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Vision Statement - Australasian College of Dermatologists

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THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS


<strong>Vision</strong> <strong>Statement</strong><br />

The AusTrAlAsiAn <strong>College</strong> <strong>of</strong> DermATologisTs<br />

is A fellowship <strong>of</strong> DermATologisTs TrAineD To The<br />

highesT pr<strong>of</strong>essionAl sTAnDArDs, whose objeCTive<br />

is To serve The CommuniTy by proviDing The<br />

besT quAliTy DermATologiCAl CAre.<br />

The <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> is the accredited medical college<br />

responsible for the training and pr<strong>of</strong>essional development <strong>of</strong><br />

medical practitioners in the specialty <strong>of</strong> dermatology.<br />

<strong>Dermatologists</strong> are qualified medical practitioners who, through additional training,<br />

have obtained postgraduate qualifications to specialise in the diagnosis, treatment<br />

and prevention <strong>of</strong> skin, nail and hair diseases and skin cancers.<br />

Medical practitioners who have successfully completed the training program <strong>of</strong><br />

the <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> are Fellows <strong>of</strong> the <strong>College</strong> (FACD).<br />

1


Strategic Objectives<br />

The sTrATegiC objeCTives <strong>of</strong> The <strong>College</strong> Are:<br />

1. To provide and maintain dermatological education at all levels.<br />

2. To define and maintain the standards <strong>of</strong> ethical practice.<br />

3. To promote better public awareness about the skin and its care and the prevention <strong>of</strong> skin disease.<br />

4. To provide the best standards <strong>of</strong> pr<strong>of</strong>essional service to all members <strong>of</strong> the community.<br />

5. To support and promote dermatological research.<br />

6. To undertake its objectives competently, efficiently and responsibly.<br />

2


Contents<br />

Message froM the President 4-5<br />

froM the honorary secretary 6-7<br />

chief executive <strong>of</strong>ficer’s Message 8-9<br />

Board <strong>of</strong> directors 2008/09 10<br />

college staff 10<br />

froM the state faculties 11-17<br />

New South Wales 12-13<br />

Queensland 14<br />

South Australia 15<br />

Victoria 16<br />

Western Australia 17<br />

<strong>College</strong> 18-19<br />

Current Membership 19<br />

New Fellows 2008/09 19<br />

<strong>College</strong> Awards 19<br />

Awards from the 2008 Examinations 19<br />

In Memoriam 19<br />

skin & CAnCer founDATions 20-23<br />

Skin and Cancer Foundation Australia (New South Wales) 21<br />

Skin and Cancer Foundation Victoria 22-23<br />

eDuCATionAl CommiTTee reporTs 24-36<br />

Accreditation <strong>of</strong> Training Programs 25<br />

Examination Outcomes 26<br />

Education Committee 27<br />

Board <strong>of</strong> Censors 28-29<br />

Board <strong>of</strong> Training 30<br />

Curriculum Committee 31<br />

IMG Assessment Committee 32-33<br />

Pr<strong>of</strong>essional Development Committee 34<br />

Selection Task Force 35<br />

Trainee Representative Committee 36<br />

CommiTTee reporTs 37-47<br />

Report <strong>of</strong> the Editorial Board <strong>of</strong> the <strong>Australasian</strong> Journal <strong>of</strong> Dermatology 38<br />

Ethics Committee 39<br />

Indigenous Affairs Committee 40<br />

International Dermatology Outreach Committee 41<br />

Public Affairs Committee 42-43<br />

Rural and Regional Services Committee 44<br />

Scientific Meetings Committee 45-46<br />

Scientific Research Committee 47<br />

National Skin Cancer Steering Committee<br />

<strong>of</strong> The Cancer Council Australia – <strong>College</strong> Representatives 48<br />

GP Training Task Force 49<br />

rePort froM new Zealand derMatological society inc. 50<br />

finAnCiAls 51-81<br />

Donations Made to the <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> 52<br />

Donations Made by the <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> 52<br />

Directors’ Report 53-57<br />

Financial Report 58-81<br />

3


4<br />

Message<br />

from the President<br />

This is my second and final report as President <strong>of</strong><br />

<strong>College</strong>. Last year, you may remember, I mentioned<br />

how busy and productive the year had been. This<br />

year has been even more so, with projects such<br />

as the complete review <strong>of</strong> our trainee selection<br />

process, approval and implementation <strong>of</strong> our new<br />

strategic plan, ongoing work on AMC accreditation,<br />

including introduction <strong>of</strong> the curriculum, and<br />

preparation for the second Rural Meeting in Noosa.<br />

AmC ACCreDiTATion<br />

The first annual progress report to<br />

the AMC since the 2007 review,<br />

was submitted late last year. It<br />

indicated that we were on track for<br />

our review in 2010. Subsequently, an<br />

informal meeting was held between<br />

the Chair <strong>of</strong> the AMC, the Chair <strong>of</strong><br />

the AMC Assessment Committee,<br />

representatives <strong>of</strong> the <strong>College</strong> Board<br />

including myself, and Victoria Baker-<br />

Smith (our Education Manager). This<br />

meeting reinforced the fact that we<br />

are well on the way to achieving full<br />

accreditation at the 2010 review.<br />

Vital to this process is the successful<br />

implementation <strong>of</strong> the curriculum,<br />

to which so many <strong>of</strong> you have<br />

contributed.<br />

sTrATegiC plAn<br />

After extensive consultation with<br />

<strong>College</strong> Fellows and State Faculties, the<br />

final strategic plan was approved at the<br />

November 2008 Board Meeting and<br />

is now being implemented. This will<br />

be an ongoing regular review process<br />

in keeping with good governance<br />

practice.<br />

seleCTion proCess<br />

As forecasted in my report last<br />

year, the <strong>College</strong> Board resolved to<br />

commission an independent review<br />

<strong>of</strong> the national selection process. This<br />

review involved extensive consultation<br />

with all relevant stakeholders, and I<br />

thank you all for your time and effort<br />

in assisting with this process. I believe<br />

that the modifications suggested<br />

will further ensure that selection <strong>of</strong><br />

trainees continues to be both open and<br />

transparent.


gp TrAining Course<br />

The full GP training course is due to be<br />

rolled out at the end <strong>of</strong> this year. As<br />

we all know, Rob Paver has done an<br />

amazing job.<br />

rurAl issues<br />

Some progress has been made in<br />

this area and further discussions and<br />

planning will occur at the second Rural<br />

Meeting in Noosa, to be held in March<br />

2009.<br />

meDiA<br />

<strong>College</strong>’s high media pr<strong>of</strong>ile has<br />

been further developed by a closer<br />

association with the state and national<br />

Cancer Councils.<br />

inDigenous heAlTh<br />

Dr Ian McCrossin has joined the<br />

Indigenous Health Sub-Committee<br />

<strong>of</strong> the CPMC and we look forward to<br />

further activity in this area.<br />

CollegiAliTy<br />

<strong>College</strong> has continued its commitment<br />

to improving collegiality amongst its<br />

registrars, with the continuation <strong>of</strong> the<br />

highly successful first year bonding<br />

weekend instituted by Epiderm three<br />

years ago. I believe that this is an<br />

extremely important initiative for<br />

<strong>College</strong>, as the registrars are indeed<br />

our future.<br />

boArD AnD sTAff<br />

ConTribuTions<br />

I would like to thank all Board<br />

members, all Committee members,<br />

all members <strong>of</strong> the State Faculty<br />

executives and all other <strong>College</strong><br />

Fellows, who have contributed so<br />

much <strong>of</strong> their time and energy to<br />

<strong>College</strong>. We are indebted also to our<br />

superb education and management<br />

team, without whom we could not<br />

undertake the numerous and complex<br />

tasks demanded <strong>of</strong> us. Thank you all!<br />

It is incredible to think that my term<br />

as your President is nearing its end. I<br />

believe that a significant amount has<br />

been achieved during this time and<br />

I am proud to have been part <strong>of</strong> it. I<br />

am confident that Dr Ian McCrossin,<br />

as <strong>College</strong>’s next President, will most<br />

capably take over the reins in May and<br />

will continue to work for the future <strong>of</strong><br />

<strong>College</strong>.<br />

Thank you for allowing me the great<br />

privilege <strong>of</strong> serving as your President.<br />

GLENDA WOOD<br />

President<br />

5


6<br />

From the<br />

Honorary Secretary<br />

This is my last report as the Honorar y Secretar y <strong>of</strong><br />

<strong>College</strong>. As you know, I have been in this position<br />

for the last five years and, during that time, I<br />

have seen huge changes at <strong>College</strong>. These have<br />

included the impact <strong>of</strong> AMC accreditation on the<br />

development <strong>of</strong> our training program, particularly<br />

the curriculum and assessment processes.<br />

Other important reforms have included<br />

the governance structure, which<br />

has resulted in a much more active,<br />

effective and committed leadership for<br />

the <strong>College</strong>.<br />

It has been my great pleasure to<br />

serve the members in this position. It<br />

has been my privilege to have been<br />

involved in the work undertaken by<br />

the <strong>College</strong> staff and many <strong>of</strong> the<br />

<strong>College</strong> Fellows in bringing about these<br />

changes, which have now brought our<br />

<strong>College</strong> to the forefront <strong>of</strong> Australia’s<br />

other medical colleges.<br />

You will see from the reports <strong>of</strong><br />

the President and the CEO, that<br />

many significant issues have been<br />

successfully addressed over the last<br />

twelve months by the committees and<br />

staff <strong>of</strong> <strong>College</strong>.<br />

I would like to thank the Board <strong>of</strong><br />

Training and the State Directors <strong>of</strong><br />

Training, who work through the State<br />

Faculties in ensuring that the training<br />

program in each <strong>of</strong> our states meets<br />

the requirements as set out in our<br />

Training Program Handbook, and as<br />

endorsed by the AMC. The number<br />

<strong>of</strong> training positions has expanded<br />

greatly over the last three years; and<br />

the ability to integrate additional<br />

positions within the State Faculty<br />

training programs, is a credit to the<br />

State Faculties and their Directors <strong>of</strong><br />

Training. The extra positions have<br />

been developed, both through the<br />

traditional state government hospital<br />

system, as well as more innovative<br />

pathways, supported by funding<br />

from institutions such as the Skin<br />

and Cancer Foundations and federal<br />

government grants for private<br />

practice training. All this has involved<br />

a significant amount <strong>of</strong> work, from<br />

both the Directors <strong>of</strong> Training, hospital<br />

Heads <strong>of</strong> Department, and also the<br />

<strong>College</strong> administrative and educational<br />

staff.<br />

The Skin and Cancer Foundations go<br />

from strength to strength, and this<br />

is particularly demonstrated by the<br />

recent move <strong>of</strong> the Skin and Cancer<br />

Foundation Victoria to new <strong>of</strong>fices.


Indeed, the Foundations provide<br />

a shining example <strong>of</strong> the ability <strong>of</strong><br />

dermatologists as a group to work<br />

together to provide services to the<br />

patients <strong>of</strong> our respective states, in<br />

areas where service delivery has been<br />

lacking through the public hospital<br />

systems.<br />

“the Foundations provide<br />

a shining example <strong>of</strong> the<br />

ability <strong>of</strong> dermatologists<br />

as a group to work together<br />

to provide services to the<br />

patients <strong>of</strong> our respective<br />

states...”<br />

Chris Baker and the Board <strong>of</strong> Censors,<br />

again, have provided a transparent<br />

assessment and examination process to<br />

our trainees. In particular, the clinical<br />

examination process has become quite<br />

a task, with the increased numbers<br />

<strong>of</strong> candidates presenting to this<br />

examination. This is carried out by<br />

the Board <strong>of</strong> Censors in association<br />

with the State Faculties and it has<br />

been further finetuned by the<br />

educational staff <strong>of</strong> <strong>College</strong>. This works<br />

extraordinarily well and is a credit to all<br />

those involved.<br />

Pam Brown has brought into<br />

prominence the Board <strong>of</strong> Training.<br />

In fact, over the last few years,<br />

this Board has become increasingly<br />

important as regards the issue <strong>of</strong><br />

in-training assessment. Once the intraining<br />

assessment process reaches<br />

a consistent level <strong>of</strong> reliability, then it<br />

may be possible for a further decreased<br />

emphasis on the exit examination.<br />

Martin Haskett and the International<br />

Medical Graduate Assessment<br />

Committee have worked very hard<br />

to enable additional overseas trained<br />

dermatologists to be accredited as<br />

being comparable to, or partially<br />

comparable to, our own Fellows.<br />

This has enabled a number <strong>of</strong> these<br />

dermatologists to be elected to <strong>College</strong><br />

Fellowship. We look forward to further<br />

assessments over the next few years,<br />

resulting in increased numbers to our<br />

ranks.<br />

Glenda Wood, Cathy Reid and Rodney<br />

Sheaves have made further inroads in<br />

the selection <strong>of</strong> our new trainees. This<br />

process has been further developed in<br />

line with the AMC requirements.<br />

The Trainee Representative Committee<br />

has been in place now for a number <strong>of</strong><br />

years and sends a committee member<br />

to the Board meetings, as well as to<br />

meetings <strong>of</strong> the Board <strong>of</strong> Censors. This<br />

enables trainees from an early stage to<br />

feel part <strong>of</strong> <strong>College</strong> and to be present<br />

when decisions are made which will<br />

reflect on the training program.<br />

Orli Wargon has taken on the<br />

difficult and time-consuming task <strong>of</strong><br />

Editor <strong>of</strong> the <strong>Australasian</strong> Journal <strong>of</strong><br />

Dermatology. Delwyn Dyall-Smith<br />

was certainly a hard act to follow,<br />

and her outstanding work is to be<br />

recognised this year with the award <strong>of</strong><br />

the <strong>College</strong>’s Silver Medal. You will see<br />

that there is a new look for the Journal.<br />

I am confident that the Journal will<br />

continue to be a significant part <strong>of</strong> the<br />

educational arm <strong>of</strong> <strong>College</strong> into the<br />

future.<br />

The Public Affairs Committee has<br />

continued to work very closely<br />

with our PR consultants, S2i<br />

Communications. This has ensured a<br />

high level <strong>of</strong> media contact and media<br />

presence for dermatology throughout<br />

Australia. This has been a continuous<br />

work in progress, and my thanks go<br />

out to all <strong>of</strong> the <strong>College</strong> Fellows who<br />

have helped in this regard over the<br />

years. It is not easy to drop everything<br />

at short notice to undertake a TV or<br />

radio interview, but it is important<br />

to maintain our position at the top<br />

<strong>of</strong> the dermatological and skin care<br />

educational and treatment pyramid.<br />

The Rural and Regional Services<br />

Committee have put on the second <strong>of</strong><br />

the rural meetings, which was held in<br />

Noosa in March 2009. This was wellattended<br />

and highlighted the great<br />

progress that has been achieved in<br />

providing both outreach and residential<br />

services to rural and regional Australia.<br />

There is still a long way to go but,<br />

fortunately, we have the enthusiastic<br />

<strong>College</strong> Fellows and <strong>College</strong> staff to<br />

develop programs in this area further.<br />

Our conferences are getting larger<br />

and, because <strong>of</strong> this, we will undertake<br />

concurrent sessions at the forthcoming<br />

Annual Scientific Meeting on the Gold<br />

Coast. This is a first for our ASM,<br />

and will ensure that the maximum<br />

amount <strong>of</strong> information will be able<br />

to be presented, in such a way that<br />

attendees can make a choice regarding<br />

which areas they wish to attend.<br />

I am pleased that I can leave to my<br />

successor, a smoothly and efficiently<br />

functioning organisation. This<br />

relies heavily on our exceptionally<br />

dedicated and hardworking <strong>College</strong><br />

administrative and educational staff.<br />

Without these individuals, it would be<br />

impossible for <strong>College</strong> to undertake<br />

the political, scientific and educational<br />

activities that we do. It would also<br />

be very difficult to cope with the<br />

amount <strong>of</strong> bureaucratic reporting to<br />

governments.<br />

Similarly, without the committees <strong>of</strong><br />

<strong>College</strong> and the hardworking <strong>College</strong><br />

Fellows that give up their time to<br />

assist <strong>College</strong> on these committees,<br />

we would not be able to function. My<br />

thanks to all <strong>of</strong> you who have helped<br />

in this regard and I look forward to<br />

reading about the further successes <strong>of</strong><br />

<strong>College</strong> in the 2009/10 Annual Report.<br />

STEPHEN SHUMACK<br />

Honorary Secretary<br />

7


8<br />

Chief Executive<br />

Officer’s Message<br />

governAnCe<br />

The reform <strong>of</strong> <strong>College</strong>’s corporate<br />

governance adopted in 2006/07 continues<br />

to pay dividends in well-considered and<br />

expeditious decision-making by the <strong>College</strong><br />

Board <strong>of</strong> Directors. All Directors have been<br />

assigned a portfolio and are required to<br />

report regularly on the areas under their<br />

management. This has resulted in Directors<br />

developing specialised expertise and<br />

experience which is invaluable in facilitating<br />

the proper operation <strong>of</strong> the <strong>College</strong>.<br />

The ethical tenets <strong>of</strong> corporate governance<br />

are observed, with Directors declaring<br />

their interests at each meeting, and these<br />

interests are discussed by other Directors<br />

as appropriate. As well, the effective<br />

functioning <strong>of</strong> the Board is monitored by all<br />

Directors, who are required to assess their<br />

and other Directors’ performance and the<br />

quality <strong>of</strong> decision-making.<br />

Some Directors are coming to the end <strong>of</strong><br />

their appointments in May 2009. It is to be<br />

hoped that the new Board can maintain the<br />

high standard <strong>of</strong> effective governance that<br />

now exists.<br />

Most <strong>of</strong> the Board committees have<br />

been extremely active in undertaking<br />

their duties; in a few cases, a shortage<br />

<strong>of</strong> members as a result <strong>of</strong> resignations or<br />

other changes, have meant a lessoning in<br />

efficiency.<br />

The adoption and implementation <strong>of</strong> a<br />

new strategic plan was a high point <strong>of</strong> the<br />

Board’s performance in 2008.<br />

eDuCATion<br />

Guided by the recommendations <strong>of</strong> the<br />

AMC review, <strong>College</strong> is pushing ahead<br />

with implementation <strong>of</strong> the new training<br />

program curriculum and development <strong>of</strong><br />

new systems <strong>of</strong> assessment.<br />

A major review <strong>of</strong> the Pr<strong>of</strong>essional<br />

Development Program was undertaken<br />

in 2008 by an independent consultant.<br />

It is proposed to implement the reforms<br />

recommended by the consultant, in 2009.<br />

Following recommendations by the AMC<br />

in their review, the <strong>College</strong> commissioned<br />

an external consultant to review the<br />

trainee selection process. This was an<br />

important undertaking which resulted<br />

in a substantial report with far-reaching<br />

recommendations. The consultant sought


opinions from faculties and individual<br />

members, as well as the Board; and<br />

undertook a wide review <strong>of</strong> literature<br />

and current practice in selection. His<br />

recommendations were adopted by the<br />

Board; they are being implemented in<br />

the trainee selection process in 2009.<br />

We are confident that the process will<br />

be consistent with the national training<br />

program selection objectives and will<br />

be equitable and transparent. Faculties<br />

are strongly involved in all steps <strong>of</strong> the<br />

process.<br />

Almost half <strong>of</strong> the <strong>College</strong> staff are<br />

now involved in our educational<br />

activities, which is right and proper,<br />

given that our primary role is to be a<br />

provider <strong>of</strong> education. The number<br />

<strong>of</strong> educational <strong>of</strong>ficers has been<br />

increased to meet the demands <strong>of</strong><br />

the AMC and other Government<br />

agencies in meeting their requirements<br />

for our training activities. This is a<br />

consequence <strong>of</strong> being recognised by<br />

the Government as the accredited<br />

training provider in dermatology for<br />

Australia. What this means is that<br />

the <strong>College</strong> is able to <strong>of</strong>fer training in<br />

dermatology to groups other than just<br />

for dermatology registrars and for the<br />

continuing pr<strong>of</strong>essional development<br />

<strong>of</strong> its existing Fellows; namely, general<br />

practitioners, dermatological nurses<br />

and undergraduate medical students.<br />

The <strong>College</strong> has moved swiftly to<br />

assume its training role in regard to<br />

these groups. The second intake <strong>of</strong><br />

general practitioners proceeding under<br />

the ACD/RACGP/ACRRM Certificates<br />

in Primary Care Skin Management<br />

and Primary Care Dermatology<br />

commenced in October 2008. Some<br />

140 GPs have now undertaken, or are<br />

currently undertaking, these certificate<br />

courses.<br />

The <strong>College</strong> is also involved in<br />

discussions with various university<br />

medical schools in the development<br />

and implementation <strong>of</strong> undergraduate<br />

learning modules.<br />

In 2009, the <strong>College</strong> will launch a<br />

Dermoscopy Workshop for general<br />

practitioners and rural generalists.<br />

meeTings<br />

The Annual Scientific Meeting held<br />

in Sydney in 2008 saw our largest<br />

ever attendance, approximately<br />

“We now have our largest component <strong>of</strong> staff, ever: eleven<br />

staff members, <strong>of</strong> whom six are part-time. Although our<br />

resource-base is the smallest <strong>of</strong> all twelve medical colleges,<br />

we are nevertheless expected by the Government and the<br />

wider community, to perform at the same level as the<br />

larger colleges...”<br />

900 delegates, <strong>of</strong> whom half were<br />

dermatologists. Associate Pr<strong>of</strong>essor<br />

Diona Damian produced an<br />

outstanding scientific program, which<br />

was widely hailed by delegates. She<br />

has set a high standard which will not<br />

be easy to equal.<br />

Planning is in hand for the 42nd<br />

Annual Scientific Meeting, which will<br />

be held on the Gold Coast in May<br />

2009. We also have a busy program<br />

<strong>of</strong> meetings scheduled up to five<br />

years ahead, which includes for 2009,<br />

the Rural Dermatology Meeting in<br />

Noosa in March; the Joint Meeting<br />

with the Japanese Dermatological<br />

Association in Sapporo, Japan in July;<br />

and the Biennial Spring Conference,<br />

to be held in the Hunter Valley, NSW,<br />

in October. Some members may not<br />

appreciate that most <strong>of</strong> the work for<br />

these meetings is undertaken in-house<br />

by <strong>College</strong> staff, with support from<br />

consultants for specialised areas such<br />

as registration, trade exhibitions and<br />

public relations. We are well-advanced<br />

in planning for meetings in 2010, 2011<br />

and 2012.<br />

governmenT relATions<br />

The change <strong>of</strong> Federal Government<br />

has had an impact on the medical<br />

colleges in that relationships have had<br />

to be developed anew with the current<br />

Minister for Health. The decision by<br />

the Federal and State Governments as<br />

the Council <strong>of</strong> Australian Governments<br />

(COAG) to introduce a national<br />

registration and accreditation scheme<br />

has had a considerable impact on the<br />

medical pr<strong>of</strong>ession and has been the<br />

subject <strong>of</strong> much discussion amongst<br />

the medical colleges, through the<br />

Committee <strong>of</strong> Presidents <strong>of</strong> Medical<br />

<strong>College</strong>s (CPMC).<br />

At a departmental level, funding from<br />

the Department <strong>of</strong> Health and Ageing<br />

for colleges’ projects has diminished,<br />

reflecting the economic downturn and<br />

a change in Government priorities.<br />

finAnCes<br />

I am delighted to report that <strong>College</strong>’s<br />

financial position remains strong. This<br />

is despite the fact that we have taken<br />

on extra programs and projects in<br />

2008, adding to our administrative<br />

and staffing costs. We now have our<br />

largest component <strong>of</strong> staff, ever:<br />

eleven staff members, <strong>of</strong> whom six are<br />

part-time. Although our resource-base<br />

is the smallest <strong>of</strong> all twelve medical<br />

colleges, we are nevertheless expected<br />

by the Government and the wider<br />

community, to perform at the same<br />

level as the larger colleges, in terms<br />

<strong>of</strong> the educational services we <strong>of</strong>fer,<br />

as well as the provision <strong>of</strong> advice and<br />

information to Government, and in<br />

educating the wider community about<br />

skin health issues.<br />

Our investment portfolio has suffered<br />

from the impact <strong>of</strong> the world recession,<br />

but its performance has been better<br />

than many comparable funds over the<br />

last twelve months.<br />

Your college is financially stable and<br />

pr<strong>of</strong>essionally committed to serving its<br />

members’ interests and to advancing<br />

the status and reputation <strong>of</strong> the<br />

<strong>College</strong>.<br />

RODNEY SHEAVES<br />

Chief Executive Officer<br />

9


Board <strong>of</strong> Directors 2008/09<br />

elected directors<br />

Dr Pamela Brown<br />

Dr John Coates<br />

Dr Martin Haskett<br />

Dr Catherine Reid<br />

Dr Carl Vinciullo<br />

10<br />

DR GLENDA WOOD<br />

A/PROFESSOR CHRIS BAKER<br />

DR CARL VINCIULLO<br />

DR IAN McCROSSIN<br />

DR PAMELA BROWN<br />

ex <strong>of</strong>ficio<br />

President Dr Glenda Wood<br />

President-Elect Dr Ian McCrossin<br />

Honorary Secretary Dr Stephen Shumack<br />

Honorary Treasurer Dr John Coates<br />

DR STEPHEN SHUMACK<br />

DR MARTIN HASKETT<br />

Chair, Board <strong>of</strong> Censors A/Pr<strong>of</strong>essor Chris Baker<br />

