Annual Report - Adelaide to Outback GP Training Program
Annual Report - Adelaide to Outback GP Training Program
Annual Report - Adelaide to Outback GP Training Program
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<strong>Annual</strong> <strong>Report</strong><br />
2010
© <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> 2011<br />
This work is copyright. Apart from any use<br />
permitted under the Copyright Act 1968, no part<br />
may be reproduced by any process without<br />
prior written permission from the publisher.<br />
Inquiries concerning reproduction and<br />
rights should be addressed <strong>to</strong> the<br />
Communications Officer.<br />
Published by<br />
<strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong><br />
<strong>GP</strong> <strong>Training</strong> <strong>Program</strong><br />
Lower Level,<br />
183 Melbourne Street<br />
NORTH ADELAIDE<br />
5006<br />
<strong>Annual</strong> <strong>Report</strong><br />
2010
Business Context<br />
Tenet<br />
AO<strong>GP</strong>’s core purpose is <strong>to</strong> educate<br />
postgraduate doc<strong>to</strong>rs in the speciality of<br />
General Practice.<br />
High quality <strong>Training</strong> Posts and Trainers are<br />
critical <strong>to</strong> the delivery of General Practice<br />
speciality training.<br />
AO<strong>GP</strong> is committed <strong>to</strong> the provision of high<br />
quality General Practice speciality education<br />
and training in both rural and urban regions<br />
within SA.<br />
AO<strong>GP</strong> has an essential role <strong>to</strong> play in the<br />
delivery of training <strong>to</strong> other learners placed in<br />
General Practice <strong>Training</strong> Posts.<br />
<strong>GP</strong> Stakeholders are pivotal in the conduct of<br />
integrated multi-level learner teaching within<br />
General Practice.<br />
Imperatives<br />
AO<strong>GP</strong> rules of association<br />
AO<strong>GP</strong> business objectives<br />
<strong>GP</strong>ET contract/s<br />
Colleges’ curricula and standards<br />
SA Associations Incorporation Act (1985)<br />
Vision<br />
AO<strong>GP</strong> is recognised as a provider of premier<br />
postgraduate training and, General Practice<br />
and Rural Medicine is a first career choice for a<br />
significant proportion of Junior Medical Officers.<br />
Mission<br />
To provide an exciting, diverse and excellent<br />
education experience that creates confident<br />
and competent General Practitioners who are a<br />
dynamic and passionate force in primary health.
Contents<br />
Chairperson’s <strong>Report</strong> 1<br />
Board 2<br />
Board Sub-Committees 3<br />
Chief Executive Officer’s <strong>Report</strong> 7<br />
Management 9<br />
Education 10<br />
<strong>GP</strong> <strong>Training</strong> - summary 11<br />
Education Innovations 12<br />
Education Highlights 14<br />
Other Education programs 14<br />
Education Weekend 16<br />
Liaison Officers 17<br />
Registrar Liaison Officers 17<br />
Supervisor Liaison Officers 18<br />
Practice Manager Liaison Officer 19<br />
Research & Publishing 20<br />
Research activity at AO<strong>GP</strong> 20<br />
Early <strong>GP</strong> Exposure & Recruitment 21<br />
Promoting General Practice 21<br />
2011 Cohort Recruitment 21<br />
AO<strong>GP</strong> Graduates 22<br />
Financial Statements 2010 23
Key Result Area 4<br />
Leadership<br />
The AO<strong>GP</strong> Board governs the training<br />
organisation so that it meets regional<br />
contemporary General Practice and<br />
Primary Care training needs<br />
Key Objective # 1<br />
Preparing AO<strong>GP</strong> <strong>GP</strong> Registrars <strong>to</strong><br />
provide safe and effective high quality care<br />
as independent <strong>GP</strong>s.<br />
Key Objective # 4<br />
Creating community based learning<br />
environments for multi-level learning that<br />
reflect local needs.<br />
Key Result Area 5<br />
Stakeholder Value<br />
In collaboration with academic partners,<br />
AO<strong>GP</strong> is increasing general practicerelated<br />
academic research activity, and the<br />
involvement of the AO<strong>GP</strong> community in<br />
academic research and teaching.<br />
AO<strong>GP</strong> is establishing constructive links<br />
with federal and state government health<br />
departments.<br />
Key Objective #5<br />
Expanding AO<strong>GP</strong>’s evidence-based<br />
decision-making capacity, regarding <strong>GP</strong><br />
education, training and workforce issues.<br />
Key Objective #6<br />
Engaging stakeholder groups as and when<br />
appropriate.<br />
‘I would like <strong>to</strong> express<br />
the Board’s pleasure<br />
with the commitment,<br />
expertise, and support<br />
given <strong>to</strong> AO<strong>GP</strong> by all the<br />
staff.’<br />
Dr Peter Joyner<br />
Chair
Chairperson’s <strong>Report</strong><br />
This last year has—as always—been an<br />
exciting but challenging time. As Chairman<br />
I would like <strong>to</strong> express the Board’s<br />
pleasure with the commitment, expertise,<br />
and support given <strong>to</strong> AO<strong>GP</strong> by all the<br />
staff. Their ability <strong>to</strong> both take care of the<br />
routine work that is anticipated each year,<br />
as well as rise <strong>to</strong> the challenges that come<br />
our way, provide the Board with a real<br />
sense of security regarding the function<br />
of our organisation. This is the main<br />
reason that while our Registrar numbers<br />
increase we can still maintain the level of<br />
training support that has characterised<br />
our organisation. We are seen as a<br />
high quality, high performing and highly<br />
respected RTP all of which is essentially<br />
due <strong>to</strong> the talented and hard working staff<br />
that makes up AO<strong>GP</strong>. I want <strong>to</strong> personally<br />
thank each staff member for his or her<br />
work this last year.<br />
There have been particular highlights<br />
continuing on the success of the ‘for love<br />
or money’ three-part study released in<br />
2009. Dr Caroline Laurence and Linda<br />
Black (<strong>to</strong>gether with other collabora<strong>to</strong>rs,<br />
internal and external <strong>to</strong> AO<strong>GP</strong>) published<br />
in 2010 what has been universally<br />
accepted as a landmark study in<strong>to</strong> the<br />
costs associated with practice based<br />
teaching and learning. Also in 2010<br />
AO<strong>GP</strong> was sub-contracted <strong>to</strong> replicate<br />
the full three-part study for WA<strong>GP</strong>ET - the<br />
best compliment that could be expressed<br />
regarding the authenticity and rigor of<br />
the methodology AO<strong>GP</strong> used <strong>to</strong> explore<br />
these important questions.<br />
Another highlight in 2010 was the<br />
completion of the new module covering<br />
‘The Business of General Practice’. All<br />
AO<strong>GP</strong> core stakeholders, attending<br />
education forums throughout the second<br />
half of 2010, were introduced <strong>to</strong> this inpractice<br />
teaching <strong>to</strong>ol. AO<strong>GP</strong> Registrars,<br />
Supervisors and Practice Managers alike,<br />
have applauded this as a high calibre<br />
piece of work. The positive feedback<br />
continued with the receipt of the <strong>GP</strong>ET<br />
Innovation Award at the <strong>GP</strong>ET conference<br />
in Alice Springs. Deb Docking and Danny<br />
Haydon, AO<strong>GP</strong>’s Practice Manager<br />
Liaison Officers (PMLOs), <strong>to</strong>gether with<br />
a series of AO<strong>GP</strong> personnel, deserve our<br />
special thanks for successfully producing<br />
an oft-requested module.<br />
Finally, AO<strong>GP</strong> can be justly proud of<br />
its national contribution in 2010, which<br />
culminated in the RAC<strong>GP</strong> and ACRRM<br />
endorsement of a delegated <strong>Training</strong> Post/<br />
Supervisor Accreditation framework. The<br />
foundation work undertaken by AO<strong>GP</strong><br />
significantly informed the development<br />
of a national delegated accreditation<br />
framework. It is encouraging <strong>to</strong> see that<br />
the strong partner relationship between<br />
AO<strong>GP</strong> staff and Supervisors/<strong>Training</strong><br />
Posts continues <strong>to</strong> produce outcomes<br />
that are simultaneously beneficial <strong>to</strong><br />
ourselves, our stakeholders and like<br />
entities beyond our region. As a further<br />
example of this, AO<strong>GP</strong>, <strong>to</strong>gether with a<br />
cross-section of its network of <strong>Training</strong><br />
Posts successfully submitted a proposal<br />
<strong>to</strong> HWA, <strong>to</strong> deliver clinical training for<br />
primary qualification students in Medicine,<br />
Psychology and Nursing. All AO<strong>GP</strong><br />
partners are <strong>to</strong> be congratulated on taking<br />
an early adopter perspective with regard<br />
<strong>to</strong> delivering a vertically and horizontally<br />
integrated model of clinical training.<br />
On a broader note, HWA and <strong>GP</strong>ET,<br />
as discrete Commonwealth created<br />
independent organisations, have<br />
been presented with different but<br />
complementary challenges. One of<br />
these involves the development of a<br />
bolstered vertical as well as a horizontal<br />
clinical training system within primary<br />
care environments. In 2010, as the<br />
Chair representative on the RTP/<strong>GP</strong>ET<br />
Council, I participated in a national<br />
<strong>GP</strong>ET-coordinated panel that included<br />
HWA, DoHA and national Division<br />
representatives. This meeting was<br />
attended by RTP and <strong>GP</strong>ET senior<br />
management and board members –<br />
<strong>to</strong> determine the principles for RTP<br />
involvement in primary care-based<br />
training. This conversation is fledgling and<br />
will be ongoing.<br />
From a Chairman’s governance<br />
perspective, I feel reassured that AO<strong>GP</strong><br />
is in good hands with the committed staff<br />
we have. I would like <strong>to</strong> make specific<br />
mention of the continued dedication and<br />
overall expertise that our Chief Executive,<br />
Linda Black brings <strong>to</strong> her role. I also want<br />
<strong>to</strong> thank Carolyn Cheah, our Business<br />
Manager, for all her efforts in managing<br />
our financial affairs. As a Board, she<br />
gives us security and understanding<br />
with regard <strong>to</strong> the overall financial health<br />
of our organisation, a critical part of our<br />
governance responsibilities.<br />
At this point I would also like <strong>to</strong> welcome<br />
our newest Board Member, Dr Rebecca<br />
Morgan, who joined the Board in mid<br />
2010. She brings <strong>to</strong> the Board a broad<br />
base of pertinent skills and experience<br />
that have been deemed suitable for<br />
inclusion on the Board. Equally Rebecca<br />
is currently an AO<strong>GP</strong> Registrar and this<br />
ensures the Board perspective remains<br />
inclusive of the all-important active<br />
Registrar voice.<br />
The new year will bring many challenges,<br />
most anticipated but some that will be<br />
a surprise. However I feel confident<br />
that with the support and commitment<br />
shown by the Board and the continued<br />
professional input from the staff at all<br />
levels, I, as Chairman, can face the future<br />
with positive anticipation that AO<strong>GP</strong> will<br />
continue <strong>to</strong> grow and prosper.<br />
1
Board<br />
1<br />
2<br />
3 4<br />
2<br />
5 6
8<br />
7<br />
9<br />
11<br />
1. AO<strong>GP</strong> Board Chair, Dr Peter<br />
Joyner - Education Weekend, Barossa<br />
2. AO<strong>GP</strong> CEO Ms Linda Black,<br />
RAC<strong>GP</strong> Chair Prof Nigel S<strong>to</strong>cks<br />
and AO<strong>GP</strong> Deputy Chair Dr Chris<br />
Holmwood - CSRG meeting<br />
3. AO<strong>GP</strong> Board March Meeting<br />
- Strategic review with Senior<br />
Management<br />
4. AO<strong>GP</strong> Board Member Prof Justin<br />
Beilby<br />
- CSRG meeting<br />
5. AO<strong>GP</strong> Board Member Dr Rebecca<br />
Morgan - Education Weekend, Barossa<br />
6. AO<strong>GP</strong> Board Members Ms Pamela<br />
Martin, Dr Tony Cocchiaro, Dr Peter<br />
Joyner, Ms Linda Black, Prof Justin<br />
Beilby and Dr Mandy Ayres<br />
- AO<strong>GP</strong> Graduation Dinner<br />
7. AO<strong>GP</strong> Board Member Dr Scott Lewis<br />
- Opening of his solo Practice at Wudinna<br />
8. AO<strong>GP</strong> Board Member Prof Justin<br />
Beilby and AO<strong>GP</strong> Graduate Dr Adam<br />
S<strong>to</strong>rey<br />
- Presenting the Justin Beilby Medal for<br />
highest AO<strong>GP</strong> RAC<strong>GP</strong> Exam result at<br />
the 2010 AO<strong>GP</strong> Graduation Dinner<br />
9. AO<strong>GP</strong> Board Chair Dr Peter<br />
Joyner and Board Member Ms<br />
Linda Black - AO<strong>GP</strong> Graduation<br />
Dinner<br />
10. AO<strong>GP</strong> Board Member Dr<br />
Rebecca Morgan with other<br />
Registrars - Derma<strong>to</strong>logy RDL<br />
activity<br />
11. AO<strong>GP</strong> Supervisor Dr Neville<br />
Witford and Board Members<br />
Dr Gerard Quigley and Dr<br />
Peter Joyner - AO<strong>GP</strong> Supervisor<br />
Workshop<br />
3
Board Sub-Committees<br />
Community Stakeholder<br />
Reference Group (CSRG)<br />
<strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong>’s Community<br />
Stakeholder Reference Group (CSRG)<br />
is comprised of representatives of<br />
a number of significant stakeholder<br />
groups, including Consumers, <strong>GP</strong><br />
Colleges and Associations, Universities,<br />
Workforce Agencies, State and<br />
Federal Governments, <strong>GP</strong> Supervisors,<br />
Registrars, Doc<strong>to</strong>rs in <strong>Training</strong>, Medical<br />
Students, and Practice Managers.<br />
CSRG’s role is <strong>to</strong> discuss and debate<br />
issues of current relevance and <strong>to</strong> report<br />
its discussions <strong>to</strong> the board of AO<strong>GP</strong>.<br />
The 2010 meeting of the CSRG was held<br />
on 22nd Oc<strong>to</strong>ber at the National Wine<br />
Centre. Prior <strong>to</strong> the meeting, members<br />
had been asked <strong>to</strong> consider the following<br />
questions in relation <strong>to</strong> the Federal<br />
Government’s proposed Primary Health<br />
Care reforms:<br />
• What do you see as the key<br />
fac<strong>to</strong>rs, which will impact upon your<br />
organisation under the proposed<br />
Primary Health Care Reform?<br />
4<br />
• How do you see your organisation’s<br />
stakeholder relationship with AO<strong>GP</strong><br />
changing in the proposed new<br />
environment?<br />
• How do you see AO<strong>GP</strong> positioning<br />
itself in the proposed new Primary<br />
Health Care environment?<br />
Members of the group each presented<br />
their organisation’s views in relations <strong>to</strong><br />
these questions and it was interesting<br />
<strong>to</strong> observe the conformity of views from<br />
people representing different aspects of<br />
the health system. There was, however,<br />
general agreement that the detail of the<br />
proposed reforms has not been well<br />
communicated <strong>to</strong> relevant stakeholders.<br />
<strong>GP</strong> Registrars, Doc<strong>to</strong>rs in <strong>Training</strong> and<br />
Medical Students in particular feel that<br />
they are not being adequately informed or<br />
involved in discussions.<br />
Members agreed that the proposed health<br />
care reforms present opportunities as<br />
well as challenges for <strong>GP</strong>s and patients.<br />
The overriding view was that no matter<br />
how the system changes, old fashioned<br />
values must remain paramount – the<br />
privacy and confidentiality of the doc<strong>to</strong>rpatient<br />
relationship and comprehensive<br />
whole patient care given by <strong>GP</strong>s <strong>to</strong> their<br />
patients. More than ever we need an<br />
emphasis on valuing people, whether<br />
they be teachers, students, clinicians,<br />
allied health workers, other members of<br />
the practice team, or patients from every<br />
background and ability. Under the new<br />
Primary Health Care reforms, AO<strong>GP</strong> must<br />
strive <strong>to</strong> enable <strong>GP</strong>s <strong>to</strong> thrive as providers<br />
of whole patient care in a system that<br />
fosters mutual respect and caring.<br />
<strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong>’s education of<br />
<strong>GP</strong>s must include all aspects important<br />
<strong>to</strong> delivering excellence in patient care.<br />
As well as learning the diagnostic and<br />
procedural skills of a good <strong>GP</strong>, education<br />
must include team work, relationship<br />
building, practice management, finance,<br />
and IT skills. <strong>GP</strong>s must be taught the<br />
importance of valuing all people and<br />
how <strong>to</strong> be inclusive of all members of the<br />
treating team and all patients. Knowledge<br />
and skills in these areas can not be<br />
assumed. There must also be a focus<br />
on chronic disease management and the<br />
important role of the generalist. AO<strong>GP</strong><br />
must work <strong>to</strong> ensure that changes in the<br />
Primary Health Care system facilitate<br />
comprehensive education.
