Annual report 2010 - Australian and New Zealand College of ...

Australian andNew Zealand Collegeof Anaesthetistsannual report 2010

sampleHeading“To serve the communityby fostering safety andquality patient care inanaesthesia, intensivecare and pain medicine.”CONTENTS:anzca Council 2President’s report 4Chief executive officer’s report 6ANZCA organisation chart 8Awards, prizes and honours 10Policy and government 11Education development,training and assessments 14Primary and final examinations 17International medicalgraduate specialists (IMGS) 19Training accreditation 20ANZCA Trainee Committee 21Fellowship affairs 22Quality and safety 25Research grant awards 29ANZCA Trials Group 31The Anaesthesia and PainMedicine Foundation 32Faculty of Pain Medicine 34Honorary treasurer’s report 42Discussion and analysisof the financial statements 44Financial statements 45Committees 52ANZCA Annual Report 2010 1

sample anzca councilHeadingsampleHeading2ANZCA Annual Report 2010ANZCA CouncilIn accordance with the provisions of theconstitution, nominations were calledfor five vacancies on Council. Ninenominations were received. Dr LindyRoberts and Dr Genevieve Gouldingwere re-elected for a period of threeyears, along with new councillors DrPatrick Farrell, Dr Rodney Mitchell andDr Mark Reeves who had previouslybeen co-opted to Council to fillcasual vacancies.Dr Nicole Phillips completed hertwo-year term as new Fellow councillorin May, and in accordance withthe provisions of the constitution,nominations were called for theresulting vacancy. Four nominationswere received and Dr Justin Burke waselected for the period to May 2012.Back row from left:Dr Patrick Farrell, Dr Mike Richards (ANZCACEO, in attendance), Associate ProfessorDavid Scott, Dr Frank Moloney, ProfessorAlan Merry, Dr Mark Reeves, Dr MichelleMulligan, Dr Justin Burke, Dr GenevieveGoulding, Dr Rodney Mitchell, Dr LeonaWilson, Dr Kerry Brandis.Front row from left (seated):Dr Lindy Roberts (ANZCA Vice-President),Professor Kate Leslie (ANZCA President),Dr David Jones (FPM Dean).ANZCA Annual Report 2010 3

president’sreport“The Council is most grateful to the thousands of Fellowsand trainees who contribute to the College and theprofession on a pro bono basis. The College wouldstruggle to exist without this dedicated commitmentand would fail in its goals of continuous innovationand improvement.”This annual report demonstrates thesignificant progress made by the Collegein a range of areas in 2010. This progressis due to the strong collaborationbetween ANZCA management and themany Fellows who are engaged in thework of the College and in ensuring ourhealthcare system can look after us,our families and our communitiesin the future.Engagement – a strategic priorityThe first of nine strategic priorities forANZCA, as identified in the ANZCAStrategic Plan 2010-2012, is to “increasethe engagement of the College’smembers and the interaction withkey external stakeholders”.In 2010, major steps towards achievingthis goal were taken. A survey of Fellowswas undertaken in mid-2010 with a solidresponse rate of about 50 per cent.Valuable feedback from Fellows wasalso obtained at focus group sessionsheld during the 2010 Annual ScientificMeeting in Christchurch.The ANZCA Fellowship Survey founda high level of satisfaction with ANZCAoverall (71 per cent) and with staff (77per cent) and 60 per cent of Fellowsdescribed the annual subscriptionas reasonable or at least acceptable.The College’s most important roleswere perceived to be quality andsafety, professional standards settingas well as education and training. TheFellows saw particular strengths in theCollege’s professional documents, theannual scientific meeting, the library,publications and communications, andthe support of research by the College.Importantly, the fellowship survey foundthat more than half the Fellowship –55 per cent of respondents – reportedundertaking pro bono roles, mostlyin teaching roles.Feedback was received through thesurvey about how the College canimprove its service to Fellows inrelation to the continuing professionaldevelopment (CPD) program, andsteps have already been taken to ensureimproved ease of access and support,especially since participation in CPDis now mandatory.“Interaction with key external stakeholders”is the second part of the strategic plan’snumber one point. The College’s PolicyUnit made 44 submissions to Australiangovernment and related bodies and afurther eight submissions were madein New Zealand.Media coverage of the College andanaesthesia and pain medicine increasedin 2010. The College’s CommunicationsUnit produced 30 media releases in2010 achieving widespread coveragethroughout Australia and New Zealandand lengthy features appeared in printand on radio. The Annual ScientificMeeting in Christchurch attracted asignificant amount of media coverage.There was also an enormous amountof media coverage in the lead-up to,and during, the National Pain Summitin March.Other strategic prioritiesAlso in keeping with our strategic planpriorities, the College established anOverseas Aid Committee chaired byDr Wayne Morriss from New Zealand.An indigenous health working party forindigenous communities in Australiaand New Zealand and chaired by Dr RodMitchell was also established.Support for research increased withthe College announcing $664,677 for15 projects. ANZCA Fellows were alsoawarded $10.3 million in National Healthand Medical Research Council grants.The College has also enhanced its supportfor Fellows and trainees in quality andsafety through initiatives such as theWebAIRS incident monitoring project.The formation of an Australian andNew Zealand Tripartite AnaestheticData Committee (ANZTDAC) AnalysisSubcommittee and an increased numberof quality and safety articles in theANZCA Bulletin and items in theANZCA E-Newsletter is also indicativeof our College’s commitment to thisimportant area.ExaminationsIn 2010, 492 candidates sat thepharmacology section of the primaryexamination (up from 419 in 2009) witha pass rate of 56.7 per cent. A total of519 candidates (up from 423) sat thephysiology section with a pass rate of55.8 per cent.A total of 269 candidates successfullycompleted the primary examination (371in 2009) and 305 candidates (334 in2009) sat the final examination in 2010with a total pass rate of 74.8 per cent.Another achievement in 2010 was theimplementation of the online in-trainingassessment (ITA) process.EducationAn extensive review of the ANZCAtraining program was completed in 2010and the Curriculum Redesign Projectwas launched. A new ANZCA curriculumframework has been established with arevised curriculum to be developed forimplementation in 2013.In 2010, the College also developed andlaunched the ANZCA Teacher Courseaimed at helping supervisors of trainingand clinical teachers in anaesthesiatraining. A project to scope an onlineteacher program also commenced andthe College continued to develop itse-learning activities.Events and conferencesThe College ran many successfulcontinuing medical education events in2010 including the outstanding AnnualScientific Meeting in Christchurch whichwas attended by 756 full registrants,154 Faculty registrants, 92 exhibitorregistrants and 49 day registrants.Fellows recorded a CPD participationrate of 80 per cent by the end of 2010.CouncilNominations were called for fivevacancies on Council with Dr LindyRoberts and Dr Genevieve Gouldingre-elected for three years.New councillors Dr Patrick Farrell, DrRodney Mitchell and Dr Mark Reeves whohad previously been co-opted to Councilwere elected and Dr Nicole Phillipscompleted her two-year term as newFellow councillor in May. Dr Justin Burkewas elected as her replacement.ConclusionThe College continues to excel in its coreroles of training and continuing educationand promoting professional standardsand patient safety in anaesthesia andpain medicine.ANZCA remains in a strong financialposition with net assets at similar levelsto the previous year.The Council is most grateful to thethousands of Fellows and traineeswho contribute to the College and theprofession on a pro bono basis. TheCollege would struggle to exist withoutthis dedicated commitment and wouldfail in its goals of continuous innovationand improvement.In particular, I would like to acknowledgeour committee members, supervisorsof training, examiners, working groupmembers, inspectors, tutors, communityrepresentatives, the College solicitor andcouncillors for the thousands of hoursthey contribute.I would also like to acknowledge the staffof the College whose professionalismcontinues to increase under theoutstanding leadership of our ChiefExecutive Officer, Dr Mike Richards.We can be very proud of our College’sachievements and as one of the world’sleading medical colleges.Professor Kate LeslieANZCA President4 ANZCA Annual Report 2010ANZCA Annual Report 2010 5

chief executiveofficer’s report“The principal focus of the year centered around educationand training, particularly the development of curriculumframeworks and materials, the development of workplacebasedassessments (WBAs) for the training program, andthe further development of e-learning capability.”The year in review was a very busy onefor ANZCA with significant achievementsbeing made by the College. Some of thehighlights achieved by Fellows supportedby staff in 2010 included that the College:• staged a highly successful AnnualScientific Meeting in Christchurch, NewZealand with more than 1000 delegates;• provided communications, policy andadministrative support to the successfulNational Pain Summit, contributingto a unified position on a NationalPain Strategy;• commenced the Curriculum RedesignProject utilising 31 Fellows to authorrevised content;• successfully completed (with theAustralian Society of Anaesthetistsand the New Zealand Society ofAnaesthetists) the pilot phase ofthe anaesthetic incident monitoringinitiative;• successfully launched the 2.5 daysFoundation Level ANZCA TeacherCourse;• awarded medical research grants tothe value of $664,677;• conducted a pioneering attitude surveyof the fellowship, released the resultsand committed to action to addressthe identified issues;• implemented the online In-TrainingAssessment (ITA) system with morethan 500 ITAs submitted online,viewable by regional education officers/national education officers andsupervisors of training;• developed more than 40 policysubmissions to governmentdepartments, agencies and regulatorybodies in Australia and New Zealand;• expanded the College’s overseas aidprogram delivering Essential PainManagement courses in Lae andPort Moresby, PNG;• continued the growth of professionalsupport to the fellowship with theappointment of two additionalsenior clinicians as directors ofprofessional affairs working in theareas of professional documents andinternational medical graduate specialist(IMGS) processes; and• successfully achieved stage one specialtyrecognition for pain medicine inNew Zealand.Important though these highlightswere, the principal focus of the yearcentered around education andtraining, particularly the developmentof curriculum frameworks and materials,the development of workplace-basedassessments (WBAs) for the trainingprogram, and the further developmentof e-learning capability. Revising thecurriculum is the most importantinitiative of the College for many years,and the Curriculum Redesign Project,which has flowed out of the review, willprovide the foundations for an excitingtraining program in anaesthesia in theyears ahead. The curriculum projecthas involved Fellows and staff workingcollaboratively to achieve a trainingprogram at world’s best practice.The project management stage ofimplementing the revised curriculumwill commence in mid-2011 and continueuntil the curriculum is rolled out forthe 2013 training year.Engagement of FellowsLooking ahead, the College has put inplace plans for 2011 that build upon theinfrastructure developments of previousyears to put a key focus on deliveringbenefits to the fellowship. Key activitiesthrough 2006 to 2009 had focused onmodernising the College’s operations,moving it from an organisation providingbasic secretariat support for the Fellowsto a more professional governanceorganisation better able to support thework of the fellowship through the keycommittees of Council and in EducationDevelopment, Training and Assessments,and the regions.Through 2011 the College will shift thefocus of resource allocation more directlyto Fellows by providing strengthenedsupport for the fellowship in a rangeof important new initiatives – to betterfacilitate the Council’s key objective forFellows to more fully engage with theCollege across a range of areas. Whereprevious focus has been on rebuildinginfrastructure, developing capability,and modernising our key administrativesystems and processes (all of whichhave been important for building astrong foundation for expanded Fellowactivities), activity in 2011 will put anemphasis on the fellowship and supportfor Fellows.In essence, through budget decisions, theCollege is committed in 2011 to providinga dividend to Fellows for the resourcesthey have provided (for example, throughincreases to annual subscriptions)over the last several years to underpinfundamental structural reforms to theCollege and the way it seeks to achieveits important mission.The key features of plans relating tofellowship engagement are initiatives to:• create a new Fellowship Affairsdepartment to enhance support forFellow activity – the new departmentwill bring together the existing unitsand functional centres of continuingprofessional development (CPD),Quality and Safety, the Australian andNew Zealand Tripartite AnaesthesiaData Committee (ANZTADC) and theClinical Trials Group to give a greaterfocus to Fellow-related professionalactivity and provide strengthenedsupport for the related committees;• assist the Fellowship to fulfil mandatoryCPD requirements – significantimprovements are planned to assistin the ease of access to the CPDprogram and provide more extensiveaccess to podcasts and other CPDrelatededucational material. Thisinvolves redevelopment of the CPDdatabase, and a redesign of the CPDsection of the ANZCA website. As well,educational material will be capturedand disseminated for Fellow usethrough podcasts and other media;• enhance support to Fellows in theirroles as clinical teachers, supervisorsof training, and regional educationofficers – in 2011 the College will run anexpanded number of clinical teachingtraining courses, and update thesupervisor of training SOT handbook tobetter support Fellows taking on theseimportant roles. Specifically, a teachercourse (advanced level) will be deliveredin each region, and three pilot coursesof the teacher course (foundation level)will be fully funded in 2011 and held inthree regions;• implement the action programarising from the ANZCA FellowshipSurvey – this will involve a numberof new initiatives to facilitate Fellowengagement with the College, rangingfrom a new Fellows kit to a communityawareness campaign. The new Fellowskit will contain essential informationabout ANZCA and its key activitiesand make it easier for them to engagewith the College. Following on fromthe fellowship survey, the communityawareness campaign will be a staged,three-year project commencing in 2011to explain and articulate the role ofthe profession in modern medicine.The project will establish a baseline ofcommunity attitudes to the profession;develop a communications programto address community perceptionsof anaesthetists; and implementthe program to enhance communityunderstanding and recognition ofthe important work and communitycontribution of the profession;• provide a more user-friendly websiteby enhancing navigability and ease ofuse – the extensive website re-designcontinued through the latter half of2010 and the final enhancementswill be rolled out by mid-2011;• provide a service to those Fellows whocannot attend the annual scientificmeeting (ASM) through an expandedonline multi-media coverage of the event– the successful coverage of the ASMin Christchurch will be enhanced via theCSM e-Newsletter in Hong Kong, videointerviews, photo galleries and podcastsand increased media coverage; and• provide enhanced Fellow supportin the regions by adding to theregional staff resources and improvingaccommodation amenities for regionalcommittees – this involves recruitinga policy officer to the New Zealandoffice to strengthen capability in makingsubmissions to government over crucialissues affecting the fellowship in NewZealand (and potentially in Australia, aswell). It also involves increasing the staffsupport in Tasmania and elsewhere.ConclusionFinally, I would like to thank the Counciland executive of the College – particularlysuccessive presidents, Dr Leona WilsonONZM and Professor Kate Leslie; Vice-President Dr Lindy Roberts; and Deanof Education Professor Barry Baker– for their support in 2010; my seniormanagement team and the staff of theCollege for their dedicated efforts andhard work over the course of the year;and the Fellows and trainees of ANZCA,whose professional interests I have beenprivileged to serve.(Dr.) Mike Richards FAIM, FAICDChief Executive Officer6 ANZCA Annual Report 2010ANZCA Annual Report 2010 7

anzcaorganisationchartANZCA CouncilANZCA Foundation BoardProfessional AffairsChief Executive OfficerANZCA FoundationNew ZealandCorporatePolicy Quality& AccreditationTraining &AssessmentsEducationDevelopmentContinuingProfessionalDevelopmentFinance &BusinessAdministrationCommunicationsInformationTechnologyStrategy &OperationsHumanResourcesFaculty of PainMedicineNZ NationalCommitteesupportGov’t & externalcommunicationsNZ PolicydevelopmentNZ Finance& budgetsExams & TrainingContinuingMedicalEducationSpecial InterestGroupsPresident &Council mattersRegional officesMuseumLibraryArchivesPolicy analysis& adviceFacilityAccreditationQuality & SafetyIMGSResearchTrials GroupANZTADCRegistration& TrainingExamsAssessor SupportTrainee recordsEducation &Training ProgramDevelopment &ImplementationEducation PolicyadviceAssessmentsQuality AssuranceCurriculum ReviewTeacher trainingand developmentContinuingEducationCPD ProgramSpecial InterestGroupsAnnual ScientificMeetingStatutory ReportsManagementaccountsFinancial KPIsExternal AuditAccountsreceivable &payableInvestmentsBusiness analysisBusiness &CommercialDevelopmentInternal auditContractmanagementPublicationsE-NewsletterInternalcommunicationsGovt RelationsMedia RelationsWebsiteComputerhardware andapplicationsoftwareTelephones andfax systemsAudio-visualsANZCA websiteStrategyDevelopment &ImplementationProcessimprovementData qualityConnx-HRISRecruitment& SelectionTraining &DevelopmentIndustrialRelationsEmployeeRelationsFPM strategy& policyBoard andcommittee supportTrainee registrationFPM FinanceExternalcommunicationsRegionalcommitteesFPM EventsBuildingServicesOrganisation chart at December 31, 2010Note: An organisation restructure is planned for April 2011.See the ANZCA website for details.8 ANZCA Annual Report 2010ANZCA Annual Report 2010 9