<strong>College</strong> Staff<br />

DR JOHN COATES<br />

DR CATHERINE REID<br />

Chief Executive Officer Rodney Sheaves<br />

Education Manager Victoria Baker-Smith<br />

Education Officer Claudia Casson<br />

Education Officer Bob Corderoy<br />

Education Officer (Pr<strong>of</strong>essional Development) Denise Smith<br />

(from March 2009)<br />

Administrative Officer (Education) Tony Moore<br />

Accounts and Administrative Coordinator Roopan Singh<br />

Administrative Assistant, Accounts Jade Huang<br />

Senior Administrative Officer Rosie Cavaleri<br />

Administrative Officer Roslyn Wagstaff<br />

Administrative Officer Caroline Daly


FROM<br />

THE<br />

STATE FACULTIES<br />

new south wales<br />

Queensland<br />

south australia<br />

victoria<br />

western australia<br />

11


New South Wales Faculty<br />

Chair Dr David Cook<br />

Honorary Secretary Dr Catherine Drummond<br />

Honorary Treasurer Dr Eileen Collins<br />

Director <strong>of</strong> Training Dr Phillip Artemi<br />

The NSW Faculty has had a year <strong>of</strong><br />

mixed success in our two main areas<br />

<strong>of</strong> activity: registrar training and<br />

development <strong>of</strong> dermatology services<br />

throughout the state. We have seen<br />

an expansion <strong>of</strong> services to rural areas<br />

and an increase in training positions.<br />

Limited funding and loss <strong>of</strong> some<br />

grants, which had previously supported<br />

training positions, have tempered<br />

these successes.<br />

Our trainees are to be congratulated<br />

on their success in their final<br />

examination, with all satisfying the<br />

requirements for Fellowship. The<br />

Faculty welcomes Caroline Thoo,<br />

Ann-Maree Kurzydlo and Hanna<br />

Kuchel to <strong>College</strong> Fellowship. We also<br />

congratulate Dr Monisha Gupta, who<br />

has become our first international<br />

medical graduate (IMG) to complete<br />

training and successfully pass the<br />

Fellowship examination.<br />

The training <strong>of</strong> registrars to successfully<br />

achieve Fellowship is a prime focus<br />

<strong>of</strong> the Faculty. We have seen further<br />

improvements in this process over the<br />

last twelve months. All NSW training<br />

institutions achieved full accreditation<br />

after Board <strong>of</strong> Censors inspections<br />

during 2008. We have also had a new<br />

training position created and accredited<br />

at Liverpool Hospital in 2009.<br />

Liverpool Dermatology now has three<br />

positions serving a very busy hospital<br />

and outpatient clinic. Along with<br />

general and surgical dermatology<br />

clinics, the department now has<br />

one <strong>of</strong> the busiest biologic clinics in<br />

Sydney. This clinic, run by Dr Ge<strong>of</strong>f<br />

12<br />

Cains and Dr Jane Woods, has recently<br />

acquired funding for a dietitian and<br />

psychological services to <strong>of</strong>fer a more<br />

holistic approach to severe psoriasis<br />

management.<br />

The Foundation funds many <strong>of</strong> our<br />

training positions and supports both<br />

research and education. Clinics at<br />

The Faculty would like<br />

to formally thank and<br />

acknowledge the Skin and<br />

Cancer Foundation for their<br />

ongoing commitment to<br />

dermatology training and<br />

services in NSW.<br />

both the Westmead and Darlinghurst<br />

sites <strong>of</strong>fer our trainees experience<br />

in subspecialty areas such as Mohs’<br />

surgery, laser, HIV dermatology, vulval<br />

diseases, and cosmetic dermatology.<br />

The Foundation also gives trainees<br />

important exposure to rural practice,<br />

with trainees now attending clinics<br />

at Griffith, Lismore, C<strong>of</strong>fs Harbour,<br />

Wyong, Nowra, Wollongong, Port<br />

Macquarie, Bourke, Brewarrina,<br />

Bowral, and Kiama.<br />

The exposure <strong>of</strong> trainees to rural<br />

practice early in their career will<br />

hopefully result in more taking up the<br />

call to increase the rural work force<br />

in future years. A further initiative<br />

<strong>of</strong> the Faculty this year was to <strong>of</strong>fer<br />

sponsorship to cover registration costs<br />

to the Noosa Rural Dermatology<br />

Meeting to all our registrars. Some<br />

have taken up the <strong>of</strong>fer and it is again<br />

hoped that this experience will translate<br />

to an ongoing interest in rural practice.<br />

The Faculty rural dermatology<br />

subcommittee, with the aid <strong>of</strong> our<br />

rural liaison <strong>of</strong>ficer, Sue Hinton,<br />

has continued working towards<br />

furthering rural services. We have<br />

recently received new funding for a<br />

dermatologist to visit Griffith. The<br />

committee continues to explore means<br />

<strong>of</strong> funding and to encourage major<br />

centre dermatologists to provide rural<br />

services. Our rural involvement has<br />

been further extended with the aid<br />

<strong>of</strong> IMG dermatologists filling Area <strong>of</strong><br />

Need positions in rural and regional<br />

locations. Some <strong>of</strong> these dermatologists<br />

have now become <strong>College</strong> Fellows<br />

and the Board will consider others for<br />

Fellowship after a period <strong>of</strong> mentorship<br />

by a Fellow. This <strong>College</strong> program has<br />

made the greatest recent impact on<br />

rural dermatology in NSW and the<br />

Faculty is keen to continue its support<br />

for this program.<br />

The Faculty has continued to support<br />

the dermatology education <strong>of</strong> general<br />

practitioners. Many Fellows give<br />

presentations to local divisions <strong>of</strong><br />

general practice and some have also<br />

been involved in the <strong>College</strong>’s GP<br />

education program with presentations<br />

and mentorship <strong>of</strong> GPs in their rooms<br />

and clinics. The Faculty has also<br />

initiated its first full-day dermatology<br />

update seminar as a conjoint<br />

educational event with the NSW<br />

<strong>College</strong> <strong>of</strong> General Practice. General


practitioner education has been<br />

furthered with the Newcastle branch<br />

<strong>of</strong> the Faculty creating a GP registrar<br />

position at John Hunter Hospital.<br />

This position allows a local general<br />

practitioner to spend six months in<br />

the dermatology department in a<br />

funded position experiencing hands-on<br />

dermatology training.<br />

The Faculty congratulates Associate<br />

Pr<strong>of</strong>essor Stephen Lee, who was<br />

awarded the Member <strong>of</strong> Order <strong>of</strong><br />

Australia (AM) as part <strong>of</strong> the Australia<br />

Day Honours list. Stephen was<br />

recognised for his service to medicine in<br />

the field <strong>of</strong> dermatology as a clinician,<br />

mentor and educator. This is a fitting<br />

reward as recognition for his past and<br />

ongoing efforts in these areas.<br />

Finally, I would like to thank the Fellows<br />

who contribute their valuable time and<br />

energy to the various Faculty activities.<br />

A special thank you is expressed to<br />

retiring committee members. Dr Pam<br />

Brown is retiring from her role as the<br />

NSW <strong>College</strong> Director and has given<br />

much time to her education portfolio.<br />

Dr Kate Drummond is retiring as our<br />

secretary, but will still be contributing<br />

to dermatology as an assistant<br />

editor for the <strong>Australasian</strong> Journal <strong>of</strong><br />

Dermatology.<br />

13


Queensland Faculty<br />

Chair Dr Greg Siller<br />

Honorary Secretary Dr Catherine Faulkner<br />

Honorary Treasurer Dr Catherine Faulkner<br />

Director <strong>of</strong> Training Dr Megan Andrews<br />

2008 was the year <strong>of</strong><br />

consolidation <strong>of</strong> the<br />

achievements that we<br />

have worked so hard on<br />

as a Faculty over the last<br />

five years. By this I mean:<br />

• The expansion and maturation <strong>of</strong><br />

our training program – although I<br />

see a limited ability for any further<br />

expansion at least for the short term.<br />

• Establishment and now expansion<br />

<strong>of</strong> the Pr<strong>of</strong>essorial Department<br />

with new, and may I say, overdue<br />

redevelopment on the Princess<br />

Alexandra Campus this year.<br />

• Accreditation <strong>of</strong> the <strong>College</strong> by the<br />

Australian Medical Council with the<br />

Faculty’s assistance.<br />

• The redevelopment <strong>of</strong> the<br />

Queensland Skin and Cancer<br />

Foundation at Greenslopes Private<br />

Hospital and the establishment <strong>of</strong> the<br />

Queensland Institute <strong>of</strong> Dermatology.<br />

14<br />

Looking back, it has been a very<br />

satisfying year <strong>of</strong> consolidation. But<br />

change is continual. We have also<br />

seen change in the dermatological<br />

landscape and I am sure there is more<br />

to come. New models <strong>of</strong> health care<br />

delivery are developed and trialled,<br />

in private, but also in public and in<br />

public/private partnerships, and we<br />

have seen examples <strong>of</strong> all these here<br />

in Queensland in the last year. We can<br />

expect further change too.<br />

Publicly, Queensland Health is under<br />

increasing pressure to meet political<br />

targets <strong>of</strong> health delivery. These<br />

targets are either self imposed but<br />

more commonly now imposed from<br />

Canberra. We need to continue to<br />

work with government bodies, even<br />

when the rules and the targets change<br />

mid course.<br />

Rural dermatological services in<br />

Australia and Queensland remain<br />

<strong>of</strong> concern to the <strong>College</strong>. Area <strong>of</strong><br />

Need positions are likely in Cairns,<br />

Rockhampton and Bundaberg. How<br />

best to address rural and regional<br />

dermatological services is problematic.<br />

Perhaps the Queenlsand Faculty’s<br />

members and its the new executive<br />

should closely watch the new “rural<br />

training model” that New South Wales<br />

has recently established and give<br />

consideration to the establishment <strong>of</strong> a<br />

similar system.<br />

As Faculty Chair, I wish to express my<br />

many thanks to the members <strong>of</strong> Faculty<br />

who helped me this year, especially<br />

Megan Andrews, our Director <strong>of</strong><br />

Training who has perhaps the most<br />

challenging job <strong>of</strong> the executive.<br />

Finally, a special thanks to Cath<br />

Faulkner who, while only working 20m<br />

down the hallway, manages to be so<br />

busy we find it easier to communicate<br />

via email. Cath has been a blessing<br />

over the last two years and I am very<br />

grateful for all <strong>of</strong> her efforts. It can be a<br />

frustrating experience being Secretary,<br />

but she has managed her role with<br />

great pr<strong>of</strong>essionalism and competence.


South Australian Faculty<br />

Chair Dr Gillian Marshman<br />

Honorary Secretary Dr Karen Koh<br />

Honorary Treasurer Dr Stuart Murray<br />

Director <strong>of</strong> Training Dr Vincent O’Brien<br />

This has been a very busy and, at<br />

times, contentious year for the Faculty,<br />

working within the South Australian<br />

health jurisdiction. There have been<br />

stormy times with regard to industrial<br />

issues within South Australia, with<br />

a number <strong>of</strong> major disputes arising<br />

for specialists working in the hospital<br />

sector. As an outcome from this, there<br />

have been some major renegotiations<br />

<strong>of</strong> packages and enticement for people<br />

to return to the public sector, which<br />

has been sorely under resourced. We<br />

will watch and await developments<br />

with interest with regard to visiting<br />

specialists in this situation.<br />

Ongoing discussions are still occurring<br />

with regard to the new hospital to be<br />

built in the city (originally called the<br />

Marjorie Jackson Nelson, but now to be<br />

renamed the Royal Adelaide Hospital).<br />

The model <strong>of</strong> care in the new hospital<br />

remains only vaguely elucidated at<br />

this point, and the impact that this will<br />

have on training and service provision,<br />

particularly in ambulatory care<br />

disciplines such as dermatology, will be<br />

awaited with great interest.<br />

In the hospitals themselves, there have<br />

been some relocations both at the<br />

Royal Adelaide and Flinders Medical<br />

Centre. The Dermatology Day Unit at<br />

the Royal Adelaide has been relocated<br />

closer to the Outpatient Department,<br />

and the Dermatology Outpatients<br />

at Flinders Medical Centre has been<br />

relocated to the second floor with<br />

purpose-built outpatient suites. At the<br />

Royal Adelaide Hospital, Dr Catherine<br />

Reid will be taking long service leave<br />

and we congratulate her on her<br />

outstanding service to that institution.<br />

Dr Shireen Sidhu will be taking over<br />

as Head <strong>of</strong> Unit and also Supervisor <strong>of</strong><br />

Training at that institution. At Flinders,<br />

there is ongoing work with the Dean <strong>of</strong><br />

the Medical School to undertake more<br />

undergraduate teaching in dermatology<br />

and an eczema management CD<br />

that the Flinders Nurse Practitioner,<br />

Marianne Grillo, has developed, is<br />

now available for patients to access.<br />

At the Queen Elizabeth Hospital and<br />

Women’s & Children’s Hospital, the<br />

previously half-time shared position <strong>of</strong><br />

a registrar has now been converted into<br />

a full-time position at each institution<br />

and this is working very well. There is<br />

also now an eczema/allergy combined<br />

clinic at the Women’s & Children’s<br />

which is heavily oversubscribed. At the<br />

Queen Elizabeth, the Renal Unit with<br />

its transplant patients has moved some<br />

<strong>of</strong> its services to the Royal Adelaide,<br />

which has an impact on dermatology<br />

services at both institutions. Dr<br />

Jenny Menz continues as Head <strong>of</strong><br />

Department at the Repatriation General<br />

Hospital and is currently overseeing<br />

the training <strong>of</strong> an IMG trainee. The<br />

Repatriation Hospital is also the venue<br />

for a combined biologics dermatology/<br />

rheumatology tertiary clinic that is run<br />

once a month and has been a very<br />

successful undertaking.<br />

South Australian dermatologists<br />

continue to provide services to<br />

country areas and in that regard we<br />

are probably punching above our<br />

weight. Goolwa, Yankalilla, Kangaroo<br />

Island, Port Lincoln, Mount Barker, the<br />

Peninsulas, South East <strong>of</strong> SA, Darwin<br />

and Alice Springs are included amongst<br />

those places visited by Adelaide<br />

dermatologists. Nevertheless, the<br />

ongoing need for dermatology services<br />

in rural and regional Australia continues<br />

to be an issue that we must address.<br />

We congratulate Drs Patrick Walker<br />

and Annette Pearce for gaining<br />

Fellowship <strong>of</strong> the <strong>College</strong> and welcome<br />

them to our Faculty. South Australia<br />

currently has ten trainees and two<br />

international medical graduates in<br />

upskilling positions. Dr Vin O’Brien is<br />

stepping down as Director <strong>of</strong> Training,<br />

and we thank him for his enormous<br />

contribution to this very important<br />

area <strong>of</strong> Faculty core business. The new<br />

Director <strong>of</strong> Training will be Dr Shireen<br />

Sidhu.<br />

At our recent AGM, we were privileged<br />

to have Dr Pam Brown as a guest<br />

to speak about the changes that are<br />

being made to the curriculum for<br />

dermatology. It was very useful to have<br />

an on-the-ground discussion with all<br />

the Fellows involved with training and<br />

assessment at this early stage.<br />

The Faculty has also been delighted to<br />

receive the late Dr Ge<strong>of</strong>frey Hunter’s<br />

<strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong><br />

gown and cap, which has been<br />

kindly presented to Faculty by his<br />

son, Mr Alan Hunter. Jeffrey Hunter<br />

was an extraordinary dermatologist<br />

with achievements in both clinical<br />

dermatology and dermatopathology,<br />

and <strong>of</strong> course had enormous<br />

involvement in the founding <strong>of</strong> <strong>College</strong>.<br />

The gown will be available through<br />

<strong>College</strong> to be used by South Australian<br />

graduants in the future.<br />

With regard to <strong>College</strong> matters, Dr<br />

Cathy Reid will step down from her<br />

position on the Board <strong>of</strong> Directors after<br />

serving admirably for three years, and<br />

Dr Jenny Menz will replace her. We<br />

thank Cathy for her very active role on<br />

the Board and appreciate Jenny taking<br />

up this extremely important position.<br />

On a lighter note, a number <strong>of</strong> our<br />

Faculty were able to attend the<br />

European Academy <strong>of</strong> Dermatology<br />

and Venereology Meeting in Paris at<br />

the end <strong>of</strong> 2008, and all found it a very<br />

worthwhile experience. It was also an<br />

opportunity to catch up with our “ex<br />

pat”, Dr David Burdon-Jones, who has<br />

been working in the UK for several<br />

years now. At the time <strong>of</strong> writing, a<br />

number <strong>of</strong> South Australians are also at<br />

the American Academy Dermatology<br />

Meeting in San Francisco, and we look<br />

forward to hearing from them about<br />

new initiatives and activities both in<br />

clinical dermatology and investigative<br />

research work when they return.<br />

15


Victorian Faculty<br />

Chair Dr Josephine Yeatman<br />

Secretary Dr David Gill<br />

Treasurer Dr Mei Mui Tam<br />

Director <strong>of</strong> Training Dr Bruce Tate<br />

The Victorian Faculty<br />

continues to focus on<br />

training and expansion <strong>of</strong><br />

service provision <strong>of</strong> both<br />

urban and rural services.<br />

training<br />

We thank Dr Bruce Tate, who recently<br />

resigned from the Director <strong>of</strong> Training<br />

position. Bruce put in a huge amount<br />

<strong>of</strong> work coordinating the program<br />

and also organising the rosters. The<br />

responsibility for rosters has now been<br />

delegated to Fiona Gillen, a part-time<br />

employee <strong>of</strong> the Faculty, allowing<br />

Bruce’s successor, Dr Jill Cargnello, to<br />

focus specifically on training issues.<br />

Fiona will also manage the registrars’<br />

16<br />

rural roster, allowing these to be<br />

more seamlessly coordinated with<br />

the hospital rosters. Our first year<br />

registrars were all once again successful<br />

in passing there Clinical Sciences and<br />

Pharmacology exams, allowing them<br />

to start to concentrate on clinical<br />

dermatology early in their program. We<br />

welcome three international medical<br />

graduates (IMGs), Dr Theodore Carner,<br />

Dr Shobha Joseph and Dr Kamaldeep<br />

Sandhu, to the training program. Their<br />

training positions have been funded by<br />

the federal government.<br />

rural services<br />

The centres <strong>of</strong> Horsham, Sale, Burnie,<br />

Warrnambool and Portland are still<br />

operating and attracting MSOAP<br />

funding. It is likely that a centre starting<br />

in Swan Hill will also receive funding.<br />

59% <strong>of</strong> dermatologists participate in<br />

the Rural Outreach program or work<br />

privately in the country. The DHS<br />

funding for registrar travel is winding<br />

up and MSOAP will hopefully be able<br />

to cover this cost in the future.<br />

acadeMic derMatology<br />

We congratulate Dr Tony Hall on being<br />

appointed to the Faculty <strong>of</strong> Medicine at<br />

Deakin University, and also Associate<br />

Pr<strong>of</strong>essor Greg Goodman who has<br />

been promoted in the Department <strong>of</strong><br />

General Practice <strong>of</strong> Monash University.<br />

Associate Pr<strong>of</strong>essor Peter Foley has<br />

shifted his research activities from<br />

St Vincent’s Hospital to the Skin and<br />

Cancer Foundation <strong>of</strong> Victoria.<br />

executive coMMittee<br />

The Executive Committee remains<br />

extremely active and has recently<br />

had an influx <strong>of</strong> new blood with<br />

Drs Paul Curnow, Cate Scarff, Lee<br />

Mei Yap and Jacinta Opie joining<br />

the more experienced Fellows. The<br />

Faculty is exploring the possibility<br />

<strong>of</strong> commissioning a history <strong>of</strong><br />

dermatology in Victoria.


Western Australian Faculty<br />

Chair Cl. A/Pr<strong>of</strong>essor Kurt Gebauer<br />

Honorary Secretary Dr Hock Cheng Chua<br />

Honorary Treasurer Dr Hock Cheng Chua<br />

Director <strong>of</strong> Training Dr Clare Tait<br />

The West Australian Faculty was<br />

fortunate to negotiate extra funding<br />

from the Health Department for two<br />

new registrar positions. This is a 50%<br />

increase in trainee numbers, requiring<br />

an enormous effort from the previous<br />

Director <strong>of</strong> Training, Dr Clare Tait. In all<br />

teaching hospitals, consultants agreed<br />

to relinquish their own <strong>of</strong>fices and<br />

step into the corridor, thus allowing<br />

a trainee to have desk space. Clearly,<br />

from an infrastructure point <strong>of</strong> view,<br />

this is extremely unsatisfactory. No<br />

dermatology unit in Western Australia<br />

has its own secretary, <strong>of</strong>fice or<br />

dedicated space. Teaching <strong>of</strong> medical<br />

students is done wherever we can.<br />

Training <strong>of</strong> residents and registrars<br />

is done in their consultation rooms<br />

(previous consultant’s consultation<br />

room). At the time <strong>of</strong> writing, from<br />

a trainee perspective this system has<br />

been functioning satisfactorily for three<br />

months.<br />

There have been significant numbers<br />

<strong>of</strong> senior dermatologists relinquishing<br />

visits to country areas. We have been<br />

very fortunate that a number <strong>of</strong> the<br />

younger dermatologists have agreed to<br />

take on these outreach clinics. At the<br />

time <strong>of</strong> writing, Albany still has failed<br />

to attract a visiting dermatologist. This<br />

is something the Faculty is working on<br />

locally.<br />

Various executive positions have<br />

rotated. There are new representatives<br />

for the Director <strong>of</strong> Training, Dr Graham<br />

Thom, Pr<strong>of</strong>essional Development<br />

Committee Dr Jonathon Chan,<br />

whilst Dr Carl Vinciullo remains our<br />

representative on the Board. On our<br />

local executive, Clinical Associate<br />

Pr<strong>of</strong>essor Kurt Gebauer remains as<br />

Chairman and Dr Hock Cheng Chua,<br />

Secretary/Treasurer.<br />

In 2009 the trainee posts <strong>of</strong> the West<br />

Australian Faculty will be assessed by<br />

the Board <strong>of</strong> Censors. We will also be<br />

hosting the Fellowship examinations<br />

with which a large part <strong>of</strong> the faculty<br />

will be intimately involved as occasional<br />

Examiners.<br />

Local challenges ahead include the<br />

establishment <strong>of</strong> a new tertiary referral<br />

hospital, the “Fiona Stanley” in the<br />

southern corridor <strong>of</strong> Perth, as well<br />

as the reduction in size and capacity<br />

<strong>of</strong> the Royal Perth and Fremantle<br />

Hospitals. The Faculty is liaising with<br />

the Health Department regarding what<br />

sort <strong>of</strong> dermatological service will be<br />

placed here.<br />

A provisional agreement with the<br />

previous Government and Health<br />

Department was that we were<br />

promised two further registrar positions<br />

for 2010. As the hospital infrastructure<br />

is so tight, clinic space and consultant<br />

numbers so regulated, how and where<br />

we would place such registrars seems<br />

at first an insurmountable problem. To<br />

be placing registrars in private practice<br />

for training is a concept that is being<br />

tentatively explored.<br />

The major changes being developed<br />

by the <strong>Australasian</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Dermatologists</strong> as a result <strong>of</strong><br />

the AMC and other reviews, for<br />

example, curriculum development<br />

implementation, do require a huge<br />

amount <strong>of</strong> time and effort on West<br />

Australian Faculty members. In the next<br />

five to ten years, a significant number<br />

<strong>of</strong> senior heads who have served the<br />

community and the <strong>College</strong> extensively<br />

and charitably, will have retired. It will<br />

be on the incumbent and graduating<br />

generations to assist the general West<br />

Australian community in taking on<br />

these roles.<br />

17


COLLEGE<br />

18


Chief Executive<br />

Officer’s Message<br />

Current Membership<br />

fellows<br />

Queensland 72<br />

New South Wales 177<br />

South Australia 41<br />

Victoria 100<br />

Western Australia 35<br />

New Zealand 9<br />

TOTAL 434<br />

trainees<br />

Queensland 20<br />

New South Wales 26<br />

South Australia 8<br />

Victoria 25<br />

Western Australia 6<br />

TOTAL 85<br />

associate MeMBers 34<br />

new fellows successful<br />

in the 2008 fellowshiP<br />

exaMination Process<br />

Dr Katherine Armour<br />

Dr Sarah Brennand<br />

Dr Jennifer Cahill<br />

Dr Monisha Gupta<br />

Dr Johanna Kuchel<br />

Dr Ann-Maree Kurzydlo<br />

Dr Mignon Moyle<br />

Dr Annette Pearce<br />

Dr Genevieve Sadler<br />

Dr Caroline Thoo<br />

Dr Patrick Walker<br />

new fellows elected in 2008<br />

under clause 11.1.1(a) <strong>of</strong> the<br />

college’s constitution<br />

Dr Anina Fitzgibbon<br />

Dr Pascale Guitera<br />

Dr Maria Jones-Caballero<br />

Dr Prasad Kumarasinghe<br />

Dr Michael Sladden<br />

Dr Harvey Smith<br />

college awards<br />

Silver Medal<br />

Dr Delwyn Dyall-Smith<br />

Dr Robert Paver<br />

Certificate <strong>of</strong> Appreciation for<br />

Distinguished and Valuable<br />

Contribution to <strong>College</strong><br />

Ms Rosie Cavaleri<br />

Dr Caroline Mercer<br />

awards froM 2008<br />

exaMinations<br />

<strong>Australasian</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Dermatologists</strong> Travelling Fellowship<br />

