June 2011 ANZCA BULLETIN SHARING PEARLS OF WISDOM IN HONG KONG PLUS: ANZCA CURRICULUM REVISION 2013 – THE LATEST UPDATE 10 Hong Kong CSM A complete wrap up of the Combined Scientifi c Meeting 2011 in Hong Kong. 24 Spotlight on WA A special report on anaesthesia and pain medicine in Western Australia. ANZCA Bulletin The Australian and New Zealand College of Anaesthetists (ANZCA) is the professional medical body in Australia and New Zealand that conducts education, training and continuing professional development of anaesthetists and pain medicine specialists. ANZCA comprises more than 4500 Fellows across Australia and New Zealand and serves the community by upholding the highest standards of patient safety. Medical editor: Dr Michelle Mulligan Editor: Clea Hincks Sub editors: Meaghan Shaw, Kylie Miller Production editor: Liane Reynolds Design: Christian Langstone Submitting letters and material We encourage the submission of letters, news and feature stories. We prefer letters of no more than 500 words and they must indicate your full name and address and a daytime telephone number. Advertising inquiries To advertise in the ANZCA Bulletin please contact Mardi Peters, ANZCA marketing and sponsorship manager, on +61 3 9510 6299 or email [email protected]. An advertising rate card can be found online at www.anzca.edu.au/news/bulletin. Contacts Head offi ce 630 St Kilda Road, Melbourne Victoria 3004, Australia Telephone +61 3 9510 6299 Facsimile +61 3 9510 6786 [email protected] www.anzca.edu.au Faculty of Pain Medicine Telephone +61 3 8517 5337 [email protected] Copyright: Copyright © 2011 by the Australian and New Zealand College of Anaesthetists, all rights reserved. None of the contents of this publication 42 Ultrasound-guided epidurals may be reproduced, stored in a retrieval system or transmitted in any form, by any means without the Dr Nico Terblanche explains why he uses prior written permission of the publisher. ultrasound for epidurals. Cover: The combined scientifi c meeting in Hong Kong, May 2011. 2 ANZCA Bulletin June 2011 46 Anaesthetist on track Dr Roger Capps tells of his work as a medical offi cer at grands prix and disaster relief efforts. 36 Japan earthquake 18 ANZCA Curriculum and tsunami Revision 2013 Dr Geoff Healy tells of the part he A look at transition arrangements played in Japan with the NSW Urban and other changes involving the Search and Rescue Taskforce. new project. Contents 4 President’s message 48 Anaesthetists train for disaster 69 ANZCA in the news 6 Knowledge resources update in Darwin 70 New Zealand news Professional documents – update 50 Indigenous Health Committee 75 New horizons at the NZ Anaesthesia 7 Letter to the editor 52 Perioperative Medicine Special ASM 2011 Interest Group Queen’s birthday honour 76 Regional news 54 Assessing the effectiveness 9 News 83 Special Interest Group event of training 10 Hong Kong CSM wrap up 2011 84 ANZCA Council meeting report 55 Anaesthesia and Pain Medicine 86 Successful candidates 17 New Fellows Conference 2011 Foundation update 90 Faculty of Pain Medicine 18 ANZCA Curriculum Revision 2013 58 Quality and safety 100 Library update 24 Anaesthesia in Western Australia 64 Continuing Professional 36 11 days in Japan with the NSW Development 103 Obituaries Urban Search and Rescue taskforce 66 ANZCA Trials Group update 110 Future meetings 42 Illuminating the intervertebral abyss 67 Anaesthesia and Perioperative with neuraxial ultrasound Care Network 46 Dr Roger Capps: High octane 68 Teaching in Papua New Guinea medicine ANZCA Bulletin June 2011 3 President’s message At the recent College Ceremony during Continuing professional the Combined Scientifi c Meeting in development (CPD) Hong Kong, we welcomed a record 226 The College provides a wide range new Fellows to ANZCA and the Faculty of CPD resources: of Pain Medicine. As each new Fellow • CPD standard setting. crossed the stage to be presented, it was • ANZCA CPD program. wonderful to witness how excited they looked about the ceremony and about • CPD program helpdesk. starting their careers as specialists in • Fortnightly CPD emails. anaesthesia and pain medicine. The • Library (including books, online presentation of each new Fellow was journals, assistance with literature accompanied by cheers from family, searches). friends and colleagues in the audience, indicating their admiration for past • Publications (including Acute Pain achievements and their support for Management: Scientifi c Evidence, the future. Australasian Anaesthesia and other In my address to the new Fellows guidelines and resource documents). at the ceremony, I focused on “What • Podcasts and webinars. your College can do for you”. While • Clinical teacher courses. there are many services that Fellows • Annual scientifi c