan, and Inspectors, required learning outcomes and performance objectives. Dr David Tamblyn, A/Prof John Crompton and The resulting revised drafts were published on the Dr Alex BL Hunyor, for their contribution to the RANZCO website for comment by the Fellowship and training post inspections. interested parties. Selection of Trainees Draft revised Clinical Curriculum Performance Standards were presented at the Qualification and Education In 2013, the College received 110 applications for selection Committee in May 2014. Amendments proposed by into the Vocational Training Program. From these Qualification and Education Committee members were applications, 31 Trainees were appointed to accredited reviewed and incorporated by the Curriculum Committee. training posts with five of these 31 appointed in a mid-year The standards were finalised and await endorsement by A/Prof Mei-Ling Tay-Kearney and Dr Neil Murray intake. Trainees were appointed as follows: six in New the Board. A revised schedule for the curriculum review Zealand, four in Queensland, two in South Australia, 11 project was also adopted at the meeting.
16 Congratulations are extended to the Chair, Prof Paul this examination. Catherine maintains the role of Chair- the full RACE. Two were required to re-sit the written Mitchell, members of the Curriculum Committee Ophthalmic Science (OS) Board of Examiners. component only, another two were required to re-sit the and members of the various review panels for their clinical component only and four were required to re-sit the The annual meeting of Examiners in Ophthalmic Sciences outstanding contributions to the work of RANZCO. entire exam. Additionally, two candidates were referred to (OS) was held at the RANZCO Head Office in October the Progression Committee. During the reporting period, Ophthalmic Sciences and Ophthalmic 2013. The meeting included a presentation from Prof Paul seven specialist international medical graduates assessed by McMenanim on the topic of standard setting for written the Specialist International Medical Graduates Committee Basic Competencies and Knowledge exams. sat at least one component of the RACE as part of their (OBCK) Exams The time and effort of all involved in the written exams specialist assessment. Congratulations to Dr Zoe Gao who and also the clinical/practical (Anatomy, OSPE and OBCK) was the recipient of the Howsam medal for the RACE. All five Ophthalmic Sciences written exams (Clinical has resulted in all exams continuing to be completed in a A/Profs Mark Elder and Mei-Ling Tay-Kearney retired from Ophthalmic Pharmacology and Emergency Medicine robust and timely manner. This is very much appreciated the Boards of Ophthalmic Pathology and RACE Examiners [COPEM] Module 1, COPEM Module 2, Optics, Physiology by RANZCO. respectively, and are thanked for their commitment to and Anatomy) went smoothly, with collaboration between advanced exams over many years. Following a call for the Subject Leaders, Examiners and RANZCO staff. expressions of interest, Dr Svetlana Cherepanoff (FRCPA) As RANZCO continues to monitor and review the exam joined the Board of Ophthalmic Pathology Examiners. process, it was timely to conduct an audit of the COPEM “In 2013, the College received 110 RANZCO thanks the Chair of Ophthalmic Pathology exams to ensure the new online platform was performing applications for selection into the A/Prof Max Conway, Chair of RACE Dr Justin Mora and to the agreed examination model answers and marking Vocational Training Program.“ their respective Boards of Examiners for all their time scheme. Minor changes were applied to the examination and commitment to these advanced exams which are for the 2014 intake of Trainees. continuously reviewed and improved to ensure a robust The Anatomy written and the Ophthalmic Science Practical Advanced Exams and transparent process. Examination (OSPE) were completed by all Trainees who During the reporting year, RANZCO conducted two Course Development were selected in 2013 prior to commencement onto the examinations each in Ophthalmic Pathology and the Vocational Training Program. The sitting of both the In its 2013-2016 strategic plan, RANZCO has committed RANZCO Advanced Clinical Examination (RACE). Anatomy exams and COPEM Module 1 after selection, but to supporting ophthalmology through training of prior to commencement of training, continues to provide In Semester Two 2013, all four candidates who presented allied health and general practitioners. A background an opportunity for Trainees to have fewer exams in their for the Ophthalmic Pathology exam passed. In Semester report describing elements of the Australian education first year of training, allowing more time to focus on their One 2014, 27 out of 29 candidates passed this exam. regulatory framework and presenting brief case studies clinical and surgical experience. Congratulations to Dr James Slattery who was awarded the of organisations with similar educational missions Filipic Greer medal for Ophthalmic Pathology. to RANZCO that have become accredited education Five new examiners were appointed to join the Ophthalmic providers was presented to the Board in September 2013. Sciences Board of Examiners, with Dr Neil Murray being In Semester Two 2013, 16 RANZCO candidates presented appointed as Chair, Ophthalmic Basic Competencies and for the RACE, with five passing the full exam. Seven were In accordance with a resolution of the Board, terms of Knowledge (OBCK) Board of Examiners. Dr Catherine required to re-sit the written component of the exams only, reference and membership of a course development Green stepped down from this role and we would like and four were required to re-sit the entire exam. In Semester working group were proposed and approved in December to thank Catherine for her invaluable contribution to One 2014, 37 RANZCO candidates presented and 27 passed 2013. The purpose of the group is to advise the Qualification
RANZCO Annual Report 2013-2014 - 17 and Education Committee regarding course development times or just after selection. It has also been encouraging initiatives. Accepting the recommendations of the group, to see an increase in the number of posts being made by the Board supported an initial focus on developing Trainees on subject specific discussion boards. Posts are options for general practitioner upskilling and for the being answered by the relevant examiners and these, investigation of any ‘skills gap’ in staffing available for together with other online resources, are forming the basis ophthalmology. An online survey of the Fellowship was of some of the study tools available for Trainees. designed by the course development working group and In the reporting year, RANZCO successfully launched conducted in June 2013. several online learning resources on cultural awareness which were specifically aimed at both Fellows and Training Workshops Trainees. Some of the modules focus on issues associated A fifth Supervisors Workshop was held in Melbourne with communication and consent, while others discuss in December 2013 with 25 participants. The workshop the importance of active listening and non-verbal focussed on what makes an effective trainer/supervisor communication. and how to provide meaningful feedback to trainees All Fellows have been provided access to Moodle, giving in clinical and non-clinical areas, particularly poorly them opportunity for CPD learning activities. Video and performing trainees. For the first time, a trained audio recording of past Congress presentations have also professional actor took the role of a trainee in a number been added to the RANZCO online learning portal and Dr Mark Renehen, Ms Penny Gormly and Dr Peter Macken during of true-to-life scenarios. these have been made available to Fellows since May 2014. the QEC meeting in May 2014 A third Simulation Communications and Clinical Scenario More recently, Moodle has been used to host information Workshop was held for first and second year Trainees in pertaining to a Timor Leste curriculum review and there Sydney in June 2014 with 17 participants. With trained has also been activity associated with several discussion professional actors taking the part of trainees and with forums centred around eye health in the Pacific region. both a facilitator and ophthalmology consultant present, Trainees were exposed to a number of pre- and post- International Development operative scenarios covering complex communication issues. This year has seen an increase in Fellows participating Feedback from both workshops has been extremely in RANZCO’s international projects aimed at the positive, with a number of attendees indicating they were improvement in quality of ophthalmology training and able to apply techniques learned in their everyday working enhancing of professional standards. Apart from building life. We intend to repeat both of the workshops during 2015. capacity elsewhere in the Asia-Pacific region, Fellows’ involvement in such projects enhances the knowledge RANZCO acknowledges the financial contribution to base of the College and its capacity to advance the these workshops from the Australian Government under ophthalmology profession. the Specialist Training Program. I would like to acknowledge the time commitment Online Learning Resources undertaken by so many Fellows and also the dedicated work of the Education and Training team at RANZCO. Prof Paul Mitchell, Dr Christine Younan, Prof Glen Gole and There has been a steady increase in the number of visits to A/Prof John Crompton at hospital inspections at Sydney’s the RANZCO online learning portal (Moodle) over the past Dr Mark Renehan Westmead Hospital 12 months. This has mainly occurred during examination Censor-in-Chief
18 Policy and Advocacy
The RANZCO Policy and Programs Department has been working diligently towards the College’s strategic goal of ensuring medical oversight of Australian and New Zealanders’ eye care needs. The team, thanks to the invaluable time of a committed group of Fellows, has pressed RANZCO views on a broad range of topics through various government and peak body forums, in response to public consultations and through media releases. The Department has been able to build external relationships to better influence eye health policy through increased engagement with Fellows, RANZCO Committees, Special Interest Groups and external organisations. In 2013-14 we have seen enhanced involvement in the eye Federal Member for Chisholm Ms Anna Burke, Vision 2020 Australia Chair Mr Barry Jones and RANZCO Vice President A/Prof Mark Daniell health and vision sector peak body, Vision 2020 Australia, on behalf of Fellows on particular policy questions that Intravitreal Triamcinolone Acetonide. A media release evidenced by the reappointment/appointment of Fellows to impact ophthalmology. It is hoped these new committees warning patients taking tamsulosin and other alpha-1 the organisation’s Board and policy committees. A particular will function as effectively as the existing Medicare adrenergic receptor antagonists of the risk of eye surgery highlight has been the participation of Fellows and RANZCO Advisory Committee and Therapeutics Committee. complications was also produced in close collaboration senior management in Vision 2020 Australia’s strategic with the Urological Society of Australia and New Zealand planning sessions and the Parliamentary Friends of Eye owing to collective professional concerns. Health and Vision Care dinner, at which RANZCO attendees raised awareness with members of Parliament about the role “The new policy structure, despite In addition to seeking out opportunities to offer of ophthalmologists in eliminating preventable blindness its infancy, has already strengthened input, RANZCO continues to be invited by a variety of and barriers to the provision of eye health for those living Australian and New Zealand stakeholders to provide with blindness or a vision impairment. the ability for RANZCO to gather and expert comment on specific policy issues. The following disseminate consensus views.“ is a list of some of the submissions and contributions Another significant achievement for the year has been that were made in 2013-14: the reinvigoration of RANZCO’s policy committees in May, through a renewal of membership and terms of • Submission to the Medical Board of Australia on its reference of all committees and creation of the Workforce In developing policy, the policy team has worked with revised Draft Registration Standards on Professional Committee, Public Health Committee and Clinical Fellows, Committees and Board members to establish Indemnity Insurance, Continuing Professional Standards Committee. The new policy structure, despite new RANZCO position statements and guidelines Development and Recency of Practice; its infancy, has already strengthened the ability for on Live Transmission of Surgery, Use of Recycled • Submission to the Medical Board of Australia on its RANZCO to gather and disseminate consensus views Spectacles, Use of Clinical Photographs and Use of revised draft standards on Limited Registration and
RANZCO Annual Report 2013-2014 - 19 draft Guideline on Short Term Training in a Medical • Response to the Australian Workforce and Specialty Pathway; Productivity Agency update of the Government’s • Submission to NSW Health regarding the Draft NSW Skilled Occupation List for 2014; Rural Health Plan; • Submission to the Australian Government • Comments to NSW Transport regarding the Department of Health regarding MSAC assessment acceptability of Medmont Testing for assessing visual of Non-Mydriatic Retinal Photography in People defects; Diagnosed with Diabetes (MSAC Application 1181); • Submission to the New Zealand Ministry of Health regarding the proposed update of the National • Submission in response to AHPRA’s consultation on Diabetes Retinal Screening Grading System and International Criminal History Checks; Referral Guidelines; • Submission to Medicines Australia in response to • Comments in response to Standards Australia’s review of the Medicines Australia Code of Conduct; amendment of AS/NZS 1337.0 - Eye Protection • Submission to the New Zealand Optometrists Vocabulary; and Dispensing Opticians Board’s consultation on • Submission to the Medical Technology Association of proposed Guidelines for Optometrist Glaucoma Australia’s Industry Code of Practice Review; Prescribers; • Submission to the Australian Health Ministers • Submission in response to the Australian Commission Advisory Council and Royal Australian College of on Safety and Quality in Health Care’s consultation on Dr Brad Horsburgh at the Vision 2020 Parliamentary Friends Surgeons regarding a National Guideline on Elective Dinner Surgery Urgency Categorisation; Consumers, the Health System and Health Literacy: • Submission to the Australian Government Taking Action to Improve Safety and Quality; Department of Health regarding the Medical Services • Comments in response to the Australian Government Advisory Committee’s (MSAC) assessment of Optical National Health and Medical Research Council Coherence Tomography for the Determination of Research Translation Faculty’s call for input on Eligibility and Efficacy Assessment of Treatment with diabetes mellitus; Ocriplasmin (MSAC Application 1370); • Submission to the Australian Government • Submission to the NSW Agency for Clinical Department of Health regarding MSAC assessment of Innovation’s consultation on NSW Diabetes Model of Removal of Imbedded Corneal Foreign Bodies by an Care Optometrist (MSAC Application 1243); • Submission to the Australian Government Therapeutic Goods Administration’s consultation on • Submission to the Australian Government Treasury’s proposed advisory statements for over-the-counter discussion paper on reform to deductions for anti-bacterials for ophthalmic use: chloramphenicol, education expenses. propamidine, dibromopropamidine and sulfacetamide; The Policy team thanks all Fellows involved in creating • Submission to the Australian Health Practitioner the above RANZCO position statements and in being the Regulation Agency (AHPRA) Consultation on the voice of the profession. The dedicated efforts of A/Prof English Language Skills Registration Standard for all health professions; Alex P Hunyor, Dr Stephen Best, A/Prof Justin O’Day AM, • Comments in response to Standards Australia’s Dr Guy D’Mellow, Dr Brad Horsburgh, Dr Mark Renehan, Participants at a Leadership Development Workshop revision of AS/NZS 1336:1997 Occupational Eye and Prof Stuart Graham, A/Prof Mark Daniell and Dr Arthur Face Protection; Karagiannis are particularly appreciated.