Key Result Area 5<br />
AO<strong>GP</strong> is establishing constructive links<br />
with federal and state government health<br />
departments<br />
Key Objective #6<br />
Engaging stakeholder groups as and<br />
when appropriate<br />
Vertical integration of <strong>GP</strong> teaching was<br />
discussed by a number of the presenters.<br />
A reformed Primary Health Care system<br />
must encourage and facilitate teaching<br />
of <strong>GP</strong> Registrars by their Supervisors,<br />
Junior Registrars by Senior Registrars,<br />
as well as Students by Registrars and<br />
<strong>GP</strong> Supervisors. AO<strong>GP</strong> must advocate<br />
for the time, money and skills <strong>to</strong> enable<br />
this. Integration of the teaching of <strong>GP</strong>s<br />
with Allied Health has some significant<br />
potential benefits, however not all <strong>GP</strong><br />
education can be multi-disciplinary.<br />
A reformed Primary Health Care system<br />
must embrace part time <strong>GP</strong>s and ageing<br />
<strong>GP</strong>s, allowing them <strong>to</strong> participate in a<br />
meaningful way. AO<strong>GP</strong> has a role in<br />
facilitating the contribution of these <strong>GP</strong>s<br />
<strong>to</strong> education of the next generation of<br />
doc<strong>to</strong>rs.<br />
Discussion of the proposed Super Clinics<br />
centred around ensuring that these clinics<br />
involve existing local <strong>GP</strong>s and that they<br />
contribute in a very constructive, meaningful<br />
way <strong>to</strong> teaching at all levels, including Allied<br />
Health and Nursing. The size and breadth<br />
of Super Clinics should make them ideal<br />
teaching environments, but funding must<br />
allow this and bureaucracy must not stifle it.<br />
The role of the proposed Medicare Locals<br />
was discussed, and it was agreed that<br />
these could contribute <strong>to</strong> the improvement<br />
of Primary Health Care, but pose a risk of<br />
additional red tape and ‘managed care’ if<br />
they do not have sufficient local <strong>GP</strong> input.<br />
AO<strong>GP</strong> has a role <strong>to</strong> play in working with<br />
the relevant Medicare Local(s) <strong>to</strong> ensure<br />
improvement in <strong>GP</strong> education and that<br />
the input of <strong>GP</strong>s in<strong>to</strong> areas such as Aged<br />
Care, Aboriginal Health, Mental Health<br />
and After Hours care is improved, not<br />
diminished by intrusion.<br />
These main messages were delivered<br />
<strong>to</strong> the AO<strong>GP</strong> Board at their meeting in<br />
November 2010. A consistent theme<br />
throughout my presentation was that the<br />
system under which we all operate does<br />
not matter as much as continuing good<br />
education, professional values, product<br />
and service – elements that AO<strong>GP</strong><br />
currently provide, and elements we<br />
expect them <strong>to</strong> continue <strong>to</strong> provide. The<br />
AO<strong>GP</strong> Board has agreed <strong>to</strong> include these<br />
recommendations in its next review of the<br />
AO<strong>GP</strong> strategic plan, scheduled <strong>to</strong> occur<br />
in late 2011.<br />
This was the liveliest CSRG meeting<br />
that we have had <strong>to</strong> date. All attendees<br />
participated actively and there was<br />
positive and enthusiastic support for<br />
AO<strong>GP</strong> and the work it is doing. My<br />
thanks <strong>to</strong> all those who attended,<br />
and <strong>to</strong> AO<strong>GP</strong>, for encouraging active<br />
participation of its stakeholders in<br />
determining AO<strong>GP</strong> strategic directions.<br />
Dr Jill Maxwell<br />
CSRG Chair<br />
5
Key Result Area 5<br />
Stakeholder Value<br />
In collaboration with academic partners,<br />
AO<strong>GP</strong> is increasing general practicerelated<br />
academic research activity, and the<br />
involvement of the AO<strong>GP</strong> community in<br />
academic research and teaching.<br />
AO<strong>GP</strong> is establishing constructive links<br />
with federal and state government health<br />
departments.<br />
Key Objective #5<br />
Expanding AO<strong>GP</strong>’s evidence-based<br />
decision-making capacity, regarding <strong>GP</strong><br />
education, training and workforce issues.<br />
Key Objective #6<br />
Engaging stakeholder groups as and when<br />
appropriate.<br />
Research Committee<br />
The Research Committee is in place<br />
<strong>to</strong> progress and manage AO<strong>GP</strong>’s<br />
involvement in research and <strong>to</strong><br />
provide support and men<strong>to</strong>ring <strong>to</strong><br />
Staff, Registrars, and Supervisors<br />
who are involved in this research. This<br />
subcommittee meets every six weeks and<br />
reports <strong>to</strong> the Board through its Chair<br />
annually.<br />
In 2010, the AO<strong>GP</strong> Research Committee<br />
consisted of:<br />
Research and Development Manager<br />
(Chair)<br />
Dr Caroline Laurence, AO<strong>GP</strong><br />
Direc<strong>to</strong>r of Medical Education<br />
Dr Lawrie McArthur, AO<strong>GP</strong><br />
Medical Educa<strong>to</strong>r – Research Portfolio<br />
Dr Moira McCaul, AO<strong>GP</strong><br />
Education Team Coordina<strong>to</strong>r – Quality<br />
Assurance & Research<br />
Dr Taryn Elliott, AO<strong>GP</strong><br />
<strong>GP</strong> Supervisor representative<br />
Dr Peter Donohoe (from July 2010)<br />
<strong>GP</strong> Registrar representative<br />
Dr Andrew Linn<br />
Academic Skills Post Registrar<br />
Dr Annie Lin (3 Feb 10 – 2 Feb 11)<br />
In July 2010 we saw a new <strong>GP</strong><br />
Supervisor representative on the AO<strong>GP</strong><br />
Research Committee.<br />
AO<strong>GP</strong> Research <strong>Program</strong><br />
A large project commissioned by the<br />
Board in 2010 was the development of a<br />
three year research plan that incorporates<br />
a range of strategic, educational and<br />
developmental research. This involved a<br />
consultation process with the broader<br />
AO<strong>GP</strong> community <strong>to</strong> identify research<br />
ideas and broaden the participation<br />
in research beyond key staff. This has<br />
resulted in a priority list of studies that will<br />
be the focus of AO<strong>GP</strong> resources and will<br />
provide a range of participation levels from<br />
leading a project, <strong>to</strong> being part of a team<br />
or steering group. This priority list was<br />
endorsed at the November 2010 Board<br />
meeting ready for implementation in 2011.<br />
The Research Panel<br />
Held at the AO<strong>GP</strong> Education Weekend,<br />
the panel was entitled ‘The Faces of<br />
Research at AO<strong>GP</strong>’. Feedback was<br />
extremely positive and a suggestion was<br />
put forward that AO<strong>GP</strong> should look<br />
in<strong>to</strong> launching a Research Foundation<br />
<strong>to</strong> support research locally. This will be<br />
further developed and presented <strong>to</strong> the<br />
Board for consideration in 2011.<br />
Dr Caroline Laurence<br />
Research Committee Chair<br />
Appeals and Grievance<br />
Committee<br />
An independent subcommittee<br />
structure is in place <strong>to</strong> enable the<br />
effective processing of local appeals<br />
and grievances. This subcommittee is<br />
convened as required.<br />
The Appeals and Grievance<br />
Subcommittee includes, but is not<br />
limited <strong>to</strong>:<br />
• an independent chair (preferably<br />
a <strong>GP</strong> or health professional<br />
independent of the training program).<br />
• the RLO and/or an independent<br />
AO<strong>GP</strong> Registrar nominated by the<br />
complainant.<br />
• the SLO and/or an independent<br />
AO<strong>GP</strong> Supervisor accepted by the<br />
complainant.<br />
• an independent medical education<br />
expert.<br />
The Chief Executive Officer of AO<strong>GP</strong><br />
provides secretariat support for the<br />
conduct of this committee. To date, all<br />
concern and issues have been effectively<br />
resolved with early intervention and<br />
localised mediation.<br />
AO<strong>GP</strong> is pleased <strong>to</strong> report that this<br />
committee has not been required <strong>to</strong> meet<br />
since the organisation’s inception in 2002.<br />
6
Chief Executive Officer’s <strong>Report</strong><br />
Key Result Area 4<br />
AO<strong>GP</strong> is implementing a best practice<br />
vertically integrated teaching framework<br />
within the AO<strong>GP</strong> region that is reflective of<br />
local needs<br />
AO<strong>GP</strong> is exploring the feasibility of<br />
horizontally integrated teaching and<br />
international opportunities <strong>to</strong> deliver<br />
general practice training<br />
Key Objective #4<br />
Creating community based learning<br />
environments for multi-level learning that<br />
reflect local needs<br />
Conversations held with Supervisors,<br />
Registrars, Practice Managers – and<br />
AO<strong>GP</strong> staff, throughout 2010, has led<br />
me <strong>to</strong> reflect on the AO<strong>GP</strong> approach<br />
<strong>to</strong> education and training. The words<br />
cus<strong>to</strong>mised, personalised and specialised<br />
feature across <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong><br />
documentation and physical space.<br />
These three words first appeared regularly<br />
in feedback offered by Registrars about<br />
how they interpreted their education<br />
and training from AO<strong>GP</strong>. They were<br />
then adopted as a way <strong>to</strong> encapsulate<br />
the three principles that reflect AO<strong>GP</strong>’s<br />
education philosophy. Cus<strong>to</strong>mised is<br />
about making the Registrar’s training<br />
relevant and real for them – whilst<br />
also meeting all the relevant college/s’<br />
requirements. Personalised is about<br />
AO<strong>GP</strong> communicating <strong>to</strong> the best effect<br />
for all parties, specifically with AO<strong>GP</strong> core<br />
stakeholders as the focus. Specialised is<br />
about recognising General Practice as<br />
a speciality, and delivering a robust and<br />
quality training program that reflects this<br />
level of expertise.<br />
In adopting this philosophy the AO<strong>GP</strong><br />
education framework aims <strong>to</strong> foster easy<br />
access <strong>to</strong> well supported teachers and<br />
experts, as well as provide targeted<br />
training, information and resources. As<br />
part of this framework a major emphasis is<br />
placed on the building of the Supervisor’s<br />
teaching skills and investing in the<br />
Registrar’s main teaching environment visà-vis<br />
the practice.<br />
Equally, this philosophy and framework<br />
informs the innovations that we pursue<br />
at AO<strong>GP</strong>. We continue <strong>to</strong> challenge<br />
ourselves, and our training collabora<strong>to</strong>rs,<br />
<strong>to</strong> ensure any innovations are well<br />
researched, supported and that their<br />
implementation will advance the goals<br />
that have been set for AO<strong>GP</strong>. The strong<br />
working relationship between AO<strong>GP</strong> and<br />
its Liaison Officers – who represent the<br />
core stakeholders, namely Registrars,<br />
Supervisors and Practice Managers –<br />
ensures AO<strong>GP</strong> and its core stakeholders,<br />
work as partners <strong>to</strong> achieve these goals.<br />
Formal evaluation throughout AO<strong>GP</strong>’s<br />
nine years of experience confirms that<br />
we have constructed a unique approach<br />
<strong>to</strong> training, whilst continuing <strong>to</strong> use the<br />
standard training components that make<br />
up most training programs. In 2010 this<br />
approach has been applied <strong>to</strong> our 122<br />
Registrars – 50 Junior Doc<strong>to</strong>rs and 35<br />
IMG doc<strong>to</strong>rs, with the goal of ensuring<br />
that they have maximum opportunity for<br />
success through the training they are<br />
offered at AO<strong>GP</strong>.<br />
The AO<strong>GP</strong> staff - who all are integral <strong>to</strong><br />
the delivery of this training program - are<br />
noted by their passion and pursuit of<br />
excellence across education, research,<br />
strategy and business. This year<br />
allowed the AO<strong>GP</strong> team as a whole <strong>to</strong><br />
operationally review the AO<strong>GP</strong> Strategic<br />
Plan. They determined operational<br />
improvements that would assist the Key<br />
Result Areas (KRA) <strong>to</strong> be met within<br />
the timelines that have been set by the<br />
Board. Specifically in 2010 the AO<strong>GP</strong><br />
Management Team benefited from the<br />
inclusion of a Strategic Operations<br />
Manager, namely Dr Sarah Meertens.<br />
Whilst Sarah’s brief is <strong>to</strong> manage the<br />
operational implementation of the<br />
Strategic Plan, she also has key portfolio<br />
responsibility for <strong>GP</strong> Early Exposure,<br />
Community Stakeholder relations as well<br />
as Registrar Recruitment and Selection.<br />
Both AO<strong>GP</strong> management and staff<br />
concur that her contribution <strong>to</strong> the AO<strong>GP</strong><br />
team in 2010 has been outstanding.<br />
Moving <strong>to</strong> Liaison Officer personnel, in<br />
2010, Dr Roly Vinci, through his role as<br />
the AO<strong>GP</strong> urban Supervisor Liaison<br />
Officer (SLO), stepped up <strong>to</strong> become<br />
the chair of the national SLO group as<br />
well as be a member of the National<br />
<strong>GP</strong> Supervisors Association (N<strong>GP</strong>SA).<br />
During this same time Dr Ben Abbot, in<br />
his capacity as rural SLO, helped drive<br />
many of the local AO<strong>GP</strong> initiatives,<br />
7
Key Result Area 1<br />
Competent and Confident <strong>GP</strong><br />
Registrars<br />
AO<strong>GP</strong>’s <strong>GP</strong> graduates are deemed <strong>to</strong><br />
be competent and confident <strong>GP</strong>s against<br />
evidence based benchmarks.<br />
Key Objective #1<br />
Preparing AO<strong>GP</strong> <strong>GP</strong> Registrars <strong>to</strong><br />
provide safe and effective high quality care<br />
as independent <strong>GP</strong>s.<br />
not least the delegated <strong>Training</strong> Post/<br />
Supervisor accreditation process. Dr<br />
Holly Deer and Dr Michael Sobotta ably<br />
picked up the Registrar Liaison Officer<br />
(RLO) role at the beginning of 2010.<br />
Holly is set <strong>to</strong> continue in<strong>to</strong> 2010 whilst<br />
Michael is due <strong>to</strong> conclude his training<br />
at the end of the 2010 education year<br />
and will therefore hand over the reins <strong>to</strong><br />
a new urban RLO incumbent in 2011.<br />
Again it is important <strong>to</strong> acknowledge the<br />
enthusiastic and constructive contribution<br />
AO<strong>GP</strong> receives from its Registrars in<br />
this role. Ms Deb Docking and Mr Danny<br />
Haydon as our Practice Manager Liaison<br />
Officers (PMLO) continue <strong>to</strong> excel in<br />
their roles. Most notably their dedication<br />
<strong>to</strong> completing the Business Module was<br />
exemplary and this body of work will<br />
be appropriately mentioned across the<br />
different articles in this <strong>Annual</strong> <strong>Report</strong>.<br />
To broader strategic matters, in 2010<br />
<strong>GP</strong>ET accepted responsibility for the<br />
national management of P<strong>GP</strong>PP and<br />
as part of their early action confirmed<br />
AO<strong>GP</strong> as one of the P<strong>GP</strong>PP providers<br />
for 2011. With this early notification,<br />
AO<strong>GP</strong> invested a significant amount<br />
of resource in 2010 - <strong>to</strong>gether with its<br />
local collaborative partners - <strong>to</strong> address<br />
the challenges that had been set for this<br />
area of training as it relates <strong>to</strong> General<br />
Practice. As the national P<strong>GP</strong>PP numbers<br />
increase, AO<strong>GP</strong>’s ongoing aim has been<br />
<strong>to</strong> ensure P<strong>GP</strong>PP numbers within South<br />
Australia equally increase. The continuing<br />
goal is <strong>to</strong> have the majority of SA intern<br />
and prevocational doc<strong>to</strong>rs gain their core<br />
8<br />
elements of early training within a primary<br />
care environment (ie private General<br />
Practice). At this point in time around 50%<br />
of these Junior Doc<strong>to</strong>rs gain primary care<br />
experience across South Australia.<br />
The costing work with regards <strong>to</strong> practicebased<br />
teaching, published in 2010 by<br />
Dr Caroline Laurence and myself, clearly<br />
identified the need for a different approach<br />
<strong>to</strong> funding in the area of medical student<br />
