ANZCA Bulletin June 2011 - Australian and New Zealand College of ...
ANZCA Bulletin June 2011 - Australian and New Zealand College of ...
ANZCA Bulletin June 2011 - Australian and New Zealand College of ...
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ANAESTHESIA IN THE<br />
BIGGEST STATE<br />
DR JENNY STEDMON<br />
WA REGIONAL COMMITTEE CHAIR<br />
DEPUTY HEAD OF ANAESTHESIA<br />
(EXTERNAL) FREMANTLE HOSPITAL<br />
Western Australia is the largest state in<br />
Australia with Perth the most isolated<br />
capital city in the world. With the main<br />
population focused in Perth itself, but<br />
the rest spread wide over regional<br />
<strong>and</strong> rural areas, the WA anaesthetic<br />
community is faced with unique working<br />
conditions <strong>and</strong> challenges. The task <strong>of</strong><br />
the regional committee to be relevant<br />
<strong>and</strong> supportive to those in rural <strong>and</strong><br />
metropolitan practice whilst refl ecting<br />
the policies <strong>and</strong> concerns <strong>of</strong> the <strong>College</strong><br />
can be somewhat challenging. We<br />
are privileged to have the experience<br />
<strong>of</strong> <strong>ANZCA</strong> Past President Dr Wally<br />
Thompson <strong>and</strong> Dr Lindy Roberts, the<br />
current <strong>College</strong> Vice President. Dr<br />
Roberts keeps the committee up to<br />
date with the work <strong>of</strong> the Council, <strong>and</strong><br />
her advice to us on terms <strong>of</strong> reference<br />
is very useful, as was the recent face to<br />
face meeting <strong>of</strong> the regional chairs with<br />
the Council at the Hong Kong Combined<br />
Scientifi c Meeting (CSM).<br />
Early this year the WA <strong>ANZCA</strong> Secretariat<br />
was fortunate to move to new permanent<br />
premises. The new <strong>of</strong>fi ce provides<br />
improved facilities for meetings,<br />
examinations <strong>and</strong> other activities, <strong>and</strong><br />
is shared with our colleagues in the<br />
<strong>Australian</strong> Society <strong>of</strong> Anaesthetists<br />
(ASA). The <strong>of</strong>fi ce was <strong>of</strong>fi cially opened<br />
by the Honourable Julie Bishop MP,<br />
Deputy Leader <strong>of</strong> the Opposition,<br />
Shadow Minister for Foreign Affairs <strong>and</strong><br />
Shadow Minister for Trade. The opening<br />
was well attended by current <strong>and</strong> retired<br />
specialists <strong>and</strong> trainees <strong>and</strong> gave us an<br />
opportunity to raise the pr<strong>of</strong>i le <strong>of</strong> the<br />
specialty as well as to socialise with our<br />
colleagues.<br />
Western Australia currently has one<br />
rotational training program catering for<br />
the needs <strong>of</strong> the steadily increasing<br />
numbers <strong>of</strong> trainees, 107 as <strong>of</strong> the start<br />
<strong>of</strong> <strong>2011</strong>. Current <strong>and</strong> future concerns<br />
include the likelihood <strong>of</strong> a degree <strong>of</strong><br />
“block” for some sub specialties, in<br />
particular paediatrics, cardiac <strong>and</strong><br />
obstetrics. Regional education <strong>of</strong>fi cer<br />
(REO) Dr Jodi Graham, Deputy REO Dr<br />
Jay Bruce <strong>and</strong> rotational supervisor<br />
Dr Steve Myles, together with the WA<br />
<strong>ANZCA</strong> Trainee Committee chaired by<br />
Dr Yvette Gainey are working hard to<br />
manage <strong>and</strong> continue to develop the<br />
scheme. Currently there is signifi cant<br />
growth in infrastructure in Western<br />
Australia, <strong>and</strong> we expect this will provide<br />
new opportunities for training.<br />
FIONA STANLEY HOSPITAL<br />
Progress in the building <strong>of</strong> the Fiona<br />
Stanley Hospital is on time <strong>and</strong> on<br />
budget, with the current projected<br />
opening in 2014 a reality. It is<br />
anticipated it will have the full facilities<br />
<strong>of</strong> a leading tertiary hospital, including<br />
cardiac, neurosurgery, trauma,<br />
paediatrics, obstetrics <strong>and</strong> burns which<br />
will create additional opportunities for<br />
our trainees to undergo sub specialty<br />
training. The recent development <strong>of</strong><br />
enthusiastic <strong>and</strong> productive research<br />
departments at South Metro hospitals<br />
can be expected to continue with the<br />
research facilities at Fiona Stanley.<br />
The hospital site is adjacent to St John<br />
<strong>of</strong> God, Murdoch, which may <strong>of</strong>fer<br />
additional training opportunities as well<br />
as foster intercollegiate relationships<br />
between colleagues in public <strong>and</strong> private<br />
practice. The development <strong>of</strong> clinical<br />
services has already begun, with the<br />
appointment <strong>of</strong> cluster lead roles <strong>and</strong>,<br />
importantly, there is representation<br />
<strong>of</strong> our specialty. Dr Gavin Coppinger,<br />
Head <strong>of</strong> Department <strong>of</strong> Anaesthesia<br />
at Fremantle Hospital, holds a cluster<br />
co-lead role with Pr<strong>of</strong>essor David<br />
Fletcher, Clinical Director, Surgical<br />
Services Fremantle Hospital, for the<br />
development <strong>of</strong> surgical services across<br />
South Metro. Their cluster is concerned<br />
with the development <strong>of</strong> theatre facilities<br />
<strong>and</strong> both elective <strong>and</strong> emergency<br />
surgical services, throughout the entire<br />
South Metro region. This includes the<br />
Royal Perth, Fremantle, Armadale,<br />
Rockingham, Bentley <strong>and</strong> the new Fiona<br />
Stanley hospitals.<br />
(continued next page)<br />
<strong>ANZCA</strong> <strong>Bulletin</strong> <strong>June</strong> <strong>2011</strong> 25