20 International Development
RANZCO continues to develop the capacity of its partners in ophthalmic education and professional standards for eye care in the Asia- Pacific region. Half yearly and annual project peer reviews undertaken by RANZCO staff involved in project activities ensured that current development projects are aligned with the Strategic Plan and comply with Best Practice, as guided by RANZCO’s Good Practice Guidelines which draw upon the Australian Council for International Development (ACFID) Code of Conduct and Vision2020: The Right to Sight framework. Ophthalmology Residents at Takeo Eye Hospital in Cambodia
Pacific Islands aimed to empower participants to make a difference Visiting Teaching Faculty “RANZCO hosted ophthalmologists in their working environments, not only as medical Building on the successful capacity building of the practitioners and clinical decision makers, but as leaders Pacific Eye Institute (PEI) Project, RANZCO continues to and ophthalmic nurses from the Pacific affecting positive change to make eye care accessible to all facilitate short-term lecturers to the PEI based in Suva, Islands as participants of the Regional and contribute to blindness prevention. Supported by the Fiji. The short-term lecturers contribute to PEI’s capacity Leadership Development Program.“ Australian Department of Foreign Affairs and Trade, the to train eye doctors from across the Pacific Islands region. program was conducted in partnership with the Pacific RANZCO Fellows Drs Catherine Green, Stephen Ng, Willie Eye Institute (PEI) and Pacific Eye Society (PacEYES). Campbell, Russell Phillips, Raj Pathmaraj, John Dickson, between trainees and ophthalmologists in the Pacific Antony Bedggood, Brian Sloan and Peter Cooper, and Islands region and RANZCO Fellows. Pacific Eyes Online Indonesia Dr Svetlana Cherepanoff of the Royal College of provides the opportunity for both present and past PEI Pathologists of Australasia undertook short-term teaching The Indonesian College of Ophthalmologists (KOI) and students to stay connected and discuss clinical issues with visits to PEI. Dr Justin Mora supervised the PEI exams in RANZCO continued educational exchanges. 2013. visiting RANZCO specialist teaching staff. Fellows Dr David Kaufman, Dr Humayun Baig and Staying Connected Regional Leadership Development Program Dr Michelle Gajus participated in the supervision of As part of the collaboration between RANZCO, Pacific Eye RANZCO hosted ophthalmologists and ophthalmic nurses clinical exams in Jakarta, Indonesia in September. This Society (PacEYES), and the Pacific Eye institute, RANZCO from the Pacific Islands as participants of the Regional was followed by a RANZCO-supported visit in May from developed an online platform to bridge the distance gap Leadership Development Program. The two week program Dr Ikke Sumantri (KOI) to observe the Ophthalmic Basic
RANZCO Annual Report 2013-2014 - 21 A review of ophthalmology residency training (ORT) RANZCO supported three ophthalmologists from assessment processes commenced in 2013, with RANZCO’s Myanmar to attend this meeting as part of their Ms Christine McGuigan (Manager, Training and Continuing Medical Education. Assessment) observing the ORT exams in Phnom Penh and consulting with relevant stakeholders, identifying gaps in the exam process and making recommendations “RANZCO continued working with local for strengthening processes. This was followed by a desk review of formative assessment by Drs Neil Murray, partners in Cambodia to develop training Humayun Baig, Richard Stawell, Mark Renehan and Laurie capacity for ophthalmology and further Sullivan. enhance professional standards.“ A/Prof Alex Hunyor and Dr Peter Cooper participated in the Cambodian Ophthalmological Society Continuing Medical Education workshop in December. Both Peter and Alex’s IDC Chair Dr Neil Murray presents Dr Mundi Qalo with his RANZCO Congress International clinical presentations were well received and customised Regional Leadership Development participation certificate to the Cambodian context. The RANZCO Cambodia Scholarship Program Continuing Professional Development (CPD) Advisory RANZCO awarded six International Congress Scholarships Clinical Competencies and Knowledge (OBCK) exam. The Committee, comprising of Drs Richard Hart (Chair), Mark to ophthalmologists from the Asia Pacific region in Indonesia Examiner exchange project was funded by the Renehan, Peter Cooper, Heather Mack, Neil Murray and 2013. In line with RANZCO’s strategic programming, RANZCO Eye Foundation. Russell Phillips, and Ms Tanya Parsons (RANZCO Manager, ophthalmologists from Cambodia and Myanmar were Professional Standards and CPD), supported the Cambodian selected to attend Congress in Hobart. Scholarship Cambodia Ophthalmological Society to develop a CPD Framework. recipients participated in the RANZCO International RANZCO continued working with local partners in Dr Brian Sloan and Ms Penny Gormly (RANZCO General Development Workshop and took the opportunity to Cambodia to develop training capacity for ophthalmology Manager, Education and Training) conducted a scoping visit network with RANZCO Fellows and other international and further enhance professional standards as part of to Phnom Penh to gain an understanding of the current delegates during the scientific and social program. the East Asia Vision Program supported by the Australian processes for determining standards required for training Department of Foreign Affairs and Trade. Areas of institutions, identify gaps and make recommendations International Development Workshop collaboration included strengthening the capacity of the for a framework around which to determine standards The inaugural RANZCO International Development National Program for Eye Health and hospitals to develop measurements. workshop, retina in low resource settings, was held in minimum standards for training institutions, curriculum Hobart on 1 November 2013 with presenters and chairs from review and customisation, and strengthening and Indo-China Intraocular Inflammation/ the Pacific Islands region, Cambodia and RANZCO Fellows. standardisation of assessment methodology. Uveitis Meeting Informed by feedback from previous RANZCO Congress A Curriculum and Assessment workshop was held in April International Scholarship recipients and other international 2014, with participants including Fellows Dr Neil Murray, RANZCO co-sponsored the 2nd Indo-China Intraocular participants, sessions included retina in low resource Dr Catherine Green and Dr Weng Sehu, local Inflammation meeting in Ho Chi Minh City, Vietnam in settings, retina service needs, clinical pearls and pitfalls, ophthalmologists and representatives from the University October 2013. This regional meeting was organised by and a curriculum round table. The workshop successfully of Health Sciences, and RANZCO staff Ms Neridah Baker the Indo-China Ocular Inflammation Study Group with promoted collaboration and networking, contributing to (Manager, Curriculum and Course Development) and Mr active participation from leading international experts, an improved understanding of current challenges and the Gerhard Schlenther (General Manager, Policy and Programs). including Prof Peter McCluskey. management of retinal issues in the Asia Pacific region.
22 Clinical and Experimental Ophthalmology
It has been another year of growth and development for Clinical and Experimental Ophthalmology (CEO). The Editors, A/Prof Salmaan Al-Qureshi and Prof Bob Casson, continue to focus on improving the quality of the manuscripts published in the journal, with the long-term aim of increasing the Impact Factor.
The editorial office, publisher and RANZCO have CEO Editorial Board members at their 2013 Board Meeting strengthened ties to co-ordinate journal promotion institutions in the developing world. The journal achieved and marketing. This has ensured that not only is every a renewal rate of 100% in 2013, confirming the popularity RANZCO member fully aware of the benefits of their CEO “The Editorial Board now assesses an of CEO with journal readers. This is also evident in the subscription, but also that contributing authors are justly average of 94 papers per month from number of full text downloads which jumped from 176,000 rewarded as their papers are distributed and read widely in 2012 to 227,000 in 2013. throughout the global academic and medical community. more than 45 countries worldwide.“ Genomics Special Issue Manuscript Submissions, Reviews and online, and indexed in PubMed and other databases, within Each year CEO publishes a Special Issue, which consists of Publications seven days of receipt at the publishers, and in print eight invited review articles from world experts based around a CEO continues to attract increasing numbers of manuscript months later. Although papers are published from all central theme. This year the issue focused on the field of submissions from a diverse range of countries. The Editorial over the world, 64% of the journal’s papers emanate from genomics in ophthalmology. Launched in February 2014, the Board now assesses an average of 94 papers per month Australia, the USA, China, Japan and the UK. issue contains eight invited review articles discussing the from more than 45 countries worldwide. The large number impact of genomics on varying ophthalmic diseases and of submissions also means that the journal can select only Circulation and Readership disorders such as corneal dystrophies, primary open-angle top quality papers, with just 16% accepted for publication. glaucoma, retinoblastoma and inherited ocular disease. The The Editorial Office and publisher have worked hard to CEO subscriptions are now held by an impressive 8000 issue has been offered as free content to enable all readers, make sure that there is no delay in getting accepted articles institutions around the world; 3500 of these are gift even non-subscribers, to read up on the latest ophthalmic published and citable. Authors can now expect their article subscriptions made via philanthropic initiatives to genomic research.
RANZCO Annual Report 2013-2014 - 23 Anywhere Article Figure 1: Full text downloads 2009-2013 CEO articles are now available to readers in an advanced HTML format for an easier and more productive reading experience. Since February 2014 the new article format Full text downloads has been incorporated into all journals accessed through 250000 the Wiley Online Library. Anywhere Article offers readers content that responds to different screen sizes and also 200000 gives layers of added value beyond the standard, print, PC or PDF journal article experience. Key features include: 150000
• Readability: an uncluttered screen to allow the reader 100000 to focus on the article. • Functionality: readers can access references and 50000 figures without losing their place on the page. • Mobility: the responsive HTML article will adapt to 0 any device; desktop, tablet or mobile. 2009 2010 2011 2012 2013 Editors-In-Chief A/Prof Salmaan Al-Qureshi and Prof Robert Editorial Board Casson We are pleased to welcome the following new members to the Editorial Board: A/Prof Michael Goggin joins the new cataract and refractive team, Dr Ching Yu Cheng becomes an epidemiology Section Editor, Drs Alex Hewitt and Kathryn Burdon are both welcomed to the genetics section, Mr Raman Malhotra and Prof Tim Sullivan join us to aid with the orbital and plastics papers and A/Prof Jodhbir Mehta and A/Prof Mark Rosenblatt both bring their expertise in the area of cornea to the anterior segment team. We would also like to take this opportunity to thank retirees Drs Jamie La Nauze, Alex Harper, Salim Okera and Mr Moin Mohamed for their dedicated contribution to the journal over the past years. Impact Factor We are pleased to announce that the journal has retained a high Impact Factor in the 2013 Journal Impact Factor (JIF) tables. The new JIF is 1.95, almost identical to the CEO, Editorial Board Meeting held in Tasmania during the 45th 2012 JIF of 1.96. CEO is now ranked 24th of the 58 journals RANZCO Congress in November 2013 listed by ISI in the ophthalmology JIF table.
24 RANZCO Congress
RANZCO’s 45th Annual Scientific Congress was held in Hobart from 2-6 November 2013.
The 45th RANZCO Congress, with the theme ‘The Art and Science of Ophthalmology’, was a great success and fondly remembered by many. Despite a smaller than usual venue, the feedback was very positive, with the congress scoring 4.28 out of 5 for overall satisfaction in the congress survey. A total of 302 course, symposia, paper, poster and film abstracts were submitted, with 223 accepted by the Scientific Program Committee chaired by Prof Helen Danesh Meyer. The Committee chose a diverse mix of main lecture presenters; The Gregg Lecture was presented by Prof David Chang, the Council Lecture by A/Prof Julian Rait, the Ida Mann Lecture by Prof Jan Provis and the Hollows Lecture by A/Prof Nitin Verma AM. Dr Joan Miller was the Retina In session during the 45th Annual Scientific Congress in Hobart November 2013 Speaker, Dr Kuldev Singh the Glaucoma Speaker, Dr Bhupi Patel the Oculoplastics Speaker and Prof David Chang the Cataract Speaker. Distinguished Service Award: Dr Saad Al-Ali Dr Weng Onn Chan The Local Organising Committee was chaired by RANZCO Honorary Fellowship: Mr Laurie Pincott MBE Best community ophthalmology film: Tele-health, Board member A/Prof Nitin Verma. The Committee Trainers of Excellence: A/Prof Anne Brooks, Dr Ross connecting rural Australia with ophthalmology, organised for delegates to be welcomed to Hobart with a A/Prof Angus Turner wonderful evening on Saturday 2 November at the Museum Fitzsimons, Dr Stephen Guest, Dr Yves Kerdraon, of Old and New Art (MONA), followed by a successful A/Prof Mei-Ling Tay-Kearney, A/Prof Graham Lee and Best Poster Prize, sponsored by Carl Zeiss: Graduation and Awards Ceremony at Wrest Point, a Poster Dr Deepa Taranath A/Prof Alex P Hunyor and Film viewing, and a delightful dinner also at Wrest Point. Amongst adding many personal touches, the Committee Best Paper Prizes RANZCO Scholarships Winners also organised an art exhibition, which was open to anyone Gerard Crock trophy: Prof Mark Gillies RANZCO Eye Foundation/ Hobart Eye Surgeons East Timor attending Congress and their family members. John Parr trophy: Dr Joel Yap Scholarships: Dr Genevieve Oliver and Dr Abhishek Sharma RANZCO congratulates the following RANZCO/Bayer Scholarships: Dr Sue Abhary and Best Film Awards, sponsored by Allergan Congress prize winners Dr Matthew Simunovic and Dr Jesse Gale Best film and best surgical film: Live W. Bancrofti in the RANZCO/Allergan Scholarships: Dr Jennifer Fan Gaskin College Awards anterior chamber, Dr Sudarshan Khokhar and Dr Shenton Chew College Medal: Dr Ralph Higgins OAM People’s film choice award: DIY digital retino-cam, RANZCO/Abbott Scholarship: Dr Elaine Chong
RANZCO Annual Report 2013-2014 - 25 Branches Committees, Special Interest Groups and Groups
“Through the collective expertise of our branches, committees and special interest groups, RANZCO is able to ensure patient safety and best practice are at the forefront of the profession.”
26 Branches New South Wales Branch Report The 2013 Annual General Meeting was held for the first New Zealand Branch Report time at a location away from the College premises at the The last 12 months have seen many activities at the New ‘Loft’, King Street Wharf, Sydney on 14 October. The guest It has been a busy year for the New Zealand Branch of South Wales Branch. speaker was Mr Geoff Pollard, National Executive Officer RANZCO. Following on from the successful spring meeting of Glaucoma Australia. of last year, a similar Branch meeting was held in Wellington The Australian Medical Association (AMA) NSW Branch in November. President, Prof Brian Owler, and CEO, Ms Fiona Davies, The Branch made a donation of $50,000 in late 2013 were invited guest speakers at the NSW Branch meeting in towards RANZCO’s legal costs in its case against the Other than discussing various ophthalmology care August 2013 at which they raised the key issue of a project Optometry Board of Australia. concerns, we also had presentations from RANZCO for better access to cataract surgery for Indigenous patients President Dr Stephen Best, RANZCO CEO Dr David residing within metropolitan Sydney. Ophthalmology The Branch Annual Scientific Meeting at The Crowne Andrews and representatives from Health Workforce New has been identified as one of the areas where there is an Plaza, Hunter Valley on 21-22 March 2014 was very Zealand. That evening a group from the Branch, as well unmet need amongst urban Indigenous inhabitants. Brian successful, with the theme ‘Ophthalmology 2014: The as the President and CEO, met with the influential Acting proposed an AMA (NSW)/RANZCO project whereby, in Cutting Edge’. There were a total of 308 attendees Director-General of Health. conjunction with the Aboriginal Medical Service Western (delegates, media, exhibitors etc.). Following on from this we have had useful discussions Sydney (AMSWS), local ophthalmology services (in and presentations to the Ministry of Health, National The Branch actively participates in both presenting at, particular cataract surgery) are provided for the Indigenous District Health Board Planning and Funding Committee population in this area. The Branch was supportive of the and sponsoring, several medical careers’ events and expo’s and the National Health Committee about equitable care idea and hence, together with Fiona, met with the medical annually. These events provide medical students, interns, for macular degeneration with anti-vascular endothelial director of the AMSWS and several Aboriginal health care residents and registrars with career planning advice. growth factor anti-VEGF treatment across New Zealand. and social workers in January. Discussions with Fiona are It was exciting to present to them recent data showing The Branch acknowledges the efforts of Drs Frank continuing, and the Branch wishes to acknowledge the blind registration has dropped by 30% since 2006 when Bors (RANZCO’s representative on the AMA (NSW) and assistance of Dr Kiran Sindhu (Blacktown-based Fellow). anti-VEGF treatment started in New Zealand. NSW Law Society Medicolegal Committee) and Michael In August, Dr Sam Lertsumitkul attended the NSW Delaney (Chair, RANZCO Medicolegal Committee) The Branch is also working with the Ministry of Health on the new Clinical Priority Assessment Criteria (CPAC) Ministry of Health’s ‘Workforce Planning and Development’ in re-establishing a list of Continuing Professional scoring system for cataracts across the country. There has session to discuss its ‘Workforce Modelling NSW 2013 Draft Development (medico-legal) – accredited Fellows to act on – Ophthalmology’. The aim was to identify if a potential been significant consultation with ophthalmologists in the ‘NSW Expert Witness Panel’. gap exists between supply and demand through workforce New Zealand. forecasts to 2025, with the results suggesting an increasing Four NSW Trainees passed the RANZCO Advanced Clinical The Branch is grateful for the support from RANZCO workforce gap. Dr Michael Hennessy, Agency for Clincial Examination in August 2013 (Semester 2) and another 15 and the Australian and New Zealand Glaucoma Interest Innovation-State Ophthalmology Service representative, passed in March 2014 (Semester 1). The Branch extends its Group in giving a major response to the Optometrists and is in continued dialogue with the NSW Ministry of Health congratulations to these successful doctors. Dispensing Opticians Board consultation from prescribing regarding public ophthalmology services, of which he by optometrists in New Zealand. The Branch continues to provides the Branch with regular updates. On behalf of the Dr Tasha Micheli work for collaborative care with optometry for glaucoma NSW Branch, I’d like to thank Michael for his hard efforts. Chair, NSW Branch treatment.
