faculty <strong>of</strong>pain medicinecontinuedA pilot collaborative outcome projectinvolving two centres in Victoria <strong>and</strong>NSW was commenced by two boardmembers. Research involves the analysis<strong>and</strong> benchmarking <strong>of</strong> quantitative datacontained in questionnaires completedby study participants from January <strong>2010</strong>to January 2012.Pr<strong>of</strong>essor David Currow, Palliative CareOutcome Centre (PCOC) met with theBoard in February <strong>and</strong> provided valuableadvice on the process <strong>of</strong> establishingsuch an initiative.Pr<strong>of</strong>essionalNational specialist registrationTerminology for national specialistregistration was confirmed as “specialistpain medicine physician” <strong>and</strong> Fellows areencouraged to use this title.Recognition <strong>of</strong> pain medicine asa specialty – <strong>New</strong> Zeal<strong>and</strong>After lengthy delays arising fromchanging processes within the MedicalCouncil <strong>of</strong> <strong>New</strong> Zeal<strong>and</strong> (MCNZ),the Faculty’s application for specialtyrecognition in <strong>New</strong> Zeal<strong>and</strong> wasadvanced with stage one <strong>of</strong> the two-stepprocess being assessed <strong>and</strong> approved<strong>and</strong> 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 <strong>and</strong>make 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 <strong>of</strong> the acute painguidelines was launched at the NationalPain Summit in Canberra on March 11<strong>and</strong> subsequently circulated to all ANZCA<strong>and</strong> FPM Fellows <strong>and</strong> trainees.This publication, endorsed by theNHMRC <strong>and</strong> many national <strong>and</strong>international bodies, provides accessto the most up-to-date science <strong>and</strong>practice on acute pain management.Of equal importance, there is much newinformation about effective management<strong>of</strong> acute pain as a preventive strategy toreduce the risk <strong>of</strong> progression from acuteto chronic pain.This third edition was brought to fruitionthrough the enormous commitment<strong>of</strong> Associate Pr<strong>of</strong>essor Pam Macintyre<strong>and</strong> Associate Pr<strong>of</strong>essor David Scott,Pr<strong>of</strong>essor Stephan Schug, Dr Eric Visser<strong>and</strong> Dr Suellen Walker.Policy/government<strong>Annual</strong> <strong>report</strong>s were provided to the<strong>Australian</strong> Medical Council <strong>and</strong> MedicalTraining Review Panel. The Facultycontributed to a growing number<strong>of</strong> submissions including:• <strong>Australian</strong> Commission on Safety<strong>and</strong> Quality in Health Care - ClinicalH<strong>and</strong>over Pilot Program• <strong>Australian</strong> Commission on Safety<strong>and</strong> Quality in Health Care – PatientCentred Care: Improving Quality <strong>and</strong>Safety by Focusing Care on Patients<strong>and</strong> Consumers• <strong>Australian</strong> Commission on Safety <strong>and</strong>Quality in Health Care – ConsultationPaper on the Draft National Safety<strong>and</strong> Quality Healthcare St<strong>and</strong>ards(Aug <strong>2010</strong>)• <strong>Australian</strong> Medical Council –Competence based medical educationconsultation paper• <strong>Australian</strong> Medical Council – SpecialistRegistration – Registration St<strong>and</strong>ard• NHMRC – Ethical issues involved in thetransitions to palliation <strong>and</strong> end <strong>of</strong> lifecare for people with chronic conditions:A Discussion Paper for patients, carers<strong>and</strong> health pr<strong>of</strong>essionals• Health Quality <strong>and</strong> ComplaintsCommission – Risk Pr<strong>of</strong>iling <strong>and</strong>Doctors with Multiple complaints• Health Workforce Australia – ClinicalSupervisor Support Program• NHMRC – National Guidance