teaching. In 2010 Health Workforce<br />
Australia (HWA) presented an opportunity<br />
<strong>to</strong> apply for funding <strong>to</strong> support the<br />
increase in growth of clinical placements<br />
for health-related primary qualification<br />
students, from 2011-2013.<br />
In discussions with representative<br />
Supervisors and Practice Managers there<br />
proved a keen interest in AO<strong>GP</strong> pursuing<br />
this opportunity. On this basis AO<strong>GP</strong>—<br />
in alliance with a network of interested<br />
Practices—and in partnership with the<br />
University of <strong>Adelaide</strong>, successfully<br />
submitted a proposal <strong>to</strong> provide additional<br />
clinical training places within the AO<strong>GP</strong><br />
network over the next four years. The<br />
disciplines in the application included<br />
Medicine, Nursing and Psychology.<br />
Whilst at the time of this report financial<br />
negotiations are continuing with HWA,<br />
it is important <strong>to</strong> note that through this<br />
work good preliminary discussions have<br />
been held with all the collaborative parties.<br />
In principle agreement is in place by all<br />
parties for the conceptual clinical training<br />
model submitted a funding proposal has<br />
been developed, that if supported, would<br />
allow General Practice <strong>to</strong> sustainably<br />
assist in meeting the increased clinical<br />
training demands of primary qualification<br />
students, in medicine and allied health<br />
areas.<br />
I would like <strong>to</strong> conclude this report with<br />
a big thanks <strong>to</strong> all who contribute <strong>to</strong><br />
strengthening AO<strong>GP</strong> year on year - most<br />
particularly staff, Registrars, Supervisors<br />
and Practice Managers. I would also like<br />
<strong>to</strong> thank Peter Joyner as the Chairman,<br />
and the AO<strong>GP</strong> Board Members, who<br />
provide management and staff with<br />
genuine encouragement, clear guidance<br />
and unswerving support. Our collective<br />
intent remains <strong>to</strong> create <strong>GP</strong>s who are<br />
specialists and leaders in primary care<br />
across the urban, rural and remote<br />
AO<strong>GP</strong> region. I am confident that as a<br />
combined force we are well established<br />
<strong>to</strong> maintain this intent, regardless of the<br />
contextual changes that may occur as<br />
a consequence of the upcoming health<br />
reform agenda. The AO<strong>GP</strong> Graduates<br />
that we celebrate at the end of each year,<br />
confirm this view.<br />
Ms Linda Black<br />
Chief Executive Officer
Management<br />
Staff changes<br />
Chloe Thomas<br />
Reception / Administration Assistant<br />
Chloe is the lovely, friendly voice that<br />
answers our main phones and we welcome<br />
her <strong>to</strong> the team. Whilst her primary role is<br />
reception duties she has quickly become<br />
an integral team member and also assists<br />
across many administrative areas within the<br />
Education and <strong>Program</strong> Support teams.<br />
Caroline Cullen<br />
Education Team Coodina<strong>to</strong>r - <strong>GP</strong><br />
Community-based <strong>Training</strong> (ETC-<br />
<strong>GP</strong>CT)<br />
As the Education Team Coordina<strong>to</strong>r –<br />
<strong>GP</strong> Community-based <strong>Training</strong> Caroline<br />
is responsible for a significant proportion<br />
of the operation delivery of AO<strong>GP</strong><br />
programs. Caroline also has responsibility<br />
for the IMG Fellowship Support <strong>Program</strong><br />
portfolio and <strong>to</strong>gether with the other<br />
ETCs, is responsible for the supervision<br />
of the Education Officers in the Medical<br />
Education Team.<br />
Dr Christel Bur<strong>to</strong>n<br />
Medical Educa<strong>to</strong>r (ME) - urban<br />
Christel is an AO<strong>GP</strong> alumnus who<br />
began as a P<strong>GP</strong>PP ME and in 2010<br />
transitioned in<strong>to</strong> the broader ME Team.<br />
As part of her increased role she<br />
has taken on Registrar pas<strong>to</strong>ral care<br />
responsibilities, Registrar and Junior<br />
Doc<strong>to</strong>r Medical Education Visits (MEVs)<br />
as well as the coordination and facilitation<br />
of the hospital Registrars’ Registrar<br />
Directed Learning ‘RDL’ groups.<br />
Dr David Griswood<br />
Medical Educa<strong>to</strong>r - rural<br />
An AO<strong>GP</strong> alumnus with <strong>GP</strong><br />
anaesthetic and rural practice<br />
experience throughout Australia,<br />
David returned <strong>to</strong> South Australia and<br />
joined us as an ME in 2010. In his<br />
role, he assists with the coordination<br />
and delivery of Registrar out-ofpractice<br />
rural-based training as<br />
well as conducts rural MEVs and a<br />
proportion of Registrar pas<strong>to</strong>ral care<br />
responsibilities.<br />
2010 saw the Medical Education Team<br />
expand <strong>to</strong> include two new Medical<br />
Educa<strong>to</strong>rs, Dr David Griswood and Dr<br />
Bryan Robertson; as well as welcome in<strong>to</strong><br />
the broader group the previous P<strong>GP</strong>PP<br />
MEs, namely Dr Christel Bur<strong>to</strong>n, Dr Helen<br />
Mullner and Dr Bren<strong>to</strong>n Wait. Dr Romany<br />
Topsfield also joined the AO<strong>GP</strong> Medical<br />
Education Team, as a casual Medical<br />
Educa<strong>to</strong>r, with a specific focus on exam<br />
preparation. This youthful injection in<strong>to</strong><br />
the Medical Education Team makes up<br />
a complement of 33 people (FTE 16) in<br />
this team. The ME role, which at AO<strong>GP</strong> is<br />
made up of part-time staff, comprises the<br />
majority of this group. The ME role includes<br />
pas<strong>to</strong>ral care responsibility for a proportion<br />
of Registrars, an allocation of Medical<br />
Education Visits, assistance with out-ofpractice<br />
training, and delegated portfolios<br />
relevant <strong>to</strong> the ME’s interest. Casual MEs<br />
have generally chosen <strong>to</strong> focus on one of<br />
these components of work.<br />
In November, Bren<strong>to</strong>n Wait, P<strong>GP</strong>PP<br />
Medical Educa<strong>to</strong>r, and an AO<strong>GP</strong> alumnus,<br />
resigned from AO<strong>GP</strong> and departed from<br />
Australia <strong>to</strong> pursue new professional<br />
horizons overseas with his family. AO<strong>GP</strong><br />
would like <strong>to</strong> thank Bren<strong>to</strong>n for his<br />
dedication <strong>to</strong> our junior doc<strong>to</strong>rs over<br />
the past 5 years, and we wish the Wait<br />
family all the best in their new adventures.<br />
Also new <strong>to</strong> the Education Team in<br />
2010, was Kate Curtis, Education Team<br />
Coordina<strong>to</strong>r with the P<strong>GP</strong>PP, Hospital<br />
and Online learning portfolios. Kate further<br />
progressed AO<strong>GP</strong>’s interactive online<br />
learning environment before departing at<br />
the end of 2010. Kate needed <strong>to</strong> move<br />
interstate because of her husband’s work<br />
commitments. Our thanks go <strong>to</strong> Kate for<br />
her important start-up work in this area.<br />
9
Key Result Area 1<br />
Competent and Confident <strong>GP</strong><br />
Registrars<br />
AO<strong>GP</strong>’s <strong>GP</strong> graduates are deemed <strong>to</strong><br />
be competent and confident <strong>GP</strong>s against<br />
evidence based benchmarks.<br />
Key Objectives #1<br />
Preparing AO<strong>GP</strong> <strong>GP</strong> Registrars <strong>to</strong><br />
provide safe and effective high quality care<br />
as independent <strong>GP</strong>s.<br />
Key Objectives #2<br />
Delivering RAC<strong>GP</strong> and ACRRM college<br />
training pathways effectively within the<br />
AO<strong>GP</strong> region.<br />
10
Education<br />
Key Result Area 2<br />
Sustainable Community Benefits<br />
AO<strong>GP</strong> has an over-subscription of<br />
applicants for rural and urban pathway <strong>GP</strong><br />
training.<br />
AO<strong>GP</strong> has a sufficient and stable number<br />
of high quality training posts across its rural<br />
and urban region.<br />
Sustainable Community Benefits –<br />
Rural<br />
AO<strong>GP</strong> is recruiting and retaining <strong>GP</strong><br />
registrars entering the rural training<br />
pathway <strong>to</strong> its rural regions.<br />
Key Objective #3<br />
Building sustainable supervisory<br />
infrastructure and educational capacity.<br />
<strong>GP</strong> <strong>Training</strong> - summary<br />
The Medical Education Team, <strong>to</strong>gether<br />
with other AO<strong>GP</strong> teams, continue <strong>to</strong> build<br />
on an already established high quality of<br />
training through challenging ourselves<br />
<strong>to</strong> continuously do better. 2010 saw<br />
AO<strong>GP</strong> involve 122 Registrars across<br />
various levels of training, including a good<br />
proportion of Registrars being assisted<br />
<strong>to</strong> complete extended or advanced skills<br />
training. AO<strong>GP</strong> had the only ACRRM<br />
Registrar throughout Australia doing<br />
advanced skills training in surgery.<br />
Registrar feedback in 2010 confirmed<br />
that overall they felt confident that they<br />
could apply the knowledge and skills<br />
learnt in out-of practice training back in<strong>to</strong><br />
their practice context.<br />
This year also saw the largest ever<br />
group of Registrars sitting the FRAC<strong>GP</strong><br />
exam, with 96% success. It was also<br />
marked by an increasing number of<br />
AO<strong>GP</strong> Registrars preparing <strong>to</strong> sit the<br />
FACRRM exam. This expected increase<br />
has initiated a review of the structure of<br />
our exam support program, which we<br />
expect <strong>to</strong> conclude in 2011. The intent<br />
of the review is <strong>to</strong> determine whether<br />
our support program addresses both<br />
college/s’ exam preparation requirements,<br />
and if not, identify the gaps and address<br />
these appropriately. AO<strong>GP</strong>’s Formative<br />
Assessment Framework and out-ofpractice<br />
education activities have been<br />
reviewed and newly reconciled <strong>to</strong> both<br />
the RAC<strong>GP</strong> and ACRRM curricula. As<br />
part of this review it was discovered that<br />
the professional and ethical domains<br />
were sparsely assessed. On this basis<br />
in 2010, it was determined that this<br />
finding could be redressed through the<br />
use of the Multi-Source Feedback—an<br />
ACRRM assessment <strong>to</strong>ol—for second<br />
term community Registrars. A pilot<br />
was commenced, with a view <strong>to</strong> this<br />
information contributing <strong>to</strong> the assessment<br />
of Registrars against these domains. The<br />
revised Formative Assessment Framework<br />
also saw the pilot introduction of a formal<br />
mid-training review for Registrars. This<br />
has allowed for a timely s<strong>to</strong>ck-take of<br />
the Registrars’ progress, the provision<br />
of appropriate feedback and the offer of<br />
provisions <strong>to</strong> facilitate further progress<br />
prior <strong>to</strong> their formal entry in<strong>to</strong> senior levels<br />
of training. It also provides training advice<br />
and planning <strong>to</strong>ward their future training,<br />
exam preparation and/or extended<br />
learning support, as required.<br />
In 2010 the findings from the formal review<br />
of AO<strong>GP</strong>’s evaluation methodology were<br />
implemented. There were two goals for<br />
this review: one, was <strong>to</strong> streamline the<br />
feedback gathering and measurement<br />
process; and two, determine the<br />
information required <strong>to</strong> assist AO<strong>GP</strong> <strong>to</strong><br />
target its training activity and ensure a<br />
quality training experience. Both were met.<br />
One of the enhancements in the newly<br />
revised evaluation process included the<br />
introduction of the ‘Turning Point Response<br />
Card’, as an electronic evaluation <strong>to</strong>ol.<br />
This expedited the process of feedback<br />
collection – whilst providing immediate<br />
collation and feedback of findings. The core<br />
stakeholders have positively critiqued the<br />
new process and the new electronic <strong>to</strong>ol.<br />
Adding Value <strong>to</strong> rural South<br />
Australia—through education<br />
AO<strong>GP</strong> Registrars provide a significant<br />
boost <strong>to</strong> primary care clinical services—<br />
whilst undertaking their <strong>GP</strong> <strong>Training</strong>—<br />
across urban, outer-metro, rural and<br />
remote communities within our region.<br />
Specifically in 2010 with regard <strong>to</strong> rural<br />
regions, 31 Registrars trained across 22<br />
rural teaching practices in the first half of<br />
the year and 27 Registrars trained across<br />
20 rural teaching practices in the second<br />
half of the year.<br />
The pilot virtual study group for rural<br />
based registrars in 2009, translated<br />
in 2010 in<strong>to</strong> an ongoing educational<br />
activity. It continues <strong>to</strong> prove <strong>to</strong> be both<br />
an invaluable exam prepara<strong>to</strong>ry activity as<br />
well as provide regular peer support and<br />
interaction for Registrars placed across<br />
the more remote parts of the AO<strong>GP</strong>. Two<br />
AO<strong>GP</strong> rural based Supervisors continue<br />
<strong>to</strong> take on a shared expert facilita<strong>to</strong>r role<br />
for this group.<br />
In 2010, AO<strong>GP</strong> continued its support<br />
of Registrars’ interest in various subspeciality<br />
areas. Fourteen Registrars<br />
pursued enhanced training in a wide<br />
range of areas (eg ATSI mental health).<br />
A further seven completed advanced<br />
specialised training in obstetrics, surgery,<br />
palliative care or anaesthetics. Three<br />
registrars were undertaking a formal<br />
Academic Skills <strong>Training</strong> post, benefitting<br />
from collaborative research partnerships<br />
with Universities.<br />
11
Education Innovations<br />
To see AO<strong>GP</strong> staff and core stakeholders<br />
from many different roles and perspectives<br />
come <strong>to</strong>gether, is no better illustrated than<br />
in the ideas, vision, planning, preparation,<br />
and delivery of what AO<strong>GP</strong> presents <strong>to</strong> a<br />
newly selected registrar:<br />
AO<strong>GP</strong> Registrar Reference Manual<br />
makeover<br />
2010 saw the well-established AO<strong>GP</strong><br />
Registrar Reference Manual go through a<br />
major overhaul, in its presentation, content<br />
and layout. The new format and revised<br />
content addressed the following needs:<br />
• A consistent reference <strong>to</strong> RAC<strong>GP</strong><br />
and ACRRM training requirements.<br />
• A comprehensive reconciliation<br />
between the AO<strong>GP</strong> online education<br />
management resource (<strong>GP</strong>Rime<br />
information and <strong>to</strong>ols) and hard-copy<br />
reference <strong>to</strong>ols.<br />
• A refreshed style and format for<br />
communicating the AO<strong>GP</strong> education<br />
framework<br />
• Meet the perennial challenge of<br />
simplifying the user’s navigation (with<br />
particular focus on the Registrar<br />
as the main user) through the<br />
comprehensive information offered<br />
in this manual and other companion<br />
documents.<br />
• Incorporate the newly developed<br />
AO<strong>GP</strong> Blueprint training map<br />
structure in<strong>to</strong> the ‘<strong>Training</strong> Information’<br />
section of the Manual.<br />
• Provide a common language and<br />
structure for AO<strong>GP</strong> staff, Registrars,<br />
Supervisors and Practice Managers<br />
<strong>to</strong> use throughout the Registrar’s<br />
AO<strong>GP</strong> training.<br />
The new edition was introduced <strong>to</strong> all<br />
core stakeholders as part of out-ofpractice<br />
education forums during the<br />
second half of 2010 and distributed <strong>to</strong><br />
all current cohorts of Registrars, as well<br />
as Supervisors and Practice Managers. It<br />
was also used <strong>to</strong> guide the 2011 cohort’s<br />
pre-entry meeting, formally introduced as<br />
a reference resource, and provided <strong>to</strong> the<br />
new Registrars as part of their Orientation<br />
in December 2010. To date the manual<br />
has been received very positively by all<br />
stakeholders.<br />
Orientation<br />
Another regular activity that was<br />
comprehensively reviewed and creatively<br />
updated was the annual Orientation<br />
program, conducted in December 2010.<br />