for 2008<br />

Dr Genevieve Sadler<br />

Founders’ Medal for Procedural<br />

Dermatology for 2008<br />

Dr Genevieve Sadler<br />

President’s Medal for Pharmacology<br />

for 2008<br />

Dr Anita Lasocki<br />

Ken Paver Medal for Excellence in<br />

the Clinical Sciences Examination in<br />

2008<br />

Dr Young Jin Kim<br />

in MeMoriaM<br />

Dr Jean Mason-Johnson, OAM – 1<br />

September 2008<br />

Dr John Tonkin – 29 October 2008<br />

19


SkIN<br />

AND<br />

CANCER<br />

FOUNDATIONS<br />

20


The Skin and Cancer<br />

Foundation Australia<br />

(New South Wales)<br />

The Skin and Cancer Foundation<br />

Australia continues to make a<br />

significant contribution to dermatology<br />

training in New South Wales. The<br />

Foundation <strong>of</strong>fers more registrar<br />

training positions than any other<br />

dermatology training centre. This<br />

year we have expanded the training<br />

opportunities on <strong>of</strong>fer by combining<br />

some <strong>of</strong> our training positions with<br />

multiple rural dermatology practices.<br />

The registrars are finding these rural<br />

rotations a valuable training experience.<br />

We also <strong>of</strong>fer Mohs’ surgery and<br />

laser training positions, and we are<br />

involved in medical student and general<br />

practitioner training, upskilling <strong>of</strong><br />

overseas trained dermatologists, as well<br />

as training and upskilling <strong>of</strong> nurses and<br />

ancillary staff.<br />

This year we have also expanded our<br />

research capability with appointment<br />

<strong>of</strong> Associate Pr<strong>of</strong>essor Pablo Penas as<br />

a part-time director <strong>of</strong> research and Dr<br />

Veronica Preda as a research fellow.<br />

Pr<strong>of</strong>essor Penas is involved in analysis<br />

<strong>of</strong> the Mohs’ surgery database with<br />

respect to factors affecting defect size,<br />

evaluating suction blister techniques in<br />

vitiligo, developing a web formulary for<br />

booking patients for surgery, a quality<br />

<strong>of</strong> life study in laser treated patients<br />

and evaluating the role <strong>of</strong> dermoscopy<br />

in diagnosis <strong>of</strong> non-melanoma skin<br />

cancer.<br />

Dr Preda has worked with Dr John<br />

Sullivan to produce Modern Medicine<br />

articles on the management <strong>of</strong><br />

acne, and co-authored a chapter on<br />

HIV dermatology with Dr Margot<br />

Whitfeld. Under the direction <strong>of</strong> A/<br />

Pr<strong>of</strong>essor Kossard, she has catalogued<br />

a range <strong>of</strong> interesting cases presented<br />

at our monthly meetings, and the<br />

clinicopathological correlation, and<br />

presented this valuable source <strong>of</strong><br />

continuing medical education on Dr<br />

McColl’s “dermconsult” website.<br />

As always, A/Pr<strong>of</strong>essor Kossard’s<br />

dermatopathology division contributes<br />

greatly to research and registrar<br />

training. <strong>College</strong> recognised his major<br />

contribution to dermatology by<br />

awarding him the <strong>College</strong>’s Silver Medal<br />

in 2008. He has presented research<br />

into a new pathway <strong>of</strong> development<br />

<strong>of</strong> squamous cell carcinoma, and in<br />

lymphocytic vasculitis. His department<br />

has expanded the range <strong>of</strong> antibody<br />

probes including MSH-2 for diagnosis<br />

<strong>of</strong> Muir-Torre syndrome, D2-40 to<br />

mark for lymphatic tumour invasion,<br />

and HHV-8 in Kaposi’s sarcoma. The<br />

laboratory was re-accredited by NATA<br />

in 2008.<br />

The Westmead facility opened its<br />

expanded surgical suites and is already<br />

functioning at nearly full capacity. Two<br />

Mohs’ fellows, Drs Adrian See and<br />

Hassan Kalouche, completed Mohs’<br />

training. Westmead is the largest<br />

Mohs’ surgery centre in Australia.<br />

With the support <strong>of</strong> Dr Leslie Storey, a<br />

low cost Mohs’ surgery service for the<br />

disadvantaged has been established.<br />

Dr Storey also developed a nurse’s<br />

education program and was involved in<br />

registrar, student and GP teaching. Dr<br />

A/Pr<strong>of</strong>essor Steven Kossard was<br />

awarded the <strong>College</strong>’s Silver Medal<br />

in 2008<br />

Maria Jones-Caballero has also joined<br />

the staff.<br />

Laser services have been expanded<br />

and with it training opportunities<br />

for the Mohs’ fellows and registrars.<br />

Westmead now has a Sciton<br />

pr<strong>of</strong>ractional laser and broad band<br />

light, as well as CO2 resurfacing,<br />

NdYag and V-beam lasers. They<br />

conduct a regular hair removal clinic.<br />

At Darlinghurst, the IPL (Intense Pulsed<br />

Light) has performed well in treating<br />

vascular and pigmented conditions.<br />

Its effectiveness has been boosted<br />

by combining it with ALA cream. Dr<br />

John Sullivan has commenced clinics<br />

in biologic treatments for psoriasis and<br />

in cosmetic fillers and Botox injections.<br />

Drs Monisha Gupta and Hanna Kuchel<br />

begin work in early 2009. Surgical<br />

services are provided by Drs de Launey,<br />

Hannaford and Krivanek. Dr Eddie<br />

Lobel continues to provide a valuable<br />

patch testing clinic. Dr Mark Shifter’s<br />

oral medicine clinic is heavily patronised<br />

and a valuable training opportunity for<br />

our registrars.<br />

The Foundation continues to look<br />

to our members and the broader<br />

dermatology community to define<br />

how we may best direct our activities<br />

to ensure that we are supporting the<br />

practice <strong>of</strong> dermatology in a way that is<br />

meaningful.<br />

DR RODNEY HANNAFORD<br />

Medical Director, Skin and Cancer<br />

Foundation Australia (Darlinghurst)<br />

21


Skin and Cancer Foundation Victoria<br />

The Skin and Cancer Foundation <strong>of</strong><br />

Victoria has completed the move to<br />

our new facility at 80 Drummond<br />

Street, Carlton. The move took place<br />

over the first weekend in September,<br />

with interruption to only a single<br />

week <strong>of</strong> operating. The development<br />

<strong>of</strong> the new state-<strong>of</strong>-the-art facility<br />

was the culmination <strong>of</strong> a three-year<br />

project, and it was with a great sense<br />

<strong>of</strong> achievement that all members and<br />

staff at the Foundation witnessed its<br />

completion; although it was with a<br />

heavy heart that we said goodbye to<br />

95 Rathdowne Street, which had been<br />

our home for over ten years. All at the<br />

Foundation are looking forward to life<br />

in the new facility with its state-<strong>of</strong>the-art<br />

clinical resources, the increase<br />

in floor space, and the improved<br />

functionality it <strong>of</strong>fers for patients and<br />

staff.<br />

In November, we were delighted to<br />

welcome Pr<strong>of</strong>essor David de Kretser<br />

AC, Governor <strong>of</strong> Victoria, and Mrs de<br />

Kretser, back to the Skin and Cancer<br />

Foundation to <strong>of</strong>ficially open the<br />

facility. Our staff and clinicians took the<br />

opportunity to show the Governor and<br />

Mrs de Kretser over the new facilities<br />

at the Foundation and to discuss the<br />

ongoing role <strong>of</strong> the Foundation in the<br />

cutaneous health <strong>of</strong> Victorians.<br />

In conjunction with the move to the<br />

new facility, the Foundation launched<br />

a new public face. Ms Lisa Albert, a<br />

valued member <strong>of</strong> the Foundation<br />

board, and marketing manager for<br />

Diana Ferrari, undertook a review<br />

<strong>of</strong> our branding, logo and corporate<br />

image. She was instrumental in<br />

facilitating a fresh new logo and<br />

22<br />

branding schematics that will now<br />

appear on all publications and<br />

communications from the Foundation.<br />

This time <strong>of</strong> change is also<br />

an opportunity to look at<br />

what we do and how we do<br />

it. An operational review <strong>of</strong><br />

administrative and clinical<br />

services is to occur in the<br />

first half <strong>of</strong> 2009. As part <strong>of</strong><br />

this review, Pr<strong>of</strong>essor Robin<br />

Marks is to undertake a<br />

formal review <strong>of</strong> skin cancer<br />

services at the Foundation.<br />

The Foundation continues to play a<br />

key training role for dermatology in<br />

Victoria. In line with our commitment<br />

to training, the hard work <strong>of</strong> Chris<br />

Baker and Joe Mercuri in 2008, saw<br />

the Foundation obtain two new<br />

training positions funded by the Federal<br />

Government under the ESSTP program.<br />

These positions, to help meet the<br />

workforce shortage <strong>of</strong> dermatologists,<br />

are to explore and develop new<br />

training environments. The positions<br />

have proven very successful in 2008,<br />

and funding has been renewed for<br />

2009/10. In addition, from 2009,<br />

the Foundation has agreed to host<br />

a Government-funded international<br />

medical graduate (IMG) upskilling<br />

position. The aim <strong>of</strong> this position<br />

is to train a dermatologist with an<br />

overseas specialist qualification to<br />

fulfill Australian requirements. These<br />

developments are in line with the<br />

teaching and training mission <strong>of</strong> the<br />

Foundation and will bring the number<br />

<strong>of</strong> training jobs hosted or supported<br />

by the Foundation to five. All trainees<br />

attend clinics at the Foundation and<br />

use the education facilities provided<br />

in the course <strong>of</strong> their training. We<br />

were pleased to welcome Dr Kate<br />

Borchard, Dr Anita Lasocki, Dr Michelle<br />

Rodrigues and Dr Shally Gupta as our<br />

<strong>College</strong> registrars in 2008, and thank<br />

them for their help in ensuring the<br />

smooth running <strong>of</strong> the Foundation’s<br />

clinical services. Congratulations<br />

are extended to Drs Mignon Moyle,<br />

Katherine Armour, Jennifer Cahill and<br />

Sarah Brennand for their success in the<br />

<strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong><br />

Fellowship exams in 2008. For the<br />

forthcoming 2009 year, we <strong>of</strong>fer a<br />

warm welcome to Dr Susan Robertson,<br />

Dr Alana Tuxen, Dr Rebecca Dunn, Dr<br />

Victoria Pearce and Dr Shally Gupta.<br />

In my first report as President, I would<br />

like to take the annual opportunity to<br />

recognise the hard work <strong>of</strong> Joe Mercuri,<br />

Foundation Manager, the nursing<br />

team so ably lead by Jane English,<br />

the administrative team, and all staff<br />

at the Skin and Cancer Foundation.<br />

Their dedication and outstanding<br />

commitment ensured the smooth<br />

transition to the new facility and allows<br />

the ongoing day-to-day running <strong>of</strong> the<br />

organisation, the delivery <strong>of</strong> expert<br />

specialty dermatology services and<br />

other activities <strong>of</strong> the Foundation.<br />

I would like to thank the members<br />

<strong>of</strong> our Executive for giving <strong>of</strong> their<br />

time and skills to the management<br />

<strong>of</strong> the Foundation. In particular, we


acknowledge the years <strong>of</strong> valuable<br />

service on the Executive given by<br />

Mr David Payes, former President Dr<br />

Greg Goodman, and Ms Lisa Albert,<br />

who have stepped down from the<br />

committee. We welcome Dr Michelle<br />

Goh and Dr Mignon Moyle, who<br />

have joined the Executive. We greatly<br />

appreciate the ongoing commitment<br />

<strong>of</strong> the following dermatologists: A/<br />

Pr<strong>of</strong>essor Chris Baker, Drs Chris<br />

McCormack, Mei Tam, Alvin Chong,<br />

Michael Rich, and Dr Hugh Roberts as<br />

our trainee representative. I would also<br />

like to welcome Ms Fiona Gillen, who<br />

will take on the dual roles <strong>of</strong> Marketing<br />

and Events, and Customer Service<br />

Manager.<br />

One <strong>of</strong> the roles <strong>of</strong> the SCF is to<br />

advocate for patients with skin<br />

disease and to work toward producing<br />

better health outcomes. In line with<br />

this aim, the SCF has spearheaded<br />

the establishment <strong>of</strong> the Australian<br />

Psoriasis Registry. The Registry, with<br />

support from the <strong>Australasian</strong> <strong>College</strong><br />

<strong>of</strong> <strong>Dermatologists</strong>, Epiderm and the<br />

pharmaceutical industry, has been<br />

developed over the last twelve months<br />

at the SCF and expands the model <strong>of</strong><br />

the Rheumatology Database. Over<br />

100 patients have been entered on the<br />

Registry from Melbourne sites and a<br />

national roll out is proposed to occur<br />

during 2009. The twin aims <strong>of</strong> the<br />

Registry are to collect data on response<br />

to therapy and follow health outcomes<br />

in patients who are on biologic and<br />

systemic agents.<br />

The SCF continues to actively support<br />

academic dermatology. On 2 February<br />

2009, a new division at SCF, “Data,<br />

Education and Research Management<br />

(DERM)”, commenced. The staff <strong>of</strong> the<br />

division comprise A/Pr<strong>of</strong>essor Peter<br />

Foley (Division Director), Jan Campbell<br />

(Division Manager), Marlene Rennie<br />

(Administrative Officer), and Simon<br />

Cumming (Data Manager). The new<br />

staff members will be situated in the<br />

back administration area. The division,<br />

which represents a redeployment <strong>of</strong><br />

staff previously in the Department <strong>of</strong><br />

Dermatology, St Vincent’s Hospital<br />

Melbourne, with whom they will<br />

continue to work closely, will<br />

maintain the undertaking <strong>of</strong> clinical<br />

trials, conduction <strong>of</strong> health services<br />

research, development <strong>of</strong> databases,<br />

administrative and analytical support<br />

for the psoriasis registry, performance<br />

<strong>of</strong> research studies, and development<br />

and dissemination <strong>of</strong> community<br />

education programs and resources.<br />

We welcomed a number <strong>of</strong> new<br />

members and contributors to the<br />

SCF this year. Our clinical services<br />

and clinician involvement in clinics<br />

is increasing year by year. Surgical<br />

services, contact dermatitis, transplant<br />

dermatology, radiotherapy and<br />

phototherapy are areas where we have<br />

additional consultant staff and have<br />

increased services. In May 2008, we<br />

welcomed Dr Diana Tran, who joined<br />

Dr Michael Rich in providing consultant<br />

services to the melanoma clinic.<br />

Once again, we are grateful for the<br />

generous support received from our<br />

many contributors, supporters and<br />

sponsors. This has enabled the Skin<br />

and Cancer Foundation to perform its<br />

important work for over 20 years now,<br />

and to continue and grow its activities<br />

in the future.<br />

A/PROFESSOR PETER FOLEY<br />

President, Skin and Cancer<br />

Foundation Victoria<br />

Skin and Cancer Foundation Victoria’s<br />

new premises at 80 Drummond Street,<br />

Carlton<br />

23


EDUCATIONAL<br />

COMMITTEE<br />

REPORTS<br />

24


Accreditation <strong>of</strong> Training Programs<br />

In 2008, the Board <strong>of</strong> Censors<br />

inspected the training positions that are<br />

part <strong>of</strong> the Victorian training program.<br />

These training positions are located at:<br />

• St Vincent’s Hospital<br />

• Skin and Cancer Foundation Inc<br />

• Western Hospital<br />

• Monash Medical Centre<br />

• Box Hill Hospital<br />

• Repatriation and Austin Hospitals<br />

• Royal Melbourne Hospital<br />

• Peter MacCallum Cancer Institute<br />

• Alfred Hospital<br />

• Royal Children’s Hospital<br />

On the recommendation <strong>of</strong><br />

the Board <strong>of</strong> Censors, the<br />

Education Committee gave<br />

full accreditation to the<br />

Victorian Faculty training<br />

positions until the next<br />

scheduled inspection in three<br />

to five years.<br />

In 2008, the Board <strong>of</strong> Censors<br />

considered written applications for<br />

accreditation <strong>of</strong> the following new<br />

positions:<br />

• Cairns Base Hospital (Queensland)<br />

• Queensland Institute <strong>of</strong> Dermatology<br />

(Queensland)<br />

• Skin and Cancer Foundation Australia<br />

(Darlinghurst, New South Wales)<br />

On the recommendation <strong>of</strong> the Board<br />

<strong>of</strong> Censors, the Education Committee<br />

gave full accreditation <strong>of</strong> these<br />

positions until the next scheduled<br />

inspection <strong>of</strong> training positions in the<br />

states in which these training positions<br />

are located.<br />

In 2008, the Board <strong>of</strong> Censors<br />

accredited the training positions that<br />

are part <strong>of</strong> the New South Wales<br />

Training Program. These training<br />

positions are located at:<br />

• Westmead Hospital/Westmead<br />

Children’s Hospital/Skin and Cancer<br />

Foundation Australia (Westmead)<br />

• Skin and Cancer Foundation<br />

• Prince <strong>of</strong> Wales Hospital<br />

• Liverpool Hospital<br />

• St Vincent’s Hospital/Skin and Cancer<br />

Foundation Australia (Darlinghurst)<br />

• Royal Prince Alfred Hospital<br />

• Concord Repatriation and General<br />

Hospital<br />

• Royal Newcastle Hospital/John<br />

Hunter Hospital<br />

• Royal North Shore<br />

The Board <strong>of</strong> Censors has<br />

recommended to the Education<br />

Committee that these positions be fully<br />

accredited. The Education Committee<br />

will consider these recommendations at<br />

their next scheduled meeting.<br />

25


Examination Outcomes for 2008<br />

clinical sciences<br />

May examination<br />

Total passed 10<br />

Total failed 1<br />

TOTAL SAT 11<br />

PharMacology<br />

May examination<br />

Total passed 21<br />

Total failed 0<br />

TOTAL SAT 21<br />

fellowshiP<br />

Written papers<br />

Total passed 12<br />

Total failed 1<br />

TOTAL SAT 13<br />

Written papers and clinical<br />

component<br />

Total passed 11<br />

Total failed 1<br />

TOTAL SAT 12<br />

26<br />

November examination<br />

Total passed 13<br />

Total failed 0<br />

TOTAL SAT 13<br />

November examination<br />

Total passed 4<br />

Total failed 0<br />

TOTAL SAT 4<br />

Clinical component<br />

Total passed 11<br />

Total failed 1<br />

TOTAL SAT 12


Education<br />

Committee<br />

Dr Pam Brown<br />

convenor<br />

Dr Pam Brown,<br />

Chair <strong>of</strong> Board <strong>of</strong> Training<br />

MeMBers<br />

Dr Chris Baker,<br />

Chief Censor<br />

Dr Martin Haskett, Convenor,<br />

IMG Assessment Committee<br />

Dr Anne O’Neill, Convenor,<br />

Pr<strong>of</strong>essional Development Committee<br />

Dr Warren Weightman, Convenor,<br />

Curriculum Committee<br />

Ms Victoria Baker Smith,<br />

Education Manager<br />

The Education Committee is<br />

responsible for the formulation,<br />

promulgation and implementation<br />

<strong>of</strong> educational policy in the<br />

<strong>Australasian</strong> <strong>College</strong> <strong>of</strong> Dermatologist.<br />

Our policy goal is to set a world<br />

class standard for dermatology<br />

education for undergraduate medical<br />

students, trainee dermatologists,<br />

pr<strong>of</strong>essional development <strong>of</strong> specialist<br />

dermatologists, other specialists and<br />

allied health workers, plus establishing<br />

transparent standards for international<br />

medical graduates who wish to<br />

practice dermatology in this country.<br />

The membership <strong>of</strong> the committee<br />

comprises the Chairs <strong>of</strong> the<br />

educational committees overseeing<br />

and implementing the policy<br />

objectives that have been established.<br />

The committee is essential for the<br />

functional integration <strong>of</strong> input from<br />

all the committees, each <strong>of</strong> which has<br />

a specialist role to play to ensure the<br />

program works. This requires a close<br />

and cooperative relationship amongst<br />

the committee convenors.<br />

The implementation <strong>of</strong> the curriculum<br />

is the major educational thrust for<br />

2009. This has, as might be expected,<br />

created many flow on effects for<br />

all committees, as aligning trainee<br />

teaching and assessment, pr<strong>of</strong>essional<br />

development for Fellows, assessment<br />

<strong>of</strong> international medical graduates with<br />

the curriculum, plus fine-tuning <strong>of</strong> the<br />

curriculum document itself to make<br />

it user-friendly and comprehensive<br />

is ongoing. Communication with,<br />

and education <strong>of</strong>, all <strong>College</strong> Fellows<br />

regarding this change is a major focus.<br />

The internet is increasingly used to<br />

streamline our activities. It serves as<br />

a resource for teaching, obtaining<br />

feedback from participants in various<br />

<strong>College</strong> programs, plus a unifying role<br />

to ensure that our program is truly a<br />

national one.<br />

My thanks go to the committee<br />

members, who give many hours <strong>of</strong><br />

their <strong>of</strong> their time to advancing all<br />

these projects. In addition, I would<br />

like to acknowledge and thank our<br />

Education Manager, Victoria Baker-<br />

Smith, who broadens our perspective<br />

and provides support for our efforts. A<br />

special thanks to Bob Corderoy, who is<br />

the driving force behind our e-learning<br />

efforts, and Tony Moore, who is the<br />

organiser behind the scenes.<br />

27


28<br />

Board<br />

<strong>of</strong> Censors<br />

A/Pr<strong>of</strong>essor Chris Baker<br />

chief censor<br />

A/Pr<strong>of</strong>essor Chris Baker<br />

censors<br />

Dr Eileen Collins<br />

Dr Tim Elliott<br />

A/Pr<strong>of</strong>essor Kurt Gebauer<br />

Dr Choo-Tian Lee<br />

Dr Anne Lewis<br />

Dr Rosemary Nixon<br />

Objectives: As defined in clause 27 <strong>of</strong> the constitution, to<br />

• examine all applications for admission to examination for the<br />

Diploma <strong>of</strong> the <strong>College</strong> or for admission <strong>of</strong> Fellows;<br />

• report on such applications to the Board;<br />

• super vise any lectures, demonstrations or course<br />

<strong>of</strong> instruction by the <strong>College</strong> designedto assist candidates to obtain<br />

instruction in those maters in which the candidate will be examined<br />

for the Diploma <strong>of</strong> the <strong>College</strong>; and<br />

• conduct the examination for the Diploma <strong>of</strong> the <strong>College</strong> according<br />

to the requirements established by the Board from time to time.<br />

The Board <strong>of</strong> Censors continues to<br />

be responsible for the assessment<br />

<strong>of</strong> trainees throughout the training<br />

program, accreditation <strong>of</strong> training<br />

positions and active participation in<br />

matters <strong>of</strong> training and education.<br />

Consolidation <strong>of</strong> the new education<br />

structure and reporting <strong>of</strong> the Board <strong>of</strong><br />

Censors to the Education Committee<br />

has resulted in close functional<br />

integration. There is coordination <strong>of</strong><br />

activities between these committees,<br />

which are supported by the invaluable<br />

work <strong>of</strong> the <strong>College</strong>’s education staff.<br />

In addition, there is a close working<br />

relationship between the Chief Censor,<br />

A/Pr<strong>of</strong>essor Chris Baker and the<br />

Convenor <strong>of</strong> the Education Committee,<br />

Dr Pam Brown, both <strong>of</strong> whom are<br />

members <strong>of</strong> the Board <strong>of</strong> Directors<br />

<strong>of</strong> <strong>College</strong>. This structure indicates<br />

the high priority <strong>College</strong> places on all<br />

matters <strong>of</strong> education and assessment<br />

<strong>of</strong> trainees and the lifelong learning <strong>of</strong><br />

Fellows.<br />

exaMinations<br />

The Board <strong>of</strong> Censors is responsible<br />

for the production and staging <strong>of</strong> the<br />

<strong>College</strong>’s exam processes. Our role is<br />

to ensure that all assessments are <strong>of</strong><br />

the highest possible standard, meet<br />

medical education benchmarks and<br />

are <strong>of</strong> the utmost procedural fairness.<br />

Including the Board, over 20 Fellows<br />

<strong>of</strong> <strong>College</strong> were involved in the exam<br />

process in 2008, ensuring extensive<br />

peer consideration <strong>of</strong> exam content and<br />

standard.<br />

Fellowship Examinations<br />

Written examinations covering<br />

medical dermatology and procedural<br />

dermatology were held in June 2008.<br />

They are <strong>of</strong>fered annually and consist<br />

<strong>of</strong> short essay and multiple choice<br />

format. Successful candidates were<br />

invited to attend the viva examinations<br />

in Melbourne held in August 2008.<br />

The vivas consists <strong>of</strong> OSCEs (including<br />

procedural dermatology, practical<br />

histopathology and laboratory<br />

dermatology), long case vivas and<br />

short case vivas. To be eligible to sit<br />

the Fellowship examinations, a trainee<br />

must complete all necessary parts <strong>of</strong><br />

the training program. To complete<br />

these examinations successfully, the<br />

trainee must demonstrate clinical<br />

competency expected <strong>of</strong> a specialist<br />

dermatologist in Australia.<br />

In 2008, 13 candidates presented for<br />

the written examinations, <strong>of</strong> which<br />

12 passed and were admitted to the<br />

vivas. Of the 12 candidates who<br />

presented for the viva examinations, 11<br />

were successful. The pass rate <strong>of</strong> the<br />

Fellowship examinations in 2008 was<br />

84.6%.<br />

The Board is particularly grateful to the<br />

local Victorian Fellows who assisted<br />

as occasional examiners for the viva<br />

exams, and the observers, Dr Gayle<br />

Fischer (immediate past censor) and<br />

Pr<strong>of</strong>essor Chee Leok Goh (Chairman,<br />

Specialist Training Committee for<br />

Dermatology Academy <strong>of</strong> Medicine,<br />

Singapore). In addition, the Board<br />

thanks the OSCE subcommittee<br />

and, in particular, acknowledges<br />

the contribution <strong>of</strong> Dr Arthur<br />

Fischer, dermatopathologist, for his<br />

contribution to the dermatopathology<br />

section.


clinical science and<br />

PharMacology exaMinations<br />

The preliminary examinations assess<br />

learning <strong>of</strong> the clinical sciences<br />

and pharmacology as they apply<br />

to dermatology. Learning in these<br />

areas underpins the future learning<br />

and practice <strong>of</strong> clinical dermatology.<br />

The examinations are held in May<br />

and November each year. Trainees<br />

must successfully complete both<br />

examinations to continue as an<br />

advanced trainee.<br />

Clinical Sciences Examinations<br />

In 2008, 23 candidates sat and<br />

passed the clinical sciences paper,<br />

with 22 passing on the first attempt.<br />

Pharmacology Examination<br />

In 2008, 25 candidates sat<br />

and passed the pharmacology<br />

examination, with 24 passing on the<br />

first attempt.<br />

Singapore<br />

Arrangements are being explored to<br />

make the <strong>College</strong>’s Clinical Sciences<br />

and Pharmacology examinations<br />

available to the junior trainees in<br />

the Singapore Specialist Training<br />

Program. Although recognising some<br />

curriculum differences, the Singapore<br />

Specialist Training Committee for<br />

Dermatology has expressed interest<br />

in using these assessments for their<br />

trainees. Once agreement is reached,<br />

it is expected that the joint use <strong>of</strong> the<br />

exams will occur in 2009.<br />

in-training assessMents<br />

A process <strong>of</strong> formative and summative<br />

in-training assessments occurs regularly<br />

during the training program. The<br />

summative in-training assessments are<br />

provided twice yearly by the relevant<br />

clinical supervisors and supervisor <strong>of</strong><br />

training, and are forwarded to the<br />

Board <strong>of</strong> Censors for assessment and,<br />

if necessary, action. Clarification and<br />

improvements to the SITA processes<br />

are being implemented to improve the<br />

value and reliability <strong>of</strong> these important<br />

assessments. The Board recognises<br />

the effort and dedication <strong>of</strong> all clinical<br />

supervisors in participating in this<br />

critical assessment task.<br />

training Position<br />

accreditation<br />

In 2008, the accreditation teams<br />

from the Board <strong>of</strong> Censors visited<br />

and assessed the Victorian and NSW<br />

training programs. The programs<br />

were found to be <strong>of</strong> a high standard<br />

and the individual positions to largely<br />

meet the training requirements. The<br />

Board thanks the local Directors and<br />

Supervisors <strong>of</strong> Training, as well as<br />

the trainees, for their assistance in<br />

conducting these visits.<br />

The Board <strong>of</strong> Censors intends to<br />

review the accreditation process and<br />

requirements for accredited training<br />

positions during 2009. This is to ensure<br />

the accreditation process is integrated<br />

with the new curriculum, is efficient<br />

and is considerate <strong>of</strong> the changing<br />

nature <strong>of</strong> clinics and environments<br />

where training is taking place.<br />

curriculuM iMPleMentation<br />

and BluePrinting<br />

The Board <strong>of</strong> Censors has continued<br />

throughout 2008 to provide input to<br />

the development and implementation<br />

<strong>of</strong> the new curriculum. A key task for<br />

the Board, with expert direction from<br />

<strong>College</strong>’s education staff, Victoria<br />

Baker-Smith and Bob Corderoy, is<br />

to ensure that assessment tasks<br />

are directly linked to the relevant<br />

sections or performance criteria <strong>of</strong> the<br />

curriculum. The process <strong>of</strong> assessment<br />

blueprinting <strong>of</strong> the curriculum was<br />

formally commenced in 2008, with<br />

concurrent workshops in Melbourne<br />

and Sydney, and will be completed<br />

during 2009.<br />

assessMent review<br />

Concurrent with the assessment<br />

blueprinting, a review <strong>of</strong> <strong>College</strong>’s<br />

current assessment structure has been<br />

commenced under the direction <strong>of</strong> Dr<br />

Tim Elliott. The review will map out<br />

potential short and long-term changes<br />

that may be made to the improve the<br />

current assessment system. The role <strong>of</strong><br />

the Fellowship exam will be critically<br />

examined and areas <strong>of</strong> assessment<br />

that may be better assessed earlier in<br />

stages or by different methods will<br />

be identified. This review will also<br />

look at the introduction <strong>of</strong> new and<br />

innovative assessment tasks. One<br />

currently in development, under the<br />

direction <strong>of</strong> Bob Corderoy, is an online<br />

dermoscopy module that may form<br />

part <strong>of</strong> competency testing for this<br />

clinical skill.<br />

recognition and thanks<br />

I would like to acknowledge and<br />

express sincere thanks to our<br />

immediate past chief censor, Dr<br />

Caroline Mercer, for her extraordinary<br />

work in this position. Her dedication<br />

and vision has established the current<br />

strategies and efficient systems that<br />

remain in place. Thanks also to the<br />

Trainee Representative Committee,<br />

who now have representation at<br />

all Board <strong>of</strong> Censors meetings.<br />

Their contribution and feedback is<br />

proving to be <strong>of</strong> enormous value.<br />

The Board wishes to give special<br />

acknowledgement to the education<br />

and administrative staff <strong>of</strong> <strong>College</strong>,<br />

who have been <strong>of</strong> enormous assistance<br />

to the Board <strong>of</strong> Censors. Thanks<br />

to Tony Moore for his efforts in<br />

streamlining and attending to the<br />

administration <strong>of</strong> training matters.<br />

Victoria Baker-Smith, Education<br />

Manager, has provided exceptional<br />

guidance and effort in helping us<br />

progress the educational reforms. Bob<br />

Corderoy, who brings experience and<br />

passion for the implementation <strong>of</strong> new<br />

educational activities and technologies,<br />

has been instrumental in providing<br />

innovative direction and structure for<br />

the <strong>College</strong>’s learning and assessment<br />

processes. Finally, thanks to my fellow<br />

Board members who, with dedication<br />

and generosity, provide their expertise<br />

and time for all the assessment and<br />

Board activities.<br />

A/Pr<strong>of</strong>essor Chris Baker<br />

Chief Censor<br />

29


Board<br />

<strong>of</strong> Training<br />

30<br />

Dr Pam Brown<br />

chair<br />

Dr Pam Brown<br />

MeMBers<br />

Dr Megan Andrews<br />

Dr Phillip Artemi<br />

Dr Vincent O’Brien<br />

Dr Clare Tait<br />

Dr Bruce Tate<br />

Objectives: The Board <strong>of</strong> Training was established to recognise the<br />

key role <strong>of</strong> Directors <strong>of</strong> Training in <strong>College</strong>’s educational efforts<br />

and to support them in the administration and development <strong>of</strong> the<br />