RANZCO Annual Report 2013-2014 - 27 A very successful New Zealand Branch meeting was held the Victorian calendar. The organising team deserve high Queensland Branch Report in Rotorua in May. The theme was ‘The future – the profit praise for the continued success of this meeting. and loss of vision’. Fellows had a full two day program The Victorian Branch represented its members as “If you do one good deed, your reward usually is to be set to with keynote speakers Dr Larry Benjamin from the UK, do another and harder and better one.” C.S. Lewis Prof Mark Gillies from Sydney, Prof Ravi Thomas from significant issues arose over the past year. The Victorian Queensland and Dr Brendan Vote from Tasmania. Government review of hospitals and day surgeries The RANZCO Queensland Branch, along with the help of may have placed ophthalmic lasers under new and the Queensland government, is set on a course of renewal The Branch also made a submission to a Parliamentary burdensome regulations and a major submission was that began at the margins and is growing to involve the committee looking at safety of high-power laser pointers. made to urge that this be reconsidered. The Sustainable whole community. This has resulted in new regulations covering the Hospitals Project of the Health Department turned This journey began when Mr Campbell Newman’s wife importation, supply and acquisition of these potentially its attention to the state-wide delivery of ophthalmic blinding laser pointers. initiated ‘Homeless Connect’ in 2006 when the current services, and it was pleasing to see many Fellows attending premier of Queensland was the Brisbane City Council Congratulations to New Zealand Trainees Drs Thuan Pham, a major all-day meeting at the Health Department to Mayor. Prof Glen Gole, then Secretary of RANZCO (Qld), Kenneth Chan and Andrea Zarkovic who graduated at the discuss priorities and models for delivering eye services. was approached to participate with a small optometry RANZCO conference in Tasmania. Congratulations also to The strong presence of clinicians at this meeting has had team at City Hall and participation continues today. Dr Andrea Vincent who received the RANZCO Leadership significant influence and the further progress of this Development Program Award at the graduation ceremony. matter will be monitored closely. The Vision Initiative Queensland’s Australian of the year 2011, A/Prof Noel Hayman, the first Indigenous doctor in Queensland, is a further Victorian Government project that seeks to Congratulations to A/Prof Gordon Sanderson for receiving invited the Branch secretary to participate in the design provide the community with basic eye care information the Prime Minister’s Supreme Award for 2014 at the of the Centre for Excellence (CoE) in Indigenous Health and advice. Dr Peter van Wijngaarden has become the Tertiary Teaching Excellence Awards. that opened in August 2013. This model of primary care RANZCO representative to this project and Fellows are delivery on one floor and selected specialty services, Dr James Borthwick urged to support him as he assists in maintaining the lead including ophthalmology on the second floor, has been Chair, New Zealand Branch role for ophthalmology in professional eye care. successful and is already being copied state wide. Victorian Branch Report The Branch has also been represented at the Australian The IDEAS Van, an Indigenous diabetes initiative run Medical Association Chairs of Colleges meetings, where by Diamond Jubilee Partnerships, is an example of the The RANZCO Victoria Branch functions through the we have sought to inform our specialist colleagues state wide application of the CoE model. This mobile Committee: Drs Andrew Crawford (Chair), David van der about scope of practice issues and to develop support ophthalmology clinic is extending from eight hubs to a Straaten (Secretary), Suki Sandhu (Treasurer), Ben Clark, for our position. These meetings also provide valuable further eight smaller centres this year. Prof Jonathan Crowston, A/Prof Mark Daniell, information about issues on the horizon and it is clear In January 2014, the Queensland Eye Institute (QEI) A/Prof Malcolm Ferguson, Drs Catherine Green, Lewis that revalidation is on its way for all doctors. The relocated to new premises at South Brisbane as an Levitz, Heather Mack, Eric Mayer, John McKenzie, Richard Victorian Branch is supporting RANZCO’s efforts to Stawell and Nathan Kerr (Registrar Representative). All investment in the future of ophthalmology in Queensland. promote specialist colleges as the proper revalidating members must be thanked for diligently attending meetings body for specialists and Fellows are urged in turn to In June, QEI and RANZCO hosted Prof Graham Holder and representing the range of views across the Branch. assist this effort by fully supporting the RANZCO CPD from Moorfields Eye Hospital. Graham opened the new The Victorian Branch Meeting was hosted by the Alfred framework. Queensland Electro-diagnostic and Imaging Centre Hospital and organised by Dr Anton van Heerden, Ms Julie which is central in formation of a ‘reference centre’ at Humphrey and Mr Nicholas Brislane. The meeting was a Dr Andrew Crawford QEI for advancing the care of inherited retinal disease in great success and the new format is now well established in Chair, Victorian Branch Queensland.
28 Registrars are benefitting from the generosity of an Optometry Australia has been involved in discussions Western Australian Branch Report unrestricted educational grant from Novartis awarded with South Australia Health in relation to patient referral in January this year to assist registrars attend registrar pathways and the branch is currently addressing this as a At the RANZCO Western Australian Branch Annual conferences and participate in regional projects to gain matter of concern. General Meeting, held on 25 September 2013, all the experience in remote and Indigenous ophthalmology. This current office bearers re-nominated and were elected grant also has funds allocated to the wet lab and webinar The My Eye Health Program continues to provide by members. It is gratifying to see this continuity of hardware for teaching purposes. community educational services to many locations experience and expertise at the branch level for another around the state. It focuses on age-related macular The Branch overseas training scholarships for Queensland year; however it was sad to note at the Council meeting degeneration, diabetes, glaucoma and cataracts and has registrars are set to begin this year. Funds have also now held in June 2014 that the tyrannies of distance and time continued to receive wonderful support from the Royal been received from the late Dr Les Topham’s estate for had resulted in no Western Australian nominations to fill Society for the Blind, the Freemasons, the Sight for All further scholarships next year. It is hoped this program the numerous College committee vacancies. foundation and RANZCO. will include a commitment to ‘give back’ on their return to We congratulate A/Prof Angus Turner, who won a place Australia by providing teaching, research or public service The Annual General meeting was held at Chianti Classico in the Asia Pacific Academy of Ophthalmology (APAO) commitments at public hospitals. Senior Fellows are also restaurant on Monday, 8 September. Leadership Development Program, and Drs Jane Khan contributing funds to this project. and Fred Chen, who were both successful in joining the Dr Garry Davis RANZCO Leadership Development Program. Most recently it has been announced that the state Chair, South Australian Branch government will spend 20 million dollars to address The Director of Training, Dr Steve Colley, and Head of the eye the 19,000 patients waiting for their first outpatient Tasmanian Branch Report clinic at Sir Charles Gairdner Hospital, Dr Adam Gajdatsy, appointment over the next 12 months. The Branch has continued talks with the hospital medical management to also provided a financial tender to assist government in The Tasmanian Branch has had a busy year with the regain an accredited training post at the hospital. At the end of June all the impediments seemed to have been overcome instituting changes with benefits now and beyond the hosting of the national RANZCO conference in Hobart in and an application will be submitted to RANZCO in the third next 12 months. November 2013. My thanks to the Organising Committee quarter of 2014 for an accreditation audit. Dr Rowan Porter and A/Prof Nitin Verma in particular, and to all those Chair, Queensland Branch Fellows and RANZCO staff who worked hard to make the It is pleasing to report continuing progress to improve event such a success. access to Indigenous and remote eye services, although most of rural and regional Western Australia remains South Australian Branch Report The Tasmanian Branch held a very successful meeting at under-resourced to provide the level of ophthalmology care Cradle Mountain early this year, with retinal, corneal and to meet local needs. The Branch Executive fully endorsed The last year has been relatively quiet in South Australia in general sessions. Our thanks to A/Prof Brendan Vote for an application by Dr C.H. Khong to have Geraldton the absence of a state branch conference. organising the meeting. successfully declared an area of need in ophthalmology, Several medico political issues have occupied discussions with an additional doctor now practising to meet regional related to the scope of ophthalmology services at the Many Tasmanian Fellows work overseas, so I was very demands. This Branch also supported the successful new Royal Adelaide Hospital, due for completion in 2016, pleased that Tasmania Branch members felt we should application to establish a Rural and Remote Fellowship, and to the introduction of a state wide electronic patient respond as a branch to a request from Dr Marcellino with support from the Fred Hollows Foundation, and record system. Serious issues relating to patient flow, data Correira in Dili, Timor Leste, for funding assistance with a Dr Hessom Razavi took up the position within the Lions recording and retrieval, medication prescribing and theatre retinal fellowship in Jakarta which is currently underway. Outback Vision team led by Angus in January 2014. throughput have been identified in hospitals that are now using the system. These issues remain to be addressed in a Dr Paul McCartney Prof David Mackey manner that doesn’t compromise patient care. Chair, Tasmanian Branch Chair, Western Australian Branch
RANZCO Annual Report 2013-2014 - 29 Committees Archives and Museum Committee and Mrs Alex Arancibia, met with the RVEEH staff to determine how the renovations would impact on the The RANZCO Archives and Museum Committee held Museum, which will have to be moved during the planned regular teleconferences during the year to discuss issues three years of renovation work. such as the Museum website, RANZCO’s archiving I would like to thank those Fellows and families of former projects, the Museum displays, talks that occur annually at ophthalmologists who have continued to make donations Congress and new initiatives for the coming year. of unusual instruments to the Museum. Extensive digital cataloguing continued on the RANZCO Dr David Kaufman Museum website. This process involves capturing images Chair, Archives and Museum Committee of Museum items, cataloguing them and putting them on display on the website. Medicare Advisory Committee Mr Jeff Palmer, the College Archivist, is making good progress on the large amount of material stored at The past year has seen the implementation of changes Delegates enjoying the museum exhibition during 45th RANZCO RANZCO, ensuring archival items are correctly stored to the Medicare Benefits Schedule (MBS) arising from Congress in Hobart in November 2013 and properly catalogued in Archives Manager; software the second stage of the MBS Quality Framework review that will integrate into the College’s IT environment. Jeff of ophthalmology. These changes were all approved also provides important insights into integrating office (and mostly suggested) by RANZCO in consultation with systems with archival ones and advice on the digitisation subspecialty groups to bring the terminology of the MBS of paper records. Ultimately this will be available as a into line with current practice. Fellows received detailed linked search for Fellows. information regarding the affected item numbers and it The 2013 RANZCO Annual Scientific Congress was appears that no major issues have resulted from these held in Hobart and the Museum shared space with the changes. Changes came into effect in the March 2014 Senior Fellows’ Lounge. The exhibit was extensive and update of the MBS. covered a range of C19th anatomical and retinal texts, rare catalogues and surgical texts. A large range of ocular In response to the Board’s decision to review the homeopathy and the history of corneal transplantation composition of RANZCO committees, the membership of was complemented by a poster exhibit. A series of lunch the Medicare Advisory Committee has changed. I would time lectures were held and the lecture on the Museum like to thank outgoing Committee members Drs Paul was given to a large audience. Beaumont, Tim Forster, Raf Ghabrial, Michael Hennessy, The Royal Victorian Eye and Ear Hospital (RVEEH) Trevor Hodson, Nicholas Karunaratne, Phillip McGeorge continued to formalise its redevelopment plans. The and Rick Wolfe for their contributions over the years – in RVEEH currently houses much of the RANZCO Museum particular Tim who was Chair of the Committee for many Dr David Kaufman and Assistant Curator Kirsten Campbell and the space provided allows us to continue to digitise years. It is a pleasure to welcome Drs Clayton Barnes and the display. In early June, I, along with Dr David Andrews Peter Sumich to the Committee.