The AO<strong>GP</strong> teams decided <strong>to</strong> meet the<br />
challenge of a larger cohort (36 Registrars<br />
in the 2011 cohort) with the development<br />
of an innovative, informative, yet<br />
interactive and stimulating program. This<br />
new approach <strong>to</strong> introducing incoming<br />
Registrars <strong>to</strong> the training program was<br />
met with overwhelming positive feedback.<br />
The Registrars confirmed that it met<br />
all their objectives and most notably<br />
feedback suggested the event served <strong>to</strong><br />
excite them about embarking on speciality<br />
training in General Practice.<br />
iPad pilot for 2011 cohort<br />
AO<strong>GP</strong> prides itself on being an early<br />
adopter of new ideas and opportunities.<br />
To this end we have put in place a pilot<br />
integrating the use of the iPad as a<br />
training resource <strong>to</strong>ol specifically with<br />
the 2011 cohort of Registrars. This pilot<br />
began as part of their out-of-practice<br />
training during their Orientation workshop<br />
in December 2010 and will continue over<br />
the course of 2011 with the iPad being<br />
used for in-practice and out-of-practise<br />
learning. An evaluation plan is in place <strong>to</strong><br />
assess the outcomes of this pilot at the<br />
conclusion of the 2011 education year<br />
<strong>to</strong> determine the feasibility of rolling it out<br />
beyond the new cohort of Registrars.<br />
The Business of General Practice<br />
The Business of General Practice<br />
in-practice teaching modules is the<br />
culmination of significant work that began<br />
in 2008 as the ‘brain-child’ of Dr Sam<br />
Smart who at the time was working with<br />
AO<strong>GP</strong> in the role of MEC (Rural). In<br />
2010 we are proud <strong>to</strong> see the realisation<br />
of this foundation work through the<br />
significant efforts of Deb Docking and<br />
Danny Haydon, in their roles as AO<strong>GP</strong><br />
Practice Manager Liaison Officers<br />
(PMLO) as well as Sarah Meertens,<br />
Roberta Morris and Carolyn Cheah.<br />
This work will meet an important need<br />
identified by Registrars, Supervisors and<br />
Practice Managers alike.The Modules as<br />
summarised, are due <strong>to</strong> be implemented<br />
in 2011.<br />
12
The Business of Gneeral Practice:<br />
Module 1: Practice Management Basics<br />
• General Practice Business Structures<br />
• Finance 1<br />
• Negotiating Contracts<br />
Module 2: Sustainable General Practice<br />
• Finance 2- Part 1<br />
• Finance 2- Part 2<br />
• Managing People<br />
• Strategic Business Planning<br />
• Quality and Risk Management<br />
Online Learning<br />
An area of special interest <strong>to</strong> AO<strong>GP</strong><br />
in 2010 was online learning, and this<br />
was reflected through the dedication of<br />
resources and personnel in<strong>to</strong> a review<br />
and the development of an On-line<br />
Learning Enhancement project. Dr<br />
Michael Notley, in his capacity as an<br />
AO<strong>GP</strong> ME, is responsible for this portfolio<br />
of work. In 2010 he was charged with<br />
the responsibility for exploring ways <strong>to</strong><br />
improve AO<strong>GP</strong>’s use of <strong>GP</strong>Rime, and<br />
<strong>to</strong> integrate the current online learning<br />
opportunities. Late last year is was agreed<br />
that AO<strong>GP</strong> will use the Moodle platform,<br />
enabling integration of already existing<br />
(and new) in-practice learning resources<br />
with newly developed interactive activities.<br />
This aim is <strong>to</strong> ensure the suite of on-line<br />
<strong>to</strong>ols is user-friendly and easily accessible<br />
for Registrars, Supervisors, practices<br />
and educa<strong>to</strong>rs alike. This will be actively<br />
progressed in 2011.<br />
ATSI <strong>Training</strong><br />
2010 planning of the ATSI Health<br />
Immersion training, for junior Registrars<br />
undertaking their first 6 months of<br />
training, resulted in a more collaborative<br />
approach that increased the involvement<br />
of key stakeholders (eg Divisions of<br />
General Practice, Aboriginal Community<br />
Controlled Health Organisations etc). It<br />
was determined that a regional balance<br />
of training was required <strong>to</strong> ensure existing<br />
relationships could be enhanced whilst<br />
simultaneously taking the opportunity <strong>to</strong><br />
establish new relationships within the<br />
Aboriginal community. To complement<br />
previous rural based training, the most<br />
recent ATSI Immersion training was<br />
organised around the Kaurna lands in<br />
<strong>Adelaide</strong>, involving the inspirational and<br />
esteemed Dr Lowitja O’Donoghue. The<br />
ATSI Team continues <strong>to</strong> seek <strong>to</strong> improve<br />
the quality and diversity of the training<br />
<strong>to</strong> ensure it meets Curricula learning<br />
objectives as well as the specific learning<br />
needs of the participants. It simultaneously<br />
works hard <strong>to</strong> be relational and community<br />
building. AO<strong>GP</strong> is very fortunate that Kali<br />
Hayward, an AO<strong>GP</strong> alumnus, has agreed<br />
<strong>to</strong> join AO<strong>GP</strong> as an ME in 2011. Kali is a<br />
Yamitji woman from the Warnman peoples<br />
of Western Australia. She has been<br />
contracted educa<strong>to</strong>r with the ATSI team<br />
since 2009 but at the end of 2010 agreed<br />
<strong>to</strong> formally become a staff member and as<br />
part of her duties share the ATSI portfolio<br />
with Dr David Dunn. Welcome Kali.<br />
The Person-<strong>Program</strong>-Post Placement<br />
Process<br />
Core stakeholder representatives were<br />
provided the opportunity <strong>to</strong> review<br />
the AO<strong>GP</strong> placement process in<br />
2010. They confirmed that AO<strong>GP</strong>’s<br />
placement process appropriately takes<br />
in<strong>to</strong> account personal, professional,<br />
training and regional considerations from<br />
all parties when determining Registrar<br />
allocation. They also affirmed that the<br />
Special Consideration Committee, in<br />
its consideration of applications from<br />
Registrars who believe they have new<br />
circumstances that need <strong>to</strong> be considered<br />
during the placement process, and<br />
which is independently chaired by Dr<br />
Deb Turnbull, conducts its work in a fair,<br />
equitable and transparent manner.<br />
2010 also saw a national change in<br />
training requirements for general pathway<br />
Registrars in <strong>GP</strong> training. In the second<br />
semester AO<strong>GP</strong> also successfully<br />
integrated in<strong>to</strong> its placement framework,<br />
the requirements of the new <strong>GP</strong>ET policy,<br />
with regard <strong>to</strong> the expanded options for<br />
General Pathway Registrars <strong>to</strong> meet their<br />
outer metro and/or rural obligations. This<br />
was achieved without disadvantage <strong>to</strong> the<br />
rural regions of AO<strong>GP</strong>.<br />
13
Key Result Area 3<br />
Quality Educa<strong>to</strong>rs<br />
AO<strong>GP</strong> has an over-subscription of<br />
registrars and alumni seeking <strong>to</strong> become<br />
educa<strong>to</strong>rs and supervisors.<br />
AO<strong>GP</strong> has a professional educa<strong>to</strong>r<br />
development program that is widely<br />
recognised.<br />
Key Objective #3<br />
Building sustainable supervisory<br />
infrastructure and educational capacity.<br />
Key Objective #5<br />
Expanding AO<strong>GP</strong>’s evidence-based<br />
decision-making capacity, regarding <strong>GP</strong><br />
education, training and workforce issues.<br />
Education Highlights<br />
Quality Educa<strong>to</strong>rs<br />
Throughout 2010, there have been<br />
a variety of activities designed <strong>to</strong><br />
professionally develop educa<strong>to</strong>r qualities<br />
and skills with registrars, supervisors,<br />
alumni, and medical educa<strong>to</strong>rs working<br />
with AO<strong>GP</strong>.<br />
With specific focus on the development<br />
of Registrars as Teachers, 2010 saw<br />
an increasing number of Registrar<br />
alumni employed as AO<strong>GP</strong> Medical<br />
Educa<strong>to</strong>rs (MEs) – always balanced<br />
against an equal number of MEs drawn<br />
from the Supervisor pool. We also<br />
further developed the opportunity for<br />
Registrars <strong>to</strong> access teacher training<br />
through attendance at ‘The AO<strong>GP</strong> Skilled<br />
Teacher course’ which in 2010 was able<br />
<strong>to</strong> be recognised as meeting part of their<br />
training requirements. In 2010 the small<br />
group Registrar Directed Learning events<br />
were reviewed <strong>to</strong> further strengthen and<br />
increase the opportunities for Registrars<br />
<strong>to</strong> teach, facilitate and learn from peers<br />
in a supported environment - always with<br />
AO<strong>GP</strong> Medical Educa<strong>to</strong>rs as men<strong>to</strong>rs.<br />
Finally a pilot opportunity was created for<br />
Registrars <strong>to</strong> be involved in the delivery of<br />
an AO<strong>GP</strong>-facilitated vertically integrated<br />
teaching module, in partnership with the<br />
Discipline of General Practice. This has<br />
been reviewed and will be rolled out as an<br />
ongoing opportunity in 2011.<br />
Delegated <strong>Training</strong> Post/Supervisor<br />
Accreditation process<br />
A new look delegated <strong>Training</strong> Post/<br />
Supervisor Accreditation process that<br />
was nationally approved in 2010 builds<br />
on an initial workshop held at AO<strong>GP</strong><br />
in mid 2009. At the time SA local<br />
stakeholders agreed in principle with<br />
the need <strong>to</strong> develop an alternative way<br />
<strong>to</strong> accredit Supervisors and <strong>Training</strong><br />
Posts. The new process will enable<br />
AO<strong>GP</strong>, as an accredited RAC<strong>GP</strong> and<br />
ACRRM education and training body,<br />
<strong>to</strong> be delegated the responsibility for the<br />
accreditation of new training practices, and<br />
re-accreditation of existing practices. Our<br />
Supervisors and Practice Managers have<br />
been very positive about this opportunity <strong>to</strong><br />
streamline the accreditation process, as it<br />
allows this activity <strong>to</strong> be incorporated in<strong>to</strong><br />
the Quality Assurance Framework that they<br />
already commit <strong>to</strong> as a partner with AO<strong>GP</strong>.<br />
We worked closely with the national<br />
and local offices of RAC<strong>GP</strong> <strong>to</strong> enable<br />
this <strong>to</strong> be implemented within our region<br />
in the 2010–2012 triennium. AO<strong>GP</strong><br />
leadership was evident as this streamlined<br />
accreditation gained acceptance and<br />
momentum nationally. I would also like <strong>to</strong><br />
acknowledge Roberta Morris for her role<br />
in this work. In her capacity as the Medical<br />
Education Coordina<strong>to</strong>r – Supervisors/<br />
Practices she assisted the AO<strong>GP</strong><br />
Management <strong>to</strong> develop a framework that<br />
was both relevant for AO<strong>GP</strong> and more<br />
broadly across the nation.<br />
Other education programs<br />
Integration of P<strong>GP</strong>PP with<br />
A<strong>GP</strong>T<br />
An exciting development in 2010 was<br />
the AO<strong>GP</strong> integration of the education<br />
management of the Prevocational <strong>GP</strong><br />
Placement <strong>Program</strong> (P<strong>GP</strong>PP) for interns<br />
and prevocational doc<strong>to</strong>rs, with the<br />
Australian General Practice <strong>Training</strong><br />
(A<strong>GP</strong>T) program for Registrars. Whilst<br />
this integration is new AO<strong>GP</strong> has been<br />
delivering P<strong>GP</strong>PP training since 2005,<br />
and last year was asked by <strong>GP</strong>ET <strong>to</strong><br />
pick up responsibility for three of the six<br />
public P<strong>GP</strong>PP posts previously managed<br />
by SAIMET. This brings the number of<br />
P<strong>GP</strong>PP posts in the AO<strong>GP</strong> region <strong>to</strong> 3<br />
rural-based intern posts, 3 urban-based<br />
intern posts, 2 urban-based private RMO<br />
posts, 3 urban-based public RMO posts.<br />
Throughout 2010, 30 interns and 20<br />
RMOs have had overwhelmingly positive<br />
P<strong>GP</strong>PP experiences. For AO<strong>GP</strong> there<br />
continues <strong>to</strong> be a dual objective in<br />
the delivery of P<strong>GP</strong>PP <strong>to</strong> interns and<br />
prevocational doc<strong>to</strong>rs: one, the delivery of a<br />
quality training experience that contributes<br />
<strong>to</strong> their medical practitioner competencies<br />
regardless of their intended speciality<br />
focus; and two, exposure <strong>to</strong> contemporary<br />
and high quality General Practice, as a<br />
medical rotation, <strong>to</strong> provide them with<br />
an opportunity <strong>to</strong> test this as a speciality<br />
career option.<br />
14
It is pleasing <strong>to</strong> report that 100% of the<br />
AO<strong>GP</strong> P<strong>GP</strong>PP participants report that<br />
they would recommend a P<strong>GP</strong>PP rotation<br />
<strong>to</strong> other junior doc<strong>to</strong>rs and in 2011, 32%<br />
of the first round of applicants for the 2011<br />
selection intake had previously undertaken<br />
a P<strong>GP</strong>PP rotation.<br />
In 2010 we formed a Hospital-focused<br />
group within the Medical Education Team.<br />
This allowed for the vertical integration of<br />
the good work AO<strong>GP</strong> has been doing<br />
with prevocational doc<strong>to</strong>rs and AO<strong>GP</strong><br />
Registrars working in South Australian<br />
hospitals. For the previous five years that<br />
AO<strong>GP</strong> has been involved with P<strong>GP</strong>PP,<br />
this work had been happening as part of<br />
separate teams, mainly <strong>to</strong> ensure P<strong>GP</strong>PP<br />
was clearly delineated and well established<br />
as a distinct program.<br />
The hospital focused-group now enables<br />
the relevant doc<strong>to</strong>rs <strong>to</strong> establish a coherent<br />
and coordinated sense of the vertical<br />
continuum of training that exists in General<br />
Practice. Whether it be an intern doing<br />
a <strong>GP</strong> placement at Clare, a groups of<br />
doc<strong>to</strong>rs being trained in a hospital RDL<br />
group learning session, or <strong>GP</strong> Registrars<br />
gaining specialised skills through enhanced<br />
training terms, the AO<strong>GP</strong> Hospital group<br />
now have the opportunity <strong>to</strong> liaise with all<br />
these learners according <strong>to</strong> their identified<br />
need. The goal is <strong>to</strong> allow a larger group<br />
of AO<strong>GP</strong> personnel <strong>to</strong> be fully informed<br />
and thereby more able <strong>to</strong> assist the <strong>to</strong>tal<br />
spectrum of AO<strong>GP</strong>-related learners,<br />
who are largely hospital-based. Together<br />
with their relevant Supervisors and<br />
stakeholders, this will ensure AO<strong>GP</strong> is in a<br />
position <strong>to</strong> maximise the learner’s capacity<br />
<strong>to</strong> meet their intended learning outcomes<br />
regardless of where they sit in the training<br />
continuum.<br />
International Medical<br />
Graduate Fellowship<br />
Support <strong>Program</strong><br />
AO<strong>GP</strong> welcomed 12 new IMG doc<strong>to</strong>rs<br />
in<strong>to</strong> the Fellowship Support <strong>Program</strong> in<br />
2010, taking the <strong>to</strong>tal number of supported<br />
IMG doc<strong>to</strong>rs <strong>to</strong> 27. Ahna Holland and<br />
Caroline Cullen underpin the great work<br />
of our valued Medical Educa<strong>to</strong>rs, many of<br />
whom are IMG alumni and experienced<br />
rural <strong>GP</strong>s, as well as <strong>GP</strong> Supervisors.<br />
Workshops were held throughout the<br />
year, with content based on the common<br />
learning needs identified in IMG Learning<br />
Plans and during Medical Education<br />
Visits. These areas included indigenous<br />
health, mental health, difficult patients, and<br />
women’s health.<br />
As an added bonus the workshop held<br />
in July was accredited as an RAC<strong>GP</strong><br />
Category 1 education activity, offering<br />
participants 40 CPD points for their full<br />
participation. Dr Mark Miller’s assistance,<br />
in his role as State Censor, was much<br />
appreciated as he both co-facilitated<br />
the workshop and also provided exam<br />
technique advice <strong>to</strong> participants.<br />
The IMG Fellowship Support <strong>Program</strong> was<br />
