The Anaesthesia<strong>and</strong> Pain MedicineFoundationDuring <strong>2010</strong>, the Anaesthesia <strong>and</strong> Pain Medicine Foundation continuedto establish the necessary framework <strong>and</strong> planning to move forward, inparticular determining strategies <strong>and</strong> systems to build capacity for the future.Notwithst<strong>and</strong>ing the continuing difficult financial conditions, support fromFellows <strong>and</strong> sponsorship from the healthcare industry in <strong>2010</strong> has continued<strong>and</strong> we are extremely grateful for their commitment to the Foundation.Highlights• Foundation donations <strong>and</strong> sponsorshipincome <strong>of</strong> $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 <strong>and</strong> Pain MedicineFoundation.• Dr Leona Wilson, ONZM joined thefoundation board.PurposeThe objectives <strong>of</strong> the foundation are:• To raise funds for medical research <strong>and</strong>education in Australia, <strong>New</strong> Zeal<strong>and</strong><strong>and</strong> internationally.• To foster contributions to thefoundation from Fellows, medicalcolleagues, industry <strong>and</strong> philanthropicorganisations <strong>and</strong> individuals.• To promote <strong>and</strong> raise awareness <strong>of</strong>anaesthesia, perioperative medicine <strong>and</strong>pain medicine research <strong>and</strong> education.Year in reviewDuring <strong>2010</strong>, the foundation undertooka study to obtain an overall picture <strong>of</strong> thevalue <strong>of</strong> support given to ANZCA by thehealthcare industry. Each departmentwithin the <strong>College</strong>, regional <strong>of</strong>fices <strong>and</strong><strong>New</strong> Zeal<strong>and</strong> 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 <strong>and</strong> accurate picture <strong>of</strong>the support to the <strong>College</strong> prior to thefoundation commencing a further phase<strong>of</strong> introduction <strong>and</strong> engagement withnew healthcare industries.Following the circulation <strong>of</strong> thefoundation’s promotional material,including details <strong>of</strong> the patrons <strong>and</strong>bequest programs, 15 Fellows joined thePatrons Program. All Fellows who joinedthe Patrons Program made a bequestor donation to the foundation <strong>and</strong> wereacknowledged in the December ANZCABulletin.In August <strong>2010</strong>, the <strong>College</strong> Councilapproved a recommendation fromthe foundation board to change thefoundation’s name from the ANZCAFoundation to the Anaesthesia <strong>and</strong> PainMedicine Foundation. This change isaimed at increasing awareness in thewider community <strong>and</strong> to reflect thepurpose for the foundation’s fundraisingcampaign. Planning for the introduction<strong>of</strong> the foundation to the wider communitycontinued with the development <strong>of</strong> aresearch highlights document outliningmedical research successes that havebeen supported by ANZCA.Dr JB Craig was formally presentedwith a certificate to <strong>of</strong>ficially record hisimportant appointment as the inauguralgovernor <strong>of</strong> the foundation <strong>and</strong> his namehas been recorded in perpetuity on thefoundation honour board at the <strong>College</strong>.The presentation <strong>of</strong> the certificate washeld in the new ANZCA <strong>of</strong>fices in Perthin October <strong>and</strong> was attended by familymembers <strong>and</strong> colleagues <strong>of</strong> Dr Craig. In1987 Dr Craig donated $100,000 to the<strong>College</strong> to support research by Fellows,particularly in Western Australia <strong>and</strong>specifically in the area <strong>of</strong> pain medicine.The JB Craig Award is administeredby the foundation <strong>and</strong> 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 model<strong>of</strong> complex regional pain syndrometype I”.Dr Leona Wilson, ONZM, the formerpresident <strong>of</strong> the <strong>College</strong> took up a threeyearappointment to the board <strong>of</strong> thefoundation effective from August <strong>2010</strong>.Foundation