awards, prizesand honourspolicy andgovernmentCollege AwardsOrton MedalThe Orton Medal is the highest awardthe College can bestow, the solecriterion being distinguished service toanaesthesia. Professor Paul Myles hasbeen recognised for his leadership inthe fields of cardiothoracic anaesthesia,medical research and quality and safetyby the award of an Orton Medal. Thepresentation will be made to ProfessorMyles at the College Ceremony duringthe 2011 Combined Scientific Meetingin Hong Kong.Ray Hader Award for compassionDr Kathyrn Hagen from Auckland hasbeen awarded the Ray Hader Award forcompassion. The award promotes acompassionate approach to the welfareof anaesthetists, other colleagues,patients and the community.Gilbert Brown PrizeThe Gilbert Brown Prize is awardedto the Fellow judged to make the bestcontribution to the free research papersession named the Gilbert BrownPrize Session at each Annual ScientificMeeting.Dr Forbes McGain: “Financial andenvironmental costs of drug trays”.Formal Project PrizeThe Formal Project Prize is awarded tothe trainee, provisional Fellow or Fellowwithin one year of award of the Diplomaof Fellowship, who is judged to make thebest contribution at the Formal ProjectSession held as part of the AnnualScientific Meeting.Dr Peter John Carlin: “Midwifemanagement of epidural analgesiain 2nd stage labour – a survey”.Renton PrizeThe Renton Prize is awarded to thecandidate obtaining the highest marks inthe Primary Examination for Fellowship ofthe Australian and New Zealand Collegeof Anaesthetists.June 2010Dr Vivian V Nguyen (Vic)December 2010Dr Lachlan Fraser Miles (Vic)Cecil Gray PrizeThe Cecil Gray Prize is awarded to thecandidate obtaining the highest marks inthe Final Examination for Fellowship ofthe Australian and New Zealand Collegeof Anaesthetists.June 2010Dr Abhijett Tandel (NSW)December 2010Dr Sheila Hart (NZ)Australia Day HonourProfessor Peter John Ravenscroft AM,has been made a Member of the Orderof Australia for service to thedevelopment of palliative care andmedicine, particularly as an advocatefor improved education of doctors andhealth workers in the therapeuticsof palliative care.Queen’s New Year’s Honours(New Zealand)Dr Hugh Timothy Spencer has beenawarded the New Zealand Order ofMerit (ONZM), Queen’s New Year’sHonours for services to medicine, inparticular to anaesthesia. Dr RobertAlbert Boas has also been awarded theNew Zealand Order of Merit (ONZM),Queen’s New Year’s Honours forservices to medicine, in particular painmanagement.Queen’s Birthday Honours (Australia)Three Australian Fellows were recognisedfor their contributions to anaesthesia andmedical education with the award of aMember of the Order of Australia (AM)in the general division of the Queen’sBirthday honours list.Professor Teik Ewe Oh for service tomedicine, particularly through thedevelopment of protocols for thespecialties of anaesthesia and intensivecare, through leadership rolesin clinical and academic practice, andwith professional bodies.Dr Haydn Perndt for service to medicine,particularly in the field of anaesthesia,to medical education through thedesign and implementation of trainingprograms for health care practitioners indeveloping countries, and to professionalorganisations.Dr Lindsay Ian Worthley for service tomedical education, particularly in thearea of intensive care medicine, as aclinician, mentor and educator, andthrough contributions to professionalassociations.Queen’s Birthday Honours(New Zealand)Dr Leona Wilson was honoured withan Officer of the New Zealand Orderof Merit (ONZM) in the New ZealandQueen’s birthday honours list for servicesto medicine, in particular anaesthesia.Throughout 2010 the College continued to build ANZCA’s standing andcontribution to public policy. Growth in the College’s policy capability overthe last three years is now reaping the rewards of hard work in the formof increasing requests for submissions and related policy developmentactivities. The level of engagement continues to increase as evidencedby ANZCA’s involvement in the array of consultations, committees andworking groups that shape policy.Highlights• Increasing growth in the number ofsubmissions, from 28 in 2009 to 44in 2010.• Ongoing involvement and input into thenational registration and accreditationscheme and new Medical Board ofAustralia (MBA) policy development.• Coordination and referral of increasingrequests on clinical practice standardsand related issues from Fellows andother stakeholders (150).• Development of a comprehensivecommunity representation policy forANZCA and recruitment of additionalcommunity representatives.• Review of professional documentsstatus and associated developmentof a policy framework, in conjunctionwith a newly appointed Director ofProfessional Affairs.• Increased interaction and improvedrelationship with the AustralianGovernment Department of Health andAgeing, including doubling of SpecialistTraining Program training places inprivate hospitals and other expandedsettings, from 13 to 25 for 2011.• Participation in the National Pain Summitin March 2010 and the developmentof supporting documents.SubmissionsThe number and diversity of submissionsprepared by ANZCA continued toincrease in 2010, in response to callsfrom government and related agencies.Through the submission process ANZCAarticulated its position on issues thatimpact on trainees, Fellows, the healthsystem and broader community, drawingon the expertise available within ANZCAand the Faculty of Pain Medicine on thepractice of anaesthesia, pain medicineand related areas.During 2010, ANZCA made 44submissions to bodies including theAustralian Government Departmentof Health and Ageing, the Senate, theNational Health and Medical ResearchCouncil, the Australian Medical Council,the Medical Board of Australia and theAustralian Commission for Safety andQuality in Health Care, on a variety oftopics. The majority of submissions arepublicly available via ANZCA’s website,as detailed below.• Medical Board of Australia – SpecialistRegistration – Registration Standard –December 2010• Australian Commission on Safetyand Quality in Health Care – Patient-Centred Care: Improving Quality andSafety by Focusing Care on Patientsand Consumers – December 2010• Health Quality and ComplaintsCommission – Risk Profiling andDoctors with Multiple Complaints– October 2010• Australian Commission on Safety andQuality in Health Care – National Safetyand Quality Healthcare Standardsand Their Use in a Model NationalAccreditation Scheme– October 2010• Australian Commission on Safety andQuality in Health Care – ConsultationPaper on the Draft National Safety andQuality Healthcare Standards– October 2010• Australian Health Ministers’ AdvisoryCouncil – Draft National Frameworkfor Advance Care Directives– October 2010• Australian Medical Council– Competence-Based MedicalEducation Consultation Paper– September 2010• Health Workforce Australia – ClinicalSupervisor Support Program– September 2010• Medical Board of Australia– Consultation Paper 5 – Proposalsfor Registration Standards– August 2010• Department of Health and Ageing– Medicare Funding for Whole BodyPerfusion (Cardiac Bypass) MBS Item22060 – August 2010• Medical Board of Australia –Consultation Paper 4 – RegistrationStandard (General) and Guidelinefor Supervised Practice for LimitedRegistration – July 2010• NSW Health – Conflict Resolutionin End of Life Settings – July 2010• National Blood Authority – PatientBlood Management Guidelines:Module 1 – Critical Bleeding/MassiveTransfusion – May 2010• National Health and Medical ResearchCouncil – National Guidance onCollaborative Maternity Care– May 2010• NSW Health – NSW Public Health Bill2010 – April 2010• Dental Board of Australia –Consultation Paper on Codes andGuidelines – April 201010 ANZCA Annual Report 2010ANZCA Annual Report 2010 11

policy andgovernmentcontinued• Medical Board of Australia –Consultation Paper on Codes andGuidelines – April 2010• Senate Standing Committee onCommunity Affairs – HealthcareIdentifiers Bill 2010 and HealthcareIdentifiers (ConsequentialAmendments) Bill 2010 – March 2010• National Health and Medical ResearchCouncil – Australian Infection ControlGuidelines – Consultation Draft– March 2010• Medical Board of Australia –Consultation Paper 2 – Proposals forRegistration Standards for LimitedRegistration, a Code of Practice for theMedical Profession and a Revised Listof Specialties and Specialist Titles– February 2010• Australian Commission on Safety andQuality in Health Care – ConsultationPaper on the Draft National Safety andQuality Healthcare Standards– February 2010• National Health and Medical ResearchCouncil – Ethical Issues Involved inthe Transitions to Palliation and Endof Life Care for People with ChronicConditions – January 2010Note: Submissions lodged in2010, available via ANZCA’s website,www.anzca.edu.au/news/submissions-to-governmentMedical Board of AustraliaANZCA was pleased to see the rolloutof the new national registration andaccreditation scheme for the healthprofessions and the establishment of theMedical Board of Australia (MBA).The College submitted a furtherfive submissions in relation to thedevelopment of the registrationstandards and associated guidelines,ensuring they are in alignment withprotecting clinical standards and patientsafety. This brings the total numberof submissions in relation to the newscheme to 15.National Pain SummitThe College was a major sponsor andheavily involved in the National PainSummit that was held in March 2010at Parliament House in Canberra.The summit was the culminationof considerable preparatory workundertaken by the College and otherorganisations to raise the profile of painmanagement and deliver a workableimplementation strategy for change. Thepolicy unit contributed to the formationof the pain strategy and accompanyingsupporting information for government.Community representationFollowing an extensive review, acommunity representation policywas launched in June 2010. The newapproach is based on best practice andinvolves closer collaboration with theConsumer Health Forum of Australia(CHF) and other consumer bodies. TheCHF is a peak organisation that providesleadership in representing the interestsof Australian healthcare consumers. Thisapproach has enabled ANZCA to ensurecommunity and consumer interests areadequately and equitably represented,providing greater transparency indecision-making. Additional communityrepresentatives were sourced forthe international medical graduatespecialists (IMGS) interview panels andthe Education and Training Committee.The College has now transitionedto an annual review of communityrepresentation, aligned with committeemembership more broadly.Professional documents co-ordinationIncreased resources in the policyunit and the appointment of Directorof Professional Affairs (ProfessionalDocuments), Dr Peter Roessler, hasenabled a comprehensive review of thestatus of all professional documents. Inclose liaison with the ANZCA president,a priority-setting activity was undertakenin the latter part of 2010 to assistwith allocation of resources to thoseprofessional documents most in needof review. The review process outlinedin ADP1 Professional Documents isbeing progressively implemented.New ZealandThe New Zealand National Committeeconsidered 54 external and internalconsultation documents and requestsfor representatives during 2010.Key submissions included:• Medical Council of New Zealand(MCNZ) – Vocational Recognitionof Pain Medicine scope of practice.• MCNZ – ANZCA reaccreditationinterim report.• Ministry of Health (MoH) – Review ofthe Health and Disability CommissionerAct 1994 – Right 7 (6) (c).• MoH – legislative barriers to workforceinnovation.• MoH – annual report on protectedquality assurance activities.• PHARMAC – A national approachto hospital pharmaceutical funding.Nominations for Government,statutory bodies and non-Governmentorganisations• Medicines Assessment AdvisoryCommittee (Dr Malcolm Futter).• Health Quality and Safety CommissionBoard (Prof Alan Merry).• MoH – Acute Services in ProvincialHospitals Advisory Group (Dr PaulSmeele, Dr Vanessa Beavis and DrNigel Robertson).• Perinatal and Maternal Mortality ReviewCommittee (Dr Graham Sharpe).• MoH – Elective Services Productivityand Workforce DevelopmentProgramme Steering Group(Dr Vanessa Beavis).• MoH – Concept of Disaster MedicalAssistance Teams Potential Traumaand Surgical Modules Working Group(Dr Maurice Lee).• MoH – New Zealand MaternityStandards Working Group (Dr TedHughes).• MoH – DHB Maternity ServiceSpecifications Working Group (Dr ElaineLangton and Dr John S Walker).• University of Auckland – Research intoMedication Safety in NZ Hospitals(Dr Cornelius Kruger).Opposite page from top: Parliament House, Canberra;NZ Minister of Health, Mr Tony Ryall and formerANZCA president Dr Leona Wilson ONZM.12 ANZCA Annual Report 2010ANZCA Annual Report 2010 13

Education development,training and assessmentscontinuedprimary and finalexaminationsFoundation Teacher Course 2010 schedule and attendanceDate Region/nation Number of participants FPMJuly 16-18, 2010 Vic 12October 13-15, 2010 Rural (held in Vic) 16October 18-20, 2010 NZ 12 1November 15-17, 2010 Qld 12 1Total 52 2In 2010, the College experienced record numbers of candidates sittingthe primary and final examinations. In 2010, 492 candidates sat thepharmacology section of the primary examination with a pass rate of56.7 per cent. A total of 519 candidates sat the physiology section witha pass rate of 55.8 per cent. A total of 269 candidates successfully completedthe primary examination and 305 candidates sat the final examination in2010 with a total pass rate of 74.8 per cent.Advanced levelIn 2010, 12 advanced level one-day courses were delivered with a total of 151participants able to attend. A series of advanced level courses were available andsuitable for anyone involved in teaching ANZCA trainees and those who do not holdformal ANZCA roles but who teach trainees. The CTDWG confirmed that priorities for2011 advanced level course should be the delivery of an advanced level WBA course.Advanced Teacher Course 2010 schedule and attendanceNumberDate Region/nation Topic of participants FPMFebruary 4, 2010 NSW Delivering feedback 11February 12, 2010 WA Delivering feedback 12 1March 10, 2010 NZ Effective supervision 13March 17, 2010 HK Effective supervision 12April 21, 2010 Vic Effective supervision 7 1April 29, 2010 NZ (FPM) Delivering feedback 6 6June 3, 2010 SA/NT Delivering feedback 7July 30, 2010 Qld Delivering feedback 14August 13, 2010 Tas Delivering feedback 6August 14, 2010 Sing Effective supervision 30August 16, 2010 Mal Effective supervision 19August 28, 2010 ACT Effective supervision 6Total 143 8Further details about this work can be accessed at www.anzca.edu.au/edu/projects/teaching-reviewCommitteesPrimary Examination Sub-CommitteeDr Craig Noonan (Chair)Final Examination Sub-CommitteeDr Mark Priestley (Chair)Primary examinationTwo primary examinations were heldduring 2010.March/May 2010One hundred and sixteen (116) candidatessuccessfully completed the primaryexamination. Two hundred and thirtyseven(237) candidates presented forpharmacology of which 113 successfullycompleted the pharmacology section. Twohundred and thirty-one (231) candidatespresented for physiology of which 122successfully completed the physiologysection.Renton PrizeThe Court of Examiners recommendedthat the Renton Prize for the half yearending June 30, 2010 be awarded to:July/September 2010One hundred and fifty-three (153)candidates successfully completed theprimary examination. Two hundred andfifty-five (255) candidates presentedfor pharmacology of which one 166successfully completed the pharmacologysection. Two hundred and eightyeight(288) candidates presented forphysiology of which 168 successfullycompleted the physiology section.Renton PrizeThe Court of Examiners recommendedthat the Renton Prize for the half-yearending December 31, 2010 be awarded to:Dr Lachlan Fraser Miles (Vic)Merit certificatesMerit certificates were awarded to:Dr Sarah Renee Crosby (NSW)Dr Fong Ching Man(HK)Dr Luke Jonathon Heywood (Qld)Dr Wong Man Kin(HK)Final fellowship examinationTwo final fellowship examinations wereheld in 2010.March/May 2010One hundred and sixty-six (166)candidates presented for the medicalclinical and written sections of theexamination and 157 were invitedto attend the anaesthesia vivas inMelbourne. A total of 130 successfullycompleted the final fellowshipexamination.Cecil Gray PrizeThe Court of Examiners recommendedthat the Cecil Gray Prize for the half-yearending June 30, 2010 be awarded to:Dr Abhijett Tandel (NSW)Merit certificatesMerit certificates were awarded to:Dr Angus Neal(NSW)Dr Igor Lemech(Vic)Dr Adam Nettleton(Vic)Dr Vivian V Nguyen (Vic)Dr Alister Boon Tsin Ooi(Vic)Dr Annlynn Kuok(WA)Merit certificatesMerit certificates were awarded to:Dr Anders Bown(Qld)Dr Anthony Hade(Qld)Dr Benjamin Jones(Vic)Dr Gregg Masterson(Qld)Dr Simon Roberts(SA)Dr Torben Wentrup(Qld)Dr Samuel Hong Chang ShaDr Wai Rebecca Pak KeiDr Fong Ching ManDr Luke Jonathon HeywoodDr Samuel Hong Chang ShaDr Gwendolyn-Mary StewartDr Wai Rebecca Pak Kei(Vic)(HK)(HK)(Qld)(Vic)(NT)(HK)Dr Matthew ChiewDr Thomas Fernandez(NSW)(NZ)August/October 2010One hundred and thirty-nine (139)candidates presented for the medicalclinical and written sections of theexamination and 130 were invited toattend the anaesthesia vivas in Sydney.A total of ninety-eight (98) candidatessuccessfully completed the finalfellowship examination.16 ANZCA Annual Report 2010ANZCA Annual Report 2010 17

