Christian Medical and Dental of Christian Medicine & Dentistry Fellowship of Vol. 26 No. 1 February 2021 Australia ISSN 2209-9441 MORAL INJURY CONFERENCE CMDFA WEBINAR PRODUCED BY THE NSW STATE COMMITTEE – “What keeps me awake at night?” – Conversion Therapy Poverty: – Voluntary Assisted Dying It’s Not What – The Hospital Furnace You Think Towards a theology integrating creation, providence and redemption in our daily Fire in the work, rest and family Belly 2021 1 • CMDFA LUKE’S JOURNAL • February 2021 www.cmdfa.org.au will take you... Deeper SMBC’s academic curriculum is founded on, and saturated in, the Bible – the inspired word of God. Study at SMBC will give you a deep and systematic understanding of the Bible, its theology and its application to all aspects of life. We offer academic rigour with flexibility – from undergraduate diplomas through to postgraduate research degrees – full-time and part-time. Further Cross-cultural mission is the very DNA of SMBC. With three missiologists on staff, weekly visiting missionaries, a missionary mentoring program, the SMBC Missions Conference, plus a broad range of missions units, SMBC excels in preparing its students for ministry across all kinds of cultural boundaries. Wider SMBC is interdenominational – lecturers, staff and students represent various denominational allegiances. There is mutual respect and understanding for differing viewpoints whilst holding to the heart of the gospel message. This, along with our international ‘flavour’ provides a diverse and healthy environment to study in. Closer It is a priority of SMBC that in addition to gaining a deep knowledge of the Bible, our students continue to grow in holiness with lives marked by prayer, love, humility and obedience to God. Time spent in the College community and being mentored by lecturers will help strengthen your Christian character and draw you closer into relationship with Jesus and his people. “As a medical student, I was challenged to see theological education as akin to secular education. Prior to this I had felt it was only for those considering full-time vocational ministry. We study and train for years to work as a doctor, but we are called to be followers of Jesus 24/7. I had intended to do a short stint of theological study after completing medicine but, with work, family and continued lay ministry, this decision was delayed until this year. As I became a father and more involved in church, I realised that studying the Bible in depth has value for every facet of life. As a doctor it will shape and mould the way I approach my work, but more importantly it will equip me to understand and teach the Bible better. Ultimately, it will allow me to serve God effectively wherever he places me. After proclaiming I'd had enough of study forever, this year has been the LEARN MORE @ SMBC.EDU.AU most rewarding, enjoyable and life-changing study I have done. It's never too late!” SMBC student, Julian /SMBCOLLEGE 2 • CMDFA LUKE’S JOURNAL • April 2020 2 • CMDFA LUKE’S JOURNAL • February 2021 LJ 420 letter.indd 2 21-Apr-20 8:54:18 AM CONTENTS 4 EDITORIAL ‘Fire in the Belly’ 38 MORAL INJURY CONFERENCE: – Dr Catherine Hollier Moral Injury in Carers of Early Pregnancy – A/Prof Harvey Ward 5 Towards a theology integrating 4 creation, providence and 38 redemption in our daily work, rest 40 Art by Elle Chou (medical student) and family – A/Prof Alan Gijsbers 41 MORAL INJURY CONFERENCE: 9 Decision Making and the Will of God The Hospital Furnace – Dr Maria Haase – Dr Emily Ivarsson Srmo 41 9 12 Treatise on Health 42 MORAL INJURY CONFERENCE: – Prof Anthony Radford What keeps nurses awake at night? – Gabi Macaulay RN 19 Teamwork – Dr Monique Peris 46 MORAL INJURY CONFERENCE: The GP Landscape 19 21 Poverty: It’s Not What You Think – Dr Tony Rombola 42 – Ross Farley 48 HealthServe Australia: 24 Touched by Cancer, Touched by Connecting in Indonesia Love – Dr Shazza – Dr Michael Burke 24 26 MORAL INJURY CONFERENCE: 49 HealthServe Australia: Papua New 48 ‘What keeps me awake Guinea HealthCare Worker Manual at night?’ – Dr Ern Crocker – Dr Michael Burke 28 MORAL INJURY CONFERENCE: 50 HealthServe Australia: Definitions Lighting Paths, Healing Lives 26 – A/Prof Andrew Sloane – Dr Michael Burke 49 30 MORAL INJURY CONFERENCE: 52 What to Take on an Overseas ‘Nobody Expects the Spanish Medical Mission Trip Inquisition!’ – John Steenhof – Dr Maria Haase 35 MORAL INJURY CONFERENCE: 54 Medicine on YWAM Medical Ships 35 Conversion Therapy – Dr Thomas Chengxuan Lu 54 – Prof John Whitehall 56 Response to: 37 MORAL INJURY CONFERENCE: Issues Do we really save lives? Related to Voluntary Assisted Dying – A/Prof Alan Gijsbers 37 – Prof Natasha Michael 56 Themes for Until the Very End: Children of God Next Editions: Dying and Palliative Care copy due 30 Aug 2021 copy due 30 Apr 2021 3 • CMDFA LUKE’S JOURNAL • February 2021 Dr Catherine Hollier Catherine is a part-time GP in Newcastle, NSW. She is proud to have been involved with the high quality content of Luke’s Journal since 2016 and enjoys leading a team of enthusiastic volunteers in its publication. She is greatly pleased with the transition to digital format, allowing greater dispersion of its content to a wide and varied audience. EDITORIAL Fire in the Belly Wow! ‘Fire in the Belly’. Gijsbers’ “Towards a theology…” or from a are joined by the growing clamour desire to guide the younger generation, around gender dysphoria, conversion Impulsive? Idealistic? Irresponsible? e.g. Maria Haase’s “Decision-Making therapy and the idolisation of medical Or reasonable opinion? That is for you and the Will of God”. Others share from career in the hospital environment. to decide. many years of faithful work in the mission Recordings can be accessed online by field (see Anthony Radford’s “A Treatise contacting [email protected] Moving. Challenging. Passionate. in Health” and Ross Farley’s “Poverty Definitely. – it’s not what you think!”). There are There are also reports from long- pragmatic issues such as Monique Peris’ standing affiliates of CMDFA – With the digitalisation of Luke’s Journal “Teamwork” and personal stories like HealthServe Australia and ICDMA. It is and the extended reach of its readership, Shazza’s “Touched by Cancer. Touched timely to be reminded of our partnership there has been an increase in Fire in by Love.” around the globe with the common link the Belly articles – self-submitted and of healthcare in our Christian family, grounded in the passion of the author. We report summaries and presentations especially as COVID-19 unites the world The views expressed in these articles are from the recent NSW ‘Moral Injury and the church in so many ways. An those of the authors and not necessarily Conference’, which has become more invitation is extended to join with others those of the CMDFA or Luke’s Journal. As pertinent as the surrounding culture beyond our borders. Other mission focus such, these articles have less editorial presses ever more loudly against includes Thomas Lu’s “YWAM Medical input and should be read as passionate Christianity. The age-old topics of ships” and practicalities on “What to take expression rather than academic abortion and voluntary assisted dying with you on Mission Trips”. treatise. However, they will no doubt stimulate thought and robust debate as And finally, a response to a previous we seek to mature in Christ, and interact “[The articles] will Luke’s Journal article by Andrew Williams, meaningfully with the world. no doubt stimulate “Do We Really Save Lives?” which prompted Alan Gijsbers to write an Luke’s Journal is excited to publish what thought and robust alternative view. is likely to be the first of many issues debate as we seek to comprising only Fire in the Belly articles. We have a broad church in the CMDFA Authors have been inspired from all ages mature in Christ, and membership and it is with great joy that and many different backgrounds. Some interact meaningfully Luke’s Journal shares encouragement write from a theological perspective with the world.” and inspiration across the nation and integrating faith in daily work, e.g. Alan beyond. 4 • CMDFA LUKE’S JOURNAL • February 2021 A/Prof Alan Gijsbers Alan (MBBS FRACP FAChAM DTM&H PGDipEpi.) is a Specialist Physician in Addiction Medicine, Melbourne, and President of Christians in Science and Technology (ISCAST). He has a particular interest in a studying neuroscience and theology, the philosophy of the self, and spirituality, topics which underpin his approach to addiction care. Towards a theology integrating creation, providence and redemption in our daily work, rest and family “[God’s] creation is not an end, but Further, it seeks to integrate being and of human sin, God still cares for and a beginning – complete in itself as doing, and to integrate mission and provides for His creation. Even further, such, but still a beginning. It is not, evangelism. It seeks to integrate what God calls a people to Himself within therefore, an end in itself. Nor is it simply we do in church with what we do in our creation, and those people express conditioned by what might happen secular pluralist society. My overall aim His rule over the created earth. That is further between God and man on quite is to integrate faith and practice so that how God’s covenant develops. It came different presuppositions...the creation there is a broad two-way street of ideas through the call of Abram, through the of God took place for the sake of the and actions between the world we live in, patriarchs to Moses and to the children covenant and that itself it was the and the Word of God we live out of.