boardThe foundation is governed by acommunity-based board chaired byPr<strong>of</strong>essor Michael Cousins, AM, aformer president <strong>of</strong> ANZCA. Ms QuentinBryce, AC, Governor General <strong>of</strong> theCommonwealth <strong>of</strong> 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), MrGe<strong>of</strong>f Linton FICAA (Vic), Mr KierenPerkins OAM (Qld), Mr James Strong AO(NSW), Dr Leona Wilson ONZM (NZ).Ex <strong>of</strong>ficio members:Pr<strong>of</strong>essor Kate Leslie, MBBS, MD, MEpi,FANZCA, FAICD – ANZCA President (Vic);Pr<strong>of</strong>essor Alan Merry ONZM, FANZCA,FFPMANZCA, FRCA – Chairman, ANZCAResearch Committee (NZ);Associate Pr<strong>of</strong>essor David Scott FANZCA,FFPMANZCA, PhD – Deputy Chairman,ANZCA Research Committee (Vic).Organisations supportingthe foundationThe Anaesthesia <strong>and</strong> Pain MedicineFoundation gratefully acknowledges thesupport <strong>of</strong> 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 <strong>and</strong> Pain MedicineFoundation Board.Back row from left: Pr<strong>of</strong>essor Kate Leslie,Mr Kieren Perkins, Mr John Astbury,Mr Neil Batt.Centre row from left: Mr James Strong,Pr<strong>of</strong>essor Michael Cousins, Mr Ge<strong>of</strong>f Linton,Mr Michael Gorton.Front: Pr<strong>of</strong>essor Alan Merry.Absent: Dr Leona Wilson, Ms Yvonne Kenny<strong>and</strong> Associate Pr<strong>of</strong>essor David Scott.32 ANZCA <strong>Annual</strong> Report <strong>2010</strong>ANZCA <strong>Annual</strong> Report <strong>2010</strong> 33
faculty <strong>of</strong>pain medicine“An increase in funding <strong>of</strong> $39.1 million over four yearsto establish a network <strong>of</strong> persistent pain services across(Queensl<strong>and</strong>) was achieved.”Highlights• Application for specialty recognitionin <strong>New</strong> Zeal<strong>and</strong> advanced to stage 2<strong>of</strong> the two-step process.• Contributed to the National PainSummit in Canberra <strong>and</strong> resultingNational Pain Strategy.• Delivery <strong>of</strong> a successful continuingeducation program in <strong>New</strong> Zeal<strong>and</strong> <strong>and</strong>the <strong>Australian</strong> regions.• Publication <strong>of</strong> the third edition <strong>of</strong> AcutePain Management: Scientific Evidence<strong>and</strong> circulation to Fellows <strong>and</strong> trainees.• Appointment <strong>of</strong> the first FPM Director<strong>of</strong> Pr<strong>of</strong>essional Affairs.• A fourth FPM regional committee wasformed in South Australia.• Developed a pr<strong>of</strong>essional document onthe use <strong>of</strong> opioid analgesics <strong>and</strong> a twopageguidance checklist for prescribers.The Faculty <strong>of</strong> Pain Medicine is on track toreach the 300 Fellows mark in early 2011.Better provision for pain managementis gradually making it onto the agendas<strong>of</strong> state governments <strong>and</strong> 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 <strong>of</strong>the National Pain Summit early in <strong>2010</strong>.We know there is much unmet need inthis field. We also know that apart fromclinical knowledge <strong>and</strong> its applicationthere is especially need for innovativetypes <strong>of</strong> service configuration <strong>and</strong> modelsfor care delivery. This especially bringsopportunities <strong>and</strong> openings for newFellows after training to consider thenew positions being created <strong>and</strong> to showleadership in these challenging times.Board <strong>and</strong> CommitteesDr Penny Briscoe stepped down as Dean<strong>of</strong> the Faculty in May <strong>2010</strong> followingher two year tenure but continued hercommitment to the ongoing development<strong>of</strong> the Faculty, remaining on the Board<strong>and</strong> Executive. Penny’s leadership <strong>and</strong>significant contributions to the Facultyduring her time as Dean were recognisedat the Board Meeting <strong>and</strong> AGM in May.Dr David Jones, FANZCA was elected asDean <strong>and</strong> Dr Brendan Moore, FANZCA asVice-Dean. Dr Max Majedi, FANZCA, inthe capacity <strong>of</strong> 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 Br<strong>and</strong>is.