primary and finalexaminationscontinuedinternational medicalgraduate specialists(IMGS)During 2010, international medical graduate specialists (IMGSs) assessed assubstantial comparable (SC) are required to undertake a period of 12 monthsof clinical practice assessment (CPA) under oversight and a workplace-basedassessment (WBA) to be eligible to apply for fellowship of ANZCA.An IMGS assessed as partially comparable (PC) is required to undertake aperiod of up to 24 months of CPA plus an examination to be eligible to applyfor fellowship. All IMGSs who are categorised as either PC or SC are alsorequired to provide evidence of having completed an Effective Managementof Anaesthetic Crises (EMAC) course (or similar) and to show participationin continuing professional development activities.Cecil Gray PrizeThe Court of Examiners recommendedthat the Cecil Gray Prize for the half-yearending December 31, 2010 be awarded to:Dr Sheila Hart (NZ)Merit CertificatesMerit certificates were awarded to:Dr Charles Warren(NSW)Dr Edward Debenham (WA)Dr Ross Keen(NSW)Dr Joanne Yeo(NSW)Dr Jacobus Geertsema (Vic)International medical graduatespecialists – performance assessmentTwo assessments were held in 2010.March/May 2010Twelve candidates presented for theinternational medical graduate specialists(IMGS) – performance assessment inMelbourne of which three candidateswere successful.August/October 2010Twenty-five (25) candidates presentedfor the international medical graduatespecialist – performance assessmentin Sydney and 12 candidates weresuccessful.Certificate in Diving and HyperbaricMedicineThere were no applications to sitthe diving and hyperbaric medicineexamination in 2010. As a consequence,the College did not hold one.Any IMGS categorised as not comparable(NC) was not accepted in to the IMGSassessment pathway.In Australia, the requirements to becompleted in order to gain recognitionas a specialist in anaesthesia and thosefor eligibility to apply for fellowship ofANZCA are the same. In New Zealand,the criteria for eligibility for vocationalregistration are set by the New ZealandMedical Council following consultationwith the College. The requirementsfor eligibility to apply for fellowship ofANZCA are set by the College.Highlights• 95 IMGS applications were assessed inAustralia and New Zealand during 2010.• 27 WBAs were undertaken in Australiaduring 2010.• 12 WBAs were undertaken inNew Zealand during 2010.• The IMGS Committee now has fivemembers who became Fellows viathe IMGS route.• 76 IMGSs became Fellows during 2010• 1 IMGS was elected to fellowship underregulation 6.3.A number of changes were approved byCouncil in 2010. In Australia the IMGSCommittee undertook a review of theassessment processes for IMGSs with aview to implementing a revised processon February 1, 2011. The new processeswere developed in consultation with therelevant medical boards/councils. Two ofthe key changes to the IMGS assessmentprocess are:• Expanded criteria for exemption fromthe written section of the examination.• That the timeframe for completionof all requirements for eligibilityfor recommendation for specialistrecognition and admission to fellowshipof the College has been reduced fromfive years to four years in line withregistration limitations imposed bythe Medical Board of Australia.During 2010, the College assessed 72IMGSs in Australia. Assessments weremade by four-member panels whichincluded community representation.Interviews were held, on average, oncea month. Criteria assessed includedtraining in comparison with the FANZCA,training program, specialist qualificationand practice as a specialist, experienceas a specialist, and participation incontinuing education and qualityassurance activities by participation ina program comparable to the ANZCAcontinuing professional development(CPD) program.Countries of IMGS origin includedCanada (three), Egypt (two), Germany(eight), India (11), Ireland (two), Israel(one), Malaysia (two), Nigeria (one),Pakistan (one), Slovakia (one), SouthAfrica (10), Sri Lanka (one), Trinidadand Tobago (one), Turkey (one), UnitedKingdom (24), United States (three).Of these applicants, 16 have not yetagreed to attend an interview, 27were determined to be substantiallycomparable (SC), 22 were determinedto be partially comparable (PC), ofwhich 18 require a clinical practiceassessment period of 12 months, eightwere determined to require 24 monthsand one was determined to require18 months.Seven applications were determined tobe not comparable (NC) on the basis thatthe gap between their training and thatrequired for FANZCA was too great forthe IMGS process.During 2010, 76 IMGS were admittedto fellowship.Area of need assessmentsDuring 2010, 16 area of need (AON)assessments, including applicationsfor extension, were undertaken by thedirector of professional affairs (IMGS),according to the College document“Anaesthesia services for areas of need inAustralia”. Of the 16 primary applications,nine have commenced in positions andeight have commenced in the IMGSprocess.New ZealandIn New Zealand, the Medical Council ofNew Zealand (MCNZ) refers overseastrained specialist applications forvocational registration to the College forassessment. As part of that assessmentfor the MCNZ, the College also assessesthe applicant for requirements he or sheneeds to meet for eligibility to apply forfellowship of ANZCA.In 2010, the NZ National Committeeassessed 23 IMGSs. Countries oforigin included Germany (four), Ireland(one), UK (eight), Belgium (one), CzechRepublic (one), South Africa (two), India(one), Sweden (two), US (three).Of these applicants, nine weredetermined to be substantiallycomparable, 11 were determined to bepartially comparable. All were required tocomplete 12 months of clinical practiceassessment. Three were considered tobe not comparable and were thereforenot eligible to enter the ANZCAIMGS pathway.18 ANZCA Annual Report 2010ANZCA Annual Report 2010 19

trainingaccreditationanzca traineecommitteeANZCA accredits hospital departments of anaesthesia and other facilitiesthat comply with its requirements for recognition. Accredited departmentsand facilities must be incorporated into a rotational training scheme andthere must be the opportunity for experience in a rural centre. A groupingof hospitals providing such a program of specialty and sub-specialtytraining constitutes a training program. ANZCA accredits both publicand private facilities.The ANZCA Trainee Committee (TC) is a Committee of Council and isresponsible for considering issues relating to training. The trainee membersare elected from every training region of ANZCA and are supported byCollege staff and councillors. The 2010 Trainee Committee held four meetings,including one face-to-face day at ANZCA House. The committee is a centralpoint of contact for the College to obtain trainee opinion and delegatesfor specific roles.In 2010, 33 facilities were inspected inAustralia and New Zealand. Four of thesewere new accreditations.The following projects are ongoing:• Workload calculations.• Certificate of Approval.Courses Working GroupThe Courses Working Group oversees therunning of courses, which are approvedby Council for ANZCA trainees, andwhere satisfactory completion is anintegral requirement for the awardingof the ANZCA fellowship. The onlysuch course at present is the EffectiveManagement of Anaesthetic Crises(EMAC) course. This is owned byANZCA, and simulation centres acrossAustralia, New Zealand and south-eastAsia are accredited and licensed to offerthe course to ANZCA trainees and otherparticipants.Three simulation centres were reviewedin 2010, and continuing accreditationwas granted to all. There were no newapplications.New Programs CommitteeThe New Programs Committee (NPC)oversees the management of certificatesoffered by ANZCA. Its responsibilitiesinclude consideration of applications fornew certificate programs, monitoringof certificate programs, accreditation ofthe training programs and facilities, andrecommendations to the Council forcertification of practitioners. Currently theonly such certificate is the Certificate inDiving and Hyperbaric Medicine (DHM).No new DHM units were grantedaccreditation in 2010 and one DHM unitlost its accreditation in 2010.There were no new applications foraccreditation in 2010.Trainee representation on CouncilThe ANZCA Trainee Committee isgrateful for the ongoing supportreceived from councillors and ANZCAstaff throughout 2010. The chair of thecommittee was invited this year to be anobserver at Council meetings. This hasbeen an interesting, albeit challenging,adventure. Consultation with thecommittee has continued to be frequentand widespread with good trainee inputinto most ANZCA arenas and certainly allof those that directly relate to training.ANZCA trainees have been wellrepresented on a large number ofcommittees and working groups andin many of the new ANZCA initiativesincluding:• The Assessments, Workplace BasedAssessments and Education andTraining Committees.• The new Examinations Committee.• The Training and AssessmentsCommittee.• The development of ANZCA’scurriculum redesign project.• The new in-training assessment(ITA) form and ITA process roll out.• Testing the new trainee email systemdue out in 2011.Trainees continued to be involvedin working groups that have woundup, including the Clinical TeachersDevelopment and Distance EducationWorking Groups. Trainees were alsoinvolved in the welfare for anaesthestistsand perioperative medicine specialinterest groups.The ANZCA Trainee Committee hascontinued to develop its relationshipswith the Group of Australian Societyof Anaesthetists Clinical Trainees(GASACT) and New Zealand Societyof Anaesthetists (NZSA) traineerepresentatives. The committee has alsobeen represented at the AMA Councilof Doctors in Training and the inauguraltraining day at the Australian Societyof Anaesthetists (ASA) NationalScientific Congress.Committee membership 2010An ANZCA Trainee Committee manualhas been prepared and circulated tothe 2010 committee to facilitate thecontinuation of our good work into2011 and to make the inevitable loss ofcorporate knowledge less detrimental.We have worked on systems of improvingthe handover of communication andhave set the date for the 2011 face-to-facemeeting well in advance.Dr Kathryn HagenChair, ANZCA Trainee Committee20 ANZCA Annual Report 2010ANZCA Annual Report 2010 21

fellowshipaffairsThe ANZCA continuing professional development (CPD) program recordeda participation rate of 80 per cent in 2010. This is an increase of 10 percent over the previous year. Faculty of Pain Medicine (FPM) participationhas improved greatly from 48.3 per cent to 77 per cent. The breakdownof participation by location is summarised below.The number of non-Fellows who areundertaking the program from outsidethe profession has decreased by 4.4per cent. A program of work has beeninitiated to review the processes,communications and systems in theCPD areas in order for participation andsatisfaction levels to increase.In the second half of the year the CPDunit became the Fellowship Affairs unit.Highlights:• Improved CPD participation by ANZCAFellows to 80 per cent (up 10 per cent).• Increased CPD participation by FPMFellows to 77 per cent (up nearly 29per cent).• Non-Fellow CPD participation hasdecreased by 4.4 per cent.• CPD becomes Fellowship Affairs.Cpd ParticipationANZCA Australia New Zealand Singapore Hong Kong Malaysia Other TotalCPD participation 2847 451 18 107 13 70 3506% 83 89 28 57 31 45 80Fellows 3425 506 64 187 42 154 4378FPMCPD participation 171 18 4 10 0 11 216% 81 82 50 100 0 38 77Fellows 210 22 8 10 1 29 280Non Fellow Australia New Zealand Singapore Hong Kong Malaysia Other Total2010 Participation 85 127 0 0 0 6 218Decrease of 4.4%2009 Participation 88 134 0 0 0 6 228Special Interest Group EventsThe Airway Special Interest Group (SIG)held its inaugural conference at theMantra Erskine Resort in Lorne, Victoria.It took place from March 19-21 andregistrations peaked at 220. The themeof the meeting was “Airway weekend”and interest from the healthcare industry(HCI) was extremely positive with 11exhibitors involved in the meeting.The Day Care SIG Conference was heldon April 30, 2010 at the ChristchurchTown Hall, New Zealand. Seventy ninedelegates and four HCI exhibitorsregistered to attend the meeting whichwas themed “Day surgery – is it foreveryone?”The Rural SIG held its third annualmeeting on Hamilton Island from July 4-6with the theme “Jack of all trades”. Themeeting was well supported with morethan 100 delegates and a larger numberof exhibitors than in previous yearsproving the concept of an annual meetingwith a rural focus has support amongFellows of the College as well as generalpractitioner anaesthetists who accountedfor almost a third of the delegates.The Neuroanaesthesia SIG conferencetook place from July 9-11 at the SheratonMirage, Port Douglas, Queensland.A total of 106 Fellows registered withfive trade displays complementing themeeting. The conference was consideredvery successful by all attendees witha highlight being the keynote speakerProfessor Adrian Gelb from the US.The Combined Education, Simulation,Welfare and Management SIG Meetinghad 125 registrants and was held atthe Sheraton Mirage, Port Douglas,Queensland from September 24-26.22 ANZCA Annual Report 2010ANZCA Annual Report 2010 23

Fellowshipaffairscontinuedquality and safetyEleven HCI organisations supportedthe meeting. There was much praisefor the visiting speakers from theTRIAD consulting group who arebased in the US.Anzca Annual Scientific Meeting(Asm)Christchurch, New Zealand – May 1-5The annual scientific meeting (ASM) ofthe College and Faculty took place at theChristchurch Convention and ExhibitionCentre. Associate Professor Ross Kennedyconvened the conference with the theme“How meets why – clinical practiceand the science behind It”. Dr RichardFrench was the Deputy Convenor andDr Mark Waddington organised a verysuccessful scientific program. ProfessorTed Shipton was the Faculty of PainMedicine Convenor and oversaw the FPMprogram. The conference welcomed 756full registrants, 154 Faculty registrants,92 exhibitor registrants and 49 dayregistrants. Conference Innovators was theprofessional conference organiser (PCO).International visitors included ANZCAASM Visitor Professor Talmage Eganfrom the US, FPM ASM Visitor ProfessorJeffrey S Mogil from Canada, AustralasianVisitor and Douglas Joseph Professor,Professor Paul Myles from Australia,Pain Medicine Visitor’s Lecturer ProfessorRichard W Rosenquist, US, andOrganising Committee Visitor ProfessorSteven Shafer, US. Industry supportedspeakers included Professor GerardManecke and Dr Daniel Sessler whoboth were from the US.The ASM was supported by a strong HCIexhibition. Dr Sue Nicoll and Dr DebbieGoodall successfully organised thesocial program, with the highlight beingthe Gala Dinner which was held at theWestpac Arena. Robbie Deans, coach ofthe Australian rugby team delivered theoration at the College Ceremony.The New Fellows Conference wasthemed “Anaesthesia and adventure” andwas held prior to the start of the ASM atHanmer Springs. Dr Karen Ryan was theNew Fellows Convenor. The Faculty ofPain Medicine Refresher Course Day washeld on April 30 and themed “Creativepain management: One goal, multipleapproaches”.Named LecturesEllis Gillespie LectureANZCA ASM Visitor: Professor TalmageEgan (US)“Pharmacodynamic interactions:hypnotics and opioids”.Michael Cousins LectureFPM ASM Visitor: ProfessorJeffrey S Mogil (Canada)“What’s wrong with animal modelsof pain?”Mary Burnell LectureFPM ASM Visitor: Professor Michael(Monty) Mythen (UK)“Why is it easier to get doctors to thetop of Mount Everest than it is to changetheir clinical practice?”Australasian Visitors LectureAustralasian Visitor and Douglas JosephProfessor: Professor Paul Myles (Aus)“Stochasticity in clinical medicine”Pain Medicine Visitor’s LectureProfessor Richard W Rosenquist (US)“Perineural catheter techniquesfor postoperative pain managementat home”The ASM Committee LectureProfessor Steven Shafer (US)“Unsolved mysteries of anaesthesia”Prize Winners – 2010Gilbert Brown Prize:Dr Forbes McGain“Financial and environmentalcosts of drug trays”Formal Project Prize:Dr Peter John Carlin“Midwife management of epiduralanalgesia in 2nd stage labour – a survey”Renton Prize:Dr Alexander Smirk, April 2009Dr Queenie Hoi Ying Tung,September 2009Cecil Gray Prize:Dr James Jarman, May 2009Dr Louise Ellard, October 2009WorkforceAt the end of 2010, there were 4950(active and retired) Fellows of the College.Of that number, 27 per cent are femaleand 73 per cent are male. There were 308new Fellows admitted in 2010.Geographical distribution was as follows:2010 Fellows New FellowsAustralia 3861 243ACT 66 7NSW 1210 65Qld 775 51SA/NT 365 24Tas 104 6Vic 950 57WA 374 33New Zealand 558 43Hong Kong 198 11Malaysia 50 3Singapore 71 2Other 212 6Total 4950 308The number of anaesthetists admitted toFellowship by training and examination in2010 was 231. There were also 76 Fellowsapproved via the international medicalgraduate specialist (IMGS) pathway.There was one new Fellow approvedvia the election to fellowship pathway.The purpose of the Quality and Safety Committee is: “To assist Councilin actively advancing the mission of ANZCA to serve the communityby fostering safety and quality in patient care in anaesthesia, intensivecare and pain medicine”.Highlights:• The committee reviewed andcontributed to 10 governmentsubmissions to various organisationsincluding the Australian Commissionfor Quality and Safety in Healthcare;National Health and Medical ResearchCouncil and Australian Council onHealthcare Standards.• Dr Peter Roessler joined the committeeas the Director of Professional Affairs.• Twenty quality and safety articles werepublished in the ANZCA Bulletin and16 articles in the ANZCA e-Newsletter.• The Special Committee InvestigatingDeaths Under Anaesthesia (SCIDUA)celebrated its 50th anniversary.• The Australian and New ZealandTripartite Anaesthetic Data Committee(ANZTADC) formed an AnalysisSubcommittee.• Each national and state committeeof ANZCA has appointed a Qualityand Safety Officer.Quality and Safety information atthe Annual Scientific Meeting(ASM), ChristchurchTwo sessions were particularly relevantto quality and safety: “Why Bad ThingsHappen to Good People”, and a “Qualityof Recovery” symposium.External submissions, reviewsand projectsThroughout 2010, the committeereviewed and contributed to 10submissions. In addition, volunteerswere found to represent the College ona variety of working groups, projects,reviews of external guidelines and inseveral workshops.Work undertaken by the six Qualityand Safety portfoliosEvidence-based medicine portfolio(Associate Professor David Scott andProfessor Alan Merry)Dr Peter Roessler joined the Quality andSafety Committee in 2010 as the Directorof Professional Affairs.The following documents were approvedby Council in 2010. APD1 ProfessionalDocuments and the accompanyingbackground paper. TG4 Equipmentto Manage a Difficult Airway duringAnaesthesia and the accompanyingbackground paper (presently intheir pilot phase).The following documents are underreview:• PS46 Recommendations for Trainingand Practice of Diagnostic PerioperativeTransoesophageal Echocardiographyin Adults• PS28 Guidelines on Infection Controlin Anaesthesia• PS10 Guidelines on the Handover ofResponsibility During an Anaesthetic• PS20 Recommendations onResponsibilities of the Anaesthetist inthe Post-Anaesthesia PeriodCommunication/liaison portfolio(Dr Patricia Mackay)ANZCA BulletinTwenty articles were published in theQuality and Safety section of the ANZCABulletin and 16 articles were publishedin the ANZCA e-Newsletter, includinga number of alerts, warnings andrecommended reading.The items for the Bulletin are increasingwhich is gratifying. Of note are theregular reports from ANZTADC, andthe current series of reports on airwayaccidents, aimed at promoting awarenessabout the problem of “Can’t IntubateCan’t Oxygenate” scenarios. It has beensuggested by Associate Professor PamMacintyre that a similar exercise could beundertaken for acute pain management,an area where adverse outcomes arestill occurring in the context of failuresto observe essential safeguards in themanagement of patients.24 ANZCA Annual Report 2010ANZCA Annual Report 2010 25