<strong>College</strong>’s training program by bringing them together as members<br />

<strong>of</strong> the Board <strong>of</strong> Training.<br />

The Board <strong>of</strong> Training is responsible<br />

for overseeing the implementation <strong>of</strong><br />

the <strong>College</strong>’s training and assessment<br />

programs in the individual states,<br />

ensuring national consistency. The<br />

Director <strong>of</strong> Training ensures that each<br />

trainee has the opportunity to achieve<br />

the aims and goals <strong>of</strong> the training<br />

program. These requirements have to<br />

be put into the context <strong>of</strong> changing<br />

patterns <strong>of</strong> employment, with parttime<br />

training becoming more common<br />

and requests for interrupted training<br />

because <strong>of</strong> the needs <strong>of</strong> another<br />

member <strong>of</strong> the family.<br />

The Board <strong>of</strong> Censors defines the<br />

standards and the tools for assessing<br />

the acquisition <strong>of</strong> the behaviours,<br />

skills and attributes required by a<br />

competent dermatologist. The Directors<br />

<strong>of</strong> Training, in conjunction with the<br />

Supervisors <strong>of</strong> Training and the Clinical<br />

Supervisors, are responsible for using<br />

these tools and assessing whether the<br />

goals <strong>of</strong> the educational program are<br />

being achieved in the workplace setting,<br />

and whether the methodology works.<br />

The functional integration <strong>of</strong> our<br />

education structure is achieved<br />

through the medium <strong>of</strong> the Education<br />

Committee, where input from all<br />

committees involved in education is<br />

assessed and evaluated.<br />

With the introduction <strong>of</strong> the<br />

curriculum in 2009 as the template<br />

for all educational activities, plus<br />

the concomitant move to broaden<br />

and increase the ongoing in-training<br />

assessment <strong>of</strong> trainees, this has<br />

become a more demanding task.<br />

Over the past 18 months, <strong>College</strong> has<br />

supported a series <strong>of</strong> workshops run<br />

by the Cognitive Institute, to help the<br />

teachers and supervisors understand<br />

and feel comfortable with the task <strong>of</strong><br />

supervising and providing feedback.<br />

Further work on implementing intraining<br />

assessment will be undertaken.<br />

The Board <strong>of</strong> Training had significant<br />

input into the extensive revision <strong>of</strong> the<br />

Training Program Handbook 2009,<br />

providing much practical perspective to<br />

various sections <strong>of</strong> the document.<br />

The Board <strong>of</strong> Training is responsible<br />

for organising the First and Third<br />

Year training days. There were three<br />

goals for the First Year Training Day:<br />

introduction to basic dermatologic<br />

procedures, communication skills, i.e.<br />

what it means to be a specialist and<br />

how that impacts your interactions,<br />

and last but not least, collegiality,<br />

i.e. getting to know your peers.<br />

Dr Robert Paver ran the surgical<br />

workshop and Melanie Kirkbride<br />

ran the communication section. Dr<br />

Megan Andrews went over what the<br />

trainees should aim to achieve in their<br />

first two years <strong>of</strong> training. This group<br />

<strong>of</strong> trainees will be the first group to<br />

have the curriculum to guide them<br />

from day one. Feedback from the<br />

participants indicates that we achieved<br />

our goals, but we have taken notice <strong>of</strong><br />

suggestions to build on for next year.<br />

The Third Year Training Day covered<br />

communication skills, from the<br />

perspective <strong>of</strong> the ways in which<br />

individuals communicate in clinical<br />

situations and how this may affect<br />

the patient/doctor interaction. This<br />

workshop was run by Pr<strong>of</strong>essor Stewart<br />

Dunn from the Pam McLean Cancer<br />

Communications Centre, Sydney<br />

University Medical School. The Chief<br />

Censor gave advice to the trainees as to<br />

what they needed to complete before<br />

the end <strong>of</strong> their third year <strong>of</strong> training.<br />

In the second part <strong>of</strong> the day, the<br />

trainees participated in a workshop run<br />

by the Cognitive Institute on work-life<br />

balance, and renewed friendships with<br />

their interstate peers over dinner. At<br />

the time <strong>of</strong> this report, feedback on the<br />

day’s program had not been analysed.<br />

Dr Phillip Artemi, along with Bob<br />

Corderoy, are working to establish<br />

online teaching modules. We hope<br />

that experts from different parts <strong>of</strong><br />

the country will share their knowledge<br />

nationally.<br />

The Board <strong>of</strong> Training would like<br />

to acknowledge the efforts <strong>of</strong> our<br />

Education Manager, Victoria Baker-<br />

Smith, Bob Corderoy, Education Officer,<br />

and Education Administrative Officer,<br />

Tony Moore, whose efforts are essential<br />

in allowing us to move forward.


Curriculum<br />

Committee<br />

convenor<br />

Dr Warren Weightman<br />

MeMBers<br />

Dr Judith Cole<br />

Dr Ian Hamann<br />

Dr Martin Haskett<br />

Dr Chris McCormack<br />

Dr Greg Siller<br />

Dr Anthony White<br />

Dr Li-Chuen Wong<br />

Ms Victoria Baker-Smith,<br />

<strong>College</strong>’s Education Manager<br />

Objectives: To make recommendations to the Board <strong>of</strong> Censors and<br />

the Education Committee on all issues <strong>of</strong> curriculum development<br />

and implementation for the registrar training program<br />

The curriculum for the dermatology<br />

training program was released in<br />

February 2009. The curriculum was<br />

finalised at the end <strong>of</strong> June 2008 after<br />

a lot <strong>of</strong> hard work by many people,<br />

including the <strong>College</strong> education <strong>of</strong>ficers,<br />

members <strong>of</strong> the Curriculum Committee,<br />

and the many Fellows who attended<br />

the focus groups that prepared the<br />

individual modules. I took over as Chair<br />

<strong>of</strong> the Curriculum Committee from<br />

Chris Baker in June 2008.<br />

The <strong>College</strong> is running several<br />

education sessions for Fellows and<br />

trainees on how to use the curriculum<br />

for learning, teaching and assessment.<br />

Sessions will be run in each state and at<br />

the Annual Scientific Meeting.<br />

There will continue to be fine-tuning <strong>of</strong><br />

the curriculum document as we receive<br />

feedback from the parties who use it<br />

and, at the end <strong>of</strong> 2009, there will be a<br />

major review.<br />

The curriculum is the foundation <strong>of</strong> a<br />

training program. It defines the skills,<br />

behaviour and knowledge required to<br />

practise dermatology in Australia. It<br />

will be used to guide learning, teaching<br />

and assessment <strong>of</strong> dermatology<br />

trainees and international medical<br />

graduates. This will minimise the need<br />

for trainees to spend large amounts <strong>of</strong><br />

time ‘learning’ the content <strong>of</strong> several<br />

texts, allow them to gain a deep<br />

understanding <strong>of</strong> the essential aspects<br />

<strong>of</strong> their clinical training and will provide<br />

them with the basic ‘skills set’ to begin<br />

practice.<br />

The curriculum is comprised <strong>of</strong> 16<br />

modules. There are three cornerstone<br />

modules. The Fundamentals <strong>of</strong> Clinical<br />

Practice module has been designed to<br />

cover the ‘baseline’ knowledge, skills<br />

and behaviours pertaining to clinical<br />

practice. The Procedural Dermatology<br />

module is a specialist practice<br />

module and covers a number <strong>of</strong> basic<br />

procedures as well as several advanced<br />

procedures. The Pr<strong>of</strong>essional Qualities<br />

module (still in development) is<br />

designed to cover all those behaviours<br />

expected <strong>of</strong> a competent practicing<br />

dermatologist. The 26 key learning<br />

objectives, which form the basis <strong>of</strong><br />

what may be considered ‘competent<br />

dermatological practice’, are distributed<br />

across these three cornerstone<br />

modules. Completion <strong>of</strong> the ‘specialist<br />

content area’ modules, comprising the<br />

remainder <strong>of</strong> the curriculum, assumes<br />

that the knowledge, skills, behaviours<br />

and procedures learned and assessed in<br />

modules one, two and three are always<br />

adopted and applied, and will be an<br />

integral component <strong>of</strong> the overall<br />

assessment <strong>of</strong> competency in these<br />

modules.<br />

The <strong>College</strong> is also considering how to<br />

adapt the curriculum to teach medical<br />

students.<br />

The next step, already underway, will<br />

be to review the assessment processes<br />

using the curriculum as a guide. This<br />

will lead to significant changes in how<br />

we examine trainees over the next<br />

few years. There will be less emphasis<br />

on the Fellowship examination and<br />

more emphasis on assessment during<br />

the training program, involving a<br />

wide range <strong>of</strong> strategies fitted to<br />

the learning situation. When these<br />

are implemented, the Fellowship<br />

examination will no longer be the<br />

hurdle that it is now.<br />

31


IMG<br />

Assessment<br />

Committee<br />

Dr Martin Haskett<br />

convenor<br />

Dr Martin Haskett<br />

MeMBers<br />

Ms Claudia Casson<br />

Dr Adriene Lee<br />

A/Pr<strong>of</strong>essor Chris Baker,<br />

Chief Censor<br />

Dr Bishakha Rajagopalan<br />

Dr Howard Studniberg<br />

Ms Roslyn Wagstaff<br />

Ms Rae Scott<br />

(health jurisdictions representative)<br />

32<br />

Patricia Warn<br />

(community representative)<br />

Objectives: To be responsible for all stages <strong>of</strong> the assessment <strong>of</strong><br />

international medical graduates for specialist recognition and Area<br />

<strong>of</strong> Need positions.<br />

This committee is constituted by the<br />

Board <strong>of</strong> Directors principally to assess<br />

the comparability <strong>of</strong> the competence<br />

and pr<strong>of</strong>essional skills <strong>of</strong> international<br />

medical graduates (IMGs) who wish<br />

to work in Australia as dermatologists.<br />

The <strong>College</strong> performs this task at<br />

the behest <strong>of</strong> the Australian Medical<br />

Council.<br />

The committee has met approximately<br />

every 12 weeks to fulfill its obligation<br />

to provide applicants with a timely<br />

response, and the accompanying table<br />

indicates the manageable numbers<br />

<strong>of</strong> applications received and the<br />

assessment outcomes. There are signs<br />

that there will be increasing numbers<br />

<strong>of</strong> applicants. This year the <strong>College</strong><br />

videoconferencing facilities have been<br />

used to interview applicants in their<br />

originating country and this has been<br />

found to be very satisfactory.<br />

Another function <strong>of</strong> the committee is<br />

to recommend and accredit training<br />

programs for those applicants deemed<br />

to require further training before being<br />

deemed substantially comparable to<br />

an Australian-trained dermatologist.<br />

It is pleasing to report that the federal<br />

government has provided substantial<br />

funds to allow three such training<br />

programs to be run in 2009.<br />

There has been considerable activity<br />

this year by all involved parties<br />

to try and simplify and clarify the<br />

pathways that all international medical<br />

graduates follow to be assessed for<br />

specialist recognition. Attendance<br />

at commonwealth government-run<br />

workshops has been beneficial to<br />

the committee, although there has<br />

not been substantial change in the<br />

assessments pathways for specialists.<br />

Medicare Provider Number restrictions<br />

continue to apply to all applicants<br />

for a period <strong>of</strong> 10 years from the<br />

commencement <strong>of</strong> practise in Australia<br />

(District <strong>of</strong> Workforce Shortage).<br />

<strong>College</strong> staff and Fellows who are not<br />

part <strong>of</strong> the assessment committee<br />

have been working hard to create and<br />

fill Area <strong>of</strong> Need positions which will<br />

potentially benefit the rural community<br />

a great deal. The applicants for these<br />

positions undergo the same assessment<br />

process as those seeking to work in a<br />

District <strong>of</strong> Workforce Shortage.<br />

The biggest challenge ahead lies<br />

with the need to align our IMG<br />

assessment process with the new<br />

<strong>College</strong> curriculum and the associated<br />

assessments blueprint to determine<br />

if specific competencies are held by<br />

applicants. A much delayed launch <strong>of</strong><br />

our online IMG guide and application<br />

form is imminent.<br />

The <strong>College</strong> staff’s members involved<br />

in this area, Claudia Casson and Ros<br />

Wagstaff, are again highly commended<br />

for their calm yet energetic<br />

management <strong>of</strong> the high number <strong>of</strong><br />

enquiries relating to this area. We are<br />

also very grateful to our community<br />

representative, Mr John McKendrick<br />

who retired from the position in<br />

2008, and to his replacement, Ms<br />

Patricia Warn. The health jurisdiction<br />

representative on the committee, Ms<br />

Rae Scott, is thanked for her insight<br />

and advice.<br />

The <strong>College</strong> Fellows who give their<br />

time to this committee are also<br />

thanked most sincerely.


suMMary <strong>of</strong> origin <strong>of</strong> aPPlications for 2008/09<br />

Brazil (1)<br />

Colombia (1)<br />

Egypt (2)<br />

France (1)<br />

Germany (3)<br />

India (5)<br />

Philippines (1)<br />

South Africa (5)<br />

Spain (1)<br />

United Kingdom (2)<br />

United States <strong>of</strong> America (1)<br />

sPecialist recognition (sr) and area <strong>of</strong> need (aon) assessMent outcoMes – January to deceMBer 2008<br />

sPecialist recognition aPPlications<br />

Number <strong>of</strong> applications received<br />

With original<br />

qualifications from<br />

an English speaking<br />

country<br />

With original<br />

qualifications from<br />

a non-English<br />

speaking country,<br />

but with further<br />

qualifications from<br />

an English speaking<br />

country<br />

With qualifications<br />

only from a non-<br />

English speaking<br />

country<br />

Origin <strong>of</strong> application, e.g. AMC, employment agency All AMC - All AMC<br />

Number <strong>of</strong> assessments completed 7 - 9<br />

Number completed in three months or fewer 4 - 6<br />

Number completed in more than three months 1 - 5<br />

Number assessed as requiring two or fewer years <strong>of</strong><br />

training to be seen as Substantially Comparable to an<br />

Australian-trained dermatologist<br />

Number assessed as Substantially Comparable<br />

– no training/assessment required<br />

7<br />

-<br />

1 - 6<br />

6 - 1<br />

Outcomes <strong>of</strong> any other assessments - - 2 Not Comparable<br />

Number <strong>of</strong> current and previous applicants who undertook<br />

training in 2008 as specified by the ACD<br />

sPecialist recognition aPPlications<br />

- - 3<br />

Number <strong>of</strong> applications received - - 1<br />

Origin <strong>of</strong> application, e.g. AMC, employment agency - - AMc<br />

Number <strong>of</strong> assessments completed - - 1<br />

Number completed in eight weeks or fewer - - 1<br />

Number completed in more than eight weeks - - -<br />

9<br />

33


Pr<strong>of</strong>essional<br />

Development<br />

Committee<br />

34<br />

convenor<br />

Dr Anne O’Neill<br />

MeMBers<br />

Dr Jonathan Chan<br />

Dr Catherine Scarff<br />

Dr Michael Sladden<br />

Dr Keng Ee Thai<br />

Dr Todd Wiadrowski<br />

Objectives: To oversee implementation and further development <strong>of</strong><br />

the Pr<strong>of</strong>essional Development program<br />

The <strong>College</strong>’s aim is that all Fellows<br />

participate in our Pr<strong>of</strong>essional<br />

Development Program to demonstrate<br />

pr<strong>of</strong>essional commitment to their<br />

specialty and the services they deliver<br />

to patients and the community.<br />

Following the Australian Medical<br />

Council’s recommendations, Dr Eleanor<br />

Long was engaged to review our<br />

Pr<strong>of</strong>essional Development Program. In<br />

brief, Dr Long felt that our Pr<strong>of</strong>essional<br />

Development Program required<br />

updating, and that a new program<br />

should focus around the day-to-day<br />

services <strong>of</strong>fered by dermatologists.<br />

Aspects <strong>of</strong> quality assurance, ethics,<br />

communication, problem-solving and<br />

practice management should all be<br />

considered.<br />

The ability that Fellows now have<br />

to self-select their areas <strong>of</strong> interest<br />

and largely ignore some areas <strong>of</strong><br />

dermatology that are core knowledge,<br />

may need to be reviewed. The<br />

Pr<strong>of</strong>essional Development Committee<br />

has reviewed this report and, in<br />

broad terms, supports Dr Long’s<br />

recommendations. These are:<br />

1. That the <strong>College</strong> reviews the<br />

objectives <strong>of</strong> the Pr<strong>of</strong>essional<br />

Development Program and<br />

upgrades the status <strong>of</strong> pr<strong>of</strong>essional<br />

development within the pr<strong>of</strong>ile <strong>of</strong><br />

ACD responsibilities.<br />

2. That the Pr<strong>of</strong>essional Development<br />

Program be updated to align<br />

with the newly-implemented<br />

curriculum; directing pr<strong>of</strong>essional<br />

development involvement towards<br />

practice-based and educationallyproductive<br />

activities; providing a<br />

greater range <strong>of</strong> action-based and<br />

problem-solving activities designed<br />

to interest, engage and intrinsically<br />

reward Fellows <strong>of</strong> the <strong>College</strong>.<br />

Many <strong>of</strong> these can be computerbased<br />

and web-sourced activities.<br />

3. That the Annual Scientific Meeting<br />

should include regular and<br />

substantial features on pr<strong>of</strong>essional<br />

development so Fellows <strong>of</strong> the<br />

<strong>College</strong> can see a benefit from<br />

pr<strong>of</strong>essional development.<br />

4. Consider increasing the amount <strong>of</strong><br />

<strong>College</strong> resources that are spent on<br />

educational staff to design, develop<br />

and monitor a new Pr<strong>of</strong>essional<br />

Development Program. However,<br />

the cost <strong>of</strong> this will be considerable<br />

and some <strong>of</strong> the cost <strong>of</strong> such a<br />

program may be borne by the<br />

Fellows.<br />

It is clear that the <strong>College</strong> must revamp<br />

its Pr<strong>of</strong>essional Development Program<br />

and, in doing so, make the Program<br />

relevant and attractive to Fellows so<br />

that universal involvement is attained.


Selection<br />

Task Force<br />

Dr Glenda Wood<br />

chair<br />

Dr Glenda Wood,<br />

President<br />

MeMBers<br />

Dr Cathy Reid<br />

Mr Rodney Sheaves,<br />

Chief Executive Officer<br />

Objectives: To review, develop and oversee the selection <strong>of</strong><br />

registrars into the training program. This is a presidential task<br />

force which reports direct to the Board <strong>of</strong> Directors.<br />

In 2007, the Board <strong>of</strong> Directors<br />

reviewed the year’s experience in<br />

selecting trainees, with a view to<br />

introducing changes. The selection<br />

process was also reviewed by the<br />

Australian Medical Council (AMC)<br />

during the accreditation visit in that<br />

year. The AMC made several important<br />

recommendations regarding the<br />

selection process.<br />

Because <strong>of</strong> the limited time available,<br />

it was decided to follow the<br />

2007 process in 2008, with some<br />

modifications to make the process<br />

administratively simpler, more effective<br />

and cheaper. However, at the same<br />

time, the Board decided that the<br />

selection process should be reviewed<br />

by an external consultant during 2008,<br />

who should make recommendations<br />

for 2009 and thereafter.<br />

Dr Nick Reynolds was appointed, with<br />

a wide brief to review the process.<br />

Dr Reynolds is a psychologist with<br />

considerable HR experience. He had<br />

previously advised the RANZCO on<br />

its selection process. Dr Reynolds<br />

consulted widely with Faculties and<br />

individual Fellows who had previously<br />

been involved in selection. He also<br />

invited submissions from individual<br />

Fellows. His report contained wideranging<br />

recommendations and was<br />

considered by the Board <strong>of</strong> Directors in<br />

November 2008. The Board adopted<br />

the report and his recommendations<br />

are now being implemented in the<br />

2009 selection process <strong>of</strong> trainees<br />

who will enter the training program in<br />

January 2010.<br />

A copy <strong>of</strong> Dr Reynolds’ report was<br />

submitted to the AMC, which<br />

commended the <strong>College</strong>’s decision to<br />

undertake an external review <strong>of</strong> the<br />

process; and supported Dr Reynolds’<br />

recommendations.<br />

In 2008, there were 63 applicants<br />

for training positions to be filled in<br />

2009. There were a total <strong>of</strong> 17 training<br />

positions. The following candidates<br />

were selected:<br />

new south wales<br />

Dr Vanessa Bock<br />

Dr Haady Fallah<br />

Dr Michelle McRae<br />

Dr Saxon Smith<br />

Queensland<br />

Dr Kathryn De’Ambrosis<br />

Dr Karl Rodins<br />

Dr Philip Singh<br />

south australia<br />

Dr Aaron Boyce<br />

Dr Kate Newland<br />

Dr Emma Ryan<br />

victoria<br />

Dr Rebecca Dunn<br />

Dr Desmond Gan<br />

Dr Ellen Ma<br />

Dr Leona Yip<br />

western australia<br />

Dr Tony Caccetta<br />

Dr Rachael Foster<br />

Dr Glen Foxton<br />

35


Trainee<br />

Representative<br />

Committee<br />

36<br />

Dr Hugh Roberts<br />

chair<br />

Dr Hugh Roberts<br />

MeMBers<br />

Dr Katie Le<br />

New South Wales<br />

Dr Brad Jones<br />

Queensland<br />

Dr Rachel Manifold<br />

South Australia<br />

Dr Eleni Yiasemides<br />

Western Australia<br />

Objectives: To represent the views <strong>of</strong> trainees to the Board on<br />

educational matters. The Committee members are all trainees<br />

elected by the trainees in each Faculty.<br />

The Trainee Representative Committee<br />

was established in 2005 to represent<br />

dermatology trainees and to allow<br />

communication directly with the<br />

<strong>College</strong>. Members <strong>of</strong> the committee<br />

are dermatology registrars elected<br />

from each state at the beginning <strong>of</strong><br />

the academic year. The committee<br />

for 2008 was a well balanced mix <strong>of</strong><br />

senior and junior trainees reflected in<br />

the column to the left.<br />

In 2008, members <strong>of</strong> the Trainee<br />

Representative Committee were<br />

invited to attend regular meetings <strong>of</strong><br />

the Board <strong>of</strong> Censors and Board <strong>of</strong><br />

Directors. Key issues discussed included<br />

private practice training, overseas<br />

training positions and changes to<br />

the dermatology curriculum and<br />

publication requirements. Committee<br />

members have also attended the<br />

AMA’s Doctor in Training meetings to<br />

represent the <strong>College</strong>. The committee<br />

has also been involved in the review <strong>of</strong><br />

<strong>College</strong> policies, including assessment<br />

<strong>of</strong> the <strong>College</strong> selection process,<br />

dismissal from training and the <strong>College</strong><br />

policy on bullying.<br />

The Trainee Representative Committee<br />

met face-to-face in Sydney during the<br />

Annual Scientific Meeting in 2008,<br />

and regularly corresponded via email<br />

throughout the year. Direct contact<br />

with both the Board <strong>of</strong> Censors and<br />

Board <strong>of</strong> Directors was particularly<br />

appreciated by trainees, as it allowed<br />

prompt clarification <strong>of</strong> any training,<br />

logbook or exam-related queries.<br />

First and third year trainees have<br />

recently attended weekend training<br />

retreats in Sydney. These meetings<br />

<strong>of</strong>fer a fantastic opportunity for<br />

trainees to meet with registrars from<br />

other states and form friendships<br />

which will continue throughout<br />

registrar years and beyond. It also gives<br />

interstate trainees a chance to visit the<br />

<strong>College</strong> <strong>of</strong>fice and meet members <strong>of</strong><br />

the <strong>College</strong>.<br />

In summary, the Trainee Representative<br />

Committee is an excellent forum for<br />

registrars to communicate any training<br />

issues directly with the <strong>College</strong>. We<br />

thank the <strong>College</strong>, Board <strong>of</strong> Directors<br />

and Board <strong>of</strong> Censors for their ongoing<br />

support.


