Vision Statement - Australasian College of Dermatologists
Vision Statement - Australasian College of Dermatologists
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