quality and safetycontinuedEmergency Care ResearchInstitute (ECRI) reportsConsideration should be given to theusefulness of the Ecri reports and also,if they are to be continued, all suchreports should be published in boththe Bulletin and the E-Newsletter.The communication/liaison portfolioagreed to a process for the timely reviewand publication of alerts from theAustralian and New Zealand TripartiteAnaesthetic Data Committee’sWebAIRS site.Clinical indicators portfolio(Dr Margie Cowling andProfessor Paul Myles)Dr Cowling and Professor Myles havehad input into the development ofthe Australian Council on HealthcareStandards.Legal Matters portfolio(Mr Michael Gorton, Mr Bruce Corkill,QC, and Professor Alan Merry)Valuable advice and commentary wasprovided to the Quality and SafetyCommittee regarding a range oflegislation and draft documentation.Mortality portfolio(Dr Neville Gibbs)The Mortality Working Group Meetingwas held in Melbourne on April 16. Thismeeting is usually held annually beforeor during the ANZCA Annual ScientificMeeting (ASM). However, this year itwas more convenient for the majorityof members to hold the meeting inMelbourne, prior to the April Quality andSafety meeting, as the ASM was beingheld in Christchurch, NZ. During themeeting updates were received fromall regions:• In NSW, David Pickford replacedProfessor Ross Holland as chairman ofSCIDUA. New legislative requirementsare being introduced in NSW under thePublic Health Act to mandate reportingof all unexpected deaths, includingdeaths during, within 24 hours of, ordue to anaesthesia. This legislationwas necessary as a result of changes tothe Coroner’s Act. SCIDUA is lobbyingto have “or sedation” addedto “anaesthesia”.• In Victoria there is a new Public Healthand Wellbeing Act, which includeslegislation to support mandatorynotification of anaesthesia mortalityand major morbidity to the VictorianConsultative Council on AnaestheticMortality and Morbidity (VCCAMM).VCCAMM is liaising with the CoronialOffice to improve communicationand capture of all anaesthesia-relateddeaths.• In Western Australia, there will be anattempt by the Health Department toidentify all deaths within 48 hours of asurgical procedure. It is hoped that thislist can be used to cross-check againstreceived anaesthetic mortality reports.• Dr Margaret Walker indicated in awritten report that the TasmanianAnaesthetic Mortality Committee hasbeen functioning well in associationwith the Tasmanian Audit of SurgicalMortality, and will be able to providedata for the 2006-2008 Triennial Report.• In South Australia, plans to re-establishan anaesthetic mortality committee arewell advanced. The committee’s draftterms of reference were discussed. It isenvisaged that the new committee willbe functional in 2011 and will cover theNorthern Territory as before.• In New Zealand the formation of aPeri-operative Mortality Committeeas a ministerial advisory committeehas been approved and draft termsof reference have been circulated forcomment. The committee is nowestablished, with Dr Leona Wilsonas its deputy chair.• In the ACT there are plans to establisha Mortality and Morbidity Committee,but the current model would not allowfeedback to anaesthetists or release ofdata. Dr Steve Brazenor is continuing tonegotiate with authorities in the ACT.• There have been no furtherdevelopments in Queensland in relationto its Anaesthetic Mortality Committee,which remains non-functioning.SCIDUA 50th AnniversaryThe NSW Anaesthesia CME meetingon August 14 recognised the 50thAnniversary of the foundation of SCIDUA.PublicationsA paper entitled “Anaesthetic-RelatedMorbidity in Victoria: A report from1990 to 2005” was published by DrLarry McNicol and Dr Pat Mackay onbehalf of VCCAMM in the Septemberissue of Anaesthesia and Intensive Care.This report was notable because itaddressed anaesthetic morbidity aswell as mortality.An editorial in Anaesthesia and IntensiveCare, entitled “Milestones in AnaesthesiaMortality and Morbidity Reportingin Australia”, was published by DrNeville Gibbs which accompanied theAnaesthetic Related Morbidity Report.These editorials were recognised at the50th Anniversary of SCIDUA.2006-2008 Triennial ReportDuring the year the timeline forpreparation of the 2006-2008 triennialreport was set. It was anticipated thatdata would be received from NSW,Victoria, WA and Tasmania. Data areexpected by February 2011, and a draftreport should be available for discussionat the April Mortality Working Groupmeeting. Meanwhile, a request was madeto the Australian Institute of Healthand Welfare for data on the numberof anaesthetics performed in the fourparticipating states over the triennium.Change of Quality and Safety OfficerIt was with considerable regret that theworking group received the news thatMs Pauline Berryman would not becontinuing in the position of Quality andSafety Officer. Pauline Berryman hadmade an outstanding contribution to theactivities of the group and, in particular,to the preparation of the 2003-2005triennial report. The group welcomedMs Giselle Collins, the new Quality andSafety Officer. The group would like tothank both Ms Berryman and Ms Collinsfor their assistance and contributionsduring the year.Dr Neville GibbsMember of Mortality Working GroupAustralia and New Zealand TripartiteAnaesthesia Data Committee(AnztadC) Professor Alan MerryThis committee is a joint initiativeof ANZCA, the Australian Society ofAnaesthetists (ASA) and the NewZealand Society of Anaesthetists(NZSA). It relates to the College throughthe Quality and Safety Committee. Itsmedical director is Adjunct ProfessorMartin Culwick, who has provided thefollowing report:During 2010, the ANZTADC continuedto collect data from the pilot sites untilthe pilot phase was completed at theend of August 2010. At this stage, 252incidents had been collected. Threepublications based on these data werereleased in the bulletins and newslettersof the ANZTADC parent organisations.Presentations or workshops took placeat the following conferences during 2010.- ANZCA/NZSA CSM in ChristchurchMay 2010- Victorian 31st Annual Combined CMEmeeting, July 2010, Melbourne- ASA NSC October 2010, Melbourne.Program development continued withan administration system and ananalysis program.At the May 2010 meeting, alertsand analysis subcommittees wereproposed. It was decided to combinethese committees into a single AnalysisSubcommittee and this subcommitteemet for the first time in October 2010.A data analyst has been appointed andattended the analysis workshops as wellas the ANZTADC meeting in October2010.While I was on vacation in the USA inJune 2010, I arranged to meet with DrRichard Dutton, the Executive Directorof the Anesthesia Quality Institute (AQI).We were able to exchange ideas relatingto quality and safety in anaesthesia andagreed in principle to co-operate in thearea of incident monitoring as well asother areas of patient safety.A proposal to allow electroniccommunication with external softwaresuch as anaesthetic record keepingsystems or patient databases wasproposed at the October 2010 meeting.Such communication was approvedin principle and ANZTADC is in theprocess of developing suitable agreementdocuments.A proposal was made at the Octobermeeting to allow external analysers tojoin the Analysis Subcommittee. Anagreement has been made in principleand suitable agreement documents arebeing developed at present.In October 2010 the web-basedanaesthetic reporting system (WebAIRS)program was released throughoutAustralia and New Zealand. There hasbeen a good response. Twenty-four siteshad completed the registration processby December 2010, 14 in Australia and10 in New Zealand. A further 79 havecommenced the process. The lattersites are being followed up and offeredfurther assistance. The memorandumof agreement for pilot sites is beingrewritten to suit the change from pilot toregistered site status for organisationssubmitting data to ANZTADC.Offers to present at the 2012 ASM andNSC are being made at present.In conclusion, 2010 resulted incontinuing progress for the developmentof WebAIRS by ANZTADC. Release ofpreliminary results has commenced andthe program has been released. Thereare now 24 sites reporting and hopefullymany more will complete the processin 2011. ANZTADC has commencedsetting up communication pathways withlike-minded organisations such as theAQI in the US and the NPSA in the UK.Presentations have been made at themeetings of ANZCA, the ASA and NZSAin 2010 and are planned to continuein 2011.Adjunct Professor Martin CulwickMedical Director ANZTADC26 ANZCA Annual Report 2010ANZCA Annual Report 2010 27

esearch grantawardscontinuedANZCAtrials groupDoes adjunctive therapy withminocycline improve pain in burnspatients when initiated on admissionto hospital? A prospective randomisedcontrolled trialDr David Lindholm, The Alfred hospital,Melbourne, Australia$21,019A genome-wide association study onthe genetics of anaesthetic awarenessProfessor Jamie Sleigh, Waikato Hospital,New Zealand; Professor Kate Leslie, RoyalMelbourne Hospital; Associate ProfessorAndrew Davidson, Associate ProfessorDavid Amor, Royal Children’s Hospital,Victoria.$60,000A randomised double-blind placebocontrolledtrial of the efficacy ofRemifentanil for procedural painin neonatesDr Susan Lord, Dr Ian Wright, JohnHunter Children’s Hospital, Newcastle,Australia.$41,540Physico-chemical compatibility ofintravenous paracetamol (Perfalgan)with commonly used analgesic drugsDr Edmond O’Loughlin, FremantleHospital, Western Australia$10,624Does gabapentin reduce itch in childrenwith acute severe burns? A prospectiverandomised double-blinded controlledstudyDr Andrew Weatherall, Dr Wanda Yung,Children’s Hospital at Westmead,Australia.$27,430Ultrasound transmission gel: anassessment of neurotoxicityDr David Belavy, Royal Brisbane andWomen’s Hospital, Queensland.$19,318Simulation/education grantsThe impact of assessment on lifeand learningAssociate Professor Jenny Weller,Dr Marcus Henning, Dr Boaz Shulruf,Dr Rain Lamdin, University of Auckland,New Zealand; Professor Brian Jolly,Monash University, Australia.$22,800Reflective practice in anaesthesiatraineesDr Natalie Smith, Wollongong Hospital,New South Wales.$7,750Academic Enhancement GrantInnovations in perioperative physiology,monitoring and careAssociate Professor David Story,Associate Professor Philip Peyton,Associate Professor Larry Mc Nicol,Austin Health, Victoria.$90,000Grant reviewers for the 2011grant roundAssociate Professor Brian AndersonDr Michael BarringtonDr Guy BashfordDr Malcolm BattinProfessor Duncan BlakeAssociate Professor Frank BloomfieldDr Simon BodyDr Robert CallisterProfessor McDonald ChristieAssociate Professor David CotteeProfessor Jeff CutfieldAssociate Professor Andrew DavidsonDr Mark DaviesDr Arthur DawsonDr Iain DohertyDr Alan DuncanDr Patrick FarrellProfessor Julia FlemingDr Neville GibbsProfessor Tony GinDr Jodi GrahamDr Paul GrayDr Peter HarriganDr Chris HayesProfessor Michael HensleyDr Andrew HiltonDr Graham HockingDr Malcolm HoggDr Jay HorvatProfessor Michael IrwinProfessor Gareth JonesAssociate Professor Ross KennedyDr Michal KlugerDr Helen KolawoleDr Alex KonstantatosDr Tim LeongAssociate Professor Ross MacphersonDr Stuart MarshallProfessor Nick MartinAssociate Professor Joerg MattesDr Colin McArthurDr Cate McIntoshProfessor Ian F C McKenzieProfessor Elspeth McLachlanProfessor Catriona McLeanDr Jeff MogilDr John MorganDr Richard MorrisDr Sandra PeakeDr Philip PeytonDr Mark PriestleyDr Richard RileyProfessor Colin RoyseAssociate Professor Carlos ScheinkestelProfessor Stephan SchugDr Andrew ShawDr David SidebothamProfessor James SleighProfessor Maree SmithProfessor Andrew SomogyiAssociate Professor David StoryDr Suellen WalkerDr Stephen WattsProfessor Johanna WestbrookDr Dan WheelerProfessor Fiona WoodDr Paul WrigleyThe ANZCA Trials Group has 13 executive committee members from Australiaand New Zealand, and functions as a collaboration between Monash Universityand ANZCA. Its goals include to provide high quality research support toCollege Fellows, trainees and staff in areas such as survey research, the PilotGrant Scheme administration and ANZCA publications; to provide highquality research support to existing multi-centre studies in anaesthesia,perioperative and pain medicine; to provide high quality research support tonew and emerging multi-centre studies in anaesthesia, post-operative andpain medicine; and to develop collaborations with other trials groups,nationally and internationally.ANZCA Trials Group membershipTrials Group Chair, Associate ProfessorDavid Story (Vic)Trials Group Coordinator and ResearchFellow, Ms Stephanie Poustie (Vic)Associate Professor Matthew Chan (HK)Associate Professor Tomas Corcoran (WA)Associate Professor Andrew Davidson(Vic)Dr Richard Halliwell (NSW)Professor Kate Leslie (ex officio) (Vic)Professor Alan Merry (ResearchCommittee Representative) (NZ)Professor Paul Myles (DEPM Head, Vic)Professor Michael Paech (WA)Dr Mark Reeves (Tas)Professor Stephan Schug (FPMRepresentative) (WA)Associate Professor David Scott(co-op for Alan Merry, Vic)Associate Professor Tim Short (NZ)Highlights• ATACAS attracts an NHMRC grantof $3.3 million.• POISE-2 Study attracts an NHMRCgrant of $1.36 million.• Pilot Grant of $5000 awarded to theBalanced Study.• The REASON Audit is published.• Annual Strategic Research Workshopattracts 35 participants.Research Grant AwardsThe Trials Group won two NHMRCgrants in 2010. The first was for ATACAS(Professor Paul Myles), an additionalgrant of $3.3 million, and the POISE2 Study received $1.36 million. ChiefInvestigator and national coordinatorfor the POISE 2 Study is Professor KateLeslie. Other investigators includeProfessor Paul Myles and ProfessorMichael Paech and Associate ProfessorDavid Story.Annual Scientific MeetingChristchurch New ZealandThe presenters at the Trials Groupsession were Associate ProfessorDavid Story, on the REASON results;Associate Professor Andrew Davidson,on international trials; and Ms StephaniePoustie on research governance. Theannual Trials Group ASM luncheonincluded 22 investigator and researchnurse participants from Hong Kong,New Zealand and Australia.Annual Strategic DirectionsResearch WorkshopThe second annual workshop washeld on October 1 and attracted 35participants including anaesthesiaresearch nurses for the first time.Presenters from last year who wererecipients of research grants in 2010were Dr Elizabeth Hessian and AssociateProfessor Tomas Corcoran (ANZCAGrants) and Professor Paul Myles andProfessor Kate Leslie (NHMRC Grants).Surveys and the Pilot Grant SchemeIn 2010 seven surveys were facilitated forFellows, one for a trainee and anotherfour that did not proceed were reviewed.One 2010 Pilot Grant of $5000 wasawarded to Associate Professor TimShort for the Balanced Study.PublicationsThe REASON Audit has been publishedin Anaesthesia: Complications andmortality in older surgical patients inAustralia and New Zealand (the REASONstudy): a multicentre, prospective,observational study. Story DA, Leslie K,Myles PS, Fink M, Poustie SJ, ForbesA, Yap S, Beavis V, Kerridge R; onbehalf of the REASON Investigators,Australian and New Zealand College ofAnaesthetists Trials Group. Anaesthesia2010; 65 (10):1022-1030.Current researchATACASRecruitment for the Aspirin andTranexamic Acid for Coronary ArterySurgery Trial (ATACAS Trial) involvesmore than 1100 patients with 15 activesites and another 12 sites expectedto participate in 2011. Sites includeAustralia, Canada, Hong Kong, India,China and the United Kingdom.ENIGMA-IIAt over 3700 patients, recruitment for theNitrous Oxide Anaesthesia and CardiacMorbidity after Major Surgery Trial(ENIGMA II Trial) is ahead of schedule.There are 32 active sites around theworld with another 11 sites expected toparticipate in 2011.POISE-2 StudyA large, international, placebo-controlled,factorial trial to assess the impactof clonidine and aspirin in patientsundergoing noncardiac surgery who areat risk of a perioperative cardiovascularevents is the next large multi-centreresearch project to come under thebanner of the ANZCA Trials Group. Thisresearch comes from the PopulationHealth and Research Institute (PHRI)at McMaster in Ontario, Canada.30 ANZCA Annual Report 2010ANZCA Annual Report 2010 31