internally reviewed this year, with a view <strong>to</strong><br />
identifying the key successes <strong>to</strong> date and<br />
building upon these in<strong>to</strong> the future. As part<br />
of this review, all IMG Medical Educa<strong>to</strong>rs<br />
were invited <strong>to</strong> participate in a round-table<br />
discussion <strong>to</strong> put forward their suggestions<br />
as <strong>to</strong> the various strengths of the Support<br />
<strong>Program</strong>. They also provided valuable<br />
feedback that contributed <strong>to</strong> the <strong>Program</strong><br />
review and informed how the <strong>Program</strong><br />
could be shaped for the future.<br />
Following this review, in November 2010<br />
the AO<strong>GP</strong> Board endorsed a newly<br />
developed model for the IMG Fellowship<br />
Exam Preparation <strong>Program</strong> (IMG FEPP).<br />
This revised AO<strong>GP</strong> model will be divided<br />
in<strong>to</strong> three modules <strong>to</strong> begin in 2011.<br />
The first module will determine the most<br />
appropriate assessment pathway (ACRRM<br />
or RAC<strong>GP</strong>), and provide an exam<br />
needs analysis, with view <strong>to</strong> developing<br />
a personalised exam learning plan. The<br />
second module will involve regular and<br />
structured medical educa<strong>to</strong>r men<strong>to</strong>ring<br />
including facilitated support and access <strong>to</strong><br />
a virtual study group, and the third module<br />
will involve final preparation and simulation<br />
of Fellowship exams.<br />
Discussions have been scheduled with<br />
RDWA <strong>to</strong> occur in early 2011.The<br />
aim will be <strong>to</strong> consolidate our current<br />
collaboration in equipping this cohort of<br />
doc<strong>to</strong>rs—who provide a critical service <strong>to</strong><br />
rural communities in SA—<strong>to</strong> successfully<br />
gain their Australian General Practitioner<br />
qualifications.<br />
15
Education Weekend<br />
Nature Vs Nurture<br />
The 2010 AO<strong>GP</strong> Education Weekendheld<br />
in the beautiful Barossa Valley-asked<br />
the question ‘Are we by nature what<br />
we are, or can we be influenced and<br />
nurtured by the environment around us?’<br />
From exploring cutting-edge advances in<br />
clinical genetics with Dr Chris Barnett, <strong>to</strong><br />
being mindful of a multimodal approach<br />
<strong>to</strong> healthy lifestyles and management of<br />
obesity with Dr Caroline West.<br />
Participants spent the afternoon in a<br />
variety of hands-on skill stations delivered<br />
by enthusiastic presenters, many of<br />
whom were AO<strong>GP</strong> Supervisors and<br />
Medical Educa<strong>to</strong>rs. Sheep’s noses were<br />
poked, prodded and packed; CPR<br />
was practiced on dummies and fellow<br />
16<br />
colleagues; dummy knees and shoulders<br />
were injected; Registrars and Supervisors<br />
taught each other a variety of non-clinical<br />
skills; cameras and phones were used <strong>to</strong><br />
take pho<strong>to</strong>graphs for clinical purposes<br />
and participants were challenged <strong>to</strong> a<br />
mock ‘Who wants <strong>to</strong> be a millionaire?’<br />
session using interactive keypads <strong>to</strong><br />
answer questions.<br />
The two masterclasses -held concurrently<br />
with the skill stations- invited participants<br />
<strong>to</strong> delve deeper in<strong>to</strong> the role of general<br />
practice in both palliative care and<br />
weight management. Through shared<br />
experiences and robust discussions,<br />
participants came away with new insights<br />
in both of these very important areas.<br />
After a day of learning it was time <strong>to</strong> wind<br />
down and participants did this very well!<br />
While children were entertained with<br />
multiple activities, the adults were taken<br />
back in time <strong>to</strong> the music of the Beatles.<br />
Some sore muscles and sore heads<br />
were engaged Sunday morning with the<br />
variety of ‘self-care’ sessions available.<br />
The energy and vibe at the completion of<br />
these sessions confirmed that fun was<br />
had by all!<br />
To ensure that AO<strong>GP</strong> continues <strong>to</strong> deliver<br />
Education Weekends of outstanding<br />
educational quality, the Board has<br />
decided that they will now move <strong>to</strong> a<br />
biennial arrangement. They will now be<br />
held only in rural locations within the<br />
AO<strong>GP</strong> region every second year, with<br />
extra out-of-practice education sessions<br />
programmed for the interim year. During<br />
2011, five extraordinary educational<br />
events are planned and the next AO<strong>GP</strong><br />
Education Weekend will be held in<br />
Whyalla in 2012.
Liaison Officers<br />
Key Result Area 1<br />
Competent and Confident <strong>GP</strong><br />
Registrars<br />
AO<strong>GP</strong>’s <strong>GP</strong> graduates are deemed <strong>to</strong><br />
be competent and confident <strong>GP</strong>s against<br />
evidence based benchmarks.<br />
Key Objective #6<br />
Engaging stakeholder groups as and when<br />
appropriate.<br />
Registrar Liaison Officers<br />
In March 2010 Dr Holly Deer and Dr<br />
Michael Sobotta accepted the roles<br />
of RLO rural and urban, respectively.<br />
They both come <strong>to</strong> the role with strong<br />
opinions, enthusiasm and sleeves rolled<br />
up ready <strong>to</strong> contribute—an attitude much<br />
encouraged at AO<strong>GP</strong>.<br />
Soon in<strong>to</strong> her role Holly attended the<br />
<strong>GP</strong>ET & <strong>GP</strong>RA workshop in Canberra<br />
in March 2010, bringing back important<br />
national updates and discussion points for<br />
AO<strong>GP</strong>. In September 2010, both Holly<br />
and Michael attended the follow-up RLO<br />
meeting in Alice Springs as part of the<br />
<strong>GP</strong>ET convention. At the meeting support<br />
groups/councils for <strong>GP</strong>RA <strong>to</strong> provide<br />
support for all <strong>GP</strong> Registrar groups was<br />
implemented. Also at this time the new<br />
<strong>GP</strong>RA website was released and a review<br />
of <strong>GP</strong>RA policy drafts were considered.<br />
The revised national Minimum Terms<br />
& Conditions document for 2011 was<br />
released in September and the AO<strong>GP</strong><br />
RLOs worked locally with AO<strong>GP</strong> <strong>to</strong><br />
ensure the AO<strong>GP</strong> Terms & Conditions<br />
document appropriately reoconciled<br />
with the national conditions. No material<br />
changes were made.<br />
A highlight for this year was the excellent<br />
group discussion that was held during the<br />
Education Weekend RLO Forum in May<br />
2010. From this the RLOs gained ideas<br />
regarding the best methods for keeping<br />
Registrars up <strong>to</strong> date with important<br />
AO<strong>GP</strong>, <strong>GP</strong>ET and <strong>GP</strong>RA releases;<br />
suggested areas for AO<strong>GP</strong> <strong>to</strong> improve,<br />
from a Registrar perspective, and plans for<br />
Registrar driven social events in the future.<br />
Nationally and locally, the RLOs have<br />
kept up <strong>to</strong> date with issues facing<br />
<strong>GP</strong> Registrars and were involved<br />
with a number of AO<strong>GP</strong> initiatives,<br />
including the development of a new<br />
online learning portal due for release in<br />
2011; attendance as a Registrar voice<br />
for the AO<strong>GP</strong> accreditation advisory<br />
group; the Community Stakeholders<br />
Reference Group meeting; review of<br />
the AO<strong>GP</strong> Registrar Reference Manual;<br />
and reordering of the library in<strong>to</strong> a more<br />
functional and useful space for Registrars<br />
and their study groups.<br />
Holly and Michael have also been involved<br />
with the promotion of <strong>GP</strong> training <strong>to</strong><br />
medical students and trainees interested<br />
in applying for <strong>GP</strong> training; and attended<br />
several information sessions for <strong>GP</strong>SN<br />
and SA hospital career information<br />
evenings during the application process.<br />
In a follow-up <strong>to</strong> this RLOs were also<br />
involved in the 2011 Orientation and<br />
welcoming of new registrars <strong>to</strong> AO<strong>GP</strong>.<br />
2010 has seen some significant training<br />
time and pathway policy changes from<br />
<strong>GP</strong>ET, and with the Commonwealth<br />
Government health reform agenda, more<br />
changes are on the way in terms of <strong>GP</strong><br />
Registrar training. The RLOs will continue<br />
<strong>to</strong> be involved in forums and working<br />
groups with different training stakeholders<br />
<strong>to</strong> ensure the AO<strong>GP</strong> Registrar voice is<br />
heard for future training and workforce<br />
development.<br />
Holly and Michael coordinated and<br />
participated in two social events for<br />
the year: a social drinks night held in<br />
September and a combined AO<strong>GP</strong> and<br />
Sturt Fleurieu bowling night in Oc<strong>to</strong>ber.<br />
All attendees had great fun and the RLOs<br />
were very pleased <strong>to</strong> report AO<strong>GP</strong> were<br />
clearly the better bowlers!<br />
Michael has now completed his training<br />
and the end of 2010 sees the end of<br />
his RLO time, with a new urban RLO<br />
<strong>to</strong> be commencing in 2011. Edi<strong>to</strong>rial<br />
note—AO<strong>GP</strong> would like <strong>to</strong> offer both<br />
RLOs a sincere thanks for their dedication<br />
and genuine interest throughout 2010.<br />
Holly has agreed <strong>to</strong> stay on in the role as<br />
she heads out <strong>to</strong> begin the community<br />
element of her <strong>GP</strong> training whilst we<br />
congratulate and bid adieu <strong>to</strong> Michael<br />
who finishes his training <strong>to</strong> head off for an<br />
extended overseas trip with his family.<br />
Drs Holly Deer and Michael Sobotta<br />
17
Key Result Area 4<br />
Leadership<br />
AO<strong>GP</strong> is implementing a best practice<br />
vertically integrated teaching framework<br />
within the AO<strong>GP</strong> region that is reflective of<br />
local needs.<br />
Key Objective #6<br />
Engaging stakeholder groups as and when<br />
appropriate.<br />
Supervisor Liaison Officers<br />
Both Dr Ben Abbot and Dr Roly Vinci<br />
accepted their SLO roles with multiple<br />
professional aspirations for their time<br />
in the role. These keenness <strong>to</strong> achieve<br />
these ambitions has helped them <strong>to</strong><br />
be focused when providing SLO input<br />
over the past year. They have enjoyed<br />
their roles, whilst concurrently gaining a<br />
better understanding of the context of<br />
Supervisors within the larger picture of<br />
General Practice training through AO<strong>GP</strong><br />
and nationally.<br />
The primary formal function of the SLOs<br />
is <strong>to</strong> coordinate and run the SLO forums<br />
held at all events involving Supervisors.<br />
There have been numerous <strong>to</strong>pics<br />
discussed and participation in these<br />
forums has helped shape thinking in<br />
relation <strong>to</strong> some of the other committees<br />
and focus groups of which they have<br />
been involved over the course of the year<br />
(eg delegated <strong>Training</strong> Post/Supervisor<br />
accreditation Steering Committee,<br />
Special Considerations Committee, RTO<br />
Feasibility study).<br />
One of the main forums of this kind was<br />
held at the AO<strong>GP</strong> Education Weekend<br />
in May 2010. This year it was held at<br />
the Barossa Valley and was another<br />
opportunity <strong>to</strong> continue building and<br />
strengthening relationships between<br />
Registrars, Supervisors and AO<strong>GP</strong> staff,<br />
management and Board. The SLOs,<br />
through the views expressed at this<br />
forum, confirmed that Supervisors alike<br />
18<br />
felt that this Education Weekend was<br />
one of the most successful weekends<br />
they had attended—the site and facilities<br />
were excellent and the presentations and<br />
workshops were both stimulating and<br />
diverse. The SLOs noted that the large<br />
turnout of all the people involved with<br />
AO<strong>GP</strong> at this event included an extra<br />
large contingent of Supervisors. Both<br />
Ben and Roly personally commented that<br />
they came away feeling energised after<br />
spending time with others who are equally<br />
passionate about medical education.<br />
Ben, with his rural SLO perspective, was<br />
involved in the Special Considerations<br />
Committee and has been impressed<br />
with the one mindedness of the group –<br />
despite the diversity of personnel profile in<br />
the committee.<br />
In 2010 Ben also represented AO<strong>GP</strong> in<br />
discussions with SA Country Health in<br />
relation <strong>to</strong> the newly developed contracts<br />
for doc<strong>to</strong>rs, and in the latter part of the<br />
year has been an active participant in the<br />
workshops being run by the Rural Doc<strong>to</strong>rs<br />
Workforce Agency in<strong>to</strong> the development<br />
of a new rural training pathway model.<br />
Roly has been actively involved with the<br />
national <strong>GP</strong> Supervisors Liaison Network<br />
and is currently chairing this group and<br />
some of the associated subcommittees.<br />
As part of this role he is also a member of<br />
the National <strong>GP</strong> Supervisors Association<br />
(N<strong>GP</strong>SA), the national organisation set up<br />
<strong>to</strong> represent Supervisors.<br />
Both Roly and Ben were involved in the<br />
review of the AO<strong>GP</strong> Placement process<br />
and the local Reference Committee with<br />
regard <strong>to</strong> the AO<strong>GP</strong> implementation of<br />
the delegated <strong>Training</strong> Post/Supervisor<br />
accreditation model. Both of the SLOs<br />
also provided input in <strong>to</strong> the newly<br />
developed Business Modules and also<br />
Dr Caroline Laurence and Linda Black’s<br />
research regarding the financial costs<br />
involved in training medical students,<br />
interns and Registrars.<br />
With an even clearer understanding of the<br />
role and the opportunities therein, Ben<br />
and Roly, as Supervisor representatives<br />
look forward <strong>to</strong> what they can further<br />
contribute in 2011.<br />
Dr Ben Abbot and Dr Roly Vinci
Key Result Area 4<br />
Leadership<br />
AO<strong>GP</strong> is implementing a best practice<br />
vertically integrated teaching framework<br />
within the AO<strong>GP</strong> region that is reflective of<br />
local needs.<br />
Key Objective #6<br />
Engaging stakeholder groups as and when<br />
appropriate.<br />
Practice Manager Liaison<br />
Officers<br />
Practice Manager Workshop<br />
This year we had 38 attendees—13<br />
rural and 25 urban and the program<br />
had a major focus on reviewing and<br />
experiencing ‘The Business of General<br />
Practice’ modules. As Practice Managers<br />
are likely <strong>to</strong> be involved with the delivery of<br />
some units in the Modules, there was also<br />
a workshop session on basic teaching<br />
skills.<br />
Ongoing support<br />
The PMLOs have also continued <strong>to</strong><br />
provide ongoing support <strong>to</strong> Practice<br />
Managers across the teaching practices.<br />
PMLOs provide this support through<br />
availability for phone discussions, network<br />
opportunities and workshops. The main<br />
focus of this ongoing support relates <strong>to</strong><br />
interpretation of Terms and Conditions of<br />
Registrar training and has resulted in the<br />
PMLOs being able <strong>to</strong> provide feedback<br />
<strong>to</strong> AO<strong>GP</strong> and seek clarification. The<br />
orientation of new teaching practices is<br />
a priority with support provided either by<br />
onsite visits or teleconference <strong>to</strong> 90%<br />
of new teaching practices; providing<br />
training in <strong>GP</strong>Rime, advising on training<br />
practice responsibilities, assistance with<br />
paperwork and contract requirements.<br />
PMLOs have also provided onsite visits<br />
or teleconferences <strong>to</strong> new practice<br />
managers as they join teaching practices.<br />
Looking ahead <strong>to</strong> 2011<br />
The PMLOs plan <strong>to</strong> conduct a needs<br />
analysis <strong>to</strong> identify the type of support<br />
and resources required by practices.<br />
There will also be a big focus on the roll<br />
out of ‘The Business of General Practice’<br />
for Registrars and assisting practices <strong>to</strong><br />
deliver these education units as part of<br />