onCollaborative Maternity Care• Medical Board <strong>of</strong> Australia –Consultation Paper 5 on SpecialistRegistration• Medical Board <strong>of</strong> Australia – Consultationon Codes <strong>and</strong> Guidelines• Medical Specialist Outreach AssistanceProgram – Indigenous Chronic Disease(MSOAP-ICD) GuidelinesNational Pain SummitThe National Pain Summit in Canberrain March <strong>2010</strong> brought together thelargest cross-section <strong>of</strong> stakeholders everfocused on a single health policy initiative– to elevate chronic pain as a significantissue on the political <strong>and</strong> healthcareagenda.The Summit was addressed by the<strong>Australian</strong> Health Minister, Hon.Nicola Roxon MP. It was facilitatedby Dr Norman Swan <strong>and</strong> chaired byPr<strong>of</strong>essor Michael Cousins. The Facultywas represented by Dr Penny Briscoe,Associate Pr<strong>of</strong>essor Leigh Atkinson,Dr Carolyn Arnold <strong>and</strong> Dr Chris Hayes.ANZCA/FPM support to the Summitwas provided in the form <strong>of</strong> projectmanagement, venue <strong>and</strong> administrativesupport <strong>and</strong> communications expertise.As well as developing a powerfulnew website home page, the ANZCACommunications unit was instrumentalin attracting a high level <strong>of</strong> media interest<strong>and</strong> wide coverage, both in the lead up to,<strong>and</strong> following the summit.Following the summit, a steeringcommittee, with FPM/ANZCArepresentation, progressed the formation<strong>of</strong> Painaustralia Limited, a nationaladvocacy body aimed at “Working toprevent <strong>and</strong> manage pain” <strong>and</strong> chairedby Mr James Strong, AO. AssociatePr<strong>of</strong>essor Milton Cohen (past FPM Dean)is the ANZCA/FPM nomination to thePainaustralia Board. As a “Category A”member, the <strong>College</strong> has committed inkind support to Painaustralia untilJune 2011.International Pain SummitThe Faculty endorsed the Declaration <strong>of</strong>Montreal, resulting from the InternationalPain Summit held in Montreal inSeptember <strong>2010</strong>, which states that accessto pain management is a fundamentalhuman right.Resources PortfolioPain Medicine JournalA new contract was negotiated with theAmercian Academy <strong>of</strong> Pain Medicineto include an institutional onlinesubscription to Pain Medicine forthe <strong>College</strong>.StaffA new position <strong>of</strong> FPM administratoraccreditation <strong>and</strong> communications wasdeveloped to support the FPM TrainingUnit Accreditation Committee, coordinateFaculty communications (including thewebsite, Synapse, trainee e-newsletter<strong>and</strong> contributions to the ANZCA Bulletin,ANZCA E-<strong>New</strong>sletter <strong>and</strong> Staff Update),<strong>and</strong> to assist with the coordination <strong>of</strong>Faculty events.FinanceThe operating result for the Facultyshowed a favourable variance againstbudget for <strong>2010</strong>. This was a result <strong>of</strong> ahigher number <strong>of</strong> new Fellows, carefultravel budgeting <strong>and</strong> strong attendance<strong>and</strong> healthcare industry support atFaculty continuing medical educationevents. A budget for 2011 was establishedto provide adequate funding to meetthe requirements <strong>of</strong> exp<strong>and</strong>ing Facultyactivities.Dr David JonesDeanRelationshipsPortfolioLiaisonCommitteeEducationCommitteeTrainee AffairsPortfolioPanel <strong>of</strong> Examiners <strong>2010</strong>Dr Carolyn A ArnoldAssociate Pr<strong>of</strong>essor R Leigh AtkinsonDr Penelope A BriscoeDr Charles BrookerDr Wilbur ChanDr Richard W M ChyeAssociate Pr<strong>of</strong>essor Milton L CohenPr<strong>of</strong>essor Michael J CousinsDr Meredith J CraigieDr Matthew R CrawfordDr Raymond GarrickDr C Roger GouckeDr Paul D GrayDr David W GronowDr <strong>New</strong>man L HarrisDr Martine