COMMITTEE<br />

REPORTS<br />

37


Report <strong>of</strong> the<br />

Editorial<br />

Board <strong>of</strong> the<br />

<strong>Australasian</strong><br />

Journal <strong>of</strong><br />

Dermatology<br />

editor<br />

A/Pr<strong>of</strong>essor Orli Wargon<br />

assistant editors<br />

Dr Alexander Chamberlain<br />

Dr Gayle Fischer<br />

Dr Catherine Drummond<br />

Dr Alan Watson<br />

Dr Kurosh Parsi<br />

Dr Lynette Gordon<br />

A/Pr<strong>of</strong>essor Steven Kossard<br />

A/Pr<strong>of</strong>essor Marius Rademaker (NZ)<br />

international advisory Panel<br />

38<br />

Pr<strong>of</strong>essor Jeffrey Callen<br />

Pr<strong>of</strong>essor John Hawk<br />

Pr<strong>of</strong>essor David Koh<br />

Pr<strong>of</strong>essor John McGrath<br />

Pr<strong>of</strong>essor Takeji Nishikawa<br />

Pr<strong>of</strong>essor Clark C. Otley<br />

Dr Ashfaq Margoob<br />

Objectives: Responsible for<br />

editorial direction and policy<br />

<strong>of</strong> the <strong>Australasian</strong> Journal <strong>of</strong><br />

Dermatology.<br />

In 2008/09 we farewelled two<br />

hardworking members <strong>of</strong> our Editorial<br />

Board: Dr Jonathan Chan, who has<br />

worked on the Board since 2006, and<br />

Dr Tim Elliott, who has gone on leave<br />

for 2009. We thank them for their<br />

contributions.<br />

We are pleased to welcome Dr Duncan<br />

Stanford, who agreed to work on the<br />

surgical papers, and Pr<strong>of</strong>essor Peter<br />

Soyer, who will add his expertise to the<br />

new dermoscopy page.<br />

We look forward to working with<br />

a new internationally-renowned<br />

dermatologist, Dr Ashfaq Margoob,<br />

from Memorial Sloan-Kettering<br />

Cancer Centre, New York, who,<br />

having contributed significantly to the<br />

<strong>College</strong>’s Annual Scientific Meeting in<br />

2008 and to the <strong>Australasian</strong> Journal<br />

<strong>of</strong> Dermatology (AJD) in 2009, has<br />

joined our International Advisory<br />

Panel.<br />

Our publisher since 1995, Blackwell<br />

Publishing, merged with Wiley and Son<br />

in 2007 to become Wiley-Blackwell.<br />

Both companies had Melbourne <strong>of</strong>fices<br />

and, in January 2008, moved to a new<br />

building in Richmond. We are pleased<br />

they have been appointed publisher<br />

for the Journal for the next three-year<br />

contract period from 2009. As I am in<br />

Sydney, Alma Ross, Medical Journal<br />

Publishing Manager, has visited me<br />

a number <strong>of</strong> times, and the Editorial<br />

Assistant, Shaneen Goodwin, has also<br />

come up to Sydney. Both have been<br />

very helpful, making the transition<br />

easier.<br />

For several years, the Journal has<br />

<strong>of</strong>fered a prize for the best article<br />

published by a trainee <strong>of</strong> <strong>College</strong> in<br />

a volume. This prize was named for<br />

the first and longest serving Editor <strong>of</strong><br />

the Journal, Dr Adrian Johnson. We<br />

would like to congratulate Dr Emma<br />

Haverhoek as the recipient <strong>of</strong> the<br />

volume 49, 2008 prize for her research<br />

report: “Prospective study <strong>of</strong> patch<br />

testing in patients with vulval pruritus”.<br />

This is my first annual report as Editor<br />

<strong>of</strong> the Journal and I am very grateful<br />

for the hard work that the previous<br />

editor, Dr Delwyn Dyall-Smith, has<br />

put into the Journal over the last 14<br />

years, achieving many milestones and<br />

preparing for the ISI accreditation as<br />

we await our first Impact Factor in<br />

2009.<br />

Volume 50 issue 1 has been issued<br />

with a new cover, celebrating 50 years<br />

and featuring the <strong>College</strong> colours.<br />

The cover change was debated by<br />

the Editorial Board, which meets by<br />

teleconference quarterly.<br />

Volume 50 issue 1 has two new<br />

features: ‘In Other Journals’ which Dr<br />

Alan Watson has written and a new<br />

‘Dermoscopy’ section which Dr Alex<br />

Chanberlain, Dr Marius Rademaker<br />

and Pr<strong>of</strong>essor Peter Soyer will edit.<br />

Work is also underway for the AJD to<br />

be the <strong>of</strong>ficial journal for the Australian<br />

and New Zealand Vulval Diseases<br />

Society.<br />

I would like to thank the Editorial<br />

Board members who all work very<br />

hard, and the many people at Wiley-<br />

Blackwell Publishing, who all are very<br />

available and receptive, helping to<br />

produce our Journal with its unique<br />

<strong>Australasian</strong> flavour.<br />

Orli Wargon<br />

EDITOR


Ethics<br />

Committee<br />

convenor<br />

A/Pr<strong>of</strong>essor Chris Commens<br />

MeMBers<br />

Dr Jennifer Byth<br />

Dr Ge<strong>of</strong>frey Cains<br />

Dr Josephine Yeatman<br />

Objectives: To deal with<br />

ethical aspects <strong>of</strong> the <strong>College</strong>’s<br />

activities and to provide<br />

guidelines and advice on<br />

<strong>College</strong> members’ relationships<br />

with patients, other health<br />

pr<strong>of</strong>essionals, commercial<br />

organisations and the general<br />

public, as referred to it by the<br />

<strong>College</strong> Board.<br />

The Australian Medical Council Draft<br />

Code <strong>of</strong> Ethics was reviewed by the<br />

committee. This code is now being<br />

extensively redrafted so it will be<br />

interesting to see if the prohibitive tone<br />

<strong>of</strong> the original draft is changed.<br />

Several problems involving<br />

relationships between Fellows were<br />

referred and addressed to the best<br />

<strong>of</strong> the limited legal power <strong>of</strong> the<br />

committee.<br />

Fellows should recognise that a<br />

number <strong>of</strong> state medical boards state<br />

that accepting material gifts and<br />

sponsorship from pharmaceutical or<br />

device companies is unacceptable.<br />

Fellows should look carefully at<br />

their state code before accepting<br />

sponsorship.<br />

Fellows who have an interest or<br />

expertise in medico-legal or ethical<br />

issues should contact the committee<br />

convenor If they are interested in<br />

joining the committee.<br />

39


Indigenous<br />

Affairs<br />

Committee<br />

40<br />

convenor<br />

Dr Ian McCrossin<br />

MeMBers<br />

Dr Colin Parker<br />

Dr Gordon Rennick<br />

Dr Maureen Rogers<br />

Dr Anthony White<br />

Dr Li-Chuen Wong<br />

Objectives: To advise the Board<br />

on all indigenous matters,<br />

including the provision <strong>of</strong><br />

dermatological services and<br />

projects concerning indigenous<br />

health.<br />

The aims and objectives <strong>of</strong><br />

the committee are to provide<br />

dermatological medical services to<br />

the indigenous population and to<br />

accumulate experience and expertise<br />

in indigenous skin disease that can<br />

be communicated to <strong>College</strong> Fellows,<br />

general practitioners, medical<br />

students, nurses, Aboriginal health<br />

workers and the government.<br />

In 2008, further visits to Elcho Island<br />

were made using residual funding<br />

from the East Arnhem Healthy Skin<br />

Project. Services were provided to<br />

the Ngalkanbuy Health Centre at<br />

Galiwin’ku and for Marthakal which<br />

services the homelands. <strong>College</strong><br />

Fellows who provided honorary<br />

services included Drs Maureen Rogers,<br />

Colin Parker, Anne Howard, Martin<br />

Haskett, Tony White, Gordon Rennick,<br />

Rowland Noakes and Ian McCrossin,<br />

as well as Claird Grills, a trainee from<br />

Victoria. Lectures and discussions<br />

about infectious skin diseases were<br />

provided to nurse practitioners and<br />

Aboriginal health workers. The<br />

Commonwealth Government funding<br />

has ceased for this project, despite<br />

numerous submissions to a number <strong>of</strong><br />

departments. However, the Marthakal<br />

Homeland Resource Centre has<br />

obtained funding for visits to continue<br />

to the homelands in 2009 and Claire<br />

Grills, Ian McCrossin and Colin Parker<br />

will visit Elcho Island in the first half<br />

<strong>of</strong> 2009.<br />

A specialist content area module<br />

covering Aboriginal and Torres<br />

Strait Islander Skin Disease is being<br />

developed to be included in the<br />

new curriculum, and a seminar will<br />

be held at the Rural, Regional and<br />

Indigenous Dermatology Meeting in<br />

Noosa in March 2009, to document<br />

the experience <strong>of</strong> rural Fellows from<br />

the various states. Ian McCrossin<br />

is representing the <strong>College</strong> on the<br />

Committee <strong>of</strong> Presidents <strong>of</strong> Medical<br />

<strong>College</strong>s Australian and Indigenous<br />

Health Subcommittee, which is<br />

developing a generic (cultural<br />

competency) and college-specific<br />

curriculum, as well as examining<br />

recruitment, retention and support<br />

and community engagement.<br />

The <strong>College</strong> has obtained funding<br />

under Round 8 <strong>of</strong> the Support Scheme<br />

for Rural Specialists (SSRS) to extend<br />

the online support site set up last<br />

year under Round 7. One project in<br />

this round is a module on Indigenous<br />

Health Issues.<br />

Image captured by Dr Maureen<br />

Rogers on a visit to Galiwin’ku, Elcho<br />

Island


International<br />

Dermatology<br />

Outreach<br />

Committee<br />

convenor<br />

Dr Gillian Marshman<br />

MeMBers<br />

Pr<strong>of</strong>essor Ross Barnetson<br />

Dr Timothy O’Brien<br />

Dr Anthony White<br />

Dr Margot Whitfeld<br />

Objectives: To establish and administer a coordinated program<br />

<strong>of</strong> international aid, volunteer services, dermatology education<br />

and overseas-trainee sponsorship, targeted to the Asia-Pacific and<br />

where possible more distant regions, provided by volunteer Fellows<br />

and trainees <strong>of</strong> the <strong>College</strong>, to seek out relevant and appropriate<br />

funding sources to allow implementation <strong>of</strong> the program and to<br />

encourage a spirit <strong>of</strong> voluntarism amongst the <strong>College</strong> membership<br />

The areas <strong>of</strong> activity <strong>of</strong> the<br />

International Dermatology Outreach<br />

Committee (IDOC) this year have<br />

predominantly related to individual<br />

committee members’ own clinical<br />

and service programs. The ongoing<br />

work <strong>of</strong> Dr Margot Whitfeld in the<br />

development <strong>of</strong> the Fiji-wide strategy<br />

for the eradication <strong>of</strong> scabies has been<br />

an invaluable effort and had the full<br />

support <strong>of</strong> the IDOC. Margot has<br />

worked tirelessly on this project and<br />

currently has instituted a Trust Fund for<br />

the project. She has recruited a Project<br />

Officer, Lucia Romani, and voluntary<br />

members <strong>of</strong> the public, and needs to<br />

be congratulated for her untiring and<br />

sacrificial efforts.<br />

Tim O’Brien has successfully applied<br />

for further funding for a Peruvian<br />

registrar to have access to Australian<br />

dermatology teaching as an upskilling<br />

program, and he continues to visit Peru<br />

on a regular basis.<br />

Gill Marshman will continue to visit<br />

West Timor, where there is now a<br />

medical school in its first year <strong>of</strong><br />

operation in the capital city, Kupang.<br />

With Flinders International Health<br />

Group, she will be involved in<br />

curriculum development and teaching<br />

at that institution, which is a partnered<br />

project with Flinders University.<br />

AusAID funding has been gained for<br />

Flinders International Health Group to<br />

be involved in service provision across<br />

a broad range <strong>of</strong> disciplines for West<br />

Timor.<br />

IDOC now is <strong>of</strong>ficially allied with the<br />

International League <strong>of</strong> Dermatologic<br />

Societies and, at a meeting in Paris in<br />

2008, at the Educational Committee a<br />

proposal was put forth to concentrate<br />

on providing culturally-sensitive but<br />

generically-appropriate teaching<br />

resources for general use across<br />

a broad range <strong>of</strong> clinically-skilled<br />

pr<strong>of</strong>essionals, which was unanimously<br />

agreed upon. At the time <strong>of</strong> writing,<br />

Dr Margot Whitfeld is the IDOC’s<br />

representative at the AAD meeting<br />

<strong>of</strong> the Educational Committee <strong>of</strong><br />

ILDS, and will be further discussing<br />

the role <strong>of</strong> an Asia Pacific centre for<br />

dermatology upskilling within the<br />

region.<br />

We recognise that there are a number<br />

<strong>of</strong> our Fellows who provide input into<br />

the provision <strong>of</strong> dermatology services<br />

in many countries, both our near<br />

neighbours and further afield. We<br />

would welcome contact from any <strong>of</strong><br />

those Fellows who would be interested<br />

in being involved in IDOC, and<br />

encourage them to contact any <strong>of</strong> the<br />

committee members.<br />

The issue <strong>of</strong> funding for activities such<br />

as these is ever present as many are<br />

self-funded. We would hope in the<br />

future that <strong>College</strong> would consider<br />

a mechanism by which a longer<br />

term provision <strong>of</strong> funds for outreach<br />

programs may be developed.<br />

41


Public<br />

Affairs<br />

Committee<br />

42<br />

convenor<br />

Dr Stephen Shumack<br />

(Honorary Secretary)<br />

MeMBers<br />

Dr Pam Brown<br />

Dr Jill Cargnello<br />

A/Pr<strong>of</strong>essor John W. Kelly<br />

Dr James Muir<br />

Dr Cathy Reid<br />

Mr Rodney Sheaves,<br />

Chief Executive Officer<br />

Ms Roslyn Wagstaff,<br />

<strong>College</strong>’s Administration Officer<br />

Objectives: To develop and<br />

implement public affairs<br />

strategies for <strong>College</strong>, including<br />

media relations, public relations<br />

and political relations.<br />

Media releases<br />

• Skin Cancer Detection Upskilling for<br />

GPs – 5 May 2008<br />

• Fractional Laser Resurfacing - The<br />

Latest and Greatest Craze - And It<br />

Works! – 19 May 2008<br />

• The Skin - A Killer Defence System –<br />

21 May 2008<br />

• Australia Tops the List as Food<br />

Allergy Hypochondriacs – 22 May<br />

2008<br />

• Encouraging Results in Early<br />

Melanoma Research – 26 May 2008<br />

• <strong>Dermatologists</strong> Coming to the Aid<br />

<strong>of</strong> the Northern Territory – 17 June<br />

2008<br />

• Spring into Sun Protection – 2<br />

October 2008<br />

• ACD and Cancer Council Australia -<br />

National Skin Cancer Action Week,<br />

16 to 22 November 2008: Absentminded<br />

teens – exposed and burnt<br />

reveals new Cancer Council research<br />

– 16 November 2008<br />

• Illawarra teenagers not heeding<br />

skin cancer warning – 17 November<br />

2008<br />

• Australia at cutting edge <strong>of</strong><br />

melanoma treatment – 1 February<br />

2009<br />

• Millions <strong>of</strong> dollars gained, thousands<br />

<strong>of</strong> cancers avoided through skin<br />

cancer campaign - $2.32 for every<br />

$1 invested – 21 February 2009<br />

Media resPonses<br />

Media interviews and coverage have<br />

included the following:<br />

Print Media<br />

In the 2008/09 period, the following<br />

print publications have interviewed<br />

Fellows <strong>of</strong> <strong>College</strong>:<br />

Newspapers<br />

The Advertiser x 3<br />

The Adelaide Messenger x 2<br />

The Age x 2<br />

The Australian x 3<br />

Bunbury Mail<br />

Canberra Times x 2<br />

Courier Mail (Brisbane) x 3<br />

Daily Telegraph x 7<br />

Herald Sun x 8<br />

Illawarra Mercury x 4<br />

The Independent (University <strong>of</strong><br />

Queensland)<br />

The Leader, Victoria x 2<br />

Maroondah Leader, Melbourne<br />

The Mercury (Hobart) x 2<br />

The Northern Star<br />

Northern Territory News x 2<br />

Sun Herald x 9<br />

Sunday Age x 6<br />

Sunday Herald Sun x 9<br />

Sunday Mail x 13<br />

Sunday Telegraph x 5<br />

Sunday Times<br />

Sunraysia<br />

Sydney Morning Herald x 10<br />

The West Australian x 8<br />

The Western Independent<br />

Townsville Bulletin<br />

Newspaper lift outs<br />

Body + Soul x 2, Mind and Body,<br />

Sunday x 3, Sunday Life x 3,<br />

Sydney Magazine.<br />

Magazines<br />

Australian Country Style x 2<br />

Australian Doctor x 2<br />

Australian Natural Health<br />

Blackmore’s Loyalty Health<br />

Blue Water<br />

Brisbane News x 2<br />

Cleo x 2<br />

Coasting<br />

Consult<br />

Cosmopolitan x 2<br />

Choice x 2<br />

Dolly<br />

Emporium<br />

Empower<br />

Famous<br />

Fashion Capital<br />

Fernwood Gym magazine x 2<br />

Fresh (Woolworths)<br />

Girlfriend<br />

Good Health and Medicine<br />

Good Taste<br />

Grazia x 3<br />

GU private health member magazine<br />

x 3


Harper’s Bazaar x 2<br />

HBA private health member magazine<br />

HBF private health member magazine<br />

HCF Fit and Well private health<br />

member magazine<br />

HealthSmart<br />

Just Health and Beauty x 2<br />

Madison<br />

Medical Observer<br />

Men’s Health x 3<br />

Natural Health and Beauty<br />

New Idea<br />

Notebook<br />

NW<br />

Perth Vita<br />

Pharma In Focus<br />

PostScript<br />

Practical Parenting<br />

Qantas in-flight magazine<br />

Readers’ Digest x 6<br />

Retail Pharmacy x 4<br />

Russh<br />

Sydney Magazine<br />

Time<br />

Virgin Blue in-flight magazine<br />

Vital Health x 2<br />

Vogue<br />

Woman’s Day x 3<br />

Women’s Health<br />

Skin Things Articles in Medical<br />

Observer 2008/09<br />

Cutaneous larva migrans<br />

– Dr Adrian Lim<br />

Pityriasis versicolor<br />

– Dr Adrian Lim<br />

Trigeminal trophic syndrome<br />

– Dr Adrian Lim<br />

Hansen’s disease<br />

– Dr Adrian Lim<br />

Suddenly Swollen Scars – Sarcoidosis<br />

– Dr Adrian Lim<br />

Squamous Cell Carcinoma<br />

– Dr Adrian Lim<br />

Tibialis anterior herniation<br />

– Dr Adrian Lim<br />

Pityriasis rosea<br />

– Dr Adrian Lim<br />

12 myths<br />

– Dr Stephen Shumack and Dr Adrian<br />

Lim<br />

Phototoxic sunburn – Dr Adrian Lim<br />

Radio<br />

In the 2008/09 period, the following<br />

radio stations have interviewed Fellows<br />

<strong>of</strong> <strong>College</strong>:<br />

ABC Radio Albury<br />

ABC Radio Alice Springs<br />

ABC Radio Brisbane x 2<br />

ABC Radio Central Victoria,<br />

Overnights<br />

ABC Radio Melbourne 774 x 2<br />

ABC Radio Victoria, Statewide Drive<br />

ABC Radio Sydney,<br />

Richard Glover Drive<br />

ABC Radio Townsville<br />

ABC Radio Western Australia<br />

Brisbane 4BC, Greg Cary<br />

Highland FM, NSW<br />

Melbourne 3AW, Talking Health<br />

Newcastle 2HD,<br />

Breakfast with Luke Grant x 2<br />

Nova 937 News, Perth<br />

Perth 6PR<br />

Sydney 2UE, Tim Webster<br />

Triple J, Hack<br />

Television<br />

In the 2008/09 period, the following<br />

television programs have interviewed<br />

Fellows <strong>of</strong> <strong>College</strong>:<br />

ABC:<br />

Can We Help?<br />

The Gruen Transfer<br />

Media Watch – from A Current Affair<br />

and Today Tonight stories<br />

Channel 7:<br />

Sunrise<br />

The Morning Show<br />

Today Tonight x 2<br />

Channel 9:<br />

60 Minutes<br />

A Current Affair x 3<br />

News x 5<br />

Today Show<br />

What’s Good For You x 5<br />

Channel 10:<br />

9am with David and Kim<br />

News x 2<br />

SBS:<br />

News x 2<br />

Other:<br />

Educational video – Assessing Skin<br />

Conditions (distributed throughout<br />

universities and hospitals)<br />

Good Health Television x 2<br />

Pharmacy TV<br />

Web-based Media<br />

In the 2008/09 period, the following<br />

web media have interviewed Fellows<br />

<strong>of</strong> <strong>College</strong>:<br />

6 Minutes x 2<br />

abc.net.au/health, Health and<br />

Wellbeing section x 2<br />

beautyheaven.com.au<br />

beautydirectory.com.au x 2<br />

femail.com.au<br />

goldcoast.com.au<br />

letsshop.com<br />

smh.com.au<br />

superliving.com.au<br />

aww.ninemsn.com.au (Australian<br />

Women’s Weekly) x 3<br />

Media relations<br />

Two “media relations” days were held<br />

to further strengthen ACD relationship<br />

with targeted medical media:<br />

Date: 15 May 2008<br />

Theme: ACD Annual Scientific<br />

Meeting 2008<br />

The following journalists attended:<br />

Milissa Deitz, Body & Soul<br />

(Daily Telegraph)<br />

Dr Linda Calabresi, Reed Business<br />

(6 Minutes)<br />

Louise Durack, Reed Business<br />

(6 Minutes)<br />

Tara Ali, Women’s Health<br />

Louise Hall, Sun Herald<br />

Date: 11 December 2008<br />

Theme: Three minute skin checks<br />

and other topics<br />

The following journalists attended:<br />

Jenny Pogson, Australian Doctor<br />

Louise Hall, Sun Herald/Sydney<br />

Morning Herald<br />

Dr Linda Calabresi, Reed Business<br />

(6 Minutes)<br />

Nicole Wraight, Women’s Health<br />

Kirrilly Burton, Medical Observer<br />

Cancer Council Developments –<br />

National Skin Cancer Action Week<br />

The ACD was invited by the Cancer<br />

Council to co-brand National Skin<br />

Cancer Action Week 2008, which was<br />

held from 16 to 22 November.<br />

Stephen Shumack attended and spoke<br />

at the launch in Melbourne on 16<br />

November 2008.<br />

43


Rural and<br />

Regional<br />

Services<br />

Committee<br />

44<br />

convenor<br />

Dr Ian McCrossin<br />

MeMBers<br />

Dr Lloyd Hale<br />

Dr Ian Hamann<br />

Dr James Muir<br />

Dr Lachlan Warren<br />

Objectives: To advise the Board on all rural and regional matters,<br />

including the provision <strong>of</strong> dermatological ser vices, training in rural<br />

and remote areas and projects.<br />

The aims and objectives <strong>of</strong> the<br />

committee are to increase the<br />

availability <strong>of</strong> dermatological medical<br />

and surgical services to Australians<br />

living in rural and regional areas<br />

and provide support to those<br />

dermatologists currently working in<br />

those areas.<br />

The committee members all service<br />

rural and regional areas, with Ian<br />

Hamann servicing the north coast<br />

<strong>of</strong> New South Wales; Ian McCrossin<br />

servicing the South Coast and outback<br />

New South Wales (through the Royal<br />

Flying Doctor Service); Lloyd Hale<br />

servicing western rural Victoria and<br />

south-western rural New South Wales;<br />

Lachlan Warren servicing Darwin; and<br />

Jim Muir servicing rural Queensland<br />

through telemedicine.<br />

Individual dermatologists from the<br />

State Faculties provide outreach<br />

services to a very large number <strong>of</strong> rural<br />

and regional centres in every state and<br />

territory. A new addition is a service<br />

to Mackay in Queensland by Godfrey<br />

Wagner and Rowland Noakes.<br />

There are a number <strong>of</strong> Area <strong>of</strong> Need<br />

positions, either already occupied or<br />

in development, in Wagga Wagga,<br />

Shepparton, Albury, Taree, Lismore,<br />

Bundaberg, Rockhampton, Townsville,<br />

Cairns and Darwin.<br />

Two new rural registrar training<br />

positions in New South Wales have<br />

been established, which commenced<br />

in January 2009, with Federal<br />

Government funding through the<br />

Extended Specialist Training Program<br />

(ESTP) scheme. The Skin and Cancer<br />

Foundation Australia (NSW) is the<br />

fund holder for the positions, which<br />

are predominantly on the north coast<br />

and south coast <strong>of</strong> New South Wales.<br />

A rural and regional training position<br />

shared by Cairns and the Mater<br />

Hospital in Brisbane has been<br />

established by Drs Leith Banney<br />

and Jim Muir. The fund holder is<br />

Queensland Health.<br />

The <strong>College</strong> has established a specific<br />

New South Wales rural training<br />

position to commence in 2010, and<br />

the trainee will spend the majority <strong>of</strong><br />

his/her training in rural and regional<br />

private practice, particularly in the<br />

newly-established positions.<br />

The highlight <strong>of</strong> the year will be<br />

the Rural, Regional and Indigenous<br />

Dermatology Meeting in Noosa,<br />

Queensland, in late March. At the<br />

meeting, there will be a review <strong>of</strong> the<br />

progress <strong>of</strong> the recommendations<br />

from the 2007 Queenscliff meeting,<br />

a review <strong>of</strong> the current demographics<br />

in each state, case presentations<br />

<strong>of</strong> interesting patients from the<br />

bush, a symposium on indigenous<br />

dermatology, workforce forums and<br />

planning for the future. Drs Bert<br />

Pruim and David Leslie have done<br />

a tremendous amount <strong>of</strong> work to<br />

produce a very good clinical, political<br />

and social program.


Scientific<br />

Meetings<br />

Steering<br />

Committee<br />

convenor<br />

Dr Catherine Reid<br />

MeMBers<br />

Dr Paul Chee<br />

Dr Michael Freeman<br />

Dr Karen Koh<br />

Dr Adrian Lim<br />

Dr Karyn Lun<br />

Dr John Relic<br />

Pr<strong>of</strong>essor Rodney Sinclair<br />

Dr Jamie Von Nida<br />

Mr Rodney Sheaves,<br />

Chief Executive Office<br />

The role <strong>of</strong> the committee is<br />

to oversee, plan and develop<br />

all scientific meetings <strong>of</strong><br />

<strong>College</strong>. In 2007, two major<br />

meetings were held: the 40th<br />

Annual Scientific Meeting in<br />

Adelaide from 13 to 16 May<br />

2007; and the Biennial Spring<br />

Conference, in association<br />

with the International Contact<br />

Dermatitis Symposium<br />

(ICDS) and the Asia<br />

Pacific Environmental and<br />

Occupational Dermatitis<br />

Symposium (APEODS) on<br />

the Gold Coast, from 27 to 30<br />

September 2007.<br />

asM adelaide, May 2007<br />

<strong>College</strong>’s meetings in Adelaide are<br />

always successful events. The city is an<br />

attractive destination. The Convention<br />

Centre works well as a venue, with<br />

close proximity between the plenary<br />

sessions, break-out meetings and the<br />

trade exhibition. There is good quality<br />

accommodation close by and Adelaide<br />

<strong>of</strong>fers attractive social activities.<br />

The 2007 meeting was, therefore,<br />

well attended, with a total <strong>of</strong><br />

631 delegates, comprising 243<br />

dermatologists, 64 vocational trainees,<br />

224 trade representatives and 78<br />

accompanying persons, as well as<br />

staff, media and others.<br />

An excellent scientific program was<br />

organised by Dr Lachlan Warren, with<br />

the social program coordinated by Dr<br />

Jeff Wayte and Dr Cathy Reid.<br />

The overseas speakers included<br />

Pr<strong>of</strong>essor Elise Olsen from the Duke<br />

Dermatopharmacology Study Center,<br />

Duke University, Durham, North<br />

Carolina, USA, and Pr<strong>of</strong>essor J.<br />

Alastair Carruthers, From Vancouver,<br />

the prominent cosmetic dermatologist<br />

specialising in botulinum toxin and<br />

fillers. Other overseas speakers were:<br />

Dr John Lear from Manchester Royal<br />

Infirmary, UK, Pr<strong>of</strong>essor Colin Jahoda<br />

from Durham University, UK, and<br />

Pr<strong>of</strong>essor Jean Carruthers, Clinical<br />

Pr<strong>of</strong>essor <strong>of</strong> Ophthalmology at the<br />

University <strong>of</strong> British Columbia.<br />

As in previous years, the meeting<br />

was preceded by a conference <strong>of</strong> the<br />

Australian Society for Dermatology<br />

Research and the Australian<br />

Dermatology Nurses’ Association<br />

Annual Conference.<br />

The Hon. Jane Lomax-Smith, South<br />

Australian Minister for Education<br />

and Children’s Services, Minister for<br />

Tourism and Minister for the City<br />

<strong>of</strong> Adelaide, gave a provocative<br />

speech as the John Reid Orator at the<br />

conferring ceremony.<br />

<strong>College</strong> owes a debt <strong>of</strong> gratitude to<br />

Lachlan, Jeff and Cathy for organising<br />

an outstanding meeting.<br />

Biennial sPring conference/<br />

contact derMatitis Meeting,<br />

gold coast, octoBer 2007<br />

This meeting was unique in that<br />

it comprised the <strong>College</strong>’s regular<br />

Biennial Spring Conference in<br />

association with a special contact<br />

dermatitis conference, made up <strong>of</strong> two<br />

Contact associations. The meeting<br />

was presented as one conference,<br />

but with both common and separate<br />

streams. This worked well.<br />

The ASM 2008 Visiting Pr<strong>of</strong>essor was<br />

Pr<strong>of</strong>essor Ilona Frieden, Pr<strong>of</strong>essor<br />

<strong>of</strong> Paediatrics and Dermatology and<br />

Chief <strong>of</strong> the Division <strong>of</strong> Paediatric<br />

Dermatology at the University <strong>of</strong><br />

California, San Francisco<br />

45


The co-convenors were Dr Susi<br />

Freeman and Dr Adrian Lim. The<br />

visiting speakers were Pr<strong>of</strong>essor John<br />

McGrath from King’s <strong>College</strong>, London;<br />

Pr<strong>of</strong>essor An Goossens from the<br />

Department <strong>of</strong> Dermatology, Catholic<br />

University, Leuven, Belgium; and Dr<br />

James Taylor from the Cleveland Clinic<br />

Foundation, Cleveland, Ohio, USA.<br />

The meeting followed the <strong>College</strong>’s<br />

successful formula for its Biennial<br />

Spring Conferences; namely, the<br />

approach was more informal and<br />

family-friendly and the program was<br />

interleaved with social opportunities.<br />

These included a whale-watching<br />

expedition, a tour <strong>of</strong> the Gold<br />

Coast hinterland, and a spectacular<br />

conference dinner at Sea World,<br />

complete with polar bears and<br />

performing dolphins. This meeting<br />

attracted 137 dermatologists,<br />

26 vocational trainees, 23 trade<br />

representatives and 63 accompanying<br />

persons, as well as staff, media and<br />

others. A particularly large contingent<br />

<strong>of</strong> overseas dermatologists attended,<br />

many <strong>of</strong> whom proceeded afterwards<br />

to the ILDS World Congress in Buenos<br />

Aires. Our thanks are due to the<br />

excellent work <strong>of</strong> Susi Freeman and<br />

Adrian Lim in ensuring the success <strong>of</strong><br />

this conference.<br />

46<br />

future Meetings<br />

Because <strong>of</strong> the need to commit<br />

both venues and speakers, <strong>College</strong>’s<br />

meetings require considerable forward<br />

planning. The program for forthcoming<br />

meetings is as follows:<br />

• 2nd Rural Dermatology Weekend<br />

Meeting, Noosa, Queensland, 20 to<br />

22 March 2009 (convenors: Dr B.<br />

Pruim and Dr D. Leslie)<br />

• 42nd Annual Scientific Meeting, Gold<br />

Coast, Queensland, 17 to 20 May<br />

2009 (convenors: Dr K. Lun and Dr<br />

M. Freeman)<br />

• Joint ACD/Japanese Dermatological<br />

Association Conference, Sapporo,<br />

Japan, 10 to 12 July 2009<br />

(convenors: Dr A. Shibaki and Dr A.<br />

Lim)<br />

• Biennial Spring Conference, Hunter<br />

Valley, NSW, 8 to 11 October 2009<br />

(convenors: Dr J. Relic and P. Chee)<br />

• 43rd Annual Scientific Meeting,<br />

Darwin, NT, 16 to 19 May 2010<br />

(convenor: Dr K Koh)<br />

• 44th Annual Scientific Meeting,<br />

Perth, WA, 15 to 18 May 2011<br />

(convenor: Dt J Von Nida)<br />

• 45th Annual Scientific Meeting,<br />

Brisbane, Queensland,<br />

26 to 30 May 2012<br />

(convenor to be advised)<br />

The <strong>College</strong>’s conferences are<br />

an important expression <strong>of</strong> its<br />

commitment to scientific research, as<br />

well as to the pr<strong>of</strong>essional development<br />

<strong>of</strong> its members. They are an essential<br />

service to our members, to enable<br />

them to maintain the highest standards<br />

<strong>of</strong> pr<strong>of</strong>essional practice. The <strong>College</strong>,<br />

therefore, accords its meetings<br />

considerable priority in its strategic<br />

objectives. The aim is to increase the<br />

standard and enrich the content <strong>of</strong> the<br />

meetings each year. Strong attendance,<br />

not only by all members <strong>of</strong> <strong>College</strong>, but<br />

also by dermatologists from overseas,<br />

as well as associated specialists is<br />

evidence that we are delivering quality<br />

conferences.