30 A matter of great recent concern is the introduction by Continuing Professional access to CPD for the 100+ Fellows in rural and remote some health funds of a ’pre-approval’ process for certain Australia. The Rural Cataract Audit (RCA) was completed at procedures, whereby patients may not receive the health Development (CPD) Committee the end of June and the data collected will be transferred fund benefits to which they are entitled unless written to the RCAT. The development of eLearning modules approval is sought in advance by their treating doctor. At The Continuing Professional Development (CPD) ‘Telehealth Education Modules for Ophthalmology and present this particularly affects oculoplastic surgeons, Committee has continued to refine the CPD framework Diabetic Screening’, led by A/Prof Angus Turner, is due and resources in order to assist Fellows in meeting the but has wide-ranging ramifications for the profession as for completion in early 2015. RANZCO was also involved requirements for both Australian and New Zealand a whole. Any such interference with the doctor-patient in two collaborative projects with the Royal Australian medical registration. relationship is inappropriate and will be strongly resisted College of Surgeons and other specialist colleges that were by RANZCO, which is working closely with the Australian Several policies and resources have been updated and completed at the end of 2013 – a rural procedural audit and Society of Ophthalmologists, the Australian Medical published on the website, including the CPD Committee the development of eLearning modules on ‘Intercultural Association and other professional bodies. The College is Terms of Reference, the CPD Handbook and the Failure Learning for Medical Specialists’. committed to ensuring that its Fellows comply with all to meet CPD Requirements Policy. The CPD section of the existing aspects of Medicare and health fund regulations. website has also been reviewed and updated, and contains This additional administrative burden of ‘pre-approval’, a wealth of resources and templates. “This initiative was met with positive which is unnecessary given the very specific wording of A reminder system involving monthly emails and two feedback from Fellows and resulted in the existing MBS schedule, is not appropriate. SMS reminders was implemented in order to assist Fellows in reporting their CPD activities before the diary improved compliance with the Unfortunately, RANZCO continues to be asked by the closed for 2013 reporting. This initiative was met with CPD program.“ Department of Health regarding aberrant billing practices positive feedback from Fellows and resulted in improved by a small minority of our Fellows, although in some cases compliance with the CPD program. The compliance rate there are good explanations for unusual patterns of practice. for CPD is now almost 100%. I would like to congratulate Looking ahead, this is my last annual report as I will be It is disheartening to be asked to explain behaviour which is all Fellows in achieving this result. stepping down as Chair of CPD at the end of 2014 (having clearly unethical and in some cases potentially fraudulent. A Working Group, headed by Dr Sam Lerts, has been completed my three year term in the position). It has The Medicare Advisory Committee will refer matters of established to develop the RANZCO Clinical Audit Tool been an honour and a privilege working in this role for concern to the Code of Conduct Committee where it is (RCAT), which will facilitate audit participation for all the Fellows of RANZCO, with excellent assistance from a felt that the College’s Code of Conduct has been breached. Fellows. An established audit software development very hard working and talented Committee and College Fellows should be aware that Medicare Australia will be provider, Episoft, have been engaged to work with the support staff. increasing its scrutiny of specialist billing practices. The group with a view to launch in late 2014/early 2015. Thank you to the CPD Committee members, past and majority of Fellows who practice and bill ethically and present, who worked hard to support Fellows throughout appropriately have no cause for concern in this regard. The Committee have been closely monitoring the progress of the Medical Board consultations regarding revalidation the year. I would finally like to thank all College staff, I would again like to thank the Medicare Advisory and are actively working to ensure that the RANZCO CPD especially Ms Tanya Parsons, Ms Penny Gormly and Committee for their valuable help and advice throughout program remains current with any developments. Mrs Alex Arancibia, whose ongoing support and hard the year. work is vital for our CPD program. Finally, RANZCO engaged in two projects during the A/Prof Alex P. Hunyor financial year supported by the Rural Health and Dr Peter Macken Chair, Medicare Advisory Committee Continuing Education Scheme, to facilitate enhanced Chair, CPD Committee
RANZCO Annual Report 2013-2014 - 31 International Development represented on the CEHC by Dr Catherine Green in the area of Fellowships. The IDC has established a number of Committee subcommittees this year to develop key projects: • The annual International Development workshop Now in its second year, the International Development focusing on cataract surgery in low resource settings. Committee (IDC) continues to provide strategic guidance • The International Development Symposium and oversees the activities of the RANZCO Asia Pacific subcommittee successfully developed a proposal International Development team. Development is now in collaboration with the International Council of firmly embedded in the RANZCO Strategic Plan, drawing Ophthalmology for a Symposium to be presented at from RANZCO’s core expertise of developing education Congress on ‘Surgical Standards in Education and and training. Practice: a Global Perspective’. The Board approved the upgrading of RANZCO’s • The subcommittee responsible for Fellowships membership of the International Agency for the continue to explore international development related Prevention of Blindness (IAPB), recognising it as a Fellowships. strategic opportunity for RANZCO to position itself as a • The IDC accepted the recommendation from the key player for eye health and prevention of blindness in International Ophthalmology Register (IODR) Back L to R – Mr Gerhard Schlenther, Drs Richard Stawell, Rosie the region. I was appointed as RANZCO representative to subcommittee that RANZCO discontinue the running Dawkins, Anthony Bennett Hall, James Le Nauze, Front L to R – Ms the IAPB for a three year term, and subsequently elected and administration of the Register in its current form, Kate Morrison, Drs Laurie Sullivan, Peter Cooper and David Andrews to the IAPB Board of Trustees. recognising that the platform has potential other IDC members have also been representing RANZCO on uses such as an in-house platform to communicate opportunities with Fellows. key committees and contributing to development-related advocacy and policy: I would like to thank all Committee members for their • Drs Laurie Sullivan and Anthony Bennett Hall ongoing work and wish to acknowledge the contribution represented RANZCO on the Vision 2020 Global of those who have stepped down from the committee Committee. during the year: Drs Richard Stawell, Garry Brian, Rosie Dawkins Ms Jacinta Spurrett and Prof Bob Casson. • RANZCO CEO Dr David Andrews continued to serve on the Vision 2020 Global Consortium Regional Plan Dr Neil Murray Steering Committee. Chair, International Development Committee • The IDC continues to provide advice on issues such as the Senate Inquiry into the Overseas Aid Bill 2013 and organisational policy relevant to development such as “RANZCO is a member of two major the Use of Clinical Photography Guidelines. consortia in eye health, the Vision 2020 RANZCO is a member of two major consortia in eye health, Australia Global Consortium and the the Vision 2020 Australia Global Consortium (CEHC) and Drs Neil Murray and Cathy Green with Regional LDP participant Commonwealth Eye Health Consortium.“ Mundi Qalo and Chair of PacEYES Ana Cama at the Inaugural IDC the Commonwealth Eye Health Consortium as part of International Development Workshop the Queen Elizabeth Diamond Jubilee Trust. RANZCO is
32 Human Research Ethics Committee Therapeutics Committee Specialist-International Medical (HREC) It has been a relatively quiet year for the Therapeutics Graduate (S-IMG) Committee Committee. There have been the usual individual requests The past 12 months have been busy for the Specialist- There have been substantial changes to the RANZCO for advice from Fellows regarding access to specific International Medical Graduate (S-IMG) Committee, with Human Research Ethics Committee over the past 12 medications, devices and guidance in dealing with the receipt of 37 applications for Specialist Recognition. months. Ms Wendy Radford is the latest new member and processes of the Therapeutic Goods Administration (TGA). will fulfill the role of pastoral care representative. In December 2013 the Medical Board of Australia Mr Robert Cann, one of the lay committee members, Several preservative free glaucoma medications have announced significant changes to the specialist recognition decided to retire after 10 years’ service. His attention to been released over the course of the year, improving pathway, to be implemented from 1 July 2014. The most detail and dedication to the task of assessing applications the therapeutic options for management. RANZCO had significant change was that applications for specialist will be greatly missed. previously encouraged the development of such agents recognition will go directly to the relevant specialist college and it is good to see this come to fruition. and no longer via the Australian Medical Council. There is now a more streamlined method for assessing applications and this includes a modified PDF fillable RANZCO received an enquiry from the TGA regarding As a result of these changes, and partly with further Low and/or Negligible risk form, which is being used the increasing number of Special Access Scheme (SAS) evolution in its processes, the Committee has redeveloped on a more regular basis by Trainees, Fellows and other requests for Triamcinolone. These had risen to numbers the web pages relating to S-IMGs on the RANZCO website, and revised or created policies, guidelines and information medical graduates who are hoping to get onto the training vastly in excess of any other Special Access Scheme sheets on the following: program. medication. Subsequent discussions and teleconferences Over the last 12 months there have been four meetings were conducted with the TGA by A/Prof Alex P Hunyor The Committee recognises the critical importance of its decisions to the applicants, as well as to RANZCO Fellows where committee members were able to discuss and myself, resulting in a prescribing pathway and and Trainees and to prospective employers. We have applications at various stages of review. These included the development of College guidelines for the use of gone to considerable lengths to ensure its processes are clinical trials, surveys, prospective and retrospective Intravitreal Triamcinolone. Thanks go to Alex and fair, transparent and consistent while maintaining the audits and studies. Dr Christine Younan for putting together this document. confidentiality which is essential to the process. Some of the more recent applications have made use of Thanks also to Prof Stuart Graham who retired from the In June, the Committee made a submission to the Medical the resources that can be found on the RANZCO website. committee this year after many years of service. He has Board of Australia in regard to the consultation paper These include a submission checklist which can be filled always provided prompt and sound advice. “Limited registration standards and draft guideline on in to ensure that all aspects of the research proposal short term training in a medical specialty pathway”. Our have been covered in the submission. There are also links I too shall be stepping down. I would like to thank all those submission placed particular emphasis on the difficulties to help with randomisation, power calculations and a who have contributed to this committee over the years, involved in assessing Area of Need applications along with template for patient information and consent forms. especially other RANZCO Special Interest Groups whose Specialist Recognition assessment, where different criteria apply to each assessment. input is often required, and Ms Ritu Mohan from RANZCO The enthusiasm and contribution of all committee The College Co-ordinator, International Medical Graduates members is very much appreciated. whose persistence has kept us on track. (IMG) and Development, attends twice yearly meetings of Prof Mark Radford Dr Guy D’Mellow IMG Managers from all specialist colleges and participated in Chair, HREC Chair, Therapeutics Committee a forum, also attended by the Australian Health Practitioner
RANZCO Annual Report 2013-2014 - 33 Two of our longest-standing members retired during the attended and interesting Symposium titled ‘Indigenous “In addition to the significant changes year and their absence will be missed. Eye Health: a National Perspective’. to the Australian specialist pathway The Committee very much appreciates the support given There was discussion at several of the meetings about a by the RANZCO CEO and his staff, in particular Ms Lauren recent report put out by McKinsey and Company. This process, RANZCO has also become more Hodgson, the Committee Co-ordinator. involved in the assessment of IMGs in detailed document used national and international case Dr Stephen Cains New Zealand.“ studies and importantly was able to use data from the Chair, S-IMG Committee Kimberley and Pilbara regions of Western Australia as an example of best practice for a Medicare Local Collaborative Framework for Indigenous eye health. Regulation Agency (AHPRA) and Australian Medical Council Category of Specialist Number of Applications Following on from this, A/Prof Angus Turner spent a (AMC), on the specialist pathway changes in February 2014. Application whole day in Canberra at a DOHA conference outlining In addition to the significant changes to the Australian Full Specialist recognition 37 how ophthalmologists, Optometrists and GPs can all work specialist pathway process, RANZCO has also become applications more involved in the assessment of IMGs in New Zealand. together with the Medicare Local to provide eye care Previously, the College had no involvement in the Concurrent Area Of Need/ 2 services to the local population. assessment of IMGs in New Zealand, which was carried Full Specialist applications out by the New Zealand branch of the Qualification There was a workshop in August whose aim was to deliver and Education Committee (QEC) in association with Ophthalmologist of 1 working guidelines of Indigenous health content. The the Medical Council of New Zealand (MCNZ). RANZCO Eminence guidelines will be sent to all Australian medical colleges is now assuming a more direct involvement with the with the purpose of incorporating some or all of the development of the New Zealand IMG Committee, Australian MBBS holders 1 suggestions into the curricula documents. whose Terms of Reference were approved in June after consultation between the Censor in Chief, the New TOTAL 41 Recently there was a refocus of all College committees Zealand QEC and the RANZCO S-IMG Committee. and only as a result of this process, the Indigenous and The International Graduates and Development co- Rural Health Committee was renamed the Indigenous ordinator will provide administrative support to the new Indigenous Committee Committee. There were five members who decided to Committee, whose role will be to provide advice to the finish up their terms on the committee including MCNZ on an applicant’s suitability for registration within a In the reporting year, the Indigenous Committee met vocational scope of practice in New Zealand. A/Prof Henry Newland, Dr Richard Rawson, Dr Michael several times by teleconference culminating in two large Hennessy, Prof Minas Coroneo and Dr Garry Brian. The accompanying table includes information which is meetings at Congress in Hobart. The College thanks these Fellows for their many required to be published by the Australian Competition and Consumer Commission. Prof Hugh Taylor was able to give an overview of the contributions to Indigenous eye health. There were three progress to date of the ‘Roadmap to Close the Gap for new members who joined the committee; Dr Antony I would like to place on record the work done by the Committee members who undertake these assessments Vision’ and indicated that the Federal Government is Bedggood, Dr Rowan Porter and Dr Graham Hay-Smith. and interview all applicants, and whose experience and partially funding many of the Roadmap initiatives and knowledge underpins the processes of the committee and projects. The next update to the Roadmap was officially Dr Ashish Agar and A/Prof Angus Turner its outcomes. launched at Congress and this was followed up by a well- Chairs, Indigenous Committee
34 Special Interest Groups Australian and New Zealand Glaucoma Interest Group (ANZGIG) “Fellows, Trainees and overseas registrants brought attendance to The Australian and New Zealand Glaucoma Interest 73 registrants, with 20 members of Group (ANZGIG) continues to enjoy busy and productive industry.“ years. Our highlight this year was our successful annual meeting Other activities this year have included: held at the Esplanade, Fremantle, on 7 to 8 February 2014, combined with the Singapore Glaucoma Society. The • Delivery of courses and symposia at RANZCO’s Delegates outside the Esplanade Hotel, Fremantle Lowe Lecturer was Prof Hanspeter Killer from Aarau, Annual Scientific Congress; Switzerland, with the Gillies Lecturer being Prof Bill • Provision of scholarships and awards to Morgan. facilitate attendance of registrars, Trainees and Fellows, Trainees and overseas registrants brought ophthalmologists from developing countries at our attendance to 73 registrants, with 20 members of industry. meetings, and to recognise excellence in research and The Group’s Annual General Meeting was attended by in presentations at our meetings; 25 Fellows. Prof Jonathan Crowston was elected Chair, • Ongoing development of clinical audit programs replacing A/Prof Ivan Goldberg who had chaired the (currently OPTICA, ocular surface disease and Group since 2005. A/Prof Anne Brooks was re-elected as preservatives) to assist Fellows to meet the Secretary, and Dr Guy D’Mellow was elected Vice Chair. compulsory audit requirements of the College; Two Committee members were elected from each state • Providing advice to RANZCO on optometric of Australia and two from New Zealand. We are greatly management of glaucoma; indebted to Ivan’s outstanding leadership over this period and his ongoing commitment to ANZGIG. • The ANZGIG Networked National Health and Medical Ms Kathleen Poon yet again proved a most effective Research Council (NH&MRC) Study on selective laser organiser (assisted by Ms Esther Gmelig) and remains trabeculoplasty (SLT) as a possible primary treatment our much-appreciated Administrator. for glaucoma. All Fellows are cordially invited to join us in our activities. Gillies Lecturer Prof William Morgan with Lowe Lecturer Our next annual scientific meeting will be held from Prof Hanspeter Killer 6 to 7 February 2015 in Brisbane. It is being organised by Prof Jonathan Crowston, President Drs Guy D’Mellow and Mark Loane. A/Prof Anne Brooks, Secretary/Treasurer
RANZCO Annual Report 2013-2014 - 35 Australia and New Zealand Australian and New Zealand Strabismus Society (ANZSS) Society of Ophthalmic Plastic Surgeons (ANZSOPS) The Australian and New Zealand Strabismus Society (ANZSS) had a very successful year, having presented The Australian and New Zealand Society of Ophthalmic two sessions at the Annual RANZCO conference last Plastic Surgeons (ANZSOPS) continues to grow steadily November and then following up with the largest and now has 50 full members. strabismus subspecialty meeting the group has ever held. The big advancement in the past year has been the The Australian and New Zealand Strabismus Society development of formal affiliations with the American conference was held from 7 to 8 March 2014 at the Royal Society of Ophthalmic Plastic and Reconstructive Automobile Club in Sydney and featured Prof David Surgery and the Asia Pacific Society of Ophthalmic Granet and Cheryl McCarus both from the United States, Plastic and Reconstructive Surgery (APSOPRS). Members as the guest speakers. of ANZSOPS now have the ability to join these societies The program for the meeting was excellent and David as international associate members. This enhances and Cheryl provided a series of wonderful lectures on international collegiality, and allows our members to ANZSS Conference 2014 held at the Royal Automobile Club Sydney various aspects of adult and paediatric strabismus. David attend and present at more overseas meetings, as well as also delivered the Bill Gillies Lecture, an update on new enjoy enhanced access to journals and bulletin boards. strabismus techniques. Bill’s son, Mark, was in attendance The American Society of Ophthalmic Plastic and to present a specially crafted plaque. Reconstructive Surgery also honoured Dr Alan McNab as a featured speaker in their 44th Annual Fall Scientific The conference also included a live patient session which Symposium in New Orleans in November 2013. Alan’s once again showcased the various aspects of strabismus lecture on non-traumatic orbital haemorrhage was well examination and the diagnostic and therapeutic received. dilemmas encountered in the management of both common and less common conditions. In addition to their work training RANZCO Trainees and sub-specialist Fellows, many ANZSOPS members have The Society will be providing sessions on strabismus at contributed to teaching projects in developing countries, the upcoming RANZCO Scientific Congress in Brisbane. supporting an “in country fellowship” in Vietnam in 2013. The annual meeting will take place in early March 2015. A similar project is planned in Laos for 2014-15. The guest speaker is Prof Joe Demer, who is recognised as a world authority on muscle pulleys and the effects of The ANZSOPS main members’ meeting is being held the the orbital structures on the development and treatment day before Congress. Two symposia will be presented of strabismus. by Society members during Congress – ‘Periocular Aesthetics’ on Sunday, 23 November 2014, in the afternoon The Committee continues to be well represented from and Tips from the Subspecialists - Managing Facial Nerve states around Australia as well as New Zealand. Palsy on Wednesday, 26 November 2014, in the morning.