their in-practice teaching program.<br />
The Business of General Practice<br />
The PMLOs Danny Haydon and Deb<br />
Docking, have been very busy this year<br />
with the completion and launch of ‘The<br />
Business of General Practice’. This<br />
in-practice teaching <strong>to</strong>ol is designed <strong>to</strong><br />
provide Registrars with the fundamental<br />
concepts of business, applied <strong>to</strong> the<br />
private practice setting. The aim is <strong>to</strong><br />
assist their transition in<strong>to</strong> independent<br />
general practice as they seek <strong>to</strong> determine<br />
the type of practice in which they wish<br />
<strong>to</strong> work and enable them <strong>to</strong> make a<br />
contribution <strong>to</strong> the management of their<br />
practice.<br />
The two modules comprising this <strong>to</strong>ol<br />
can be delivered at any stage of Registrar<br />
training. Module 1 is targeted at <strong>GP</strong>T2<br />
Registrars and Module 2 continues<br />
in<strong>to</strong> the <strong>GP</strong>T3 phase of training. <strong>GP</strong>T3<br />
Registrars in particular will be starting<br />
<strong>to</strong> think about their future as Fellowed<br />
practitioners and Module 2 will enable<br />
them <strong>to</strong> make informed decisions about<br />
how they wish <strong>to</strong> be engaged in general<br />
practice.<br />
It is envisaged that ‘The Business of<br />
General Practice’ will be a useful inpractice<br />
teaching <strong>to</strong>ol, delivered by<br />
practice managers and/or Supervisors.<br />
‘The Business of General Practice’<br />
was presented at AO<strong>GP</strong> Supervisor<br />
and Practice Manager workshops<br />
during 2010 and the response has<br />
been overwhelmingly positive. It was<br />
also presented at the national RAC<strong>GP</strong><br />
Conference and General Practice<br />
Education and <strong>Training</strong> (<strong>GP</strong>ET) Forum,<br />
where it won the <strong>GP</strong>ET Regional <strong>Training</strong><br />
<strong>Program</strong> Innovation Award 2010.<br />
The next and most significant step is<br />
<strong>to</strong> promote the teaching <strong>to</strong>ol <strong>to</strong> the<br />
Registrars and encourage them <strong>to</strong> access<br />
the modules and learn more about the<br />
business aspects of general practice.<br />
Deb Docking and Danny Haydon<br />
19
Research & Publishing<br />
Key Result Area 5<br />
Stakeholder Value<br />
In collaboration with academic partners,<br />
AO<strong>GP</strong> is increasing general practicerelated<br />
academic research activity, and the<br />
involvement of the AO<strong>GP</strong> community in<br />
academic research and teaching.<br />
AO<strong>GP</strong> is establishing constructive links<br />
with federal and state government health<br />
departments.<br />
Key Objective #5<br />
Expanding AO<strong>GP</strong>’s evidence-based<br />
decision-making capacity, regarding <strong>GP</strong><br />
education, training and workforce issues.<br />
Key Objective #6<br />
Engaging stakeholder groups as and when<br />
appropriate.<br />
Reflecting on 2010, it has been a year that<br />
has included the strategic development<br />
of a research program for the long term<br />
(Research Committee report) whilst<br />
continuing <strong>to</strong> deliver high quality and<br />
robust research activity that benefits the<br />
whole organisation.<br />
Held at the AO<strong>GP</strong> Education Weekend,<br />
the panel was entitled ‘The Faces of<br />
Research at AO<strong>GP</strong>’. It introduced the<br />
AO<strong>GP</strong> research framework, launched<br />
the Academic Skills Post handbook<br />
and showcased AO<strong>GP</strong> Registrar and<br />
Supervisor research. A highlight from the<br />
panel was hearing from AO<strong>GP</strong> Supervisor<br />
Dr Moni, about how he balances General<br />
Practice and research in his day-<strong>to</strong>-day<br />
practice. Feedback was extremely positive<br />
and the Panel will continue <strong>to</strong> be a feature<br />
of future Education Weekends.<br />
Two Registrars in 2010 completed their<br />
posts funded in 2009, and one new post<br />
was funded in 2010. The Registrars<br />
undertaking these posts were:<br />
• Dr Kirsty Anderson, University of<br />
<strong>Adelaide</strong>. Kirsty concluded her post<br />
with attendance at the <strong>GP</strong>ET research<br />
workshop held in Alice Springs in<br />
August 2010.<br />
• Dr Kate Wylie, University of <strong>Adelaide</strong><br />
continued her teaching activity for<br />
the remainder of 2010 through the<br />
provision of SCAP training <strong>to</strong> 6th year<br />
Medical Students.<br />
• Dr Annie Lin, Flinders University. Her<br />
research on smoking cessation has<br />
been presented at the Public Health<br />
Association Conference in Perth.<br />
While the AO<strong>GP</strong> research team<br />
continued its own work, it also supported<br />
and provided expert advice <strong>to</strong> other teams<br />
within the organisation. Some examples<br />
and outcomes include:<br />
• Dr Ben Abbot under<strong>to</strong>ok a study<br />
exploring the initial and ongoing<br />
training available <strong>to</strong> Rural <strong>GP</strong><br />
Proceduralists.<br />
• Completion of contract research<br />
for WA<strong>GP</strong>ET that replicated the<br />
Sustainable Teaching in community<br />
General Practice study in WA.<br />
• AO<strong>GP</strong>, along with WA<strong>GP</strong>ET,<br />
RRQC and ACRRM formed the<br />
industry partners, for a successful<br />
ARC Linkage Grant with University<br />
of Queensland, University of<br />
<strong>Adelaide</strong> and Flinders University.<br />
This 3-year study will research new<br />
methodologies for increasing the<br />
number of rural doc<strong>to</strong>rs in Australia.<br />
Following a number of requests, AO<strong>GP</strong><br />
held a workshop on ‘How <strong>to</strong> write a<br />
paper’, for Registrars, Supervisors and<br />
staff. The success of the workshop will<br />
see more workshops become part of the<br />
AO<strong>GP</strong> calendar in the new year.<br />
AO<strong>GP</strong> presented at several conferences<br />
during 2010:<br />
• PHC Research Conference, Darwin<br />
• <strong>GP</strong>ET Convention, Alice Springs<br />
• <strong>GP</strong>10 Conference, Cairns<br />
• 15th Prevocational Medical Education<br />
Forum, Melbourne<br />
Dr Caroline Laurence and Linda Black<br />
were invited <strong>to</strong> present their work on the<br />
costs and benefits of teaching <strong>to</strong> several<br />
organisations in 2010:<br />
• <strong>GP</strong>ET Prevocational <strong>Training</strong> Policy<br />
Advisory Committee, <strong>Adelaide</strong>, 25<br />
February 2010<br />
• General Practice Forum, <strong>GP</strong>SA, 19<br />
March 2010<br />
• National Supervisor Liaison Group<br />
Meeting, <strong>GP</strong>ET Alice Springs, 7th<br />
September 2010<br />
AO<strong>GP</strong> staff were successful in<br />
publishing two articles based on research<br />
undertaken at AO<strong>GP</strong> in peer-reviewed<br />
journals in 2010. Details are shown<br />
below:<br />
‘To teach or not <strong>to</strong> teach?’ A cost-benefit<br />
analysis of teaching in private practice.<br />
Laurence CO, Black LE, Karnon K, Briggs NE.<br />
Med J Aust 2010;193:608-613<br />
‘Fostering Registrar research: a model <strong>to</strong><br />
overcome barriers.’<br />
Elliott T, Laurence C, McCaul M. Aust Fam<br />
Physician 2010;39(12)<br />
20
<strong>GP</strong> Early Exposure & Recruitment<br />
Key Result Area 2<br />
Sustainable Community Benefits<br />
AO<strong>GP</strong> has an over-subscription of<br />
applicants for rural and urban pathway <strong>GP</strong><br />
training.<br />
Sustainable Community Benefits –<br />
Rural<br />
AO<strong>GP</strong> is recruiting and retaining <strong>GP</strong><br />
registrars entering the rural training<br />
pathway <strong>to</strong> its rural regions.<br />
Key Objective #6<br />
Engaging stakeholder groups as and when<br />
appropriate.<br />
Promoting General<br />
Practice<br />
AO<strong>GP</strong> continues <strong>to</strong> be active in<br />
promoting Australian General Practice<br />
<strong>Training</strong> by working with the General<br />
Practice Student Network (<strong>GP</strong>SN),<br />
the Going Places Network, and other<br />
organisations including RDWA and<br />
Universities. AO<strong>GP</strong> has continued <strong>to</strong><br />
drive and participate in tripartite efforts<br />
in regional recruitment of interested<br />
applicants for <strong>GP</strong> training. Again, this<br />
has included men<strong>to</strong>ring, training activities<br />
and direct exposure <strong>to</strong> General Practice<br />
through hospital intern and RMO round<br />
table discussions, medical students<br />
presentations at both Flinders University<br />
and the University of <strong>Adelaide</strong>, and<br />
through P<strong>GP</strong>PP collaborations.<br />
In Oc<strong>to</strong>ber 2010, a focus group of key<br />
stakeholders addressed the issues<br />
surrounding online access <strong>to</strong> information<br />
regarding General Practice training in<br />
South Australia. This resulted in the<br />
engagement of an external agency <strong>to</strong><br />
redesign the AO<strong>GP</strong> website for launch<br />
early in 2011.<br />
2011 Cohort Recruitment<br />
The 2011 recruitment activity conducted<br />
in 2010, was a resounding success. All<br />
Rural and General Pathway positions<br />
were filled at the completion of Round<br />
3, When compared <strong>to</strong> recruitment of<br />
the 2010 cohort, there was an overall<br />
33% increase in Round 1 applicants<br />
from 30 <strong>to</strong> 40 applicants, with a large<br />
increase of 61.5% in Rural Pathway<br />
applications from 13 <strong>to</strong> 21 applicants.<br />
For the first time ever, AO<strong>GP</strong> saw an<br />
oversubscription in applications for rural<br />
pathway training positions,<br />
Although there was a decline nationally in<br />
the number of interns applying <strong>to</strong> A<strong>GP</strong>T,<br />
at AO<strong>GP</strong> 30 % of applicants applied in<br />
their intern year. 32.5 % of applicants<br />
completed a P<strong>GP</strong>PP term. Over 50%<br />
of our applicants were in PGY 1-2 and<br />
we will continue <strong>to</strong> focus efforts targeting<br />
this group through tripartite efforts<br />
outlined above and the peer <strong>to</strong> peer<br />
program- the Going Places Network.<br />
2010 saw the expansion of the First Wave<br />
Scholarship program. AO<strong>GP</strong> worked<br />
in collaboration with Flinders University<br />
and the University of <strong>Adelaide</strong> <strong>to</strong> recruit<br />
and select First Wave Scholars. A large<br />
number of applications was received for<br />
the six clinical placement scholarships.<br />
21
AO<strong>GP</strong> Graduates<br />
Key Result Area 1<br />
Competent and Confident <strong>GP</strong><br />
Registrars<br />
AO<strong>GP</strong>’s <strong>GP</strong> graduates are deemed <strong>to</strong><br />
be competent and confident <strong>GP</strong>s against<br />
evidence based benchmarks<br />
Key Objective #2<br />
Delivering RAC<strong>GP</strong> and ACRRM college<br />
training pathways effectively within the<br />
AO<strong>GP</strong> region.<br />
New Fellows of RAC<strong>GP</strong> and ACRRM 2010<br />
At the end of each year, we celebrates the AO<strong>GP</strong> Registars<br />
who graduated from the <strong>Program</strong> during that year. In December<br />
2010 we had the opportunity <strong>to</strong> ex<strong>to</strong>l 19 Registrars’ success<br />
at a Board-hosted dinner, <strong>to</strong>gether with their partners, their<br />
nominated ‘most influential’ Supervisor during their time in the<br />
program, the AO<strong>GP</strong> staff involved in their training, and local<br />
College personnel from RAC<strong>GP</strong> and ACRRM. This event was<br />
again very well received.<br />
Congratulations <strong>to</strong> the graduates listed below with special<br />
congratulations <strong>to</strong> Dr Adam S<strong>to</strong>rey as the Justin Beilby Medal<br />
winner for Semester 1 2010.<br />
Dr Kirsty Anderson<br />
Dr Heidi Arellano<br />
Dr Dawit Berhe<br />
Dr Stephen Davis<br />
Dr Robert Douglas<br />
Dr Jemma Elliott<br />
Dr Meaghan Field<br />
Dr Vishi Goonewardene<br />
Dr Kali Hayward<br />
Dr Stephen Hobson<br />
Dr Azka Kajani<br />
Dr Rizwan Kajani<br />
Dr Mahliyo Khasanova<br />
Dr Tonia Mezzini<br />
Dr Stella Prescott<br />
Dr Collette Richards<br />
Dr Adam S<strong>to</strong>rey<br />
Dr Anthony Todd<br />
Dr Kate Wylie<br />
22
Financial Statements<br />
for the year<br />
ended 31 Decmeber 2010<br />
23
Board report<br />
The Board of <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated submits the financial report for the year<br />
ended 31 December 2010.<br />
1. BOARD MEMBERS<br />
The names of the Members of the Board in office at the date of this report are as follows:<br />
Dr Peter Joyner (Chair)<br />
Prof Justin Beilby<br />
Ms Pamela Martin<br />
Prof Nigel S<strong>to</strong>cks<br />
Dr Mandy Ayres<br />
Ms Linda Black<br />
Dr Chris Holmwood (Deputy Chair)<br />
Dr Scott Lewis<br />
Dr Gerard Quigley<br />
Dr Tony Cocchiaro<br />
Dr Rebecca Morgan<br />
2. PRINCIPAL ACTIVITIES<br />
The principal activities of <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated in the course of the financial<br />
year were <strong>to</strong> provide high quality training and education in urban and rural areas for <strong>GP</strong> Registrars. Its secondary<br />
activities were the ongoing delivery and expansion of the Prevocational <strong>GP</strong> Placement <strong>Program</strong> in rural and urban<br />
areas for allocated Intern and RMO doc<strong>to</strong>rs; and the provision of IMG fellowship support <strong>to</strong> identified rural based<br />
IMG doc<strong>to</strong>rs.<br />
3. SIGNIFICANT CHANGES<br />
During the year there were no significant changes in the nature of the activities of the Association.<br />
4. OPERATING RESULT<br />
The amount of operating deficit was $352,658 (2009: Deficit $101,867).<br />
5. MATTERS SUBSEQUENT TO THE END OF THE FINANCIAL YEAR<br />
No matter or circumstance has arisen since the end of the financial year that has significantly affected or may<br />
significantly affect the operations of the Association, the results of those operations or the state of affairs of the<br />
Association in the subsequent financial year.<br />
6. OFFICERS AND AUDITORS INDEMNIFICATION<br />
<strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated has not, during or since the financial year, in respect of<br />
any person who is or has been an officer or audi<strong>to</strong>r of <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated or<br />
a related body corporate:<br />
- indemnified or made any relevant agreement for indemnifying against a liability incurred as an officer, including<br />
costs and expenses in successfully defending legal proceedings; or<br />
- paid or agreed <strong>to</strong> pay a premium in respect of a contract insuring against a liability incurred as an officer for<br />
the costs or expenses <strong>to</strong> defend legal proceedings; with the exception of the following matter.<br />
During or since the financial year <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated paid a premium of<br />
$348 (2009: $282) <strong>to</strong> insure all officers against liabilities for costs and expenses incurred by them in defending<br />
any legal proceedings arising out of their conduct while acting in capacity of officer, other than conduct involving<br />
wilful breach of duty. A further premium of $2,565 (2009: $1,863) was paid <strong>to</strong> ensure that AO<strong>GP</strong> is covered<br />
against any claims made against the organisation in the conduct of its work against its three major contracts.<br />
26
7. BOARD OFFICERS’ BENEFITS<br />
In accordance with section 35(5) of the Associations Incorporation Act, (SA) 1985, the Board of <strong>Adelaide</strong> <strong>to</strong><br />
<strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated hereby states that during the financial year ended 31 December 2010:<br />
(a) (1) no officer of <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated;<br />
(2) no firm of which the Board Direc<strong>to</strong>r is a member; and<br />
(3) no body corporate in which the Board Direc<strong>to</strong>r has a substantial financial interest,<br />
has received or become entitled <strong>to</strong> receive a benefit as a result of a contract between the Board Direc<strong>to</strong>r, firm<br />
or body corporate and <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated except for the following:<br />
Compensation received by way of an annual stipend <strong>to</strong> Board Direc<strong>to</strong>rs in conducting their duties where the<br />
