ANZCA Bulletin - March 2006 - Australian and New Zealand College ...
ANZCA Bulletin - March 2006 - Australian and New Zealand College ...
ANZCA Bulletin - March 2006 - Australian and New Zealand College ...
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ulletin<br />
AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS<br />
JOINT FACULTY OF INTENSIVE CARE MEDICINE FACULTY OF PAIN MEDICINE<br />
VOL 15 NO 1<br />
06<br />
MARCH<br />
PRINT POST APPROVED PP 381691 100040<br />
• The Role of <strong>ANZCA</strong> in the Development<br />
of Quality <strong>and</strong> Safety in Australia:<br />
Four L<strong>and</strong>marks<br />
• Principles Underpinning the Evolution<br />
of the <strong>College</strong>’s Education Strategy<br />
• Fellows Profiles – Experiences in<br />
France <strong>and</strong> Samoa
Effective Management of<br />
Anaesthetic Crises (EMAC)<br />
<strong>2006</strong> Course Dates Australia & <strong>New</strong> Zeal<strong>and</strong><br />
Effective Management of Anaesthetic<br />
Crises (EMAC) is a course intended to<br />
provide practical techniques in the<br />
management of anaesthetic<br />
emergencies. EMAC brings a significant<br />
new approach to medical training that<br />
targets not only the technical skills<br />
required during an emergency, but<br />
emphasises the behavioural aspects<br />
of managing anaesthetic crises.<br />
Created under the direction of the<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetists, this course meets<br />
fellowship training requirements <strong>and</strong> qualifies for 65 CME & 65 QA<br />
MOPS points for consultant anaesthetists.<br />
EMAC is offered in Brisbane, Melbourne (St Vincent’s <strong>and</strong> Southern<br />
Health), Perth, Sydney <strong>and</strong> Wellington (NZ).<br />
Please contact individual Centres for bookings <strong>and</strong> enquiries.<br />
Brisbane<br />
Melbourne<br />
Queensl<strong>and</strong> Health Skills Development Centre<br />
Tel: (07) 3636 6500<br />
sdc-admin@health.qld.gov.au<br />
June 1-3<br />
September 28-30<br />
November 2-4<br />
Southern Health Simulation <strong>and</strong> Skill Centre<br />
Tel: (03) 9928 8314<br />
simulate@southernhealth.org.au<br />
May 4-6<br />
August 24-26<br />
October 19-21<br />
Rural Anaesthesia<br />
Recruitment Service<br />
The Rural Anaesthesia Recruitment Service (RARS) was<br />
established to assist rural areas to fill job vacancies for specialist<br />
anaesthetists <strong>and</strong> JCCA accredited GP anaesthetists throughout<br />
rural Australia.<br />
RARS provides: -<br />
• A listing of full time rural positions that can be viewed on the<br />
<strong>ANZCA</strong> website at www.anzca.edu.au/infocentres/rural.<br />
• Regular email communication with anaesthetists seeking locum<br />
<strong>and</strong> permanent employment.<br />
• Free advertising of full time positions on the <strong>ANZCA</strong> website.<br />
We currently have positions available in Noosa, Lismore <strong>and</strong><br />
Bundaberg.<br />
For information about these positions or to register with the<br />
service, please contact Am<strong>and</strong>a Dickeson at the RARS Office:<br />
Phone: 61 3 9510 6299 Email: rars@anzca.edu.au<br />
Perth<br />
Sydney<br />
St Vincent’s Hospital Melbourne<br />
Tel: (03) 9288 2900<br />
tess.vawser@svhm.org.au<br />
May 25-27<br />
November 23-25<br />
Centre for Anaesthesia & Medical Simulation<br />
Tel: (08) 6488 8584<br />
info@ctec.uwa.edu.au<br />
Dates to be advised<br />
Sydney Medical Simulation Centre<br />
Tel: (02) 9926 6758<br />
smsc@nsccahs.health.nsw.gov.au<br />
June 15-17<br />
August 3-5<br />
November 2-4<br />
November 30 - December 2<br />
Wellington, National Patient Simulation Training Centre<br />
<strong>New</strong> Zeal<strong>and</strong> Tel: (4) 385 5887<br />
sylvia.jarvis@ccdhb.org.nz<br />
May 25-27<br />
July 27-29<br />
September 14-16<br />
November 9-11
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 3<br />
Contents<br />
President's Message 4<br />
Education Report 6<br />
Series on Past Deans <strong>and</strong> Presidents - Dr Kevin McCaul 7<br />
<strong>ANZCA</strong> Foundation Donations 9<br />
The Role of <strong>ANZCA</strong> in the Development of Quality <strong>and</strong> Safety in Australia: Four<br />
L<strong>and</strong>marks 10<br />
Research Report - <strong>ANZCA</strong> Trials Group Update 11<br />
Highlights from the February <strong>2006</strong> Council Meeting 12<br />
Museum Report - Into the Future 14<br />
MOPS - Activity Providers 16<br />
Obituaries<br />
James Patrick Dalton Keaney 18<br />
Charles Ashur Sara 19<br />
Dato' Dr K Inbasegaran 20<br />
Joan Margaret Sheales 21<br />
Library - <strong>New</strong> Additions to the <strong>ANZCA</strong> Library Collection 25<br />
Fellows Profiles<br />
Dr Jane Torrie - French Experience 26<br />
Dr Andrew Mitchell - Samoan Working Holiday 28<br />
Joint Faculty of Intensive Care Medicine - Dean's Message 39<br />
Report of the February <strong>2006</strong> Board Meeting 40<br />
Joint Faculty Fellowship <strong>2006</strong> Examination Dates 41<br />
Staff Profile - Laura Fern<strong>and</strong>ez 42<br />
Policy Documents 43<br />
Faculty of Pain Medicine - Dean's Message 44<br />
Highlights of the November 2005 Board Meeting 45<br />
Highlights of the February <strong>2006</strong> Board Meeting 46<br />
Professional Documents 49<br />
Future Meetings 51<br />
Professional Documents 58<br />
4<br />
39<br />
44<br />
Editorial<br />
‘To serve the community by fostering safety<br />
<strong>and</strong> quality patient care in anaesthesia,<br />
intensive care <strong>and</strong> pain medicine’<br />
Committee<br />
Dr Rod Westhorpe, Editor<br />
Professor Michael Cousins<br />
Dr Kerry Br<strong>and</strong>is<br />
Professor Garry Phillips<br />
The <strong>Bulletin</strong><br />
The <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetists’ <strong>Bulletin</strong> is published<br />
four times per year by the <strong>Australian</strong> <strong>and</strong><br />
<strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists,<br />
ABN 82 055 042 852, 630 St Kilda Road,<br />
Melbourne, 3004, Victoria<br />
Telephone: + 61-3 9510 6299<br />
Facsimile: + 61-3 9510 6786<br />
E-mail: ceoanzca@anzca.edu.au<br />
Website: www.anzca.edu.au<br />
JFICM<br />
Telephone: + 61-3 9530 2862<br />
E-mail: jficm@anzca.edu.au<br />
FPM<br />
Telephone: + 61-3 8517 5337<br />
E-mail: painmed@anzca.edu.au<br />
Regional <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> Committee<br />
offices can be contacted via email as<br />
follows:<br />
ACT: act@anzca.edu.au<br />
NSW: nsw@anzca.edu.au<br />
NZ: anzca@anzca.org.nz<br />
QLD: qld@anzca.edu.au<br />
SA: sa@anzca.edu.au<br />
TAS: tas@anzca.edu.au<br />
VIC: vic@anzca.edu.au<br />
WA: wa@anzca.edu.au<br />
Copyright 2005 by the <strong>Australian</strong> <strong>and</strong><br />
<strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists, all<br />
rights reserved. None of the contents of this<br />
publication may be reproduced, stored in a<br />
retrieval system or transmitted in any form,<br />
by any means without the prior written<br />
permission of the publisher. ISSN 1038 0981<br />
Unless specifically stated otherwise, the<br />
opinions expressed <strong>and</strong> statements made<br />
in this publication reflect the author’s<br />
personal observations <strong>and</strong> do not imply<br />
endorsement by, nor official policy of,<br />
the <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetists.
4 <strong>Bulletin</strong> December 2005<br />
President’s Message<br />
Death of <strong>ANZCA</strong>'s First CEO<br />
Council <strong>and</strong> Fellows were saddened by the<br />
news of the death of <strong>ANZCA</strong>'s first CEO, Joan<br />
Sheales, F<strong>ANZCA</strong> (Hon. awarded 11th Nov 2005).<br />
Fellows have previously received an email from<br />
me notifying them of Joan's death. I<br />
subsequently placed a brief summary of Joan's<br />
service to <strong>ANZCA</strong> on the <strong>College</strong> website.<br />
Elsewhere in this <strong>Bulletin</strong> there is an obituary<br />
with a detailed account of Joan's life <strong>and</strong> her<br />
extraordinary length <strong>and</strong> range of service<br />
to <strong>ANZCA</strong>.<br />
On Friday 3rd February <strong>2006</strong> a requiem mass<br />
<strong>and</strong> memorial service was held at Our Lady of<br />
Victories' Basilica in Camberwell, Melbourne.<br />
<strong>ANZCA</strong> was strongly represented at the service,<br />
with past Presidents, Deans, current Councillors<br />
<strong>and</strong> a large number of <strong>ANZCA</strong> Fellows.<br />
Presidents <strong>and</strong> senior members of other<br />
<strong>College</strong>s also attended, together with a wide<br />
cross section of Joan's friends. The service was<br />
truly a celebration of an extraordinary<br />
individual who had lived a very full <strong>and</strong><br />
productive life. The eulogy delivered by<br />
Professor Garry Phillips AM, paid a most moving<br />
tribute to Joan, which is incorporated into the<br />
Obituary on page (21) of this <strong>Bulletin</strong>. Of<br />
particular note, was the comment by Garry<br />
Phillips that <strong>ANZCA</strong> had been the most rapidly<br />
developing Medical <strong>College</strong> during the time of<br />
Joan's tenure of the position of CEO. A mark of<br />
the high esteem that Joan enjoyed amongst her<br />
friends <strong>and</strong> <strong>ANZCA</strong> Fellows was the attendance<br />
of some 600 people at the Basilica.<br />
After the church service <strong>and</strong> burial at Springvale<br />
Lawn Cemetery, Joan's family <strong>and</strong> friends,<br />
<strong>ANZCA</strong> Fellows <strong>and</strong> Staff returned to Ulimaroa<br />
<strong>and</strong> <strong>ANZCA</strong> House to share reminiscences of<br />
Joan. The buildings that Joan had worked so<br />
hard to develop <strong>and</strong> the gardens looked<br />
magnificent in the afternoon sun. The <strong>ANZCA</strong><br />
staff excelled themselves in every detail to mark<br />
the occasion in a manner that would have been<br />
thoroughly approved by Joan. Joan's husb<strong>and</strong><br />
Noel, son Simon <strong>and</strong> daughter Sarah have asked<br />
me to thank the many Fellows who have sent<br />
thoughtful messages <strong>and</strong> expressed their<br />
appreciation of Joan's wonderful service to the<br />
<strong>College</strong>. Many of the CEOs from other colleges<br />
<strong>and</strong> national organisations such as the<br />
<strong>Australian</strong> Medical Council, overseas colleges<br />
<strong>and</strong> international organisations expressed their<br />
deep appreciation of the excellent relationship<br />
that had been developed with them by Joan <strong>and</strong><br />
the many occasions on which she had rendered<br />
assistance to them.<br />
The very high level of<br />
safety of anaesthesia in<br />
Australia has been<br />
confirmed by the<br />
latest Report.<br />
I am conscious that I have been the last<br />
President to have the privilege of working very<br />
closely with Joan. I am sure I am no different to<br />
previous Presidents who came to regard Joan as<br />
a close <strong>and</strong> wise friend whose advice on all<br />
matters to do with <strong>ANZCA</strong> was indispensable.<br />
Even when ill, her dedication to our <strong>College</strong> was<br />
extraordinary. She insisted on returning to work<br />
<strong>and</strong> devoting what turned out to be a<br />
substantial amount of her remaining life, to<br />
<strong>ANZCA</strong>. I know all Fellows <strong>and</strong> <strong>ANZCA</strong> Staff will<br />
join me in offering our deepest sympathy <strong>and</strong><br />
support to Noel, Simon <strong>and</strong> Sarah.<br />
<strong>New</strong> <strong>ANZCA</strong> Taskforce<br />
I previously made Fellows aware that the<br />
Federal Government <strong>and</strong> Federal Health<br />
Department are taking wide ranging steps to<br />
prepare Australia for disasters of various types<br />
including terrorist attacks, natural disasters <strong>and</strong><br />
global medical emergencies such as influenza<br />
p<strong>and</strong>emics. I have been attending meetings of a<br />
senior medical advisory group <strong>and</strong> this has<br />
confirmed in my mind that <strong>ANZCA</strong> needed to<br />
examine the role that it could play. I therefore<br />
decided to create the 10th Taskforce during my<br />
term as President, which is named Taskforce on<br />
Disaster Response. The Taskforce is Chaired by<br />
Dr George Merridew <strong>and</strong> Deputy Chair, Dr David<br />
Scott. The full composition of the Taskforce <strong>and</strong><br />
consultative group, together with the Terms of<br />
Reference of the Taskforce are provided on page<br />
(8) of this <strong>Bulletin</strong>. As with all other Taskforces,<br />
the Recommendations will be circulated to<br />
Regional/National Committees <strong>and</strong> to the ASA<br />
for comments before finalising <strong>ANZCA</strong> Council's<br />
implementation of the Recommendations.<br />
I would like to thank all members of this<br />
Taskforce for the broad range of expertise that<br />
they have brought to the work of the Taskforce<br />
<strong>and</strong> their willingness to work very hard over a<br />
short timeframe to achieve an excellent Report.<br />
This report was considered at February 06<br />
Council<br />
<strong>ANZCA</strong> Administrative Structure<br />
Our new CEO, Dr Mike Richards has been<br />
working with a team of consultants on a new<br />
administrative structure for <strong>ANZCA</strong>, to best meet<br />
the challenges that currently face the <strong>College</strong>.<br />
The first step has been a careful analysis of the<br />
current activities <strong>and</strong> the role of existing staff.<br />
This has been followed by discussions with staff<br />
about how the tasks that are required can be<br />
performed in a more efficient manner, <strong>and</strong> also<br />
what new tasks need to be performed <strong>and</strong> how<br />
to address these. This process is now almost<br />
complete with recommendations for<br />
consideration for <strong>March</strong> Council.<br />
<strong>ANZCA</strong> Relations with Media, Community<br />
<strong>and</strong> Politicians<br />
The CEO, DPA, Past President Dr Rod Westhorpe<br />
<strong>and</strong> I have been working with a public relations<br />
company, Wrights Australia, to develop new<br />
materials <strong>and</strong> strategies <strong>and</strong> this will form the<br />
basis for developing a new relationship<br />
between <strong>ANZCA</strong> <strong>and</strong> the media, general<br />
community <strong>and</strong> politicians. Some of this
December 2005 <strong>Bulletin</strong> 5<br />
material will be of relevance to the launch of the<br />
<strong>ANZCA</strong> Foundation. This process has been<br />
valuable for focusing our attention on the key<br />
messages that we want to project <strong>and</strong> how best<br />
to get these messages across. Through his<br />
significant media <strong>and</strong> political connections, our<br />
CEO is also working to identify key individuals<br />
who could become c<strong>and</strong>idates for a full time<br />
position within <strong>ANZCA</strong> to work in this area on a<br />
fulltime basis. This resource will be utilised not<br />
only at headquarters in Melbourne, but also at a<br />
regional level in Australia <strong>and</strong> in <strong>New</strong> Zeal<strong>and</strong>.<br />
DPA's<br />
Council has agreed that <strong>ANZCA</strong> needs an<br />
understudy for our highly experienced DPA Prof.<br />
Garry Phillips, to take on this role when Garry<br />
retires. It is agreed that prior experience at a<br />
high level on Council is needed, together with<br />
broad ranging experience in dealing with other<br />
<strong>College</strong>s, Government bodies etc. The process<br />
of identifying suitable c<strong>and</strong>idates is underway.<br />
Mortality Report<br />
The data from State Anaesthesia Mortality<br />
Committees has now been analysed to provide<br />
national data. Particular thanks are due to the<br />
Chairman of each State Committee <strong>and</strong> to<br />
Neville Gibbs, Chris Borton <strong>and</strong> Pat Mackay for<br />
their role in bringing the data together for the<br />
National Report for the years 2000-2002. The<br />
Report is currently in the final stages of<br />
preparation prior to its release. A significant<br />
aspect of this Report is the availability of more<br />
reliable data on the number of anaesthetics<br />
administered <strong>and</strong> this is expected to be further<br />
improved in the next Report. The very high level<br />
of safety of anaesthesia in Australia has been<br />
confirmed by the latest Report.<br />
Michael J. Cousins, AM<br />
President
6 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Education Report<br />
Principles Underpinning<br />
the Evolution of the <strong>College</strong>’s<br />
Education Strategy<br />
Successful as the current educational programs<br />
of our <strong>College</strong> may be, periodically it is<br />
worthwhile to review the overall education<br />
strategy which guides these programs. This is<br />
important to ensure that the strategy evolves<br />
with the changing medical education l<strong>and</strong>scape<br />
<strong>and</strong> meets current, imminent <strong>and</strong> long-term<br />
educational needs. Such a review should<br />
include the following considerations.<br />
Education is a continuum, <strong>and</strong> the strategy<br />
should cover educational activities within the<br />
<strong>College</strong> from when a trainee first joins the<br />
<strong>College</strong> throughout their training, graduation to<br />
Fellowship, continuing professional development<br />
<strong>and</strong>, indeed, all anaesthesia related education<br />
until their retirement. Thus the educational<br />
strategy should encompass training <strong>and</strong><br />
Continuing Medical Education / Continuing<br />
Professional Development.<br />
Most <strong>College</strong> related education occurs within the<br />
clinical environment (eg, hospitals), via distance<br />
education, or at some form of meeting (eg, the<br />
Annual Scientific Meeting, regional conferences,<br />
examination preparation courses, etc.). The<br />
strategy should incorporate education within all<br />
of these locations.<br />
Although the quality of medical education is<br />
improving, there remains considerable variation<br />
in the educational, teaching <strong>and</strong> instructional<br />
abilities across the more than 170 hospitals<br />
where much of <strong>ANZCA</strong> training occurs. It is<br />
important that the education strategy seeks to<br />
maintain an acceptable minimal level of<br />
education across all hospitals <strong>and</strong> to provide<br />
those responsible for training with appropriate<br />
support. Hence the strategy must include a<br />
mechanism to increase the educational, teaching<br />
<strong>and</strong> instructional abilities of Supervisors of<br />
Training, Module Supervisors, other Fellows <strong>and</strong><br />
senior Trainees who are <strong>and</strong> will continue to be<br />
responsible for training in clinical situations.<br />
Anaesthetists within <strong>ANZCA</strong> are primarily<br />
distributed across six time zones <strong>and</strong> five<br />
countries (Australia, <strong>New</strong> Zeal<strong>and</strong>, Hong Kong,<br />
Malaysia <strong>and</strong> Singapore) with some Fellows <strong>and</strong><br />
Trainees even further afield as part of sabbatical,<br />
study leave or provisional fellowship. Therefore<br />
the strategy should contain a significant distance<br />
education component which will allow<br />
anaesthetists to use educational resources at a<br />
time <strong>and</strong> place of convenience to them.<br />
The <strong>College</strong> already provides <strong>and</strong>/or supports<br />
numerous valuable educational activities (eg, the<br />
apprenticeship model within the clinical<br />
environment, Effective Management of<br />
Anaesthetic Crises course, <strong>and</strong> the Clinical<br />
Teaching Course). Therefore, wherever possible,<br />
the strategy should incorporate current<br />
successful education activities, although it may<br />
be necessary to develop additional educational<br />
activities.<br />
Anaesthetists tend to be extremely busy people<br />
<strong>and</strong> dem<strong>and</strong>s on their time are likely to continue<br />
to increase. Therefore the strategy should seek<br />
to minimise additional impositions upon Fellows.<br />
The aim should be to support Fellows wherever<br />
possible, without adding to their considerable<br />
workloads.<br />
Any education strategy should be implemented<br />
for the long-term with a view to periodic review<br />
<strong>and</strong> must be sustainable. This sustainability must<br />
include not only the provision of education,<br />
including ongoing training for facilitators <strong>and</strong><br />
instructors, but also the regular revision of<br />
educational content.<br />
The strategy should ensure that all content<br />
directed towards Trainees covers content<br />
specified in the F<strong>ANZCA</strong> Curriculum Modules<br />
<strong>and</strong> that all content directed towards Fellows<br />
covers content pertinent to Continuing<br />
Professional Development <strong>and</strong> Quality<br />
Assurance.<br />
Other important issues for an educational<br />
strategy include funding, intellectual property<br />
<strong>and</strong> copyright. And, finally there must be in place<br />
mechanisms for ensuring that those who deliver<br />
of educational activities are adequately<br />
Russell W. Jones<br />
Director of Education, <strong>ANZCA</strong><br />
resourced <strong>and</strong> fully supported. The strategy<br />
should also facilitate the provision of<br />
educational support materials to those<br />
responsible for the provision of training.<br />
The considerations described above should<br />
complement an approach to education that: is<br />
supportive of practising anaesthetists <strong>and</strong><br />
matches the needs of Trainees <strong>and</strong> Fellows;<br />
ensures well defined <strong>and</strong> described outcomes or<br />
objectives are readily available to all Trainees<br />
<strong>and</strong> Fellows; fosters the development of skills for,<br />
<strong>and</strong> a philosophy of, life-long learning; is<br />
provided in a variety of ways to match the<br />
different learning styles inherent within such a<br />
large population of Trainees <strong>and</strong> Fellows; uses<br />
appropriate technology to aid learning <strong>and</strong><br />
instruction; is facilitated by administrative<br />
structures <strong>and</strong> communicative mechanisms that<br />
aid the efficiency <strong>and</strong> effectiveness of the<br />
educational processes; encourages continuing<br />
professional <strong>and</strong> personal development; <strong>and</strong> is<br />
responsive to an ever changing medical<br />
education curriculum <strong>and</strong> the evolving needs of<br />
the broad health community <strong>and</strong> society<br />
as a whole.
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 7<br />
Series on Past Deans <strong>and</strong> Presidents<br />
Dr Kevin McCaul<br />
Dr Kevin McCaul was the ninth Dean of the<br />
Faculty of Anaesthetists Royal Australasian<br />
<strong>College</strong> of Surgeons, holding the position for two<br />
years from 1970-1972. He followed Dr Noel Cass<br />
<strong>and</strong> was succeeded by Dr Tess Brophy.<br />
Kevin McCaul was born on 16th January 1914 in<br />
Carrickmacross, Co. Monaghan Irel<strong>and</strong>. He was<br />
the son of an Irish general practitioner in fact a<br />
fifth generation medical practitioner. He was<br />
educated at St Patricks National School at<br />
Carrickmacross <strong>and</strong> then St Vincent’s <strong>College</strong>,<br />
Castleknock. He completed his clinical years in<br />
his medical course at the London Hospital,<br />
graduating in 1937 with the Conjoint Diploma of<br />
the Royal <strong>College</strong> of Physicians <strong>and</strong> the Royal<br />
<strong>College</strong> of Surgeons in Irel<strong>and</strong>, <strong>and</strong> the Licentiate<br />
in Midwifery, returning to Engl<strong>and</strong> for his house<br />
officer posts in 1938-1939.<br />
During the Second World War he served with the<br />
rank of Major in the Royal Army Corps, serving<br />
with the 12th Indian Casualty Clearing Station,<br />
the 14th Indian Field Ambulance, the 12th Indian<br />
Mobile Surgical Unit <strong>and</strong> the 12th Indian General<br />
Hospital.<br />
By way of explanation “the arrangement of<br />
Hospitals in the war zone was almost identical to<br />
that in World War 1. Once again the wounded<br />
were evacuated to advanced <strong>and</strong> main dressing<br />
stations where a minimum of essential surgical<br />
treatment was given. Major casualties were then<br />
evacuated by motor ambulance to casualty<br />
clearing stations many miles behind the front.<br />
They were equipped to perform all urgent<br />
surgery. As soon as the soldier’s condition<br />
permitted, they were transferred by road or rail<br />
to the General Hospital up to 400 miles behind<br />
the front…. However due to the speed of warfare<br />
sometimes these hospitals found themselves<br />
caught up in the movement of the front line <strong>and</strong><br />
so became casualty clearing stations.” 1<br />
In 1944 he was captured when the Japanese<br />
encircled the seventh Division. His courage in<br />
escaping <strong>and</strong> bringing wounded prisoners to<br />
safety was recognised by the award of the<br />
MBE(Military Division). Kevin McCaul served with<br />
the Royal <strong>Australian</strong> Army Medical Corps from<br />
1954-1972 as consultant anaesthetist with the<br />
rank of Colonel <strong>and</strong> was awarded the Efficiency<br />
Decoration(ED) in 1972.<br />
He took a great personal interest in the<br />
professional welfare of young service doctors.<br />
During his tenure as Dean <strong>and</strong> Vice Dean, the<br />
ANZUK Hospital in Singapore, the Army Hospital<br />
at Vung Tau, Vietnam, <strong>and</strong> the School of<br />
Underwater Medicine at HMAS Penguin were<br />
approved for limited training for Faculty<br />
examinations. This ensured that military<br />
personnel could commence training for<br />
postgraduate qualifications while fulfilling their<br />
commitments to the armed services.<br />
In 1951, Kevin McCaul was appointed as Director<br />
of Anaesthesia at the Royal Women’s Hospital in<br />
Melbourne. This appointment ushered in an era<br />
of change with the introduction of epidural<br />
anaesthesia for labour, making the RWH the first<br />
in the world to ab<strong>and</strong>on general anaesthesia in<br />
labour. Epidural anaesthesia was extended into<br />
analgesia for gynaecological surgery for cancer.<br />
He also introduced the position of anaesthetic<br />
registrar to the Hospital appointing Drs Noel Cass<br />
<strong>and</strong> Pat Scrivenor to the role in 1952. Ironically he<br />
would follow Noel Cass as Dean of the Faculty.<br />
One of the main stays of anaesthetic registrar<br />
training in Melbourne for many years was the<br />
third year rotation between the Royal Children’s<br />
Hospital <strong>and</strong> the Royal Women’s Hospital that<br />
provided specialist Obstetric <strong>and</strong> Paediatric<br />
experience. This rotation was formed by Kevin<br />
McCaul <strong>and</strong> Dr Greta McClell<strong>and</strong> who was<br />
Director at the RCH <strong>and</strong> continues to this day.<br />
Kevin McCaul obtained the Diploma of<br />
Anaesthetics in 1945 <strong>and</strong> was admitted to the<br />
Fellowship of the Faculty of Anaesthetists, Royal<br />
<strong>College</strong> of Surgeons(FFARCS) in 1953. This was<br />
followed by admission to Fellowship of the<br />
<strong>Australian</strong> Faculty in 1954 <strong>and</strong> in 1956 he became<br />
an examiner for the final examination for the<br />
FFARACS continuing until 1973 serving as<br />
Chairman of the Court of Examiners from 1965-<br />
1969. He was elected to the Board of Faculty in<br />
1964 becoming Vice Dean 1968-1970 <strong>and</strong> then as<br />
Dean 1972-1974 continuing in a supportive role to<br />
the subsequent Dean.<br />
Honours were afforded to Kevin McCaul in his<br />
life time, being awarded the Robert Orton Medal<br />
by the Faculty, its highest honour for a practising<br />
Fellow. In 1978 he was elected a Fellow of the<br />
Royal <strong>College</strong> of Obstetricians <strong>and</strong><br />
Gynaecologists <strong>and</strong> in 1989 the Royal <strong>Australian</strong><br />
<strong>College</strong> of Obstetricians elected him to its<br />
Honorary Fellowship recognising outst<strong>and</strong>ing<br />
service to Obstetric <strong>and</strong> Gynaecological<br />
anaesthesia. The <strong>New</strong> Zeal<strong>and</strong> Society of<br />
Anaesthetists admitted him to Honorary<br />
Membership in 1954. He was already a member<br />
of the <strong>Australian</strong> society of Anaesthetists. In 1971<br />
he was admitted to Honorary Fellowship of the<br />
Faculty of Anaesthetists Royal <strong>College</strong> of<br />
Surgeons Irel<strong>and</strong>-the first <strong>Australian</strong> so<br />
honoured. He was appointed a Professorial<br />
Associate in the Department of Obstetrics <strong>and</strong><br />
Gynaecology, University of Melbourne 1974.<br />
The last word will be from Mrs John Leckie,<br />
President of the Board of the Royal Women’s<br />
Hospital, Melbourne at the retirement of Kevin<br />
McCaul in 1979. “He has done more for women in<br />
Australia than any other person I can think of”<br />
Kevin McCaul passed away on 16th June1998<br />
survived by his wife, a brother <strong>and</strong> a sister, three<br />
children <strong>and</strong> two gr<strong>and</strong>children.
