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

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