The Gillies Lecture with Dr Craig Donaldson, Prof David Granet and Dr Craig Donaldson Dr Brian Sloan Prof Mark Gillies President, ANZSS President, ANZSOPS
36 Australian and New Zealand Society thank Dr Willie Campbell, who stepped down as the chair developments in endothelial transplantation (DSAEK and of ANZSRS after five years, for all of his work on behalf DMEK), drug development and the annual report of the of Retinal Specialists (ANZSRS) of the Society. The role of Chair is taken up by A/Prof Australian corneal graft registry. The two named lectures, Anthony Kwan from Queensland. the Douglas Coster Lecture and the John Blandford Lecture, It has been another successful year for the Australian A/Prof Anthony Kwan were delivered with aplomb by A/Prof Mark Daniell and and New Zealand Society of Retinal Specialists (ANZSRS). Chair, ANZSRS Prof Michael Monteiro respectively. Prof Charles McGhee The ANZSRS Annual Scientific Meeting held in November from Auckland was elected to leadership of the Society, ably prior to RANZCO’s Annual Scientific Congress in Hobart, supported by Prof Gerard Sutton from Sydney. Tasmania was again well received. We had a shortened Australia and New Zealand Cornea A number of ANZCS members are involved in the program in order to accommodate a visit to the Museum Society (ANZCS) forthcoming global consensus on keratoconus to be of Old and New Art (MONA) for the Congress welcome convened at the 2014 American Academy of Ophthalmology. reception. We still managed to pack in an informative The Australia and New Zealand Cornea Society (ANZCS) program which included a timely and invigorating debate A future conjoint meeting of the regional Asia-Pacific continues to represent and provide advice to RANZCO corneal societies is in the planning stages and this year a on the systemic safety of anti-VEGF injections and an on matters related to the cornea and eye banking. ANZCS number of ANZCS/RANZCO Fellows will participate in the update on myopic maculopathy. The attendance for the regularly interacts with Australasian Eye Banks and Asia Cornea Society conference in Taipei. The next ANZCS Retinal Imaging Refresher Course at the Congress was full regulatory authorities and the society fosters clinical, Cornea and Eye Bank Conference, co-ordinated by Prof Geoff and there are plans to hold this again at the 2014 Congress research and educational activities and initiatives in Crawford and colleagues, will be held in Perth in March 2015. in Brisbane. Australia, New Zealand and further afield. With electrophysiology as the theme at the mid-year Prof Charles McGhee symposium, we were honoured to have Prof Graham Chair, ANZCS Holder from Moorfields Eye Hospital delivering the Della Lecture on an update of electrophysiology. The lecture “Attendance exceeded expectations with generated plenty of discussions and audience participation the Brisbane program attracting over Ocular Oncology with the subsequent case presentations. A/Prof I-Van Ho from New South Wales gave an important talk on the new 100 delegates from Australia and The Ocular Oncology Special Interest Group met up in classification of vitreomacular tractional disorders, and New Zealand.“ Cleveland, Ohio, USA last year for the International Society the meeting included a panel discussion of challenging of Ocular Oncology biennial meeting. Rapid advances are vitreoretinal cases in addition to the Complications Forum being made regarding the pathogenesis of uveal melanoma and medical retina (FAN Club) case presentations. The 31st Annual Cornea and Eye Bank conference was and the genetics that promote metastasis are being worked out – which will help in not just prognostication but also, The macular hole study is ongoing, thanks to the tireless successfully held by ANZCS in Brisbane on 6-7 March 2014. effort of Dr Rohan Essex from Canberra. There are now The dynamic, varied and highly interactive annual meeting potentially, treatment of metastatic disease. The Ocular over 2,000 cases in the database. A/Prof Alex P Hunyor was co-ordinated by Drs Andrew Apel, Peter Beckinsale Oncology Special Interest Group also ran an interactive presented our latest findings at the American Society of and Nic Nuttall. Attendance exceeded expectations with seminar at the recent RANZCO Scientific Congress in Hobart and are planning something similar in Brisbane. Retinal Specialists (ASRS) meeting in August this year. the Brisbane program attracting over 100 delegates from We are also pleased to welcome Dr Sunil Warrier to our The vitreoretinal audit website is up and running and we Australia and New Zealand. A number of excellent expert group. encourage our members to make use of it. speakers addressed a myriad of contemporary topics, such Lastly, we welcome Western Australia’s Prof Ian McAllister as corneal optics, limbal stem cell function and Dr Peter Hadden who has joined the ANZSRS committee. We would like to transplantation, aspects of herpetic eye disease, Chair, Ocular Oncology
RANZCO Annual Report 2013-2014 - 37 I am pleased to be one of two Practice Managers Groups appointed to the newly formed Professional Standards Committee which will be focussing on a roll out of Practice Accreditation. The Group hope to bring valuable insight RANZCO Practice Managers Group and perspective to the project, and believe Practice Managers will be a driving force behind voluntary The Practice Managers Group’s achievements over the accreditation. past year have included a more disciplined structure, a wider representation of interests from differing states, and Ms Moira McInerney a clearer agenda and purpose for our goals. The Practice Chair, Practice Managers Group Managers Group now receives support through its representatives from Western Australia, South Australia, Senior and Retired Fellows New South Wales, Queensland and New Zealand. I would like to thank them for their time and effort. The Senior and Retired Fellows had a successful and Representation such as this, from small and large practices happy meeting in Hobart. The Seniors Lounge area was across Australia and New Zealand, helps us to identify the well situated with wonderful views over Constitution key issues to work on. The Group focused on raising the Dock. Practice Managers in session during the 45th RANZCO Congress in calibre of the content and responding to the information The lunch lectures were well attended and enjoyed Hobart November 2013 needs of Practice Managers at the 2013 conference. These by all. The first lecture was by Ms Jan Larke, a local principles have been applied to the coming RANZCO artist. The second from Dr Michael Jamieson, one of Scientific Congress in Brisbane, for which we are pleased our registrars from Melbourne, enlightened us on the to say we already have a nearly full agenda. mysteries of the iPad. Dr David Kaufman, Curator of the Museum, also gave a talk on ophthalmic curiosities. Although the conference in Hobart had a lower attendance than the previous one in Melbourne, which could be said to be due to the distance, feedback was very good on the sessions themselves – 14 out of 16 of those “We are grateful to the College for sessions scored higher than a 4 (scoring 1 - 5). The Group introducing and encouraging these believe further attendance will come with the quality of the speakers and have pursued sponsorship to gain initiatives and look forward to a similar professional speakers. The group would like to thank Mr program in Brisbane.” Ray Andrew for his assistance in compiling the agenda from a Tasmanian perspective.
The assistance from Ms Sarah Stedman at RANZCO Drs Frank Bors, Bill Barnett and I participated in a has also been invaluable for compiling and gathering symposium chaired by Drs Stephen Best and Brad information for the website. We now have information Horsburgh on ‘The Practice Life Cycle and Generational on practice management, professional development, Change’. Frank, Bill and myself presented about Senior Fellows enjoy a presentation in the Seniors Lounge during conference presentations, eHealth, accreditation, successful succession planning and transition to the 45th RANZCO Congress in Hobart in November 2013 Medicare and events on the RANZCO website. retirement. This symposium was well received.
38 We all enjoyed a good meal catching up with old friends at the Seniors and Retired Fellows Dinner. This was a very successful night and enjoyed by all. Music was “Over time Fellows were added to ensure provided by myself on my harmonica, commencing the Younger Fellows’ Advisory Group had with a musical tribute to Sir Ernest Shackleton who was representation in all Australian training buried in Grytviken, South Georgia. Learning a new song, which may well become the Seniors Anthem, was well states and New Zealand.“ received. The song was ‘I Am Australian’ written by Bruce Woodley of The Seekers. The Younger Fellows’ Advisory Group have kept in The Seniors and Retired Fellows Lounge and the Dinner regular communication through Younger Fellows articles are now established functions for future congresses. This in the RANZCO e-News and the RANZCO News magazine. will encourage more Senior Fellows to attend and remain Additionally, a survey was emailed to all Younger Fellows involved with RANZCO. We are grateful to the College for in January 2014, with 145 responses from approximately introducing and encouraging these initiatives and look 500 Younger Fellows we have found the results of the forward to a similar program in Brisbane. survey useful in guiding our work and the group have decided to introduce this annually to ensure issues and A very special thank you to Ms Kathy Kiernan, the interests of particular importance to Younger Fellows, Dr Michael Jamieson presenting to Senior Fellows at the 45th functions were a success largely due to her. Thank you continue to be identified. RANZCO Congress in Hobart also Ms Avril Cronk for her organisation and to all the staff at RANZCO who have helped. A Younger Fellows Session was also held at the Victorian State Branch Meeting, which was well received. This was On another note, as you look at moving to part-time developed as over 60% of respondents to the survey stated practice or retiring completely, remember to keep the that they wished to see Younger Fellows events held in College updated. The Group have reduced fees for part- conjunction with State Branch meetings. We aim to hold time Fellows and fully retired Fellows. CPD requirements similar sessions at other Branch meetings in the future. are also reduced if you are working part-time. Further details are available in the 2014/15 Member Rates Brochure. A Younger Fellows Course has been accepted for the 2014 RANZCO Congress in Brisbane. The program will include Dr Frank Cheok discussion on interacting with RANZCO, ethical practice, Chair, Senior and Retired Fellows Group starting a practice and pursuing an academic career. A Younger Fellows dinner will also be held during Congress. Younger Fellows’ Advisory Group Work is underway for a RANZCO Welcome Pack to provide some guidance for newly admitted Fellows and it continues The Younger Fellows’ Advisory Group was formed in July to be developed. A Younger Fellows section is now available 2013 after a call for expressions of interest. There were on the RANZCO website. This allows visitors to the site initially five members from New South Wales and one to know their local representative and keep informed of upcoming events at a local and national level. from Victoria. Over time Fellows were added to ensure the Younger Fellows Session at the Victorian State Branch Meeting Younger Fellows’ Advisory Group had representation in all Dr Christine Younan Australian training states and New Zealand. Chair, Younger Fellows Advisory Group
RANZCO Annual Report 2013-2014 - 39 Affiliated Organisations
“RANZCO has built long lasting and effective partnerships with a wide range of stakeholders to help achieve our mission.”