8 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
I would like to acknowledge the Obituary written<br />
by Prof T Crammond(Brophy) as the source for<br />
the majority of the information contained in this<br />
essay.<br />
<strong>ANZCA</strong> Trials Group Pilot Research Grants for <strong>2006</strong><br />
Reference<br />
(1) Westhorpe R. A rose in the desert; the influence of<br />
wartime activities on Anaesthesia. The <strong>Australian</strong><br />
Visitor’s Lecture of the Travers Travelling Professor.<br />
Published in the FARACS <strong>Bulletin</strong> May 1991.<br />
The <strong>ANZCA</strong> Trials Group invites applications<br />
from Fellows of <strong>ANZCA</strong>, JFICM <strong>and</strong> or FPM for<br />
pilot research grants for projects related to<br />
anaesthesia, perioperative medicine, or pain<br />
medicine.<br />
letter indicating that they are seeking<br />
endorsement from the Trials Group <strong>and</strong> wish<br />
to apply for a pilot research grant.<br />
Applications will be adjudicated by the Trials<br />
Group Executive.<br />
The aim of the grants is to assist researchers in<br />
the following areas: pilot-phase testing of<br />
trials, collection of baseline data using surveys<br />
or establishing a network of investigators. The<br />
Trials Group will award up to five Grants at<br />
A$5,000 with infrastructure support from the<br />
Trials Group Research Coordinator.<br />
To be eligible for a pilot research grant, a<br />
proposed study must first be endorsed by the<br />
<strong>ANZCA</strong> Trials Group.<br />
Applications, or further enquiries, should be<br />
sent by mail or email to:<br />
Ornella Clavisi<br />
Research Coordinator<br />
<strong>ANZCA</strong> Trials Group<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetists<br />
630 St Kilda Road, Melbourne Victoria 3004<br />
Tel: +61 3 8517 5326 Fax: +61 3 8517 5346<br />
Email: oclavisi@anzca.edu.au<br />
Applicants should send a description of the<br />
proposed research project <strong>and</strong> a covering<br />
<strong>ANZCA</strong> DISASTER RESPONSE TASKFORCE<br />
Membership<br />
Group Captain George Merridew, F<strong>ANZCA</strong>, FFPM<strong>ANZCA</strong> (Chair)<br />
Wing Comm<strong>and</strong>er David Scott, F<strong>ANZCA</strong> (Deputy Chair)<br />
Dr Kevin Baker, F<strong>ANZCA</strong><br />
Air Commodore Roger Capps AM, RFD, F<strong>ANZCA</strong><br />
Lieutenant Colonel Bernard Hanrahan, F<strong>ANZCA</strong><br />
Dr Ken Harrison, F<strong>ANZCA</strong><br />
Wing Comm<strong>and</strong>er Allan Mackillop, F<strong>ANZCA</strong>, FFPM<strong>ANZCA</strong><br />
Dr John Moloney, F<strong>ANZCA</strong><br />
Dr Geoff Mullins, F<strong>ANZCA</strong><br />
Dr Blair Munford, F<strong>ANZCA</strong><br />
Captain William O’Regan, F<strong>ANZCA</strong>, FJFICM<br />
Brigadier Brian Pezzutti, RFD, F<strong>ANZCA</strong><br />
Squadron Leader Diane Stephens OAM, F<strong>ANZCA</strong>, FJFICM<br />
Major Peter Tralaggan, F<strong>ANZCA</strong>, DipObsRACOG<br />
Squadron Leader Bruce Waxman, FRACS, FRCS, FACS (Co-opted)<br />
TERMS OF REFERENCE<br />
1. Identify the main roles in 2005 in which <strong>ANZCA</strong> <strong>and</strong> JFICM Fellows could contribute to <strong>Australian</strong> disaster responses.<br />
2. Recommend strategies to enable <strong>ANZCA</strong> <strong>and</strong> JFICM to complement existing <strong>Australian</strong> disaster responses. (Emphasise trauma management, Infective<br />
disasters eg an influenza p<strong>and</strong>emic, are being addressed by another body).<br />
3. Focus on providing effective, rapid <strong>and</strong> sustainable responses by <strong>ANZCA</strong> <strong>and</strong> JFICM Fellows to disasters.<br />
4. Identify <strong>ANZCA</strong> <strong>and</strong> JFICM disaster-related training deficiencies that exist, <strong>and</strong> define their remedies.<br />
5. Submit the Taskforce Report to <strong>ANZCA</strong> Council by 16th February <strong>2006</strong>.
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 9<br />
<strong>ANZCA</strong> Foundation Donations<br />
Donations up to $499<br />
Name<br />
Dr I S Alex<strong>and</strong>er<br />
Dr P W Allen<br />
Dr P M Ashton<br />
Dr I Augstkalns<br />
Dr C Aynsley<br />
Dr A J Babarczy<br />
Assoc Prof D B Baines<br />
Dr R E Benson<br />
Dr J A Botha<br />
Dr G J Bowra<br />
Dr R K Boyle<br />
Dr G J Bruce<br />
Dr W E Bruce<br />
Dr R W Burgess<br />
Dr M A Burke<br />
Dr D L Cay<br />
Dr T Y Chan<br />
Dr C C Chen<br />
Dr J R Chenoweth<br />
Dr R K Choong<br />
Dr D B Collure<br />
Dr M A Corkeron<br />
Dr F H Cox<br />
Dr D E Davies<br />
Dr H Davies<br />
Dr S J Davies<br />
Dr A P Delaney<br />
Dr A L Doughty<br />
Dr J S Evans<br />
Dr D G Fenwick<br />
Dr A Flabouris<br />
Dr S C Fortey<br />
Dr S Fransi<br />
Dr J E Gallagher<br />
Dr R J Geytenbeek<br />
Dr B H Graham<br />
Dr R S Grenfell<br />
Dr D M Griffiths<br />
Dr A S Gunatunga<br />
Dr B R Hammonds<br />
Dr R K Hancock<br />
Dr R T Harrison<br />
Dr E B Hewett<br />
Dr J D Hollott<br />
Dr J R Horne<br />
Dr M P Jaimon<br />
Dr P A James<br />
Dr A V Jaumees<br />
Dr A J Jeffreys<br />
Dr G K Johnstone<br />
Dr H Kay<br />
Dr S L Keel<br />
Dr N S Kumta<br />
Dr W H Kwok<br />
Dr C T Lamond<br />
Dr P J Lawrence<br />
Dr P M Lee<br />
Dr R P Lee<br />
Assoc Prof K Leslie<br />
Dr K A Leung<br />
Dr J Liang<br />
Dr P Liston<br />
Dr J R Lo<br />
Location<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
. . . . . . . . . . . . . . . . . . . . . . . SA<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
. . . . . . . . . . . . . . . . . . . . . . WA<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . HONG KONG<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . NEW ZEALAND<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . . WA<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . ACT<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . . TAS<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . . . SA<br />
. . . . . . . . . . . . . . . . . . . . . . . SA<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . NEW ZEALAND<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
. . . . . . . . . . NEW ZEALAND<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . . WA<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
. . . . . . . . . . . . . . . . . . . . . . WA<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . UNITED KINGDOM<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . HONG KONG<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . HONG KONG<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
. . . . . . . . . . . . HONG KONG<br />
. . . . . . . . . . NEW ZEALAND<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . UNITED KINGDOM<br />
Dr A E Loewenthal<br />
Dr J M Low<br />
Dr C J Lowry<br />
Dr K K Lundqvist<br />
Dr A K MacCormick<br />
Dr G P Mapp<br />
Dr P J Martin<br />
Dr C Mashonganyika<br />
Dr L J McBride<br />
Dr D H McConnel<br />
Dr S P McCready<br />
Dr J M McLean<br />
Dr A A Messmer<br />
Dr D N Meyers<br />
Dr F Moradi<br />
Dr J M Nayagam<br />
Dr H F Nicol<br />
Dr S M Oh<br />
Dr M E O'Loughlin<br />
Dr J D O'Reilly<br />
Professor M J Paech<br />
Dr M J Parr<br />
Dr R C Perera<br />
Dr B L Perks<br />
$300,000<br />
$280,000<br />
$260,000<br />
$240,000<br />
$220,000<br />
$200,000<br />
$180,000<br />
$160,000<br />
$140,000<br />
$120,000<br />
$100,000<br />
$80,000<br />
$60,000<br />
$40,000<br />
$20,000<br />
$0<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . HONG KONG<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . SWITZERLAND<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . ACT<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . USA<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
. . . . . . . . . . . . . . . . . . . . . . WA<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
. . . . . . . . . . . . . . . . . . . . . . . SA<br />
$247,214.24<br />
Dr D Perlman<br />
. . . . . . . . . . . . . . . . . . . . . . WA<br />
Hon. B P Pezzutti . . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr M J Pink<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr J Poulos<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr G E Power<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
Dr J J Presneill<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr R F Raper<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr L M Rathie<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
Dr I Rechtman<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr P F Reilly<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
Dr D A Roux<br />
. . . . . . . . . . SOUTH AFRICA<br />
Dr E Rubinstein . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Professor W J Russell . . . . . . . . . . . . . . . . . . . . . . . SA<br />
Dr P J Rye<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr K Saha<br />
. . . . . . . . . . . . . . . . . . . . . . . SA<br />
Dr R F Salamonsen . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr O C S<strong>and</strong>ry<br />
. . . . . . . . . . . . . . . . . . . . . . TAS<br />
Dr M K Saxena<br />
. . . . . . UNITED KINGDOM<br />
Dr D E Schuster . . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr T I Shum<br />
. . . . . . . . . . NEW ZEALAND<br />
Dr J J Stedmon<br />
. . . . . . . . . . . . . . . . . . . . . . WA<br />
Assoc Prof D A Story . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr S R Sundaraj . . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr K S Tanggaveloo . . . . . . . . . . . . . . . MALAYSIA<br />
Dr P M Templer . . . . . . . . . . NEW ZEALAND<br />
Dr G Thanakrishnan . . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr C Theron<br />
. . . . . . . . . . NEW ZEALAND<br />
Dr B E Trytko<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr A F Van Leeuwen . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Mr R J Vaughan . . . . . . . . . . . . . . . . . . . . . . WA<br />
Dr T M Vaughan . . . . . . . . . . . . . . . . . . . . . . . SA<br />
Dr P R Waizer<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr S A Wan<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr W M Weightman . . . . . . . . . . . . . . . . . . . . . . WA<br />
Dr P N Wiel<strong>and</strong> . . . . . . . . . . NEW ZEALAND<br />
Dr J A Williams<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
Donations $500.00 to $999.00<br />
Dr H K Beh<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr D Berens<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
Dr L K Chu<br />
. . . . . . . . . . . . . . . . . . . . . QLD<br />
Professor T R Cramond . . . . . . . . . . . . . . . . . . . . . QLD<br />
Dr A L Gillies<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr J E Harrison<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr P E Macintyre . . . . . . . . . . . . . . . . . . . . . . . SA<br />
Dr P Mackay<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr R D MacPherson . . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr K K Ng<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr M O Schultz . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr B C Smith<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr I S Smith<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr P Sri Ragavan . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr S M Taylor<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr S Yu<br />
. . . . . . . . . . . . HONG KONG<br />
Donations $1000.00 & over . . . . . . . . . . . . . . . . . .<br />
Dr M J Adams<br />
. . . . . . . . . . . . . . . . . . . . . . VIC<br />
Professor C S Aun . . . . . . . . . . . . HONG KONG<br />
Dr A C Chenoweth . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr J D Paull<br />
. . . . . . . . . . . . . . . . . . . . . . TAS<br />
Dr T J Rawdanowicz . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Dr F M Re<br />
. . . . . . . . . . . . . . . . . . . . . NSW<br />
Dr A G Walpole . . . . . . . . . . . . . . . . . . . . . . VIC<br />
Gr<strong>and</strong> total . . . . . . . . . . . $247,214.24
10 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Report<br />
The Role of <strong>ANZCA</strong> in the Development<br />
of Quality <strong>and</strong> Safety in Australia:<br />
Four L<strong>and</strong>marks<br />
L<strong>and</strong>mark 1<br />
This was the regular systematic reporting following<br />
review of anaesthesia-related mortality, beginning<br />
early in the 1960s. Indeed Australia led the world<br />
by the introduction in 1960 of an anaesthesia<br />
mortality committee sponsored by the <strong>New</strong> South<br />
Wales (NSW) Government. Between 1969 <strong>and</strong><br />
1978, all other states followed this lead. Two<br />
sentinel articles by Holl<strong>and</strong> on Anaesthesia<br />
Mortality in NSW 1,2 attracted worldwide interest,<br />
preceding publications or reports by each of the<br />
state mortality committees. The mortality<br />
committee in Victoria (VCCAMM) was established<br />
in 1976; it was the single state council to include<br />
anaesthesia-related morbidity in its terms of<br />
reference <strong>and</strong> to provide feedback to practitioners<br />
by web based information <strong>and</strong> “alerts”.<br />
State to state anaesthesia mortality was pooled in<br />
1990 as a national report, compiled first by the<br />
National Health <strong>and</strong> Medical Research Council<br />
(NH&MRC) incorporating years 1985-90, <strong>and</strong><br />
after1995 by the <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong><br />
<strong>College</strong> of Anaesthetists (<strong>ANZCA</strong>) which has<br />
published reports for years 1990-2001. These<br />
reports have been somewhat limited by (a) nonuniformity<br />
of state legislation, (b) reliance on<br />
voluntary reporting <strong>and</strong> (c) a lack of accurate<br />
information on numerator (incidence of deaths)<br />
<strong>and</strong> denominator (population at risk).<br />
Nevertheless there has been substantial reduction<br />
over 40 years in the incidence of anaesthesiarelated<br />
mortality despite extension of anaesthesia<br />
to high-risk individuals <strong>and</strong> increasing<br />
participation in reporting by anaesthetists.<br />
L<strong>and</strong>mark 2<br />
This was the development from 1981, by the then<br />
Australasian Faculty of Anaesthetists (now<br />
<strong>ANZCA</strong>), of professionally constructed<br />
documents containing comprehensive guidelines<br />
for safe practice under many conditions, <strong>and</strong><br />
specifying technical aspects, professional<br />
st<strong>and</strong>ards, training <strong>and</strong> educational<br />
requirements. The <strong>Australian</strong> Society of<br />
Anaesthetists also has contributed. This <strong>College</strong><br />
was among the very first to issue specific<br />
guidelines on Quality Assurance, <strong>and</strong> further<br />
guidelines are maintained <strong>and</strong> updated regularly<br />
according to changing circumstances. These are<br />
not so much clinical practice guidelines but<br />
rather material for use by governments <strong>and</strong><br />
health institutions for the purposes of education<br />
<strong>and</strong> accreditation of facilities.<br />
L<strong>and</strong>mark 3<br />
This was the development in 1988 of a national<br />
anaesthesia incident monitoring system (AIMS) to<br />
implement effective procedures for analysis of<br />
critical incidents <strong>and</strong> development of crisis<br />
management. A symposium was published in 1993 3<br />
with analysis of the first 2000 incidents reported<br />
voluntarily Australia-wide, followed by numerous<br />
publications of findings, although direct feedback<br />
has lapsed recently. Use of this information,<br />
together with the support of <strong>ANZCA</strong>, indicates that<br />
AIMS accelerated the introduction of m<strong>and</strong>atory<br />
monitoring st<strong>and</strong>ards, so reducing deaths from<br />
hypoxia <strong>and</strong> respiratory failure; the ensuing crisis<br />
management algorithms that are widely used by<br />
trainees <strong>and</strong> specialists. The development of<br />
simulation centres since 1997 has also beneficially<br />
influenced education for crisis management.<br />
The result of these initiative, L<strong>and</strong>marks 1-3, is the<br />
widely recognized level of safety of anaesthesia in<br />
Australia. In the Quality in <strong>Australian</strong> Healthcare<br />
Study in 1995 4 that scrutinised safety aspects of<br />
healthcare, the contribution of anaesthesia to<br />
adverse events was significantly lower than that of<br />
most other specialities.<br />
L<strong>and</strong>mark 4<br />
This was the adoption of the basic principles of<br />
Evidence Based Medicine (EBM). Clinical<br />
anaesthesia is essentially the practice of acute<br />
medicine <strong>and</strong> EBM has not yet reached the same<br />
applicability as it has for therapeutic medicine.<br />
However, as the perimeters of anaesthetic<br />
practice exp<strong>and</strong> to include perioperative<br />
medicine <strong>and</strong> pain control, an evidence base<br />
becomes increasingly relevant. Notably .there<br />
have been developed large r<strong>and</strong>omised clinical<br />
trials supported by <strong>ANZCA</strong> <strong>and</strong> NH&MRC, of<br />
which three have been completed since 2000.The<br />
MASTER trial 5 established the value of postoperative<br />
epidural pain relief, particularly in<br />
severe respiratory illness. The B-aware trial 6<br />
evaluated use of the bispectral index monitoring<br />
to detect awareness during anaesthesia <strong>and</strong><br />
results have significantly influenced the wider<br />
adoption of monitors of depth of anaesthesia.<br />
The ENIGMA trial (unpublished) has assessed<br />
morbidity associated with the use of nitrous<br />
oxide in anaesthesia of duration greater than two<br />
hours. The success of these trials has prompted<br />
<strong>ANZCA</strong> to create a Clinical Trials Group which will<br />
collaborate with other specialties to design trials<br />
of mutual interest. Moreover there is an<br />
outst<strong>and</strong>ing publication by <strong>ANZCA</strong> entitled<br />
“Acute Pain Management-Scientific Evidence 7<br />
that contains guidelines on the “best evidence”<br />
currently available. Finally a recent initiative by<br />
the Victorian Quality Council, in response to<br />
concerns of VCCAMM on the number of adverse<br />
events related to acute pain management, has<br />
resulted in the award of a contract to St. Vincent’s<br />
Hospital, Melbourne, to develop an acute pain<br />
toolkit enabling st<strong>and</strong>ardization of methods<br />
statewide for assessment <strong>and</strong> recording of acute<br />
pain. This supplements current trends to<br />
introduce measurable <strong>and</strong> therefore comparable<br />
best practice guidelines for effective yet safe<br />
management of acute pain.<br />
In conclusion the above procedures over some<br />
30 years would have resulted in significant cost<br />
saving, <strong>and</strong> the many achievements in quality<br />
<strong>and</strong> safety provide a solid platform for the<br />
exp<strong>and</strong>ing role of anaesthetists in peri-operative<br />
medicine. The specialty of anaesthesia will<br />
increasingly foster interaction with other<br />
specialties, promulgate undergraduate <strong>and</strong><br />
postgraduate training in quality assurance <strong>and</strong><br />
safety issues <strong>and</strong> seek closer involvement of<br />
private <strong>and</strong> rural practitioners. The still unmet<br />
needs include: acquisition of centralized data<br />
with qualitative evaluation of adverse events<br />
along with interactive web based<br />
communication, prompt publication of “alerts”,<br />
provision for education of the entire community,<br />
<strong>and</strong> development of clinical practice guidelines<br />
incorporating a “best evidence base”.<br />
Dr Patricia Mackay, F<strong>ANZCA</strong><br />
References:<br />
1 Holl<strong>and</strong> R. Special committee investigating deaths<br />
under anaesthesia: report on 745 classified cases,<br />
1960-1968. M J Aust 1970; 1:573-594<br />
2 Holl<strong>and</strong> R. Anaesthetic mortality in <strong>New</strong> South Wales.<br />
Br J Anaesth 1987; 59: 834-841<br />
3 Symposium: The <strong>Australian</strong> incident monitoring study.<br />
Anaesth Intensive Care 1993; 21: 501-695<br />
4 Wilson RM, Runciman WB, Gibberd RW, et al. The<br />
quality in <strong>Australian</strong> healthcare study. Med J Aust<br />
1995; 163: 458-471<br />
5 Rigg JR, Jamrozik K, Myles PS et al. Epidural<br />
anaesthesia <strong>and</strong> analgesia <strong>and</strong> outcome of major<br />
surgery: a r<strong>and</strong>omized trial. Lancet 2002; 359:1276-1282<br />
6 Myles PS, Leslie K, McNeil J et al. Bispectral index<br />
monitoring to prevent awareness during anaesthesia :<br />
the B-aware r<strong>and</strong>omized controlled trial, Lancet 2004;<br />
363: 1757-1763<br />
7 <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists.<br />
Acute pain management-scientific evidence: 2nd<br />
edition 2005
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 11<br />
Research Report<br />
Trials Group<br />
Survey research<br />
In an attempt to help those already involved or<br />
contemplating survey research, the Trials Group<br />
has co-authored a review on survey research in<br />
anaesthesia which is due to be published in the<br />
<strong>2006</strong> April edition of Anaesthesia <strong>and</strong> Intensive<br />
Care. Generally speaking the time <strong>and</strong> effort<br />
required to conduct survey research is often<br />
underestimated <strong>and</strong> although it may seem to be<br />
an easier option compared to other<br />
methodologies, it requires substantial planning<br />
<strong>and</strong> can be resource intensive on all fronts. The<br />
review covers many of the methodological <strong>and</strong><br />
logistical problems inherent to survey research. It<br />
includes considerations for developing a survey<br />
instrument, deciding on an optimal method of<br />
data collection <strong>and</strong> strategies for increasing<br />
survey response rates. The Trials Group is also<br />
the supervising body for surveys targeting<br />
<strong>College</strong> Fellows <strong>and</strong> trainees. One of the<br />
research resources of the <strong>College</strong> is a database<br />
containing contact <strong>and</strong> general demographic<br />
details of all <strong>College</strong> members. Use of these<br />
details is open to all Fellows <strong>and</strong> trainees,<br />
however access is based on a review of the<br />
proposed research <strong>and</strong> approval by the Trials<br />
Group Executive. Once approved, the Trials<br />
Group organises the initial <strong>and</strong> follow up mail<br />
outs <strong>and</strong> act as a central point for returned<br />
surveys (particularly email surveys) in order to<br />
maintain confidentiality. Anyone wishing to<br />
utilise this data should contact the Trials Group<br />
for further information or just send in your<br />
research protocol stating your interest in using<br />
the <strong>College</strong> database.<br />
Broadening the research base<br />
Overall the Trials Group executive is keen to<br />
support <strong>College</strong> Fellows in developing their<br />
research questions, <strong>and</strong> providing infrastructure<br />
support for the development of any subsequent<br />
research studies <strong>and</strong> publications. In its<br />
endeavours, the Trials Group has written to each<br />
Special Interest Group (SIG) Chair inviting them<br />
to use the Trials Group resources to develop their<br />
research questions into multicenter trials <strong>and</strong><br />
ultimately publish in high impact journals.<br />
Furthermore, in order to broaden the <strong>ANZCA</strong><br />
research community well beyond “the usual<br />
suspects”, the Trials Group is also keen to<br />
support the SIGs to develop networks of<br />
interested Fellows to facilitate the development<br />
of trials that are of particular interest to them.<br />
The response received so far has been<br />
encouraging particularly from the Cardiothoracic,<br />
Vascular <strong>and</strong> Perfusion Group <strong>and</strong> the Diving <strong>and</strong><br />
Hyperbaric Medicine Group.<br />
Systematic reviews<br />
The Trials Group has also been involved in the<br />
development of a Cochrane Protocol for a<br />
systematic review of Target Controlled Infusion<br />
(TCI) versus Manually Controlled Infusion (MCI)<br />
of Propofol. The protocol is due to be published<br />
in The Cochrane Library 2, <strong>2006</strong> edition, which<br />
will be released in April <strong>2006</strong>. The Trials Group is<br />
also happy to announce that the title of its review<br />
on Tranoesophageal Echocardiography has been<br />
accepted for registration by the Cochrane<br />
Anaesthesia Review Group (CARG). A protocol<br />
for this review is currently being developed. For<br />
those unfamiliar with the Cochrane process, the<br />
development of a Cochrane Systematic Review<br />
consists of multiple stages. Initially authors are<br />
required to register the title of their review with a<br />
Cochrane Review Group (CRG) from which an<br />
editorial team is sourced. In the case of the TCI<br />
review, this was registered with the Cochrane<br />
Anaesthesia Review Group, however there are<br />
many other CRGs such as the Heart Group, Pain<br />
Palliative <strong>and</strong> Support Care Group <strong>and</strong> the<br />
Pregnancy <strong>and</strong> Child Birth Group. Once your title<br />
has been approved you are then required to<br />
prepare a protocol (i.e. a plan of how the review<br />
will be carried out) which is peer reviewed <strong>and</strong><br />
published. Only when the protocol is accepted<br />
for publication can the authors start the hard<br />
work of developing their review. If you are<br />
interested in developing a systematic review, but<br />
are unsure how to get started, please feel free to<br />
contact us.<br />
Ornella Clavisi<br />
Research Coordinator,<br />
<strong>ANZCA</strong> Trials Group<br />
A quick update on some of the projects that<br />
the Trials Group is currently working on<br />
The Aspirin <strong>and</strong> Tranexamic Acid in Cardiac<br />
Surgery (ATACAS) trial is finally set to start. At<br />
this stage, the procedures manual <strong>and</strong> data<br />
collection forms for the trial have been finalised,<br />
issues surrounding drug availability have been<br />
resolved <strong>and</strong> patient recruitment has<br />
commenced. It is anticipated that the trial will be<br />
up <strong>and</strong> running by late February <strong>2006</strong>.<br />
The Obstetrics <strong>and</strong> General Anaesthesia Survey<br />
for caesarean section is currently underway with<br />
18 sites currently recruited <strong>and</strong> data collected on<br />
approximately 630 patients. This study is looking<br />
to quantify the incidence of difficult <strong>and</strong> failed<br />
intubation. We are keen to get more sites on<br />
board, so if there is anyone wishing to be<br />
involved in the study please feel free to contact<br />
the Trials Group.<br />
Finally the Trials Group wishes to remind all<br />
Fellows of our Pilot Grant Scheme. It is open to<br />
all Fellows of <strong>ANZCA</strong>, JFICM <strong>and</strong> FPM <strong>and</strong> is<br />
aimed at providing start up funding for those<br />
interested in either developing pilot phase<br />
testing of trials, collecting baseline data using<br />
surveys or establishing a network of<br />
investigators. The Grant scheme is for $5000 with<br />
the addition of infrastructure support from the<br />
Trials Group Research Coordinator.<br />
All enquiries regarding the Trials Group can be<br />
directed to Ornella Clavisi (Trials Group<br />
Coordinator) on: +61 3 8517 5326 or<br />
oclavisi@anzca.edu.au.<br />
FELLOW'S GOWN FOR SALE<br />
Fellow's Gown<br />
(Polyester/Rayon) - As <strong>New</strong><br />
(only worn once at 2005<br />
<strong>College</strong> Ceremony)<br />
$320 ono<br />
Contact Dr Le Mob: 0411 331 038
12 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Report<br />
Highlights from February Council<br />
HONOURS, APPOINTMENTS AND<br />
HIGHER DEGREES<br />
• Dr Jeanne Margaret Collison (NSW) - Officer of<br />
the Order of Australia (AO)<br />
• Prof Teik E Oh (WA) - Emeritus Professor,<br />
University of Western Australia, <strong>and</strong> Honorary<br />
Fellowship, Hong Kong <strong>College</strong> of<br />
Anaesthesiologists<br />
• Prof Barry Baker (NSW) - Emeritus Professor,<br />
University of Sydney<br />
ELECTION OF NEXT PRESIDENT<br />
Dr Walter Thompson (WA) was elected<br />
President-elect, <strong>and</strong> will take Office following the<br />
Annual General Meeting in May.<br />
JOINT FACULTY OF INTENSIVE<br />
CARE MEDICINE<br />
A delegations document, clarifying a number of<br />
issues regarding the Joint Faculty's relationship<br />
with <strong>ANZCA</strong>, was accepted by Council.<br />
EDUCATION AND TRAINING<br />
Training in the Private Sector<br />
Through the Education <strong>and</strong> Training Committee,<br />
consideration is being given to the training that<br />
can be undertaken in alternative settings. In<br />
addition, development of a policy on Supervisors<br />
of Training for such institutions was considered<br />
appropriate.<br />
CONTINUING EDUCATION AND<br />
QUALITY ASSURANCE<br />
<strong>New</strong> Fellows' Conference <strong>2006</strong><br />
Dr Lindy Roberts was appointed Councillor in<br />
Residence to the <strong>2006</strong> <strong>New</strong> Fellows' Conference,<br />
which this year will be held at Victor Harbour, SA.<br />
Clinical Indicators<br />
As part of the ACHS Clinical Indicator Review<br />
Process, consideration is being given via the<br />
CE&QA Committee to re-forming the Clinical<br />
Indicators Working Party.<br />
INTERNAL AFFAIRS<br />
Regulation 23 - Advice Regarding Recognition as<br />
a Specialist in Anaesthesia. This Regulation was<br />
reviewed, <strong>and</strong> the OTS documentation will be<br />
updated accordingly to ensure consistency is<br />
maintained.<br />
Taskforces<br />
The Taskforce reports have now been considered<br />
in detail by Council. An action sheet is being<br />
developed to assign priority to each<br />
recommendation, <strong>and</strong> will include a costing<br />
related to implementation, the status of activity,<br />
<strong>and</strong> completion date.<br />
Formation of a Quality <strong>and</strong> Safety Committee<br />
Following the report from the Q&S Taskforce, the<br />
establishment of a Quality <strong>and</strong> Safety Committee<br />
was supported. Early identification of an<br />
appropriate data vehicle is to be a priority for the<br />
Committee, <strong>and</strong> input from the ASA <strong>and</strong> NZSA<br />
will be sought.<br />
Professor Alan Merry was appointed Chairman,<br />
<strong>and</strong> confirmation of the membership of the<br />
Committee is anticipated in April.<br />
OTS Committee<br />
An update to the documentation on the Area of<br />
Need Assessment Process was accepted by<br />
Council.<br />
Finance, Audit <strong>and</strong> Risk Management (FARM)<br />
Committee<br />
Council supported the recommendation of the<br />
FARM Committee that the <strong>College</strong> Audit should<br />
be put out to tender, <strong>and</strong> an appropriate<br />
recommendation made at the AGM in May.<br />
<strong>College</strong> Involvement in South East Asia<br />
There was general consensus about the <strong>College</strong>'s<br />
continued involvement in South East Asia, the<br />
aim being to maintain close links with <strong>ANZCA</strong><br />
Fellows, colleagues <strong>and</strong> sister anaesthesia<br />
organisations in the region.<br />
Council considered local Government support for<br />
its training program in Hong Kong, Singapore <strong>and</strong><br />
Malaysia a necessary condition for maintaining<br />
that training program in those countries.<br />
Council recommended that other modes of cooperation<br />
with the anaesthesia training bodies in<br />
Hong Kong, Singapore <strong>and</strong> Malaysia be explored,<br />
by convening a forum formed by HKCA,<br />
University of Singapore, University of Malaysia,<br />
UKM (National University of Malaysia) <strong>and</strong><br />
<strong>ANZCA</strong>. This forum will be convened by Dr<br />
Walter Thompson.<br />
PROFESSIONAL DOCUMENTS<br />
The following documents were approved by<br />
Council:<br />
• T1 - Recommendations on Minimum Facilities<br />
for Safe Administration of Anaesthesia in<br />
Operating Suites <strong>and</strong> Other Anaesthetising<br />
Locations<br />
• T3 - Safety Requirements for Anaesthesia<br />
Machines for Clinical Practice (this new<br />
document will undergo an interim review in 12<br />
months)<br />
• PS18 - Recommendations on Monitoring<br />
During Anaesthesia<br />
• TE2 - Policy on Vocational Training Modules<br />
<strong>and</strong> Module Supervision (Interim Review<br />
following review of Regulations 14 <strong>and</strong> 15).<br />
This document will undergo the normal<br />
process at its next scheduled review in 2008.<br />
Following acceptance of the updated T1,<br />
Professional Document T2 - Recommendations<br />
on Minimum Facilities for Safe Anaesthesia<br />
Practice Outside Operating Suites, was<br />
withdrawn.
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 13<br />
<strong>ANZCA</strong> COUNCIL CITATIONS<br />
Dr Kenneth McLeod, Qld was awarded a<br />
Council Citation for his contributions to rural<br />
anaesthesia, especially in the education <strong>and</strong><br />
training of both <strong>ANZCA</strong> trainees <strong>and</strong> GP<br />
anaesthetists.<br />
Attaining & Maintaining Competence in Education,<br />
Simulation, Welfare & Management<br />
A posthumous Council Citation was awarded to<br />
Dr Campbell Barrett, NZ for his contributions to<br />
Anaesthesia, <strong>and</strong> especially Intensive Care over<br />
many years in <strong>New</strong> Zeal<strong>and</strong>.<br />
<strong>2006</strong> Combined SIG Meeting in Education, Simulation, Welfare & Management<br />
29 September-1 October <strong>2006</strong> Sheraton Mirage Resort & Spa, Gold Coast<br />
Call for Abstracts<br />
The Organising Committee invites you to submit abstracts for consideration to be presented<br />
during a free paper session at the <strong>2006</strong> Meeting. Abstracts for workshops are also welcome.<br />
For further information, please contact Juliette Mullumby at the <strong>College</strong>.<br />
For further information contact:<br />
Juliette Mullumby, <strong>ANZCA</strong> Continuing Education, 630 St Kilda Road,<br />
Melbourne VIC 3004, Australia. Tel: (+61 3) 9510 6299 Fax: (+61 3) 9510 6786<br />
Email: jmullumby@anzca.edu.au<br />
EDITORSHIPS - Australasian Anaesthesia<br />
Expressions of interest are being sought for the positions of Editor <strong>and</strong> Sub-Editor of Australasian Anaesthesia.<br />
Australasian Anaesthesia, popularly known as the "Blue Book", is a continuing education project of the <strong>College</strong> <strong>and</strong> is currently published biennially.<br />
Australasian Anaesthesia is a collection of invited papers <strong>and</strong> selected continuing education lectures of general interest to anaesthetists, intensivists<br />
<strong>and</strong> pain medicine specialists.<br />
Both the Editor <strong>and</strong> Sub-Editor positions involve solicitation of articles on a regional basis (assisted by regional Sub-Editors) <strong>and</strong> responsibility for<br />
timely production of the publication.<br />
The successful applicants need to be persons who can work co-operatively with all Sub-Editors <strong>and</strong> authors, who are themselves competent writers<br />
with extensive interests to identify papers presented on a wide range of topics for potential inclusion in the "Blue Book".<br />
Expressions of interest should be addressed to: Dr Diana Khurs<strong>and</strong>i, Chair, Continuing Education <strong>and</strong> Quality Assurance Committee<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists, 630 St Kilda Road, MELBOURNE VIC 3004
14 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Geoffrey Kaye Museum of Anaesthetic History<br />
Into the Future<br />
Since its foundation in 1935, the Museum has<br />
continued to develop due to the hard work <strong>and</strong><br />
dedication of a number of interested individuals<br />
<strong>and</strong> in particular Honorary Curators <strong>and</strong> Assistant<br />
Curators including Dr G. Kaye (1947-1995), Dr H.P.<br />
Penn (1958-1981), Dr G. Westmore (1980-1981), Dr<br />
A. Ross (1982), Dr R. Westhorpe (1986- ) <strong>and</strong> Dr C.<br />
Ball (1989- ). In 2003, the first professionally<br />
trained Museum Curator was employed to work<br />
closely with the current Honorary Museum<br />
Curators to build on past achievements <strong>and</strong><br />
manage the Museum to best practice st<strong>and</strong>ards.<br />
Over the past three years a great deal of work<br />
has been undertaken to improve the<br />
management of the Museum <strong>and</strong> ensure that it is<br />
efficient, relevant <strong>and</strong> interesting. This has<br />
involved the implementation of basic<br />
infrastructure including the development of: The<br />
first Museum Committee; a Museum office,<br />
workroom <strong>and</strong> display area; a draft collection<br />
management policy; the first Museum 3 Year<br />
Strategic Plan <strong>and</strong> the successful completion of<br />
the Museum Storage Upgrade <strong>and</strong> Collection<br />
Inventory Project, in December 2005. Some of<br />
the key achievements so far include:<br />
• Greatly improved storage <strong>and</strong> object<br />
h<strong>and</strong>ling systems.<br />
• Over 5,000 Collection objects inventoried.<br />
• Greatly improved access to objects <strong>and</strong><br />
documentation.<br />
• Tours of the Museum display are available<br />
five days a week <strong>and</strong> include:<br />
- Tours for Fellows <strong>and</strong> Trainees on<br />
request.<br />
- Tours for Trainees during VRC Courses.<br />
- A highly successful Talk <strong>and</strong> Tour<br />
program for community groups such as<br />
Rotary Clubs, Probus Groups <strong>and</strong>,<br />
educational <strong>and</strong> heritage organizations.<br />
• Assisting the promotion of <strong>ANZCA</strong> <strong>and</strong> its<br />
activities through the Talk <strong>and</strong> Tour Program<br />
which promotes the work of anaesthetists<br />
within the wider community.<br />
• Improved response to research inquiries.<br />
• Improved working conditions <strong>and</strong> security<br />
for objects.<br />
• Increased use of the Collection:<br />
- Objects <strong>and</strong> information used by<br />
Trainees <strong>and</strong> Fellows in research,<br />
conference papers, <strong>and</strong> various<br />
publications.<br />
- On site <strong>and</strong> off site displays.<br />
• Introduction of a permanent Museum Display<br />
Area on Level 5 of <strong>ANZCA</strong> House.<br />
• First display held at a hospital – St Vincent’s<br />
Hospital Display July 2005.<br />
• Development of successful on-going working<br />
partnerships.<br />
The main focus for <strong>2006</strong> will be introduction of a<br />
collection management database <strong>and</strong> cataloguing<br />
program <strong>and</strong> the upgrade of the Museum Display<br />
Area. The upgrade is a major project that<br />
includes the redesign of the display area <strong>and</strong> the<br />
development <strong>and</strong> implementation of a relevant<br />
<strong>and</strong> engaging changing display program.<br />
Museum Display<br />
Level 5, <strong>ANZCA</strong> House<br />
To be upgraded in <strong>2006</strong>.<br />
Community Group Talks<br />
Dr Rod Westhorpe (Honorary Curator) <strong>and</strong><br />
the Combined Probus Club of Monash<br />
Central,, Douglas Joseph Room, Ulimaroa,<br />
28 April, 2005.<br />
Ms Elizabeth Triarico<br />
Museum Manager<br />
The first <strong>ANZCA</strong> ASM Museum display will be<br />
held this year in Adelaide. The focus of the<br />
display is based on the ASM theme of, All in a<br />
Days Work. The display will feature a wide<br />
variety of interesting objects <strong>and</strong> stories that<br />
illustrate the working life of anaesthetists from<br />
the 1880s to the 1950s. This exciting new<br />
initiative has been made possible due to the<br />
improved access to the Museum Collection <strong>and</strong><br />
demonstrates a long-term commitment to<br />
relevant <strong>and</strong> interesting Museum activities.<br />
Visits to the Museum are welcome <strong>and</strong> can be<br />
made by arranging an appointment with the<br />
Museum Manager. All bookings <strong>and</strong> enquiries<br />
regarding the Museum should be directed to,<br />
Ms Elizabeth Triarico, on: (61 3) 9510 6299 or<br />
etriarico@anzca.edu.au<br />
Museum Work Area<br />
Ms E Triarico, Museum Manager<br />
Level 5, <strong>ANZCA</strong> House<br />
Community Group Museum Tours<br />
Dr Christine Ball (Honorary Assistant Curator)<br />
<strong>and</strong> the Syndal Ladies Probus, 12 December, 2005.
