MARCH 2014 ANZCA BULLETIN beyondblue study: IMGS contributions: Continuing education: Mental health Benefiting from Our successful 2014 concerns for overseas-trained ANZCA CPD Program anaesthetists doctors launch New Fellows heard: We reveal our Graduate Outcomes Survey results 30 Overseas trained doctors ANZCA and anaesthesia generally continue to benefit from international medical graduate specialists. 26 Mental health concerns for anaesthetists The recent beyondblue study shows anaesthetists have a high risk of developing mental health problems. 20 Workforce and other issues 8 2014 ANZCA CPD Program launch We reveal the results of the Graduate Feedback has been generally positive since the Outcomes Survey and frequently asked launch of the 2014 ANZCA CPD Program and questions about workforce. new CPD portfolio system. ANZCA Bulletin Medical editor: Dr Michelle Mulligan Contacts Editor: Clea Hincks ANZCA 630 St Kilda Road, Melbourne Art direction and design: Christian Langstone Victoria 3004, Australia Production editor: Liane Reynolds Telephone +61 3 9510 6299 Sub editor: Kylie Miller Facsimile +61 3 9510 6786 [email protected] Submitting letters and other material www.anzca.edu.au We encourage the submission of letters, news and Faculty of Pain Medicine The Australian and New Zealand College of feature stories. Please contact ANZCA Bulletin Editor, Telephone +61 3 8517 5337 Anaesthetists (ANZCA) is the professional medical Clea Hincks at [email protected] if you would [email protected] body in Australia and New Zealand that conducts like to contribute. Letters should be no more that www.fpm.anzca.edu.au education, training and continuing professional 300 words and must contain your full name, address development of anaesthetists and specialist pain and a daytime telephone number. They may be Copyright: Copyright © 2013 by the Australian medicine physicians. ANZCA comprises about edited for clarity and length. and New Zealand College of Anaesthetists, all rights 5000 Fellows and 2000 trainees across Australia Advertising inquiries reserved. None of the contents of this publication and New Zealand and serves the community by To advertise in the ANZCA Bulletin please contact may be reproduced, stored in a retrieval system or upholding the highest standards of patient safety. [email protected]. transmitted in any form, by any means without the prior written permission of the publisher. Please note that any views or opinions expressed in this publication are solely those of the author and do not necessarily represent those of ANZCA. 2 ANZCA Bulletin March 2014 Daily Advertiser (Wagga Wagga), Wagga Wagga NSW 27 Nov 2013, by Caleb Taylor General News, page 1 - Size: 332.91 cm² Regional - Circulation: 10,292 (MTWTFS-) Copyright Agency licensed copy (www.copyright.com.au) ID 225216583 BRIEF ANZCA PAGE 1 of 2 Herald on Sunday, Auckland 09 Feb 2014, by Lynley Bilby And Jonathan Mime News General News, page 8 - Size: 167.74 cm² Sun-Herald(Sydney), Sydney Metro - Circulation: 98,941 (------S) Border Mail (Albury Wodonga), Albury-Wodonga 02 Feb 2014, by Eamonn Duff Daily Advertiser (Wagga Wagga),52 06 OpioidFeb 2014, Wagga by Nigel abuse McnayWagga andNSW the drug debate General News, page 11 - Size: 117.52 cm² Copyright Agency certified copy ID 236227441 BRIEF ANZCA 18 Dec 2013 PAGE 1 of 1 GeneralThe News, misuse page 4 - Size: of 173.96 opioids cm² has become CapitalBorder City Mail Daily (Albury - Circulation: Wodonga), 290,174 Albury-Wodonga(------S) Regionala dominant - Circulation: 20,096 topic (MTWTFS-) in the media. 01 Feb 2014 Daily Advertiser (Wagga Wagga), Wagga Wagga NSW 27 Nov 2013, by Caleb Taylor Copyright Agency licensed copy Medical Journal of Australia, National (www.copyright.com.au) BorderIDGeneral235115943 Mail (Albury News, page Wodonga),BRIEF 16 - Size:ANZCA Albury-Wodonga 233.99 cm² PAGE 1 of 1 18 Nov 2013 GeneralCopyright Agency News, licensed page copy 8 - Size: 139.19 cm² Media Releases, General News, page 1 - Size: 332.91 cm² (www.copyright.com.au) 01 Feb 2014 Regional - Circulation: 10,292 (MTWTFS-) ID 235740476 BRIEF ANZCA PAGE 1 of 1 Regional - Circulation: 30,783 (MTWTFS-) General News, page 696 - Size: 1,632.47 cm² 23 Jan 2014 Warrnambool Standard, Warrnambool VIC Magazines Lifestyle - Circulation: 28,764 (Fortnightly) Regional - Circulation: 10,292 (MTWTFS-) 23 Dec 2013, by Cou Ri Andrew Thomson Copyright Agency licensed copy (www.copyright.com.au) ID 225216583 BRIEF ANZCA PAGE 1 of 2 Editorials, page 32 - Size: 94.71 cm² Copyright Agency licensed copy General News, page 4 - Size: 461.29 cm² (www.copyright.com.au) ID 223700434 BRIEF ANZCA PAGE 1 of 4 Copyright Agency licensed copy Regional - Circulation: 30,783 (MTWTFS-) (www.copyright.com.au) Non-govt, pageID 2350297453 - Size: 268.93RegionalBRIEF cm² - Circulation:ANZCA 10,704 (MTWTFS-) PAGE 1 of 1 Tougher drug rules likely MediaCopyright AgencyReleases licensed copy - Circulation: () (www.copyright.com.au) ID 229361004 BRIEF ANZCA PAGE 1 of 2 Copyright Agency licensed copy Copyright Agency