The Anaesthesiaand Pain MedicineFoundationDuring 2010, the Anaesthesia and Pain Medicine Foundation continuedto establish the necessary framework and planning to move forward, inparticular determining strategies and systems to build capacity for the future.Notwithstanding the continuing difficult financial conditions, support fromFellows and sponsorship from the healthcare industry in 2010 has continuedand we are extremely grateful for their commitment to the Foundation.Highlights• Foundation donations and sponsorshipincome of $207,292.• A 25 per cent increase in funds availableto support research grants.• Fifteen Fellows joined the PatronsProgram.• The foundation changes its name tothe Anaesthesia and Pain MedicineFoundation.• Dr Leona Wilson, ONZM joined thefoundation board.PurposeThe objectives of the foundation are:• To raise funds for medical research andeducation in Australia, New Zealandand internationally.• To foster contributions to thefoundation from Fellows, medicalcolleagues, industry and philanthropicorganisations and individuals.• To promote and raise awareness ofanaesthesia, perioperative medicine andpain medicine research and education.Year in reviewDuring 2010, the foundation undertooka study to obtain an overall picture of thevalue of support given to ANZCA by thehealthcare industry. Each departmentwithin the College, regional offices andNew Zealand contributed to the studywhich showed the overall support toANZCA being $1.3 million. The needfor the foundation to complete thisstudy was driven by the necessity tohave a clear and accurate picture ofthe support to the College prior to thefoundation commencing a further phaseof introduction and engagement withnew healthcare industries.Following the circulation of thefoundation’s promotional material,including details of the patrons andbequest programs, 15 Fellows joined thePatrons Program. All Fellows who joinedthe Patrons Program made a bequestor donation to the foundation and wereacknowledged in the December ANZCABulletin.In August 2010, the College Councilapproved a recommendation fromthe foundation board to change thefoundation’s name from the ANZCAFoundation to the Anaesthesia and PainMedicine Foundation. This change isaimed at increasing awareness in thewider community and to reflect thepurpose for the foundation’s fundraisingcampaign. Planning for the introductionof the foundation to the wider communitycontinued with the development of aresearch highlights document outliningmedical research successes that havebeen supported by ANZCA.Dr JB Craig was formally presentedwith a certificate to officially record hisimportant appointment as the inauguralgovernor of the foundation and his namehas been recorded in perpetuity on thefoundation honour board at the College.The presentation of the certificate washeld in the new ANZCA offices in Perthin October and was attended by familymembers and colleagues of Dr Craig. In1987 Dr Craig donated $100,000 to theCollege to support research by Fellows,particularly in Western Australia andspecifically in the area of pain medicine.The JB Craig Award is administeredby the foundation and the ResearchCommittee. At its meeting in September,the Research Committee awarded the2011 JB Craig Research Award to DrPhillip Finch for his project “Adrenergicreceptor involvement in an animal modelof complex regional pain syndrometype I”.Dr Leona Wilson, ONZM, the formerpresident of the College took up a threeyearappointment to the board of thefoundation effective from August 2010.Foundation boardThe foundation is governed by acommunity-based board chaired byProfessor Michael Cousins, AM, aformer president of ANZCA. Ms QuentinBryce, AC, Governor General of theCommonwealth of Australia is thefoundation’s patron.Members:Mr John Astbury FAICD (Vic), Mr NeilBatt AO (Vic), Mr Michael Gorton AM(Vic), Ms Yvonne Kenny AM (UK), MrGeoff Linton FICAA (Vic), Mr KierenPerkins OAM (Qld), Mr James Strong AO(NSW), Dr Leona Wilson ONZM (NZ).Ex officio members:Professor Kate Leslie, MBBS, MD, MEpi,FANZCA, FAICD – ANZCA President (Vic);Professor Alan Merry ONZM, FANZCA,FFPMANZCA, FRCA – Chairman, ANZCAResearch Committee (NZ);Associate Professor David Scott FANZCA,FFPMANZCA, PhD – Deputy Chairman,ANZCA Research Committee (Vic).Organisations supportingthe foundationThe Anaesthesia and Pain MedicineFoundation gratefully acknowledges thesupport of the following organisations:Mundipharma Australia Pty Ltd(Founding Sponsor)Pfizer Australia Pty Ltd(Founding Sponsor)St Jude Medical Australia Pty Ltd(Founding Sponsor)Schering-PloughThe Anaesthesia and Pain MedicineFoundation Board.Back row from left: Professor Kate Leslie,Mr Kieren Perkins, Mr John Astbury,Mr Neil Batt.Centre row from left: Mr James Strong,Professor Michael Cousins, Mr Geoff Linton,Mr Michael Gorton.Front: Professor Alan Merry.Absent: Dr Leona Wilson, Ms Yvonne Kennyand Associate Professor David Scott.32 ANZCA Annual Report 2010ANZCA Annual Report 2010 33

faculty ofpain medicine“An increase in funding of $39.1 million over four yearsto establish a network of persistent pain services across(Queensland) was achieved.”Highlights• Application for specialty recognitionin New Zealand advanced to stage 2of the two-step process.• Contributed to the National PainSummit in Canberra and resultingNational Pain Strategy.• Delivery of a successful continuingeducation program in New Zealand andthe Australian regions.• Publication of the third edition of AcutePain Management: Scientific Evidenceand circulation to Fellows and trainees.• Appointment of the first FPM Directorof Professional Affairs.• A fourth FPM regional committee wasformed in South Australia.• Developed a professional document onthe use of opioid analgesics and a twopageguidance checklist for prescribers.The Faculty of Pain Medicine is on track toreach the 300 Fellows mark in early 2011.Better provision for pain managementis gradually making it onto the agendasof state governments and healthdepartments, with funding allocationsmade in some cases. More organisedadvocacy for patients with persistent painis under way, with increasing momentumas Painaustralia picks up promoting theNational Pain Strategy arising out ofthe National Pain Summit early in 2010.We know there is much unmet need inthis field. We also know that apart fromclinical knowledge and its applicationthere is especially need for innovativetypes of service configuration and modelsfor care delivery. This especially bringsopportunities and openings for newFellows after training to consider thenew positions being created and to showleadership in these challenging times.Board and CommitteesDr Penny Briscoe stepped down as Deanof the Faculty in May 2010 followingher two year tenure but continued hercommitment to the ongoing developmentof the Faculty, remaining on the Boardand Executive. Penny’s leadership andsignificant contributions to the Facultyduring her time as Dean were recognisedat the Board Meeting and AGM in May.Dr David Jones, FANZCA was elected asDean and Dr Brendan Moore, FANZCA asVice-Dean. Dr Max Majedi, FANZCA, inthe capacity of WA Regional CommitteeChair, was co-opted to the Board as theWA representative. In May, Dr LindyRoberts, ANZCA Vice-President, waswelcomed to the Board as ANZCA Councilrepresentative replacing Dr Kerry Brandis.FPM BoardDr David Jones, FANZCA (Dean,Chair Relationships Portfolio), NZDr Brendan J Moore, FANZCA(Vice-Dean, Chair, Trainee AffairsPortfolio), QldDr Penelope A Briscoe, FANZCA(Immediate Past Dean, Chair FellowshipAffairs Portfolio, Assistant Assessor), SAAssociate Professor R Leigh AtkinsonAO, FRACS (Past Dean, Chair ResourcesPortfolio), QldDr Carolyn A Arnold, FAFRM (RACP), VicDr Guy Bashford, FAFRM (RACP)(Chair, Continuing Education andQuality Assurance Committee), NSWDr Raymond Garrick, FRACP(Chair, Examinations Committee), NSWDr Christopher Hayes, FANZCA(Chair, Research Committee), NSWDr Max Majedi, FANZCA(co-opted WA representative), WADr Frank J New, FRANZCP (Assessor),QLDDr Lindy Roberts, FANZCA (ANZCACouncil Representative), WAProf Edward A Shipton, FANZCA(Chair, Education Committee), NZCommitteesExecutive CommitteeEducation CommitteeExamination CommitteeTraining Unit Accreditation CommitteeResearch CommitteeContinuing Education and QualityAssurance CommitteeRegional CommitteesSub-CommitteesSupervisors of Training Sub-CommitteeBlueprinting Sub-CommitteeStrategic planningA number of initiatives relating to theFaculty’s 2010-2012 Strategic Plan wereadvanced in 2010 and are included in thisreport. The key priorities are to:• Increase the level of education andtraining in pain medicine.• Develop and communicate the Faculty’sposition on the scope of practice anddelivery models for pain management.• Set high standards for pain medicinepractice.• Build the Faculty and Fellowshipnumbers.• Increase the support for QualityAssurance and Research.• Increase the profession’s/Faculty’sprofile with external stakeholders.• Support the Primary Care sector in painmanagement knowledge and resourcesRelationships PortfolioLiaison with CollegesThe Faculty continued its efforts toestablish and maintain links withparticipating colleges.Australian and New Zealand Collegeof AnaesthetistsThe ANZCA/FPM Working Partycommenced a review of the positionof the FPM, its Dean and Board, and itsFellows in the governance structure ofANZCA. It has now been made explicitthat the FPM Dean is a full director ofANZCA and able to vote in Council, withthe limitation that he/she cannot be anofficer bearer or officer of the Council.Recommendations include extending thesame privileges as FANZCA members’to non-FANZCA Fellows, now pendingANZCA Council deliberation. The Facultyis now well represented on relevantANZCA committees, and has an overallgood working relationship with ANZCA.Opportunity arose during the ANZCAcurriculum redesign project to support apoint of view regarding pain managementknowledge and skills to be retained andenhanced within the training of a generalscope anaesthetist. Pain medicineis proposed as one of the clinicalfundamentals.From the Faculty point of view this is agood result, given there were alternativepossibilities now that we have a separateFaculty training program. The intentionof strengthening anaesthetist skills inthis area aligns with the frequent caseexposure anaesthetists have where painis one of the major issues to be dealtwith effectively from an early interventionperspective. This contributes topromoting prompt patient recovery whichin turn impacts on length of stay andtherefore overall healthcare costs.To date volume of practice requirementsin the redesigned training program havenot been determined.Royal Australasian College of SurgeonsIn mid-2010, the Royal AustralasianCollege of Surgeons (RACS) Councilapproved the development of a Sectionof Pain Medicine under their FellowshipServices Section, chaired by AssociateProfessor Leigh Atkinson. This focusgroup will provide an identified routefor communications.Dr Graham Campbell, the Chair of theFellowship Services Committee of RACSmet with the Board in August to discussthis development and other areas ofcollaboration including the opportunityto develop a pain module for early inyoung surgeons’ training. Another keyarea identified is to increase currentknowledge and education, particularlyaround persistent pain after surgery.The 2010 RACS Annual ScientificCongress included a full training sessionon pain.Australasian Faculty of RehabilitationMedicine (Royal Australasian Collegeof Physicians)Dr Kathy McCarthy, President of theAustralasian Faculty of RehabilitationMedicine (Royal Australasian Collegeof Physicians) met with the Board inOctober to discuss opportunities forcollaboration and sharing of trainingresources. Subsequently, Facultytrainees have been given access toAFRM bi-national training programsessions of relevance to their training.Liaison has also been established at anadministrative level, with reciprocal inputto e-newsletters. Other opportunities forreciprocation are being explored.Royal Australian and New ZealandCollege of PsychiatristsPsychiatrists have continued to beinvolved in all the activities of the Facultyof Pain Medicine, clinically and in all theorganisational activities.Planning commenced for the annualmeeting of psychiatrist Fellows ofFPMANZCA to occur in conjunctionwith the Australian Pain Society AnnualScientific Meeting. A symposium hasbeen arranged at this meeting, with theintention of demonstrating to the severaldisciplines attending the activities ofpsychiatrists in pain medicine.Liaison with colleague psychiatristswho are not Fellows of the FPM is beingencouraged and will be assisted by thework of Professor George Mendelson,who has commenced negotiations withinthe International Association for theStudy of Pain (IASP) for a special interestgroup for psychiatrists.Royal Australian and New ZealandCollege of Obstetricians andGynaecologistsWork continued on an educationaldocument on persistent pelvicpain in women with the input of amultidisciplinary group including painmedicine, physiotherapy, psychology andtwo RANZCOG Fellows.An update article for the Australian andNew Zealand Journal of Obstetrics andGynaecology and a Faculty professionaldocument are being progressed. InNovember 2010, four FPM Fellows gavepresentations in a well-received sessionon persistent pelvic pain in women at theRANZCOG annual scientific meetingin Dunedin.Royal Australian College ofGeneral PractitionersIncreasing the primary care sector’sknowledge and skills in painmanagement is a strategic objectiveof the Faculty. The Royal AustralianCollege of General Practitioners hasformed a National Network for PainManagement. In December the Facultyand the Royal Australian College ofGeneral Practitioners submitted a jointapplication to the BUPA Foundation forfunding to develop an on-line modulareducational program for primaryhealthcare professionals to address painmanagement. A response is anticipatedin April.34 ANZCA Annual Report 2010ANZCA Annual Report 2010 35