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 15<br />
<strong>ANZCA</strong> APPOINTMENT<br />
Director of Professional Affairs<br />
The <strong>Australian</strong> & <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists (<strong>ANZCA</strong>) is seeking to engage a senior<br />
anaesthetist of high st<strong>and</strong>ing to the position of Director of Professional Affairs (DPA). This is an<br />
advisory position to the President, Council <strong>and</strong> Chief Executive Officer of the <strong>College</strong>, <strong>and</strong><br />
complements the existing DPA in advising on the formulation <strong>and</strong> submission to key external<br />
stakeholders of <strong>ANZCA</strong> policies <strong>and</strong> positions on issues affecting professional practice.<br />
The <strong>College</strong> is seeking expressions of interest from Fellows <strong>and</strong> former Councillors of the<br />
<strong>College</strong> who have had extensive experience with professional policy development <strong>and</strong> analysis<br />
<strong>and</strong> recent exposure to the key agencies of government having an impact on the profession.<br />
An attractive remuneration package will be negotiated with the successful c<strong>and</strong>idate.<br />
Expressions of interest should be communicated to Ms Sarah Hunter, Senior Recruitment<br />
Consultant, Cordiner King Hever, Level 44 Rialto, 525 Collins Street, Melbourne, Vic 3000,<br />
telephone: (03) 9620 2900.<br />
Deaths<br />
Council noted with regret the death of the<br />
following Fellows:<br />
Dr James Patrick Dalton Keaney (ACT)<br />
FFARACS 1977, F<strong>ANZCA</strong> 1992<br />
Dr Charles Ashur Sara (NSW)<br />
FFARACS 1952, F<strong>ANZCA</strong> 1992<br />
Dr Kanapathipillai Inbasegaran (Malaysia)<br />
FFARACS 1979, F<strong>ANZCA</strong> 1992<br />
Mrs Joan Margaret Sheales (VIC)<br />
F<strong>ANZCA</strong> (Hon) 2005<br />
Dr Edward Ward Te Kanawa Douglas (NZ)<br />
F<strong>ANZCA</strong> 1998<br />
<strong>ANZCA</strong> Foundation Research Award<br />
Lennard Travers Professorship<br />
A Lennard Travers Professorship will be awarded for the year 2007.<br />
Under the terms of its foundation, applications for this Professorship are now invited from Fellows<br />
of the <strong>College</strong> desiring to pursue research or a course of study (part-time or full-time) in<br />
anaesthesia or related disciplines in Australia, <strong>New</strong> Zeal<strong>and</strong>, Hong Kong, Malaysia or Singapore.<br />
The award of the Professorship carries an emolument of $30,000 which should be considered as a<br />
"grant in aid" <strong>and</strong> does not preclude the acceptance of grants from other sources.<br />
The successful applicant will be required to commence the research by May 2007 <strong>and</strong> to deliver the<br />
Australasian Visitor’s Lecture at the Annual Scientific Meeting of the <strong>College</strong> in 2008. Travel<br />
expenses within Australasia for this latter commitment are not included in the award <strong>and</strong> will be a<br />
separate responsibility of the <strong>College</strong>.<br />
Applications must be submitted on the Application Form, which details the nominated area of work<br />
<strong>and</strong> the way in which the study will be carried out, <strong>and</strong> be accompanied by a full curriculum vitae<br />
<strong>and</strong> the names of three referees to whom reference may be made. The Application Form is<br />
available on the <strong>ANZCA</strong> website at www.medeserv.com.au/anzca/edutraining/research/index.htm<br />
Applications close Thursday, 1 June <strong>2006</strong> <strong>and</strong><br />
should be forwarded to:<br />
The Chief Executive Officer<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of<br />
Anaesthetists<br />
630 St Kilda Road<br />
Melbourne Vic 3004<br />
Email: ceoanzca@anzca.edu.au<br />
For further information please contact:<br />
Ms Jill Humphreys<br />
Executive Officer, <strong>ANZCA</strong><br />
Tel: 03 8517 5336<br />
Email: jhumphreys@anzca.edu.au
16 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
MOPS<br />
MOPS - Activity Providers<br />
The CE&QA Department has recently included a<br />
list of activity providers on the <strong>College</strong> website to<br />
assist Fellows in sourcing educational activities.<br />
If you know of any other educational providers<br />
that should be on the list please forward the<br />
details to the CE&QA Department at<br />
cme@anzca.edu.au. The full list can be found at<br />
http://www.anzca.edu.au/ceqa/mops<br />
/activitypro.html.<br />
MAJOR MEETINGS<br />
<strong>ANZCA</strong> Approved Meetings List -<br />
http://www.anzca.edu.au/ceqa/mops<br />
/apprmeeting/index.htm<br />
<strong>ANZCA</strong> Future Meetings List -<br />
http://www.anzca.edu.au<br />
/infocentres/meetings/index.htm<br />
ACECC Events Calendar -<br />
http://www.acecc.org.au/P=EVENTS<br />
REMOTE GROUP LEARNING<br />
Global TeleHealth -<br />
http://www.globaltelehealth.com.au/<br />
SELF DIRECTED LEARNING ACTIVITIES<br />
<strong>ANZCA</strong> Online Self-assessment Test -<br />
http://www.anzca.edu.au/ceqa<br />
IARS Review Course Lectures -<br />
http://www.iars.org<br />
ASA IAMONLINE Modules -<br />
http://www.asa.org.au/<br />
CLINICAL AUDIT PROJECTS<br />
Winchart - http://www.winchart.com.au/<br />
SyncSuite - http://www.syncsuite.net/SyncMed2<br />
/applications.html<br />
AROMA Project - http://www.ranzcog.edu.au/ssrs<br />
/rmaromapackage.shtml<br />
MDAV RISQ survey -<br />
http://www.mdav.org/content.aspDocument_ID<br />
=649&CraftGroup_ID=161<br />
MDAV HARM program -<br />
http://www.mdav.org/content.aspDocument_ID<br />
=273&CraftGroup_ID=161<br />
Royal <strong>College</strong> of Anaesthetists’ “Raising the<br />
St<strong>and</strong>ard: A compendium of audit recipes”<br />
http://www.rcoa.ac.uk/index.aspPageID=125<br />
HOSPITAL ATTACHMENTS<br />
<strong>ANZCA</strong> approved training hospitals -<br />
http://www.anzca.edu.au/edutraining/hospitals/i<br />
ndex.htm#cah<br />
SIMULATOR & SKILLS LABORATORY COURSES<br />
<strong>New</strong> Zeal<strong>and</strong><br />
Advanced Clinical Skills Centre<br />
Contact: Faculty of Medical <strong>and</strong> Health Sciences,<br />
The University of Auckl<strong>and</strong>, Private Bag 92019,<br />
Auckl<strong>and</strong>, NZ. Tel: (+64) (09) 373 7599 ext 89304<br />
Fax: (+64) (09) 373 7970 Website:<br />
http://www.acsc.auckl<strong>and</strong>.ac.nz/<br />
National Patient Simulation Training Centre<br />
Contact: Wellington Hospital, Private Bag 7902,<br />
Wellington South, NZ. Tel: 64 4 385 5999 622<br />
Fax: (+64) 4 385 5887<br />
Email: brian.robinson@wnhealth.co.nz<br />
Victoria<br />
Southern Health Simulation Centre<br />
Contact: Moorabbin campus, Monash Medical<br />
Centre, Centre Rd, East Bentleigh, P.O. Box 72, VIC<br />
3165. Tel: 03 9928 8314<br />
Email: simulate@southernhealth.org.au<br />
Website: http://www.southernhealth.org.au<br />
/simcentre/load.htm<br />
St Vincent's Simulation Centre<br />
Contact: St. Vincent's Health Melbourne, PO Box<br />
2900, Fitzroy VIC 3065. Tel: 03 9288 2301 Fax: 03<br />
9288 5255<br />
Email: molnarr@svhm.org.au Website:<br />
http://www.svhm.org.au/infoabout/education/si<br />
mulator_edu.htm<br />
Western Australia<br />
Clinical Training <strong>and</strong> Education Centre /<br />
Centre for Anaesthetic Skills <strong>and</strong><br />
Medical Simulation<br />
Contact: The University of Western Australia, Mail<br />
Point M306, 35 Stirling Highway, CRAWLEY,<br />
WA 6009 Tel: 61 0(8) 6488 8044<br />
Fax: 61 0(8) 6488 8045<br />
Email: info@ctec.uwa.edu.au<br />
Website: http://www.ctec.uwa.edu.au/<br />
<strong>New</strong> South Wales<br />
Sydney Medical Simulation Centre<br />
Contact: Level 4, West Wing, Royal North Shore<br />
Hospital, Pacific Highway, St Leonards NSW 2065<br />
Tel: 61-2-9926 6758 Fax: 61-2-9926 6755<br />
Email: Smsc@nsccahs.health.nsw.gov.au<br />
Website: http://www.nsh.nsw.gov.au/services<br />
/smsc/default.shtml<br />
South Australia<br />
Flinders University Clinical Simulation Unit<br />
Contact: Flinders Medical Centre, Level 3,<br />
Flinders Drive, Bedford Park SA. Tel: 8204 5868<br />
Email: Simulation@flinders.edu.au Website:<br />
http://som.flinders.edu.au/FUSA/Anaesthesia<br />
/CSU.htm<br />
INTERACTIVE WORKSHOPS<br />
<strong>New</strong> Zeal<strong>and</strong><br />
<strong>New</strong> Zeal<strong>and</strong> Resuscitation Council<br />
Contact: National Administration Coordinator. PO<br />
Box 7343, Wellington, NZ. Tel: 64 4 385 5477 Fax:<br />
64 4 385 5477 Email: nzrc@wnmeds.ac.nz<br />
Website: http://www.nzrc.org.nz/index.php<br />
option=com_content&task=view&id=21&<br />
Itemid=47<br />
Victoria<br />
Royal Australasian <strong>College</strong> of Surgeons<br />
Contact: <strong>College</strong> of Surgeons' Gardens, Spring<br />
Street, Melbourne VIC 3000.<br />
Tel: +61 (0)3 9249 1200
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 17<br />
Fax: +61 (0)3 9249 1219<br />
Email: college.sec@surgeons.org<br />
Web: http://www.surgeons.org/Content/<br />
NavigationMenu/BasicSurgicalTraining<strong>and</strong>Skills/<br />
SkillsCourses/EarlyManagementofSevereTrauma<br />
EMST/default.htm<br />
Queensl<strong>and</strong><br />
Queensl<strong>and</strong> Health Skills Development Centre<br />
Contact: Queensl<strong>and</strong> Health Building, 147-163<br />
Charlotte Street, Brisbane QLD 4000. Tel: 07 3234<br />
0111 Website: http://www.health.qld.gov.au/<br />
skills/courses.asp<br />
<strong>Australian</strong> Institute of Ultrasound<br />
Contact: Suite 19, Level 1, Mermaid Plaza, Corner<br />
Gold Coast Highway & Markeri St, Mermaid<br />
Beach, QLD 4218. Tel: (07) 5526 6655<br />
Fax: 07 55266041 Email: info@aiu.edu.au<br />
Website: www.aiu.edu.au<br />
Australia & <strong>New</strong> Zeal<strong>and</strong><br />
Cognitive Institute<br />
Contact: (AU): PO Box 1013 Milton BC QLD Aust<br />
4064 / (NZ): PO Box 91997 Auckl<strong>and</strong> Mail Service<br />
Centre. Tel: (AU): +61 7 3876 5711 /<br />
(NZ): +64 0800 777 512<br />
Email: enquiries@cognitiveinstitute.com.au<br />
Website: http://www.cognitiveinstitute.com.au/<br />
index.cfmitemid=91<br />
Australia-Wide<br />
Support Scheme for Rural Specialists<br />
Contact: 145 Macquarie St, Sydney NSW 2000.<br />
Tel: 02 9256 9607 Fax: 02 9256 9610<br />
Website: http://www.ruralspecialist.org.au/<br />
Medical Indemnity Protection Service<br />
Contact: PO Box 25, Carlton South VIC 3053.<br />
Ph: 1800 061 113 Fax: 1800 061 116<br />
Email: info@mips.com.au<br />
Website: http://www.mips.com.au/www/81/<br />
1003760/displayarticle/1004485.html<br />
MDA National<br />
Tel: 1800 011 255 Fax: 03 9690 6272<br />
Email: peaceofmind@mdanational.com.au<br />
Website: http://www.mdanational.com.au/<br />
news/events.asp<br />
MDAV<br />
Contact: Pelham House, 165 Bouverie Street,<br />
PO Box 1059, Carlton 3053. Tel: 3 9347 3900<br />
Fax: 3 9347 3439<br />
Website: http://www.mdav.org/content.asp<br />
Document_ID=302&SearchResult=True<br />
South Australia<br />
Medical Insurance Group Australia<br />
Contact: PO Box 1223, Unley DC SA 5061.<br />
Tel: (08) 8238 4444 Fax: (08) 8238 4445<br />
Email: risk@miga.com.au<br />
Website: http://www.miga.com.au/<br />
OVERSEAS AID TRIPS<br />
Interplast Australia -<br />
http://www.interplast.com.au/Volunteers<br />
RACS International Development Program -<br />
http://www.surgeons.org/Content/NavigationMe<br />
nu/Research<strong>and</strong>ExternalAffairs/International<br />
Projects/default.htm<br />
AusAID - http://www.ausaid.gov.au/<br />
Red Cross NZ - http://www.redcross.org.nz/<br />
index.phppage=volunteers.php<br />
Red Cross AU - http://www.redcross.org.au/<br />
ourservices_aroundtheworld_overseasdelegates<br />
_default.htm<br />
Operation Open Heart - http://www.sah.org.au/<br />
medical.oneIntService.aspsku=66949<br />
CardioStart International -<br />
http://www.cardiostart.com/<br />
Medecins San Frontieres -<br />
http://www.msf.org/msfinternational/volunteer<br />
MOPS<br />
ANNUAL<br />
RETURNS<br />
MOPS Participants are reminded that their<br />
2005 Annual Returns were due by the end<br />
of February.<br />
Statements of Participation have been<br />
issued to all participants who have<br />
submitted a Return.<br />
Those submitting a paper return are asked<br />
to ensure that the fields at the head of the<br />
Annual Return are completed (Name,<br />
MOPS Number, Region etc.)<br />
Participants with an Online Diary should<br />
follow the prompts in the User<br />
Administration section of their Diary to<br />
submit their Annual Return.<br />
Please contact Juliette Mullumby at the<br />
MOPS Office if you have any difficulties.<br />
Tel: +61 3 9510 6299<br />
Fax: +61 3 9510 6786 Email:<br />
cme@anzca.edu.au
18 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Obituary<br />
James Patrick Dalton Keaney (Jim) – ACT<br />
14th September 1932 – 16th November 2005<br />
FFARACS - 18th <strong>March</strong> 1977, F<strong>ANZCA</strong> - 30th June 1992<br />
FFARACS IC - 1st June 1982, FFIC<strong>ANZCA</strong> - 4th November 1993<br />
(As printed in the Canberra Times, 14th<br />
December 2005)<br />
James Patrick Dalton Keaney (Jim) was a pioneer<br />
of critical care in the <strong>Australian</strong> Capital Territory.<br />
He was born in Silverwater in Western Sydney on<br />
the 14th of September 1932, the youngest of eight<br />
children of Irish immigrants Patrick (a merchant<br />
sea-man) <strong>and</strong> Norah. He entered Springwood<br />
Seminary at 14, receiving a grounding in<br />
philosophy, theology <strong>and</strong> classics which was to<br />
affect all his later life <strong>and</strong> work. He left the<br />
Seminary before taking orders, but on good<br />
terms. For the next six years he roamed the<br />
outback, working, inter alia, as a shearer, storman<br />
<strong>and</strong> construction labourer. He then settled on<br />
Medicine, still working part-time <strong>and</strong> qualifying<br />
from the University of Sydney in 1964. He<br />
married a fellow student, Margaret Mary O'Flynn,<br />
the same year.<br />
The next six years were spent in anaesthesia <strong>and</strong><br />
intensive care at the Royal <strong>College</strong> of Surgeons in<br />
Edinburgh <strong>and</strong> the Royal Derbyshire Infirmary<br />
<strong>and</strong> Derbyshire Children's Hospital. He obtained<br />
his post-graduate degree as a Fellow of the<br />
Faculty of Anaesthetists of the Royal <strong>College</strong> of<br />
Surgeons in London. Back in Australia, he<br />
obtained Fellowship of the <strong>Australian</strong> <strong>and</strong> <strong>New</strong><br />
Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists <strong>and</strong><br />
(Foundation Fellow) of the Faculty of Intensive<br />
Care of the <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetics <strong>and</strong> the Royal Australasian<br />
<strong>College</strong> of Physicians.<br />
After a spell of private anaesthetic practice in<br />
Penrith, Jim took the job of Director of Intensive<br />
Care in Canberra (later Royal Canberra) Hospital<br />
in 1974. The Keaney family came to live at Cottage<br />
2, Canberra Hospital, which quickly became a<br />
modest but greatly loved family home on the<br />
Acton Peninsula (now 'Limestone House' at the<br />
National Museum of Australia). In 1988 Jim took<br />
the position of inaugural Director of Neonatal<br />
Intensive Care at Woden Valley Hospital. He had<br />
also been a Consultant at the Calvary Hospital<br />
since 1984 <strong>and</strong> became the inaugural Director of<br />
its Intensive Care in 1995.<br />
What made Jim's contribution extraordinary is<br />
the sustained intensity of his commitment to the<br />
critically ill - not only in the ICU, but throughout<br />
the hospital, including Casualty - 24 hours a day,<br />
all year round, accumulating enormous leave <strong>and</strong><br />
not taking it until forced to do so. For many years,<br />
he would be there first at all cardiac arrests <strong>and</strong><br />
emergencies, at any time of day or night. He was<br />
loved by generations of nursing staff.<br />
Also extraordinary was the modest, almost selfeffacing<br />
way in which he conducted all<br />
professional transactions. This often led to lesser<br />
players receiving greater credit for the clinical<br />
outcomes <strong>and</strong> to Jim being underestimated by<br />
some. He never sought to redress those<br />
injustices. Similarly, he never criticised his<br />
colleagues in a personal, ad hominem, manner:<br />
he defined the medical issues <strong>and</strong> allowed the<br />
facts to speak for themselves.<br />
He never sought private practice or higher<br />
remuneration for his long <strong>and</strong> lonely work - this<br />
despite helping support a large family. We<br />
cannot, in fact, recall him complaining of<br />
anything: his entire attention was on what should<br />
be done, <strong>and</strong> how. Canberra medical scene was<br />
rather embattled in mid-1970s, perhaps more<br />
bitterly than elsewhere in the Commonwealth.<br />
He stayed above it throughout.<br />
A deeply religious man, he maintained a lifelong<br />
interest in philosophy <strong>and</strong>, particularly, ethics.<br />
Yet, he never preached, pontificated or invoked<br />
higher causes to explain his actions: he talked<br />
simply <strong>and</strong> directly with confidence of a true<br />
Christian. With dying patients <strong>and</strong> their families<br />
he addressed the issues in plain, simple, secular<br />
terms - one would never guess how much he<br />
knew. One could not wish for a better physician<br />
in those moments: a man of sure judgement <strong>and</strong><br />
unimpeachable integrity.<br />
His hobbies included horse racing - he became<br />
the official course physician at the ACT Racing<br />
Club in 1991 - <strong>and</strong> photography, especially of<br />
vitrage in country churches.<br />
Many people thought that Jim should somehow<br />
be recognised <strong>and</strong> honoured - far as it must have<br />
been from his own mind. Few people deserved<br />
public honours more - but in his case we can say<br />
that what is best in all Medicine was honoured in<br />
the acknowledgement of his true virtue <strong>and</strong><br />
extraordinary efforts. He was made a Member of<br />
the Order of Australia in June 2002, the year after<br />
both he <strong>and</strong> his wife Margaret retired. Margaret<br />
had been Director of the Emergency Medicine at<br />
Calvary Hospital for over 20 years. Jim continued<br />
his passion for medicine <strong>and</strong> teaching as a tutor<br />
with the newly established ANU Medical School.<br />
Jim died unexpectedly of a heart attack on 16th<br />
November. He is survived by his wife Margaret<br />
<strong>and</strong> their six children: Gerald, Catherine, Thomas,<br />
Magdalene, Benedict <strong>and</strong> Mary <strong>and</strong> their families.<br />
He led an exemplary life <strong>and</strong> its greatest reward<br />
was his family. Those of us who worked with him<br />
will continue to hear his voice of compassion <strong>and</strong><br />
reason, as long as we work in critical care,<br />
<strong>and</strong> beyond.<br />
IMOGEN MITCHELL, Director, ICU, TCH<br />
GEORGE NIKOLIC, Senior Specialist, ICU, TCH<br />
The Canberra Hospital, 23rd November, 2005
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 19<br />
Obituary<br />
Charles Ashur Sara – NSW<br />
5th October 1915 – 28th December 2005<br />
FFARACS - 25th August 1952, F<strong>ANZCA</strong> - 24th February 1992<br />
Charles Sara was one of a family of three sons<br />
<strong>and</strong> one daughter, born to Charles John Edwin<br />
Aubrey (known as Aubrey) <strong>and</strong> Ruby Sara.<br />
Aubrey Sarah had emigrated from Hakaru, <strong>New</strong><br />
Zeal<strong>and</strong> where he was a pharmacist's assistant.<br />
(On entry to Australia at Sydney Customs, he<br />
dropped the "h".) He married Ruby Hart, who<br />
was descended from Ashur Hart of the longst<strong>and</strong>ing<br />
<strong>and</strong> famous Hart family. Aubrey became<br />
a famous identity <strong>and</strong> shark fisherman at Bondi<br />
<strong>and</strong> a respected office-bearer at the Bondi Surf<br />
Life Saving Club.<br />
Charles was educated at Sydney Grammar School<br />
<strong>and</strong> the University of Sydney, graduating M.B., B.S.<br />
in 1940. He spent his residency years, 1940 to<br />
1942, at Royal South Sydney Hospital.<br />
He saw active service in the Second World War,<br />
first in the Citizens' Military Forces, then as<br />
Captain in the <strong>Australian</strong> Imperial Force from July<br />
1942 to May 1946, serving overseas for a<br />
considerable part of that time. He received the<br />
Pacific Star, the War Medal, the Defence Medal<br />
<strong>and</strong> the <strong>Australian</strong> Service Medal 1939 - 1945.<br />
After discharge from the army he entered general<br />
medical practice, serving as an Honorary Medical<br />
Officer at the Royal South Sydney Hospital <strong>and</strong><br />
joining the Royal Alex<strong>and</strong>ra Hospital for Children<br />
as Honorary Anaesthetist in 1948, a position he<br />
held for the next thirty years.<br />
In 1948 Charles married Melbourne girl Barbara<br />
Falla, a nurse whom he had met at Royal South<br />
Sydney in his residency years.<br />
In 1949 he gained his Diploma of Anaesthesia of<br />
the University of Sydney <strong>and</strong> subsequently was<br />
appointed Honorary Anaesthetist to the Royal<br />
Prince Alfred Hospital, retiring in 1983. He was<br />
given Consultant Anaesthetist status to both the<br />
Children's Hospital <strong>and</strong> Royal Prince Alfred<br />
Hospital on his retirement.<br />
Charles also practised in Honorary, then Visiting<br />
Anaesthetist positions at Concord Repatriation<br />
Hospital <strong>and</strong> the United Dental Hospital, Sydney.<br />
From 1966 to 1975 he was Lecturer in Anaesthesia<br />
for Dental Surgery, Faculty of Dentistry at the<br />
University of Sydney. Charles was highly<br />
respected in his pioneering work in dental<br />
anaesthesia, contributing important papers to the<br />
literature <strong>and</strong> being awarded, in 1975, the<br />
Belisario Award of the <strong>Australian</strong> Society for the<br />
Advancement of Anaesthesia <strong>and</strong> Sedation in<br />
Dentistry, for "outst<strong>and</strong>ing contribution in the<br />
field of Dental Anaesthesia <strong>and</strong> Sedation" over a<br />
period of some 25 years.<br />
During his time at the Dental Hospital, Charles<br />
established a position for young postgraduates in<br />
anaesthesia returning from overseas. This<br />
Honorary Assistant Anaesthetist position carried<br />
with it the Title of Clinical Lecturer in<br />
Anaesthesia at the University of Sydney, a<br />
prestigious start to a career which was<br />
appreciated by Charles’ younger colleagues who<br />
were fortunate to be appointed.<br />
Charles enthusiastically served both Faculty <strong>and</strong><br />
Society. In the <strong>Australian</strong> Society of Anaesthetists<br />
he held positions of Treasurer, then Secretary,<br />
from 1954 to 1959, <strong>and</strong> Chairman of the <strong>New</strong><br />
South Wales Section 1960 - 1961. In 1952 he was<br />
a Foundation Member of the Faculty of<br />
Anaesthetists of the Royal Australasian <strong>College</strong> of<br />
Surgeons, being awarded his Fellowship of the<br />
Faculty (FFARACS) at that time. He was a member<br />
of the Faculty's Court of Examiners, then Vice<br />
Chairman of the Court, from 1961 to 1970. As a<br />
member of the Board of Faculty from 1967 to<br />
1974, Charles contributed enormously to the<br />
establishment of the Faculty's training program in<br />
anaesthesia. On his retirement from the Board,<br />
he was fittingly awarded the Robert Orton Medal<br />
for meritorious service to Anaesthesia, the<br />
highest honour of the Faculty.<br />
He represented the Faculty on the St<strong>and</strong>ards<br />
Association of Australia <strong>and</strong> was consultant to the<br />
Coronial Investigation Unit for Anaesthetic <strong>and</strong><br />
Drug Related Mortality.<br />
Charles Sara had a scientific approach to<br />
anaesthesia practice, seeking to elucidate the<br />
reasons for his observations of the effects of<br />
anaesthetic drugs, <strong>and</strong> conducting experiments<br />
to reproduce these observations in the<br />
laboratory, publishing many papers at a time<br />
when few of his colleagues seemed interested in<br />
this aspect of furthering knowledge of the<br />
science of anaesthesia. His many published<br />
works portray his wide-ranging interests. His first<br />
paper co-authored with Tony Balthazar,<br />
described the relaxant decamethonium in<br />
anaesthesia,then its successor, succinylcholine,<br />
while others ranged through mechanical<br />
respiratory support ( with Bruce Clifton), a series<br />
of papers on heat <strong>and</strong> humidity during<br />
endotracheal intubation (with Colin Shanks in<br />
the early 1970s), nebulization, epithelial changes<br />
in the trachea <strong>and</strong> bronchi, rebreathing with the<br />
circle absorber at low fresh gas flows, <strong>and</strong><br />
neonatal resuscitation. Charles wrote a<br />
comprehensive review on intravenous sedation,<br />
published in the <strong>Australian</strong> Dental Journal in<br />
1974, <strong>and</strong> wrote on peripheral pulse monitoring,<br />
all this quite early in the recognition of the<br />
importance of these concepts.He also frequently<br />
contributed to journal correspondence <strong>and</strong> book<br />
reviews.<br />
In fact, Charles was a great proponent of<br />
publication. In particular he was most<br />
supportive of the establishment of the Society's<br />
Journal "Anaesthesia <strong>and</strong> Intensive Care" from its<br />
initial concept in the early 1950s when there was<br />
much heated debate within the Society as to<br />
whether it would succeed, <strong>and</strong> indeed up to <strong>and</strong><br />
after the Journal was established by Ben Barry in<br />
1972.<br />
John Lowenthal, Professor of Surgery at the<br />
University of Sydney, <strong>and</strong> with whom Charles<br />
worked in the operating theatre at Royal Prince<br />
Alfred Hospital, wrote of Charles in 1959,<br />
describing his "excellence as an anaesthetist…<br />
combining the nonchalance of the experienced<br />
with the freshness <strong>and</strong> vigour of one who is<br />
constantly thinking about his art <strong>and</strong> craft".<br />
Charles always endeavoured to provide the best<br />
possible operating conditions for his surgeons,<br />
minimizing blood loss <strong>and</strong> thereby avoiding the
20 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
necessity for transfusion. He was highly<br />
respected by all the surgeons he worked with.<br />
On a more personal level, Charles had a strong<br />
interest in surfing, being a member of the Bondi<br />
Surf Club team that won the <strong>Australian</strong> Junior<br />
Surf Board Championship in 1932 <strong>and</strong> 1933, <strong>and</strong><br />
participated in the Black Sunday rescue at Bondi<br />
when around one hundred <strong>and</strong> fifty people were<br />
swept out to sea. He was pleased to be invited<br />
back to the club for a 50-year member function<br />
some years ago. Photography, reading, bird<br />
watching, amateur radio <strong>and</strong> film making were<br />
among his many interests, while he also enjoyed<br />
some medicolegal casework in his retirement<br />
years. It was unfortunate that he was increasingly<br />
h<strong>and</strong>icapped in later years, following<br />
complications that ensued after neurosurgery for<br />
excision of a meningioma.<br />
Charles was not only a skilful, thoughtful <strong>and</strong><br />
helpful colleague, but also a genial <strong>and</strong> happy<br />
personality. He will be remembered as an<br />
encouraging mentor, with an outgoing nature,<br />
confident <strong>and</strong> inspiring confidence, <strong>and</strong> always<br />
with a quick <strong>and</strong> hearty laugh.<br />
He is survived by his wife Barbara, son Antony, a<br />
doctor now practising full-time as Director of<br />
Clinical Information Systems, daughter Angela, a<br />
l<strong>and</strong>scape architect, <strong>and</strong> six gr<strong>and</strong>children.<br />
Jeanette Thirlwell-Jones.<br />
Dato’ Dr K Inbasegaran<br />
26th May 1947 – 8th November 2005<br />
FFARACS - 28th July 1979, F<strong>ANZCA</strong> - 14th <strong>March</strong> 1992<br />
On the 8th of November, 2005, the Malaysian<br />
anaesthetic <strong>and</strong> medical community mourned<br />
the loss of a great friend <strong>and</strong> true leader.<br />
Dato Dr Inba was Head of the Department of<br />
Anaesthesia <strong>and</strong> Intensive care in Hospital Kuala<br />
Lumpur <strong>and</strong> chief anaesthesiologist in the<br />
country from 1992 till his retirement in 2002. He<br />
was also President of the Malaysian Society of<br />
Anaesthesiologists <strong>and</strong> served an unprecedented<br />
two terms during which he was also actively<br />
involved with the World Federation of Societies<br />
of Anaestheisology (WFSA).<br />
Dato Inba contributed significantly to the<br />
development of anaesthesia in this country, <strong>and</strong><br />
was instrumental in bringing about several<br />
important changes to the l<strong>and</strong>scape of<br />
anaesthesia in the country. He was always very<br />
conscious of safety in the provision of<br />
anaesthesia, <strong>and</strong> was instrumental in drawing up<br />
the consensus document on Monitoring<br />
St<strong>and</strong>ards for Anaesthesia in Malaysia, the<br />
implementation of the review of maternal deaths<br />
in Malaysia, <strong>and</strong> the setting up of the<br />
Perioperative Mortality review (POMR)<br />
committee in the Ministry of Health. Due to his<br />
efforts, the equipment for anaesthesia <strong>and</strong><br />
intensive care in public hospitals was<br />
systematically upgraded <strong>and</strong> modernized, with<br />
an emphasis on safety. He was also responsible<br />
for the streamlining of credentialing <strong>and</strong><br />
accreditation of anaesthesia <strong>and</strong> intensive care<br />
services in hospitals in the country.<br />
Dato Dr Inbasegaran contributed to the field of<br />
anaesthesia in a way that few can equal; his work<br />
has resulted in a greatly improved image of the<br />
anaesthesiologist as a professional who is a key<br />
member of the perioperative team <strong>and</strong> the<br />
medical fraternity. He will be sorely missed.<br />
Dr M Cardosa, Prof YK Chan, Dr SH Ng
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 21<br />
Obituary<br />
Joan Margaret Sheales<br />
3rd November 1942 – 29th January <strong>2006</strong><br />
F<strong>ANZCA</strong> (Hon) - 11th November 2005<br />
The death of Joan Sheales on the 29th January,<br />
<strong>2006</strong> marks a watershed in <strong>ANZCA</strong>'s history.<br />
As our first CEO, Joan served this <strong>College</strong> <strong>and</strong> its<br />
forerunner, the Faculty of Anaesthetists, RACS, for<br />
over 25 years <strong>and</strong> was totally dedicated to<br />
enhancing the status, financial security, facilities<br />
<strong>and</strong> programs of the <strong>College</strong>. Joan was appointed<br />
Administrative Officer in 1987 (the top<br />
management position of the time). She<br />
established a strong network with CEOs of other<br />
<strong>College</strong>s, with Government <strong>and</strong> other bodies. No<br />
other <strong>College</strong> CEO was more respected than Joan<br />
Sheales: she was pivotal in enhancing <strong>ANZCA</strong>'s<br />
high st<strong>and</strong>ing in Australia, <strong>New</strong> Zeal<strong>and</strong> <strong>and</strong><br />
around the world.<br />
Joan Sheales was born in Melbourne on the 3rd<br />
of November 1942, the elder daughter of James<br />
Michael <strong>and</strong> Kathleen Elsie Canny. She was the<br />
elder sister of Annette.<br />
Her family lived in Spring Street, then King Street,<br />
then Elwood <strong>and</strong> then Rathdowne Street, so Joan<br />
knew Melbourne well. She walked <strong>and</strong> travelled<br />
by tram or bus to school, spending holiday time<br />
at Radio 3XY, at theatres, <strong>and</strong> working casually at<br />
Myer. She had a great sense of adventure, a trait<br />
that stayed with her all her life.<br />
Joan was educated at St. John's in Clifton Hill, <strong>and</strong><br />
at the Catholic Ladies <strong>College</strong> East Melbourne.<br />
Following Business <strong>College</strong>, she spent a number<br />
of years first at Legal <strong>and</strong> General Assurance in<br />
Melbourne, then as a legal secretary <strong>and</strong> law<br />
clerk in firms in both Melbourne <strong>and</strong> Sydney. By<br />
this time she had developed her communication<br />
skills <strong>and</strong> confidence for the future.<br />
Joan met Noel Sheales in 1962 before she went to<br />
Sydney, <strong>and</strong> they married when she returned to<br />
Melbourne in 1968. Their two children, Simon<br />
<strong>and</strong> Sarah attended first the Baptist kindergarten<br />