licensed copy (www.copyright.com.au) ID 228587561❚ BRIEF ANZCA PAGE 1 of 1 (www.copyright.com.au) ID 235026278 BRIEF ANZCA PAGE 1 of 1 Study takes hard look at fentanyl prescribers Copyright Agency licensed copy Gateway (www.copyright.com.au) 233688695 ANZCA 1 of 1 Medical Observer, National Bendigo Advertiser, Bendigo VICID BRIEF Border Mail (Albury Wodonga), Albury-Wodonga PAGE NIGEL McNAY 01 Feb 2014, by Tammy Mills 31 Jan 2014, by Josh Fagan 22 Nov 2013, by ANDREW BRACEY General News, page 1 - Size: 381.52 cm² Regional - Circulation: 30,783 (MTWTFS-) General News, page 7 - Size: 218.52 cm² Regional - Circulation: 30,000 (MTWTFS-) can help Editorial Copyright Agency licensed copy (www.copyright.com.au) ID 235029292 BRIEF ANZCA PAGE 1 of 2 INCIDENTSGeneral News, such page 5as - Size: three 185.96 cm²“Some of the things in that “At the other end of the Australian Doctor, National Border Mail (Albury Wodonga), Albury-Wodonga Copyright Agency licensed copy scale, there are older patients (www.copyright.com.au) ID 234823224 BRIEF ANZCA PAGE 1 of 1 Fentanyl deaths prompt overdose warning 15 Nov 2013, by DAVID BRILL recentMagazines fatal overdosesLifestyle - Circulation: on the 19,950 framework (----F--) would be about 01 Feb 2014, by Tammy Mills AN OVERDOSE pre- Border caused by the pain- looking at prescribers and Generalwho News, pageneed 16 - Size: 613.83to cm²have their use of vention and education General News, page 1 - Size: 241.32 cm² Regional - Circulation: 30,783 (MTWTFS-) Magazines Lifestyle - Circulation: 20,626 (----F--) The Australian, Australia DRUG FE Weekend Press, Christchurch killer drug fentanyl could making sure they understand patches more closely moni- program will be started DRUGDRUG FEARSFEARS Copyright Agency licensed copy Copyright Agency licensed copy 16 Nov 2013, by Ethan Donnell lead to tougher05 rules.Feb 2014 their obligations(www.copyright.com.au) — that they IDtored,”235029740 BRIEFsheANZCA said. PAGE 1 of 2 at Gateway Community PMCA licensed copy. You may not Copyright Agency licensed copy (www.copyright.com.au) ID 224301401 BRIEF ANZCA PAGE 1 of 1 (www.copyright.com.au) ID 223052597 BRIEF ANZCA PAGE 1 of 1 NSW Health Minister Jil- alert patients and then moni- “It’s not a simple issue and Health in Wodonga in re- REVIVED further copy, reproduce, record, retransmit, sell, publish, distribute, quite a substantial series of REVIVED General News, page 11 - Size: 199.80 cm² lian Skinner yesterday said tor that. sponse to fentanyl fatali- share or store this information Fentanyl: how many ARRS without the prior written consent of she had beenInternational briefed on News,the page“In the7 - Size:past, 160.84some of cm² those measures in this framework ties on the Border. Metro - Circulation: 87,221 (-----S-) BY TAMMY MILLS and police in the region fear there may be further deaths on the Print Media Copyright Agency. THREE Border people have a par with a spate of overdoses Border overdoses. doctors have been referred to will be taken to the standing John Ryan, who heads died and others have narrowly in 2011-12, when 10 people died Phone +64-4-4984487 or email National - Circulation: 116,854 (MTWTF) escaped with their lives in a in Albury-Wodonga. recent series of overdoses of the There have been at least four [email protected] for further the medical board and have council.” Timely alert potent painkiller fentanyl. non-fatal overdoses in the past She said it was “concerning” the national drug harm The overdoses have prompted three weeks. information. a leading drug agency to send must die? an urgent warning to the NSW Continued page 17 when anybody died, and espe- been banned from prescribing Ms Skinner said the over- reduction agency Anex, and Victorian governments. More reports — pages 16,17 ID 223361192 BRIEF ANZCA PAGE 1 of 1 Drug clinicians, paramedics Editorial — page 32 cially so when it appeared to those substances.” ❚ doses were not a situation said the program would Copyright Agency licensed copy be from a drug overdose. Ms Skinner said the strat- Bereavedunique mother’sto the Border, “al- (www.copyright.com.au) ID 235516054 BRIEF ANZCA PAGE 1 of 1 enable people at risk and on fentanyl Wodonga police investigat- egy, which was almostwarning for- though to drug there haveusers been more their loved ones to learn ed two fatal fentanyl overdos- mulated, also involved the here than other places”. how to prevent fatal over- pharmacies.GEOFREY Saunders Border since December,“It’s fewcertainly weeks and I’m in a enough“He was sent out toof WO years ago Border drug users es in December, while Albury REPORTS sparking fears from police lot of pain and here’s the jail with a garbage bag doses. between life and death TAMMY and health experts the re- (forged) letter I’ve got of clothes that he had paramedics were called to an- She said when completed,gion is on themake brink of an- mefrom the specialist,worried, can and hisparticu- few possessions, Mr Ryan said the pro- were in crisis with the death of 10 nyl, and on Christmas MILLS other spate of deaths.