faculty ofpain medicinecontinuedSupervisors of trainingA supervisors of training (SOTs)agreement was developed by the SOTSub-Committee and was circulated toall SOTs for signature. The documentincludes a declaration of the SOTs’responsibilities.An Advanced Level ANZCA TeacherCourse focusing on “Delivering feedback”was held for FPM SOTs in conjunctionwith the Annual Scientific Meeting inChristchurch.Four Faculty representatives attendeda Committee of Presidents of MedicalColleges (CPMC) EducationalSupervision Workshop at ANZCA House.BlueprintingFocus groups were convened inQueensland, NSW and Victoria to assistwith the development of a detailedstatement that describes a pain medicinespecialist, so that agreement can bereached on the core knowledge andskills specific to a pain specialist fromany background. Feedback from thesefocus-groups will be valuable in theongoing development of the curriculum,training and examination processes toachieve the desired objectives. A 0.2full-time equivalent medical educator willbe recruited in 2011 to help progress thisinitiative.FPM trainee lunchA FPM trainee lunch was convenedduring the ASM and was well attended.Key Faculty office bearers were present torespond to questions about the trainingprogram. Two trainees spoke abouttheir Faculty training and examinationexperiences and provided valuable insightto new trainees.Medical student prizeAs part of its strategic plan to increasethe level of education and training in painmedicine, an undergraduate medicalstudent prize is being piloted. All medicalschools have been given the opportunityto apply for the award. Ten prizes, eachof $500 and a certificate, will be awardedto the best undergraduate students inpain medicine in the last two years ofundergraduate training.ExaminationsTwenty candidates sat the FPMexamination at the Barbara Walker Centrefor Pain Management, St Vincent’sHospital, Melbourne in November 2010.Sixteen candidates were successful with apass rate of 80 per cent.The examination report has beenpublished on the Faculty website as aresource to Fellows as well as trainees.Dr Ming Chi Chu (Hong Kong) andAssociate Professor David Scott (ANZCAChair, Examinations) observed theexamination.A two and a half day pre-examinationshort course was held at the RoyalAdelaide Hospital in October and wasattended by 20 trainees.Three new examiners, Dr CharlesBrooker, Dr Mark Russo and DrMartine Holford, were appointed to theexamination panel and Dr Greta Palmerand Professor Ted Shipton and ProfessorPeter Reilly were reappointed for afurther three-year period. This takes theexamination panel to 33 (FANZCA – 20,FRACP – three, FRACS – three, FRANZCP– three and FAFRM(RACP) – four.Training Unit AccreditationThe Faculty accredits training unitsto provide approved training in painmedicine for Faculty of Pain Medicinetrainees. Accreditation is based oninformation provided in a questionnaireto the unit and a site visit by Facultyreviewers to assess a unit’s ability toprovide training and supervision ofthe required standard, and its degreeof compliance with FPM professionaldocuments.In 2010, the Kowloon East Cluster PainManagement Centre, Hong Kong andFremantle Hospital, WA were accreditedfor pain medicine training. There are twounits accredited in south-east Asia. TheRoyal Adelaide Hospital (SA), NepeanHospital (NSW), Royal MelbourneHospital (Vic), Royal Perth Hospital (WA)and the Auckland Regional Pain Service(NZ) were re-accredited following on-sitereviews. Flinders Medical Centre (SA)and St Vincent’s Hospital (NSW) wereapproved for continued accreditationfollowing successful paper reviews.There are now 25 accredited painmedicine training units in Australia,New Zealand, Singapore and Hong Kong.A workshop for the Faculty’s panel ofreviewers, facilitated by the CognitiveInstitute, was convened at ANZCAHouse in August and attracted themajority of Faculty reviewers who learneduseful interviewing skills. The valuablecontribution of Faculty reviewers isacknowledged.Fellowship Affairs PortfolioFellowshipIn 2010, the number of Fellows admittedreached 294, of whom ten are honoraryand 132 admitted through training andexamination. Of the 280 active Fellows,212 were based in Australia, 20 in NewZealand and 48 in other countries. Thosewhose primary specialty is anaesthesiamake up 65 per cent of the Fellowship.Twenty-three Fellows were admitted toFellowship in 2010; 19 by training andexamination, three by election and oneHonorary Fellow. Although the majorityof trainees continue to be anaesthetistsby primary specialty, 2009 admissionsincluded two general practitioners(the first GP admissions to the Faculty,by training and examination), twogynaecologists, one psychiatrist, threerehabilitation physicians and one PhD.Awards, prizes and honoursDr Bob Boas (NZ) – appointed as anOfficer of the New Zealand Order ofMerit (ONZM) in the new year’s honourslist in recognition of services to medicine,in particular pain management.Professor Peter Ravenscroft (NSW) –appointed as a Member of the Order ofAustralia in the Australia Day honourslist in recognition of services to thedevelopment of palliative care andmedicine.Professor Tess Cramond (Qld) – awardedhonorary fellowship of the Faculty of PainMedicine, College of Anaesthetists ofIreland.Dean’s PrizeDr Rutha Nerlekar (SA) “Placebo vsnocebo questioning for pain evaluationafter caesarean section”.The Dean’s Prize is awarded for originalwork in the area of pain, presented in theFPM Dean’s Prize/Free Papers sessionat the Annual Scientific Meeting, judgedto be a significant contribution to PainMedicine and/or Pain Research.Barbara Walker PrizeDr Rebecca Martin (NSW)The Barbara Walker Prize is awardedto the candidate obtaining the highestmarks in the pain medicine examination.Merit awardsDr Nicholas Christelis (Vic)Dr Frank Thomas (NZ)Merit award certificates recognise a passwith merit in the Faculty examination.Continuing Education and QualityAssuranceScientific meetingsAssociate Professor Pam Macintyre wasappointed FPM Annual Scientific MeetingOfficer in May 2010 and has sinceprovided support and guidance to theFaculty’s scientific convenors, as well asrepresenting the Faculty on the ANZCAFellowship Affairs Committee.A number of successful FPM educationalactivities took place in 2010:Refresher Course Day and AnnualScientific MeetingFPM Scientific Convenor, Professor TedShipton, and the FPM local organisingcommittee and the international andlocal speakers delivered an excellentprogram for the Faculty’s AnnualRefresher Course Day and AnnualScientific Meeting in Christchurch inMay. More than 110 delegates attendedthe Refresher Course Day to hear 12speakers give presentations with a themeof “Creative pain management: One goal,multiple approaches”.At the ASM, Professor Jeffrey Mogil(FPM ASM Visitor) from Canadadelivered the Michael Cousins Lecture“What’s wrong with animal models ofpain?” and Professor Richard Rosenquist,from the US (FPM NZ Visitor) presentedon “Perineural catheter techniquesfor postoperative pain managementat home”.Over 300 delegates attended the firstconcurrent session focusing on acuteperioperative pain. The FPM free paperssession attracted a disappointing numberof papers and efforts will be made in 2011to encourage greater participation.FPM/RACGP Progression in Pain DayIn conjunction with the RACGP, theFaculty hosted a continuing medicaleducation day “Progression in pain –from hospital to home” in Adelaidein May. Invited speakers Dr MichaelFredrickson (anaesthetist, Auckland)and Dr Malcolm Dobbin (public healthphysician, senior medical advisor onalcohol and drugs to mental health anddrugs division Victorian departmentof health) led the program.Annual Spring MeetingThe 2010 Spring Meeting, “Transitionsin pain”, gave prominence to themodels of care sub-theme with excellentpresentations from international andnational speakers. Keynote speakers DrCathy Price (UK), Professor Garry Eggerand Professor Brian Broome contributedto a thought-provoking conference.Future meetingsPlans are advanced for the Faculty’s2011/2012 meeting program:• 2011 Refresher Course Day, Hong Kong:“Pain Management: Getting Closer tothe Dragon Pearl”, May 13.• 2011 Combined Scientific Meeting,Hong Kong – May 14-15. FPM CSMVisitor: Professor M Catherine Bushnell(Canada). FPM Hong Kong Visitor:Professor You Wan (China). SAHKVisitor: Prof Spencer Liu (US).• 2011 Spring Meeting, Canberra: “Anexploration of the pain/musculoskeletalpolemics – policies, proceduresand pragmatics” - October 28-30.International speaker: Dr Lars Arendt-Nielsen (Denmark).• 2012 Refresher Course Day and AnnualScientific Meeting, Perth – May 11-13.FPM ASM Visitor: Dr Dan Bennett (US)and FPM Perth Visitor: Dr Henrik Kehlet(Denmark).• Dr Michael Vagg was confirmed as the2013 FPM scientific convenor.Continued professional developmentAs a guest of the February 2011 ANZCACouncil meeting, Dr Joanna Flynn,Chair of the Medical Board of Australia,confirmed that those specialistsregistered in more than one specialtywere not required to carry out “adouble dose” of CPD commitments.She reiterated that it was up to thespecialist colleges to determine whereit was appropriate to recognise the CPDprograms of another college in meetingtheir own requirement. This is especiallyrelevant to Faculty Fellows.Following confirmation that satisfactorycompliance with a continuingprofessional development (CPD)program is mandatory for ongoingregistration with the Medical Board ofAustralia (MBA), FPM will define thestandard to be met for CPD in painmedicine. A breakdown of statisticalinformation relating to FPM and CPDcan be found on page 22.ResearchThe FPM Research Committee continuedits focus on promoting a culture ofresearch to its Fellows and trainees.Faculty Fellows were well represented inthe ANZCA Research Awards for 2010,with four of the 12 projects pain projects.The JB Craig Award, to support researchby Fellows, particularly by WesternAustralians and especially in the areaof pain medicine, administered by theANZCA Research Committee, wasawarded to:Dr Phillip Finch (WA)“Adrenergic receptor involvement inan animal model of complex painsyndrome type”.National pain outcome initiativeThe Faculty recognised that a nationalpain outcome initiative is an importantway ahead for gaining the informationneeded to make quality improvementsin services and a sub-committee hasbeen formed to progress this.38 ANZCA Annual Report 2010ANZCA Annual Report 2010 39

faculty ofpain medicinecontinuedA pilot collaborative outcome projectinvolving two centres in Victoria andNSW was commenced by two boardmembers. Research involves the analysisand benchmarking of quantitative datacontained in questionnaires completedby study participants from January 2010to January 2012.Professor David Currow, Palliative CareOutcome Centre (PCOC) met with theBoard in February and provided valuableadvice on the process of establishingsuch an initiative.ProfessionalNational specialist registrationTerminology for national specialistregistration was confirmed as “specialistpain medicine physician” and Fellows areencouraged to use this title.Recognition of pain medicine asa specialty – New ZealandAfter lengthy delays arising fromchanging processes within the MedicalCouncil of New Zealand (MCNZ),the Faculty’s application for specialtyrecognition in New Zealand wasadvanced with stage one of the two-stepprocess being assessed and approvedand an invitation to proceed to stagetwo received on December 24. Theyrequested a submission by June 30 2011.Before then, the MCNZ is required togazette the intention to recognise painmedicine as a vocational specialty andmake wider consultation in accord withthe HPCAA Act (2003). Stage two isexpected to take six to 10 months.Acute Pain Management: ScientificEvidence (APM:SE) 3rd EditionThe third edition of the acute painguidelines was launched at the NationalPain Summit in Canberra on March 11and subsequently circulated to all ANZCAand FPM Fellows and trainees.This publication, endorsed by theNHMRC and many national andinternational bodies, provides accessto the most up-to-date science andpractice on acute pain management.Of equal importance, there is much newinformation about effective managementof acute pain as a preventive strategy toreduce the risk of progression from acuteto chronic pain.This third edition was brought to fruitionthrough the enormous commitmentof Associate Professor Pam Macintyreand Associate Professor David Scott,Professor Stephan Schug, Dr Eric Visserand Dr Suellen Walker.Policy/governmentAnnual reports were provided to theAustralian Medical Council and MedicalTraining Review Panel. The Facultycontributed to a growing numberof submissions including:• Australian Commission on Safetyand Quality in Health Care - ClinicalHandover Pilot Program• Australian Commission on Safetyand Quality in Health Care – PatientCentred Care: Improving Quality andSafety by Focusing Care on Patientsand Consumers• Australian Commission on Safety andQuality in Health Care – ConsultationPaper on the Draft National Safetyand Quality Healthcare Standards(Aug 2010)• Australian Medical Council –Competence based medical educationconsultation paper• Australian Medical Council – SpecialistRegistration – Registration Standard• NHMRC – Ethical issues involved in thetransitions to palliation and end of lifecare for people with chronic conditions:A Discussion Paper for patients, carersand health professionals• Health Quality and ComplaintsCommission – Risk Profiling andDoctors with Multiple complaints• Health Workforce Australia – ClinicalSupervisor Support Program• NHMRC – National Guidance onCollaborative Maternity Care• Medical Board of Australia –Consultation Paper 5 on SpecialistRegistration• Medical Board of Australia – Consultationon Codes and Guidelines• Medical Specialist Outreach AssistanceProgram – Indigenous Chronic Disease(MSOAP-ICD) GuidelinesNational Pain SummitThe National Pain Summit in Canberrain March 2010 brought together thelargest cross-section of stakeholders everfocused on a single health policy initiative– to elevate chronic pain as a significantissue on the political and healthcareagenda.The Summit was addressed by theAustralian Health Minister, Hon.Nicola Roxon MP. It was facilitatedby Dr Norman Swan and chaired byProfessor Michael Cousins. The Facultywas represented by Dr Penny Briscoe,Associate Professor Leigh Atkinson,Dr Carolyn Arnold and Dr Chris Hayes.ANZCA/FPM support to the Summitwas provided in the form of projectmanagement, venue and administrativesupport and communications expertise.As well as developing a powerfulnew website home page, the ANZCACommunications unit was instrumentalin attracting a high level of media interestand wide coverage, both in the lead up to,and following the summit.Following the summit, a steeringcommittee, with FPM/ANZCArepresentation, progressed the formationof Painaustralia Limited, a nationaladvocacy body aimed at “Working toprevent and manage pain” and chairedby Mr James Strong, AO. AssociateProfessor Milton Cohen (past FPM Dean)is the ANZCA/FPM nomination to thePainaustralia Board. As a “Category A”member, the College has committed inkind support to Painaustralia untilJune 2011.International Pain SummitThe Faculty endorsed the Declaration ofMontreal, resulting from the InternationalPain Summit held in Montreal inSeptember 2010, which states that accessto pain management is a fundamentalhuman right.Resources PortfolioPain Medicine JournalA new contract was negotiated with theAmercian Academy of Pain Medicineto include an institutional onlinesubscription to Pain Medicine forthe College.StaffA new position of FPM administratoraccreditation and communications wasdeveloped to support the FPM TrainingUnit Accreditation Committee, coordinateFaculty communications (including thewebsite, Synapse, trainee e-newsletterand contributions to the ANZCA Bulletin,ANZCA E-Newsletter and Staff Update),and to assist with the coordination ofFaculty events.FinanceThe operating result for the Facultyshowed a favourable variance againstbudget for 2010. This was a result of ahigher number of new Fellows, carefultravel budgeting and strong attendanceand healthcare industry support atFaculty continuing medical educationevents. A budget for 2011 was establishedto provide adequate funding to meetthe requirements of expanding Facultyactivities.Dr David JonesDeanRelationshipsPortfolioLiaisonCommitteeEducationCommitteeTrainee AffairsPortfolioPanel of Examiners 2010Dr Carolyn A ArnoldAssociate Professor R Leigh AtkinsonDr Penelope A BriscoeDr Charles BrookerDr Wilbur ChanDr Richard W M ChyeAssociate Professor Milton L CohenProfessor Michael J CousinsDr Meredith J CraigieDr Matthew R CrawfordDr Raymond GarrickDr C Roger GouckeDr Paul D GrayDr David W GronowDr Newman L HarrisDr Martine HolfordDr David JonesExaminationCommitteeANZCA CouncilFPM BoardExecutive OfficerTUACFellowshipAffairs PortfolioAssessorDr Kok E KhorDr Lynette K LeeAssociate Professor Pamela E MacintyreDr Diarmuid G McCoyProfessor George MendelsonDr Frank J NewDr Dianne PaceyDr Greta M PalmerProfessor Peter ReillyDr Bruce F RounsefellDr Marc RussoProfessor Edward A ShiptonDr Melissa A VineyDr Eric VisserDr Owen D WilliamsonDr Paul J WrigleyCE&QACommitteeResourcesPortfolioResearchCommitteeFPM organisation chart at December 31, 201040 ANZCA Annual Report 2010ANZCA Annual Report 2010 41