at Hawthorn, <strong>and</strong> then Our Lady of Victories<br />
School, which was when Joan joined the Faculty<br />
of Anaesthetists, Royal Australasian <strong>College</strong> of<br />
Surgeons in Spring Street as a part time general<br />
duties assistant, under the watchful eye of Nancy<br />
O'Donnell, who was in charge of Faculty<br />
administration. The part time arrangement<br />
allowed her to be at home until the children went<br />
to school, <strong>and</strong> at home when they returned.<br />
Joan quickly demonstrated her qualities of<br />
enthusiasm, willingness to take on any task,<br />
conscientiousness, perseverance <strong>and</strong> careful<br />
attention to detail which saw her take over<br />
preparation of agendas, minutes, hospital<br />
surveys <strong>and</strong> inspections, examinations, registers,<br />
<strong>and</strong> every other aspect of Faculty activity, until<br />
she became Administrative Officer when Nancy<br />
retired, then Registrar <strong>and</strong> then Chief Executive<br />
Officer of the newly formed <strong>Australian</strong> <strong>and</strong> <strong>New</strong><br />
Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists in 1993.<br />
A staff profile published in 1989 simply stated<br />
that "she ensured that the Faculty office coped<br />
most admirably with the rapid expansion of<br />
activity which occurred with her appointment." It<br />
then went on to say that "when not devoting her<br />
life to the Faculty, Mrs. Sheales supports her most<br />
tolerant husb<strong>and</strong> <strong>and</strong> teenage children. Her<br />
recreational interests include walking, gardening,<br />
cooking <strong>and</strong> entertaining."<br />
In her twelve years as CEO of the <strong>College</strong>, Joan<br />
became responsible for the most rapidly growing<br />
Medical <strong>College</strong> in Australia <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong>,<br />
with branches in Hong Kong, Singapore <strong>and</strong><br />
Malaysia, <strong>and</strong> influence in Papua <strong>New</strong> Guinea<br />
<strong>and</strong> South Pacific Isl<strong>and</strong> countries.<br />
Her staff grew <strong>and</strong> developed - in Melbourne, in<br />
regional offices <strong>and</strong> in <strong>New</strong> Zeal<strong>and</strong>. She was<br />
CEO when Ulimaroa was purchased <strong>and</strong><br />
refurbished, <strong>and</strong> was effectively foreman-inchief<br />
for the construction <strong>and</strong> furnishing of<br />
<strong>ANZCA</strong> House, another example of her efforts to<br />
enhance the image of the <strong>College</strong> to which she<br />
devoted herself, <strong>and</strong> which she enjoyed. Joan<br />
was an innovator in coordination of inter-college<br />
activities in <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong>, <strong>and</strong><br />
internationally, <strong>and</strong> did much to enhance the<br />
<strong>College</strong>'s interactions with Government agencies.<br />
But Joan seen from the <strong>College</strong> viewpoint was by<br />
no means the only Joan.<br />
She guided her mother <strong>and</strong> sister after her father<br />
died. Annette recalls that "Joan always knew<br />
what to do", whatever the problem.<br />
She was a proud <strong>and</strong> loving mother of her<br />
children, <strong>and</strong> delighted in her family.<br />
She had many, many friends, including Noela<br />
Russell from her Legal <strong>and</strong> General days, Ray<br />
Connell from the MCC, Barry Hynes from the<br />
Melbourne Cup, Fay Gilbert from theatre events,<br />
Fellows of the <strong>College</strong>, her Deans <strong>and</strong> Presidents,<br />
Michael <strong>and</strong> Christine Gorton, <strong>and</strong> Colleen<br />
Meldrum, to name but a few, <strong>and</strong> a large circle of<br />
professional <strong>and</strong> personal friends.<br />
Joan participated in Church activities, <strong>and</strong> in<br />
sporting activities - from the local football team<br />
in earlier years to the VRC <strong>and</strong> the MCC in later<br />
years.<br />
She loved the end of year luncheons <strong>and</strong><br />
functions around the Melbourne Cup, Christmas<br />
<strong>and</strong> <strong>New</strong> Year. She enjoyed dinners, concerts<br />
<strong>and</strong> musicals, <strong>and</strong> the shopping <strong>and</strong> preparation<br />
for these.<br />
She was at ease at the <strong>College</strong> Annual Meetings<br />
<strong>and</strong> social events, whether they were in<br />
Australia, <strong>New</strong> Zeal<strong>and</strong> or Hong Kong, <strong>and</strong> was in
22 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
regular contact with people from all over the<br />
world met at these meetings, remembering<br />
names, children, <strong>and</strong> events, long after at least<br />
some of her Deans <strong>and</strong> Presidents had forgotten.<br />
In fact, hospitality was one of Joan's fortés, <strong>and</strong><br />
enjoying the pleasure of the people around her.<br />
She was equally at ease with people from all<br />
walks of life, <strong>and</strong> could keep her peace, or create<br />
order from chaos as the situation required. She<br />
seldom confronted, but used her powers of<br />
persuasion to stay on course. One story told to<br />
me was of her parking at a building site, because<br />
she was in a hurry <strong>and</strong> couldn't find a park.<br />
Confronted by the man on watch, who said "Hoy,<br />
you can't park there lady", she simply phoned his<br />
boss from her mobile <strong>and</strong> had the offender back<br />
down on the spot.<br />
She could <strong>and</strong> did do well anything she set her<br />
mind to, <strong>and</strong> was seldom outdone; <strong>and</strong> although<br />
she never boasted, she did it her way. Her motto<br />
could well have been "Can't I just, just watch me."<br />
Another of Joan's strengths was compassion. She<br />
laughed with people who were happy, <strong>and</strong> cried<br />
with those who were sad. Importantly, she could<br />
be relied upon to be there for all of her family<br />
<strong>and</strong> friends when they needed her.<br />
Some highlights of Joan Sheales' long<br />
career include:<br />
• Facilitating the change from Faculty to<br />
<strong>College</strong><br />
• Managing important aspects of the<br />
purchase of Ulimaroa <strong>and</strong> its commissioning for<br />
<strong>ANZCA</strong><br />
• Major efforts in many aspects of the<br />
building <strong>and</strong> commissioning of <strong>ANZCA</strong> House<br />
• Purchase/Leasing of properties in<br />
Brisbane, Wellington, Sydney, Adelaide<br />
• Introduction of the <strong>Bulletin</strong><br />
• Major assistance with the introduction<br />
of training <strong>and</strong> examinations in Intensive Care<br />
<strong>and</strong> the formation of the Faculty of Intensive Care<br />
<strong>and</strong> JFICM<br />
• A substantial contribution to the 'fast<br />
track' development of the Faculty of Pain<br />
Medicine<br />
• Maintaining the high st<strong>and</strong>ard of the<br />
conduct of our examinations<br />
• Maintaining the high st<strong>and</strong>ard of our<br />
Formal Ceremony -to produce an outcome<br />
unmatched by other <strong>College</strong>s<br />
• Oversight of ASMs from 1987 including<br />
arrangements for invited Visitors <strong>and</strong><br />
arrangements for Medal <strong>and</strong> Prize winners, <strong>and</strong><br />
Distinguished Professors<br />
• Strong involvement with the<br />
beginnings <strong>and</strong> early development of Committee<br />
of Presidents of Medical <strong>College</strong>s (CPMC)<br />
• Involvement in the development of the<br />
<strong>New</strong> Fellows Conference, SIGs, EMAC, MOPS<br />
• Fostering relationships with <strong>College</strong>s in<br />
our Region <strong>and</strong> world wide.<br />
Joan worked with the following Deans<br />
<strong>and</strong> Presidents:<br />
Maurice S<strong>and</strong>o 1978-1980<br />
Douglas Joseph 1980-1982<br />
William Crosby 1982-1984<br />
Ross Holl<strong>and</strong> 1984-1986<br />
Robin Smallwood 1986-1987<br />
Barry Baker 1987-1990<br />
Peter Livingstone 1990-1992<br />
Michael Hodgson 1992-1993<br />
Michael Davies 1993-1995<br />
Neville Davis 1995 - 1996<br />
Garry Phillips 1996-1998<br />
Richard Walsh 1998-2000<br />
Teik Oh 2000-2002<br />
Richard Willis 2002-2004<br />
Michael Cousins 2004 - <strong>2006</strong><br />
And with the following Deans of Joint Faculty<br />
of Intensive Care Medicine:<br />
Geoff Clarke 1993-1997<br />
Alan Duncan 1997-1999<br />
Felicity Hawker 1999-2002<br />
Neil Mathews 2002-2004<br />
Jack Havill 2004- <strong>2006</strong><br />
And with the following Deans of Faculty of<br />
Pain Medicine:<br />
Michael Cousins 1999-2002<br />
Leigh Atkinson 2002-2004<br />
Milton Cohen 2004 - <strong>2006</strong><br />
Joan was a 'h<strong>and</strong>s on' CEO - that was her style. In<br />
many, many areas of <strong>College</strong> activities she knew<br />
the details of how things should be done. She<br />
would worry about these details, check that they<br />
were addressed - <strong>and</strong> when they were not, she<br />
would fix the problem - often herself.<br />
Joan always had fierce loyalty to our <strong>College</strong>. She<br />
tried very hard to take every opportunity to<br />
project <strong>ANZCA</strong> well to external bodies. Joan also<br />
kept a very close eye on the credibility <strong>and</strong><br />
consistency of our internal processes. Her<br />
knowledge of precedent was encyclopaedic <strong>and</strong><br />
prevented unwise decisions by Council over<br />
many years. Fortunately this 'case law' is well<br />
documented <strong>and</strong> available for our ongoing work.<br />
Despite Joan's insistence on following<br />
established procedures, she was prepared to<br />
embrace change. This was underlined by her<br />
strong involvement <strong>and</strong> interest in recent<br />
Strategic Planning, in our Administrative<br />
Structural Development <strong>and</strong> in the appointment<br />
of our new CEO. Joan's warmth, vivacity <strong>and</strong><br />
interest in people resulted in many of the staff<br />
<strong>and</strong> Fellows becoming lifelong friends.<br />
From discussions with Former Presidents <strong>and</strong><br />
Deans. a verbal mosaic picture of Joan emerged<br />
<strong>and</strong> some literature quotations illustrate these<br />
qualities:<br />
A Strong Sense of Duty:<br />
"Let us have faith that right makes might, <strong>and</strong> in
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 23<br />
that faith, let us to the end, dare to do our duty as<br />
we underst<strong>and</strong> it"<br />
Abraham Lincoln, Speech 27th Feb 1860<br />
Proud Loyalty:<br />
None of our Fellows or people outside of <strong>ANZCA</strong><br />
would have had the temerity to sully the name of<br />
<strong>ANZCA</strong> in front of Joan<br />
Steadfast, Reliable, always to be counted<br />
upon:<br />
Joan always insisted upon meticulous attention<br />
to the details that determine a high quality<br />
outcome - whether it be our examinations, our<br />
formal Ceremony, the furnishing <strong>and</strong> decorating<br />
of Ulimaroa or the building <strong>and</strong> equipping of<br />
<strong>ANZCA</strong> House. In many respects this is exactly<br />
how a good anaesthetist works in the Operating<br />
Theatre.<br />
"Bright star would I were steadfast as thou art"<br />
John Keats 1795 - 1821<br />
Discernment:<br />
Joan gave wise advice to many Presidents, based<br />
upon her knowledge, judgement <strong>and</strong> acumen.<br />
She was also happy to mull over a problem while<br />
having a scotch with the President at the end of<br />
the day.<br />
Visionary Thinking:<br />
Joan had the ability to see the big picture <strong>and</strong> to<br />
put the energy <strong>and</strong> time into priority areas of<br />
great future importance to <strong>ANZCA</strong><br />
Friendship <strong>and</strong> laughter:<br />
" There's nothing worth the wear of winning, but<br />
laughter <strong>and</strong> the love of friends "<br />
HilaireBelloc 1870 - 1953<br />
Warmth:<br />
" And life is colour <strong>and</strong> warmth <strong>and</strong> light <strong>and</strong> a<br />
striving evermore for these "<br />
Mothering Attributes:<br />
Joan showed extraordinary kindness <strong>and</strong> help to<br />
staff in times of need. Similar generosity was<br />
extended to Councillors <strong>and</strong> Fellows; Joan was<br />
really the 'Mother of <strong>ANZCA</strong>', from gestation to<br />
adulthood.<br />
Joan also had style <strong>and</strong> elegance in her work <strong>and</strong><br />
particularly in her social persona. She knew how<br />
to organise a good party <strong>and</strong> she was invariably<br />
superbly 'turned out' on such occasions (the<br />
result of very skilful shopping). Our parties at<br />
ASMs have an unmatched reputation. When<br />
needed Joan also had 'Gr<strong>and</strong> Prix' driving skills.<br />
Fellows are aware that a special dinner was held<br />
for Joan at <strong>ANZCA</strong> House on Friday 11th<br />
November, 2005. Many Past Deans <strong>and</strong><br />
Presidents attended together with current<br />
Councillors <strong>and</strong> staff. Joan was honoured at the<br />
dinner with the award of F<strong>ANZCA</strong> (Hon). Sadly<br />
Joan did not survive long after this dinner <strong>and</strong><br />
died at the end of January. On the 3rd February,<br />
<strong>2006</strong> a Requiem Mass <strong>and</strong> Memorial Service was<br />
attended by close to 600 people including Past<br />
Presidents <strong>and</strong> Deans, <strong>ANZCA</strong> Councillors <strong>and</strong><br />
Fellows, Staff <strong>and</strong> friends. A memorable<br />
gathering was held at <strong>ANZCA</strong> House after the<br />
service to share reminiscences of Joan.<br />
Representatives of many other organizations<br />
paid their respects to Joan.<br />
Many messages have been received from <strong>ANZCA</strong><br />
Fellows <strong>and</strong> staff expressing their appreciation<br />
for what Joan did for them <strong>and</strong> the friendship<br />
that she extended to them Similar<br />
communications have come from other bodies in<br />
Australia <strong>and</strong> overseas. This friendship will be<br />
an enduring part of <strong>ANZCA</strong><br />
MICHAEL J. COUSINS<br />
President<br />
GARRY D. PHILLIPS<br />
Director of Professional Affairs<br />
Julian Grenfell 1888 - 1915
Queensl<strong>and</strong> Regional Committee Courses<br />
<strong>2006</strong> Primary Courses<br />
Primary Long Course Semester 1 6 February – 15 May $264.00 www.qldcourses.anzca.edu.au<br />
Final Long Course Semester 1 9 February – 13 April $220.00 www.qldcourses.anzca.edu.au<br />
Final Short Course <strong>March</strong> 6 – 10 <strong>March</strong> $396.00 Opens: 12 noon 23 January<br />
Primary Practice VIVAs 29 <strong>March</strong> & 5 April No Charge Closes: 27 <strong>March</strong><br />
(C<strong>and</strong>idates & Observers)<br />
Final Practice VIVAs 10 & 17 May No Charge Closes: 8 May<br />
(C<strong>and</strong>idates & Observers)<br />
Primary Short Course May 22 May – 2 June $495.00 Opens: 12 noon 8 January<br />
www.qldanaesthesia.com<br />
Final Short Course July 10 – 14 July $396.00 Opens: 12 noon 8 May<br />
Primary Long Course Semester 2 7 August – 6 November $264.00 www.qldcourses.anzca.edu.au<br />
Final Long Course Semester 2 10 August – 5 October $220.00 www.qldcourses.anzca.edu.au<br />
Primary Practice VIVAs 23 & 30 August No Charge Closes: 21 August<br />
(C<strong>and</strong>idates & Observers)<br />
Final Practice VIVAs 6 & 13 September No Charge Closes: 4 September<br />
(C<strong>and</strong>idates & Observers)<br />
**All prices include GST. For further information: 50 Water Street Spring Hill Qld 4000<br />
Telephone: (07) 3831 6686 fax: (07) 3839 5604 email: qldcourses@anzca.edu.au
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 25<br />
<strong>College</strong> Library<br />
<strong>New</strong> Addition to the <strong>ANZCA</strong> Library Collection<br />
Historical Moments in British Anaesthesia<br />
In the early 1980s, Professor Keith Sykes was<br />
appointed as the Professor of Anaesthetics in<br />
Oxford. One thing he found in the Nuffield<br />
Department of Anaesthetics was a collection of<br />
films on anaesthesia <strong>and</strong> resuscitation from the<br />
late 1930s <strong>and</strong> 1940s. Because they were liable to<br />
marked deterioration, he arranged transfer of<br />
these films onto video. In the 1980s, this meant<br />
3/4 inch Umatic tape. To ensure that these<br />
historic records were not lost to future<br />
generations of anaesthetists, he gave copies to<br />
several people with the idea that they would<br />
store them in hospitals across the world. One set<br />
was given to Professor John Russell, who took<br />
them to Adelaide <strong>and</strong> stored them in the<br />
Department at the Royal Adelaide Hospital.<br />
In the 1990s it was obvious that 3/4 inch Umatic<br />
tape was going out of use <strong>and</strong> all of the videos<br />
were transferred onto the popular 1/2 inch VHS<br />
video format. About three years ago, it was<br />
apparent that like the earlier Umatic format, VHS<br />
was also losing popularity. All of the historic<br />
tapes were transferred onto DVD <strong>and</strong> a copy of<br />
this DVD is now available for loan from the<br />
library at the <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetists in Melbourne.<br />
There are seven sequences in the set.<br />
Planes of Anaesthesia made in 1945 looks at the<br />
effect on respiration, the pupil <strong>and</strong> the laryngeal<br />
reflex as the level of inhalational anaesthesia is<br />
progressively deepened<br />
Artificial Ventilation made in 1938 shows the<br />
common respirators of the time. The Drinker <strong>and</strong><br />
the Both respirators both enclosed the patient<br />
<strong>and</strong> achieved ventilation by a negative pressure.<br />
The "patient exclusion" ventilators worked by<br />
pulsation (Paul Bragg) Negative pressure on the<br />
chest (the Barstall) or on the abdomen (the<br />
Biomotor). Other methods such as the use of the<br />
rocker were also shown. Finally the positive<br />
pressure use of compressed gas is shown with<br />
the McKesson <strong>and</strong> the Oxford ventilators.<br />
Flotation Devices made in 1943. This shows the<br />
experiments which were conducted to determine<br />
the correct design of lifejackets for the RAF.<br />
Essentially this required an unconscious patient<br />
in the water <strong>and</strong> Pask was the volunteer to be<br />
anaesthetised. The commentator is Professor<br />
Macintosh. The section is followed by<br />
demonstrations of artificial ventilation by the<br />
Sylvester method, the Schafer method <strong>and</strong> the<br />
Eve's Rocker.<br />
Alcohol as an Anaesthetic <strong>and</strong> Morphine as a<br />
Total Anaesthetic made in 1938. This is a silent<br />
film demonstrating the use of alcohol <strong>and</strong> the use<br />
of morphine as anaesthetics.<br />
A Demonstration of Open Drop Ether made in<br />
1944 as a sound film. This film demonstrates the<br />
way to give open drop ether <strong>and</strong> the don'ts of the<br />
technique.<br />
Tracheal Anaesthesia a film made in 1944 with<br />
sound. This shows the technique of inducing<br />
tracheal intubation. It describes laryngospasm<br />
<strong>and</strong> discusses the tube selection <strong>and</strong> the use of<br />
gags as well as inhalational techniques.<br />
Wheels of Fortune is a film taken by the BBC of<br />
the life of William Morris who later became Lord<br />
Nuffield. It describes his early days developing<br />
Morris Motors <strong>and</strong> then his later fame both as a<br />
manufacturer during the war of essential<br />
materials <strong>and</strong> as a donor of equipment <strong>and</strong><br />
resources to Medicine. His great achievement in<br />
creating the Chair of Anaesthetics at Oxford is<br />
also described.<br />
Professor W. John Russell<br />
UNDERGRADUATE PRIZE<br />
IN ANAESTHESIA<br />
The recipient of the 2005 <strong>ANZCA</strong> Prize<br />
within the School of Medicine, Flinders<br />
University was Dr Am<strong>and</strong>a Diaz.<br />
Dr Diaz's award was presented to her at the<br />
Flinders University BMBS Annual Qualifying<br />
Ceremony held on<br />
Thursday, 15th December 2005.
26 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
French Experience<br />
Dr Jane Torrie, specialist anaesthetist at Auckl<strong>and</strong><br />
City Hospital, recently returned from a year<br />
working in Toulouse, France.<br />
Having had our children relatively late, our<br />
youngest was still in nappies when we settled on<br />
France as the perfect country for an imminent<br />
mid-life crisis. We were absolutely resolute, <strong>and</strong><br />
this is what sustained us, two non-EU passport<br />
holders with very modest French, through the 18<br />
months required to organise it. If you are looking<br />
for this sort of enriching experience our pathfinding<br />
will ease things for you, but bear in mind<br />
that in France, laws <strong>and</strong> regulations are<br />
considered only guidelines. Another<br />
interpretation may close (or open) another route.<br />
Toulouse has a population of a million people<br />
<strong>and</strong> a large aeronautical manufacturing industry,<br />
an employment opportunity for my engineer<br />
husb<strong>and</strong>. My cold e-mailing to the university<br />
hospital struck lucky, as it reached Professor<br />
Samii, the coordinator of anaesthesia services,<br />
the editor of the major French text on<br />
anaesthesia <strong>and</strong> intensive care, <strong>and</strong> very<br />
importantly, keen to bring outside ideas to a<br />
provincial department. Yes of course I could work<br />
there, under a sort of work-experience<br />
postgraduate study scheme. My specialist status<br />
would not be recognised <strong>and</strong> the pay was lousy,<br />
but here was my chance to infiltrate the French<br />
health system, justify my leave of absence <strong>and</strong><br />
enjoy the better-known advantages of living in<br />
the south of France. The seductive lifestyle<br />
endures there - our children were soon heard to<br />
complain "Not another five-hour lunch!"<br />
whenever we received invitations to dine.<br />
Some bureaucratic aeons <strong>and</strong> a basic French<br />
language examination later, we were in Toulouse<br />
<strong>and</strong> way out of our comfort zone. At first the<br />
difficulties were with language, but as this<br />
improved I became aware that we were dealing<br />
with some astonishing cultural differences.<br />
Taking our three children to France unfortunately<br />
curtailed the extensive sight-seeing that we had<br />
previously enjoyed, but it did expose us to a<br />
cornerstone of French culture - their education<br />
system. Schools reflect <strong>and</strong> shape their<br />
communities <strong>and</strong> it seemed to us a miracle that<br />
French flair occurs at all given the full-time<br />
stifling environment provided free for children<br />
from the age of 2-3 years. Furthermore, the lack<br />
of transparency <strong>and</strong> responsiveness was galling<br />
to us - parents require an appointment before<br />
entering school grounds <strong>and</strong> we never saw the<br />
inside of our sons' classrooms.<br />
Perhaps I should devote some words now to the<br />
health system where the above comments also<br />
have some pertinence.<br />
The well-resourced <strong>and</strong> well-trained French<br />
healthcare providers deliver comprehensive <strong>and</strong><br />
inclusive health care mostly funded by<br />
compulsory contributions. Many deserving<br />
groups are exempt from any charges <strong>and</strong> top-up<br />
private insurance is held by most. To the envy of<br />
the British, <strong>and</strong> indeed Kiwis, there are no<br />
waiting lists <strong>and</strong> 70% of all surgery is done in<br />
private clinics. Patients were extremely wellfollowed<br />
<strong>and</strong> worked-up fully; since 1994 all<br />
patients must by law consult an anaesthetist at<br />
least 48 hours before the procedure unless the<br />
condition is life-threatening, <strong>and</strong> they must be<br />
seen again the day of surgery.<br />
Similarly, pregnant women must see an<br />
obstetrician eight times prenatally as well as<br />
having an anaesthetic consultation in the third<br />
trimester. Compliance is achieved by making<br />
parental benefits conditional on this schedule. I<br />
found it difficult to imagine Australasian women<br />
meekly accepting this arrangement, <strong>and</strong><br />
Auckl<strong>and</strong> parents would be difficult to persuade<br />
that their healthy child needed a separate visit<br />
for pre-anaesthetic assessment. The pressures<br />
which drive us to provide one-stop clinic visits,<br />
day-stay <strong>and</strong> day of surgery admission, fast-track<br />
recovery, streamlined investigations <strong>and</strong><br />
effective oral post-operative analgesia, are very<br />
much less in France. Hardly surprising perhaps<br />
that a country which retains those wonderful<br />
villages, markets, traditions etc which enchant us,<br />
will also exhibit a degree of inertia in its systems<br />
which can take an Antipodean's breath away.<br />
I worked first in the paediatric bloc operatoire<br />
<strong>and</strong> later the bloc obstetrique despite having<br />
practised in neither area for ten years. I am<br />
eternally grateful to the hospital staff who<br />
welcomed me despite my clumsy communication<br />
<strong>and</strong> eccentric Anglo-Saxon ways. They dealt<br />
gracefully with me, the student from hell - not<br />
junior, nor from a developing former French<br />
colony, opinionated, unaware of tradition or<br />
hierarchy <strong>and</strong> constantly probing "why"<br />
Why, for example, was parental presence<br />
unheard-of at induction <strong>and</strong> very rare in the
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 27<br />
recovery room Why was prolonged preoperative<br />
fasting required <strong>and</strong> oral intake<br />
forbidden for an hour post-operatively Why<br />
was local wound infiltration rare Why was a<br />
coagulation screen required before a caudal<br />
Obstetrics proved to be even more fascinating,<br />
<strong>and</strong> by this stage I was minimally supervised. The<br />
Level 3 unit had a 90% epidural rate <strong>and</strong> these<br />
were administered early. LSCS rate was 23%,<br />
regarded as very high in France - the French have<br />
always known that obstetricians cause<br />
caesareans, not epidurals. Discord between<br />
midwife <strong>and</strong> doctor was almost unknown.<br />
During the year I also visited two private<br />
hospitals, a pre-eminent paediatric hospital in<br />
Paris, a peripheral public hospital, <strong>and</strong> attended<br />
three national conferences (<strong>and</strong> saw our general<br />
practitioner several times). Drugs, equipment <strong>and</strong><br />
techniques were much the same as in any<br />
developed country, but the organisation <strong>and</strong><br />
delivery continually surprised me. France suffers<br />
a shortage of anaesthetists in part due to their<br />
numerous major roles: pre-operative assessment,<br />
post-operative care on the wards, medical <strong>and</strong><br />
surgical intensive care, pre-hospital care (the<br />
infamous 'stay-<strong>and</strong>-play' approach), emergency<br />
hospital services <strong>and</strong> pain services. Doctors work<br />
long hours, satisfying the EU 35-hour/week<br />
directive by taking nine weeks leave annually.<br />
Specialists are resident on call yet this close<br />
supervision did not necessarily create confident<br />
juniors. Nurse anaesthetists often deprived them<br />
of h<strong>and</strong>s-on time. I missed our assertive<br />
registrars with their constant questions that keep<br />
me up to date.<br />
We're glad to be back now at the end of the<br />
world. We have had a myriad of rich <strong>and</strong><br />
sometimes difficult experiences, the children<br />
speak French, but most importantly that mid-life<br />
crisis feeling has been thoroughly buried - for the<br />
moment.<br />
Queries from readers are welcome.<br />
(jtorrie@adhb.govt.nz).<br />
Hong Kong Society of Anaesthetists<br />
Golden Jubilee<br />
Fellows of the <strong>College</strong> who have been involved<br />
in the development of anaesthesia in Hong Kong<br />
will be interested to read of the Golden Jubilee of<br />
their Society held in August 2005.<br />
Our <strong>College</strong> <strong>and</strong> its former Faculty assisted in the<br />
recognition of anaesthesia in that region by<br />
establishing examinations <strong>and</strong> providing tutors<br />
for courses. Many will remember the<br />
involvement <strong>and</strong> encouragement of the late<br />
Professor Tan Sri G. B. Ong (Professor of Surgery,<br />
University of Hong Kong,) <strong>and</strong> Zoltan Lett (better<br />
known as Lefty) who pioneered our specialty in<br />
the colony over many years. Lefty was G.B. Ong's<br />
anaesthetist for many years, <strong>and</strong> was unremitting<br />
in his efforts to further the development of our<br />
specialty. Although now retired <strong>and</strong> living in<br />
Engl<strong>and</strong>, he attended the Jubilee <strong>and</strong> was<br />
honored for his role.<br />
The Council Members of the Society of Anaesthetist of Hong Kong <strong>and</strong> Past Presidents: (Back Row L-R) - Gigi Wong, Libby Lee, Vivian Ng,<br />
Joseph Lui, CW Cheung, SK Ng, CF Fung, Joe Kwok, Steven Wong, Tommy Suen; (Front Row L-R) - YF Chow, Ronald Lo, ML Yeung, Zoltan Lett,<br />
CT Hung <strong>and</strong> CK Chan<br />
Dr Noel Cass, F<strong>ANZCA</strong>
28 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Anaesthesia Isl<strong>and</strong> Style:<br />
Samoan Working Holiday<br />
This is the story of my experiences in Samoa<br />
during October 2005. The opportunity arose one<br />
Friday when a request was made for a senior<br />
registrar to accompany a VMO anaesthetist to<br />
Samoa. The VMO was Dr S<strong>and</strong>y Gillies <strong>and</strong> the<br />
trip was to provide cover for local doctors to<br />
attend a conference. I was very keen <strong>and</strong> was<br />
fortunate to be the lucky applicant.<br />
The Samoan isl<strong>and</strong>s lie in the middle of the<br />
South Pacific isl<strong>and</strong> chain around 1000km<br />
northeast of Fiji. The people are Polynesian <strong>and</strong><br />
Samoa is divided into two parts based on 20th<br />
century colonial expansion. It was divided into<br />
German <strong>and</strong> American parts in 1899 <strong>and</strong> the<br />
German section was seized by <strong>New</strong> Zeal<strong>and</strong> in<br />
the First World War. It obtained independence<br />
from <strong>New</strong> Zeal<strong>and</strong> in 1962 as Western Samoa <strong>and</strong><br />
changed its name to the Independent State of<br />
Samoa in 1997.<br />
Vavau Beach<br />
My destination was Tupua Tamasese Meaole<br />
Hospital in Apia, Independent Samoa. This is the<br />
national hospital <strong>and</strong> serves a population of<br />
around 180,000 people. The hospital is staffed by<br />
30 Samoan <strong>and</strong> 10 expatriate (Indian <strong>and</strong><br />
Chinese) consultants <strong>and</strong> at the time of our<br />
arrival they were 3 weeks into a doctor's strike.<br />
The strike involved the Samoan doctors <strong>and</strong> was<br />
for better wages <strong>and</strong> conditions but they were<br />
still doing emergencies (unpaid) while on strike.<br />
The expatriate staff was exhausted <strong>and</strong> the strike<br />
continued for the duration of our stay.<br />
The anaesthetic equipment was old but<br />
serviceable, <strong>and</strong> during my time there I was able<br />
to appreciate the advantages of some of this<br />
equipment in a humid environment with an<br />
erratic electrical <strong>and</strong> gas supply. The old Boyles<br />
machine only needed an oxygen supply to work<br />
<strong>and</strong> its stainless steel construction is very robust.<br />
Its twin attached backup oxygen cylinders were<br />
very useful as we had temporary wall oxygen<br />
supply failure around twice a week. It did not<br />
have an anti-hypoxic flowmeter device. There<br />
was an electric bag in bottle type ventilator, a<br />
circle circuit <strong>and</strong> a range of T piece circuits using<br />
valves on the bag. I made an open bag T-piece<br />
circuit with scissors, assorted spare tubing <strong>and</strong><br />
connectors which proved very useful later in the<br />
trip. There was a range of laryngoscopes of<br />
varying brightness <strong>and</strong> a selection of new <strong>and</strong><br />
recycled endotracheal tubes. There was no gas<br />
monitoring (CO2, N2O, O2, or agent) <strong>and</strong><br />
electronic monitoring was limited to portable<br />
Welsh Allyn units for ECG, NIBP <strong>and</strong> SpO2.<br />
Clinical monitoring assumed a critical role.<br />