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 Pr<strong>of</strong>essor R Leigh AtkinsonAO, FRACS (Past Dean, Chair ResourcesPortfolio), QldDr Carolyn A Arnold, FAFRM (RACP), VicDr Guy Bashford, FAFRM (RACP)(Chair, Continuing Education <strong>and</strong>Quality 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 <strong>New</strong>, FRANZCP (Assessor),QLDDr Lindy Roberts, FANZCA (ANZCACouncil Representative), WAPr<strong>of</strong> Edward A Shipton, FANZCA(Chair, Education Committee), NZCommitteesExecutive CommitteeEducation CommitteeExamination CommitteeTraining Unit Accreditation CommitteeResearch CommitteeContinuing Education <strong>and</strong> QualityAssurance CommitteeRegional CommitteesSub-CommitteesSupervisors <strong>of</strong> Training Sub-CommitteeBlueprinting Sub-CommitteeStrategic planningA number <strong>of</strong> initiatives relating to theFaculty’s <strong>2010</strong>-2012 Strategic Plan wereadvanced in <strong>2010</strong> <strong>and</strong> are included in this<strong>report</strong>. The key priorities are to:• Increase the level <strong>of</strong> education <strong>and</strong>training in pain medicine.• Develop <strong>and</strong> communicate the Faculty’sposition on the scope <strong>of</strong> practice <strong>and</strong>delivery models for pain management.• Set high st<strong>and</strong>ards for pain medicinepractice.• Build the Faculty <strong>and</strong> Fellowshipnumbers.• Increase the support for QualityAssurance <strong>and</strong> Research.• Increase the pr<strong>of</strong>ession’s/Faculty’spr<strong>of</strong>ile with external stakeholders.• Support the Primary Care sector in painmanagement knowledge <strong>and</strong> resourcesRelationships PortfolioLiaison with <strong>College</strong>sThe Faculty continued its efforts toestablish <strong>and</strong> maintain links withparticipating colleges.<strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>College</strong><strong>of</strong> AnaesthetistsThe ANZCA/FPM Working Partycommenced a review <strong>of</strong> the position<strong>of</strong> the FPM, its Dean <strong>and</strong> Board, <strong>and</strong> itsFellows in the governance structure <strong>of</strong>ANZCA. It has now been made explicitthat the FPM Dean is a full director <strong>of</strong>ANZCA <strong>and</strong> able to vote in Council, withthe limitation that he/she cannot be an<strong>of</strong>ficer bearer or <strong>of</strong>ficer <strong>of</strong> 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, <strong>and</strong> has an overallgood working relationship with ANZCA.Opportunity arose during the ANZCAcurriculum redesign project to support apoint <strong>of</strong> view regarding pain managementknowledge <strong>and</strong> skills to be retained <strong>and</strong>enhanced within the training <strong>of</strong> a generalscope anaesthetist. Pain medicineis proposed as one <strong>of</strong> the clinicalfundamentals.From the Faculty point <strong>of</strong> view this is agood result, given there were alternativepossibilities now that we have a separateFaculty training program. The intention<strong>of</strong> strengthening anaesthetist skills inthis area aligns with the frequent caseexposure anaesthetists have where painis one <strong>of</strong> the major issues to be dealtwith effectively from an early interventionperspective. This contributes topromoting prompt patient recovery whichin turn impacts on length <strong>of</strong> stay <strong>and</strong>therefore overall healthcare costs.To date volume <strong>of</strong> practice requirementsin the redesigned training program havenot been determined.Royal Australasian <strong>College</strong> <strong>of</strong> SurgeonsIn mid-<strong>2010</strong>, the Royal Australasian<strong>College</strong> <strong>of</strong> Surgeons (RACS) Councilapproved the development <strong>of</strong> a Section<strong>of</strong> Pain Medicine under their FellowshipServices Section, chaired by AssociatePr<strong>of</strong>essor Leigh Atkinson. This focusgroup will provide an identified routefor communications.Dr Graham Campbell, the Chair <strong>of</strong> theFellowship Services Committee <strong>of</strong> RACSmet with the Board in August to discussthis development <strong>and</strong> other areas <strong>of</strong>collaboration including the opportunityto develop a pain module for early inyoung surgeons’ training. Another keyarea identified is to increase currentknowledge <strong>and</strong> education, particularlyaround persistent pain after surgery.The <strong>2010</strong> RACS <strong>Annual</strong> ScientificCongress included a full training sessionon pain.Australasian Faculty <strong>of</strong> RehabilitationMedicine (Royal Australasian <strong>College</strong><strong>of</strong> Physicians)Dr Kathy McCarthy, President <strong>of</strong> theAustralasian Faculty <strong>of</strong> RehabilitationMedicine (Royal Australasian <strong>College</strong><strong>of</strong> Physicians) met with the Board inOctober to discuss opportunities forcollaboration <strong>and</strong> sharing <strong>of</strong> trainingresources. Subsequently, Facultytrainees have been given access toAFRM bi-national training programsessions <strong>of</strong> relevance to their training.Liaison has also been established at anadministrative level, with reciprocal inputto e-newsletters. Other opportunities forreciprocation are being explored.Royal <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong><strong>College</strong> <strong>of</strong> PsychiatristsPsychiatrists have continued to beinvolved in all the activities <strong>of</strong> the Faculty<strong>of</strong> Pain Medicine, clinically <strong>and</strong> in all theorganisational activities.Planning commenced for the annualmeeting <strong>of</strong> psychiatrist Fellows <strong>of</strong>FPMANZCA to occur in conjunctionwith the <strong>Australian</strong> Pain Society <strong>Annual</strong>Scientific Meeting. A symposium hasbeen arranged at this meeting, with theintention <strong>of</strong> demonstrating to the severaldisciplines attending the activities <strong>of</strong>psychiatrists in pain medicine.Liaison with colleague psychiatristswho are not Fellows <strong>of</strong> the FPM is beingencouraged <strong>and</strong> will be assisted by thework <strong>of</strong> Pr<strong>of</strong>essor George Mendelson,who has commenced negotiations withinthe International Association for theStudy <strong>of</strong> Pain (IASP) for a special interestgroup for psychiatrists.Royal <strong>Australian</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong><strong>College</strong> <strong>of</strong> Obstetricians <strong>and</strong>GynaecologistsWork continued on an educationaldocument on persistent pelvicpain in women with the input <strong>of</strong> amultidisciplinary group including painmedicine, physiotherapy, psychology <strong>and</strong>two RANZCOG Fellows.An update article for the <strong>Australian</strong> <strong>and</strong><strong>New</strong> Zeal<strong>and</strong> Journal <strong>of</strong> Obstetrics <strong>and</strong>Gynaecology <strong>and</strong> a Faculty pr<strong>of</strong>essionaldocument are being progressed. InNovember <strong>2010</strong>, four FPM Fellows gavepresentations in a well-received sessionon persistent pelvic pain in women at theRANZCOG annual scientific meetingin Dunedin.Royal <strong>Australian</strong> <strong>College</strong> <strong>of</strong>General PractitionersIncreasing the primary care sector’sknowledge <strong>and</strong> skills in painmanagement is a strategic objective<strong>of</strong> the Faculty. The Royal <strong>Australian</strong><strong>College</strong> <strong>of</strong> General Practitioners hasformed a National Network for PainManagement. In December the Faculty<strong>and</strong> the Royal <strong>Australian</strong> <strong>College</strong> <strong>of</strong>General Practitioners submitted a jointapplication to the BUPA Foundation forfunding to develop an on-line modulareducational program for primaryhealthcare pr<strong>of</strong>essionals to address painmanagement. A response is anticipatedin April.34 ANZCA <strong>Annual</strong> Report <strong>2010</strong>ANZCA <strong>Annual</strong> Report <strong>2010</strong> 35
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