board direc<strong>to</strong>r is not a State or Commonwealth government employee nor an employee of the Association.<br />
The Chair, Finance Direc<strong>to</strong>r and Deputy Chair receive a slightly higher annual stipend as office bearers within<br />
the Board.<br />
Payments made <strong>to</strong> the Board Direc<strong>to</strong>rs were as follows:<br />
2010<br />
$<br />
2009<br />
$<br />
Dr Peter Joyner (Chair)<br />
23,425 12,000<br />
Re-appointed 29 November 2009<br />
Dr Chris Holmwood (Dep Chair)<br />
3,500 6,000<br />
Re-appointed 30 April 2009<br />
Dr Mandy Ayres<br />
3,500 -<br />
Appointed 26 November 2009<br />
Prof Justin Beilby<br />
3,500 3,000<br />
Re-appointed 1 June 2008<br />
Dr Tony Cocchiaro<br />
3,500 -<br />
Appointed 26 November 2009<br />
Dr Scott Lewis<br />
3,795 3,470<br />
Re-appointed 29 November 2009<br />
Ms Pamela Martin<br />
- -<br />
Re-appointed 29 Oc<strong>to</strong>ber 2009<br />
Dr Rebecca Morgan<br />
3,500<br />
Appointed 11 March 2010<br />
Dr Gerard Quigley<br />
4,545 3,301<br />
Appointed 5 September 2007<br />
Prof Nigel S<strong>to</strong>cks<br />
3,500 3,000<br />
Re-appointed 31 August 2009<br />
Ms Linda Black (non-voting<br />
Re-appointed 1 March 2009<br />
- -<br />
(b) no Board Direc<strong>to</strong>r of <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated has received directly or<br />
indirectly from <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated any payment or other benefit of a<br />
pecuniary value except as disclosed in Note 12 of the financial statements.<br />
Signed in accordance with a resolution of the Board.<br />
CHAIR<br />
BOARD MEMBER<br />
<strong>Adelaide</strong><br />
Dated this 10th day of March 2011.<br />
27
Statement of comprehensive income<br />
for the year ended 31 December 2010<br />
Note 2010<br />
$<br />
Revenue 2 7,885,354 6,822,038<br />
Employee Benefit Expense 3a (2,710,761) (2,534,016)<br />
Depreciation and Amortisation Expense 3b (188,805) (217,563)<br />
Education Costs 3c (3,875,361) (3,486,237)<br />
Other Operating Expenses 3d (757,770) (686,088)<br />
2009<br />
$<br />
Surplus/(Deficit) Before Income Tax 3 352,658 (101,867)<br />
Income Tax Expense 1a - -<br />
Surplus/(Deficit) For The Year 352,658 (101,867)<br />
Total Comprehensive Income 352,658 (101,867)<br />
The above Statement of Comprehensive Income should be read in conjunction with the accompanying notes.<br />
28
Statement of financial position<br />
as at 31 December 2010<br />
Assets Note 2010<br />
$<br />
2009<br />
$<br />
CURRENT ASSETS<br />
Cash and Cash Equivalents 6 1,165,119 1,667,717<br />
Trade and other receivables 7 58,137 202,428<br />
TOTAL CURRENT ASSETS 1,223,256 1,870,145<br />
NON-CURRENT ASSETS<br />
Property, Plant and Equipment 8 427,100 487,918<br />
TOTAL NON-CURRENT ASSETS 427,100 487,918<br />
TOTAL ASSETS 1,650,356 2,358,063<br />
CURRENT LIABILITIES<br />
Trade and Other Payables 9 1,055,785 2,116,150<br />
TOTAL CURRENT LIABILITIES 1,055,785 2,116,150<br />
TOTAL LIABILITIES 1,055,785 2,116,150<br />
NET ASSETS 594,570 241,912<br />
EQUITY<br />
Retained Surplus 594,570 241,912<br />
TOTAL EQUITY 594,570 241,912<br />
The above Statement of Financial Position should be read in conjunction with the accompanying notes.<br />
29
Statement of changes in equity<br />
for the year ended 31 December 2010<br />
Retained<br />
Surplus<br />
$<br />
Balance at 1 January 2009 343,779 343,779<br />
Total<br />
$<br />
Deficit for the year (101,867 ) (101,867 )<br />
Other comprehensive income - -<br />
Total comprehensive income (101,867 ) (101,867 )<br />
Balance at 31 December 2009 241,912 241,912<br />
Surplus for the year 352,658 352,658<br />
Other comprehensive income - -<br />
Total comprehensive income 352,658 352,658<br />
Balance at 31 December 2010 594,570 594,570<br />
The above Statement of Changes in Equity should be read in conjunction with the accompanying notes.<br />
30
Statement of Cash Flows<br />
for the year ended December 31 2010<br />
Note 2010<br />
$<br />
2009<br />
$<br />
CASH FLOWS FROM OPERATING ACTIVITIES<br />
Grant receipts (including GST) 8,728,042 7,700,702<br />
Payments <strong>to</strong> suppliers and employees (including GST) (9,197,712) (7,935,499)<br />
Interest received 95,059 58,898<br />
Net cash (used in) / provided by operating activities 13 (374,611) (175,899)<br />
CASH FLOWS FROM INVESTING ACTIVITIES<br />
Purchase of property, plant and equipment (127,987) (324,604)<br />
Net cash (used in) investing activities (127,987) (324,604)<br />
Net decrease in cash and cash equivalents (502,598) (500,503)<br />
Cash and cash equivalents at beginning of financial year 1,667,717 2,168,220<br />
Cash and cash equivalents at end of financial year 6 1,165,119 1,667,717<br />
The above Statement of Cash Flows should be read in conjunction with the accompanying notes.<br />
31
Notes <strong>to</strong> the financial statements<br />
for the year ended December 31 2010<br />
This financial report covers <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated (the ‘Association’) as an<br />
individual association. The Association is incorporated under the Associations Incorporations Act (SA) 1985.<br />
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES<br />
Basis of Preparation<br />
The financial report is a general purpose financial report that has been prepared in accordance with Australian<br />
Accounting Standards, Australian Accounting Interpretations and the Associations Incorporation Act (SA) 1985.<br />
Australian Accounting Standards set out accounting policies that the Australian Accounting Standards Board has<br />
concluded would result in a financial report containing relevant and reliable information about transactions, events<br />
and conditions <strong>to</strong> which they apply. Australian Accounting Standards include Australian equivalents <strong>to</strong> International<br />
Financial <strong>Report</strong>ing Standards (AIFRS).Material accounting policies adopted in the preparation of this financial<br />
report are presented below and have been consistently applied unless otherwise stated.<br />
The financial report has been prepared on an accruals basis and is based on his<strong>to</strong>rical costs, modified, where<br />
applicable, by the measurement at fair value of selected non-current assets, financial assets and financial liabilities.<br />
The financial information has been presented in Australian Dollars ($) rounded <strong>to</strong> the nearest dollar.<br />
a. Income Tax<br />
The Association is exempt from income tax under the provisions of Section 50.5 of the Income Tax<br />
Assessment Act 1997.<br />
b. Property, Plant and Equipment<br />
Each class of property, plant and equipment is carried at cost less, where applicable, any accumulated<br />
depreciation and impairment losses.<br />
Plant and equipment<br />
Plant and equipment are measured on the cost basis less depreciation and impairment losses.<br />
The carrying amount of plant and equipment is reviewed annually by direc<strong>to</strong>rs <strong>to</strong> ensure it is not in excess of<br />
the recoverable amount from these assets. The recoverable amount is assessed on the basis of replacement<br />
cost.<br />
Costs are included in the asset’s carrying amount or recognised as a separate asset, as appropriate, only<br />
when it is probable that future economic benefits associated with the item will flow <strong>to</strong> the Association and the<br />
cost of the item can be measured reliably. All other repairs and maintenance are charged <strong>to</strong> the statement of<br />
comprehensive income during the financial period in which they are incurred.<br />
Depreciation<br />
The depreciable amount of all fixed assets, is depreciated on a straight-line basis over the asset’s useful life<br />
commencing from the time the asset is held ready for use. Leasehold improvements are depreciated over the<br />
shorter of either the unexpired period of the lease or the estimated useful life of the improvements.<br />
33
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)<br />
b. Property, Plant and Equipment (continued)<br />
The depreciation rates used for each class of depreciable assets are:<br />
Class of Fixed Asset Depreciation Rate<br />
Plant and equipment 20%<br />
Office furniture and fittings 14.3-33.3%<br />
Computers 33.3%<br />
Leasehold improvements 14.3-50%<br />
The assets’ residual values and useful lives are reviewed and adjusted, if appropriate, at the end of each<br />
reporting period.<br />
An asset’s carrying amount is written down immediately <strong>to</strong> its recoverable amount if the asset’s carrying<br />
amount is greater than its estimated recoverable amount.<br />
Gains and losses on disposals are determined by comparing proceeds with the carrying amount. These gains<br />
and losses are included in the statement of comprehensive income.<br />
c. Leases<br />
Operating Leases<br />
Lease payments for operating leases, where substantially all the risks and benefits remain with the lessor, are<br />
charged as expenses on a straight-line basis over the lease term.<br />
Lease incentives under operating leases are recognised as a liability and amortised on a straight-line basis<br />
over the life of the lease term.<br />
d. Financial Instruments<br />
Initial recognition and measurement<br />
Financial assets and financial liabilities are recognised when the Association becomes a party <strong>to</strong> the<br />
contractual provisions <strong>to</strong> the instrument. For financial assets, this is equivalent <strong>to</strong> the date that the Association<br />
commits itself <strong>to</strong> either purchase or sell the asset. Financial instruments are initially measured at fair value plus<br />
transaction costs except where the instrument is classified ‘at fair value through profit or loss’ in which case<br />
transaction costs are expensed <strong>to</strong> the statement of comprehensive income immediately. The Association’s<br />
financial instruments are mainly cash and cash equivalents, receivables and payables.<br />
Classification and subsequent measurement<br />
Financial instruments are subsequently measured at either fair value, amortised cost using the effective interest<br />
rate method or cost. Fair value represents the amount for which an asset could be exchanged or a liability<br />
settled, between knowledgeable, willing parties. Where available, quoted prices in an active market are used<br />
<strong>to</strong> determine fair value. In other circumstances, valuation techniques are adopted. Amortised cost is calculated<br />
as: (i) the amount at which the financial asset or financial liability is measured at initial recognition; (ii) less<br />
principal repayments; (iii) plus or minus the cumulative amortisation of the difference, if any, between the<br />
amount initially recognised and the maturity amount calculated using the effective interest method; and (iv) less<br />
any reduction for impairment.<br />
34
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)<br />
d. Financial Instruments (cont)<br />
(i) Financial assets at fair value through profit or loss<br />
Financial assets are classified at ‘fair value through profit or loss’ when they are held for trading for the purpose<br />
of short-term profit taking. Such assets are subsequently measured at fair value with changes in carrying value<br />
being included in profit or loss. The Association has not held any financial assets at fair value through profit or<br />
loss in the current or comparative financial year.<br />
(ii) Loans and receivables<br />
Loans and receivables are non-derivative financial assets with fixed or determinable payments that are not<br />
quoted in an active market and are subsequently measured at amortised cost.<br />
(iii) Held-<strong>to</strong>-maturity investments<br />
Held-<strong>to</strong>-maturity investments are non-derivative financial assets that have fixed maturities and fixed or<br />
determinable payments, and it is the Association’s intention <strong>to</strong> hold these investments <strong>to</strong> maturity. They are<br />
subsequently measured at amortised cost using the effective interest rate method.<br />
The Association has not held any held-<strong>to</strong>-maturity investments in the current or comparative financial year.<br />
(iv) Available-for-sale financial assets<br />
Available-for-sale financial assets are non-derivative financial assets that are either not capable of being<br />
classified in<strong>to</strong> other categories of financial assets due <strong>to</strong> their nature, or they are designated as such by<br />
management. They comprise investments in the equity of other entities where there is neither a fixed maturity<br />
nor fixed or determinable payments.<br />
(v) Financial liabilities<br />
Non-derivative financial liabilities (excluding financial guarantees) are subsequently measured at amortised<br />
cost.<br />
Impairment of financial instruments<br />
At the end of each reporting period, the Association assesses whether there is objective evidence that a<br />
financial instrument has been impaired. Impairment losses are recognised in the statement of comprehensive<br />
income.<br />
Derecognition<br />
Financial assets are derecognised where the contractual right <strong>to</strong> receipt of cash flows expires or the asset<br />
is transferred <strong>to</strong> another party whereby the Association no longer has any significant continuing involvement<br />
in the risks and benefits associated with the asset. Financial liabilities are derecognised where the related<br />
obligations are either discharged, cancelled or expire. The difference between the carrying value of the<br />
financial liability extinguished or transferred <strong>to</strong> another party and the fair value of consideration paid, including<br />
the transfer of non-cash assets or liabilities assumed, is recognised in the statement of comprehensive<br />
income.<br />
35
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)<br />
e. Impairment of Assets<br />
At the end of each reporting period, the Association reviews the carrying values of its tangible assets <strong>to</strong><br />
determine whether there is any indication that those assets have been impaired. If such an indication exists, the<br />
recoverable amount of the asset, being the higher of the asset’s fair value less costs <strong>to</strong> sell and replacement<br />
cost, is compared <strong>to</strong> the asset’s carrying value. Any excess of the asset’s carrying value over its recoverable<br />
amount is expensed <strong>to</strong> the statement of comprehensive income.<br />
f. Employee Benefits<br />
Provision is not made for the Association’s liability for employee entitlements arising from services rendered by<br />
employees <strong>to</strong> the end of the reporting period.<br />
The Association, at each payroll period, makes payments <strong>to</strong> the University of <strong>Adelaide</strong> comprising payment for<br />
annual leave and long service leave oncosts.<br />
When an employee takes their leave entitlements it is the responsibility of the University of <strong>Adelaide</strong> <strong>to</strong> assume<br />
this liability.<br />
g. Cash and Cash Equivalents<br />
Cash and cash equivalents include cash on hand, deposits held at-call with banks, other short-term highly<br />
liquid investments with original maturities of three months or less.<br />
h. Revenue and Other Income<br />
Government and other grants and other funding are brought <strong>to</strong> account as income by the Association <strong>to</strong><br />
reflect the extent <strong>to</strong> which the Association has control of the funding and it is probable that the economic<br />
benefits will flow <strong>to</strong> the entity.<br />
An element of funding received by the Association is recognised as income in advance until a defined<br />
timetable <strong>to</strong> provide structured training is completed.<br />
Interest revenue is recognised using the effective interest rate method, which, for floating rate financial assets<br />
is the rate inherent in the instrument. Dividend revenue is recognised when the right <strong>to</strong> receive a dividend has<br />
been established.<br />
All revenue is stated net of the amount of goods and services tax (GST).<br />
36
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
NOTE 1: STATEMENT OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)<br />
i. Goods and Services Tax (GST)<br />
Revenues, expenses and assets are recognised net of the amount of GST, except where the amount of<br />
GST incurred is not recoverable from the Tax Office. In these circumstances the GST is recognised as part<br />
of the cost of acquisition of the asset or as part of an item of the expense. Receivables and payables in the<br />
Statement of Financial Position are shown inclusive of GST.<br />
Cash flows are presented in the cash flow statement on a gross basis, except for the GST components of<br />