Colour, chest movement, a finger on the pulse<br />
<strong>and</strong> auscultation play a far more prominent role<br />
when you don't have the array of safety<br />
equipment that modern systems have.<br />
Endotracheal tube placement could only be<br />
confirmed with auscultation <strong>and</strong> a finger on the<br />
pulse substituted for invasive arterial monitoring.<br />
There were shortages of some important items<br />
with only 22 gauge Quincke (cutting tip) needles<br />
available for spinal anaesthetics.<br />
Dr Andrew Mitchell with a Paediatric Case<br />
Drugs were predominantly generic <strong>and</strong><br />
manufactured in India or South East Asia. There<br />
were good supplies of most drugs with the<br />
exception of vasopressors <strong>and</strong> relaxants. There<br />
were only 8 ampoules of ephedrine (but heaps of<br />
adrenaline) <strong>and</strong> 19 ampoules of atracurium (but<br />
heaps of sux). These drugs had been on order for<br />
some time but did not arrive during my stay.<br />
Many drugs we take for granted, such as<br />
metaraminol <strong>and</strong> propofol were not stocked.<br />
Halothane is the only volatile agent, <strong>and</strong> I came<br />
away with the feeling that it is currently the ideal<br />
agent for the job. Its gives a fast smooth gas<br />
induction, while awakening is quick enough<br />
when combined with nitrous oxide, <strong>and</strong> it is very<br />
affordable. White sticking plaster was one of the<br />
most versatile items in the theatre. It was ripped<br />
into a variety of widths <strong>and</strong> was used for<br />
securing everything from endotracheal tubes, IV<br />
lines <strong>and</strong> errant equipment, as well as b<strong>and</strong>ages.<br />
A usual day began with a family breakfast of<br />
tropical fruit, toast <strong>and</strong> fresh doughnuts. Then a<br />
short walk to the hospital where the day's list<br />
would be planned with pre-operative<br />
assessments in the corridor. These were usually<br />
via a relative interpreting, so we kept to the<br />
essentials. In addition to the expected<br />
appendectomies, fractures <strong>and</strong> diabetic<br />
amputations there were a number of notable<br />
cases.<br />
An early one was a 15 day old neonate with a<br />
massive 15cm by 8cm anterior neck abscess. It
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 29<br />
occupied 2/3 of the circumference of the neck<br />
<strong>and</strong> surprisingly, there were no signs of airway<br />
obstruction. All emergency drugs were prepared,<br />
IV access was secured, <strong>and</strong> then a gas induction<br />
was commenced. When the baby was deeply<br />
anaesthetized, S<strong>and</strong>y did a laryngoscopy to<br />
confirm what appeared to be an easy airway. We<br />
then carried on with a spontaneous breathing<br />
anesthetic with the knowledge that the airway<br />
could be secured if we had any trouble. S<strong>and</strong>y<br />
introduced me to the praecordial stethoscope for<br />
this case (a stethoscope attached to the chest<br />
with sticking plaster) which is an outst<strong>and</strong>ing<br />
monitor of heart rate, breathing <strong>and</strong> airway<br />
patency.<br />
I did my first obstetric cord prolapse one night<br />
where the midwife had been holding back the<br />
cord for over an hour. The woman was prepared<br />
for induction in the head down kneeling position<br />
on the trolley. When everything was ready we<br />
rolled her onto the theatre table <strong>and</strong> followed<br />
with thiopentone <strong>and</strong> suxamethonium. The baby<br />
was out shortly after the ET tube was secured<br />
followed by an unexpected second baby…twins!<br />
When the case was finished, I walked home as<br />
the day was dawning with an intense feeling of<br />
personal satisfaction.<br />
One of the most memorable aspects to the trip<br />
was the people. They are very friendly <strong>and</strong><br />
welcoming. It was humbling to see the trust they<br />
would give to a foreign doctor. The capacity of<br />
the sick children to bounce back was incredible.<br />
One child who presented with a one week<br />
history of bowel obstruction (from a remote<br />
village) was one of the most unwell children I<br />
have ever seen. Following aggressive rehydration<br />
<strong>and</strong> a laparotomy for an incarcerated hernia he<br />
was smiling <strong>and</strong> asking for breakfast the next<br />
morning.<br />
Dr Andrew Mitchell with a Paediatric Case<br />
Dr Andrew M Mitchell<br />
BSc MB ChB DCH Dip Obs (F<strong>ANZCA</strong> from Feb 06)<br />
Trainee no. 16435<br />
Currently Anaesthetic Fellow, The Alfred<br />
Hospital, Melbourne till Feb 5 <strong>2006</strong><br />
Will Be Staff Specialist , Royal Darwin Hospital<br />
from May <strong>2006</strong><br />
Dr S<strong>and</strong>y Gillies <strong>and</strong> Theatre Staff<br />
When the day was done we alternated nights on<br />
call <strong>and</strong> some of the best cases were at night. It<br />
would start with a phone call, then an ambulance<br />
would arrive to take you to the hospital as<br />
marauding dogs were a danger at night. On my<br />
first night we had a scary case of a 7 year old boy<br />
who had been hit by a bus <strong>and</strong> had a pelvic<br />
fracture with frank haematuria. He was booked<br />
for an exploratory laparotomy <strong>and</strong> I did the case<br />
with Dr Yuan, a Chinese anaesthetist. It was a bit<br />
"touch <strong>and</strong> go" as the surgeons ran into about<br />
one hour of intractable bleeding, where we<br />
measured the loss of over half his estimated<br />
blood volume. I feared that the development of a<br />
dilutional coagulopathy would be a terminal<br />
event, so I took blood myself from his cousin<br />
(who shared the same blood group) in a side<br />
room. After quickly crossmatching, we transfused<br />
the whole blood while it was still warm. He<br />
survived but developed what appeared to be a<br />
vesico-peritoneal fistula.<br />
The pace of work was relaxed most of the time<br />
<strong>and</strong> I took a few days holiday at the end to stay<br />
with my family on a remote white s<strong>and</strong>y beach.<br />
Overhanging rainforest provided welcome shade<br />
<strong>and</strong> a crystal clear lagoon was great for<br />
swimming. Ice cold local beer with delicious local<br />
food made for a memorable end to a very<br />
satisfying working holiday.<br />
Acknowledgements<br />
I would like to thank Dr S<strong>and</strong>y Gillies for<br />
arranging this trip. I would also like to thank the<br />
staff of the Tupua Tamasese Meaole Hospital for<br />
making me very welcome <strong>and</strong> Professor Paul<br />
Myles for arranging the special educational leave<br />
that allowed me to go. Finally I would like to<br />
thank my partner Deidre for looking after our<br />
three preschoolers in a single hotel room while I<br />
had fun at work.<br />
Author Dr Andrew Mitchell<br />
A Local Church
30 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
CCrISP<br />
Care of the Critically ill Surgical Patient Course<br />
Do you have an active interest in acute<br />
surgical care<br />
Do you have an interest in teaching<br />
You can combine these interests by becoming<br />
a CCrISP faculty member.<br />
"Becoming an instructor in the CCrISP program is<br />
a valuable contribution to the training of junior<br />
doctors <strong>and</strong> provides a medical <strong>and</strong> educational<br />
leaning experience for the instructor."<br />
Ian Civil Chair BBST Board<br />
What is CCrISP<br />
• Two <strong>and</strong> half day course designed to advance<br />
the practical, theoretical <strong>and</strong> personal skills<br />
necessary for the care of the critically ill<br />
surgical patient<br />
• Delivered by a multidisciplinary instructor<br />
faculty of surgeons, anaesthetists, intensivists<br />
<strong>and</strong> emergency physicians<br />
The Fellows of <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong><br />
<strong>College</strong> of Anaesthetists Joint Faculty of<br />
Intensive Care Medicine Faculty of Pain<br />
Medicine <strong>and</strong> the Australasian <strong>College</strong> for<br />
Emergency Medicine (ACEM) are significantly<br />
involved at the CCrISP committee level <strong>and</strong><br />
would welcome the participation of their<br />
colleagues.<br />
CCrISP Committee<br />
Chair, Mr Adrian Anthony FRACS<br />
Deputy Chair, Mr Adrian Nowitzke, FRACS<br />
Dr Peter Clark, FACEM, FJFICM, F<strong>ANZCA</strong><br />
Dr Heather Low, FRACP FJFICM<br />
Dr Colin King, F<strong>ANZCA</strong><br />
Dr Garry Wilkes, FACEM<br />
Mr Philip Truskett, FRACS<br />
Mr Phil Morreau, FRACS<br />
Mr Ian Civil, FRACS<br />
Mr David Andrews, FRACS<br />
Mr Mike Hunter, FRACS<br />
Mr Michael Rowl<strong>and</strong>, FRACS<br />
Who is it for<br />
• M<strong>and</strong>atory for Basic Surgical Trainees within<br />
the first 2 years of training<br />
• Medical Officers working <strong>and</strong> training across<br />
the range of surgical <strong>and</strong> related disciplines<br />
Instructor Training Process<br />
1. Attend CCrISP course workshop as an<br />
instructor c<strong>and</strong>idate<br />
2. Attend a CCrISP instructor course. However, if<br />
you have previously completed a recognised<br />
Instructors Course you are not required to<br />
complete a CCrISP instructor course<br />
3. Instruct on CCrISP course as an instructor<br />
c<strong>and</strong>idate<br />
4. Once successfully critiqued, instruct on a<br />
course as a fully qualified CCrISP instructor<br />
Benefits of involvement are:<br />
• Networking with peers <strong>and</strong> other specialty<br />
colleagues<br />
• Airfares, accommodation <strong>and</strong> meals incurred<br />
during formal training process covered by the<br />
<strong>College</strong><br />
• Accommodation <strong>and</strong> travel when instructing<br />
interstate covered by the <strong>College</strong><br />
For further information <strong>and</strong> an application<br />
form please contact<br />
Antoinette Moar<br />
Skills Training Department<br />
Royal Australasian <strong>College</strong> of Surgeons<br />
<strong>College</strong> of Surgeons' Gardens<br />
Spring Street<br />
Melbourne VIC 3000<br />
Tel: 03 9276 7421<br />
Fax: 03 9249 1298<br />
Email: antoinette.moar@surgeons.org<br />
Or visit the college website<br />
http://www.surgeons.org/AM/Template.cfmSect<br />
ion=Care_of_the_Critically_Ill_Surgical_Patient<br />
_CCrISP_&Template=/CM/HTMLDisplay.cfm&Co<br />
ntentID=8133<br />
Staff Profile<br />
Kirsty Robinson<br />
Following 7 years working for Heinz <strong>and</strong> 2<br />
years working for local Council, Kirsty<br />
moved from the UK to Australia in<br />
November 2004 with her husb<strong>and</strong>. Kirsty<br />
joined the <strong>College</strong> in February 2005<br />
working in Reception. Free time is spent<br />
cycling, eating out, going to the cinema <strong>and</strong><br />
exploring Melbourne.
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 31<br />
<strong>ANZCA</strong> Training Scholarships for 2007<br />
<strong>ANZCA</strong> will make available 20 scholarships each year to assist trainees who are suffering severe financial hardship. Each<br />
Scholarship will be awarded in the form of a 50% reduction in the Annual Training Fee for the following year. Applicants<br />
must be registered trainees of <strong>ANZCA</strong>, the Joint Faculty of Intensive Care Medicine or the Faculty of Pain Medicine.<br />
Applications must be submitted on the prescribed <strong>ANZCA</strong> application form, copies of which are<br />
available from Dannielle Bonney<br />
Email dbonney@anzca.edu.au or Telephone +61 3 9510 6299<br />
The closing date for applications for 2007 is 29th July <strong>2006</strong>. Successful applicants will be notified in October.<br />
<strong>ANZCA</strong> International Scholarship for 2007<br />
The <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetists invites suitable<br />
applicants for the <strong>ANZCA</strong> International<br />
Scholarship for 2007.<br />
This prestigious award is directed at<br />
anaesthetists of the highest quality who<br />
are destined to be leaders in their home<br />
countries. The Scholarship is offered to a<br />
young anaesthetist (up to 40 years of<br />
age) from Papua <strong>New</strong> Guinea, Fiji or the<br />
South Pacific Isl<strong>and</strong>s. Applications from<br />
Myanmar, Vietnam, Laos or Cambodia<br />
will also be considered. It is intended to<br />
provide an opportunity for the<br />
anaesthetist to develop skills to manage<br />
a Department <strong>and</strong> to become competent<br />
in the teaching of others in their home<br />
country.<br />
The Scholarship is tenable generally for<br />
one year in a Department of a major<br />
hospital in Australia or <strong>New</strong> Zeal<strong>and</strong>. It<br />
covers travel expenses between the<br />
home country <strong>and</strong> Australia or <strong>New</strong><br />
Zeal<strong>and</strong> <strong>and</strong> may also include the<br />
scholar’s spouse <strong>and</strong> children under 16<br />
years. A living allowance will be<br />
provided. During the tenure of the<br />
Scholarship it is anticipated that the<br />
appointee will attend the Annual<br />
Scientific Meeting of the <strong>College</strong>.<br />
The closing date for this Scholarship is<br />
Friday, 18 August <strong>2006</strong>. No late<br />
applications will be considered.<br />
To obtain additional information on the<br />
Scholarship <strong>and</strong> a copy of the<br />
Application Form, please contact:<br />
Ms Dannielle Bonney<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetists<br />
630 St Kilda Road Melbourne Vic 3004<br />
Tel: +61 3 8517 5345<br />
Fax: +61 3 9510 6931<br />
Email: dbonney@anzca.edu.au
32 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Special Interest<br />
Joan Sheales’ Retirement Dinner<br />
A farewell dinner for Joan Sheales was held at<br />
<strong>ANZCA</strong> House last November, shortly after her<br />
retirement. Guests included many of her<br />
Presidents <strong>and</strong> Deans (pictured), <strong>and</strong> a large<br />
number of friends, including Fellows <strong>and</strong> staff.<br />
President, Professor Michael Cousins AM, spoke<br />
of Joan's achievements, followed by impromptu<br />
anecdotes from Barry Baker <strong>and</strong> Garry Phillips.<br />
Joan responded, <strong>and</strong> spoke of the support she<br />
had received from staff <strong>and</strong> Fellows, <strong>and</strong> her<br />
vision for <strong>ANZCA</strong>. She received a pearl bracelet<br />
as a gift from the <strong>College</strong>.<br />
Joan's farewell after 25 years of dedicated service<br />
to the <strong>College</strong> was held, appropriately, in the<br />
setting of <strong>ANZCA</strong> House.
34 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Report<br />
9th Annual Registrars Meeting<br />
On Saturday 29th October the 9th Annual<br />
Registrars Meeting was held at 50 Water Street<br />
Spring Hill. The 15 presentations included 14<br />
from in Queensl<strong>and</strong> <strong>and</strong> one from <strong>New</strong> Zeal<strong>and</strong>.<br />
In total, 45 people were in attendance on the day<br />
<strong>and</strong> it was a great success.<br />
Adjudicators this year were, Dr Genevieve<br />
Goulding, Dr Michael Fanshawe, Dr Martin<br />
Wakefield <strong>and</strong> Dr Tim O'Brien. These doctors<br />
were representative of our 3 major tertiary<br />
hospitals, Royal Brisbane <strong>and</strong> Womens' Hospital,<br />
the Princess Alex<strong>and</strong>ra Hospital <strong>and</strong> the Mater<br />
Public Hospital, as well as Dr Michael Fanshawe<br />
who is in private practice. Dr Diana Webster<br />
generously donated her time as Time Keeper <strong>and</strong><br />
did a great job of ensuring the day ran to time.<br />
All presentations were of high quality <strong>and</strong> the<br />
winner of the "Tess Cramond Award" was Dr<br />
Frank Phillips, with his presentation titled<br />
"Syringe Injection of Blood <strong>and</strong> Haemolysis of<br />
Red Blood Cells".<br />
Axxon Health generously sponsored the second<br />
place award <strong>and</strong> named it in honour of Dr<br />
Michael Beem in recognition of his contribution<br />
to anaesthesia in Queensl<strong>and</strong>. Michael <strong>and</strong> his<br />
wife Sylvia were able to join us in the afternoon<br />
for presentations with Dr Beem presenting his<br />
talk on welfare of anaesthetists to the group. The<br />
adjudicators agreed the winner to be Dr David<br />
Trappet who presented "The Effects of an<br />
Epidural Blood Patch on CSF Absorption"<br />
We were delighted that Professor Tess Cramond,<br />
Dr Michael Beem <strong>and</strong> Dr Chris Beem Chairman of<br />
Axxon Health, were able to attend to present the<br />
awards for first <strong>and</strong> second place <strong>and</strong> thanked<br />
them for their continued support of Anaesthesia<br />
Education in Queensl<strong>and</strong><br />
The day was opened by the Queensl<strong>and</strong> ASA<br />
Chairman, Dr Martin Culwick <strong>and</strong> closed by our<br />
Queensl<strong>and</strong> Regional Committee Formal Projects<br />
Officer Dr Pal Sivalingam.<br />
On behalf of everyone I would again like to thank<br />
Ms Anne Strasburg & Ms Sharon Miethke for their<br />
organisation <strong>and</strong> administrative assistance.<br />
Dr Pal Sivalingam<br />
Formal Projects Officer (Qld)<br />
Queensl<strong>and</strong> Regional Committee<br />
Award Winners (L-R) -Martin Culwick, Peter Chong (Cecil Gray Award) Michael Beem, Jack Huang (Merit Award), Cindy Ding (Merit Award) <strong>and</strong> Ben Zugai (Merit Award)
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 35<br />
C<strong>and</strong>idates - David Belavy, Mark Robinson, Matthew Howes, Peter Chong, Tony Ringuet, Trevor Ghidella, Frank Phillips, Isabelle Ha, Peta Lorroway, Pal Sivalingam, Marsha Golikov, Kirsty Bennett, David Trappett,<br />
Kasia Charbucinska, David Rowe <strong>and</strong> Heidi Walker<br />
Axxon Health Prize Winner Dr David Trappett (centre) with Drs Chris Beem (left) <strong>and</strong> Michael Beem (right)<br />
Winner of the "Tess Cramond Award" Dr Frank Phillips, with Professor Cramond<br />
2005 Adjudicators (L-R) - Pal Sivalingam, Martin Wakefield, Tim O'Brien, Michael Fanshawe, Genevieve Goulding<br />
Organisers of the 9th Annual Registrars Meeting (L-R), Ms Anne Strasburg, Dr Genevieve Goulding<br />
<strong>and</strong> Ms Sharon Miethke
36 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
<strong>ANZCA</strong> <strong>New</strong> Zeal<strong>and</strong> Adminstrative Officer<br />
Retires after 27 Years<br />
In November 2005, Lorna Berwick retired as<br />
Administrative Officer at the <strong>ANZCA</strong> <strong>New</strong><br />
Zeal<strong>and</strong> Office. Lorna had given loyal service to<br />
the Faculty <strong>and</strong> <strong>College</strong> of Anaesthetists for over<br />
27 years, <strong>and</strong> this was recognized by the<br />
awarding of an <strong>ANZCA</strong> Council Citation.<br />
To mark the occasion, the <strong>New</strong> Zeal<strong>and</strong><br />
Committee held a dinner in Lorna's honour. It<br />
was a real measure of the esteem that past<br />
committee Chairs have for Lorna that twelve of<br />
them, spanning the 27 years, were able to come<br />
to Wellington to attend.<br />
This evening was a special occasion as the<br />
photos bear witness. Professor Alan Merry<br />
(<strong>ANZCA</strong> Council member - <strong>New</strong> Zeal<strong>and</strong>), Dr<br />
Vaughan Laurenson (current <strong>New</strong> Zeal<strong>and</strong><br />
National Committee Chair) <strong>and</strong> Dr Basil<br />
Hutchinson (NZNC Chair, 1975 - 78) spoke of<br />
Lorna's time with the Faculty <strong>and</strong> <strong>College</strong> <strong>and</strong> the<br />
<strong>ANZCA</strong> Council Citation was presented.<br />
In the early years Lorna also worked for the<br />
RACS. There are many surgical <strong>and</strong> anaesthesia<br />
trainees <strong>and</strong> specialists who have benefited from<br />
Lorna's caring <strong>and</strong> enthusiastic commitment to<br />
the welfare of the <strong>College</strong>s <strong>and</strong> Faculty.<br />
Seated (L to R) - Dr Leona Wilson (1992-1994), Prof Alan Merry (1996-1999), Lorna Berwick, Dr Ron Trubuhovich (FIC, 1994-1998), Dr Malcolm<br />
Futter (1999-2001)<br />
St<strong>and</strong>ing (L to R) - Drs Vaughan Laurenson (2005 - ), Dr Basil Hutchinson (1975-1978), Dr Hugh Clarkson (1984-1986), Dr Peter Cooke (2003-<br />
2005), Dr Mack Holmes (1978-1981), Dr Tony <strong>New</strong>son (1986-1988), Dr Jack Havill (1994-1996) <strong>and</strong> Prof John Gibbs (1981-1984)<br />
Lorna has asked me to include a message from<br />
her: To all the many people I've been in touch<br />
with over the years by email, phone,<br />
correspondence etc - goodbye! It's been a real<br />
pleasure working with all of you <strong>and</strong> I will find it<br />
very quiet at first in my retirement. Many thanks<br />
for all your help. Lorna Berwick<br />
Heather Ann Moodie. Executive Officer, <strong>ANZCA</strong><br />
<strong>New</strong> Zeal<strong>and</strong> Office<br />
Presentation of Council Citation - Dr Vaughan Laurenson, Chair,<br />
<strong>ANZCA</strong> NZNC <strong>and</strong> Lorna Berwick<br />
Guests (Current NZNC members <strong>and</strong> staff, Past NZNC Chairs <strong>and</strong><br />
accompanying guests)
65th National Scientific<br />
Congress <strong>2006</strong><br />
Hyatt Regency Coolum<br />
Sunshine Coast Qld<br />
21-24 October <strong>2006</strong><br />
Invited Speakers<br />
Associate Professor Glenn Gravlee, United States<br />
DrFlorianNuevo, Philippines<br />
Professor Beverly Orser, Canada<br />
Associate Professor Stephen Gatt, Australia<br />
Organisers Australia<br />
PO Box 1237Milton, Qld 4064 AUSTRALIA<br />
Ph: +61 7 3371 0333 Fax: +61 7 3371 0555<br />
Email: asa<strong>2006</strong>@orgaus.com.auWeb: www.asa<strong>2006</strong>.com
Victorian Regional Committee Courses<br />
<strong>2006</strong> Primary Courses<br />
Primary Fulltime Course<br />
29 May – 9 June<br />
Open: 19 April Close: 5 May $ 368.50 (GST Inc)<br />
Primary Fulltime Course<br />
13 - 24 November<br />
Open: 2 October Close: 13 October $ 368.50 (GST Inc)<br />
Primary Tutorial Course<br />
26 - 30 June<br />
(Victorian Trainees Only) Close: 26 May $ 165.00 (GST Inc)<br />
Primary Trial Orals<br />
7, 29 <strong>March</strong>, 3, 5 April<br />
Close: 1 <strong>March</strong><br />
No Charge<br />
<strong>2006</strong> Part II Courses<br />
Part II Fulltime Course<br />
3 - 7 July<br />
Open: 5 June Close: 23 June $ 258.50 (GST Inc)<br />
Part II Medical Refresher<br />
29 April, 6, 13, 20 May<br />
(Monash Saturday Morning) Close: 13 April $ 203.50 (GST Inc)<br />
Part II Medical Refresher<br />
19, 26 August, 2, 9 September<br />
(Monash Saturday Morning) Close: 13 April $ 203.50 (GST Inc)<br />
Part II Anatomy Course<br />
26, 28 June, 3, 5 July<br />
Close: 9 June<br />
No Charge<br />
Part II Trial Orals<br />
1, 3, 8, 10 May<br />
Close: 21 April<br />
No Charge<br />
Part II Trial Orals<br />
4, 6, 11, 13 September<br />
Close: 28 August<br />
No Charge<br />
Further details regarding courses may be obtained from Robert John, Administrative Assistant, Victorian Regional Committee,<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists, <strong>ANZCA</strong> House, Level 2, 630 St Kilda Road, Melbourne Vic 3004.<br />
Email rjohn@anzca.edu.au Telephone: (03) 9510 6299, or Fax (03) 9510 6786 or 8517 5360
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 39<br />
Joint Faculty of Intensive Care Medicine<br />
Article Dean’s Message Heading Here<br />
Heading/ subhead<br />
Mpst Kia Ora eecent (Greetings), meetjng pf the nktjpn’s heklth<br />
mjnjstees, Kastekljk’s fjest Heklth Wpekfpece<br />
Stektegjc I trust you Fekmewpek all had a good wks. break over the<br />
summer holidays. Faculty life continues apace<br />
Jts’ <strong>and</strong> paeppse there are js a tp number kchjeve of nktjpnkl developments cppedjnktjpn<br />
knd <strong>and</strong> changes. cpppeektjpn between heklth ckee seevjces,<br />
pepfessjpnkl gepaps, cpnsamee knd ckeee<br />
gepaps, Most will knd be aware the edacktjpn, that Joan tekjnjng Sheales knd the<br />
jndastejkl previous CEO sectpes. of <strong>ANZCA</strong> The stektegjc passed away fekmewpek recently. wjll I<br />
cpmpejse:<br />
wish to pay tribute to her <strong>and</strong> the way she<br />
supported the Faculty at various stages of its<br />
Jt js pepppsed thkt dpctpes wjll be kble tp<br />
history. Joan contributed a mixture of emotional<br />
pekctjce kcepss stktes pn the bksjs pf theje<br />
support <strong>and</strong> rigorous procedure over many<br />
eegjstektjpn jn theje jaejsdjctjpn pf pejmkey<br />
years <strong>and</strong> that has left the Faculty with an<br />
pekctjce. Dpctpes wjll npt be eeqajeed tp kpply<br />
excellent basis for the future. In her case, her<br />
fpe sepkekte eegjstektjpn npe pky sepkekte<br />
enormous contributions will live on for a<br />
eegjstektjpn/eenewkl fees jn ekch<br />
long time.<br />
Stkte/Teeejtpey jn whjch he/she wjshes tp<br />
pekctjce.<br />
Dean Elect<br />
The pepppsed chknges wjll jnclade<br />
the estkbljshment pf nktjpnklly cpnsjstent<br />
cktegpejes At the February pf medjckl Board eegjstektjpn meeting, Dr Richard knd wjll Lee be<br />
kccpmpknjed was elected Dean by k Elect. geektee Most eple of fpe you stkte will know knd<br />
teeejtpey him as an bpkeds excellent jn person kssessjng as the has mkjntenknce<br />
pf contributed pepfessjpnkl extensively cpmpetency. in a number The medjckl of<br />
eegjstee portfolios, wpald particularly klsp seeve as Censor ks k clekeee <strong>and</strong> Chairman spaece<br />
pf of the dktk Examination pn the nambee Committee. knd djstejbatjpn The Board pfis<br />
dpctpes very pleased jn Kastekljk that Richard whjch has cpald agreed altjmktely to take the<br />
kssjst position. jn bettee He will medjckl take office wpekfpece in June. plknnjng.<br />
“The Joint Faculty of<br />
Intensive Care<br />
Medicine, is<br />
continuing to develop<br />
into an identifiable,<br />
viable, independent<br />
body responsible for<br />
st<strong>and</strong>ards <strong>and</strong> training<br />
in intensive care<br />
medicine, including<br />
teaching <strong>and</strong><br />
research”.<br />
Plkns <strong>New</strong> Fellow hkve been or Trainee mkde tp Representation<br />
eeplkce the caeeent<br />
Nktjpnkl on Board Cpmpendjam pf Medjckl Eegjstees<br />
(NCME) wjth k new web-bksed nktjpnkl dktk<br />
bkse, The Board the Kastekljkn has been Jndex considering pf Medjckl representation<br />
Pekctjtjpnees. of a trainee on The the extent Board for pf jnfpemktjpn some time. This thktis<br />
wjll consistent be mkde with pabljcly other <strong>College</strong>s kvkjlkble <strong>and</strong> wjll the be wishes<br />
eecpnsjdeeed of other jurisdictions. by the heklth After discussion Mjnjstees with (jn Jaly our<br />
2004) Trainee fpllpwjng Committee pbjectjpns <strong>and</strong> with ekjsed <strong>New</strong> Fellows by the at<br />
Kastekljkn their conference, Medjckl we Ksspcjktjpn have decided wjth to eegked appoint tpa<br />
peptectjng <strong>New</strong> Fellow pekctjtjpnees’ (less than five pf years peespnkl post<br />
jnfpemktjpn.<br />
Fellowship) to the Board for a maximum of<br />
three years. This position will have full voting<br />
Pthee rights <strong>and</strong> jssaes an cknvkssed election will by occur the mjnjstees as per the usual<br />
jncladed, Board processes. nktjpnklly It is cpnsjstent considered pktjent that this ptpcp. will<br />
allow representation of the trainee voice with<br />
Kt thjs stkge the Mjnjstees hkve kgeeed thkt kll<br />
the perspective of having just experienced the<br />
pabljc hpspjtkls wjll hkve jn plkce k pktjent<br />
whole process.<br />
skfety ejsk plkn by the end pf 2005. Tp thjs end<br />
jt hks been kgeeed thkt kll pabljc hpspjtk.<br />
Journal of Critical Care <strong>and</strong> Resuscitation<br />
Mpee jnfpemktjpn pn these jnjtjktjves js<br />
kvkjlkble<br />
Excellent news<br />
pn the<br />
was<br />
Kastekljkn<br />
received<br />
Cpancjl<br />
regarding<br />
fpe<br />
the<br />
Skfety<br />
knd<br />
Journal<br />
Qakljty<br />
in late<br />
jn Heklth<br />
2005. It<br />
Ckee<br />
has now<br />
hpme<br />
been<br />
pkge<br />
indexed<br />
tp be<br />
fp<strong>and</strong><br />
<strong>and</strong> this<br />
kt<br />
will<br />
http://www.skfetykndqakljty.peg<br />
be backdated to the first issue.<br />
Congratulations to "Tub" Worthley <strong>and</strong> Vernon<br />
Mjnjstees van Heerden kgeeed for the thkt excellent kll pegkn work dpnktjpn done <strong>and</strong><br />
legjslktjpn thank you to shpald the many clekely contributors stkte thkt the who expeess have<br />
wjshes supported pf the deceksed Journal to pn date. the Kastekljkn Pegkn<br />
Dpnpe Eegjstee shpald be gjven effect. Jf thjs<br />
cpnsent What is exjsts the Future Mjnjstees of the kgeeed Joint Faculty theee shpald<br />
npt be kny eeqajeement fpe cpnsent fepm the<br />
fkmjly At the Board kt the Planning tjme pf dpnktjpn. Meeting Jt in wks October klsp 2005,<br />
kgeeed, wide discussions hpwevee, were thkt eespect held including shpald looking be pkjdat<br />
tp the sjtaktjpns future. A wheee Vision Statement the fkmjly was kctjvely agreed: ppppses<br />
the dpnktjpn knd gajdeljnes need tp be<br />
“The Joint Faculty of Intensive Care Medicine, is<br />
peepkeed tp dekl wjth thjs.<br />
continuing to develop into an identifiable,<br />
Jts’ viable, paeppse independent js tp kchjeve body nktjpnkl responsible cppedjnktjpn<br />
for<br />
knd st<strong>and</strong>ards cpppeektjpn <strong>and</strong> training between in intensive heklth ckee care seevjces,<br />
pepfessjpnkl medicine, including gepaps, teaching cpnsamee <strong>and</strong> knd research”. ckeee<br />
gepaps, knd the edacktjpn, tekjnjng knd<br />
jndastejkl The aims of sectpes. this vision The are stektegjc to allow fekmewpek for: wjll<br />
cpmpejse.<br />
1. External recognition as an authoritative body,<br />
<strong>and</strong><br />
Jt js pepppsed thkt dpctpes wjll be kble tp<br />
pekctjce 2. Independence kcepss stktes in matters pn the of bksjs governance, pf theje<br />
eegjstektjpn decision-making jn theje <strong>and</strong> jaejsdjctjpn finance. pf pejmkey<br />
pekctjce. Dpctpes wjll npt be eeqajeed tp kpply<br />
fpe sepkekte eegjstektjpn npe pky sepkekte<br />
This eegjstektjpn/eenewkl vision's development fees <strong>and</strong> jn ekch timeframe needs<br />
to Stkte/Teeejtpey allow for: jn whjch he/she wjshes tp<br />
pekctjce. The pepppsed chknges wjll jnclade<br />
1. the The estkbljshment opinion of JFICM pf nktjpnklly Fellows, cpnsjstent<br />
cktegpejes pf medjckl eegjstektjpn knd wjll be<br />
2. kccpmpknjed Maintenance by of k collaborative geektee eple relationships<br />
fpe stkte knd<br />
teeejtpey with <strong>ANZCA</strong>, bpkeds RACP, jn kssessjng ANZICS, the ACEM mkjntenknce<br />
<strong>and</strong> other<br />
pf bodies, pepfessjpnkl cpmpetency. The medjckl<br />
eegjstee wpald klsp seeve ks k clekeee spaece<br />
3. Financial viability, <strong>and</strong><br />
pf dktk pn the nambee knd djstejbatjpn pf<br />
dpctpes jn Kastekljk whjch cpald altjmktely<br />
4. Workload dem<strong>and</strong>s of the Executive Office<br />
kssjst jn bettee medjckl wpekfpece plknnjng.<br />
<strong>and</strong> the Board.<br />
Jt js pepppsed thkt dpctpes wjll be kble tp<br />
Though<br />
pekctjce<br />
this<br />
kcepss<br />
will<br />
stktes<br />
be the<br />
pn<br />
Joint<br />
the<br />
Faculty's<br />
bksjs pf<br />
goal<br />
theje<br />
for<br />
the<br />
eegjstektjpn<br />
future, more<br />
jn theje<br />
ground<br />
jaejsdjctjpn<br />
work is required<br />
pf pejmkey<br />
to<br />
investigate<br />
pekctjce. Dpctpes<br />
key areas<br />
wjll<br />
such<br />
npt be<br />
as<br />
eeqajeed<br />
the financial<br />
tp kpply<br />
viability<br />
fpe sepkekte<br />
of such<br />
eegjstektjpn<br />
a project,<br />
npe<br />
the opinions<br />
pky sepkekte<br />
of the<br />
Fellows,<br />
eegjstektjpn/eenewkl<br />
<strong>and</strong> the sustainability<br />
fees jn ekch<br />
of becoming an<br />
independent<br />
Stkte/Teeejtpey<br />
<strong>College</strong>.<br />
jn whjch he/she wjshes tp<br />
pekctjce. The pepppsed chknges wjll jnclade<br />
The above discussion was underpinned by the<br />
the estkbljshment pf nktjpnklly cpnsjstent<br />
desire to maintain <strong>and</strong> enhance the<br />
cktegpejes pf medjckl eegjstektjpn knd wjll be<br />
relationships with parent colleges.<br />
kccpmpknjed by k geektee eple fpe stkte knd<br />
teeejtpey bpkeds jn kssessjng the mkjntenknce<br />
pf pepfessjpnkl cpmpetency. The medjckl<br />
eegjstee wpald klsp seeve ks k clekeee spaece<br />
pf dktk pn the nambee knd djstejbatjpn pf<br />
dpctpes jn Kastekljk whjch cpald altjmktely<br />
kssjst jn bettee medjckl wpekfpece plknnjng.<br />
Jack Havill<br />
Jts’ paeppse js tp kchjeve nktjpnkl cppedjnktjpn<br />
February <strong>2006</strong><br />
knd cpppeektjpn between heklth ckee seevjces,<br />
pepfessjpnkl gepaps, cpnsamee knd ckeee<br />
gepaps, knd the edacktjpn, tekjnjng knd<br />
jndastejkl sectpes. The stektegjc fekmewpek wjll<br />
cpmpejse.