Scientific<br />

Research<br />

Committee<br />

convenor<br />

Dr Anne Howard<br />

MeMBers<br />

A/Pr<strong>of</strong>essor P. Foley<br />

Pr<strong>of</strong>essor I. Frazer<br />

A/Pr<strong>of</strong>essor S. Gilmore<br />

Pr<strong>of</strong>essor G. Halliday<br />

A/Pr<strong>of</strong>essor D. Jolley<br />

Dr P. Kaur<br />

A/Pr<strong>of</strong>essor P. Fernandez Penas<br />

A/Pr<strong>of</strong>essor J. Rothnagel<br />

Pr<strong>of</strong>essor R. Sinclair<br />

Pr<strong>of</strong>essor H.P. Soyer<br />

Pr<strong>of</strong>essor W. Weninger<br />

Objectives: To examine applications for funding from the Scientific<br />

Research Fund and the Fred Bauer Foundation, and recommend<br />

grants. The Committee’s mission is to promote a culture <strong>of</strong><br />

research in Australian dermatolog y, by alerting dermatologists to<br />

the availability <strong>of</strong> research funds and encouraging applications<br />

for grants, and <strong>of</strong>fering advice on research directions and sources<br />

<strong>of</strong> possible donations for the Scientific Research Fund from both<br />

private and government sectors.<br />

As the Scientific Research Fund is registered with the Australian<br />

Taxation Office (ATO) for tax deductible status, the members <strong>of</strong><br />

the Committee have to be approved by the NH&MRC on behalf <strong>of</strong><br />

the ATO.<br />

The Scientific Research Committee was<br />

established to assess dermatological<br />

research projects and be responsible<br />

for the allocation <strong>of</strong> research funds.<br />

Most <strong>of</strong> these funds come from<br />

<strong>College</strong> members who have donated<br />

money for research. The members<br />

<strong>of</strong> the committee who advise on the<br />

projects are scientists and <strong>College</strong><br />

researchers who generously give<br />

<strong>of</strong> their time to read through these<br />

projects and assess their worth, the<br />

viability <strong>of</strong> the projects and their likely<br />

outcome in furthering knowledge in<br />

dermatology. Fortunately these days<br />

we have a number <strong>of</strong> pr<strong>of</strong>essorial units<br />

and other researchers who are doing<br />

great work <strong>of</strong> very high standard.<br />

Applications up to a total <strong>of</strong> $25,000<br />

per grant are considered in two<br />

rounds each year. The closing dates<br />

for applications are the 1 January<br />

and 1 July. When I first took over as<br />

convenor <strong>of</strong> this committee we had<br />

quite a number <strong>of</strong> research projects<br />

to consider, all <strong>of</strong> a high standard.<br />

After a lot <strong>of</strong> deliberating, money was<br />

awarded to Associate Pr<strong>of</strong>essor Steve<br />

Gilmour for a project researching the<br />

genetics <strong>of</strong> psoriasis.<br />

The Fred Bauer grant was the<br />

next award to be assessed by our<br />

committee. Again, many worthy<br />

projects applied for this grant <strong>of</strong><br />

$15,000. It was awarded to a group<br />

researching eczema.<br />

I would like to warmly thank all<br />

members <strong>of</strong> my committee for their<br />

input. They are all busy people with a<br />

lot to do and are very generous with<br />

their time and effort.<br />

47


National<br />

Skin Cancer<br />

Steering<br />

Committee <strong>of</strong><br />

The Cancer<br />

Council<br />

Australia<br />

48<br />

- college rePresentatives<br />

MeMBers<br />

A/Pr<strong>of</strong>essor Peter Foley<br />

Dr Ian Hamann<br />

The Cancer Council Australia’s National Skin Cancer Steering<br />

Committee continues to meet by teleconference ever y two months<br />

and meets face-to-face annually, the 2008 meeting being a wholeday<br />

event held in Melbourne. Craig Sinclair remains Chairman<br />

<strong>of</strong> this committee, which is composed <strong>of</strong> representatives <strong>of</strong> the<br />

<strong>College</strong>, each <strong>of</strong> the State Cancer Councils, the Cancer Council<br />

Australia, and the Cancer Society New Zealand.<br />

Significant efforts have been given<br />

to the development <strong>of</strong> a proposal<br />

prepared by the SunSmart division <strong>of</strong><br />

the Cancer Council Victoria entitled,<br />

‘Skin Cancer Prevention: A Blue<br />

Chip Investment in Public Health’, to<br />

advocate for continued funding by<br />

the Australian Government for skin<br />

cancer prevention. The report provides<br />

a summary picture <strong>of</strong> the severity <strong>of</strong><br />

skin cancer incidence and mortality<br />

in Australia, highlighting the success<br />

<strong>of</strong> the long-term commitment to skin<br />

cancer prevention; provides a summary<br />

<strong>of</strong> the SunSmart program over the<br />

preceding years and emphasises the<br />

cost-effectiveness <strong>of</strong> such a program.<br />

Based on an economic analysis <strong>of</strong><br />

skin cancer prevention undertaken<br />

by Deakin University as part <strong>of</strong><br />

this proposal, the study found that<br />

every $1 invested by the Australian<br />

Government in skin cancer prevention<br />

will yield a $2.32 return over a 20 year<br />

investment. In prevention terms, this<br />

represents excellent value for money.<br />

The UV index/UV alert first appeared<br />

with daily weather forecasts several<br />

years ago. Research is currently<br />

underway to assess the best method<br />

to communicate the UV Index to<br />

the Australian public to improve its<br />

impact on motivating sun protection<br />

behaviour.<br />

The Standards Australia revision <strong>of</strong><br />

the Standard for Solaria for cosmetic<br />

purposes was completed in late 2008.<br />

As a consequence <strong>of</strong> this document,<br />

most <strong>of</strong> the states <strong>of</strong> Australia have<br />

implemented legislation based on the<br />

new Standard. This has resulted in<br />

anyone under the age <strong>of</strong> 18 or having<br />

very fair skin being banned from the<br />

use <strong>of</strong> sun beds.<br />

The five SunSmart steps remain<br />

unchanged. Australians are advised<br />

to continue to use appropriate sun<br />

protective clothing, wear broadbrimmed<br />

hats, seek shade to reduce<br />

UV radiation exposure, slip on a pair<br />

<strong>of</strong> sunglasses to protect the eyes, and<br />

slop on sunscreen to those areas which<br />

cannot be otherwise protected.<br />

Vitamin D is produced as a result<br />

<strong>of</strong> exposure <strong>of</strong> the skin to UVB<br />

from sunlight. The human body<br />

needs vitamin D to regulate calcium<br />

levels in the blood and to maintain<br />

musculoskeletal health. The current<br />

recommendation is that a few<br />

minutes <strong>of</strong> sun exposure outside<br />

the peak UV period on most days <strong>of</strong><br />

the week to small areas <strong>of</strong> the body<br />

is sufficient to maintain vitamin D<br />

levels. Sunbathing is not promoted<br />

and regular use <strong>of</strong> sunscreen when<br />

the UV radiation level reaches three<br />

or above is recommended. A brochure<br />

documenting the regular need for small<br />

amounts <strong>of</strong> sun exposure, particularly<br />

in the winter months, was published<br />

during the year, in conjunction<br />

with the <strong>College</strong> and Osteoporosis<br />

Australia.<br />

A booklet for junior primary school<br />

teachers is currently in the process<br />

<strong>of</strong> being developed by the Cancer<br />

Council, while the need for sun<br />

protection has been included in a<br />

national workplace document.<br />

Hopefully all the hard work that has<br />

gone into the development <strong>of</strong> the blue<br />

chip proposal that has evolved over<br />

the last 12 months or so will result in<br />

adequate funding being provided for<br />

ongoing publication and promotion <strong>of</strong><br />

the SunSmart message. Unfortunately,<br />

to date the Australian Government<br />

have not provided any indication that<br />

the national sun protection campaign<br />

will continue. The outcome <strong>of</strong> our<br />

advocacy efforts will not be known<br />

until the May 2009 budget.


GP Training<br />

Task Force<br />

chair<br />

Dr Robert Paver<br />

MeMBers<br />

Dr Adrian Mar<br />

Dr Ian McColl<br />

Dr James Muir<br />

Objectives: To develop a dermatolog y training course for GPs and<br />

rural physicians, in association with the RACGP and ACRRM.<br />

The GP Training Task Force has<br />

continued its work this year to<br />

deliver the Certificate in Skin Cancer<br />

Management, with the second intake<br />

complete and the workshop scheduled<br />

for the weekend <strong>of</strong> the 27 to 29 March<br />

2009 with 63 participants. These<br />

will all need to be allocated clinical<br />

attachments and also to submit their<br />

online cases.<br />

The second component <strong>of</strong> the<br />

course, the Certificate in Primary<br />

Care Dermatology, is well advanced.<br />

Nearly all topics are written and are<br />

currently in the editing pipeline. The<br />

hope is that the entire course will be<br />

completed and uploaded ready for<br />

participants by the end <strong>of</strong> this year,<br />

and at the latest by the <strong>College</strong> annual<br />

meeting in 2010.<br />

This will bring us to the next phase <strong>of</strong><br />

the project. Once the whole course<br />

is finished and online, the job <strong>of</strong> the<br />

task force will have been completed<br />

and the task force can then be<br />

dissolved. Prior to that happening,<br />

however, the <strong>College</strong> will need to<br />

establish the structure under which<br />

the program will operate and be<br />

maintained. The original plan was to<br />

pay a dermatologist a fee to upgrade<br />

and maintain and improve the course<br />

on a continuous basis so that it doesn’t<br />

get outdated. The workshop will need<br />

to be organised and delivered annually<br />

and the case submission program will<br />

need to be serviced by a dermatologist<br />

as well.<br />

I would like to thank Claudia Casson<br />

again and all the <strong>College</strong> staff who<br />

devote so much time to making all<br />

these things we do happen, and the<br />

committee, who have supported the<br />

program from the start.<br />

The task force’s recommendations to<br />

the <strong>College</strong>’s Board <strong>of</strong> Directors are:<br />

1. Dissolve the task force once the job<br />

is complete;<br />

2. Place the GP training program<br />

under the umbrella <strong>of</strong> the Education<br />

Committee;<br />

3. Consider the mechanism which will<br />

need to be implemented to resource<br />

the ongoing requirements <strong>of</strong> the<br />

course, i.e.<br />

A dermatologist to upgrade and<br />

maintain the online course<br />

A dermatologist to service the case<br />

review requirements <strong>of</strong> the course<br />

A dermatologist to run the annual<br />

procedural dermatology workshop<br />

The <strong>College</strong> mechanism for<br />

providing clinical attachment<br />

positions;<br />

4. Consider a member <strong>of</strong> <strong>College</strong><br />

and a structure to continue the<br />

early work done by Bob Corderoy,<br />

Gayle Fisher and myself to develop<br />

an online dermatology course for<br />

undergraduates, using the core<br />

material from the GP course.<br />

The course will need a properly<br />

constituted curriculum, a task<br />

currently assigned to Chris Baker<br />

and Warren Weightman.<br />

49


Report from<br />

New Zealand<br />

Dermatological<br />

Society Inc<br />

50<br />

President<br />

Dr Elizabeth Baird<br />

secretary<br />

Dr Matthew Strack<br />

treasurer<br />

Dr Sonya Havill<br />

We held our annual meeting in<br />

Queenstown in association with the<br />

<strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong>.<br />

The meeting was very successful,<br />

however several members had their<br />

flights home delayed due to an icy<br />

runway.<br />

Planning is well advanced for our 2009<br />

annual meeting, which will be held in<br />

Napier from 26 to 29 August 2009.<br />

As a group we were saddened that our<br />

colleague, Dr Leicester Hodge, had<br />

to retire due to ill health. Most <strong>of</strong> the<br />

dermatologists in New Zealand have<br />

received training from Leicester and we<br />

will all miss his acerbic wit.<br />

New members were welcomed, Martin<br />

Keef has emigrated from the United<br />

Kingdom to live in Christchurch, Ian<br />

Coutts has returned to New Zealand<br />

to practice in Wellington and Fiona<br />

Larsen has returned to practice on the<br />

North Shore <strong>of</strong> Auckland.<br />

The major concern <strong>of</strong> the year has<br />

been the liberalization <strong>of</strong> prescribing<br />

rights for oral retinoids; this will<br />

allow general practitioners and nurse<br />

practitioners to prescribe isotretinoin<br />

2008/09 has been a busy year in New Zealand.<br />

and acitretin. This was first mooted in<br />

September and the NZDSI made strong<br />

submissions outlining the anticipated<br />

problems and pitfalls. We also tried to<br />

address the inequity <strong>of</strong> access issues,<br />

which were the basis for the proposal.<br />

This was to no avail and from 1<br />

March 2009 general practitioners and<br />

nurse practitioners can prescribe oral<br />

retinoids.<br />

All practitioners prescribing the<br />

medication must obtain a special<br />

approval number and tick a box<br />

saying that they are experts in the<br />

management <strong>of</strong> skin diseases that are<br />

treated with oral retinoids. No formal<br />

education program has been set up<br />

and it is unclear how <strong>of</strong>ten and under<br />

which circumstances an audit will be<br />

performed. The NZDSI will continue to<br />

monitor the situation.<br />

I would like to thank all the members<br />

<strong>of</strong> the New Zealand executive for their<br />

hard work. I would also like to thank<br />

Dr Stephen Shumack for his support.<br />

ELIZABETH BAIRD<br />

President


FINANCIALS<br />

australasian college <strong>of</strong><br />

derMatologists<br />

and its controlled entities<br />

a.B.n. 99 411 356 609<br />

51


Donations made to The <strong>Australasian</strong><br />

<strong>College</strong> Of <strong>Dermatologists</strong><br />

1 March 2008 to 28 feBruary 2009<br />

<strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong>’ Travelling Fellowship $7,000<br />

Sponsored by Galderma Australia Pty Ltd<br />

(Recipient: Dr. G Sadler)<br />

Schering-Plough Award 2008 $6,000<br />

Neutrogena Educational Grant for Final Year Registrars to Attend $10,000<br />

American Academy <strong>of</strong> Dermatology Meeting<br />

Sponsored by Neutrogena (Johnson & Johnson Pacific P/L)<br />

The Mole<br />

Experien Healthcare Finance (autumn issue No. 76, 2008) $2,000<br />

Schering-Plough Pty Ltd (summer issue No. 79, 2008) $3,250<br />

Mastering Supervision Challenges Workshop $9,000<br />

Sponsored by iNova Pharmaceuticals<br />

F & E Bauer Foundation 2008 $22,000<br />

Medical Observer $4,400<br />

For clinical reviews and articles written by Fellows<br />

Victorian Faculty<br />

Melbourne University Undergrad Prize $600<br />

Monash University Undergrad Prize $500<br />

Scientific Research Fund<br />

Donation by Galderma Australia Pty Ltd (Jan 2008) $ 7,000<br />

Tempo Publications on behalf <strong>of</strong> Dr A. Patel $ 1,000<br />

Entertainment Book $ 303<br />

Donations by ACD Fellows $26,900<br />

<strong>College</strong> is grateful to the many fellows <strong>of</strong> <strong>College</strong> who each donated $100 to the Scientific Research Fund in 2008/2009<br />

Donations made by The <strong>Australasian</strong><br />

<strong>College</strong> Of <strong>Dermatologists</strong><br />

1 March 2008 to 28 feBruary 2009<br />

Trainee relocation grant $28,000<br />

One-<strong>of</strong>f grant for trainee to cover loss <strong>of</strong> income due to UK visa issues $10,000<br />

Trans Tasman Exchange Scholarship 2008 (Recipient: Dr B. Jones) $2,000<br />

The Cancer Council Australia: National Skin Cancer Awareness Campaign $10,000<br />

52


Directors’ Report<br />

The Directors present their report together with the Financial Report <strong>of</strong> the <strong>Australasian</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Dermatologists</strong> (“the <strong>College</strong>”) and <strong>of</strong> the consolidated entity, being the <strong>College</strong> and its Faculties, for the year<br />

ended 28 February 2009.<br />

MeMBers <strong>of</strong> the Board<br />

The Directors <strong>of</strong> the Board at any time during or since the end <strong>of</strong> the financial year were:<br />

Dr Glenda Wood President MBBS, FACD, FAICD<br />

Dr Ian McCrossin President Elect MBBS, FACD<br />

Dr Stephen Shumack Honorary Secretary MBBS, FACD, FAICD<br />

Dr John Coates Honorary Treasurer MBBS, FACD<br />

A/Pr<strong>of</strong>essor Chris Baker Chief Censor MBBS, FACD<br />

Dr Pamela Brown Board Member MBBS, FACD<br />

Dr Martin Haskett Board Member MBBS, FACD<br />

Dr Catherine Reid Board Member MBBS, FRACP, FACD<br />

Dr Carl Vinciullo Board Member MBBS, FACD<br />

faculty <strong>of</strong>fice Bearers<br />

New South Wales<br />

Dr David Cook MBBS, DRACOG, DA, FACD<br />

Dr Catherine Drummond MBBS, FACD<br />

Dr Eileen Collins MBBS, FACD<br />

Dr Phillip Artemi MBBS, FACPP, FACD<br />

Queensland<br />

Dr Greg Siller MBBS, FACD<br />

Dr Catherine Faulkner MBBS, FACD<br />

Dr Megan Andrews MBBS, FACD<br />

South Australia<br />

Dr Gillian Marshman MBBS, FACD<br />

Dr Karen Koh MBBS, FACD<br />

Dr Stuart Murray MBBS, BSc., BEc, FACD<br />

Dr Vincent O’Brien MBBS, Dip. RACOG, FACD<br />

Victoria<br />

Dr Josephine Yeatman MBBS, FACD<br />

Dr David Gill MBBS, FACD<br />

Dr Mei Mui Tam MBBS, FACD<br />

Dr Bruce Tate MBBS, FACD<br />

Western Australia<br />

Cl. A/Pr<strong>of</strong>essor Kurt Gebauer MBBS, FACD, FACP<br />

Dr Hock Cheng Chua MBBS, FACD<br />

Dr Clare Tait MBBS, MRCP, FACD<br />

There were seven meetings <strong>of</strong> the Board <strong>of</strong> Directors during the financial year. The number <strong>of</strong> Board meetings and meetings<br />

<strong>of</strong> Board committees attended by each member <strong>of</strong> the Board during the year is as set out in the separate table.<br />

53


Directors’ Report<br />

attendance By directors <strong>of</strong> Meetings <strong>of</strong> Board coMMittees<br />

Name Status Board <strong>of</strong> Directors<br />

Meeting<br />

Dr Glenda Wood President 7 (7)<br />

Dr Ian McCrossin President Elect 7 (7)<br />

Dr Stephen Shumack Honorary Secretary 7 (7)<br />

54<br />

Audit<br />

Committee<br />

Dr John Coates Honorary Treasurer 5 (7) 2 (2)<br />

Dr Caroline Mercer Chief Censor (to May 2008) 2 (7)<br />

Education<br />

Committee<br />

A/Pr<strong>of</strong>essor Chris Baker Chief Censor (from May 2008) 5 (7) 2 (2)<br />

Dr Pamela Brown Board Member 6 (7) 2 (2)<br />

Dr Martin Haskett Board Member 6 (7) 2 (2)<br />

Dr Catherine Reid Board Member 7 (7)<br />

Dr Carl Vinciullo Board Member 7 (7)<br />

* Figures in bold brackets indicate total number <strong>of</strong> meetings held during the financial year<br />

coMPany secretary<br />

The Council appointed Dr Stephen Shumack MBBS, FACD, FAICD as company secretary in May 2004.<br />

PrinciPal activities<br />

The principal activities <strong>of</strong> the <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> and its Faculties during the year were:<br />

a) Promotion <strong>of</strong> dermatology and dermatological research and training; and<br />

b) Organisation <strong>of</strong> scientific meetings; and<br />

c) Conduct <strong>of</strong> examinations <strong>of</strong> award <strong>of</strong> diplomas to successful candidates.<br />

There was no significant change in the nature <strong>of</strong> those activities during the year.<br />

oPerating result<br />

The operating pr<strong>of</strong>it from ordinary activities <strong>of</strong> the <strong>College</strong> and its Faculties for the financial year is as follows:<br />

This Year Last Year<br />

$ $<br />

Operating loss from <strong>College</strong> operations (694,436) (199,776)<br />

Operating (loss)/ pr<strong>of</strong>it from Faculties operations 20,828 (9,552)<br />

Accumulated funds <strong>of</strong> the economic entity at year end totalled $3,256,713 (2008: $3,930,321).<br />

dividends<br />

Being limited by guarantees, the <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> does not declare and pay dividends.