HonoraryTreasurer’sreport“The sound financial position of the Collegeis a reflection of the loyalty and dedication ofcouncillors, committee members, Fellows andstaff throughout Australia, New Zealandand south-east Asia.”This is my first treasurer’s report sinceassuming the role of Honorary Treasurerin May 2010, and I am pleased to reportthat ANZCA finished 2010 in a verysound financial position, with net assetsof $20.429 million and no debt.The operations of the College produceda deficit of $715,366 (in 2009 theCollege achieved an operating surplusof $1.683 million); however year-onyearcomparisons are distorted by theseparation from the College of the JointFaculty of Intensive Care Medicine(JFICM) at the end of 2009. I willcomment further on this result later inthis report. For the second successiveyear, the College investments providedpositive returns with earnings of $721,432in 2010 compared with $980,408 in 2009.The budget for the 2011 year, approvedby Council in November 2010, anticipatesa minor operating deficit. This does notrepresent a move away from the principleof planning for a break-even result atthe operational level without relianceon the performance of the investmentportfolio. This principle has served theCollege well over the past two yearsduring economically challenging timesworldwide. The 2011 budget merelyreflects the particular conditions thatthe College will face including the HongKong Combined Scientific Meetingwhich has a one-off surplus sharingarrangement with the Hong Kong Collegeof Anaesthesiologists. The investmentearnings will continue to be used to buildon the corpus of the portfolio providinga basis for financing future capitalinvestments and maintaining the levelof research funding.Statement of comprehensive incomeThis is a summary of the revenue,expenses and surplus from the activitiesof the College.As mentioned above, the comparisonsbetween 2010 and 2009 are significantlydistorted by the separation of JFICM toform the new College of Intensive CareMedicine. In 2009, JFICM contributed$2.555 million in revenue offset by $1.238million of expenses as reflected in theattached financial statements.In 2010 without that JFICM contribution,overall revenue from operating activitiesfor the year was $19.363 million ($20.505million in 2009). Expenses totalled$20.078 million ($18.823 million for2009), leaving an operating deficit of$715,366 (surplus of $1.683 million in2009). The lower result came throughreduced revenue from key activityareas, again largely as a result of JFICM:registration, training and exam fees(down $779,344) and meeting andcourse income (down $627,291); partiallyoffset by increases in subscriptionsand entry fees (up $135,895) and otherincome, including Anaesthesia andPain Medicine Foundation sponsorshipand donations, international medicalgraduate specialist (IMGS) assessmentsand expense recoveries (up $128,645).Expenditure growth was held to $1.256million whereas the growth in theprevious year had been $1.667 million.Whilst volatility continued to affectinvestment markets, it is pleasing toreport that the College investments(comprising the investment portfolioand interest bearing operational bankaccounts) followed on from the 2009positive return of $980,408 with a furtherpositive result of $721,432. The result wasdriven by income earnings of $782,443,partially offset by unrealised capitallosses of $61,011. Whilst this is pleasing,indications are that in 2011, investmentmarkets will still face volatility and someuncertainty, further reinforcing theCollege approach of minimal relianceon investment earnings to fundoperational activities.The surplus from investments allowed fora small consolidated surplus of $6066 tobe achieved, compared to $2.663 millionin 2009. The asset transfer to the newCollege of Intensive Care Medicine in2009 of approximately $1 million underthe terms of the separation of JFICMmeant that the net surplus for 2009was $1.684 million. Minor exchangetranslation differences between theNew Zealand and Australian dollarat balance date, resulted in the totalcomprehensive income for the yearbeing a negative $1894.Statement of financial positionThis is a summary of the assets, liabilitiesand equity position of the College.Over the year, the net assets of theCollege were maintained at $20.429million compared to $20.430 million atthe end of 2009 despite the net assettransfers to JFICM.The maintenance of the net assetposition with no debt after the JFICMseparation is an indication of the soundfinancial position of the College.Statement of cash flowsA further indication of the sound financialposition of the College is the cashholdings of $4.267 million at the end of2010. This is $372,563 greater than 2009.The College operations produced a netcash outcome of $1.480 million partiallydriven by strong receipts for 2011 eventsand subscriptions which was sufficientto fund net investment spending oncapital asset purchases and growing theportfolio of $1.108 million.CommentsIn 2011 and beyond, Council iscommitted to maintaining a directionthat ensures financial sustainability andprudent use of retained surpluses thatwill enable us to take up opportunitiesand to invest wisely in the future.The sound financial position of theCollege is a reflection of the loyalty anddedication of councillors, committeemembers, Fellows and staff throughoutAustralia, New Zealand and south-eastAsia. Without their continued support theCollege would not be in the position it istoday. I would like to acknowledge thatcommitment on behalf of the College.Dr Lindy RobertsHonorary Treasurer42 ANZCA Annual Report 2010ANZCA Annual Report 2010 43

discussion and analysisof the financialstatementsfinancialstatementsInformation on Australian andNew Zealand College of AnaesthetistsConcise Financial ReportThe financial statements and disclosuresin the concise financial report have beenderived from the 2010 Financial Report ofthe Australian and New Zealand Collegeof Anaesthetists (ANZCA).A copy of the full financial report andauditor’s report will be sent to anymember free of charge, upon request.The discussion and analysis is providedto assist the members in understandingthe concise financial report.The discussion and analysis is basedon ANZCA’s consolidated financialstatements and the informationcontained in the concise financial reporthas been derived from the full 2010Financial Report of ANZCA.The College is a company limited byguarantee that has no share capitaland declares no dividends. The Collegeis exempt from income tax pursuantto Section 50-5 of the Income TaxAssessment Act 1997.Statement of comprehensive incomeOperating activities for the year resultedin a deficit of $715,366 compared toa surplus of $1,682,576 in the prioryear. This was offset by the investmentearnings of $721,432 ($980,408 in 2009)resulting in a net surplus for the year of$6066. This compared to a net surplusof $1,683,985 in 2009 which was affectedby the transfer of net assets of $978,999to the new College of Intensive CareMedicine under the terms of a Deedof Assumption and Release.Total operating revenue decreased by5.6 per cent to $19,363,015, whilstoperating expenditure rose by 6.7per cent to $20,078,380. It should benoted that year on year comparisonsare distorted by the separation of theJoint Faculty of Intensive Care Medicine(JFICM) at the end of 2009.Statement of financial positionTotal assets increased by 5.6 per centor $1,671,760. The major contributorsto this were the continued recovery inthe value of the investment portfolioand the increase in current assetsreflecting a higher level of prepaymentsand subscription debtors comparedto 2009. Total liabilities increased by$1,673,654 primarily due to higher levelsof subscriptions, examination and traineefees relating to 2011. The result of this isthat net assets remain at a similar level;$20,428,606 compared to $20,430,500last year.Statement of changes in equityTotal equity for the year remained virtuallyunchanged at $20,428,606, a reductionof $1894 on 2009. This arose from thenet effect of the surplus of $6066 beingoffset by a loss on exchange translationdifferences of the New Zealand assetsand liabilities of $7960.Statement of cash flowsCashflow for the year increased by$372,563 primarily reflecting the netimpact of operating activities andinvestment activities.Statement of Comprehensive Income for the financial year ended December 31, 20102010 2009$ $RevenueSubscriptions and entry fees 6,523,076 6,387,181Registrations, training and exam fees 7,099,458 7,878,802Meeting and course income 3,850,716 4,478,007Other income 1,889,765 1,761,120TOTAL REVENUE FROM OPERATING ACTIVITIES 19,363,015 20,505,110ExpensesEmployee costs 9,339,487 8,247,071Facilities 2,284,052 2,231,801Travel and events 4,479,557 4,826,734Information technology 1,177,272 1,030,191Professional services 1,757,947 1,395,373Other expenses 384,366 629,423Research grants 655,700 461,941TOTAL EXPENSES FROM OPERATING ACTIVITIES 20,078,380 18,822,534Surplus/ (Deficit) from operating activities (715,366) 1,682,576Income from non-operating activitiesInvestment Income 721,432 980,408SURPLUS FOR THE PERIOD 6,066 2,662,984Asset transfer at nil consideration - JFICM - (978,999)NET SURPLUS 6,066 1,683,985Other comprehensive incomeExchange translation differences (7,960) 23,838TOTAL COMPREHENSIVE INCOME FOR THE PERIOD (1,894) 1,707,823Total revenue for the 12 monthsended December 31, 2010Registrations, trainingand exam fees $7,099,458Other income $1,687,590Donations $202,175Total expenses for the 12 monthsended December 31, 2010Employee costs$9,339,487Facilities $2,284,052Travel and events$4,479,557Meeting and courseincome $3,850,716Subscriptions andentry fees $6,523,076Information technology$1,177,272Professionalservices $1,757,947Other expenses $384,366Research grants $655,70044 ANZCA Annual Report 2010ANZCA Annual Report 2010 45

financialstatementscontinuedStatement of Financial Position as at December 31, 20102010 2009$ $AssetsCurrent assetsCash and cash equivalents 4,266,527 3,893,964Trade and other receivables 4,643,562 4,241,472Other financial assets 86,920 86,920Other 1,497,048 1,181,705Total current assets 10,494,057 9,404,061Non-current assetsProperty, plant and equipment 11,023,645 11,301,585Intangible asset 436,998 -Other financial assets 9,525,987 9,103,281Total non-current assets 20,986,630 20,404,866Total assets 31,480,687 29,808,927LiabilitiesCurrent liabilitiesTrade and other payables 2,161,515 2,487,247Provisions 192,691 239,384Other 8,535,328 6,564,957Total current liabilities 10,889,534 9,291,588Non-current liabilitiesProvisions 162,547 86,839Total non-current liabilities 162,547 86,839Total liabilities 11,052,081 9,378,427Net assets 20,428,606 20,430,500EquityRetained earnings 20,412,728 20,406,662Exchange rate revaluation reserve 15,878 23,838Total equity 20,428,606 20,430,500Statement of Changes In Equity for the financial year ended December 31, 2010RetainedEarnings$Balance at January 1, 2009 18,722,677Surplus for the period 2,662,984Exchange translation differences 23,838Asset transfer at nil consideration - JFICM (978,999)Balance at January 1, 2010 20,430,500Surplus for the period 6,066Exchange translation differences (7,960)Balance at December 31, 2010 20,428,606Statement of Cash Flows for the financial year ended December 31, 20102010 2009$ $Cash flows from operating activitiesReceipts from members and customers 20,986,333 21,155,712Interest received 97,451 182,316Donations received 61,266 172,685Payments to employees and suppliers (19,024,174) (16,389,360)Research grants and bequests paid (640,531) (835,267)Asset transfer at nil consideration - JFICM - (978,999)Net cash provided by operating activities 1,480,345 3,307,087Cash flows from Investing activitiesMovements of investments and administration fee 125,000 (86,920)Purchase of property, plant and equipment (1,232,782) (925,268)Net cash used in investing activities (1,107,782) (1,012,188)Net increase in cash and cash equivalents 372,563 2,294,899Cash and cash equivalents at the beginning of the financial year 3,893,964 1,599,065Cash and cash equivalents at the end of the financial year 4,266,527 3,893,96446 ANZCA Annual Report 2010ANZCA Annual Report 2010 47

financialstatementscontinuedNotes to the concise financial reportfor the year ended December 31, 2010Note 1: Basis of preparation ofthe concise financial reportThe concise financial report has beenprepared in accordance with AccountingStandard AASB 1039: Concise FinancialReports and the Corporations Act 2001.The presentation currency for theseaccounts is Australian dollars.The financial statements, specificdisclosures and other informationincluded in the concise financial reportare derived from and are consistentwith the full report of the Australian andNew Zealand College of Anaesthetists(ANZCA). The concise financial reportcannot be expected to provide asdetailed an understanding of the financialperformance, financial and investingactivities of ANZCA as the fullfinancial report.The accounting policies have beenconsistently applied with those ofthe previous financial year.Directors’ declarationThe directors of the Australian andNew Zealand College of Anaesthetists(ANZCA) declare that the concise financialreport of ANZCA for the financial yearended December 31, 2010, as set outin pages 44 to 51:a) complies with Accounting StandardAASB 1039: Concise Financial Reports;andb) is an extract from the full financialreport for the year ended December 31,2010 and has been derived from and isconsistent with the full financial reportof Australian and New Zealand Collegeof Anaesthetists.This declaration is made in accordancewith a resolution of the directors.Professor K LesliePresidentMarch 22, 2011Dr L J RobertsHonorary TreasurerMarch 22, 201148 ANZCA Annual Report 2010ANZCA Annual Report 2010 49

committeesof the councilExecutive CommitteePresident (Chair) Dr Leona Wilson (until May) NZPresident (Chair) Professor Kate Leslie (from May) VicVice President Professor Kate Leslie (until May) VicVice President Dr Lindy Roberts (from May) WADirector of ProfessionalAffairs Professor Barry Baker NSWChief Executive Officer Dr Mike Richards VicEducation and Training Committee (ETC)Chair (appointedby Council) Dr Lindy Roberts (until May) WAChair (appointedby Council)Dr Genevieve Goulding (from May) QldDPA Assessor Dr Steuart Henderson NZDirector EducationDevelopment Unit Ms Mary Lawson VicChair TrainingAccreditation Committee Professor Kake Leslie (until May) VicChair TrainingAccreditation Committee Dr Frank Moloney (from May) NSWChair New ProgramsCommittee Dr Michelle Mulligan (until May) NSWChair New ProgramsCommittee Dr Mark Reeves (from May) TasChair of Examinations Associate ProfessorDavid ScottVicChair Primary ExaminationSubcommittee Dr Craig Noonan (until May) VicChair Primary ExaminationSubcommitteeAssociate ProfessorRoss MacPherson (from May)NSWChair Final ExaminationSubcommitteeDr Mark Priestley (until December) NSWChair Final ExaminationSubcommittee Dr Vida Viliunas (from December) ACTChair AssessmentsCommitteeAssociate ProfessorJennifer WellerChair Workplace BasedAssessment Committee Dr Lindy Roberts (until May) WAChair Workplace BasedAssessment Committee Dr Richard Horton (from May) VicChair TraineeCommittee or nominee Dr Christopher Wilde (until May) TasChair TraineeCommittee or nominee Dr Simon Martel (from May) NSWChair Faculty of PainMedicine EducationCommitteeProfessor EdwardShipton (from May)CommunityRepresentative Ms Diana Aspinall (from May) NSWUp to four additionalFellows with educationalexpertise (at least oneSOT or REO) Dr Kerry Brandis QldNZNZDr Michele JosephDr Nicole Phillips (until May)Dr Patrick Farrell (from May)Associate ProfessorKersi Taraporewalla (from May)VicNSWNSWQldContinuing Professional Development (CPD) CommitteeCPD Officer (Chair) Dr Rodney Mitchell SADirector ofProfessional Affairs Dr Richard Willis SAUp to two additionalmembers Dr Michelle Mulligan NSWDr Timothy Strong (from July) TasFellowship Affairs Committee (FAC)Chair (appointedby Council) Dr Michelle Mulligan NSWAnnual ScientificMeeting Officer Dr Richard Waldron (until May) TasAnnual ScientificMeeting Officer Dr Nicole Phillips (from May) NSWContinuingProfessionalDevelopmentOfficer Dr Frank Moloney (until May) NSWChair of ContinuingProfessionalDevelopmentCommittee Dr Rodney Mitchell (from May) SANew Fellow Councillor Dr Nicole Phillips (until May) NSWNew Fellow Councillor Dr Justin Burke (from August) VicFaculty of PainMedicine ScientificMeeting OfficerAssociate ProfessorPamela Macintyre (from May) SADr Genevieve Goulding (until May) QldChair IMGS or nomineeUp to three RegionalOrganising CommitteeConvenors or nominees Dr Annabel Orr (from May) VicDr David Vyse/WADr Tanya Farrell (from May) WADr Deborah Devonshire (from May) VicDirector ofCommunications(or nominee) Mr Nigel Henham VicDirector of EducationDevelopment Unit(or nominee) Ms Mary Lawson VicUp to four Fellowsor Councillors asappointed by Council Dr Patrick Farrell (from May) NSWDr Leonie Watterson (from May) NSWDr Rowan Thomas (from May) VicDr Vanessa Beavis (from May) NZInvestment CommitteeChair (appointedby Council) Professor Kate Leslie (until May) VicChair (appointedby Council) Dr Lindy Roberts (from May) WAPresident Dr Leona Wilson (until May) NZPresident Professor Kate Leslie (from May) VicHonorary Treasurer Professor Kate Leslie (until May) VicHonorary Treasurer Dr Lindy Roberts (from May) WAChief Executive Officer Dr Mike Richards VicDirector of Finance Ms Jess McKay VicQuality and Safety (Q&S) CommitteeChair (appointedby Council) Professor Alan Merry NZCouncillor (at least one) Associate ProfessorDavid ScottVICFaculty of Pain MedicineRepresentative Dr Michal Kluger (until October) NZPresident AustralianSociety of Anaesthetistsor nomineePresident AustralianSociety of Anaesthetistsor nomineeDr Elizabeth Feeney(until August, co-opted from August) NSWDr Andrew Mulcahy(from August)TasPresident New ZealandSociety of Anaesthetistsor nominee Dr Nigel Waters (until August) NZPresident New ZealandSociety of Anaesthetistsor nominee Dr Rob Carpenter (from August) NZSuch other membersas appointed by CouncilDr Leona Wilson(Deputy Chair from August)Mr Bruce CorkillMr Michael GortonDr Margaret CowlingDr Neville GibbsDr Patricia MackayProfessor Paul MylesNZNZVicSAWAVicVicDirector of ProfessionalAffairs (co-opted) Professor Barry Baker (until August) NSWDirector of ProfessionalAffairs (co-opted) Dr Peter Roessler (from August) VicResearch CommitteeChair (appointedby Council) Professor Alan Merry NZFaculty of Pain MedicineRepresentative Dr Christopher Hayes NSWChair ANZCA TrialsGroup Executive Associate Professor David Story VicCommunityRepresentative Dr Angela Watt VicOther memberswith an interestin research asappointed by Council Professor Kate Leslie (until May) VicAssociate ProfessorDavid Cottee (until May)NSWProfessor Andrew Bersten(until May)SAProfessor Paul MylesVicProfessor Michael Paech WAAssociate ProfessorTony QuailNSWProfessor Tony GinHKAssociate ProfessorPhillip SiddallNSWAssociate ProfessorTimothy ShortNZDr Dan WheelerUKProfessor Bala Venkatesh(from May)QldDr Andrew Davies (from May) VicAssociate ProfessorJennifer Weller (from May) NZAssociate ProfessorDavid ScottVicProfessor Stephan Schug WATraining Accreditation Committee (TAC)Chair (appointedby Council) Dr Frank Moloney NSWDPA Assessor Dr Steuart Henderson NZChair Education andTraining Committeeor nomineeDr Genevieve Goulding (from May) QldChair TraineeCommittee or nominee Dr Andrew Thomas SAChair of FPM TrainingUnit AccreditationCommittee or nominee Dr Brendan Moore QldCommunityRepresentative Mrs Susan Sherson Vicand such otherMembers as theCouncil may appoint Dr Kerry Brandis QldDr Mark GibbsQldDr Alastair McGeorgeNZDr Mark ReevesTasDr Lindy RobertsWAProfessor Kate LeslieVic52 ANZCA Annual Report 2010ANZCA Annual Report 2010 53