40 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Report<br />
Report of the February <strong>2006</strong><br />
Board Meeting<br />
Education <strong>and</strong> Training<br />
The Education Committee has been asked to<br />
consider the issue of supporting or endorsing<br />
various courses that may be available to trainees<br />
or Fellows. This follows consideration of the<br />
BASIC Course, which has been run in <strong>New</strong><br />
Zeal<strong>and</strong> <strong>and</strong> also in Queensl<strong>and</strong>.<br />
The role of Supervisors of Training again came<br />
into focus <strong>and</strong> the issue of seniority versus<br />
experience <strong>and</strong> enthusiasm was debated.<br />
Award of the JFICM Medal<br />
The Board have decided to award the JFICM<br />
Medal (established in 2005) to Dr L.I.G. Worthley,<br />
for his contributions to intensive care medicine<br />
in Australia <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong>.<br />
PROFESSIONAL AFFAIRS<br />
The Board reviewed <strong>and</strong> approved Policy<br />
Document IC-7 "Administrative Services to<br />
Intensive Care Units". A copy of the new<br />
document is available on the Joint Faculty<br />
Website.<br />
Critical Care <strong>and</strong> Resuscitation<br />
The Board was delighted to note that the Journal<br />
is now indexed with the National Library of<br />
Medicine, <strong>and</strong> will be backdated to its first issue.<br />
<strong>ANZCA</strong> ASM <strong>2006</strong>, Adelaide<br />
Dr Geoff Shaw, Christchurch, is the Joint Faculty's<br />
Foundation Visitor for <strong>2006</strong>. He will be attending<br />
the <strong>ANZCA</strong> ASM in Adelaide <strong>and</strong> his talk will be<br />
entitled "Think smart or drive blind: sensors <strong>and</strong><br />
models in critical illness". Dr Shaw will be<br />
travelling to <strong>New</strong> South Wales following the ASM<br />
for further visits. Thanks go to Dr Mark Finnis for<br />
putting together a two day program, which<br />
touches on prehospital care <strong>and</strong> trauma, an<br />
update on CTG activities, Haematology <strong>and</strong><br />
Ventilation.<br />
RACP ASM <strong>2006</strong>, Cairns<br />
The Joint Faculty is providing a morning session<br />
to this meeting, which will be an intensive care<br />
for Physicians update. This covers progress with<br />
sepsis management, changes in the ICU in the<br />
last decade <strong>and</strong> Tropical Disease.<br />
JFICM ASM <strong>2006</strong> Melbourne<br />
The Board noted the proposed program for this<br />
meeting, which will follow the tradition of the<br />
single themed meeting, with 'Sepsis - Surviving<br />
the Guidelines' as its focus. A range of<br />
international <strong>and</strong> local speakers will examine the<br />
problems, the guidelines <strong>and</strong> focus on various<br />
therapies in a pro/con debate format. Following<br />
on from the success in 2005, the Conference<br />
Dinner will be held on Friday night <strong>and</strong> will host<br />
the presentation of Gradu<strong>and</strong>s as well as awards.<br />
<strong>New</strong> Fellows Conference, <strong>2006</strong><br />
Drs Nikki Blackwell, Qld, <strong>and</strong> Roger Harris, NSW<br />
were endorsed as further JFICM representatives<br />
to the <strong>New</strong> Fellows Conference in <strong>2006</strong>.<br />
Board Constitution<br />
Dr Neil Matthews, SA, will be retiring from the<br />
Board in June following 12 years of service to the<br />
Faculty of Intensive Care, <strong>ANZCA</strong>, <strong>and</strong> the JFICM,<br />
which included his period as Dean. One vacancy<br />
will therefore exist <strong>and</strong> a call for nominations has<br />
been circulated.<br />
The Board elected Dr Richard Lee (current Vice-<br />
Dean, Censor, <strong>and</strong> Chairman of the OTS<br />
Committee) as Dean to take office from June,<br />
when Dr Jack Havill will complete his two year<br />
tenure.<br />
Professor Napier Thomson will assume office as<br />
the President of the RACP in May. He will remain<br />
on the Board of Faculty as the Council<br />
representative, which the Board greatly<br />
appreciates.<br />
Following input from both the Trainee Committee<br />
<strong>and</strong> the intensive care representatives at the <strong>New</strong><br />
Fellows Conference, the Board has resolved to<br />
increase the membership of the Board by one to<br />
include a <strong>New</strong> Fellow Representative (a Fellow<br />
within five years of admission). It is intended<br />
that the position will be elected with full voting<br />
rights <strong>and</strong> will have a maximum tenure of three<br />
years.<br />
Vale<br />
The Board expressed its regret at the passing of<br />
Mrs Joan Sheales, former CEO, <strong>ANZCA</strong>. Joan's<br />
contributions to the Faculty of Intensive Care,<br />
<strong>ANZCA</strong>, <strong>and</strong> also the Joint Faculty were<br />
acknowledged.<br />
Expressions of Interest<br />
DISASTER PREPAREDNESS<br />
The Joint Faculty is seeking expressions of<br />
interest from Fellows wishing to be involved<br />
in encouraging disaster education <strong>and</strong> to<br />
help promote a cohesive group to consider<br />
disaster preparedness. Please contact the<br />
Executive Officer in the first instance on<br />
jficm@anzca.edu.au or on (03) 9530 2861.
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 41<br />
HONOUR - DR GEORGE NIKOLIC<br />
Dr George Nikolic was awarded an Order of Australia Medal for services<br />
to medicine, particularly in critical care in the ACT.<br />
Dr Nikolic immigrated from the Kingdom of Yugoslavia at the age of<br />
nineteen <strong>and</strong> some six years later, he successfully graduated from the<br />
University of Sydney Medical School. Having gained his Fellowship with<br />
the Royal Australasian <strong>College</strong> of Physicians he moved to Canberra to<br />
continue his interest in cardiology but found he increasingly spent more<br />
time in the intensive care unit at Woden Valley Hospital. To strengthen<br />
further his cardiological experience, he spent two years in the United<br />
States as a Cardiology Fellow.<br />
h<strong>and</strong>edly ran the Unit for ten years. During this time, he worked tirelessly<br />
without complaint always striving for the best for his patients. Since this<br />
time, he has continued as a Senior Staff Specialist in The Canberra<br />
Hospital's Intensive Care Unit.<br />
Dr Nikolic's clinical expertise is widely regarded <strong>and</strong> his opinion<br />
frequently sought both for medical <strong>and</strong> non-medical matters. His<br />
knowledge of ECGs is world class <strong>and</strong> he must have one of the world's<br />
largest collections of ECGs. He is extensively published in this area <strong>and</strong><br />
often helps registrars out with scanty publication lists!<br />
Dr Nikolic is married to Annette, with two children (both grown up) <strong>and</strong><br />
currently resides in Canberra.<br />
Upon his return to Australia in 1982, he took up the directorship of<br />
Woden Valley Hospital Intensive Care Unit where he virtually single<br />
Joint Faculty Fellowship Examinations <strong>2006</strong><br />
General Examinations<br />
1st Exam Location Date<br />
ORAL SECTION Brisbane 24th to 26th May <strong>2006</strong><br />
CLOSING DATE 30th January <strong>2006</strong><br />
2nd Exam Location Date<br />
WRITTEN SECTION All Major Centres 31st July <strong>2006</strong><br />
ORAL SECTION Melbourne 20th to 22nd September <strong>2006</strong><br />
CLOSING DATE 5th June <strong>2006</strong><br />
Paediatric Intensive Care Examination<br />
Location<br />
Date<br />
WRITTEN SECTION All Major Centres 31st July <strong>2006</strong><br />
ORAL SECTION Melbourne 18th September <strong>2006</strong><br />
CLOSING DATE 5th June <strong>2006</strong><br />
Closing Date for Applications<br />
Please note that late applications to present for<br />
a Faculty Examination after the closing date for<br />
that examination will not be accepted. This<br />
ruling must also apply to documentation in<br />
support of the application. For this reason,<br />
trainees are urged to send documented<br />
evidence of training to the Faculty Executive<br />
Officer early, even before the application to<br />
present for the examination, so that any<br />
problems in documentation can be clarified<br />
before the relevant examination closing date.<br />
LATE APPLICATION AND LATE<br />
DOCUMENTATION WILL NOT BE ACCEPTED<br />
AFTER THE CLOSING DATE FOR AN<br />
EXAMINATION<br />
ENTRY FEE: $2300<br />
The examination fee is to be remitted in <strong>Australian</strong><br />
dollars by BANK DRAFT or CREDIT CARD directly to<br />
the Faculty Office by the examination closing date<br />
together with completed Form 'G'<br />
Please take into consideration postage delays when<br />
sending applications near to the closing date. Overseas<br />
c<strong>and</strong>idates should allow extra time for applications to<br />
arrive by the closing date
42 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Report<br />
Intensive Care Foundation<br />
The Intensive Care Foundation has raised over<br />
$3.2 million <strong>and</strong> awarded over $1 million in<br />
research grants since the Appeal was launched in<br />
2000. Although the Foundation was established<br />
by ANZICS, we are an independent body <strong>and</strong> our<br />
primary aim of supporting high quality research<br />
in intensive care is shared by all organizations<br />
within the intensive care community. This is<br />
reflected in our recent re-br<strong>and</strong>ing as simply 'The<br />
Intensive Care Foundation' rather than ANZICF<br />
<strong>and</strong> ANZIC Foundation.<br />
In this spirit, I met with the Faculty Board last<br />
year with the aim of exploring a more formal<br />
partnership between the two bodies. I am<br />
pleased to report that, although our discussion<br />
was general in nature, it was very positive, <strong>and</strong> I<br />
hope we can develop some more specific<br />
initiatives in the near future.<br />
Our major public fundraising campaign, the<br />
Intensive Care Appeal, will run from 2 - 16 April. I<br />
ask all Fellows to reflect on how they might assist<br />
us, whether through the sale of our new<br />
wristb<strong>and</strong>s, the promotion of good news stories<br />
through the media (our colleagues can assist) or<br />
the setting up of displays in hospitals <strong>and</strong> waiting<br />
rooms. It all helps. I ask you also to consider<br />
adding the Foundation to the list of charities to<br />
which you <strong>and</strong> your family regularly donate. If<br />
we don't support our own research foundation,<br />
why should anyone else<br />
George Skowronski<br />
Chairman, Intensive Care Foundation<br />
For further information visit<br />
www.intensivecareappeal.com or phone +61 (03)<br />
9340 3444<br />
Staff Profile<br />
Laura Fern<strong>and</strong>ez<br />
Laura commenced with the Joint Faculty in<br />
August 2005 in the new role of<br />
Administrative Officer (Education). This<br />
position includes managing the secretariats<br />
of the Joint Faculty's Education Committee,<br />
Hospital Accreditation Committee <strong>and</strong><br />
assisting the Trainee Committee. Hospital<br />
accreditation applications <strong>and</strong> visits,<br />
information regarding courses, assisting<br />
Supervisors of Training, <strong>and</strong> facilitating the<br />
assessment of Formal Projects also come<br />
within her portfolio. In addition, Laura<br />
h<strong>and</strong>les enquiries relating to the Journal of<br />
Critical Care <strong>and</strong> Resuscitation.<br />
<strong>2006</strong> Joint Faculty of Intensive Care Medicine ASM<br />
Call for Abstracts – Felicity Hawker Medal<br />
Laura's qualifications include a B. Applied<br />
Science, specialising in Biomedical Science.<br />
She enjoys reading <strong>and</strong> music <strong>and</strong> has<br />
spent a year living in Spain exploring her<br />
heritage. She is interested in China <strong>and</strong><br />
Japan <strong>and</strong> has recently acquired a cat<br />
named Miyabi.<br />
9-11 June <strong>2006</strong> Sofitel, Melbourne<br />
Invitation<br />
The Organising Committee invites submission of Abstracts<br />
for consideration of the Felicity Hawker Medal to be<br />
presented during the JFICM ASM <strong>2006</strong>.<br />
The Felicity Hawker Medal will be awarded for the best<br />
presentation of a Formal Project. To be eligible to present<br />
for the Felicity Hawker Medal an applicant must be a<br />
Trainee or Fellow within one year of award of Diploma of<br />
Fellowship.<br />
Further comprehensive information on the Prize <strong>and</strong><br />
formatting <strong>and</strong> submission of abstracts will be available<br />
on the JFICM ASM <strong>2006</strong> website (to be developed shortly) or from Ms Juliette Mullumby at the<br />
Conference Secretariat: jmullumby@anzca.edu.au<br />
The closing date for abstracts will be 1 April <strong>2006</strong> <strong>and</strong> notification of selection will be mid April<br />
<strong>2006</strong>. All presenters are required to register for the meeting by 30 April <strong>2006</strong>. Oral presenters<br />
will be notified of presentation time by 15 May <strong>2006</strong>.
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 43<br />
Joint Faculty of Intensive Care Medicine<br />
Policy Documents<br />
IC-1 (2003) Minimum St<strong>and</strong>ards for Intensive Care Units<br />
IC-2 (2005) Intensive Care Specialist Practice in Hospitals Accredited for Training in Intensive Care Medicine<br />
IC-3 (2003) Guidelines for Intensive Care Units seeking Accreditation for Training in Intensive Care Medicine<br />
IC-4 (2000) The Supervision of Vocational Trainees in Intensive Care<br />
IC-5 (1995) Withdrawn<br />
IC-6 (2002) The Role of Supervisors of Training in Intensive Care Medicine<br />
IC-7 (<strong>2006</strong>) Administrative Services to Intensive Care Units<br />
IC-8 (2000) Quality Assurance<br />
IC-9 (2002) Statement on the Ethical Practice of Intensive Care Medicine<br />
IC-10 (2003)<br />
IC-11 (2003)<br />
IC-12 (2001)<br />
IC-13 (2002)<br />
IC-14 (2004)<br />
IC-15 (2004)<br />
PS38 (2004)<br />
PS39 (2003)<br />
PS40 (2000)<br />
PS45 (2001)<br />
PS48 (2003)<br />
PS49 (2003)<br />
Minimum St<strong>and</strong>ards for Transport of the Critically Ill<br />
Guidelines for the In-Training Assessment of Trainees in Intensive Care Medicine<br />
Examination C<strong>and</strong>idates Suffering from Illness, Accident or Disability<br />
Recommendations on St<strong>and</strong>ards for High Dependency Units Seeking Accreditation for Training in Intensive Care Medicine<br />
Statement on Withholding <strong>and</strong> Withdrawing Treatment<br />
Recommendations of Practice Re-entry for an Intensive Care Specialist<br />
Statement Relating to the Relief of Pain <strong>and</strong> Suffering <strong>and</strong> End of Life Decisions<br />
Minimum St<strong>and</strong>ards for Intrahospital Transport of Critically Ill Patients<br />
Guidelines for the Relationship Between Fellows <strong>and</strong> the Healthcare Industry<br />
Statement of Patient’s Rights to Pain Management<br />
Statement on Clinical Principles for Procedural Sedation<br />
Guidelines on the Health of Specialists <strong>and</strong> Trainees<br />
All Current Policy Documents are available at www.jficm.anzca.edu.au/publications/policy/index.htm<br />
<strong>March</strong> <strong>2006</strong><br />
ADMISSION TO FELLOWSHIP BY EXAMINATION LIST OF 17th FEBRUARY <strong>2006</strong><br />
EXAMINATION<br />
TRAINING COMPLETED<br />
Wei-Ping CHAN NSW May 2005 January <strong>2006</strong><br />
Leonarddus Johannes NUNNINK QLD September 2005 January <strong>2006</strong><br />
Sing Tao Thomas LI HK May 2005 January <strong>2006</strong><br />
Anthony David HOLLEY QLD September 2005 January <strong>2006</strong><br />
Hayden Thomas Wesley WHITE QLD May 2004 January <strong>2006</strong><br />
Yukiko GOTO WA May 2005 January <strong>2006</strong><br />
Roger David HARRIS NSW September 2005 January <strong>2006</strong><br />
The Members of the Fellowship Admissions Committee (the Censor, the Chairman of the Fellowship Examinations <strong>and</strong> I), have reviewed the<br />
documentation <strong>and</strong> move that the above be admitted to Fellowship of the Joint Faculty of Intensive Care Medicine, <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong><br />
<strong>College</strong> of Anaesthetists <strong>and</strong> Royal Australasian <strong>College</strong> of Physicians, by examination.<br />
JACK H. HAVILL (Dr), Dean
44 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Faculty of Pain Medicine<br />
Dean’s Message<br />
Such glad <strong>and</strong> sad tidings, so closely juxtaposed.<br />
We were all saddened to learn of the passing of<br />
Mrs Joan Sheales, <strong>ANZCA</strong>'s first CEO. The tribute<br />
to Joan occurs elsewhere in this <strong>Bulletin</strong>. The<br />
Faculty has been fortunate that Joan was at the<br />
helm when it was launched <strong>and</strong> her<br />
navigational skills were signal in setting the<br />
course that has served us so well so far. As we<br />
farewell Joan, so we bid welcome to Dr Mike<br />
Richards as our new CEO <strong>and</strong> we look forward<br />
to the chart- <strong>and</strong> engine-room activity that will<br />
be generated.<br />
"Glad" is of course an understatement to greet<br />
the news that our discipline, Pain Medicine, has<br />
been granted specialty status in Australia. The<br />
exercise that the Faculty went through in<br />
developing its submission <strong>and</strong> in responding to<br />
complex issues, some of which were apparently<br />
far removed from our daily brief as pain<br />
physicians, not only reinforced our "mission"<br />
but also reflected the changing relationship<br />
between the broader medical profession <strong>and</strong><br />
government. I believe that the imprimatur<br />
which we have been given must accelerate the<br />
impetus towards establishing an integral role for<br />
Pain Medicine in the medical lives in our region.<br />
I would identify three main sets of implications<br />
arising out of specialty recognition. For our<br />
Patients - <strong>and</strong> perhaps many others who, for<br />
readily recognisable reasons, have not had<br />
access to pain physicians - this development<br />
helps to legitimise their plight <strong>and</strong> to inform<br />
them that there is a body of expertise which can<br />
be marshalled to improve the quality of their<br />
lives, without stigma, shame or avoidable<br />
suffering. Patients can feel justified in asserting<br />
their rights to pain relief <strong>and</strong>, especially in<br />
developed countries such as Australia <strong>and</strong> <strong>New</strong><br />
Zeal<strong>and</strong>, in asking questions of institutions <strong>and</strong><br />
jurisdictions when that is not forthcoming.<br />
The second set applies to Practitioners - not<br />
only ourselves (who, after all, are the<br />
"converted") but to all those who are studying<br />
<strong>and</strong> practising modern medicine. The<br />
desirability of knowing about "pain", the<br />
challenge of teaching about it <strong>and</strong> the rewards<br />
available from the successful management of it<br />
can no longer be ignored by medical schools,<br />
post-graduate medical committee <strong>and</strong> (other)<br />
colleges. One would not countenance awarding<br />
a medical degree to someone who could not<br />
diagnose <strong>and</strong> know how to treat cardiac failure<br />
or pneumonia or bowel obstruction or<br />
depression: ignorance of the biology <strong>and</strong><br />
principles of management of acute, persistent<br />
<strong>and</strong> cancer-associated pain should attract the<br />
same sanction. Extension to post-graduate<br />
competency <strong>and</strong> performance must follow.<br />
Who could argue against not achieving<br />
proficiency in this most transcendent of human<br />
complaints<br />
The third set of implications refers to Public<br />
Policy. The arguments through which we<br />
achieved recognition are on the public record<br />
<strong>and</strong> can be used - by Patients <strong>and</strong> Practitioners -<br />
to advocate for provision of pain services where<br />
there are none, to provide training<br />
opportunities where there are painfully few <strong>and</strong><br />
overall to promote a philosophy that<br />
inadequate attention to clinical pain is<br />
incompatible with modern society. We are<br />
fortunate in our countries that we have access to<br />
basic <strong>and</strong> sophisticated tools to address pain:<br />
yet there are many communities at home <strong>and</strong> in<br />
our region if not further afield where that is not<br />
so. The common theme here is pain relief as a<br />
human right - what better justification could<br />
there be for recognition of pain medicine as a<br />
specialty<br />
The degree <strong>and</strong> pace at which these<br />
implications of recognition - <strong>and</strong> no doubt<br />
others - will evolve will depend, I suspect, on<br />
our success as pain physicians in being<br />
advocates as well clinicians. As the Faculty is<br />
growing exponentially, so may the influence of<br />
our recognised discipline.<br />
The next move in this direction will be our<br />
Refresher Day <strong>and</strong> Annual Scientific Meeting in<br />
Adelaide in May. We have two outst<strong>and</strong>ing<br />
visitors, Dr Bill Macrae from Dundee <strong>and</strong> (our<br />
own) Dr Suellen Walker from London, <strong>and</strong> other<br />
distinguished faculty. The program is broad <strong>and</strong><br />
attractive, themes include acute pain,<br />
developmental neurobiology <strong>and</strong> taking pain<br />
medicine "to the streets". Plus many good social<br />
reasons for coming together <strong>and</strong> celebrating.<br />
This is my last message as Dean. It has been an<br />
exciting two years for the Faculty <strong>and</strong> our<br />
specialty <strong>and</strong> it has been a privilege for me to<br />
have played this role. The baton passes to Dr<br />
Roger Goucke of Perth, who can look forward to<br />
the support <strong>and</strong> enthusiasm of our Fellowship<br />
that I have been fortunate to enjoy.<br />
Milton Cohen<br />
Dean
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 45<br />
Report<br />
Highlights of the November 2005<br />
Board Meeting<br />
Dr Mike Richards, <strong>ANZCA</strong>'s new CEO was<br />
introduced to the Board. Dr Richards outlined his<br />
background in political science <strong>and</strong> his<br />
experience working in government, academia,<br />
journalism <strong>and</strong> consultancy.<br />
Honours <strong>and</strong> Appointments<br />
The following awards were noted:<br />
Mrs Joan Sheales - Awarded Honorary Fellowship<br />
of <strong>ANZCA</strong><br />
Prof Garry Phillips - Awarded the <strong>ANZCA</strong><br />
Orton Medal<br />
Dr Pam Macintyre - Awarded the <strong>ANZCA</strong><br />
Orton Medal<br />
Fellowship<br />
Three Fellows (one FAFRM RACP, one FRACS <strong>and</strong><br />
one FRCA) were admitted to Fellowship by<br />
training <strong>and</strong> examination <strong>and</strong> one FRCA by<br />
Alternate Pathway. Professor David A Scott<br />
F<strong>ANZCA</strong>, Victoria <strong>and</strong> Dr Roelof van Wijk<br />
F<strong>ANZCA</strong>, SA were admitted to Fellowship by<br />
election.<br />
Finance<br />
Subscriptions<br />
<strong>ANZCA</strong> Council has resolved to offer a 50%<br />
subscription concession to Fellows who hold<br />
Fellowship of <strong>ANZCA</strong> <strong>and</strong> JFICM or FPM <strong>and</strong><br />
whose practice is 100% intensive care medicine<br />
or pain medicine <strong>and</strong> who do not practice<br />
anaesthesia.<br />
The Faculty Subscription for <strong>2006</strong> was<br />
increased by 5%.<br />
Education <strong>and</strong> Training<br />
FPM Training Program<br />
The Board discussed the process of retrospective<br />
approval of prior experience. It was emphasised<br />
that retrospective accreditation is not automatic<br />
<strong>and</strong> the need for prospective trainees to<br />
document their pain medicine experience as<br />
they go through was highlighted.<br />
Examination<br />
2005 Examination<br />
19 out of 24 c<strong>and</strong>idates were successful in the<br />
2005 Faculty Examination. Dr Mark Rockett FRCA,<br />
<strong>New</strong> Zeal<strong>and</strong> was the Barbara Walker Prize<br />
Winner <strong>and</strong> Dr Martine Casserly, F<strong>ANZCA</strong>, a Merit<br />
Award recipient.<br />
Case Reports<br />
A Marking Guide for assessment of Case Reports,<br />
including detailed instructions for c<strong>and</strong>idates<br />
<strong>and</strong> Sots, is in development.<br />
It was resolved that an Annual Training Fee will<br />
apply until the Case Report requirement is<br />
complete.<br />
Hospital Accreditation<br />
PM1 Guidelines for Trainees <strong>and</strong> Departments<br />
seeking Faculty approval of Posts for Training in<br />
Pain Medicine <strong>and</strong> Hospital Accreditation<br />
Questionnaire documents are under review to<br />
bring them in line with the new PM2 Professional<br />
Document.<br />
Research<br />
In a proposal to move activities of the Research<br />
Committee forward, four main streams were<br />
outlined as Knowledge, Infrastructure,<br />
Mentorship <strong>and</strong> Funds <strong>and</strong> the need to access<br />
information on how to set up a database <strong>and</strong><br />
how to go about accessing grants was highlighted.<br />
A document outlining strategies can be viewed<br />
on the Website:<br />
http://www.fpm.anzca.edu.au/documents/profd<br />
ocs/FPMResearch.pdf<br />
2007 ASM, Melbourne - 5 - 9 May<br />
A Regional Organising Committee has been<br />
formed <strong>and</strong> potential Foundation Visitors were<br />
considered.<br />
Fees<br />
Faculty Training <strong>and</strong> Examination Fees were<br />
increased to remain in parity with <strong>ANZCA</strong>'s.
46 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Report<br />
Highlights of the February <strong>2006</strong><br />
Board Meeting<br />
Dean Elect<br />
Dr Roger Goucke, F<strong>ANZCA</strong> was elected Deanelect<br />
<strong>and</strong> will take office following the Annual<br />
General Meeting in May.<br />
Honours <strong>and</strong> Appointments<br />
It was noted that Mrs Barbara Walker had been<br />
honoured with an AO in the Australia Day<br />
Honours.<br />
Fellowship<br />
Five Fellows were admitted to Fellowship by<br />
training <strong>and</strong> examination <strong>and</strong> Dr Anne Siu-King<br />
Kwan, F<strong>ANZCA</strong>, Hong Kong was admitted to<br />
Fellowship by election.<br />
Training Requirements for Fellows of other<br />
<strong>College</strong>s/Faculties/Chapters<br />
Further to the Board's resolution with respect to<br />
the eligibility of Fellows of the RACGP, RNZCGP<br />
<strong>and</strong> Faculties <strong>and</strong> Chapters of the five<br />
participating bodies to enter pain medicine<br />
training, it was resolved that such trainees will be<br />
required to undertake a three year pain medicine<br />
training program, of which two years must occur<br />
in a prospectively approved Faculty accredited<br />
pain medicine unit.<br />
Retrospective Accreditation of Prior<br />
Experience<br />
The Board resolved that, effective immediately,<br />
applications for recognition of prior experience<br />
will attract the current Annual Training Fee on a<br />
pro-rata basis for the period of time<br />
retrospectively approved.<br />
Finance<br />
The accounts for the 12 months ended 31<br />
December 2005 were accepted.<br />
Election to Fellowship Fees<br />
The Board resolved that the fee for Election to<br />
Fellowship increase in alignment with the<br />
Examination Entrance Fee.<br />
Education <strong>and</strong> Training<br />
Patient Education Pamphlets<br />
The Board is in favour of pursuing the<br />
development of Patient Education Pamphlets<br />
with the aim of providing better information to<br />
patients which could also be used to fulfil part of<br />
the informed consent process.<br />
Potential topics include Epidural Stimulators,<br />
Non-invasive Procedures, Cognitive Behaviour<br />
Therapy <strong>and</strong> Invasive Treatments.<br />
Fellows are invited to express their interest in<br />
contributing to the development of these<br />
documents.<br />
Exit Questionnaire<br />
A revised Exit Questionnaire for trainees was<br />
accepted for inclusion in the Supervisor of<br />
Training Support Kit <strong>and</strong> the Trainee Support Kit.<br />
Support for Supervisors of Training<br />
A half day Supervisor of Training Workshop will<br />
be held during the Adelaide ASM on Monday<br />
15 May.<br />
A schedule of <strong>ANZCA</strong> Clinical Teaching Course<br />
Workshops for <strong>2006</strong> is available from the<br />
Website: http://www.anzca.edu.au/edutraining<br />
/courses/ctc06.htm<br />
Examination<br />
The <strong>2006</strong> FPM Examination will be held at the Sir<br />
Charles Gairdner Hospital, 29 November -<br />
1 December.<br />
The views of recent graduates <strong>and</strong> Supervisors of<br />
Training is being sought with respect to the timing<br />
of future examinations.<br />
Hospital Accreditation<br />
Liverpool Hospital was accredited for training for<br />
one year. Nepean Hospital, Royal Adelaide<br />
Hospital were re-accredited for a period of five<br />
years. Concord Repatriation Hospital was<br />
accredited for a further three years.<br />
Administrative Instructions Revision<br />
The Faculty's Administrative Instructions have<br />
been revised <strong>and</strong> will go to <strong>ANZCA</strong> Council for<br />
ratification.<br />
Intercollegiate Relationships<br />
The RACS ASC in Sydney will include a pain<br />
section on Thursday 18 May <strong>2006</strong> including<br />
sessions on Acute Pain, Chronic Pain <strong>and</strong> Cancer<br />
Pain. Professor Peter Teddy will be the guest<br />
lecturer.<br />
The Board will pursue other opportunities for a<br />
pain medicine program in participating <strong>College</strong>s<br />
annual meetings.<br />
Continuing Education<br />
<strong>2006</strong> ASM, Adelaide<br />
The scientific program has been finalised <strong>and</strong><br />
can be viewed at<br />
http://www.sapmea.asn.au/conventions/anzca/i<br />
ndex.html<br />
<strong>2006</strong> Refresher Course Day<br />
Registration brochures have been circulated <strong>and</strong><br />
can be downloaded from the website:<br />
http://www.fpm.anzca.edu.au/meetings/FPMBroc<br />
hure.pdf<br />
2007 ASM, Melbourne - 5 - 9 May<br />
The Faculty's Foundation Visitor for 2007 was<br />
confirmed as Professor Martin Koltzenburg, UK.<br />
Board Election<br />
As six nominations have been received for five<br />
positions, a ballot will proceed. Fellows are<br />
encouraged to vote.