investing and financing activities, which are disclosed as operating cash flows.<br />
j. Comparative Figures<br />
When required by Accounting Standards, comparative figures have been adjusted <strong>to</strong> conform <strong>to</strong> changes in<br />
presentation for the current financial year.<br />
k. Key Judgments and Estimates<br />
The Association evaluates estimates and judgments incorporated in<strong>to</strong> the financial report based on<br />
his<strong>to</strong>rical knowledge and best available current information. Estimates assume a reasonable expectation of<br />
future events and are based on current trends and economic data, obtained both externally and within the<br />
Association.<br />
l. Accounting Standards Issued But Not Yet Effective<br />
Certain new accounting standards and interpretations have been published that are not manda<strong>to</strong>ry for<br />
31 December 2010 reporting periods. The Association’s assessment is that these new standards and<br />
interpretations will have no material impact on future financial statements.<br />
37
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
2010<br />
$<br />
2009<br />
$<br />
NOTE 2: REVENUE AND OTHER INCOME<br />
Revenue:<br />
A<strong>GP</strong>T Grant 4,585,856 4,625,560<br />
Specific Project Funds 2,501,902 1,904,762<br />
Reinvestment of extinguished program funding 622,519 191,477<br />
7,710,278 6,721,798<br />
Other revenue:<br />
Interest received 95,059 58,898<br />
Others 80,017 41,341<br />
175,076 100,239<br />
Total revenue 7,885,354 6,822,038<br />
NOTE 3: EXPENDITURE<br />
Surplus/(Deficit) has been determined after the following<br />
expenses:<br />
a) Employee benefits expense<br />
Education related 2,389,492 2,271,245<br />
Administrative related 321,269 262,771<br />
2,710,761 2,534,016<br />
b) Depreciation and amortisation expense<br />
Depreciation of property, plant and equipment 188,805 142,254<br />
Write-down of property, plant and equipment - 75,309<br />
188,805 217,563<br />
c) Education costs 3,875,361 3,486,237<br />
d) Other operating expenses 757,770 686,088<br />
Total Expenses 7,532,696 6,923,904<br />
38
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
2010<br />
$<br />
2009<br />
$<br />
NOTE 4: KEY MANAGEMENT PERSONNEL COMPENSATION<br />
Short-term benefit 676,588 750,652<br />
Other benefits - -<br />
Total compensation 676,588 750,652<br />
NOTE 5: AUDITORS’ REMUNERATION<br />
Remuneration of the audi<strong>to</strong>r of the association for:<br />
Auditing and reviewing the financial report 8,000 11,000<br />
NOTE 6: CASH AND CASH EQUIVALENTS<br />
Cash at bank and in hand 1,165,119 1,667,717<br />
NOTE 7: TRADE AND OTHER RECEIVABLES<br />
Current<br />
Trade receivables 45,445 110,928<br />
Net GST receivable - 75,158<br />
Prepayments 12,692 16,342<br />
Total current receivables 58,137 202,428<br />
Trade receivables are non-interest bearing receivable amounts mainly receivable on Grants. A provision<br />
for impairment is only recognised against such receivables where there is objective evidence that an<br />
individual receivable amount is impaired. No impairment was required at 31 December 2010 (2009: Nil).<br />
Trade and other receivables are considered as Financial assets classified under the classification “Loans<br />
and Receivables”.<br />
Credit risk<br />
There is no main source of credit risk <strong>to</strong> the entity that is considered significant. Accordingly, the entity<br />
has no significant concentration of credit risk with respect <strong>to</strong> any single counterparty or group of<br />
counterparties.<br />
Also, the entity does not hold any receivables whose terms have been renegotiated, but which would<br />
otherwise be past due or impaired<br />
Collateral held as security<br />
No collateral is held as security for any of the receivable balances.<br />
39
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
2010<br />
$<br />
2009<br />
$<br />
NOTE 8: PROPERTY, PLANT AND EQUIPMENT<br />
Plant and equipment:<br />
At cost 470,860 397,451<br />
Accumulated depreciation (377,460) (298,946)<br />
93,399 98,505<br />
Office furniture and fittings:<br />
At cost 209,442 166,344<br />
Accumulated depreciation (110,646 ) (77,343 )<br />
98,796 89,001<br />
Computers:<br />
At cost 423,324 404,145<br />
Accumulated depreciation (342,379) (299,334)<br />
80,945 104,811<br />
Leasehold improvements:<br />
At cost 407,030 414,730<br />
Accumulated depreciation (253,070) (219,129)<br />
153,960 195,601<br />
Total property, plant and equipment 427,100 487,918<br />
Movements in carrying amounts<br />
Movement in the carrying amounts for each class of property, plant and equipment between the<br />
beginning and the end of the current financial year:<br />
Plant and<br />
Equipment<br />
Office<br />
Furniture<br />
and Fittings Computers<br />
Leasehold<br />
Improvements<br />
Total<br />
$ $ $ $ $<br />
Balance at 1 January 2009 131,536 19,021 24,614 195,874 371,045<br />
Additions 11,251 92,912 102,968 117,473 324,604<br />
Depreciation expense (44,283) (22,932) (22,770) (117,747) (207,731)<br />
Balance at the beginning of year 98,505 89,001 104,811 195,600 487,918<br />
Additions 73,409 43,099 19,179 (7,700) 127,986<br />
Depreciation expense (78,513) (33,304) (43,045) (33,942) (188,804)<br />
Carrying amount at the end of year 93,399 98,769 80,945 153,959 427,100<br />
40
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
2010<br />
$<br />
2009<br />
$<br />
NOTE 9: TRADE AND OTHER PAYABLES<br />
Current<br />
Trade payables and accruals 857,479 1,609,789<br />
Other credi<strong>to</strong>rs 35,529 33,500<br />
Net GST payable 44,225 -<br />
Income in advance 118,552 472,861<br />
1,055,785 2,116,150<br />
All above liabilities are unsecured.<br />
NOTE 10: COMMITMENTS<br />
Operating Lease Commitments<br />
This lease is in relation <strong>to</strong> the lease for the buidling from which the<br />
business operates from.<br />
Non-cancellable operating leases contracted for but not provided for<br />
in the financial statements<br />
Payable;<br />
—not later than 12 months 143,476 143,418<br />
—between 12 months and 5 years 155,432 430,254<br />
—greater than 5 years - -<br />
298,908 573,672<br />
NOTE 11: EVENTS AFTER THE BALANCE SHEET DATE<br />
There were no significant events after the end of the reporting period.<br />
41
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
NOTE 12: RELATED PARTY TRANSACTIONS<br />
Transactions with Other Related Parties<br />
2010<br />
$<br />
2009<br />
$<br />
Board Direc<strong>to</strong>rs who are also AO<strong>GP</strong> Supervisors are entitled <strong>to</strong><br />
payments <strong>to</strong> their practices for Practice Reimbursement, Teaching<br />
Allowances and Supervisor Upskilling reimbursement detailed as<br />
follows:<br />
Cummins Medical Centre (Dr Gerard Quigley) 22,286 37,096<br />
Mannum Medical Associates (Dr Peter Joyner) 15,762 64,905<br />
Midwest Health (Dr Tony Cocchiaro) 14,062 -<br />
Vic<strong>to</strong>ria Road Medical Centre (Dr Steve Holmes) - 4,903<br />
52,110 106,904<br />
Key Management Personnel Compensation<br />
Key Management Personnel Compensation is as disclosed in Note 4 <strong>to</strong> these financial statements.<br />
NOTE 13: CASH FLOW INFORMATION<br />
Reconciliation of Cash Flow from Operations with Surplus/(Deficit) for<br />
the year<br />
Surplus/(Deficit) for the year 352,658 (101,867)<br />
Cash flows excluded from Surplus/(Deficit) for the year from operating<br />
activities<br />
Non-cash items:<br />
depreciation and write down of value 188,805 217,563<br />
Changes in assets and liabilities:<br />
decrease/(increase) in trade and other receivables 144,291 247,639<br />
(decrease)/increase in trade and other payables (1,060,365) (539,236)<br />
Net cash (used in) / provided by operating activities (374,611) (175,901)<br />
The association has no credit stand-by financing facilities in place.<br />
There were no non-cash financing or investing activities during the period.<br />
42
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
NOTE 14: FINANCIAL RISK MANAGEMENT<br />
The association’s financial instruments consist mainly of<br />
cash, receivables and payables.<br />
The <strong>to</strong>tals for each category of financial instruments,<br />
measured in accordance with AASB 139 as detailed in<br />
the accounting policies <strong>to</strong> these financial statements,<br />
are as follows:<br />
Note 2010<br />
$<br />
2009<br />
$<br />
Financial assets<br />
Cash and cash equivalents 6 1,165,119 1,667,717<br />
Trade and other receivables 7 58,137 202,428<br />
Financial liabilities<br />
Trade and other payables 9 1,055,785 2,116,150<br />
Financial Risk Management Policies<br />
The association’s direc<strong>to</strong>rs are responsible for, among other issues, moni<strong>to</strong>ring and managing financial<br />
risk exposures of the association. The direc<strong>to</strong>rs moni<strong>to</strong>r the association’s transactions and reviews the<br />
effectiveness of controls relating <strong>to</strong> credit risk, liquidity risk, and interest rate risk. There is no significant<br />
risks perceived in terms of pricing risk and foreign currency risk. Discussions on moni<strong>to</strong>ring and managing<br />
financial risk exposures are held quarterly and minuted by the board of direc<strong>to</strong>rs. The direc<strong>to</strong>rs overall risk<br />
management strategy seeks <strong>to</strong> ensure that the association meets its financial targets, whilst minimising<br />
potential adverse effects of cash flow shortfalls.<br />
Specific Financial Risk Exposures and Management<br />
The main risks the association is exposed <strong>to</strong> through its financial instruments are interest rate risk, liquidity<br />
risk and credit risk.<br />
(a) Interest rate risk<br />
The association is exposed <strong>to</strong> interest rate risk since cash balances are maintained at variable rates.<br />
Receivables and payables of the association are non-interest bearing. Please refer Note 14 (b) for further<br />
analysis.<br />
43
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
NOTE 14: FINANCIAL RISK MANAGEMENT (CONTINUED)<br />
(b) Liquidity risk<br />
Liquidity risk arises from the possibility that the association might encounter difficulty in settling its debts<br />
or otherwise meeting its obligations related <strong>to</strong> financial liabilities. The association manages this risk<br />
through the following mechanisms:<br />
• preparing forward-looking cash flow analysis in relation <strong>to</strong> its operational, investing and financing<br />
activities;<br />
• only investing surplus cash with major financial institutions; and<br />
• proactively moni<strong>to</strong>ring the recovery of receivables.<br />
The tables below in Note 14 (a) reflects an undiscounted contractual maturity analysis for financial<br />
liabilities.<br />
Cash flows realised from financial assets reflect management’s expectation as <strong>to</strong> the timing of realisation.<br />
Actual timing may therefore differ from that disclosed. The timing of cash flows presented in the table <strong>to</strong><br />
settle finance leases reflect the earliest contractual settlement dates.<br />
(c) Credit risk<br />
Credit risk faced by the association is not considered significant as also discussed in Note 7.<br />
44
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2010<br />
NOTE 14 (a): FINANCIAL LIABILITY AND<br />
FINANCIAL ASSETS MATURITY ANALYSIS<br />
2010<br />
$<br />
Within 1 Year 1 <strong>to</strong> 5 Years Over 5 Years Total<br />
2009<br />
$<br />
Financial liabilities due for payment<br />
Trade and other payables 1,055,785 2,116,150 - - - - 1,055,785 2,116,150<br />
Total contractual outflows 1,055,785 2,116,150 - - - - 1,055,785 2,116,150<br />
2010<br />
$<br />
2009<br />
$<br />
2010<br />
$<br />
2009<br />
$<br />
2010<br />
$<br />
2009<br />
$<br />
Total expected outflows 1,055,785 2,116,150 - - - - 1,055,785 2,116,150<br />
Financial assets — cash flows realisable<br />
Cash and cash equivalents 1,165,119 1,667,717 - - - - 1,165,119 1,667,717<br />
Trade and other receivables 58,137 202,428 - - - - 58,137 202,428<br />
Total anticipated inflows 1,223,256 1,870,145 - - - - 1,223,256 1,870,145<br />
Net (outflow)/inflow on financial instruments 1,223,256 1,870,145 - - - - 1,223,256 1,870,145<br />
2010<br />
$<br />
Fixed<br />
Interest<br />
2009<br />
$<br />
Variable Interest Non-interest Bearing Total<br />
2010<br />
$<br />
NOTE 14 (b): INTEREST RATE ANALYSIS<br />
Financial liabilities<br />
Trade and other payables - - - - 1,055,785 2,116,150 1,055,785 2,116,150<br />
Total - - - - 1,055,785 2,116,150 1,055,785 2,116,150<br />
2009<br />
$<br />
2010<br />
$<br />
2009<br />
$<br />
2010<br />
$<br />
2009<br />
$<br />
Financial assets<br />
Cash and cash equivalents - - 1,165,119 1,667,717 - - 1,165,119 1,667,717<br />
Trade and other receivables - - - - 58,137 202,428 58,137 202,428<br />
Total - - 1,165,119 1,667,717 58,137 202,428 1,223,256 1,870,145<br />
45
Notes <strong>to</strong> the financial statements (continued)<br />
for the year ended December 31 2009<br />
NOTE 14 (c): NET FAIR VALUES<br />
Fair value estimation<br />
The fair values of financial assets and financial liabilities are presented in the following table and can be<br />
compared <strong>to</strong> their carrying values as presented in the Statement of Financial Position. Fair values are<br />
those amounts at which an asset could be exchanged, or a liability settled, between knowledgeable,<br />
willing parties in an arm’s length transaction. Areas of judgment and the assumptions used have been<br />
detailed below. Where possible, valuation information used <strong>to</strong> calculate fair value is extracted from the<br />
market, with more reliable information available from markets that are actively traded.<br />
Cash and cash equivalents, receivables and payables are short term instruments in nature whose carrying<br />
values are approximately equivalent <strong>to</strong> their fair values.<br />
Carrying Value<br />
$<br />
Net Fair Value<br />
$<br />
2010 2009<br />
Carrying Value<br />
$<br />
Net Fair Value<br />
$<br />
Financial assets<br />
Cash and cash equivalents 1,165,119 1,165,119 1,667,717 1,667,717<br />
Trade and other Receivables 58,137 58,137 202,428 202,428<br />
Total financial assets 1,223,256 1,223,256 1,870,145 1,870,145<br />
Financial liabilities<br />
Trade and other payables 1,055,785 1,055,785 2,116,150 2,116,150<br />
Total financial liabilities 1,055,785 1,055,785 2,116,150 2,116,150<br />
NOTE 14 (d): SENSITIVITY ANALYSIS<br />
The Board considers that the only material risk arises in terms of interest rates, and if the interest rates<br />
increase/decrease by +/- 1% (i.e. 100 basis points) the effect <strong>to</strong> surplus/deficit is estimated <strong>to</strong> be<br />
$11,651 (2009: $16,677).<br />
NOTE 14 (e): FINANCIAL ASSETS PLEDGED AS COLLATERAL<br />
No financial assets have been pledged as security for any financial liability<br />
NOTE 15: ASSOCIATION DETAILS<br />
The registered office of the association is:<br />
<strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Inc<br />
183 Melbourne Street<br />
North <strong>Adelaide</strong> SA 5006<br />
The principal place of business is:<br />
<strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Inc<br />
183 Melbourne Street<br />
North <strong>Adelaide</strong> SA 5006<br />
46
Statement by the Board<br />
In the opinion of the Board the financial report comprising the Statement of Comprehensive Income, Statement<br />
of Financial Position, Statement of Changes in Equity, Statement of Cash Flows and Notes <strong>to</strong> and forming part of<br />
the financial report:<br />
1. Presents fairly the financial position of <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong> <strong>Program</strong> Incorporated as at<br />
31 December 2010 and its performance for the year ended on that date in accordance with Australian<br />
Accounting Standards, manda<strong>to</strong>ry professional reporting requirements and other authoritative<br />
pronouncements of the Australian Accounting Standards Board.<br />
2. At the date of this statement, there are reasonable grounds <strong>to</strong> believe that <strong>Adelaide</strong> <strong>to</strong> <strong>Outback</strong> <strong>GP</strong> <strong>Training</strong><br />
<strong>Program</strong> Incorporated will be able <strong>to</strong> pay its debts as and when they fall due.<br />
This statement is made in accordance with a resolution of the Board and is signed for and on behalf of the Board<br />
by:<br />
CHAIR<br />
BOARD MEMBER<br />
<strong>Adelaide</strong><br />
Dated this 10th day of March 2011.<br />
47
Lower Level<br />
183 Melbourne Street<br />
North <strong>Adelaide</strong><br />
South Australia 5006<br />
Tel +618 8366 3100<br />
Fax +618 8361 8967<br />
enquiries@adelaide<strong>to</strong>outback.com.au<br />
www.adelaide<strong>to</strong>outback.com.au