meeting. can and do provide to the College, it is good to refl ect from time to time on • Regional ANZCA continuing medical the services that the College offers its education (CME) meetings. Fellows and whether these are meeting • Joint CME activities with the their needs where they work and live – Australian Society of Anaesthetists and our primary mission of providing and the New Zealand Society of safe and high quality care for patients. Anaesthetists (regional meetings Some of these benefi ts are intangible, and special interest groups). but without them, we could not take advantage of the opportunities that Communications exist nor manage the risks facing our Our communications package aims specialties now and in the future. to keep Fellows up to date and to promote our specialties: Quality and safety • Website. The College provides a range of services and advocacy that promote safe and • ANZCA Bulletin. high quality care wherever anaesthesia • Annual report. and pain medicine services are provided • Triennial mortality reports. in our region: • e-newsletters (including annual • ANZCA and FPM professional scientifi c meeting e-news). documents. • Other emails with important alerts • Safety alerts. for members. • Input into clinical indicator projects. • Media releases and interviews. • Triennial mortality reports. • Promotion of history and heritage • Hospital inspection and accreditation. (museum, archives and library). • ANZCA Code of Conduct. Advocacy • The ANZTADC incident monitoring Behind the scenes, ANZCA Fellows, project (in collaboration with the trainees and staff work hard to maintain Australian Society of Anaesthetists and build the status of our profession and the New Zealand Society of and minimise risk, including: Anaesthetists). • Policy submissions to governmental and non-governmental bodies. • Meetings with jurisdictions, hospitals, consumer groups and the media. • National Pain Summit and National Pain Strategy. 4 ANZCA Bulletin June 2011 • Workforce studies and reports in • Council, committee and working These services could not be provided New Zealand and Australia. group membership. without the hard work of many Fellows • Representation on international, • Supervisors of training, module and trainees, and of our wonderful national, state and local committees. supervisors and clinical teachers. staff in the head offi ce, the regions and New Zealand. I would also like to • Support to those providing training • Curriculum reviewers and authors. acknowledge our fruitful collaborations in traditional and extended • Examiners and workplace-based with our sister societies and colleges, environments. assessors. hospital departments of anaesthesia • Handling of queries and complaints • Training site inspectors. and pain medicine, jurisdictions, the by patients and other stakeholders. • IMGS and area of need assessors. media and the community; and also • Assisting anaesthetists in diffi culty. their own fi ne work on behalf of our • Convenors, lecturers and tutors. specialties. Research • Educational initiatives in anaesthesia The 2010 Fellowship Survey revealed I invite you to take as much advantage and pain medicine in developing of all this support as possible. that Fellows value the research nations. supported by the College, even if they do not participate: The support of fellowship Professor Kate Leslie Fellowship is a link that binds us ANZCA President • ANZCA research grant program together no matter where we work and (>$800,000 per annum). live. The recent combined scientifi c • Novice investigator support. meeting in Hong Kong underscored the The value of • Gilbert Brown and Formal Project great sense of collegiality that arises ANZCA fellowship prizes. from belonging to such a motivated • ANZCA Trials Group support for and capable group of professionals and Quality and safety trialists. this was shared by those who followed • Professional documents and the conference in our e-newsletters. standard setting. • Assistance with survey research The support of “belonging” makes our for Fellows and trainees. Continuing professional mission of great training and great development • Fundraising from the community by patient care all the more achievable. • Program, resources and activities. our Anaesthesia and Pain Medicine Communications Foundation. Fellowship: a badge of quality Fellowship of ANZCA/FPM is an • Website, communications and Training and assessment immediately recognised hallmark of a media program. With our training program and specialist of the highest professional Advocacy international medical graduate standing. It is a symbol that the holder • Building the status of our profession assessment processes, ANZCA and FPM not only has a license to practice, and minimising risk. aim