40 The Ophthalmic Research Institute of Australia The Ophthalmic Research Institute of towards co-supporting six projects and Glaucoma Australia also secured to ensure funds have been used in the manner previously indicated in the application. Australia (ORIA) is RANZCO’s research arm Inc. contributed $25,000 to co-support one project. We are most grateful to both organisations for their continuing At the 60th anniversary of the ORIA’s first Annual General and aims to advance eye research. The ORIA support along with previous benefactors whose legacies are Meeting, the ORIA took an historical slant with our held its first Annual General Meeting just acknowledged through the naming of individual grants. presentation at the RANZCO Congress. We searched over 60 years ago and since that time has The ORIA continued funding a New Investigator category our archives and came up with the names of researchers in an endeavour to encourage up and coming researchers; we supported from the 1953-1983 period, 47 in total, after pulling out their post 1953 publications. At the RANZCO distributed literally millions of dollars to two grants were awarded this year. presentation we described the methodology of the research provide funding for medical eye research in Significant projects to receive funding from January 2014 and showed some historical pictures and documents. We Australia. were: chose some contemporary researchers in the same field as the ORIA funded researcher to give a two to three minute ORIA/RANZCO Eye Foundation Grant The ORIA’s activities are co-ordinated and managed by summary of the individual, two to three minute summary Dr Raymond Wong, Dr Alice Pébay and Dr Nicole Van Bergen up to 16 members of the Board of the ORIA and Executive of their life’s work and then up to 10 minutes on the ORIA Study of Leber Hereditary Optic Neuropathy using induced Officer, Ms Anne Dunn Snape. Using the income from its papers. In the following year, we propose to focus on those pluripotent stem cells - $50,000 investments and donor organisations, the ORIA continued researchers receiving funding by the ORIA post 1983. to contribute to funding for research projects throughout ORIA/RANZCO Eye Foundation Grant Some of the papers to this date have an ORIA Australia. During the year the ORIA’s Research Advisory Clinical Prof Stephanie Watson, A/Prof Mark Daniell, acknowledgment. Prof Peter Bishop’s paper was reviewed Committee considered 49 applications for project funding Dr Daniel Barthelmes, Dr Martina Bosch, Dr John Males by Prof Ted Maddess; Prof Ida Mann’s work was reviewed from Australian researchers, a significant increase from and Dr Yves Kerdraon Technology for improving health by A/Prof Angus Turner who spoke specifically on 19 assessed in 2004. It also assessed four New Zealand outcomes in ocular surface and corneal disease - $50,000 Aboriginal health; and Prof Gerrard Crock’s work was applications for funding on behalf of the Save Sight ORIA/W A Quinlivan and Glaucoma Australia Inc Grant reviewed by Dr Penny Allen. Society of New Zealand. The New Zealand Branch is Dr Kathryn Burdon and Ms Emmanuelle Souzeau represented on the committee via its Save Sight Society. It is planned to write up this presentation as a co-authored Identifying genetic causes of primary congenital glaucoma paper, with the speakers contributing a few paragraphs The ORIA’s Research Advisory Committee is composed in Australia - $50,000 on their grantee to go to Clinical and Experimental of leading research scientists and ophthalmologists ORIA/Esme Anderson Grant Ophthalmology following the two years of presentations. from Australia and New Zealand. All applications are A/Prof Ian Trounce and Dr Matthew McKenzie independently peer reviewed, which forms the basis A new pre-clinical model of mitochondrial optic neuropathy The ORIA also continues its annual support of the Ringland for discussion and recommendation of funding by the - $49,000 Anderson Chair of Ophthalmology in Victoria. Committee. The recommendations of the Committee are Details of all other grants awarded can be found on the During the year, A/Prof Mark Daniell decided to step put forward to the Board of the ORIA who then indicate down from the ORIA Board. Mark has served the ORIA what funds are available for the forthcoming calendar ORIA website, www.oria.org.au and for New Zealand at www.safesightsociety.org.nz. both as its Chair and Treasurer and we are most grateful year. This year $673,900 has been distributed to fund 15 for his commitment to the organisation over several years. one-year projects throughout Australia. Combined with The ORIA is always mindful of auditing its research funding Thank you also to A/Prof Tony Kwan who also elected to funding during 2013, this brings the ORIA supporting to assess how well its mission to advance eye research step down from the Board. around $1.5 million over two years, by far the largest is being achieved. Each year, progress/final reports are amount of funding to be distributed by the Institute. provided from researchers funded during the previous Prof Stuart Graham, Chair, ORIA The RANZCO Eye Foundation contributed over $300,000 year. A financial statement from each project/institution is Ms Anne Dunn Snape, Executive Officer, ORIA
RANZCO Annual Report 2013-2014 - 41 Australian Society of Indigenous and Remote Eye Health Save Sight Society of Ophthalmologists Service (IRIS) New Zealand The Indigenous and Remote Eye Health Service (IRIS) has continued to support delivery of ophthalmology services to The past year has delivered some notable both Indigenous and non-Indigenous Australians living in The Save Sight Society of New Zealand achievements for the Australian Society the most remote areas of the nation. The program has been has enjoyed another successful year. The of Ophthalmologists (ASO), with growth responsible for over 5000 patient consultations and 725 Society has resolved to focus on two key in membership, donations, educational procedures in regional and remote centres, the screening of over 300 patients as part of a tele-eye care trial with the activities – providing ophthalmic education activities and support to our membership. CSIRO in the Torres Strait, and distributed nearly $400,000 and funding New Zealand vision science worth of ophthalmic equipment to local communities. A research. Medico-political Representation highlight of the year was the successful delivery of two The joint ASO-RANZCO legal bid to prevent therapeutic eye health intensives in Katherine, Northern Territory Along with the support of key sponsors Allergan, RANZCO optometrists from unilaterally attempting to diagnose in March and May 2014. With the generous support of and the RANZCO New Zealand Branch, the Society and treat glaucoma continues in the Supreme Court of six ophthalmologists, the IRIS team completed over 500 awarded three grants totaling NZD$67,290 to New Zealand Queensland. Further delays mean the judicial review consultations with 120 surgical procedures completed. visual science researchers. The projects were: hearing will now commence on 1 December 2014 before 1. Dr A. Vincent et al: Characterisation of the genetic Justice Alan Wilson. Advocacy Intervention Grows basis of recurrent corneal erosion corneal dystrophy using a zebra fish model. As the ASO’s medico-political capability strengthens, Deficiencies in the Australian Health 2. Dr I. Rupenthal et al: A novel cell-penetrating peptide Practitioner Regulation Authority more organisations are seeking consultation with the for oligonucleotide delivery to the retina-can we close profession through the ASO. This requires skillful the gap? Serious deficiencies have been revealed in the AHPRA management of the ASO’s resources to ensure our 3. A/Prof T. Sherwin et al: Pluripotent stem cell therapy legislation due to its approval of the Optometry Board contributions on vital ophthalmological issues for corneal disease. of Australia’s determination on glaucoma. A submission are maintained. Through the strong leadership detailing ophthalmologists’ concerns will be filed shortly. and commitment of our Executive Committee and These projects were assessed by the rigorous Ophthalmic Business and Practice Management administration team, ongoing support from our members Research Institute of Australia (ORIA) system and they and colleagues in RANZCO, as well as partners such as were all well-ranked. This confirms the high quality of Education MDA National, I am pleased the ASO has continued to vision research that takes place in New Zealand, which ensure that the voice of all ophthalmologists has been the Society is delighted to support. The merger of the Independent Ophthalmic Network (ION) and the ASO has seen a major new drive in provision heard. The Society’s annual conference and major fundraising of education initiatives. The first of the new look The ASO remain committed to another productive year event was held in August in Wellington. It was titled ‘Do as I say, not as I do’, and had an educational and scientific expos was conducted in Sydney in May and featured an ahead for all our members. exceptional group of speakers who inspired and informed program designed to examine variations in ophthalmic delegates on topics including leadership, self-managed Dr Arthur Karagiannis practice throughout New Zealand, such as what could and super funds, personal branding and many more. President, ASO should be achieved if funding inequalities are addressed.
42 There were over 70 attendees from throughout New be drawn from. For four consecutive years, we have met our The Foundation also awarded The RANZCO Eye Foundation/ Zealand including ophthalmic nurses, orthoptists, vision budgetary goals, and in most cases over-achieved, against Novartis Medical Retina Scholarship to Dr Neil Sharma. scientists, ophthalmology registrars and ophthalmologists. our five-year budget and business plans. These announcements were made at Congress. The Society’s finances in 2013-2014 remain healthy. This Thank You enables it to maintain its role as an effective promoter of ophthalmic education and research in New Zealand. “To this end, we reported by calendar Thank you to RANZCO, the Ophthalmic Research Institute of Australia, all RANZCO Fellows, our Partners In Sight and Dr Stephen Ng year-end we had distributed of course our non-executive Board Members for supporting Chair, Save Sight Society of New Zealand approximately $1,705,576 in grants .“ our team over the past 12 months – we are very grateful for your efforts. Collectively we should all be very proud. RANZCO Eye Foundation When we look back on 2013, we are genuinely pleased with We were thrilled to report that Novartis Australia what we have been able to accomplish. We very much look 2013 was a great year for The RANZCO confirmed its further support of The RANZCO Eye forward to working with all our donors and supporters in Foundation, elevating Novartis Australia to The RANZCO 2014. Eye Foundation. The end of our calendar Eye Foundation’s first Diamond Elite Partner. We were also financial year saw The RANZCO Eye delighted to re-sign our Diamond Supporter Bayer Australia Jacinta Spurrett as well as a new charitable foundation which contributed CEO, RANZCO Eye Foundation Foundation turn a financial corner to an in excess of $700K alone to our international development even greater, more established, financial programs – true testament that our existing and new partners continue to see the value in supporting our causes. position. In addition, we were appreciative to receive a grant from We were pleased to report that The RANZCO Eye the Newman’s Own Foundation to support A/Prof Angus Foundation’s end of year accounts showed a total income Turner’s Kimberley Diabetic Eye Care Program in 2014. well in excess of our full calendar financial year budget. The Foundation is grateful to once again have had the We were proud to report that all programs and projects we opportunity to forge more one-on-one relationships sought to fundraise for in 2013 were funded to the levels with many Fellows, industry partners and charitable we predicted. We can also report that we were able to fund foundations, resulting in the significant growth of The a limited number of unbudgeted projects and increased RANZCO Eye Foundation’s support levels from certain the overall number of projects and programs funded for individuals and groups. With cost savings across the the year. budget and a genuine effort to increase funding from all sectors, we entered the strategic and budget planning To this end, we reported by calendar year-end we had phase for 2014 in September 2013. distributed approximately $1,705,576 in grants out compared to a budget of $1,254,170. This compared to a figure of Research and Development $1,130,351 in grants out in 2012 and $720,067 in 2011. While our full-time equivalent staff (2.275) ratio and administration The RANZCO Eye Foundation and the Hobart Eye Surgeons costs sat at an all-time four year low (16.82%), as our awarded the 2013/14 scholarship to Dr Genevieve Oliver who organisation continues to grow at the levels it is, we need to traveled to India, East Timor and Nepal in 2013/14 to study continue to remain very aware of where future funds will Manual Small Incision Cataract Surgery (MSICS). JulEYE advertising appears tram-side in Melbourne, 2013
RANZCO Annual Report 2013-2014 - 43 Listings of Committees, Special Interest Groups and Groups
Committees
Dr David Kaufman Dr Stephen Best Dr Neil Murray A/Prof Max Dr Cathy Green Dr Justin Mora A/Prof Salmaan Prof Robert Casson Dr Paul Beaumont Conway Al-Qureshi
Dr Peter Macken Prof Paul Mitchell A/Prof Nitin Verma Dr Bradley Prof Mark Radford Dr Ashish Agar A/Prof Alex P Dr Mark Lazarus Prof Stephanie Horsburgh Hunyor Watson
Dr Alex BL Hunyor Dr Mark Renehan Prof Helen Danesh- A/Prof Andrew Dr Stephen Cains Prof Anthony Hall Meyer Symons