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 47<br />
Launch of Guidelines<br />
Launch of the Guidelines for the Management of<br />
Procedure-related Pain in Children by the<br />
Paediatrics <strong>and</strong> Child Health Division of the Royal<br />
Australasian <strong>College</strong> of Physicians<br />
Monday, October 17, 2005<br />
It was my pleasure to attend, on behalf of A/Prof<br />
Cohen <strong>and</strong> the Faculty, the launch of the<br />
Guidelines for the Management of Procedurerelated<br />
Pain in Children on Monday, October 17,<br />
2005 at the RACP Offices, Macquarie St, Sydney.<br />
This was a most appropriate day for the launch as<br />
it was the IASP's Global Day Against Pain <strong>and</strong> the<br />
theme for 2005 was Pain in Children. In fact, it<br />
marked the start of a year dedicated to<br />
highlighting the issues of pain <strong>and</strong> its<br />
management in children.<br />
The publication of Australasian Guidelines<br />
recognizes the importance of addressing pain<br />
management in children at a local level. The<br />
guidelines aim to raise awareness that treatment<br />
of pain in children is a very high priority, bridge<br />
gaps between research <strong>and</strong> clinical practice,<br />
provide recommendations relevant to clinical<br />
practice in Australia <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> at both<br />
individual <strong>and</strong> institutional levels <strong>and</strong> challenge<br />
health care professionals who deal with children<br />
to reflect on their attitudes, beliefs <strong>and</strong> practices.<br />
The Guidelines are the product of an enormous<br />
amount of work by a RACP Working Party chaired<br />
by Dr Angela Mackenzie over a two year period.<br />
They are divided into two documents, one<br />
addressing procedure-related pain in children<br />
<strong>and</strong> adolescents <strong>and</strong> the second addressing<br />
procedure-related pain in neonates. Both are<br />
comprehensive documents with evidence-based<br />
recommendations for the vast majority of<br />
common procedures performed in children <strong>and</strong><br />
neonates ranging from simple procedures such as<br />
blood sampling to the more complex such as<br />
radiological investigations, fracture manipulation<br />
<strong>and</strong> burns dressings to name a few. Issues of the<br />
resources required, the role of parents, preprocedure<br />
preparation, communication <strong>and</strong><br />
behaviour problems are all addressed.<br />
Pharmacological <strong>and</strong> bio-behavioural techniques<br />
are described. However, the Guidelines are not<br />
a recipe book. The recommendations provide<br />
flexible options so that a pain management<br />
technique can be chosen that is tailored to the<br />
needs of the individual child. The Guidelines<br />
end with an extensive reference list for those who<br />
wish to explore individual pain management<br />
techniques or other issues in greater detail.<br />
The Guidelines can be found on the RACP<br />
website in the public access section at<br />
www.racp.edu.au/public/publications.htm under<br />
Policy Documents, paediatric policy.<br />
Alternatively, the guidelines will be published<br />
next month as a supplement in the <strong>Australian</strong><br />
Journal of Paediatrics <strong>and</strong> Child Health. I<br />
recommend these Guidelines as essential<br />
reading for all who treat children.<br />
Meredith Craigie<br />
Chair, Paediatric Pain Working Party<br />
P<strong>and</strong>emic Influenza<br />
<strong>Australian</strong> Management Plan<br />
The Department of Health <strong>and</strong> Ageing has recently published the <strong>Australian</strong> Management Plan for P<strong>and</strong>emic Influenza,<br />
in recognition of the threat posed by the H5N1 avian influenza outbreaks in Asia as of June 2005.<br />
“The plan centres on the core strategies of containment <strong>and</strong> maintenance of essential services until a vaccine can be<br />
made available.”<br />
This 149 page comprehensive public health document is available at: www.health.gov.au<br />
Direct link:<br />
www.health.gov.au/internet/wcms/publishing.nsf/Content/FC517607D6EE443ECA2570190019CDF7/$File/p<strong>and</strong>emic_plan.pdf
FACULTY OF PAIN MEDICINE<br />
Refresher Course Day<br />
“Next patient, please”<br />
FRIDAY 12 MAY <strong>2006</strong><br />
RADISSON PLAYFORD HOTEL AND SUITES, ADELAIDE Dr Bill Macrae, Consultant Anaesthetist <strong>and</strong> Pain Specialist<br />
from Dundee, <strong>and</strong> the Faculty of Pain Medicine Foundation Visitor, will lead the program, covering a range of common<br />
<strong>and</strong>/or problematic clinical presentations, melding current evidence with clinical practicalities.<br />
PROGRAMME<br />
0900-1000 The Chronic Pain Patient: Bill Macrae<br />
Evolution <strong>and</strong> Epidemiology<br />
MORNING TEA<br />
1030-1100 CRPS in the Adolescent Suellen Walker<br />
1100-1130 Child Risk Factors <strong>and</strong> Adult Chronic Pain:<br />
Systematic Review of the Evidence<br />
David Champion<br />
1130-1200 The Complex Paediatric Palliative Care Patient Michael Briffa<br />
LUNCH<br />
1300-1345 Surgery for LBP- Current Thinking David Hall<br />
1345-1430 Inheriting Implanted Patients from<br />
St Elsewhere - Thoughts<br />
Malcolm Hogg<br />
AFTERNOON TEA<br />
1500-1630 Pain <strong>and</strong> Substance Misuse<br />
– Progressing Within Boundaries<br />
1545-1630 Assessing Opioid Sensitivity Dillip Kapur<br />
Managing Complex Pain/Dependency Patients Rhys Henning<br />
Followed by the:<br />
FACULTY OF PAIN MEDICINE ANNUAL DINNER<br />
The Track Restaurant Level 1, 220 Greenhill Road Eastwood.<br />
Registration Brochures can be download from: www.fpm.anzca.edu.au<br />
or contact: painmed@anzca.edu.au or Telephone: +61 3 8517 5337
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 49<br />
Faculty of Pain Medicine<br />
Professional Documents<br />
P = Professional<br />
PS = Professional St<strong>and</strong>ards<br />
PM1 (2002)<br />
PM2 (2005)<br />
PM3 (2002)<br />
PM4 (2005)<br />
Guidelines for Trainees <strong>and</strong> Departments Seeking Faculty Approval of Posts for Training in Pain Medicine<br />
Guidelines for Units Offering Training in Multidisciplinary Pain Medicine<br />
Lumbar Epidural Administration of Corticosteroids<br />
Guidelines for Patient Assessment <strong>and</strong> Implantation of Intrathecal Catheters, Ports <strong>and</strong> Pumps for Intrathecal Therapy<br />
PS3 (2003) Guidelines for the Management of Major Regional Analgesia<br />
PS38 (2004)<br />
PS40 (2005)<br />
PS41 (2000)<br />
PS45 (2001)<br />
PS48 (2003)<br />
PS49 (2003)<br />
Statement Relating to the Relief of Pain <strong>and</strong> Suffering <strong>and</strong> End of Life Decisions<br />
Guidelines for the Relationship Between Fellows <strong>and</strong> the Healthcare Industry<br />
Guidelines on Acute Pain Management<br />
Statement on Patients’ Rights to Pain Management<br />
Statement on Clinical Principles for Procedural Sedation<br />
Guidelines on the Health of Specialists <strong>and</strong> Trainees<br />
<strong>College</strong> Professional Documents Adopted by the Faculty:<br />
PS4 (2000) Recommendations for the Post-Anaesthesia Recovery Room (Adopted February 2001)<br />
PS7 (2003) Recommendations on the Pre-Anaesthesia Consultation (Adopted November 2003)<br />
PS8 (2003) Guidelines on the Assistant for the Anaesthetist (Adopted November 2003)<br />
PS9 (2005) Guidelines on Conscious Sedation for Diagnostic, Interventional Medical <strong>and</strong> Surgical Procedures (May 2002)<br />
PS10 (2004) The H<strong>and</strong>over of Responsibility During an Anaesthetic (Adopted February 2001)<br />
PS15 (2000)<br />
Recommendations for the Perioperative Care of Patients Selected for Day Care Surgery with amendment to the title to read<br />
Recommendations for the Perioperative Care of Patients Selected for Day Care Procedures (Adopted February 2001)<br />
PS18 (2005)<br />
Recommendations on Monitoring During Anaesthesia<br />
PS20 (2001) Recommendations for Responsibilities of the Anaesthetist in the Post-Operative Period (Adopted February 2001)<br />
PS31 (2003) Recommendations on Checking Anaesthesia Delivery Systems (Adopted July 2003)<br />
All Current Professional Documents are available at www.fpm.anzca.edu.au/documents/profdocs/index.htm<br />
<strong>March</strong> <strong>2006</strong>
50 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
If you are concerned about yourself or a colleague, contact<br />
THE DOCTORS' HEALTH ADVISORY SERVICE<br />
"HOTLINE"<br />
NEAREST TO YOU<br />
AUSTRALIA<br />
<strong>New</strong> South Wales/NT (02) 9437 6552 Victorian Doctors Health Program (03) 9495 6011<br />
ACT 0407 265 414 Western Australia (08) 9321 3098<br />
Queensl<strong>and</strong> (07) 3833 4352 Tasmania (03) 6223 2047<br />
Victoria (03) 9349 3504 South Australia (08) 8273 4111<br />
<strong>New</strong> Zeal<strong>and</strong> (04) 471 2654<br />
NEW ZEALAND<br />
SPECIALIST ANAESTHETIST<br />
Applications are invited from suitably qualified<br />
anaesthetists for this specialist position at our<br />
Warrnambool Campus.<br />
A primary medical degree fully registrable in<br />
Victoria, the qualification of F<strong>ANZCA</strong> or equivalent<br />
<strong>and</strong> appropriate experience are essential.<br />
Attractive remuneration <strong>and</strong> conditions; together<br />
with the mode of appointment; will be negotiated<br />
with the successful applicant, who will join six (6)<br />
other specialist Anaesthetists in providing services<br />
to South West Healthcare. Each of the six current<br />
Anaesthetists is supportive of an additional<br />
Specialist entering practice in Warrnambool. An<br />
appointment to the local private Hospital would<br />
also be available to a suitable applicant.<br />
South West Healthcare provides a comprehensive<br />
range of specialist services from geographically<br />
separate campuses. The Warrnambool campus<br />
treats in excess of 14,000 inpatients <strong>and</strong> 22,000<br />
Emergency Department patients per annum; is a<br />
designated Regional Trauma Service <strong>and</strong> has a 15<br />
bed Rehabilitation Unit.<br />
With a population of 30,700, Warrnambool is a<br />
popular seaside resort <strong>and</strong> is located 263<br />
kilometres southwest of Melbourne. The city<br />
boasts excellent sporting, education, social <strong>and</strong><br />
cultural facilities.<br />
Enquiries regarding this appointment may be<br />
directed to Dr. Peter O'Brien (Director of Medical<br />
Services) on telephone (03) 5563 1605 or email<br />
pobrien@swh.net.au; or Dr. Keith Prest (Director of<br />
Anaesthetics) on telephone (03) 5563 1666.<br />
Applicants will be required to consent to <strong>and</strong><br />
undergo a police record check.<br />
Written applications stating full personal<br />
particulars, qualifications <strong>and</strong> experience;<br />
together with the names of two (2) referees;<br />
should be lodged with the undersigned <strong>and</strong> either<br />
forwarded to the address below or via email to<br />
humanresources@swh.net.au by 5.00pm on Friday<br />
21st April <strong>2006</strong>.<br />
JOHN F. KRYGGER CHIEF EXECUTIVE OFFICER<br />
SOUTH WEST HEALTHCARE IS COMMITTED TO THE PURSUIT OF EXCELLENCE IN RURAL AND REGIONAL HEALTHCARE<br />
WARRNAMBOOL CAMPUS - RYOT STREET WARRNAMBOOL 3280<br />
www.southwesthealthcare.com.au
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 51<br />
Future Meetings<br />
Australia <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong><br />
<strong>2006</strong><br />
31 - 2 April UPDATES IN OBSTETRIC ANAESTHESIA.<br />
Bunker Bay, WA<br />
Venue: Quay West Resort Bunker Bay, Bunker Bay, Margaret River. Contact: S<strong>and</strong>ra Box, WA Administrative<br />
Officer, Mail Point M305, University of Western Australia, 35 Stirling Highway, Crawley WA 6009.<br />
Tel: 08 6488 8772 Fax: 08 6488 8773 Email: anaesthesia.wa@ctec.uwa.edu.au<br />
5 - 7 April <strong>2006</strong> AUSTRALIAN AND NEW ZEALAND INTENSIVE CARE SOCIETY CONFERENCE.<br />
Christchurch, NZ Contact: Jo McLeod, Conference Co-ordinator, Conference Innovators Limited. 196 Gloucester Street, PO Box 13 494,<br />
Christchurch. Tel: +64 3 379 0390 Fax: :+64 3 379 0460 Website: www.conference.co.nz/anzcis<strong>2006</strong><br />
8 April ADULT EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) MEETING.<br />
Camperdown, NSW Venue: RPA Hospital. Contact: Paul Forrest. Tel: 02 9515-8507 Fax: 02 9519-2455 Email: pforrest@usyd.edu.au<br />
9 - 12 April 26TH ANNUAL SCIENTIFIC MEETING OF THE AUSTRALIAN PAIN SOCIETY.<br />
Melbourne, VIC<br />
Theme: "Pain Across the Life Span". Venue: Gr<strong>and</strong> Hyatt Hotel, Melbourne. Key Speakers: A/Prof Jianren Mao,<br />
MD, PhD; Margo McCaffery RN, MS, FAAN; Prof Robert J Gatchel PhD, ABPP. Contact: DC Conferences Pty<br />
Ltd. P O Box 637, North Sydney, NSW, 2059. Tel: 61 2 9954 4400 Fax: 61 2 9954 0666<br />
Email: mail@dcconferences.com.au Website: www.dcconferences.com.au/aps<strong>2006</strong><br />
4 - 6 May <strong>New</strong> EMAC COURSE.<br />
Melbourne, VIC<br />
Venue: Southern Health Simulation <strong>and</strong> Skills Centre. Contact: Monash Medical Centre, PO Box 72, East<br />
Bentleigh VIC 3165. Tel: 03 9928 8314 Fax: 03 9928 8400 Email: b.flanagan@southernhealth.org<br />
12 May FACULTY OF PAIN MEDICINE REFRESHER COURSE DAY.<br />
Adelaide, SA<br />
Theme: "Next Patient, Please". Venue: Radisson Playford Hotel. Key Speakers: Dr Bill Macrae <strong>and</strong> Dr Suellen Walker.<br />
Contact: Ms Helen Morris. Executive Officer, Faculty of Pain Medicine. 630 St Kilda Road, Melbourne 3004.<br />
Tel: 03 9510 6299 Fax: 03 9510 6786 Email: painmed@anzca.edu.au<br />
13 - 14 May FACULTY OF PAIN MEDICINE ANNUAL SCIENTIFIC MEETING.<br />
Adelaide, SA<br />
Venue: Adelaide Convention Centre. Key Speakers: Foundation Visitor: Dr Bill Macrae. Contact: Ms Helen<br />
Morris. Executive Officer, Faculty of Pain Medicine. 630 St Kilda Road, Melbourne 3004. Tel: 03 9510 6299<br />
Fax: 03 9510 6786 Email: painmed@anzca.edu.au<br />
13 - 17 May <strong>2006</strong> <strong>ANZCA</strong> ASM.<br />
Adelaide, SA<br />
Theme: "All in a Day's Work". Venue: Adelaide Convention Centre. Contact: South <strong>Australian</strong> Postgraduate<br />
Medical Education Association Inc (SAPMEA). Tel: 08 8274 6060 Fax: 08 8274 6000<br />
Email: anzca@sapmea.asn.au Website: www.sapmea.asn.au/anzca<br />
25 - 27 May <strong>New</strong> EMAC COURSE.<br />
Melbourne, VIC<br />
Venue: St Vincent's Simulation Centre Contact: Dr Rowan Molnar, Director St Vincent's Simulation Centre.<br />
VIC<br />
Tel: 03 9288 2301 Fax: 03 9288 5255 Email: molnarr@svhm.org.au<br />
25 - 27 May <strong>New</strong> EMAC COURSE.<br />
Wellington, NZ Venue: National Patient Simulation Training Centre. Contact: Wellington Hospital, Private Bag 7902,<br />
Wellington South. Tel: 64 4 385 5887 Fax: 64 4 385 5887 Email: brian.robinson@wnhealth.co.nz
52 <strong>Bulletin</strong> December 2005<br />
1 June THE SYDNEY PROFESSIONAL MASTERS OF MEDICINE PROGRAM.<br />
Sydney, NSW<br />
Venue: Online / University of Sydney Contact: Enrolments Coordinator, SPMMP. Room 134, Edward Ford<br />
Building (A27), University of Sydney NSW <strong>2006</strong>. Fax: 02 9351 6646 Website: www.spmmp.med.usyd.edu.au<br />
An online program aimed at doctors who are too far away or too busy to be able to attend full-time onsite education.<br />
1 - 3 June <strong>New</strong> EMAC COURSE.<br />
Brisbane, QLD Venue: Brisbane. Contact: Queensl<strong>and</strong> Health Skills Development Centre. Tel: 07 3636 6500 Fax: 07 3636 6501<br />
QLD<br />
Email: sdc-admin@health.qld.gov.au<br />
3 June <strong>New</strong> INTERPERSONAL SKILLS TRAINING WORKSHOPS: REDUCING RISK THROUGH IMPROVED INTERPERSONAL SKILLS.<br />
Melbourne, VIC Contact: Cass<strong>and</strong>ra Hargreaves. ASA Committees Manager, <strong>Australian</strong> Society of Anaesthetists. PO Box 600,<br />
Edgecliff NSW 2027. Tel: 61 2 9327 4022 Fax: 61 2 9327 7666 Email: chargreaves@fed.asa.org.au<br />
9 - 11 June 2ND ANNUAL SCIENTIFIC MEETING OF THE JOINT FACULTY OF INTENSIVE CARE MEDICINE<br />
Melbourne, VIC<br />
IN ASSOCIATION WITH THE AUSTRALIAN AND NEW ZEALAND INTENSIVE CARE SOCIETY.<br />
Venue: Sofitel Melbourne. Contact: Ms Juliette Mullumby, Continuing Education, 630 St Kilda Road, Melbourne VIC 3004.<br />
Tel: 03 9510 6299 Fax: 03 9510 6786 Email: jmullumby@anzca.edu.au. Web: http://www.jficm.anzca.edu.au/asm/welcome.htm<br />
11 June <strong>New</strong> INTERPERSONAL SKILLS TRAINING WORKSHOPS: REDUCING RISK THROUGH IMPROVED INTERPERSONAL SKILLS.<br />
Sydney, NSW Contact: Cass<strong>and</strong>ra Hargreaves. ASA Committees Manager, <strong>Australian</strong> Society of Anaesthetists. PO Box 600,<br />
Edgecliff NSW 2027. Tel: 61 2 9327 4022 Fax: 61 2 9327 7666 Email: chargreaves@fed.asa.org.au<br />
27 - 29 July <strong>New</strong> EMAC COURSE.<br />
Wellington, NZ<br />
Venue: National Patient Simulation Training Centre. Contact: Wellington Hospital, Private Bag 7902, Wellington<br />
South. Tel: 64 4 385 5887 Fax: 64 4 385 5887 Email: brian.robinson@wnhealth.co.nz<br />
18 - 20 August 8TH SPANZA <strong>2006</strong> ANNUAL SCIENTIFIC MEETING.<br />
Queenstown, NZ<br />
Theme: "Fresh Stuff on a Firm Base". Venue: Millennium Hotel, Queenstown. Contact: Arna Wahl Davies,<br />
Conference Innovators, PO Box 13 494, Queenstown. Tel: 64 3 379 0390 Fax: 64 3 379 0460 Email:<br />
arna@conference.co.nz Website: www.spanza.org.<br />
21 - 23 August 4TH AUSTRALASIAN CONFERENCE ON SAFETY AND QUALITY IN HEALTH CARE.<br />
Melbourne, VIC<br />
Theme: "Raising the Bar for Quality". Venue: Melbourne Exhibition <strong>and</strong> Convention Centre. Contact: SAPMEA,<br />
200Greenhill Road Eastwood SA 5063. Phone: 08 8274 6060 Email: sqhc<strong>2006</strong>@sapmea.asn.au<br />
Website: http://www.sapmea.asn.au/conventions/sqhc<strong>2006</strong>/index.html.<br />
23 - 26 August NEW ZEALAND ANAESTHESIA ANNUAL SCIENTIFIC MEETING.<br />
Dunedin, NZ<br />
Theme: "Establishment <strong>and</strong> Innovation". Venue: The Dunedin Centre. Contact: Dr Duncan Watts (Convenor)<br />
Dunedin Hospital, Dunedin, <strong>New</strong> Zeal<strong>and</strong>. Tel: 64 3 474 0999 Fax: 64 3 474 7650<br />
Email: duncan.watts@stonebow.otago.ac.nz Website: www.dcms.co.nz/asm<br />
24 - 26 August <strong>New</strong> HYPERBARIC TECHNICIANS AND NURSES ASSOCIATION ANNUAL GENERAL MEETING.<br />
Townsville<br />
Venue: Jupiters Townsville. Contact: HTNA. C/- Hyperbaric Medicine Unit. Royal Adelaide Hospital.<br />
QLD North Terrace, Adelaide 5000. Tel: (07) 4796 2080 Fax: (07) 4796 2082<br />
Email: TSV-HTNA<strong>2006</strong>@health.qld.gov.au Website: http://www.htna.com.au/conference.htm<br />
24 - 26 August <strong>New</strong> EMAC COURSE.<br />
Melbourne, VIC Venue: Southern Health Simulation <strong>and</strong> Skills Centre. Contact: Monash Medical Centre, PO Box 72,<br />
East Bentleigh VIC 3165. Tel: 03 9928 8314 Fax: 03 9928 8400 Email: b.flanagan@southernhealth.org<br />
2 September WA WINTER SCIENTIFIC MEETING.<br />
Perth, WA<br />
Venue: University Club of WA. Contact: S<strong>and</strong>ra Box, WA Administration Officer, Mail Point M305, University<br />
of Western Australia, 35 Stirling Highway, Crawley WA 6009 . Tel: (08) 6488 8772 Fax: (08) 6488 8773<br />
Email: anaesthesia.wa@ctec.uwa.edu.au
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 53<br />
14 - 16 September <strong>New</strong> EMAC COURSE.<br />
Wellington, NZ Venue: National Patient Simulation Training Centre. Contact: Wellington Hospital, Private Bag 7902,<br />
Wellington South. Tel: 64 4 385 5887 Fax: 64 4 385 5887 Email: brian.robinson@wnhealth.co.nz<br />
28 - 30 September <strong>New</strong> EMAC COURSE.<br />
Brisbane, QLD Venue: Brisbane. Contact: Queensl<strong>and</strong> Health Skills Development Centre. Tel: 07 3636 6500 Fax: 07 3636 6501<br />
Email: sdc-admin@health.qld.gov.au<br />
29 - 1 October <strong>2006</strong> COMBINED SIG MEETING .<br />
Gold Coast, QLD<br />
Theme: "Attaining <strong>and</strong> Maintaining Competence in Education, Simulation, Welfare <strong>and</strong> Management".<br />
Venue: Sheraton Mirage Resort <strong>and</strong> Spa. Contact: Ms Juliette Mullumby, <strong>ANZCA</strong>, 630 St Kilda Road,<br />
Melbourne VIC 3004. Tel: 03 9510 6299 Fax: 03 9510 6786 Email: jmullumby@anzca.edu.au<br />
19 - 21 October <strong>New</strong> EMAC COURSE.<br />
Melbourne, VIC Venue: Southern Health Simulation <strong>and</strong> Skills Centre. Contact: Monash Medical Centre, PO Box 72,<br />
East Bentleigh VIC 3165. Tel: 03 9928 8314 Fax: 03 9928 8400 Email: b.flanagan@southernhealth.org<br />
20 - 24 October 65TH NATIONAL SCIENTIFIC CONGRESS OF THE AUSTRALIAN SOCIETY OF ANAESTHETISTS.<br />
Sunshine Coast, QLD Venue: Hyatt Regency, Coolum. Contact: Organisers Australia. PO Box 1237, Milton, Qld 4064. Tel: 07 3371 0333 Fax: 073371 0555<br />
25 October <strong>New</strong> INTERPERSONAL SKILLS TRAINING WORKSHOPS: REDUCING RISK THROUGH IMPROVED INTERPERSONAL SKILLS.<br />
Coolum, QLD<br />
Venue: Hyatt Regency Coolum. Contact: Cass<strong>and</strong>ra Hargreaves. ASA Committees Manager, <strong>Australian</strong> Society of Anaesthetists.<br />
PO Box 600, Edgecliff NSW 2027. Tel: 61 2 9327 4022 Fax: 61 2 9327 7666 Email: chargreaves@fed.asa.org.au<br />
2 - 4 November <strong>New</strong> EMAC COURSE.<br />
Brisbane, QLD Venue: Brisbane. Contact: Queensl<strong>and</strong> Health Skills Development Centre. Tel: 07 3636 6500 Fax: 07 3636 6501<br />
Email: sdc-admin@health.qld.gov.au<br />
9 - 11 November <strong>New</strong> EMAC COURSE.<br />
Wellington, NZ Venue: National Patient Simulation Training Centre. Contact: Wellington Hospital, Private Bag 7902,<br />
Wellington South. Tel: 64 4 385 5887 Fax: 64 4 385 5887 Email: brian.robinson@wnhealth.co.nz<br />
10 - 11 November <strong>New</strong> 7TH AUSTRALASIAN DAY SURGERY CONFERENCE<br />
Melbourne, VIC<br />
Theme "Today, Tomorrow <strong>and</strong> Beyond" - Venue: Gr<strong>and</strong> Hyatt, Melbourne. Contact Ms. Caroline H<strong>and</strong>ley,<br />
Royal Australasian <strong>College</strong> of Surgeons, <strong>College</strong> of Surgeons Gardens, Spring Street, MELBOURNE VIC 3000<br />
Tel: +61 3 9249 1273 Fax: +61 2 9276 7431 Email: caroline.h<strong>and</strong>ley@surgeons.org Website: www.surgeons.org/adsc<strong>2006</strong><br />
23 - 25 November <strong>New</strong> EMAC COURSE.<br />
Melbourne, VIC<br />
Venue: St Vincent's Simulation Centre Contact: Dr Rowan Molnar, Director St Vincent's Simulation Centre.<br />
Tel: 03 9288 2301 Fax: 03 9288 5255 Email: molnarr@svhm.org.au<br />
2007<br />
5 - 9 May 2007 <strong>ANZCA</strong> ASM.<br />
Melbourne, VIC Venue: Crown Casino. Contact: Ms Juliette Mullumby. <strong>ANZCA</strong>, 630 St Kilda Road, Melbourne 3004. Tel: 03<br />
9510 6299 Fax: 03 9510 6786 Email: jmullumby@anzca.edu.au Website: www.anzca.edu.au<br />
7 - 10 November <strong>New</strong> NZAEC 2007 ASM.<br />
Auckl<strong>and</strong>, NZ<br />
Venue: Skycity, Auckl<strong>and</strong>. Contact: Alan McLintic. Convenor, NZAEC ASM. PO Box 7451, Wellington South.<br />
Tel: 04 385 8556 Fax: 04 385 3950 Email: nzaec@anaesthesia.org.nz Website: www.anaesthesia.org.nz/nzaec
54 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Future Meetings<br />
Overseas<br />
6 - 9 April AMERICAN SOCIETY OF REGIONAL ANESTHESIA 31ST ANNUAL SPRING MEETING AND WORKSHOPS<br />
California, USA Venue: Marriott Rancho Las Palmas. Contact: ASRA. 520 N. Northwest Highway, Park Ridge, IL 60068-2573.<br />
Tel: 847-825-7246 Fax: 847-825-5658 Email: asrameetings@asahq.org Website: www.asra.com<br />
22 - 24 April 3RD ANNUAL INTERNATIONAL SYMPOSIUM ON ULTRASOUND AND REGIONAL ANESTHESIA.<br />
Toronto, Canada Venue: Hart House, University of Toronto. Contact: Christine Drane. Tel: +1 416 603 5118 Fax: +1 416 603 6494<br />
Email: christine.drane@uhn.on.ca Website: http://www.uhn.ca/programs/rapm/seminars.asp<br />
24 - 27 April THE BRITISH PAIN SOCIETY ANNUAL SCIENTIFIC MEETING <strong>2006</strong>.<br />
Harrogate, Engl<strong>and</strong> Venue: Harrogate International Centre. Contact: S<strong>and</strong>ra Upali. Tel: 020 7631 8871<br />
Email:meetings@britishpainsociety.org Website: http://www.britishpainsociety.org/meet_harrogate_meetinfo.htm<br />
26 - 30 April SOCIETY FOR OBSTETRIC ANESTHESIA AND PERINATOLOGY 38TH ANNUAL MEETING.<br />
Florida, USA<br />
Venue: The Westin Diplomat Resort & Spa, Hollywood. Contact: The Society for Obstetric Anesthesia &<br />
Perinatology. 2 Summit Park Drive #140, Clevel<strong>and</strong>, OH 44131. Tel: (216) 447-7863 Fax: (216) 642-1127<br />
Email: soaphq@soap.org Website: http://www.soap.org/meetings.htm<br />
29 - 3 May SOCIETY OF CARDIOVASCULAR ANESTHESIOLOGISTS 28TH ANNUAL MEETING AND WORKSHOPS<br />
San Diego, California Venue: Sheraton San Diego Hotel <strong>and</strong> Marina. Contact: Society of Cardiovascular Anesthesiologists, P.O. Box<br />
11086, 2209 Dickens Road, Richmond, VA 23230-1086. Tel: 1 804 282 0084 Fax: 1 804 282 0090<br />
Email: sca@societyhq.com Website: www.scahq.org<br />
1 - 3 May AMERICAN SOCIETY OF ANAESTHESIOLOGISTS LEGISLATIVE CONFERENCE.<br />
Washington, USA<br />
Venue: J.W. Marriott. Contact: Michelle Omar. ASA, 1101 Vermont Ave., N.W., Suite 606, Washington, DC<br />
20005. Tel: +1 202 289 2222 Fax: +1 202 371 0384 Email: M.Omar@ASAwash.org<br />
3 - 6 May AMERICAN PAIN SOCIETY ANNUAL MEETING.<br />
San Antonio, Texas Venue: Henry B. Gonzalez Convention Center & Marriott River Center. Contact: American Pain Society.<br />
4700 W. Lake Ave. Glenview, IL 60025. Tel: 847-375-4715 Fax: 877-734-8758 Email: info@ampainsoc.org<br />
Website: http://www.ampainsoc.org/meeting/annual_06/<br />
4 - 6 May ASSOCIATION OF PAEDIATRIC ANAESTHETISTS ANNUAL SCIENTIFIC MEETING.<br />
Cardiff, Wales<br />
Venue: City Hall. Email: apacardiff<strong>2006</strong>@hotmail.co.uk Website: http://www.rcoa.ac.uk/apagbi/<br />
4 - 7 May SOCIETY FOR AMBULATORY ANESTHESIA 21ST ANNUAL MEETING.<br />
Washington, USA Venue: J.W. Marriott Hotel Contact: SAMBA, 520 N. Northwest Hwy. Park Ridge, IL 60068. Tel: 1 847 825 5586<br />
Fax: 1 847 825 5658 Email: n.casavechia@asahq.org Website: www.sambahq.org<br />
11 - 12 May OBSTETRIC ANAESTHESIA <strong>2006</strong> - ANNUAL MEETING OF THE OBSTETRIC ANAESTHETISTS' ASSOCIATION.<br />
Glasgow, Scotl<strong>and</strong><br />
Venue: Glasgow Royal Concert Hall. Contact: Obstetric Anaesthetists' Association, PO Box 3219 Barnes,<br />
London, SW13 9XR. Tel: +44 (0)20 8741 1311 Fax: +44 (0)20 8741 0611 Email: secretariat@oaa-anaes.ac.uk<br />
Website: http://www.oaa-anaes.ac.uk/<br />
11 - 12 May NEUROANAESTHESIA SOCIETY OF GREAT BRITAIN AND IRELAND ANNUAL SCIENTIFIC MEETING.<br />
Brighton, Engl<strong>and</strong><br />
Contact: Dr W. A. L. Rawlinson. Department of Anaesthetics, Princess Royal <strong>and</strong> Hurstwood Park Hospitals,<br />
Haywards Heath, W Sussex, RH16 4EX. Email: william.rawlinson@bsuh.nhs.uk<br />
Website: http://www.nasgbi.org.uk/conf<strong>2006</strong>.htm
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 55<br />
13 May CONTROVERSIES AND FUNDAMENTALS IN REGIONAL ANESTHESIA: 10TH ANNUAL SYMPOSIUM.<br />
<strong>New</strong> York, USA<br />
Venue: Waldorf Astoria Hotel. Contact: Mary Hargett. Department of Anesthesiology, Hospital for Special Surgery,<br />
630 West, 535 East 70th St., <strong>New</strong> York, NY 10021. Tel: (212) 606.1793 Fax: (212) 517-4481<br />
Email: hargettm@hss.edu Website: www.hssanes.org<br />
17 - 20 May <strong>2006</strong> GERMAN CONGRESS OF ANAESTHESIOLOGY.<br />
Leipzig, Germany<br />
Venue: Messe Leipzig. Contact: MCN Medizinische Congressorganisation Nuernberg AG, Zerzabelshofstrasse<br />
29, 90478 Neurnberg. Tel: 49 911 3 93 16 23 Fax: 49 911 3 93 16 78 Email: lindig@mcn-nuernberg.de<br />
20 - 24 May 12TH INTERNATIONAL OTTAWA CONFERENCE ON CLINICAL COMPETENCE.<br />
<strong>New</strong> York City, USA Venue: Marriott Marquis Hotel. Contact: S&A Event Services. Tel: 973-379-3239<br />
Email: debrac@sa-eventservices.com Website: http://secure.lenos.com/lenos/pcg/C3NY/home.htm<br />
24 - 27 May PRACTICAL ASPECTS OF PEDIATRIC ANESTHESIA <strong>2006</strong>.<br />
Massachusetts, USA Venue: Westin Copley Place Boston. Contact: Harvard Medical School. Department of Continuing Education.<br />
