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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

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