committeesof the councilcontinuedFPMcommitteesInternational Medical Graduate Specialists(IMGS) CommitteeChair (appointedby Council)Dr Genevieve Goulding (until May) QldChair (appointedby Council) Dr Leona Wilson (from May) NZCouncillor(s)(at least one) Dr Frank Moloney (until May) NSWDr Peter Cook (until May) QldDr Patrick Farrell (from May) SADPA Assessor Dr Steuart Henderson NZDPA IMGS Dr Richard Willis (from May) SAChair New ZealandPanel for VocationalRegistration Dr Vaughan Laurenson NZDirector EducationDevelopment Unit Ms Mary Lawson (until May) VicChair FinalExaminationsSubcommittee Dr Mark Priestley (from October) NSWFinal ExaminationsSubcommittee nominee Dr Vida Vilunas (until October) ACTFinal ExaminationsSubcommittee nominee Dr Rajesh Brijball (from October) QldFaculty of PainMedicineRepresentative Dr Frank New QldCommunity and/orJurisdictionalRepresentative Ms Kerri Kellett VicCommunity and/orJurisdictionalRepresentativeMs Helen Maxwell-Wright(until May)Two other Fellowsnominated by Council Dr Peter Roessler VicAssociate ProfessorGreg Knoblanche (until May) NSWAssociate ProfessorMichael SteynQldSuch other membersas appointed by Council Dr Moira Westmore (until May) WADr Steven Katz (until May) NSWDr Kerstin Wyssusek(from October)QldDr Indu Kapoor (from October) NZTrainee Committee (Appointed for 2010 calendar year)Chair (Trainee tobe appointed byCommittee) Dr Christopher Wilde (until May) TasChair (Trainee tobe appointed byCommittee) Dr Kathryn Hagan (from May) NZMembers (Chairs ofRegional/NationalTrainee Committees) Dr Jeremy Brammer (until March) QldDr Brett Segal (from March) QldVicDr Emelyn Lee (until May) WADr Yvette Gainey (from May) WADr Zain UptonACTDr Meng Huat Goh(from May until November) SingDr Hong Jye Neo (from November) SingDr Kushlani Stevenson(until February)VicDr Mahsa Adabi (from May) VicDr Luke Murtagh (until May) SA&NTDr Rowan Ousley (from May) SA&NTDr Emily Stimson (until February) NSWDr Simon Martel (from February) NSWDr Leo Chun Yin Wat(until February)HKDr May Leung (from February) HKDr Kathryn HagenNZDr Christopher WildeTasDr Meng Li Lee (until February) MalDr Cindy Thomas Joseph(from February)MalChair Education andTraining Committee Dr Lindy Roberts (until May) WAChair Education andTraining Committee Dr Genevieve Goulding (from May) QldDirector EducationDevelopment Unitor nominee Ms Mary Lawson VicObserver (by invitation)Federal Chair, GASACT Dr Michelle Spencer VicObserver (by invitation)Trainee RepresentativeNZSADr Nathan Kershaw (until October) NZObserver (by invitation)Trainee RepresentativeNZSADr Tom Fernandez (from October) NZOverseas Aid Committee (formed in 2010)Chair (appointedby Council) Dr Wayne Morriss NZFaculty of PainMedicineRepresentative Dr Roger Goucke WAAustralian Societyof AnaesthetistsRepresentative Dr Robert McDougall VicNew Zealand Societyof AnaesthetistsRepresentative Dr Wayne Morriss NZPresident or nominee Professor Kate Leslie VicUp to four Fellows Dr Michael Cooper NSWDr Roni KrieserVicDr David PescodVicNew Programs CommitteeChair (appointedby Council) Dr Mark Reeves (from May) TasSecond Councillor Dr Michelle Mulligan NSWChair FinalExaminationsSubcommitteeor nominee Dr Mark Priestley NSWChair TrainingAccreditationCommittee ornominee Dr Frank Moloney NSWDirector ofProfessional Affairs Dr Steuart Henderson NZFellow of ANZCA Dr Margaret Walker TasTwo co-opted nomineesfrom the particulararea of expertise asappointed by Council Professor Mike Bennett NSWDr Robert WongWAPresident Professor Kate Leslie VicFinance, Audit and Risk Management (FARM) CommitteeChair (appointedby Council) Mr Tom O’Brien VicVice-President Professor Kate Leslie (until May) VicVice-President Dr Lindy Roberts (from May) WAHonorary Treasurer Dr Richard Waldron (until May) TasHonorary Treasurer Dr Lindy Roberts (from May) WAThree members(one of whom willnormally be Chair) Mr Tom O’Brien VicMr Henry BoschVicMr Michael GortonVicAdditional Councillorif Vice-President andHonorary Treasurerroles occupied bysame Councillor Dr Michelle Mulligan (from May) NSWThe Anaesthesia and Pain Medicine Foundation(formerly ANZCA Foundation) BoardChair (appointedby Council) Professor Michael Cousins NSWMembers Mr Neil Batt VicMr Michael GortonVicMs Yvonne KennyUKMr Kieren PerkinsQldMr James StrongVicMr John AstburyVicMr Geoffrey LintonVicPresident Dr Leona Wilson NZPresident Professor Kate Leslie VicChair ResearchCommittee Professor Alan Merry NZDeputy Chair ResearchCommitteeAssociate ProfessorDavid Scott (from May)VicFoundation Director Mr Ian Higgins VicExecutive CommitteeVice-Dean/Chair TraineeAffairs Portfolio (Chair) Dr Brendan Moore QldDean/ChairRelationships Portfolio Dr David Jones NZChair, FellowshipAffairs Portfolio Dr Penelope Briscoe SAChair, ResourcesPortfolioAssociate Professor R LeighAtkinsonQldEducation CommitteeChair Professor Edward Shipton NZDean Dr David Jones NZEducation Dr Penny Briscoe SAAssessor Dr Frank New QLDChair, Trainee AffairsPortfolio Dr Brendan Moore QLDSupervisor SOT Dr Tim Semple SAChair ExaminationsCommittee Dr Raymond Garrick NSWNew FellowRepresentative Dr Mark Schutze (until May) WANew FellowRepresentative Dr Clifford Timmins (from May) QLDANZCA Director EDU Ms Mary LawsonMember Professor Stephan Schug WADr Melissa VineyVICProfessor Peter TeddyVICDr Jane TrincaVICDr Owen Williamson CanadaDr Paul WrigleyNSWDr Faizur Noore (until June) NSWResearch CommitteeChair Dr Chris Hayes NSWChair FellowshipAffairs Portfolio Dr Penny Briscoe SASenior EditorPain MedicineAssociate Professor Milton Cohen NSWMember Dr Malcolm Hogg VICAssociate Professor Phil Siddall NSWProfessor Stephan Schug WADr Carolyn ArnoldVICDr Tim PavyWAProfessor Andrew Somogyi SAProfessor Maree Smith QLDProfessor Julia Fleming QLDProfessor Colin Goodchild VICDr Guy BashfordNSWDr David Jones (Until May) NZ54 ANZCA Annual Report 2010ANZCA Annual Report 2010 55

NATIONALAND regionalcommitteescontinuedCME RepresentativeEx OfficioEx OfficioEx OfficioEx OfficioNSW RegionalCommittee representativeNSW TraineeCommittee representativeNSW New Fellow representativeNSW TraineeCommittee representativeASA RepresentativeASA representativeACT RepresentativeACT representativeDr Greg O’Sullivan (until May)Dr Patrick FarrellDr Frank MoloneyDr Nicole Phillips (until May)Dr Michelle MulliganDr Greg O’Sullivan to NSW ACECommittee (from June)Dr Emily Stimson (until May)Dr Emily Wilcox (from June)Dr Simon Martel (from June)Dr Reg Cammack (until May)Dr Michael Farr (from June)Professor Thomas Bruessel(until May)Dr Carmel McInerney (from June)QueenslandChairmanDr Anton Loewenthal (until April)ChairmanDr Sean McManus (from June)Deputy ChairmanAssociate Professor Michael SteynHonorary TreasurerDr Charmaine BarrettHonorary SecretaryDr Pal SivalingamFormal Project Officer Dr Gerald Power (until April 2010)Formal Project OfficerDr Kerstin Wyssusek (from June)Regional Education Officer Dr Mark GibbsQuality & Safety Officer Dr Paul Vella (from June)Combined CME CommitteeChair/Ex-officio Member (Council) Dr Genevieve GouldingCo-opted CME RepDr Richard PendletonCo-opted New Fellows Rep Dr James Hosking (from June)Assistant to the REODr Emile Kurukchi (from June)New FellowsRepresentative/MemberMemberMemberMemberMember/FPM RepresentativeMemberMemberMemberRotational CoordinatorRotational CoordinatorEx Officio Member of CouncilAMA RepresentativeQuality & Safety OfficerNT RepresentativeDr Christine HuxtableDr Charles CleggDr Nathan DavisDr Richard LeaAssociate ProfessorPam MacintyreDr Andrew BeinssenDr Kym OsbornDr Lynne RaineyDr Ken ChinDr Sam WillisDr Rod MitchellDr Margie CowlingDr Brian SpainTrainee Committee Representative Dr Rowan OusleyCICM RepresentativeASA RepresentativeDirectors RepresentativeRegional Education OfficerSAAMCCME Committee RepresentativeASA RepresentativeTasmaniaChairSecretaryTreasurerDeputy ChairExOfficoCommitteeREOFormal Project OfficerDr Peter SharleyDr Doughlas FahlbuschDr Peter LillieDr Margaret WieseProfessor John RussellDr Bill WilsonDr Guy Christie-TaylorDr Simon MorphettDr Lia FreestoneDr Stuart DayDr Matthew YarrowDr Mark ReevesDr David BrownDr Lia FreestoneDr Mark ReevesDeputy Chair/Honorary Treasurer Dr Rodney Tayler (until May)Hon SecretaryDr Debra Devonshire (from June)Hon TreasurerDr Andrew Schneider (from June)Regional Education Officer Dr Richard HortonFormal Project OfficerDr Irene Ng (from June)Assistant Formal Project Officer Dr David Pescod (from June)Continuing MedicalEducation OfficerDr Mark Hurley (from June)Asst Continuing MedicalEducation OfficerDr David Bramley (from June)Social OfficerDr Jane Calder (from June)IMGS/AON/GP Liaison Officer Dr Fred RosewarneQuality and Safety Officer Dr Rowan Thomas (from June)Ex-Officio Members:PresidentProfessor Kate LeslieMember of Council/Facultyof Pain MedicineRepresentativeAssociate Professor David ScottNew Fellow to CouncilDr Justin BurkeCo-opted Members:VCCAMMProfessor Larry McNicolChair of the Associationof Directors of Anaesthesia Dr Andrew JeffreysASA VictoriaDr Simon ReillyMemberDr Winifred Burnett (until May)New Fellow/TraineeRepresentative:New FellowDr Chris DuffyChair, Victorian TraineeCommitteeCourse Convener Primaryfull-time courseCourse Convener Finalfull-time courseDr Mahsa Adabi(from February to December)Dr Adam SkinnerDr Glenn DowneyDeputy ChairChairmanImmediate Past Chairand Secretary/TreasurerSecretary/TreasurerRegional Education OfficerFormal Projects OfficerQuality and Safety OfficerCommittee MemberCME OfficerCommittee MemberCommittee MemberCommittee MemberCommittee MemberCommittee MemberEx-Officio:ANZCA Vice President/Honorary TreasurerA.S.A. RepresentativeCo-opted Members:Faculty of Pain MedicineNew Fellows’ RepresentativeCME OfficerDeputy REOISL CommitteeTrainee CommitteeSCGH RepresentativeASM 2012 Co-ConvenorsDr Malcolm Thompson(from June)Dr David Wright (until June)Dr David Wright (from June)Dr Jodi Graham(until June)Dr Suzanne BertrandDr John MartyrDr Kevin ElksDr Alison Corbett (until July)Dr Alison Corbett (from July)Dr Simon Maclaurin (until June)Dr Markus SchmidtDr Michael VeltmanDr Nolan McDonnell (from June)Dr Michael Ward (from June)Dr Lindy RobertsDr Andrew MillerDr Max MajediDr Paul Sadleir(from June)Dr Anton Van Niekerk(from August)Dr Soo-Im LimClinical Associate ProfessorRichard RileyDr Yvette GaineyDr Irina Kurowski(from June)Dr David Vyse andDr Tanya FarrellCommittee MemberCommittee MemberEx-officio Member CouncilCo-opted IMG RotationSupervisorASA representativeDr Peter DuffDr Jeneen Thatcher (from June)Dr Kerry BrandisAssociate ProfessorKersi Taraporewalla (from June)Dr Martin CulwickYounger FellowTrainee Comm RepQ&S OfficerFMP RepVictoriaChairDr Darren PereiraDr Christopher WildeDr Deborah WilsonDr Gajinder OberoiDr Andrew Buettner (from June)Western AustraliaChairDeputy ChairDr Jenny Stedmon (from June)Dr Jenny Stedmon(until June)Co-opted Trainee Committee Chair Dr Brett Segal (from June)ChairDr Rowan Thomas (until May)South Australia and Northern TerritoryDeputy ChairDr Craig Noonan (from June)Chair/MemberDr Thien Le CongDeputy Chair/TreasurerDr Tim PorterHon. Secretary/MemberFormal Projects Officer/MemberDr Simon Jenkins58 ANZCA Annual Report 2010ANZCA Annual Report 2010 59

Australian andNew ZealandCollege ofAnaesthetistsABN 82 055 042 852ANZCA House630 St Kilda RoadMelbourne, Victoria 3004AustraliaT: +61 3 9510 6299F: + 61 3 9510 6786E: communication@anzca.edu.auE: anzca@anzca.org.nzwww.anzca.edu.auFaculty ofPain MedicineT: +61 3 8517 5337F: +61 3 9510 6786E: painmed@anzca.edu.auwww.fpm.anzca.edu.au