Board <strong>of</strong><br />

Censors<br />

Board <strong>of</strong><br />

Training<br />

IMG Assessment<br />

Committee<br />

2 (4) 2 (4)<br />

4 (4) 1(4)<br />

review <strong>of</strong> oPerations<br />

2 (2)<br />

3(4)<br />

Results for the year have been significantly affected by:<br />

Risk Management<br />

Committee<br />

1 (1)<br />

1 (1)<br />

Selection<br />

Task Force<br />

3(3)<br />

Scientific Meetings<br />

SteeringCommittee<br />

3(3) 2(2)<br />

• An impairment loss on the <strong>College</strong>’s investment portfolio <strong>of</strong> $903,110. If this had not occurred, there would have been an<br />

operating pr<strong>of</strong>it <strong>of</strong> $229,502 from the <strong>College</strong>’s and Faculties’ operations.<br />

• The 2008 Annual Scientific Meeting, Sydney, May 2008, resulting in a surplus <strong>of</strong> $626,627.<br />

• The Joint ACD/NZDS Surgical Meeting, Queenstown, October 2008, resulting in a surplus to <strong>College</strong> <strong>of</strong> $17,667.<br />

• An overall increase <strong>of</strong> income in 2009 over 2008.<br />

• An increase in income from programs and projects including, in particular, increased revenue from project management.<br />

• Increased donations, grants and sponsorship.<br />

• Increased interest income.<br />

• Increased income from the <strong>Australasian</strong> Journal <strong>of</strong> Dermatology.<br />

• There has been no significant increase in administrative expenses over 2008.<br />

• There has been a decrease in programs and project expenses over 2008.<br />

• There has been increased expenditure on public education and on education and training, reflecting increased activity in<br />

accordance with community and educational objectives and the requirements <strong>of</strong> the Australian Medical Council.<br />

In the light <strong>of</strong> the increased activities, programs and projects undertaken in 2008/09, the Directors consider the performance<br />

<strong>of</strong> the financial operations <strong>of</strong> the <strong>College</strong> and the Faculties was satisfactory. However, the Directors are concerned at the<br />

extent <strong>of</strong> the downturn in the value <strong>of</strong> the <strong>College</strong>’s investments. This was the result <strong>of</strong> a worldwide situation commencing in<br />

2007, which deteriorated further in 2008 and into 2009. The Directors are disappointed that this situation while unavoidable<br />

for <strong>College</strong>, should have adversely affected the outcome <strong>of</strong> the <strong>College</strong>’s financial operations in 2008/09.<br />

55


Directors’ Report<br />

events suBseQuent to Balance<br />

No matters or circumstances have arisen since the end <strong>of</strong> the financial year which significantly affected, or may significantly<br />

affect the operations <strong>of</strong> the <strong>College</strong> and its Faculties, the results <strong>of</strong> those operations, or the state <strong>of</strong> affairs <strong>of</strong> the economic<br />

entity in future financial years.<br />

directors’ interest and Benefits<br />

No Director has received any remuneration during the year other than reimbursement <strong>of</strong> expenses incurred to attend the<br />

meetings <strong>of</strong> the Board.<br />

No Director has received or become entitled to receive during or since the financial year, a benefit because <strong>of</strong> a contract<br />

made by the <strong>College</strong> or Faculty with a Director, a firm <strong>of</strong> which a Director is a member or an entity in which a Director has a<br />

substantial financial interest.<br />

During or since the financial year, the company has paid premiums to insure the directors against liabilities for costs and<br />

expenses incurred by them in defending any legal proceedings arising out <strong>of</strong> their conduct while acting in the capacity <strong>of</strong><br />

director <strong>of</strong> the <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> other than conduct involving a wilful breach <strong>of</strong> duty in relation to the<br />

<strong>College</strong>.<br />

Premiums were paid for each <strong>of</strong> the directors as per Note 18 to the Financial <strong>Statement</strong>s. The insurance contract entered into<br />

by the <strong>College</strong> prohibits disclosure <strong>of</strong> the nature <strong>of</strong> the liabilities insured by the insurance contract and the amount <strong>of</strong> the<br />

premiums.<br />

environMent regulations<br />

The <strong>College</strong> operations are not regulated by any significant environmental regulation under a law <strong>of</strong> the Commonwealth or <strong>of</strong><br />

a state or territory.<br />

auditors’ indeMnification<br />

The company has not, during or since the financial year, in respect <strong>of</strong> any person who is or has been an auditor <strong>of</strong> the<br />

<strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> or a related body corporate, indemnified or made any relevant agreement for<br />

indemnifying against a liability incurred as an auditor, including costs and expenses in successfully defending legal<br />

proceedings, or paid or agreed to pay a premium in respect <strong>of</strong> a contract insuring against a liability incurred as an auditor for<br />

the costs or expenses to defend legal proceedings.<br />

Proceedings on Behalf <strong>of</strong> the coMPany<br />

No person has applied for leave <strong>of</strong> Court to bring proceedings on behalf <strong>of</strong> the company or intervene in any proceedings to<br />

which the company is a party for the purpose <strong>of</strong> taking responsibility on behalf <strong>of</strong> the company for all or any part <strong>of</strong> those<br />

proceedings.<br />

The company was not a party to any such proceedings during the year.<br />

56


auditors’ indePendence declaration<br />

The lead auditor’s independence declaration as required under section 307C <strong>of</strong> the Corporations Act 2001 has been received<br />

and can be found on page 8 <strong>of</strong> the Annual Report.<br />

Signed in accordance with a resolution <strong>of</strong> the members <strong>of</strong> the Board: Dated at Rhodes this 29th day <strong>of</strong> April, 2009.<br />

——————————————— ———————————————<br />

Dr. J. Coates - Treasurer Dr G. Wood - President<br />

auditor’s indePendence declaration under section 307c <strong>of</strong> the corPoations act 2001 to the<br />

directors <strong>of</strong> the australiasian college <strong>of</strong> derMatologists<br />

I declare that, to the best <strong>of</strong> my knowledge and belief, in relation to the audit for the financial year ended 28<br />

February 2009 there have been:<br />

(i) no contraventions <strong>of</strong> the auditor independence requirements as set out in the Corporations Act 2001 in relation to the<br />

audit; and<br />

(ii) no contraventions <strong>of</strong> any applicable code <strong>of</strong> pr<strong>of</strong>essional conduct in relation to the audit.<br />

HALL CONSULTING GROUP<br />

Chartered Accountants<br />

Level 4, 71-73 Archer Street<br />

CHATSWOOD NSW 2067<br />

———————————————<br />

Christopher J Hall<br />

Partner<br />

Chatswood<br />

29th April 2009<br />

57


Income <strong>Statement</strong><br />

For the year ended 28 February 2009<br />

58<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

Note $ $ $ $<br />

Revenue from ordinary activities 2 2,920,041 2,685,378 2,806,964 2,600,884<br />

Expenses<br />

Programs and projects expenses 848,453 1,020,883 798,732 974,455<br />

Employee benefits expenses 3a 1,006,140 838,722 1,006,140 838,722<br />

Public education expenses 182,379 158,321 177,135 153,923<br />

Operating lease expenses 165,084 158,304 165,084 158,304<br />

Member education and training expenses 423,563 271,745 405,346 255,639<br />

Depreciation and amortisation expense 3b 60,112 63,104 60,057 63,030<br />

Cost <strong>of</strong> goods sold – books and brochures 6,587 3,278 6,587 3,278<br />

Administration expenses 332,823 360,377 296,753 319,777<br />

Impairment loss 3c 903,360 425,477 903,360 425,477<br />

Total expenses 3,928,501 3,300,211 3,819,194 3,192,605<br />

Operating (loss)/pr<strong>of</strong>it before finance costs (1,008,460) (614,833) (1,012,230) (591,721)<br />

Financial income 354,300 424,012 337,243 410,452<br />

Finance expenses (19,448) (18,507) (19,449) (18,507)<br />

Net finance costs 4 334,852 405,505 317,794 391,945<br />

Loss from ordinary activities before tax (673,608) (209,328) (694,436) (199,776)<br />

Income tax expense 1(c) - - - -<br />

Loss attributable to members (673,608) (209,328) (694,436) (199,776)<br />

The accompanying notes form part <strong>of</strong> these financial statements.


<strong>Statement</strong> <strong>of</strong> Recognised Income<br />

and Expenditure<br />

For the year ended 28 February 2009<br />

Retained<br />

Earnings<br />

Consolidated <strong>College</strong><br />

Fair Value<br />

Reserve<br />

Total<br />

Retained<br />

Earnings<br />

Fair Value<br />

Reserve<br />

Balance at 1 March 2007 4,139,649 276,172 4,415,821 3,872,787 276,172 4,148,959<br />

Pr<strong>of</strong>it attributable to the entity (209,328) - (209,328) (199,776) - (199,776)<br />

Transfer <strong>of</strong> impairment loss to<br />

Pr<strong>of</strong>it and Loss<br />

Total<br />

- (276,172) (276,172) - (276,172) (276,172)<br />

Balance at 29 February 2008 3,930,321 - 3,930,321 3,673,011 - 3,673,011<br />

Balance at 1 March 2008 3,930,321 - 3,930,321 3,673,011 - 3,673,011<br />

Loss attributable to the entity (673,608) - (673,608) (694,436) - (694,436)<br />

Balance at 28 February 2009 3,256,713 - 3,256,713 2,978,575 - 2,978,575<br />

The accompanying notes form part <strong>of</strong> these financial statements.<br />

59


Balance sheet<br />

As at 28 February 2009<br />

Current Assets<br />

60<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

Note $ $ $ $<br />

Cash and cash equivalents 6 2,407,179 1,312,135 2,271,270 1,275,178<br />

Trade and other receivables 7 200,187 138,418 198,920 133,942<br />

Other financial assets 8 859,816 1,280,082 703,106 1,051,225<br />

Other current assets 9 238,192 200,283 238,192 200,283<br />

Inventory - brochures 16,669 10,383 16,669 10,383<br />

Total current assets 3,722,043 2,941,301 3,428,157 2,671,011<br />

Non-current assets<br />

Financial assets 8 1,596,991 2,500,222 1,596,991 2,500,222<br />

Property, plant and equipment 10 140,989 158,456 140,823 158,234<br />

Intangible assets 11 14,648 28,007 14,648 28,007<br />

Total non-current assets 1,752,628 2,686,685 1,752,462 2,686,463<br />

Total assets 5,474,671 5,627,986 5,180,619 5,357,474<br />

Current Liabilities<br />

Trade and other payables 12 170,942 178,836 165,806 175,499<br />

Provisions 13 63,536 44,855 63,536 44,855<br />

Other Liabilities 14 1,926,558 1,416,990 1,915,780 1,407,125<br />

Total current liabilities 2,161,036 1,640,681 2,145,122 1,627,479<br />

Non-Current Liabilities<br />

Provisions 13 56,922 56,984 56,922 56,984<br />

Total non-current liabilities 56,922 56,984 56,922 56,984<br />

Total liabilities 2,217,958 1,697,665 2,202,044 1,684,463<br />

Net assets 3,256,713 3,930,321 2,978,575 3,673,011<br />

Equity<br />

Retained earnings 16 3,256,713 3,930,321 2,978,575 3,673,011<br />

Total Equity 3,256,713 3,930,321 2,978,575 3,673,011<br />

The accompanying notes form part <strong>of</strong> these financial statements.


<strong>Statement</strong>s <strong>of</strong> cash flows<br />

For the year ended 28 February 2009<br />

Cash flows from operating activities<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

Note $ $ $ $<br />

Subscriptions and levies received 1,031,991 806,859 996,099 774,306<br />

Education income received 384,274 365,846 384,275 365,846<br />

Receipts from meetings and training projects 1,835,662 2,075,184 1,849,490 2,056,394<br />

Receipts from donations and grants 110,507 99,550 36,650 67,825<br />

Other receipts 53,541 61,962 38,422 31,716<br />

Cash paid for meetings and training projects (844,508) (1,032,245) (844,508) (1,033,400)<br />

Cash paid for grants and donations (350,899) (301,935) (297,024) (251,802)<br />

Cash paid to suppliers and employees (1,851,976) (1,981,892) (1,804,560) (1,894,932)<br />

Cash generated from operations 368,592 93,329 358,844 115,953<br />

Interest paid - - - -<br />

Net cash from operating activities 17 368,592 93,329 358,844 115,953<br />

Cash flows from investing activities<br />

Proceeds from investments 420,266 461,845 348,119 461,845<br />

Interest received 147,267 120,246 130,210 106,685<br />

Trust distributions received 207,902 227,210 207,902 227,210<br />

Payment for investments - (718,846) - (685,950)<br />

Payment for property, plant and equipment (16,338) (68,977) (16,338) (68,977)<br />

Payment for website and s<strong>of</strong>tware (13,196) (13,277) (13,196) (13,277)<br />

Direct investment expenditure (19,449) (18,508) (19,449) (18,507)<br />

Net cash (used in)/from investing activities 726,452 (10,307) 637,248 9,029<br />

Net increase in cash and cash equivalents 1,095,044 83,022 996,092 124,982<br />

Cash and cash equivalents at 1 March 1,312,135 1,229,113 1,275,178 1,150,196<br />

Cash and cash equivalents at 28 February 6 2,407,179 1,312,135 2,271,270 1,275,178<br />

The accompanying notes form part <strong>of</strong> these financial statements.<br />

61


Notes to the consolidated<br />

financial statements<br />

1. stateMent <strong>of</strong> significant accounting Policies MeMBers <strong>of</strong> the Board<br />

The consolidated financial report <strong>of</strong> the Company for the year ended 28 February 2009 comprises The <strong>Australasian</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Dermatologists</strong> (the <strong>College</strong>) and its Faculties (together referred to as the “consolidated entity”).<br />

Basis <strong>of</strong> Preparation<br />

The financial report is a general purpose financial report which has been prepared in accordance with Australian Accounting<br />

Standards including Australian Accounting Interpretations, other authoritative pronouncements <strong>of</strong> the Australian Accounting<br />

Standards Board (“AASB”) and the Corporations Act 2001.<br />

The financial report has been prepared on an accruals basis and is based on historic costs modified by the revaluation <strong>of</strong><br />

selected non-current assets, and financial assets and financial liabilities for which the fair value basis <strong>of</strong> accounting has been<br />

applied.<br />

The financial report is presented in Australian dollars and all values are rounded to the nearest dollar.<br />

<strong>Statement</strong> <strong>of</strong> Compliance<br />

The financial report complies with Australian Accounting Standards.<br />

The preparation <strong>of</strong> a financial report in conformity with the Australian Accounting Standards requires management to make<br />

judgements, estimates and assumptions that affect the application <strong>of</strong> policies and reported amounts <strong>of</strong> assets and liabilities,<br />

income and expenses. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting<br />

estimates are recognised in the period in which the estimate is revised if the revision affects only that period or in the period <strong>of</strong><br />

the revision and future periods if the revision affects both current and future periods.<br />

The accounting policies set out below have been applied consistently to all periods presented in the financial report. Where<br />

relevant, the accounting policies applied to the comparative period have been disclosed if they differ from the current period<br />

policy.<br />

A number <strong>of</strong> standards and amendments were available for early adoption however, in the opinion <strong>of</strong> the directors, none <strong>of</strong><br />

these standards and amendments are expected to have a significant impact on the financial results and have not been applied<br />

by the Company.<br />

The following is a summary <strong>of</strong> the material accounting policies adopted by the economic entity in the preparation <strong>of</strong> the<br />

financial report.<br />

(a) Company structure<br />

62<br />

The <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> is a company limited by guarantee, incorporated and domiciled in<br />

Australia. In the event <strong>of</strong> the <strong>College</strong> being wound up, the liability <strong>of</strong> each member, or each former member who<br />

ceased to be a member within a year <strong>of</strong> the <strong>College</strong> being wound up, is limited to an amount not exceeding $20. As<br />

the company is limited by guarantee, there is no reference in the Balance Sheet to share capital or shareholders’ equity.<br />

As at 28 February 2009 there were 434 members (2008: 427).<br />

(b) Principles <strong>of</strong> consolidation<br />

The consolidated financial statements include the financial statements <strong>of</strong> the <strong>College</strong> and all <strong>of</strong> its Faculties. Control<br />

exists as the <strong>College</strong> has the power, directly or indirectly, to govern the financial and operating policies <strong>of</strong> the Faculties<br />

so as to obtain benefits from their activities. All inter-company balances and transactions between the entities in the<br />

economic entity have been eliminated on consolidation. Accounting policies <strong>of</strong> the Faculties are consistent with those<br />

applied by the <strong>College</strong>.<br />

The Faculties controlled by the <strong>College</strong> at all time during the financial year are: New South Wales Faculty, Queensland<br />

Faculty, Western Australia Faculty, South Australian Faculty and Victorian Faculty.


(c) Income Tax<br />

The <strong>College</strong> is a not-for-pr<strong>of</strong>it organisation which meets the criteria <strong>of</strong> a scientific organisation and is therefore exempt<br />

from income tax under Division 50 <strong>of</strong> the Income Tax Assessment Act 1997. The tax exempt status is self-assessed on<br />

an annual basis in accordance with Taxation Office guidelines. The Board has determined that the <strong>College</strong> retains its<br />

tax-exempt status during the financial year.<br />

(d) Property, plant and equipment<br />

Each class <strong>of</strong> property, plant and equipment is carried at cost or fair values less, where applicable any accumulated<br />

depreciation and impairment losses. The consolidated entity recognises in the carrying amount <strong>of</strong> an item <strong>of</strong> property,<br />

plant and equipment the cost <strong>of</strong> replacing part <strong>of</strong> such an item when that cost is incurred if it is probable that the<br />

future economic benefits embodied with the item will flow to the consolidated entity and the cost <strong>of</strong> the item can be<br />

measured reliably. All other costs are recognised in the income statement as an expense as incurred.<br />

Plant and equipment that have been contributed at no cost or for nominal cost are valued at the fair value <strong>of</strong> the asset<br />

at the date it is required.<br />

Depreciation<br />

Depreciation is charged to the income statement on a straight-line basis over the estimated useful lives <strong>of</strong> each part<br />

<strong>of</strong> an item <strong>of</strong> property, plant and equipment. Leasehold improvements are depreciated over the shorter <strong>of</strong> either the<br />

unexpired period <strong>of</strong> the lease or the estimated useful lives <strong>of</strong> the improvements.<br />

The depreciation rates used in the current and comparative periods are as follows:<br />

Class <strong>of</strong> Fixed Asset Depreciation Rate<br />

Leasehold improvements 13.70%<br />

Fixtures and fittings 10% - 40%<br />

Library 17%<br />

Impairment<br />

The carrying values <strong>of</strong> property, plant and equipment are reviewed for impairment when events or changes in<br />

circumstance indicate the carrying value may not be recoverable. If such an indication exists and where the carrying<br />

values exceed the recoverable amount, the asset is written down to the recoverable amount.<br />

Gains and losses on disposals are determined by comparing proceeds with the carrying amount. These gains or losses<br />

are included in the income statement.<br />

Derecognition and disposal<br />

An item <strong>of</strong> property, plant and equipment is derecognised upon disposal or when no further future economic benefits<br />

are expected from its use or disposal.<br />

Any gain or loss arising on derecognition <strong>of</strong> the asset (calculated as the difference between the net disposal proceeds<br />

and the carrying amount <strong>of</strong> the asset) is included in the Income <strong>Statement</strong> in the year the asset is derecognised.<br />

(e) Intangible assets<br />

Intangible assets acquired are initially measured at cost. Following initial recognition, intangible assets are carried at<br />

cost less any accumulated amortisation and any accumulated impairment losses. At each reporting date, the <strong>College</strong><br />

reviews the carrying value <strong>of</strong> the intangible assets to determine whether there is any indication that those assets have<br />

been impaired and if such indication exists, the asset is written down to its recoverable amount.<br />

Website development cost and computer s<strong>of</strong>tware<br />

Website development cost, being the cost incurred in developing the website to the operational stage, and computer<br />

s<strong>of</strong>tware development cost are recognised as non-current intangible assets where it is probable that future economic<br />

benefits will arise. Costs associated with subsequent maintenance <strong>of</strong> the website are expenses. Website and s<strong>of</strong>tware<br />

development costs are amortised over the shorter <strong>of</strong> the periods in which the related benefits are expected to be<br />

realised, or three years. The amortisation expense on intangible assets with finite lives is recognised in pr<strong>of</strong>it and loss<br />

with the function <strong>of</strong> the intangible asset.<br />

63


Notes to the consolidated<br />

financial statements<br />

(f) Receipts in advance<br />

64<br />

Receipts in advance are carried at original invoice amount in respect <strong>of</strong> goods and services to be provided subsequent<br />

to balance date. Receipts in advance include examination fees, trainee selection fees, training projects enrolment fees<br />

and receipts for projects and conferences held after balance date. Membership fees received in advance are disclosed<br />

as Annual subscriptions in advance under the heading Current Liabilities (note K(i)).<br />

(g) Financial instruments<br />

Financial instruments are initially measured at cost on trade date, which includes transaction costs, when the related<br />

contractual rights and obligations exist. Subsequent to initial recognition these instruments are measured as set out<br />

below.<br />

Available for sale financial assets<br />

Financial instruments being investments in BT Private Wrap Portfolios are classified as available-for-sale financial<br />

assets and are measured at fair value with any resultant gain or loss being recognised directly in equity, except for<br />

impairment losses. When these investments are derecognised, the cumulative gain or loss previously recognised<br />

directly in equity is recognised in pr<strong>of</strong>it or loss.<br />

Fair value is determined based on bid prices at balance sheet date for all quoted securities. Valuation techniques are<br />

applied to determine the fair value for all unlisted securities, including recent arm’s length transactions and reference<br />

to similar instruments.<br />

Financial instruments classified as available-for-sale are recognised/derecognised by the company on the date it<br />

commits to purchase/sell the investments.<br />

Impairment<br />

When a decline in the fair value <strong>of</strong> an available-for-sale financial asset has been recognised directly in equity and<br />

there is objective evidence that the asset is impaired, the cumulative loss that had been recognised directly in equity is<br />

recognised in pr<strong>of</strong>it or loss even though the financial asset has not been derecognised. The amount <strong>of</strong> the cumulative<br />

loss that is recognised in pr<strong>of</strong>it or loss is the difference between the acquisition cost and current fair value, less any<br />

impairment loss on the financial asset previously recognised in pr<strong>of</strong>it or loss.<br />

If, in a subsequent period, the fair value <strong>of</strong> an available for sale asset increases and the increase can be objectively<br />

related to an event occurring after the impairment loss was recognised in pr<strong>of</strong>it or loss, the impairment loss is<br />

reversed, with the amount <strong>of</strong> the reversal recognised in pr<strong>of</strong>it or loss.<br />

(h) Employee benefits<br />

Provision is made for the company’s liability for employee benefits arising from services rendered by employees to<br />

balance date. Employee benefits expected to be settled within one year together with benefits arising from wages,<br />

salaries and annual leave which may be settled after one year are recognised as current liabilities and have been<br />

measured at undiscounted amounts expected to be paid when the liability is settled plus related oncosts. Employee<br />

benefits payable later than one year have been measured at the net present value and recognised as non-current<br />

liability.<br />

Long Service Leave<br />

The liability for long service leave is recognised in the provision for employee benefits and measured as the present<br />

value <strong>of</strong> expected future payments to be made in respect <strong>of</strong> services provided by employees up to the reporting date<br />

using the projected unit credit method. Consideration is given to expected future wage and salary levels, experience<br />

<strong>of</strong> employee departures, and periods <strong>of</strong> service. Expected future payments are discounted using market yields at the<br />

reporting date on national government bonds with terms to maturity and currencies that match, as closely as possible,<br />

the estimated future cash outflows.<br />

Contributions are made by the company to employee superannuation funds and are charged as expenses when<br />

incurred.


(i) Trade and other payables<br />

Trade and other payables are stated at cost. They represent liabilities for goods and services provided to the <strong>College</strong><br />

prior to the end <strong>of</strong> the financial year that are unpaid and arise when the <strong>College</strong> becomes obliged to make future<br />

payments in respect <strong>of</strong> the purchase <strong>of</strong> these goods and services. Trade payables are non-interest bearing and are<br />

normally settled on 30 days terms.<br />

(j) Trade and other receivables<br />

Trade and other receivables are stated at their cost less impairment losses.<br />

(k) Revenue and expenses<br />

Revenue and expenses are recognised to the extent that it is probable that their respective economic benefits will<br />

flow to or be lost or consumed by the <strong>College</strong>, and the revenue and expenses can be reliably measured. The following<br />

specific recognition criteria must also be met before revenue or expenses are recognised:<br />

i) Subscriptions<br />

The <strong>College</strong> membership subscription year is 1 January to 31 December. Fees are payable annually in advance. Only<br />

those member fee receipts which are attributable to the current financial year are recognised as revenue.<br />

Fee receipts relating to periods beyond the current financial year are shown in the Balance Sheet as Annual<br />

subscriptions in Advance under the heading <strong>of</strong> Current Liabilities.<br />

ii) Other revenue-generating activities<br />

The <strong>College</strong> undertakes certain activities which are accounted for on a work-in-progress basis including training<br />

workshops, annual conferences and other projects and grant programs. The <strong>College</strong>’s policy <strong>of</strong> accrual accounting with<br />

respect to the recognition <strong>of</strong> revenue and expenses on such activities is as follows:<br />

a) For activities which are completed on or before balance date, any surplus or deficit is incorporated into the year’s<br />

results;<br />

b) For activities which take place wholly after the end <strong>of</strong> the financial year, any revenue received and expense incurred<br />

on such activities prior to balance date is deferred and carried forward in the Balance Sheet within Receipts in<br />

Advance and Prepayments respectively;<br />

c) For activities which span the balance date, a proportion <strong>of</strong> the final projected net surplus is recognised in the<br />

financial year on the percentage <strong>of</strong> completion basis.<br />

iii) Sale <strong>of</strong> goods<br />

The <strong>College</strong> recognises revenue from the sale <strong>of</strong> goods when physical control <strong>of</strong> the goods passes to the purchaser<br />

pursuant to an enforceable sales contract and the costs incurred or to be incurred in respect <strong>of</strong> the transaction can be<br />

measured reliably. Risks and rewards <strong>of</strong> ownership are considered passed to the buyer at the time <strong>of</strong> delivery <strong>of</strong> the<br />

goods to the customer.<br />

iv) Interest income and expense<br />

Interest income on bank bills and deposits is recognised on an accruals basis (using the effective interest method,<br />

which is the rate that exactly discounts the estimated future cash receipts through the expected life <strong>of</strong> the investment)<br />

where the <strong>College</strong> attains control <strong>of</strong> a right to receive consideration for an investment. Interest expense on borrowings<br />

is recognised on an accruals basis.<br />

v) Grants<br />

The <strong>College</strong> grants funds to certain members. These funds are paid to support medical research and development and<br />

are expensed at the time <strong>of</strong> payment.<br />

Donations and bequests are recognised as revenue when received unless they are designated for a specific purpose,<br />

where they are carried forward as prepaid income on the balance sheet.<br />

Government grants<br />

Government grants and contributions are stated at fair value where there is reasonable assurance that the grant<br />

will be received and all attaching conditions will be complied with. When the grant relates to an expense item, it<br />

is recognised as income over the periods necessary to match the grant on a systematic basis to the costs that it is<br />

intended to compensate.<br />

All revenue is stated net <strong>of</strong> the amount <strong>of</strong> goods and services tax (GST).<br />

65


Notes to the consolidated<br />

financial statements<br />

(l) Inventories<br />

66<br />

Inventories are measured at the lower <strong>of</strong> cost and current replacement cost. Inventories acquired at no cost, or for<br />

nominal consideration are valued at the current replacement cost as at the date <strong>of</strong> acquisition.<br />

(m) Operating lease payments<br />

(n) Trusts<br />

Payments made under operating leases are recognised in the income statement on a straight-line basis over the term<br />

<strong>of</strong> the lease. Lease incentives received are recognised in the income statement as an integral part <strong>of</strong> the total lease<br />

expense.<br />

The following trust funds have been established to accept gifts and bequests from members and others and pay<br />

grants and scholarships: H.C. Florence Bequest, Scientific Research Fund, Surgical Society and Fred Bauer Trust Fund.<br />

The financial statements <strong>of</strong> the trust funds are not consolidated with those <strong>of</strong> the <strong>College</strong> and its Faculties because the<br />

company has no direct control over them. The financial statements <strong>of</strong> the trust funds are shown in Note 23.<br />

(o) Cash and cash equivalents<br />

For the purpose <strong>of</strong> the <strong>Statement</strong> <strong>of</strong> Cash Flows, cash and cash equivalents includes cash on hand, at call deposits<br />

with banks or financial institutions, other short-term highly liquid investments with original maturities <strong>of</strong> three months<br />

or less, and bank overdrafts.<br />

(p) Goods and services tax (GST)<br />

Revenues, expenses and assets are recognised net <strong>of</strong> the amount <strong>of</strong> GST, except where the amount <strong>of</strong> GST incurred<br />

is not recoverable from the Australian Taxation Office. In these circumstances, the GST is recognised as part <strong>of</strong> the<br />

cost <strong>of</strong> acquisition <strong>of</strong> the asset or as part <strong>of</strong> an item <strong>of</strong> the expense. Receivables and payables in the balance sheet are<br />

shown inclusive <strong>of</strong> GST.<br />

Cash flows are presented in the cash flow statement on a gross basis, except for the GST component <strong>of</strong> investing and<br />

financing activities, which are disclosed as operating cash flows.<br />

(q) Provisions<br />

Provisions are recognised when the entity has a legal or constructive obligation, as a result <strong>of</strong> past events, for which it<br />

is probable that an outflow <strong>of</strong> economic benefits will result and that outflow can be reliably measured.<br />

(r) Comparative figures<br />

When required by the Accounting Standards, comparative figures have been adjusted to conform to changes in<br />

presentation for the current financial year.