44 Committees Board of Ophthalmic Pathology Dr Shanel Sharma CEO Editorial Board Examiners Dr Mark Steiner Editor-in-Chief Dr Charles Su (commenced 2014) Archives and Museum Committee A/Prof Max Conway (Chair) A/Prof Salmaan Al-Qureshi A/Prof Mark Elder (Chair, retired 2013) Dr Andrew Thompson Prof Robert Casson Dr David Kaufman (Chair) Dr Svetlana Cherepanoff Dr Krishna Tumuluri (retired 2014) Associate Editors Dr Bruce Hadden Dr Vivek Chowdhury Dr Angelo Tsirbas Dr Susan Carden Dr Ian McCallister Dr Tom Dodd Dr Dzung Vu Prof Dennis Lam Mr Jeff Palmer (RANZCO Archivist) Dr Diane Kenwright Dr Peter Wellings (retired 2013) Prof Charles McGhee Prof Mark Radford Dr Weng Sehu Dr Mark Whiting Prof Peter Savino Awards Committee Dr Sureka Thiagalingam Dr Christine Younan (retired 2013) Section Editors Dr Stephen Best (Chair) Dr Ashish Agar Board of Ophthalmic Sciences Board of RANZCO Advanced Clinical Prof Raid Alany Dr David Andrews Examiners A/Prof Mark Daniell Examinations (RACE) Examiners Dr Paul Beaumont Dr Catherine Green (Chair) Dr Kathryn Burdon Dr Justin Mora (Chair) Board of Ophthalmic Basic Dr Sonya Bennett Dr Jurij Bilyk Dr Maged Atalla Competencies and Knowledge (OBCK) Dr Paula Berdoukas Dr Mark Chehade Examiners Dr Vivek Chowdhury Dr March Chehade Dr Ching-Yu Cheng Dr Neil Murray (Chair, commenced 2014) Dr Jean-Louis De Sousa Dr Diana Conrad A/Prof Jennifer Crai Dr Catherine Green (retired 2014) Dr Simon Dean Prof Helen Danesh-Meyer Prof Bertil Damato Dr Gayatri Banerjee Dr John Dickson Dr Darcy Economos Dr Carlos Gustavo De Moraes Dr Stuart Carroll Dr John Forrester (commenced 2014) Dr Sean Every A/Prof Samantha Fraser-Bell Dr Michelle Gajus Dr Justin Friebel (retired 2013) Dr Ross Fitzsimons Dr William Good Dr Andrew Kaines Dr Brent Gaskin Dr Anna Galanopoulos A/Prof Jolly Gilhotra Dr Sam Lerts Dr Magda Guzowski Dr Trevor Gin Prof Stuart Graham Dr Ridia Lim A/Prof Bruce Hadden A/Prof Alex P Hunyor A/Prof Bruce Hadden Dr Patrick Lockie Dr Peter Hadden Dr Georgina Kourt Dr Alex Hewitt A/Prof Timothy Lai Dr Peter Martin Dr Anne Lee A/Prof Geoffrey Lam Dr Rohan Merani Dr Patrick Lockie Dr John Landers Dr Peter Meagher Dr Lorraine Ong Dr Paul McMenamin (commenced 2013) Dr Lyndell Lim Dr Maria Moon Dr Daya Sharma Dr Randev Mendis Mr Raman Malhotra Dr Stephen Ohlrich Dr Kiran Sindhu Dr Tasha Micheli Dr Cathy McCarty Dr David van der Straaten Dr Neil Murray A/Prof Philip Polkinghorne A/Prof Jodhbir Mehta Dr Laurence Sullivan (commenced 2014) Dr Robert Paul (commenced 2014) Prof Gerard Sutton Dr Jonathan Myers Dr Tu Tran Dr Vivek Phakey (commenced 2014) Dr Kim Tan Dr Stephen Ng Dr Andrea Vincent Dr Daniel Polya (commenced 2014) A/Prof Mei-Ling Tay-Kearney (retired 2014) A/Prof Dipika Patel Dr Kristen Wells Dr Kiran Sindhu Dr Simon Taylor Dr Srinivas Rao Dr Christine Younan Dr Daya Sharma Dr Michael Toohey A/Prof Mark Rosenblatt
RANZCO Annual Report 2013-2014 - 45 A/Prof Trevor Sherwin Dr Julian Mazzetti Dr John Kennedy Dr Garry Brian Prof Justine Smith Dr Daniel Polya (commenced May 2014) Dr Patrick Lockie Prof Minas Coroneo Prof Rick Sponsel Dr Richard Wolfe Dr Grant Raymond Dr Bill Glasson Prof Tim Sullivan Dr Elaine Wong Dr Neil Sharma Dr Graham Hay-Smith Dr Andrea Vincent Dr Adam Watson Dr Tim Henderson Continuing Professional Development Prof Stephanie Watson Dr Michael Hennessy (CPD) Committee Complaints Committee Dr Sanj Wickremasinghe Dr Ross Littlewood Dr John Wood Dr Peter Macken (Chair) Dr Bradley Horsburgh Dr Mark Loane Editorial Board Dr Guy Bylsma Dr John Kennedy Dr Damien Louis Dr Paul Badenoch Dr Jason Cassar (commenced December Dr Grant Raymond A/Prof Henry Newland Dr Stephen Best 2013) Finance, Audit and Risk Management Dr Rowan Porter A/Prof Anne Brooks Dr Fiona Chan (retired November 2013) (FARM) Committee Dr Richard Rawson Dr Andrew Chang Dr Frank Cheok (retired May 2014) Prof Hugh Taylor A/Prof Paul Chew Dr Jean-Louise De Sousa Dr Bradley Horsburgh (Chair) International Development Committee A/Prof Jamie Craig Dr Kolin Foo (commenced December 2013) Dr David Andrews Dr Greg Gamble Dr Timothy Gray Dr Stephen Best Dr Neil Murray (Chair) Prof Mark Gillies Dr Richard Hart (retired November 2013) Dr Stuart Graham Dr David Andrews Dr Steve Kwok Dr Sam Lerts Mr Andrew Young Dr Anthony Bennet Hall Dr Garry Brian (retired November 2013) Prof Susan Lightman Dr Sukhpal Sandhu (commenced Human Research Ethics Committee Prof Robert Casson (retired May 2014) Mr Chris Lloyd September 2013) (HREC) Prof Ted Maddess Dr Alok Sharma Dr Peter Cooper Dr Kathy McClellan Mr Robert Cann Dr Rosie Dawkins (retired May 2014) Prof Peter McCluskey Curriculum Review Committee Dr Colin Clement Dr Catherine Green Dr Alan McNab Dr Jonathan Farrah Dr Christopher Basten Dr James La Nauze Prof Dinesh Selva A/Prof Adam Gajdatsy A/Prof Paul Healey Dr Mark Renehan Dr Mei Ling Tay-Kearney Prof Glen Gole Dr Alex BL Hunyor Mr Gerhard Schlenther Dr Jie Jin Wang Dr Justin Mora Dr Lyndell Lim Dr Richard Stawell (retired November 2013) Dr Graham Wilson Dr Mark Walland Ms Kylie Lloyd Dr Laurence Sullivan Prof Nagahisa Yoshimura Ms Rosemary MacDougal Dr Bradley Townend Communications Committee Ms Brit Mainhoff Clinical Standards Committee (formerly Local Organising Committee A/Prof Nitin Verma (Chair) Reverend Erica Mathieson Visual Standards) Dr David Andrews Ms Wendy Radford A/Prof Nitin Verma (Convenor) Dr Paul Beaumont (Chair commenced Ms Avril Cronk Mr Bradley Sheehan Dr David Andrews May 2014) Dr Diana Semmonds Dr Stephen Best A/Prof Justin O’Day AM (Chair retired May Indigenous Committee Dr Kristin Bell 2014) Code of Conduct Committee Dr Ashish Agar (Co-chair) Dr Guy Bylsma Dr Michael Fisk (commenced May 2014) Dr Bradley Horsburgh (Chair) A/Prof Angus Turner (Co-chair) Ms Avril Cronk Dr Mark Lazarus (retired May 2014) Dr Robert Griffits Dr Antony Bedggood Mr Phil Holmes (PCO)
46 Dr Andrew Jones Dr Brighu Swamy Scientific Program Committee Therapeutics Committee A/Prof Paul McCartney Dr Ian Wechsler Executive A/Prof Andrew Symons (Chair) Dr Asha Ram Dr Graham Wilson Prof Helen Danesh-Meyer (Chair) (commenced May 2014) Ms Sarah Stedman Professional Standards Committee Dr Noel Alpins Dr Guy D’Mellow (Chair retired May 2014) Dr Michael Treplin Dr Stephen Best Ms Nell Treplin Dr Alex BL Hunyor (Chair) Prof Minas Coroneo Dr Shuan Dai Dr Anu Verma Dr James Borthwick Dr Kimbal Frumar Dr Robert Griffits Dr Simon Dean Dr Stuart Graham Medicare Advisory Committee Dr Graham Hay-Smith A/Prof James Elder Dr Graeme Johnson (retired May 2014) A/Prof Alex P Hunyor (Chair) Dr Mark McCombe A/Prof Samantha Fraser-Bell Dr Keith Ong (commenced May 2014) Dr Clayton Barnes (commenced May 2014) Ms Moira McInerney A/Prof Tony Kwan Dr Ian Wechsler (commenced May 2014) Dr Paul Beaumont AM (retired May 2014) Dr Richard Smith Dr Luke Maccheron Dr Ross Benger Dr Frank Taylor Prof Charles McGhee Trainee Progression Committee Dr Tim Forster (retired May 2014) Ms Jodie Wright Dr Keith Small Prof Anthony Hall (Chair) Dr Rafa Ghabrial (retired May 2014) Dr Christine Younan Dr Stephen Jones Dr William Glasson AO Qualification and Education Committee Dr Stephanie Young Dr Michael Hennessy (retired May 2014) (QEC) Reviewers Dr Trevor Hodson (retired May 2014) Dr Mark Renehan (Censor-in-chief) Dr Alex Hewitt Workforce Committee Dr Nicholas Karunaratne (retired May 2014) Dr Ridia Lim Dr Andrew Apel Dr Bradley Horsburgh (Chair) Dr Phillip McGeorge (retired May 2014) Prof William Morgan Dr Kristin Bell Dr Xavier Fagan Dr Allan Rosenberg Dr Stephen Cains Dr Brett O’Donnell Dr Tim Henderson Dr Michael Steiner A/Prof Max Conway Dr Jeremy Raiter Dr Trevor Hodson Dr Peter Sumich (commenced May 2014) Dr Jenny Danks Dr Simon Skalicky Dr Sam Lerts Dr Richard Wolfe (retired May 2014) A/Prof Jagjit Gilhorta A/Prof Andrew Symons Dr Mark Renehan Membership Committee Prof Glen Gole Prof Stephanie Watson Dr Catherine Green A/Prof Brendan Vote Dr Stephen Best Specialist-International Medical Dr Anthony Hall Dr Mark Renehan Graduate (S-IMG) Committee A/Prof Graham Lee Medico-Legal Committee (Ceased Jan Dr Peter Macken Dr Stephen Cains (Chair) 24 2014) Dr Michael Merriman A/Prof John Crompton Dr Mark Lazarus Prof Paul Mitchell Mr John Horner (external member) Dr Justin Mora Dr Vinithra Kumar Public Health Committee Dr Neil Murray Dr Ali Martins Prof Stephanie Watson (Chair) Dr Ainsley Morris Dr Sue Ormonde (retired June 2014) Dr Ju-Lee Ooi Dr Peter O’Connor Dr Brian Sloan Dr Nathan Sachdev A/Prof Mei-Ling Tay Kearney Dr Marc Sarossy (retired 2014) Dr Neil Sharma Dr Mark Walland Dr Nitin Verma)
RANZCO Annual Report 2013-2014 - 47 Prof Geoffrey Crawford A/Prof Phillip Polkinghorne Special Interest Groups Prof Jonathan Crowston A/Prof Julian Rait Prof Helen Danesh-Meyer Prof Dinesh Selva Practice Managers Group Groups A/Prof Mark Daniell A/Prof Andrew Simons Ms Moira McInerney (Chair) A/Prof James Elder Prof Timothy Sullivan Australian and New Zealand Cornea Ms Joan Nemeth (Deputy Chair) A/Prof Mark Elder Prof Gerard Sutton Society (ANZCS) Ms Susan Benger (Secretary) Prof John Forrester A/Prof Mei-Ling Tay-Kearney Ms Donna Glenn A/Prof Clare Fraser Prof Hugh Taylor AC Prof Charles McGhee Ms Maryanne Hambrecht A/Prof Samantha Fraser-Bell Prof Ravi Thomas Australian and New Zealand Glaucoma Ms Lisa Hartley Prof Adam Gajdatsy A/Prof Angus Turner Prof Mark Gillies Interest Group (ANZGIG) Ms Julie Maiolo Prof Rasik Vajpayee Prof Glen Gole A/Prof Nitin Verma AM Prof Jonathan Crowston Younger Fellows Advisory Group Prof Stuart Graham A/Prof Brendan Vote A/Prof John Grigg Australian and New Zealand Strabismus Dr Christine Younan (Chair) Prof Stephahie Watson Prof Robyn Guymer A/Prof Fred Chen A/Prof Stephen Wiffen Society (ANZSS) A/Prof Bruce Hadden Dr Vivek Chowdhury A/Prof Johnny Wu Prof Anthony Hall Dr Craig Donaldson Dr Brendan Cronin A/Prof Dimitri Yellachich Dr Shane Durkin Prof Paul Healey Uveitis Dr Xavier Fagan Prof Lawrie Hirst Trainee Representative Group A/Prof I-Van Ho Dr Lyndell Lim Dr Brent Gaskin Dr Alexander Hamilton (NSW) A/Prof Phillip House Dr John O’Shea Dr Jayne Camuglia (Qld) Paediatrics A/Prof Alex P Hunyor Dr Nathan Sachdev Dr Joanne Yau (WA) A/Prof Anthony Kwan A/Prof James Elder Dr Nisha Sachdev Dr David Holcombe (SA) A/Prof Tze Lai Dr Nathan Walker Dr James Slattery (SA) Ocular Oncology A/Prof Graham Lee Dr Heathcote Wright Dr James McKelvie (NZ) A/Prof Lawrence Lee Dr Peter Hadden Senior and Retired Fellows Group Prof David Mackey Australian and New Zealand Society of Dr Frank Cheok (Chair) Prof Frank Martin AM Retinal Specialists (ANZSRS) Prof Ian McAllister Professors Group Prof Paul McCartney A/Prof Anthony Kwan Prof Peter McCluskey (Chair) Prof Charles McGhee Australian and New Zealand Society of Prof Graham Barrett Prof Peter McCluskey Prof Robert Casson Prof Paul Mitchell Ophthalmic Plastic Surgery (ANZSOPS) A/Prof Fred Chen Prof William Morgan Dr Brian Sloan Prof Ian Constable AO A/Prof Henry Newland AM A/Prof Max Conway A/Prof Justin O’Day AM Women in Ophthalmology Prof Minas Coroneo A/Prof Dipika Patel Dr Faye Walker Prof Jamie Craig A/Prof Robert Patrick
48 RANZCO Staff
Chief Executive’s Office Dr David Andrews Chief Executive Officer Mr Barry Diletti Office Manager Education, Training and Standards Ms Penny Gormly General Manager, Education and Training Mrs Chris McGuigan Manager, Training and Assessment Ms Eden Tay Manager, Professional Development, Training and Evaluation Mr Adam Kiernan Manager, E-learning and Indigenous Health Mr Craig Dobney Manager, Selection and Assessment Mrs Neridah Baker Manager, Curriculum and Course Development Mr Lee Cummings Project Officer, Specialist Training Program (STP) Ms Lauren Hodgson Coordinator IMG and Development Mrs Antonelle Clemente-Marquez Education Support Officer Ms Erin Keech Education Support Officer Policy and Development Mr Gerhard Schlenther General Manager, Policy and Programs Ms Kate Morrison Project Officer Asia Pacific Ms Ritu Mohan Policy Officer From left: Ms Avril Cronk, Ms Penny Gormly, Dr David Andrews, Mr Gerhard Schlenther and Mrs Alex Arancibia Finance Mr Andrew Young Financial Controller Mr Alvin Lau Finance Assistant Affiliated Organisations Membership Ophthalmic Research Institute of Australia Chair: Prof Stuart Graham Mrs Alex Arancibia General Manager, Member Services Mrs Tanya Parsons Manager, Professional Standards and CPD Save Sight Society of New Zealand Ms Sarah Stedman Manager, Memberships Chair: Dr Stephen Ng Mr Nicolas Kott IT and Business Systems Administrator RANZCO Eye Foundation Mrs Kathy Kiernan Administration Assistant Chair: Mr Peter Keel Communications and Congress Australian Society of Ophthalmologists Ms Avril Cronk General Manager, Community Relations and Congress President: Dr Arthur Karagiannis Ms Louise Treloar Communications Coordinator Ophthalmology New Zealand Mrs Francine Dutton Design and Sponsorship Officer Chair: Dr Michael O’Rourke
RANZCO Annual Report 2013-2014 - 49 Financial Report 2013/2014
Contents
Directors’ Report...... 51 Directors’ Declaration...... 53 Auditor’s Independence Declaration...... 53 Statement of Financial Position...... 54 Statement of Changes in Members Funds...... 54 Statement of Profit or Loss and Other Comprehensive Income...... 55 Independent Auditor’s Report...... 58
Registered Address: 94-98 Chalmers Street, Surry Hills NSW 2010 AUSTRALIA Phone Number: +61 2 9690 1001 Facsimile: +61 2 9690 1321 Email: [email protected] Company Secretary: Dr David Andrews ACN: 000 644 404
50 The Royal Australian and New Zealand College of Ophthalmologists A.C.N. 000 644 404
Meetings held Meetings Collaboration: working with others involved Directors’ Report Name whilst a Director attended in the delivery of eye health care nationally and internationally. Dr M Renehan 7 5 For the year ended 30 june 2014 Collegiality: supporting trainees and Fellows through Dr S Best 7 7 all stages of their careers. The Board of the College has pleasure in presenting their A/Prof M Daniell 7 7 report together with the financial report for the year ended 3. RANZCO is the professional body representing more Dr D Semmonds 7 6 30 June 2014 and the auditor’s report thereon. than 1000 ophthalmologists (medical eye specialists) Dr C Green 7 6 in Australia and New Zealand. The Financial Statements submitted include all Branches. Dr B Horsburgh 7 6 Our Vocational Training Program Directors Prof S Graham 7 5 The objective of our vocational training program Dr H Mack 7 7 is to train specialist ophthalmologists, who, on The names of each person who has been a director during completion of training are equipped to undertake A/Prof N Verma 7 7 the year and to the date of this report are: safe, unsupervised, comprehensive ophthalmology Dr A Karagiannis 7 6 Dr Catherine Green practice. Prof Stuart Graham A Fellow of the College is trained not only as an 1. (b) The Company Secretary is the College Chief Dr Arthur Karagiannis ophthalmic expert and clinical decision maker, but Executive Officer, Dr David Andrews, appointed in also as a communicator, collaborator, manager, health Dr Bradley Horsburgh February 2013. advocate, scholar and professional. Dr Heather Mack 2. RANZCO’s mission is to drive improvements in Standards for Scope of Practice, Education and eye health care in Australia, New Zealand and the A/Prof Nitin Verma AM Training Asia Pacific region through continuing exceptional Dr Stephen Best RANZCO has developed peer-reviewed curriculum training, education, research and advocacy. Dr Diana Semmonds performance standards for the basic ophthalmic Underpinning all RANZCO’s work is a commitment sciences and clinical ophthalmology. These underpin Dr Mark Renehan to: all training and assessment, and ensure consistency, A/Prof Mark Daniell Best patient outcomes: aiming to ensure equitable validity and reliability. access to the highest quality eye health for all. In accordance with the Corporations Law, the Board Training networks are usually based in major Education and training: providing contemporary reports that: metropolitan hospitals, with rotating positions to education, training and continuing professional smaller institutions. Inspection and accreditation of 1. (a) During the financial year seven meetings of the development. training posts are undertaken regularly and include directors were held. The names of each person who Evidence based decision making: using research to assessment of teaching facilities, supervisor/trainee has been a director and attendees of each director underpin improvements in education, training and arrangements, and trainees’ clinical and surgical during the year and at the date of this Report are: eye health care experience.