P.O. Box 825, Boston, MA 02117-0825. Tel: (617) 384-8600 Fax: (617) 384-8686<br />
Email: hms-cme@hms.harvard.edu Website: cme.hms.harvard.edu/<br />
27 - 29 May 47TH ANNUAL MCGILL ANESTHESIA UPDATE.<br />
Quebec, Canada<br />
Contact: Kelly Ann McCulloch-Glover. Continuing Education Office. McGill University Health<br />
Centre. 1650 Cedar Ave., #D16-158, Montréal, PQ H3G 1A4. Tel: (514) 934-1934, #44173 Fax: (514) 934-1779<br />
Email: kelly.glover@muhc.mcgill.ca Website: www.mcgill.ca/mgh_pgb<br />
2 - 3 June 9TH EUROPEAN SOCIETY FOR INTRAVENOUS ANAESTHESIA (EUROSIVA) MEETING.<br />
Madrid, Spain<br />
Venue: Hotel Hesperia. Website: www.eurosiva.org/<br />
3 - 6 June EUROANAESTHESIA <strong>2006</strong>.<br />
Madrid, Spain Venue: IFEMA - Feria de Madrid, Convention Centre. Tel: +44 (0) 870 0132930 Fax: +44 (0) 870 0132940<br />
Email: info@optionsglobal.com Website: www.optionsglobal.com<br />
3 - 7 June 11TH INTERNATIONAL CONFERENCE ON EMERGENCY MEDICINE.<br />
Nova Scotia, Canada Venue: World Trade <strong>and</strong> Convention Centre, Halifax. Contact: ICEM <strong>2006</strong>. c/o Compart Event Management<br />
Limited, 5554 Sullivan Street, Halifax Nova Scotia Canada B3K 1X7. Tel: 902-454-4714 Fax: 902-454-4930<br />
Email: icem<strong>2006</strong>@compartevents.com Website: http://www.caep.ca/icem<strong>2006</strong>/<br />
14 - 17 June CANADIAN PAIN SOCIETY ANNUAL CONFERENCE <strong>2006</strong>.<br />
Alberta, Canada Venue: The Westin Edmonton Hotel, Edmonton. Contact: Ellen Maracle-Benton. Tel: 905-668-9545<br />
Fax: 905-668-3728 Email: mailto:ellen.maracle-benton@sympatico.ca Website: http://www.canadianpainsociety.ca/<br />
16 - 20 June CANADIAN ANAESTHESIOLOGISTS' SOCIETY ANNUAL MEETING.<br />
Toronto, Canada Venue: Toronto. Contact: 1 Eglinton Avenue East, Suite 208, Toronto, Ontario ,Canada M4P 3A1.<br />
Tel: 416 480 0602 Fax: 416 480 0320 Email: meetings@cas.ca Website: www.cas.ca<br />
22 - 24 June <strong>2006</strong> UNDERSEA & HYPERBARIC MEDICAL SOCIETY ANNUAL SCIENTIFIC MEETING.<br />
Florida, USA<br />
Venue: Hilton in the Walt Disney World Resort. Contact: Lisa Wasdin. c/o UHMS, PO Box 1020, Dunkirk,<br />
Maryl<strong>and</strong> 20754 U.S.A. Tel: 410.257.6606 ext. 104 Fax: 410.257.6617 Email: lisa@uhms.org<br />
Website: http://www.uhms.org
56 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
23 June 23RD ASSOCIATION OF CARDIOTHORACIC ANAESTHESIA SPRING MEETING.<br />
Cambridge, Engl<strong>and</strong> Venue: Churchill <strong>College</strong> Cambridge. Contact: Roger Hall. Papworth Hospital, Papworth Everard, Cambridge, CB4 8R.<br />
Tel: 01480 364406 Email: pauline.white@papworth.nhs.uk<br />
Website: http://www.acta.org.uk/meetingsinfo.aspMID=10&OID=1<br />
29 - 1 July 12TH ANNUAL MEETING OF THE SOCIETY IN EUROPE FOR SIMULATION APPLIED TO MEDICINE.<br />
Porto, Portugal<br />
Tel: +351 22 508 1623 Fax: +351 22 508 1624 Email: sesam06@fe.up.pt Website: http://www.sesam.ws/<br />
3 - 7 July 12TH INTERNATIONAL PAIN CLINIC CONFERENCE.<br />
Turin, Italy Venue: Lingotto Conference Centre. Contact: Chiara Fabbi. Centro Congressi Internazionale S.r.l. Via Cervino, 60.<br />
Tel: + 39 011 2446920 Fax: + 39 011 2446900 Email: info@pain<strong>2006</strong>.com Website: http://www.pain<strong>2006</strong>.com/<br />
25 - 29 June 7TH INTERNATIONAL SYMPOSIUM ON PEDIATRIC PAIN.<br />
Vancouver, Canada Venue: The Fairmont Hotel, Vancouver. Contact: International Conference Services Ltd.,<br />
Suite 2101 - 1177 West Hastings Street, Vancouver, BC Canada V6E 2K3. Tel: (604) 681 2153<br />
Fax: (604) 681 1049 Email: ispp<strong>2006</strong>@meet-ics.com Website: http://www.ispp<strong>2006</strong>.com/<br />
23 - 26 August <strong>New</strong> 32ND ANNUAL SCIENTIFIC MEETING OF THE EUROPEAN UNDERWATER AND BAROMEDICAL<br />
Bergen, Norway<br />
SOCIETY ON DIVING AND HYPERBARIC MEDICINE.<br />
Venue: Radisson SAS Hotel Norge. Contact: Arvid hope. NUI AS, PO Box 23 Ytre, Laksevaag, NO-5848 Bergen,<br />
Norway. Tel: +47 63 80 65 10 Fax: +47 63 80 65 11 Email: aho@nui.no<br />
Website: http://www.eubs.org/EUBS<strong>2006</strong>%20First%202.pdf<br />
26 - 30 August AN INTENSIVE REVIEW OF THE SPECIALTY OF PAIN MEDICINE.<br />
Illinois<br />
Venue: Holiday Inn Chicago City Centre. Contact: Maria Courtney. Dannemiller Memorial Educational<br />
USA Foundation. 5711 Northwest Parkway, Suite 100, San Antonio, TX 78249. Tel: (210) 641-8311<br />
Fax: (210) 641-8329 Email: mariac@pain.com Website: www.pain.com<br />
15 - 16 September <strong>New</strong> PACIFIC CHAPTER OF THE UNDERWATER HYPERBARIC MEDICINE SOCIETY ANNUAL MEETING<br />
California, USA<br />
Venue: Oakl<strong>and</strong>. Contact: Pacific Chapter UHMS. 2570 Dunfries Ct. Colorado Springs, CO 80919. Tel:<br />
719 365 5592 Fax: 719 365 5630 Email: hbodoctor@yahoo.com Website: http://www.pacificuhms.org/index.html<br />
19 - 22 September ASSOCIATION OF ANAESTHETISTS OF GREAT BRITAIN AND IRELAND ANNUAL CONGRESS.<br />
Aberdeen, Scotl<strong>and</strong> Venue: Aberdeen Contact: Joanne Barnes, Datex-Ohmeda Education <strong>and</strong> Communications Manager, 21 Portl<strong>and</strong><br />
Place, London, W1B 1PY UK. Tel: 44 20 7631 8802 Fax: 44 20 7631 435 Email: meetings@aagbi.org Website: www.aagbi.org<br />
13 October AMERICAN SOCIETY OF CRITICAL CARE ANESTHESIOLOGISTS 19TH ANNUAL MEETING.<br />
Chicago, USA<br />
Venue: Chicago, Illinois. Contact: American Society of Critical Care Anesthesiologists, 520 N. Northwest Hwy.<br />
Park Ridge, IL 60068. Tel: 1 847 825 5586 Fax: 1 847 825 5658 Email: ascca@asahq.org Website: www.asccahq.org<br />
13 October SOCIETY FOR AMBULATORY ANESTHESIA MID YEAR MEETING.<br />
Chicago, USA<br />
Venue: Chicago, Illinois . Contact: Society for Ambulatory Anesthesia, 520 N. Northwest Hwy. Park Ridge, IL<br />
60068. Tel: 1 847 825 5586 Fax: 1 847 825 5658 Email: samba@asahq.org Website: www.sambahq.org<br />
13 October SOCIETY OF NEUROSURGICAL ANESTHESIA AND CRITICAL CARE ANNUAL MEETING.<br />
Chicago, USA Venue: Chicago, Illinois . Contact: SNACC, 520 N. Northwest Highway, Park Ridge, IL 60068-2573.<br />
Tel: 1 847 825 5586 Fax: 1 847 825 5658 Email: snacc@asahq.org Website: www.snacchq.org
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 57<br />
14 - 15 October NEMAACON <strong>2006</strong>.<br />
Mumbai, India<br />
Theme: "Anaesthesia in the 21st Century". Venue: Hotel Intercontinental The Gr<strong>and</strong>. Contact: Dr.Kailash Kothari,<br />
India<br />
Org Secretary. Tel: 91-0-22-25-289-422 Fax: 91-0-22-25-285-833 Email: nemaathecongerence@gmail.com<br />
14 - 18 October AMERICAN SOCIETY OF ANESTHESIOLOGISTS ANNUAL MEETING.<br />
Chicago, USA Venue: Chicago, Illinois. Contact: ASCCA, 520 N Northwest Highway, Park Ridge, Il 60068-2573.<br />
Tel: 847 825 5586 Fax: 847 825 5658 Email: mail@ASAhq.org Website: www.asahq.org<br />
6 - 10 November 12TH ASIAN-AUSTRALASIAN CONGRESS OF ANESTHESIOLOGISTS.<br />
Singapore<br />
Email: gancyw@sgh.com.sg<br />
23 - 24 November <strong>2006</strong> ANNUAL SCIENTIFIC MEETING OF THE UK SOCIETY FOR INTRAVENOUS ANAESTHESIA.<br />
Chepstow, Wales<br />
Venue: Marriott St. Pierre Hotel & Country Club. Contact: Dr William McFadzean, Consultant Anaesthetist.<br />
Morriston Hospital, Swansea SA6 6NL. Tel: +44 (0)1792 703279 Email: meetings@sivauk.org<br />
Website: http://www.sivauk.org/StPierreChepstow.htm<br />
8 - 12 December NEW YORK STATE SOCIETY OF ANESTHESIOLOGISTS 60TH POSTGRADUATE ASSEMBLY IN ANESTHESIOLOGY.<br />
<strong>New</strong> York, USA<br />
Venue: <strong>New</strong> York Marriott Marquis Hotel. Contact: Kurt Becker. <strong>New</strong> York State Society of Anesthesiologists,<br />
85 Fifth Avenue, 8th Floor, <strong>New</strong> York, NY 10003. Tel: +1 212-867-7140 Fax: +1 212-867-7153<br />
Email: kurt@nyssa-pga.org Website: www.nyssa-pga.org<br />
Further meetings can be found on the <strong>College</strong> website at http://www.anzca.edu.au/infocentres/meetings/index.htm<br />
<strong>and</strong> ACECC website at http://www.acecc.org.au/P=events
58 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists<br />
Professional Documents<br />
NOTE: All Professional Documents are on the <strong>College</strong> website at www.anzca.edu.au<br />
P = Professional T = Technical EX = Examinations PS = Professional st<strong>and</strong>ards TE = Training <strong>and</strong> Educational<br />
TE1 (2005) Recommendations for Hospitals Seeking <strong>College</strong> Approval for Vocational Training in Anaesthesia <strong>Bulletin</strong> November 2005, Page 77<br />
TE2<br />
(2003) Policy on Vocational Training Modules <strong>and</strong> Module Supervision Despatched with August 2003 <strong>Bulletin</strong><br />
TE3 (2005 Interim Review) Policy on Supervision of Clinical Experience for Vocational Trainees in Anaesthesia (Due for Review in 2008)<br />
TE4 (2003) Policy on Duties of Regional Education Officers in Anaesthesia Despatched with August 2003 <strong>Bulletin</strong><br />
TE5 (2003) Policy for Supervisors of Training in Anaesthesia Despatched with August 2003 <strong>Bulletin</strong><br />
TE6 (2000) Guidelines on the Duties of an Anaesthetist <strong>Bulletin</strong> July 2000, pg 86<br />
TE7 (2005) Guidelines for Secretarial <strong>and</strong> Support Services to Departments of Anaesthesia <strong>Bulletin</strong> February 2005, pg 56<br />
TE8 (2003) Guidelines for the Learning Portfolio for Trainees in Anaesthesia Despatched with August 2003 <strong>Bulletin</strong><br />
TE9 (2005) Guidelines on Quality Assurance in Anaesthesia <strong>Bulletin</strong> February 2005, pg 57<br />
TE10 (2003)<br />
Recommendations for Vocational Training Programs Despatched with August 2003 <strong>Bulletin</strong><br />
TE11 (2003) Formal Project Guidelines <strong>Bulletin</strong> November 2003, pg 92<br />
TE13 (2003)<br />
Guidelines for the Provisional Fellowship Program Despatched with August 2003 <strong>Bulletin</strong><br />
TE14 (2001) Policy for the In-Training Assessment of Trainees in Anaesthesia <strong>Bulletin</strong> November 2001, pg 84<br />
TE17 (2003)<br />
Policy on Advisors of C<strong>and</strong>idates for Anaesthesia Training Despatched with August 2003 <strong>Bulletin</strong><br />
TE18 (2005) Guidelines for Assisting Trainees with Difficulties <strong>Bulletin</strong> June 2005, pg 99<br />
EX1 (2001) Policy on Examination C<strong>and</strong>idates Suffering from Illness, Accident or Disability <strong>Bulletin</strong> November 2001, pg 75<br />
T1 (2005) Recommendations on Minimum Facilities for Safe Anaesthesia Practice in Operating Suites <strong>and</strong> other Anaesthsia Locations<br />
T3 (2005) Safety Requirements for Anaesthesia Machines for Clinical Practice<br />
PS1 (2002) Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia <strong>Bulletin</strong> November 2002, pg 78<br />
PS2 (2001) Statement on Credentialling in Anaesthesia <strong>Bulletin</strong> <strong>March</strong> 2002, Page 65<br />
PS3 (2003) Guidelines for the Management of Major Regional Analgesia <strong>Bulletin</strong> <strong>March</strong> 2003 , pg 70<br />
PS4 (2000) Recommendations for the Post-Anaesthesia Recovery Room <strong>Bulletin</strong> November 2000, pg 72<br />
PS6 (2001) Recommendations on the Recording of an Episode of Anaesthesia Care (the Anaesthesia Record) <strong>Bulletin</strong> November 2001, pg 77<br />
PS7 (2003) Recommendations on the Pre-Anaesthesia Consultation <strong>Bulletin</strong> November 2003, pg 87<br />
PS8 (2003) Guidelines on the Assistant for the Anaesthetist <strong>Bulletin</strong> November 2003, pg 89<br />
PS9 (2005) Guidelines on Conscious Sedation for Diagnostic, Interventional Medical <strong>and</strong> Surgical Procedures
<strong>March</strong> <strong>2006</strong> <strong>Bulletin</strong> 59<br />
PS10 (2004) Guidelines on the H<strong>and</strong>over of Responsibility During an Anaesthetic <strong>Bulletin</strong> November 2004, pg 79<br />
PS12 (2001) Statement on Smoking as Related to the Perioperative Period <strong>Bulletin</strong> November 2001, pg 79<br />
PS14 (1998) Guidelines for the Conduct of Major Regional Analgesia in Obstetrics <strong>Bulletin</strong> November 1998, pg 81<br />
PS15 (2000) Recommendations for the Perioperative Care of Patients Selected for Day Care Surgery <strong>Bulletin</strong> November 2000, pg 75<br />
PS16 (2001) Statement on the St<strong>and</strong>ards of Practice of a Specialist Anaesthetist <strong>Bulletin</strong> November 2001, pg 81<br />
PS18 (2000) Recommendations on Monitoring During Anaesthesia <strong>Bulletin</strong> November 2000, pg 78<br />
PS19 (2001) Recommendations on Monitored Care by an Anaesthetist <strong>Bulletin</strong> November 2001, pg 82<br />
PS20 (2001) Recommendations for Responsibilities of the Anaesthetist in the Post-Operative Period <strong>Bulletin</strong> November 2001, pg 83<br />
PS21 (2003) Guidelines on Conscious Sedation for Dental Procedures <strong>Bulletin</strong> June 2003, pg 93<br />
PS24 (2004) Guidelines on Sedation for Gastrointestinal Endoscopic Procedures <strong>Bulletin</strong> August 2004, pg 66<br />
PS26 (2005) Guidelines on Consent for Anaesthesia or Sedation <strong>Bulletin</strong> June 2005, pg 102<br />
PS27 (2004) Guidelines for Fellows who Practice Major Extracoporeal Perfusion <strong>Bulletin</strong> February 2004, pg 66<br />
PS28 (2005) Guidelines on Infection Control in Anaesthesia <strong>Bulletin</strong> February 2005, pg 59<br />
PS29 (2002) Statement on Anaesthesia Care of Children in Healthcare Facilities without Dedicated Paediatric Facilities <strong>Bulletin</strong> November 2002, pg 80<br />
PS31 (2003) Recommendations on Checking Anaesthesia Delivery Systems <strong>Bulletin</strong> August 2003, pg 85<br />
PS37 (2004) Statement on Local Anaesthesia <strong>and</strong> Allied Health Practitioners <strong>Bulletin</strong> Fenruary 2004, pg 69<br />
PS38 (2004) Statement Relating to the Relief of Pain <strong>and</strong> Suffering <strong>and</strong> End of Life Decisions <strong>Bulletin</strong> November 2004, pg 80<br />
PS39 (2003) Minimum St<strong>and</strong>ards for Intrahospital Transport of Critically Ill Patients <strong>Bulletin</strong> June 2003, pg 90<br />
PS40 (2005) Guidelines for the Relationship Between Fellows, Trainees <strong>and</strong> the Healthcare Industry <strong>Bulletin</strong> November 2005, pg 79<br />
PS41 (2000) Guidelines on Acute Pain Management <strong>Bulletin</strong> November 2000, pg 80<br />
PS42 (2000) Recommendations for Staffing of Departments of Anaesthesia <strong>Bulletin</strong> <strong>March</strong> 2001, pg 63<br />
PS43 (2001) Statement on Fatigue <strong>and</strong> the Anaesthetist <strong>Bulletin</strong> <strong>March</strong> 2002, pg 69<br />
PS44 (2001) Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia <strong>Bulletin</strong> <strong>March</strong> 2002, pg 71<br />
PS45 (2001) Statement on Patients’ Rights to Pain Management <strong>Bulletin</strong> <strong>March</strong> 2002, pg 72<br />
PS46 (2004) Recommendations for Training <strong>and</strong> Practice of Diagnostic Perioperative Transoesophageal Echocardiography in Adults <strong>Bulletin</strong> February 2004, pg 70<br />
PS47 (2002) Guidelines for Hospitals Seeking <strong>College</strong> Approval of Posts for Vocational Training in Diving <strong>and</strong> Hyperbaric Medicine <strong>Bulletin</strong> November 2002, pg 82<br />
PS48 (2003) Statement on Clinical Principles for Procedural Sedation <strong>Bulletin</strong> June 2003, pg 97<br />
PS49 (2003) Guidelines on the Health of Specialists <strong>and</strong> Trainees <strong>Bulletin</strong> August 2003, pg 89<br />
PS50 (2004) Recommendations on Practice Re-entry for a Specialist Anaesthetist <strong>Bulletin</strong> February 2004, pg 73<br />
All Current Professional Documents are available at www.anzca.edu.au/publications/profdocs/index.htm
60 <strong>Bulletin</strong> <strong>March</strong> <strong>2006</strong><br />
Policy Documents – Under Review<br />
In line with <strong>College</strong> policy, the following Policy Documents are due for review in <strong>2006</strong>:<br />
TE14<br />
EX1<br />
PS2<br />
PS6<br />
PS12<br />
PS16<br />
PS19<br />
PS20<br />
PS43<br />
PS44<br />
PS45<br />
Guidelines for the In-Training Assessment of Trainees in Anaesthesia<br />
Examination C<strong>and</strong>idates Suffering from Illness, Accident or Disability<br />
Statement on Credentialling in Anaesthesia<br />
Recommendations on Minimum Requirements for the Anaesthesia Record<br />
Statement on Smoking as Related to the Perioperative Period<br />
Statement on the St<strong>and</strong>ards of Practice of a Specialist Anaesthetist<br />
Recommendations on Monitored Care by an Anaesthetist<br />
Recommendations for Responsibilities of the Anaesthetist in the Post-Operative Period<br />
Statement on Fatigue <strong>and</strong> the Anaesthetist<br />
Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia<br />
Statement on Patients’ Rights to Pain Management<br />
Council will welcome any input or suggestions relating to these documents which will be considered during the review.<br />
Specialist Re-Entry Program (SREP)<br />
The <strong>Australian</strong> Government has developed a plan to assist specialists<br />
who want to return to practice <strong>and</strong> who would like to spend time<br />
refreshing their knowledge <strong>and</strong> skills in a private practice setting.<br />
Government funds are available to assist specialists who:<br />
Hold Fellowship of the <strong>College</strong><br />
Hold current medical registration<br />
Hold current medical indemnity<br />
Intend to return to the specialist medical workforce in Australia<br />
It is anticipated that the Fellow:<br />
Will have been absent from specialist clinical practice for between<br />
six months <strong>and</strong> ten years<br />
Will have negotiated a placement in a private practice of their<br />
choice<br />
Will have negotiated with an appropriate mentor for support<br />
Funds will be provided for administrative costs for the relevant<br />
practice, for mentor support <strong>and</strong> training <strong>and</strong> for colleges for<br />
administrative support.<br />
The specialist concerned cannot be paid by the Government, which<br />
anticipates the person will bill Medicare for services to private<br />
patients.<br />
Note: The project officers have indicated that, should there be little<br />
interest in the above scheme, <strong>and</strong> if there are applications from<br />
specialists who would prefer their experience to be in a public<br />
hospital setting, the department may be able to access the funds<br />
normally reserved for the private practice, mentor <strong>and</strong> training.<br />
The scheme will operate for four years, from July 2004.<br />
For more information please contact either:<br />
SREP Project Officer<br />
Tel: (61 2) 6289 8034;<br />
Website www.health.gov.au<br />
or<br />
Ms Jill Humphreys<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists<br />
Tel: (61 3) 8517 5336;<br />
Email jhumphreys@anzca.edu.au
Lismore Base Hospital<br />
Medical Administration<br />
PO Box 419<br />
Lismore 2480<br />
Tel: 66202353<br />
Fax: 66207470<br />
Director of Anaesthesia (Staff Specialist)<br />
Situated in the northeast of <strong>New</strong> South Wales, Lismore is surrounded by the beaches of Byron Bay, Ballina <strong>and</strong> Lennox Head <strong>and</strong> by world-renowned<br />
rainforests such as Mt Warning, Border Ranges <strong>and</strong> Nightcap National Parks. By road the Gold Coast is only eighty minutes away <strong>and</strong> Brisbane only two<br />
<strong>and</strong> a half hours.<br />
Lismore Base Hospital is an acute referral hospital of 200 beds with 70 Specialist Visiting Medical Officers, 13 Staff Specialists <strong>and</strong> 13 accredited training<br />
Registrars. A full range of general medical <strong>and</strong> surgical services are provided along with sub-speciality services such as Vascular Surgery <strong>and</strong><br />
Haematology/ Oncology. It is an affiliated teaching hospital for medical students from the Universities of <strong>New</strong>castle, Queensl<strong>and</strong>, NSW <strong>and</strong> Sydney.<br />
The Anaesthetist:<br />
• Will provide leadership <strong>and</strong> management of the Department of Anaesthesia at Lismore Base Hospital<br />
• Will provide comprehensive anaesthetic services to the North Coast Area Health Service primarily at Lismore Base Hospital,<br />
<strong>and</strong> also anaesthesia for elective surgery at Ballina, Byron Bay, Casino <strong>and</strong> Maclean Hospitals.<br />
• Will participate in the milieu of Lismore Base Hospital including relevant committees <strong>and</strong> interdepartmental functions.<br />
• Will participate in a 1:12 on-call roster subject to available practitioners.<br />
Essential: Fellowship of the <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists <strong>and</strong>/or other specialist recognition as provided for in the Staff<br />
Specialists (State) Award.<br />
Salary: In accordance with the Staff Specialists (State) Award.<br />
Enquiries: Dr Geoffrey Williamson (02)6620 2353<br />
Application Kits: (02)6620 2834, email: Maryanne@nrahs.nsw.gov.au<br />
Applications Close: 31 <strong>March</strong> <strong>2006</strong><br />
Anaesthetist - Staff Specialist / Visiting Medical Officer<br />
Situated in the northeast of <strong>New</strong> South Wales, Lismore is surrounded by the beaches of Byron Bay, Ballina <strong>and</strong> Lennox Head <strong>and</strong> by world-renowned<br />
rainforests such as Mt Warning, Border Ranges <strong>and</strong> Nightcap National Parks. By road the Gold Coast is only eighty minutes away <strong>and</strong> Brisbane only two<br />
<strong>and</strong> a half hours.<br />
Lismore Base Hospital is an acute referral hospital of 200 beds with 70 Specialist Visiting Medical Officers, 13 Staff Specialists <strong>and</strong> 13 accredited training<br />
Registrars. A full range of general medical <strong>and</strong> surgical services are provided along with sub-speciality services such as Vascular Surgery <strong>and</strong><br />
Haematology/ Oncology. It is an affiliated teaching hospital for medical students from the Universities of <strong>New</strong>castle, Queensl<strong>and</strong>, NSW <strong>and</strong> Sydney.<br />
The Anaesthetist:<br />
• Will provide comprehensive anaesthetic services to the North Coast Area Health Service primarily at Lismore Base Hospital, <strong>and</strong> also<br />
anaesthesia for elective surgery at Ballina, Byron Bay, Casino <strong>and</strong> Maclean Hospitals.<br />
• Will participate in the milieu of Lismore Base Hospital including relevant committees <strong>and</strong> interdepartmental functions.<br />
• Will participate in a 1:12 on-call roster subject to available practitioners.<br />
Essential: Fellowship of the <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists <strong>and</strong>/or other specialist recognition as provided for in the Staff<br />
Specialists (State) Award <strong>and</strong>/or other specialist recognition as provided for under the Health Insurance Act 1973.<br />
Salary: In accordance with the Staff Specialists (State) Award OR Public Hospital (VMO Sessional Contract) Determination 1994<br />
Enquiries: Dr Geoffrey Williamson (02)6620 2353<br />
Application Kits: (02)6620 2834, email: Maryanne@nrahs.nsw.gov.au<br />
Applications Close: 31 <strong>March</strong> <strong>2006</strong>
<strong>Australian</strong><br />
Society of Anaesthetists<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong><br />
<strong>College</strong> of Anaesthetists<br />
INTERPERSONAL<br />
SKILLS TRAINING<br />
WORKSHOPS<br />
REDUCING RISK THROUGH IMPROVED INTERPERSONAL SKILLS<br />
The ASA <strong>and</strong> the <strong>ANZCA</strong> in association with the Cognitive Institute is offering an intensive 1 day<br />
program designed to give a thorough underst<strong>and</strong>ing of the issues surrounding risks <strong>and</strong> provide you<br />
with proven, practical skills in building rapport, achieving consent, managing expectations <strong>and</strong><br />
h<strong>and</strong>ling discussions when things go wrong.<br />
A highlight of the day is working with professional actors <strong>and</strong> coaches in small groups to practise these<br />
skills, particularly in dealing with upset <strong>and</strong> angry patients <strong>and</strong> families.<br />
UPCOMING WORKSHOPS The following workshops are scheduled to take place:<br />
SYDNEY Saturday 3 June <strong>2006</strong><br />
MELBOURNE Wednesday 25 October <strong>2006</strong><br />
COOLUM, SUNSHINE COAST Wednesday 19 September <strong>2006</strong><br />
CPD POINTS Each workshop has been approved under the <strong>ANZCA</strong> MOPS Program for 21 CME <strong>and</strong> 19<br />
QA points under Code 700. The approval number is 04120.<br />
EDUCATION SUBSIDY MIPS, MIAG <strong>and</strong> MDA Victoria will sponsor the workshops <strong>and</strong> in some<br />
instances subsidise members’ registration fees. Please see the registration forms (when distributed) for<br />
further details.<br />
SPONSORS The ASA <strong>and</strong> the <strong>ANZCA</strong> wish to thank UMP <strong>and</strong> MDA National for their generous support.<br />
PRESENTED BY<br />
www.cognitiveinstitute.org<br />
To minimise the cost of the workshops members will ONLY be notified of upcoming workshops via email.<br />
Please ensure the ASA/<strong>ANZCA</strong> has your correct email address to ensure you receive a registration<br />
brochure should you be interested in attending.<br />
The Interpersonal Skills Training Workshops<br />
are a joint initiative of the ASA <strong>and</strong> the <strong>ANZCA</strong>.<br />
ACN 095 377 370 (ASA) ABN 56 790 794 313 (ASA)<br />
ASA. PO Box 600, Edgecliff NSW 2027<br />
Telephone: (02) 9327 4022<br />
Facsimile: (02) 9327 7666<br />
www.asa.org.au
Victorian Regional Committee<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists<br />
ABN 82 055 042 852<br />
Victorian Section<br />
<strong>Australian</strong> Society of Anaesthetists<br />
ABN 56 790 794 313<br />
27TH ANNUAL COMBINED<br />
<strong>ANZCA</strong>/ASA CME MEETING<br />
Engineering for Safety in Anaesthesia<br />
Removing the Pump H<strong>and</strong>le!<br />
Saturday 29 July <strong>2006</strong><br />
Sofitel Hotel, 25 Collins Street, Melbourne 3000<br />
For information contact: Ms Daphne Erler<br />
<strong>ANZCA</strong> Victorian Regional Committee, 630 St Kilda Road, Melbourne Vic 3004<br />
Email: vic@anzca.edu.au Telephone: (03) 9510 6299 or 8517 5313 Fax: (03) 9510 6786<br />
Annual Registrars' Scientific Meeting<br />
Notice of meeting <strong>and</strong> call for Abstracts Friday 28th July <strong>2006</strong><br />
Venue: <strong>ANZCA</strong> House <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists<br />
The Auditorium Ground Floor 630 St Kilda Road Melbourne Vic 3004<br />
Closing date for Abstracts Friday 23rd June <strong>2006</strong><br />
Prior Registration, or on the day: 10.00 - 11.00 am<br />
Registration Fee: Trainees $38.50 (inc. GST)<br />
Fellows $44.00 (inc. GST)<br />
Retiree $30.00 (inc. GST)<br />
For further information contact:<br />
Ms Daphne Erler Victorian Regional Committee ABN 82 055 042 852<br />
<strong>Australian</strong> & <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong> of Anaesthetists<br />
630 St Kilda Road Melbourne, Vic. 3004<br />
E-mail: vic@anzca.edu.au Phone: (03) 9510 6299 or 8517 5313 Fax: 9510 6786
<strong>2006</strong> Annual Scientific Meeting of the<br />
Joint Faculty of Intensive Care Medicine<br />
SEPSIS: Surviving the Guidelines<br />
The scientific pregramme, to be presented by a high quality international, national, <strong>and</strong><br />
local faculty, consists of a series of debates <strong>and</strong> lectures designed to critically evaluate<br />
the guidelines <strong>and</strong> provide <strong>and</strong> provide Intensive Care Clincians with an improved<br />
underst<strong>and</strong>ing of sepsis.<br />
9-11 June <strong>2006</strong><br />
Sofitel Melbourne
ANNUAL SCIENTIFIC MEETING<br />
“All in a day’s work”<br />
13-17 May <strong>2006</strong><br />
Adelaide Convention Centre, South Australia<br />
<strong>Australian</strong> <strong>and</strong> <strong>New</strong><br />
Zeal<strong>and</strong> <strong>College</strong><br />
of Anaesthetists<br />
Joint Faculty of Intensive<br />
Care Medicine<br />
Faculty of Pain<br />
Medicine<br />
www.sapmea.asn.au/anzca