2. revenue<br />

Revenue from operating activities:<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Member subscriptions and levies 846,640 745,026 814,923 713,843<br />

Education revenue 263,141 209,300 263,141 209,300<br />

Revenue from programs and projects 1,477,878 1,475,454 1,477,878 1,475,454<br />

Revenue from project management 106,102 61,200 115,911 67,110<br />

Revenue from sale <strong>of</strong> books 11,686 12,493 11,686 12,493<br />

Donations, grants and sponsorship revenue 187,748 158,930 106,991 111,206<br />

Other revenue 26,846 22,975 16,434 11,478<br />

3. exPenses<br />

(a) Employee benefits expenses include:<br />

2,920,041 2,685,378 2,806,964 2,600,884<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Employee annual leave provided 18,681 14,822 18,681 14,822<br />

Employee long service leave provided (62) 11,192 (62) 11,192<br />

Employee recruitment and training 8,106 10,162 8,106 10,162<br />

Payroll Tax 31,690 - 31,690 -<br />

Workers’ compensation insurance 10,063 5,998 10,063 5,998<br />

Salaries and wages 620,951 505,689 620,951 505,689<br />

Superannuation contributions 75,907 63,106 75,907 63,106<br />

Consultancy fees 240,804 227,753 240,804 227,753<br />

(b) Depreciation and amortisation expenses include:<br />

1,006,140 838,722 1,006,140 610,969<br />

Amortisation – Website & s<strong>of</strong>tware 26,556 30,286 26,556 30,286<br />

Depreciation – Leasehold improvements 6,843 5,777 6,843 5,777<br />

Depreciation – Furniture and equipment 26,713 26,372 26,658 26,298<br />

Depreciation – Library - 669 - 669<br />

(c ) Significant expenses include:<br />

Impairment loss on financial assets BT Private Wrap Portfolio:<br />

60,112 63,104 60,057 63,030<br />

Gain removed from equity - 276,172 - 276,172<br />

Loss recognised in pr<strong>of</strong>it and loss (903,110) (701,649) (903,110) (701,649)<br />

(903,110) (425,477) (903,110) (425,477)<br />

67


Notes to the consolidated<br />

financial statements<br />

4. net finance costs<br />

Financial income<br />

68<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Interest income 146,398 120,245 129,341 106,685<br />

Unit trust distribution income 207,902 227,210 207,902 227,210<br />

Other investments:<br />

Capital gain/(loss) on sale <strong>of</strong> investments - 76,557 - 76,557<br />

Financial expenses<br />

Other investments:<br />

354,300 424,012 337,243 410,452<br />

Direct investment expense 18,008 18,507 18,009 18,507<br />

Financial adviser fee 1,440 - 1,440 -<br />

19,448 18,507 19,449 18,507<br />

Net finance costs 334,852 405,505 317,794 391,945<br />

5. auditors’ reMuneration<br />

Audit services<br />

Auditor <strong>of</strong> the Company:<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Audit <strong>of</strong> financial reports 34,400 34,250 23,650 24,500<br />

Other audit engagements 1,200 2,200 1,200 2,200<br />

Taxation Services 1,810 3,400 1,810 3,400<br />

37,410 39,850 26,660 30,100


6. cash and cash eQuivalents<br />

Current<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Cash on hand 1,000 1,000 600 600<br />

Cash at bank – Westpac Bank 114,330 69,925 74,553 43,425<br />

Cash at bank – Westpac Maxi Direct 1,317,320 551,008 1,221,589 540,952<br />

Cash at bank - IMG Upskilling Grant 261,771 - 261,771 -<br />

Cash at bank – RASTS Program - 13,203 - 13,203<br />

Cash at bank – NT Healthy Skin Project 13,387 63,525 13,387 63,525<br />

Cash at bank – Westpac Investment Portfolio 664,747 594,950 664,746 594,950<br />

Cash at bank – SSRS 34,624 18,523 34,624 18,523<br />

7. trade and other receivaBles<br />

2,407,179 1,312,135 2,271,270 1,275,178<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Trade receivables 200,187 137,982 194,249 132,213<br />

Other receivables - 75 4,671 1,729<br />

GST receivable - 361 - -<br />

200,187 138,418 198,920 133,942<br />

Trade receivables are non-interest bearing and are generally on 30-day terms. Trade receivables balances do not contain<br />

impaired assets. A total <strong>of</strong> $158,284 receivables are past due date. However, based on the credit quality it is expected that<br />

those amounts will be received within 3 months after the due date.<br />

69


Notes to the consolidated<br />

financial statements<br />

8. financial assets<br />

Current<br />

Current<br />

70<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Bank term deposits 789,816 1,210,082 633,106 981,225<br />

Rental bond 70,000 70,000 70,000 70,000<br />

Non-current<br />

Available for sale financial assets<br />

859,816 1,280,082 703,106 1,051,225<br />

BT Private Wrap Portfolio at fair value 1,596,991 2,500,222 1,596,991 2,500,222<br />

Available for sale financial assets comprise investments in the ordinary issued capital <strong>of</strong> various entities which form part <strong>of</strong> the<br />

BT Private Wrap Portfolio. There are no fixed returns or fixed maturity dates attached to these investments.<br />

The BT Private Wrap Portfolio consists <strong>of</strong> investments in listed companies and unlisted trusts valued at fair value being the<br />

bid prices at the balance sheet date for all quoted securities and recent arm’s length sale prices <strong>of</strong> unlisted securities. The<br />

impairment loss recognised in respect <strong>of</strong> this investment portfolio this financial year (refer to Note 3c) relates to the collapse <strong>of</strong><br />

Basis Yield Fund and other funds which form part <strong>of</strong> the BT Private Wrap Portfolio.<br />

9. other current assets<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Prepayments 238,192 199,414 238,192 199,414<br />

Accrued income - 869 - 869<br />

238,192 200,283 238,192 200,283


10. ProPerty, Plant and eQuiPMent<br />

In dollars Note Leasehold<br />

Improvements<br />

Cost<br />

Consolidated <strong>College</strong><br />

Fixtures<br />

and<br />

fittings<br />

Library Total<br />

Leasehold<br />

Improvements<br />

Fixtures<br />

and<br />

fittings<br />

Library Total<br />

Balance at 1 March 2007 27,303 237,628 22,830 287,761 27,303 224,605 22,830 274,738<br />

Additions at cost 19,448 49,528 - 68,976 19,448 49,528 - 68,976<br />

Disposals - (22,443) - (22,443) - (22,443) - (22,443)<br />

Balance at 29 February 2008 46,751 264,713 22,830 334,294 46,751 251,690 22,830 321,271<br />

Balance at 1 March 2008 46,751 264,713 22,830 334,294 46,751 251,690 22,830 321,271<br />

Additions at cost 3,135 13,203 - 16,338 3,135 13,203 1 16,338<br />

Disposals - (3,547) - (3,547) - (3,547) - (3,547)<br />

Balance at 28 February 2009 49,886 274,369 22,830 347,085 49,886 261,346 22,830 334,062<br />

Depreciation and impairment losses<br />

Balance at 1 March 2007 4,199 139,102 22,161 165,462 4,199 126,375 22,161 152,735<br />

Depreciation expense 5,777 26,370 669 32,816 5,777 26,296 669 32,742<br />

Disposals - (22,440) - (22,440) - (22,440) - (22,440)<br />

Balance at 29 February 2008 9,976 143,032 22,830 175,838 9,976 130,231 22,830 163,037<br />

Balance at 1 March 2008 9,976 143,032 22,830 175,838 9,976 130,231 22,830 163,037<br />

Depreciation expense 6,843 26,713 - 33,556 6,843 26,657 - 33,500<br />

Disposals - (3,298) - (3,298) - (3,298) - (3,298)<br />

Balance at 28 February 2009 16,819 166,447 22,830 206,096 16,819 153,590 22,830 193,239<br />

Carrying Ammounts<br />

At 1 March 2007 23,104 98,526 669 122,299 23,104 98,230 669 122,003<br />

At 29 February 2008 36,775 121,681 - 158,456 36,775 121,459 - 158,234<br />

At 1 March 2008 36,775 121,681 - 158,456 36,775 121,459 - 158,234<br />

At 28 February 2009 33,067 107,922 - 140,989 33,067 107,756 - 140,823<br />

71


Notes to the consolidated<br />

financial statements<br />

11. intangiBle assets<br />

In dollars<br />

Cost<br />

72<br />

Website<br />

Development<br />

Cost<br />

S<strong>of</strong>tware<br />

Development<br />

Cost<br />

Consolidated <strong>College</strong><br />

Total<br />

Website<br />

Development<br />

Cost<br />

S<strong>of</strong>tware<br />

Development<br />

Cost<br />

Balance at 1 March 2007 29,590 37,306 66,896 29,590 37,306 66,896<br />

Additions – internally developed - 13,277 13,277 - 13,277 13,277<br />

Balance at 29 February 2008 29,590 50,583 80,173 29,590 50,583 80,173<br />

Balance at 1 March 2008 29,590 50,583 80,173 29,590 50,583 80,173<br />

Additions – internally developed - 13,197 13,197 - 13,197 13,197<br />

Balance at 28 February 2009 29,590 63,780 93,370 29,590 63,780 93,370<br />

Amortisation and impairment losses<br />

Balance at 1 March 2007 9,858 12,022 21,880 9,858 12,022 21,880<br />

Amortisation expense 11,836 18,450 30,286 11,836 18,450 30,286<br />

Balance at 29 February 2008 21,694 30,472 52,166 21,694 30,472 52,166<br />

Balance at 1 March 2008 21,694 30,472 52,166 21,694 30,472 52,166<br />

Amortisation expense 7,896 18,660 26,556 7,896 18,660 26,556<br />

Balance at 28 February 2009 29,590 49,132 78,722 29,590 49,132 78,722<br />

Carrying Ammounts<br />

At 1 March 2007 19,732 25,284 45,016 19,732 25,284 45,016<br />

At 29 February 2008 7,896 20,111 28,007 7,896 20,111 28,007<br />

At 1 March 2008 7,896 20,111 28,007 7,896 20,111 28,007<br />

At 28 February 2009 - 14,648 14,648 - 14,648 14,648<br />

Amortisation <strong>of</strong> the development costs is calculated over 3 years useful life and commenced upon completion <strong>of</strong> the projects<br />

in 2007 financial year in accordance with the policy <strong>of</strong> the company.<br />

Total


12. trade and other PayaBles<br />

Current<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Employee benefits: Liability for annual leave 63,536 44,855 63,536 44,855<br />

Non-current<br />

Employee benefits: Liability for long-service leave 56,922 56,984 56,922 56,984<br />

Current<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Receipts in advance 1,151,410 766,805 1,151,410 766,805<br />

Annual subscriptions in advance 775,148 650,185 764,370 640,320<br />

Fair value reserve<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Trade creditors 62,164 134,628 56,571 131,212<br />

Sundry creditors and accruals 28,880 44,208 28,880 44,208<br />

GST payable 14,898 - 15,355 79<br />

Deposits held - grants 65,000 - 65,000 -<br />

13. Provisions<br />

14. other liaBilities<br />

15. reserves<br />

170,942 178,836 165,806 175,499<br />

1,926,558 1,416,990 1,915,780 1,407,125<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Balance at the beginning <strong>of</strong> the year - 276,172 - 276,172<br />

Net decrease in fair value <strong>of</strong> available for sale financial assets - (276,172) - (276,172)<br />

Balance at the end <strong>of</strong> the year - - - -<br />

73


Notes to the consolidated<br />

financial statements<br />

16. reserves<br />

74<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Retained pr<strong>of</strong>it at the beginning <strong>of</strong> the year 3,930,321 4,139,649 3,673,001 3,872,787<br />

Net pr<strong>of</strong>it for the year (673,608) (209,328) (694,436) (199,776)<br />

Retained pr<strong>of</strong>it at the end <strong>of</strong> the year 3,256,713 3,930,321 2,978,575 3,673,011<br />

17. reconciliation <strong>of</strong> cash flows<br />

froM oPerating activities<br />

Cash flows from operating activities<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Loss for the period (673,608) (209,328) (694,436) (199,776)<br />

Adjustments for:<br />

Depreciation and amortisation 60,112 63,104 60,057 63,030<br />

Impairment losses 903,360 425,477 903,360 425,477<br />

Net investment income recognised as investment activity (335,720) (405,505) (318,663) (391,945)<br />

Operating pr<strong>of</strong>it before changes in working<br />

capital and provisions<br />

(45,856) (126,252) (49,682) (103,214)<br />

Increase in prepayments (38,778) (33,441) (38,778) (33,441)<br />

Increase in receivables (61,769) (4,583) (64,978) (3,251)<br />

Increase/(decrease) in inventories (6,286) 2,303 (6,286) 2,303<br />

Increase/(decrease) in payables (6,905) 48,687 (8,705) 45,350<br />

Increase in provisions 18,619 26,015 18,619 26,015<br />

Increase in receipts in advance 509,567 180,600 508,654 182,191<br />

Cash generated from the operations 368,592 93,329 358,844 115,953<br />

Interest paid - - - -<br />

Net cash from operating activities 368,592 93,329 358,844 115,953


18. key ManageMent Personnel coMPensation<br />

Directors do not receive any income from the <strong>College</strong> for their services as directors.<br />

No director has entered into a contract with the <strong>College</strong> since the end <strong>of</strong> the financial year.<br />

Directors are reimbursed expenses incurred to attend the meetings <strong>of</strong> the Board and Committees. The total expenses<br />

reimbursed during the year were $17,142 (2008: $21,498).<br />

In addition the <strong>College</strong> has paid insurance premiums for each <strong>of</strong> the Directors listed in the Directors’ Report and the total<br />

amounts paid during the year were $3,444 (2008: $3,198).<br />

Other key management personnel<br />

Remuneration received or due and receivable by executive <strong>of</strong>ficers <strong>of</strong> the <strong>College</strong> in connection with the management <strong>of</strong> the<br />

affairs <strong>of</strong> the <strong>College</strong>:<br />

2009 2008<br />

$ $<br />

Consulting fees 240,804 227,753<br />

These consulting fees are paid to TIK Enterprises Pty Ltd, a company related to Rodney Sheaves who is the CEO <strong>of</strong> the <strong>College</strong>.<br />

The above payments were made under normal commercial terms and conditions no more favourable than those<br />

available to other parties. The contract is renewed annually by the Board.<br />

19. oPerating leases<br />

Leases as lessee<br />

Non-cancellable operating lease rentals are payable as follows:<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

Less than one year 185,457 170,301 185,457 170,301<br />

Between one and five years 13,216 169,278 13,216 169,278<br />

198,673 339,579 198,673 339,579<br />

The consolidated entity leases premises at 9 Blaxland Road, Rhodes which is classified as operating lease. The lease<br />

commenced in December 2005 and runs for a period <strong>of</strong> 4 years and 3 months, with options to renew for a further 3 years<br />

each from March 2010. Lease payments are increased every year to reflect market rentals. The consolidated entity also leases<br />

a photocopier and telephone equipment.<br />

During the year ended 28 February 2009, $165,084 was recognised as an expense in the income statement in respect <strong>of</strong><br />

operating leases (2008: $158,304).<br />

75


Notes to the consolidated<br />

financial statements<br />

20. financial risk ManageMent<br />

The entity’s financial instruments consist mainly <strong>of</strong> deposits with banks, short-term investments, accounts receivable and<br />

payable. The entity does not have any derivative instruments at 28 February 2009.<br />

The <strong>College</strong> manages its exposure to key financial risks in accordance with its financial risk management policy. The objective<br />

<strong>of</strong> this policy is to support the delivery <strong>of</strong> the financial targets <strong>of</strong> the <strong>College</strong> while protecting future financial security.<br />

The main risks arising from the financial instruments <strong>of</strong> the <strong>College</strong> are:<br />

76<br />

- Interest Rate Risk<br />

- Credit Risk<br />

- Market Risk<br />

Interest rate risk<br />

Interest rate risk refers to the risk that movements in variable interest rates will affect financial performance by increasing<br />

interest expenses or reducing interest income.<br />

Interest rate risk arises from financial assets and liabilities that are subject to floating interest rates. The <strong>College</strong> exposure to<br />

market interest rates relates primarily to Cash and cash equivalents. The <strong>College</strong> does not have a bank overdraft facility or any<br />

other borrowings and is not exposed to any fluctuations in foreign currencies.<br />

The effective weighted average interest rates on those financial assets and liabilities which are exposed to interest rate<br />

fluctuations are as follows:<br />

Financial assets<br />

Cash and cash equivalent: 3.52% (2008: 7.71%).<br />

The following sensitivity analysis is based on interest rate risk exposures in existence at balance date: An increase in interest<br />

rates <strong>of</strong> 0.5 per cent would lead to an increase in the Company’s Member Funds <strong>of</strong> $11,057 (2008: $10,483) and a decrease<br />

in interest rates <strong>of</strong> 0.5 per cent would lead to a decreased <strong>of</strong> $11,057 (2008: $10,483).<br />

Credit risk exposure<br />

Credit risk on financial assets is minimised by dealing with recognised financial institutions and acceptable credit ratings.<br />

The <strong>College</strong> exposure to credit risk is limited as there is significant amount <strong>of</strong> low value individual debtors. Receivable balances<br />

are monitored on a regular basis with the result that the <strong>College</strong> exposure to bad debts is not significant. Management<br />

believes that the <strong>College</strong> does not have a concentration <strong>of</strong> credit risk. The <strong>College</strong> maximum amount <strong>of</strong> any loss which may be<br />

realised is the carrying amount <strong>of</strong> the financial instrument.<br />

Market risk<br />

The standard defines this as the risk that the fair value <strong>of</strong> future cash flows <strong>of</strong> a financial instrument will fluctuate because <strong>of</strong><br />

changes in market prices.<br />

The <strong>College</strong> can never be free <strong>of</strong> market risk as it invests in securities (BT Private Wrap Portfolio) which are not risk free – the<br />

market price <strong>of</strong> these securities can fluctuate.<br />

The <strong>College</strong> seeks to manage and constrain market risk by diversification <strong>of</strong> the investment portfolio across multiple stocks<br />

and industry sector and relies on the recommendation <strong>of</strong> Bluepoint Consulting Pty Ltd who have been appointed the Financial<br />

Planner to the <strong>College</strong>.


21. financial instruMents<br />

Net fair values<br />

The carrying amount <strong>of</strong> bank deposits, prepayments, accounts payable and accounts receivable approximate fair value. The<br />

net fair value <strong>of</strong> listed investments has been valued at the quoted market bid price at balance date adjusted for transaction<br />

costs expected to be incurred. Arm’s length transactions and reference to similar instruments are used for valuation <strong>of</strong> unlisted<br />

investments. The aggregate net fair values and carrying amounts <strong>of</strong> financial assets and financial liabilities are disclosed in<br />

the balance sheet and in the notes to the financial statements. Fair values <strong>of</strong> available for sale financial assets are in line with<br />

carrying values.<br />

Consolidated financial assets and liabilities by categories<br />

2009 Notes Total Loan and Receivables Financial Liabilities<br />

Current financial assets<br />

Cash and cash equivalents 6 2,407,179 2,407,179 -<br />

Trade receivables 7 200,187 200,187 -<br />

Total current financial assets 2,607,366 2,607,366 -<br />

Current financial Liabilities<br />

Trade and other payables 12 (170,942) - (170,942)<br />

Total current financial liabilities (170,942) - (170,942)<br />

Net financial assets/(liabilities) 2,436,424 2,607,366 (170,942)<br />

2008<br />

Current financial assets<br />

Cash and cash equivalents 6 1,312,135 1,312,135 -<br />

Trade receivables 7 137,982 137,982 -<br />

Other receivables 7 436 436 -<br />

Total current financial assets 1,450,553 1,450,553 -<br />

Current financial liabilities<br />

Trade and other payables 12 (178,836) - (178,836)<br />

Total current financial liabilities (178,836) - (178,836)<br />

Net financial assets/(liabilities) 1,271,717 1,450,553 (178,836)<br />

Financial liabilities are measured at amortised cost.<br />

77


Notes to the consolidated<br />

financial statements<br />

22. contingent liaBilities<br />

The directors are <strong>of</strong> the opinion that provisions are not required in respect <strong>of</strong> these matters, as it is not probable that a future<br />

sacrifice <strong>of</strong> economic benefits will be required or the amount is not capable <strong>of</strong> reliable measurement.<br />

Contingent liabilities not considered remote<br />

Litigation<br />

The <strong>College</strong> was defending an action brought by Dr Shahib<br />

in both the 2007 and 2008 financial years. The Defence and<br />

appeal were successful and the matter has now been completed.<br />

Directors do not anticipate any further costs to result from this<br />

action.<br />

23. trust funds<br />

78<br />

Consolidated <strong>College</strong><br />

2009 2008 2009 2008<br />

$ $ $ $<br />

- 100,000 - 100,000<br />

2009 2008<br />

Balance Sheet $ $<br />

Current assets<br />

Cash at bank<br />

H.C. Florance Bequest 292,800 253,297<br />

Investments in term deposits<br />

Scientific Research Fund 127,357 148,243<br />

Surgical Society 69,383 64,478<br />

Fred Bauer Foundation 91,000 84,617<br />

Investment in BT Private Wrap Portfolio at fair value<br />

H.C. Florance Bequest 1,626,847 2,436,782<br />

Other receivables<br />

Fred Bauer Foundation 15,000 -<br />

Total current assets 2,222,387 2,987,417<br />

Total liabilities - -<br />

Net assets 2,222,387 2,987,417<br />

Trust Funds<br />

H.C. Florance Bequest 1,919,647 2,690,079<br />

Scientific Research Fund 127,357 148,243<br />

Surgical Society 69,383 64,478<br />

Fred Bauer Foundation 106,000 84,617<br />

Trust funds at year end 2,222,387 2,987,417


2009 2008<br />

Income <strong>Statement</strong> $ $<br />

Income<br />

Interest received<br />

H.C. Florance Bequest 16,074 17,751<br />

Scientific Research Fund 10,771 7,242<br />

Surgical Society 4,865 3,638<br />

Fred Bauer Foundation 6,383 4,729<br />

Trust distribution and foreign income received<br />

H.C. Florance Bequest 127,775 250,153<br />

Donations received<br />

Scientific Research Fund 27,111 32,544<br />

Surgical Society 40 4,600<br />

Fred Bauer Foundation 22,000 22,000<br />

Net capital (loss) on sale <strong>of</strong> investments<br />

H.C. Florance Bequest - (6,682)<br />

Total income 215,019 335,975<br />

Expenses<br />

Grants paid<br />

H.C. Florance Bequest 100,000 149,700<br />

Scientific Research Fund 58,768 20,000<br />

Surgical Society<br />

Investment expenses<br />

7,000 4,341<br />

H.C. Florance Bequest<br />

Write-down in fair value <strong>of</strong> investments<br />

4,345 14,812<br />

H.C. Florance Bequest 809,936 453,969<br />

Total expenses 980,049 642,822<br />

Net surplus for the year (765,030) (306,847)<br />

Available trust funds balance at beginning <strong>of</strong> year 2,987,417 3,294,264<br />

Available trust funds balance at year end 2,222,387 2,987,417<br />

24. events after Balance date<br />

There has not arisen in the interval between the end <strong>of</strong> the financial year and the date <strong>of</strong> this report any item, transaction or<br />

event <strong>of</strong> a material unusual nature likely, in the opinion <strong>of</strong> the directors <strong>of</strong> the <strong>College</strong>, to affect significantly the operations <strong>of</strong><br />

the <strong>College</strong> or the state; <strong>of</strong> affairs <strong>of</strong> the <strong>College</strong> in future financial years.<br />

79


Directors’ declaration<br />

In the opinion <strong>of</strong> the Directors <strong>of</strong> <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> (“the Company”):<br />

(a) the financial statements and notes, set out on pages 56 to 76, are in accordance with the Corporations Act 2001, including:<br />

80<br />

(i) giving a true and fair view <strong>of</strong> the financial position <strong>of</strong> the Company and the consolidated entity as at 28 February<br />

2009 and <strong>of</strong> their performance, as represented by the results <strong>of</strong> their operations and their cash flows, for the year<br />

ended on that date; and<br />

(ii) complying with Australian Accounting Standards and the Corporations Regulations 2001; and<br />

(b) there are reasonable grounds to believe that the Company will be able to pay its debts as and when they become due and<br />

payable.<br />

Signed in accordance with a resolution <strong>of</strong> the Directors:<br />

Dated at Rhodes this 29th day <strong>of</strong> April, 2009.<br />

——————————————— ———————————————<br />

Dr G. Wood - President Dr. J. Coates - Treasurer


Independent audit report to the<br />

members <strong>of</strong> The <strong>Australasian</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Dermatologists</strong><br />

rePort on the financial rePort<br />

We have audited the financial report <strong>of</strong> The <strong>Australasian</strong> <strong>College</strong> <strong>of</strong> <strong>Dermatologists</strong> (the ‘Company’) and the <strong>College</strong> and<br />

its Faculties (the ‘Consolidated Entity’) for the year ended 28 February 2009, which comprises the balance sheet, income<br />

statement, statement <strong>of</strong> recognised income and expenditure and cash flow statement for the year ended on that date, a<br />

summary <strong>of</strong> significant accounting policies and other explanatory notes and the directors’ declaration<br />

DIRECTORS’ RESPONSIBIlITy FOR ThE FINANCIAl REPORT<br />

The directors <strong>of</strong> the company are responsible for the preparation and fair presentation <strong>of</strong> the financial report in accordance<br />

with Australian Accounting Standards (including the Australian Accounting Interpretations) and the Corporations Act 2001.<br />

This responsibility includes establishing and maintaining internal controls relevant to the preparation and fair presentation <strong>of</strong><br />

the financial report that is free from material misstatement, whether due to fraud or error; selecting and applying appropriate<br />

accounting policies; and making accounting estimates that are reasonable in the circumstances.<br />

AuDITOR’S RESPONSIBIlITy<br />

Our responsibility is to express an opinion on the financial report based on our audit. We conducted our audit in accordance<br />

with Australian Auditing Standards. These Auditing Standards require that we comply with relevant ethical requirements<br />

relating to audit engagements and plan and perform the audit to obtain reasonable assurance whether the financial report is<br />

free from material misstatement.<br />

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial report.<br />

The procedures selected depend on the auditor’s judgment, including the assessment <strong>of</strong> the risks <strong>of</strong> material misstatement<br />

<strong>of</strong> the financial report, whether due to fraud or error. In making those risk assessments, the auditor considers internal control<br />

relevant to the entity’s preparation and fair presentation <strong>of</strong> the financial report in order to design audit procedures that<br />

are appropriate in the circumstances, but not for the purpose <strong>of</strong> expressing an opinion on the effectiveness <strong>of</strong> the entity’s<br />

internal control. An audit also includes evaluating the appropriateness <strong>of</strong> accounting policies used and the reasonableness <strong>of</strong><br />

accounting estimates made by the directors, as well as evaluating the overall presentation <strong>of</strong> the financial report.<br />

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.<br />

INDEPENDENCE<br />

In conducting our audit, we have complied with the independence requirements <strong>of</strong> the Corporations Act 2001.<br />

AuDITOR’S OPINION<br />

In our opinion the financial report <strong>of</strong> The <strong>Australasian</strong> <strong>College</strong> <strong>of</strong><br />

<strong>Dermatologists</strong> is in accordance with the Corporations Act 2001, including:<br />

a) giving a true and fair view <strong>of</strong> the company’s financial position as at 28<br />

February 2009 and <strong>of</strong> their performance for the year ended on that date;<br />

and<br />

b) complying with Australian Accounting Standards (including the Australian<br />

Accounting Interpretations) and the Corporations Regulations 2001.<br />

HALL CONSULTING GROUP<br />

Chartered Accountants<br />

Level 4, 71-73 Archer Street,<br />

CHATSWOOD NSW 2067<br />

———————————————<br />

Christopher J Hall<br />

Partner<br />

Chatswood<br />

29th April 2009<br />

81


Suite 2A, Level 2, 9 Blaxland Road, Rhodes NSW 2138<br />

PO Box 2065, Boronia Park NSW 2111<br />

Telephone: 61 2 8765 0242 or 1300 361 821 (Australia only)<br />

Facsimile: 61 2 9736 2194<br />

Email: admin@dermcoll.asn.au<br />

www.dermcoll.asn.au

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