RANZCO Annual Report 2013-2014 - 51 The Royal Australian and New Zealand College of Ophthalmologists A.C.N. 000 644 404
Continuing Professional Development (CPD) Educational Outcomes 2014 2013 Proportion of Spending spent on: 2014 2013 RANZCO has demonstrated leadership in recognising the importance of life-long learning and professional New Fellows from Training 29 29 Personnel 36% 39% Program development for ophthalmologists. The CPD Education and Training 21% 23% New Fellows from S–IMG Program 13 9 framework is designed to provide Fellows with a Communications 6% 6% Number of Trainees 172 174 structured approach to planning their continuing Finance and Legal 6% 6% education, and supports activities that cover a wide Building and Office 3% 4% range of skills, including not just clinical knowledge Travel and Accommodation 4% 4% and expertise, but also risk management, clinical Operational and Financial 2014 2013 governance and professional values. Proportion of funding provided by: Others 24% 18% Membership subscriptions 35% 36% Vision 2020: The Right to Sight Education & Training Fees 21% 21% As a member of the International Agency for the Investment Income 7% 5% Prevention of Blindness (IAPB) and participant in the Personnel global initiative, VISION 2020: The Right to Sight, the Journal Royalties/Grant 18% 17% College seeks to contribute to ensuring high quality Scientific Congress 9% 11% Education & Training ophthalmic education and professional standards for Sundry Income 10% 10% 24% Communications eye care professionals in the Asia-Pacific region. 36% Finance and Legal Key Performance Measures 4% Building and Office The company measures its own performance 3% through the use of both quantitative and qualitative 6% Travel and benchmarks. The benchmarks are used by the Accommodation Membership 6% directors to assess the financial sustainability of the 10% subscriptions 21% Others company and whether the company’s short-term and 9% Education & long-term objectives are being achieved. Training Fees 35% Investment Members 2014 2013 Income
Fellows 1125 1009 Journal 18% Honorary Fellows: 23 21 Royalities/Grant Scientific Overseas Fellows: 57 72 Congress
Associate Members: 334 351 7% Sundry 21% Income Total Members: 1539 1453
52 The Royal Australian and New Zealand College of Ophthalmologists A.C.N. 000 644 404
4. The net surplus of the College for the 12 months Directors’ Declaration Auditor’s Independence Declaration ended 30 June 2014 from ordinary activities was $875,918 and total comprehensive income for the year The Directors of the Company, The Royal Australian and Under Division 60 of The Australian was $1,524,876. New Zealand College of Ophthalmologists declare that: Charities And Not-For-Profits 5. No further developments in the operations of the (1) The financial statements and notes are in accordance Commission Act 2012 College are contemplated at this time. with the Australian Charities and Not-for-profits Commission Act 2012 (ACNC Act), and: (ACNC Act) 6. No Director has received, either directly or indirectly, any remuneration including fees, salaries, bonuses or (a) comply with Accounting Standards; and I declare that, to the best of my knowledge and belief, commissions from the College. during the year ended 30 June 2014 there has been no (b) give a true and fair view of the Company’s contraventions of any applicable code of professional 7. The College has paid a premium for Directors’ and financial position as at 30th June, 2014 and of its conduct in relation to the audit. Officers’ Liability Insurance for all past, present and performance, as represented by the results of future officers of the College. their operations, changes in members funds and 8. All members of the Board of the College retired in their cash flows for the year ended on that date. accordance with the Articles of Association and the (2) In the Directors’ opinion there are reasonable grounds Constitution. to believe that the Company will be able to pay its 9. The entity is incorporated under the Corporations debts as and when they become due and payable. Act 2001 and is an entity limited by guarantee. If the entity is wound up, the constitution states that each This declaration is made in accordance with a resolution of member is required to contribute a maximum of $20 the Directors. each towards meeting any outstanding obligations of For and behalf of the Board the entity. As at 30 June 2014 the collective liability of members was $30,780 (2013: $29,060)
Auditor’s Independence Declaration The auditor’s independence declaration for the year ended 30 June 2014 has been received and is attached. S Best, Director B Horsburgh, Director For and on behalf of the Board of Directors and in Sydney, 08 October 2014 Sydney, 08 October 2014 accordance with a resolution of the Directors
S Best, Director B Horsburgh, Director Sydney, 08 October 2014 Sydney, 08 October 2014
RANZCO Annual Report 2013-2014 - 53 The Royal Australian and New Zealand College of Ophthalmologists A.C.N. 000 644 404
Statement of Changes in Members Funds Statement of Financial Position as at 30 June, 2014 For the Year Ended 30 June, 2014
2013 2014 2013 2014 ($) Current Assets ($) Reserves ($) 7,351,103 Cash and cash equivalents 6,324,048 Capital Profits Reserve 326,716 Receivables 238,744 1,386,288 Balance 30th June, 2014 1,386,288 211,920 Prepayments 297,559 Presidential Chain Revaluation Reserve 7,889,739 TOTAL CURRENT ASSETS 6,860,351 13,337 Balance 30th June, 2014 13,337 NON-CURRENT ASSETS Revaluation Reserve 4,769,533 Financial Assets 8,124,854 (502,511) Balance 1 July 126,286 2,653,116 Property, Plant and Equipment 2,673,526 628,797 Other Comprehensive income for the year - - Intangible Assets - - Valuation gains during year 277,438 20,750 Inventories 20,750 126,286 Balance 30 June 2014 403,724 7,443,399 TOTAL NON-CURRENT ASSETS 10,819,130 Special Projects Reserve 15,333,138 TOTAL ASSETS 17,679,481 30,000 Balance 1 July 30,000 CURRENT LIABILITIES 66,457 Mary Tilden Fund - 3,405,026 Payables 4,214,808 1,040,212 Neville Banks Fund 1,048,153 41,973 Provisions 47,189 431,794 Alan Ashley James Fund 452,736 3,446,999 TOTAL CURRENT LIABILITIES 4,261,997 1,568,463 Balance 30 June 2014 1,530,889 NON-CURRENT LIABILITIES $3,094,374 Total Reserves $3,334,238 6,276 Other 6,276 Retained Earnings 6,276 TOTAL NON-CURRENT LIABILITIES 6,276 7,232,404 Retained Profits at the Beginning of the Financial Year 8,785,489 3,453,275 TOTAL LIABILITIES 4,268,273 1,992,852 Surplus/ (Deficit) Attributable to Members 1,247,438 $11,879,863 NET ASSETS $13,411,208 12,313 Gain/ (loss) on Foreign Exchange 44,043 MEMBERS FUNDS Transfer Bequest Funds to Reserves 3,094,374 Reserves 3,334,238 (1,973) Mary H Tilden Fund - 8,785,489 Retained Earnings 10,076,970 (258,410) Neville Banks Fund - $11,879,863 TOTAL MEMBERS FUNDS $13,411,208 (191,697) Alan Ashley Fund - $8,785,489 Retained Earnings at the end of Financial Year $10,076,970 $11,879,863 TOTAL MEMBERS FUNDS $13,411,208
54 The Royal Australian and New Zealand College of Ophthalmologists A.C.N. 000 644 404 ------($) 2,912 2014 2,888 6,330 11,745 55,118 10,707 15,505 34,434 90,475 46,058 10,000 758,219 241,445 428,918 450,147 626,180 501,566 382,330 204,909 30,419 30,419 188,674 2,590,741 1,551,060 1,329,405 1,329,405 2,472,486 7,807,318 For the Year Ended 30 June, 2014 30 June, Ended the Year For Communications System Expenses System Communications Costs & Office Building Travel & Accommodation Expenses & Accommodation Travel Staff Costs Staff Finance, Legal & Auditing Services & Auditing Legal Finance, Less: Expense Less: Expense Depreciation Revenue for International Political or Religious Adherence Adherence or Religious Political International for Revenue Programs Promotion Other income Investment Income Investment Other overseas AusAid Bequest and legacies Bequest Non-Monetary Sponsorship Sponsorship RANZCO – Indo China Collaboration – Indo China Collaboration RANZCO Scholarship Leadership APAO RACGP Monetary RANZCO Eye Foundation Pacific Nations Pacific Foundation Eye RANZCO Project Vision Cambodia Avoidable Blindness Initiative Indonesia Phase 2 Phase Indonesia Initiative Blindness Avoidable Institute Eye Pacific Avoidable Blindness Ini Vietnam Phase 2 Phase Ini Vietnam Blindness Avoidable Program Dev Leadership Nations – Pacific AusAid Scholarship Inter RANZCO Avoidable Blindness Iniative Cambodia Ext Phase 2 Ext Phase Cambodia Iniative Blindness Avoidable FHF/IODR Other Income from Ordinary Activities Ordinary from Other Income Development Other Overseas Institute Eye IAPB / Pacific College Scientific Congress & Conferences Conferences & Congress Scientific College Grants Received Grants & Travel Scholarship College Investments Investments College College Education and Training Fees and Training Education College Subscriptions Membership College Revenue ------($) 2013 9,581 Statement of Profit or Loss and Other Comprehensive Income Comprehensive Loss and Other or Profit of Statement 43,547 119,012 119,012 732,291 372,753 372,753 225,765 194,044 184,890 109,078 345,062 45,519 45,519 468,080 352,682 802,775 2,169,170 2,628,291 1,091,299 1,091,299 1,492,088 7,587,577
RANZCO Annual Report 2013-2014 - 55 ------2,912 1,584 1,448 2,888 8,438 3,366 6,330 9,405 13,921 13,452 27,053 10,297 14,492 10,707 75,983 36,653 85,492 25,996 10,000 118,919 321,320 362,952 308,364 300,436 140,000 103,182 1,438,968 RANZCO Inter Scholarship Inter RANZCO – Indo Chn Collaboration RANZCO Scholarship Leadership APAO Sponsorship Institute Eye Pacific International Aid and Development Programs Expenditure Programs and Development Aid International Programs International to Funds Insitute Eye IAPB / Pacific FHF / IODR 2 Phase Extension Cambodia Initiative Blindness Avoidable 2 Phase Vietnam Initiative Blindness Avoidable 2 Phase Indonesia Initiative Blindness Avoidable Program Development Leadership Nations – Pacific AusAid RACGP 2 Phase Vietnam Initiative Blindness Avoidable 2 Phase Indonesia Initiative Blindness Avoidable Cambodia Vision Project Vision Cambodia 2 Phase Extension Cambodia Initiative Blindness Avoidable Project Vision Cambodia RANZCO Eye Foundation Pacific Nations Pacific Foundation Eye RANZCO Nations Pacific Foundation Eye RANZCO Program Support Costs Support Program Institute Eye IAPB / Pacific FHF / IODR AusAid – Pacific Nations Leadership Development Program Development Leadership Nations – Pacific AusAid RANZCO Inter Scholarship Inter RANZCO RANZCO – Indo China Collaboration RANZCO Scholarship Leadership APAO Sponsorship Institute Eye Pacific RACGP Community Education Community costs Fundraising Public Branch Conference &Congress Meeting Expenditure Meeting &Congress Conference Branch Branch Expenditure Branch Printing, Publicity & Public Relations & Public Publicity Printing, Other Donations – Made by Branches by – Made Other Donations Sponsorship Registrars Conference Registrars Sponsorship Grant to Save Sight Society of New Zealand of New Society Sight Save to Grant Scholarship Grants Paid Grants Scholarship Contribution to ORIA to Contribution Education & Training, Other Service Costs Other Service & Training, Education ------500 7,481 1,897 5,921 1,000 91,151 15,323 13,338 38,038 64,694 120,196 7,684 17,927 210,387 370,561 210,426 113,091 137,470 266,379 1,254,149
56 ------142,788 142,788 371,520 450,147 134,650 875,918 277,438 6,931,400 1,247,438 1,524,876 1,524,876 1,524,876 Neville Banks Fund Banks Neville Alan James Fund Fund Alan James Gains/(Losses) – Realised CGT International Political or religious adherence or religious Political International expenditure programs Promotion year the for Surplus/(Deficit) – others Donation Government, multilateral and private multilateral Government, and Development Aid International Total Expenditure Program Accountability and administration Accountability expenditure monetary Non expenditure program Domestic other expenditure Total Net Surplus/(Deficit) Net Other Comprehensive Income for the year the year for Income Other Comprehensive Loss: or to Profit subsequently reclassified will be that Item Equities & Listed Funds in Managed increase/decrease) Net Net increase/(decrease)in Bank CDO Securities in year Bank CDO Securities increase/(decrease)in Net Total Comprehensive Income for the year for Income Comprehensive Total entity of the to the members attributable Profit of the entity to members attributable income comprehensive Total ------(3,328) 191,697 258,410 293,130 335,667 468,080 628,797 (30,000) 6,011,504 1,992,852 1,576,073 2,621,649 2,621,649 2,621,649
RANZCO Annual Report 2013-2014 - 57 The Royal Australian and New Zealand College of Ophthalmologists A.C.N. 000 644 404
Independent Auditors Report For the Year Ended 30th June, 2014
58
2013 2014 RANZCO Annual Report
The Royal Australian and New Zealand College of Ophthalmologists (RANZCO) is a member of the Australian Council for International Development (ACFID) and is a signatory to the ACFID Code of Conduct, which is a voluntary, self-regulatory sector code of good practice. The Code requires members to meet high standards of corporate governance, public accountability and financial management. More information on the Code, including how to make a complaint, can be obtained from ACFID by visiting www.acfid.asn.au or emailing [email protected]. RANZCO also has its own process for handling complaints which can be activated by phoning the CEO on 02 9690 1001 or emailing [email protected]
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