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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

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