HolfordDr David JonesExaminationCommitteeANZCA CouncilFPM BoardExecutive OfficerTUACFellowshipAffairs PortfolioAssessorDr Kok E KhorDr Lynette K LeeAssociate Pr<strong>of</strong>essor Pamela E MacintyreDr Diarmuid G McCoyPr<strong>of</strong>essor George MendelsonDr Frank J <strong>New</strong>Dr Dianne PaceyDr Greta M PalmerPr<strong>of</strong>essor Peter ReillyDr Bruce F RounsefellDr Marc RussoPr<strong>of</strong>essor Edward A ShiptonDr Melissa A VineyDr Eric VisserDr Owen D WilliamsonDr Paul J WrigleyCE&QACommitteeResourcesPortfolioResearchCommitteeFPM organisation chart at December 31, <strong>2010</strong>40 ANZCA <strong>Annual</strong> Report <strong>2010</strong>ANZCA <strong>Annual</strong> Report <strong>2010</strong> 41
HonoraryTreasurer’s<strong>report</strong>“The sound financial position <strong>of</strong> the <strong>College</strong>is a reflection <strong>of</strong> the loyalty <strong>and</strong> dedication <strong>of</strong>councillors, committee members, Fellows <strong>and</strong>staff throughout Australia, <strong>New</strong> Zeal<strong>and</strong><strong>and</strong> south-east Asia.”This is my first treasurer’s <strong>report</strong> sinceassuming the role <strong>of</strong> Honorary Treasurerin May <strong>2010</strong>, <strong>and</strong> I am pleased to <strong>report</strong>that ANZCA finished <strong>2010</strong> in a verysound financial position, with net assets<strong>of</strong> $20.429 million <strong>and</strong> no debt.The operations <strong>of</strong> the <strong>College</strong> produceda deficit <strong>of</strong> $715,366 (in 2009 the<strong>College</strong> achieved an operating surplus<strong>of</strong> $1.683 million); however year-onyearcomparisons are distorted by theseparation from the <strong>College</strong> <strong>of</strong> the JointFaculty <strong>of</strong> Intensive Care Medicine(JFICM) at the end <strong>of</strong> 2009. I willcomment further on this result later inthis <strong>report</strong>. For the second successiveyear, the <strong>College</strong> investments providedpositive returns with earnings <strong>of</strong> $721,432in <strong>2010</strong> compared with $980,408 in 2009.The budget for the 2011 year, approvedby Council in November <strong>2010</strong>, anticipatesa minor operating deficit. This does notrepresent a move away from the principle<strong>of</strong> planning for a break-even result atthe operational level without relianceon the performance <strong>of</strong> the investmentportfolio. This principle has served the<strong>College</strong> well over the past two yearsduring economically challenging timesworldwide. The 2011 budget merelyreflects the particular conditions thatthe <strong>College</strong> will face including the HongKong Combined Scientific Meetingwhich has a one-<strong>of</strong>f surplus sharingarrangement with the Hong Kong <strong>College</strong><strong>of</strong> Anaesthesiologists. The investmentearnings will continue to be used to buildon the corpus <strong>of</strong> the portfolio providinga basis for financing future capitalinvestments <strong>and</strong> maintaining the level<strong>of</strong> research funding.Statement <strong>of</strong> comprehensive incomeThis is a summary <strong>of</strong> the revenue,expenses <strong>and</strong> surplus from the activities<strong>of</strong> the <strong>College</strong>.As mentioned above, the comparisonsbetween <strong>2010</strong> <strong>and</strong> 2009 are significantlydistorted by the separation <strong>of</strong> JFICM t<strong>of</strong>orm the new <strong>College</strong> <strong>of</strong> Intensive CareMedicine. In 2009, JFICM contributed$2.555 million in revenue <strong>of</strong>fset by $1.238million <strong>of</strong> expenses as reflected in theattached financial statements.In <strong>2010</strong> 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 <strong>of</strong>$715,366 (surplus <strong>of</strong> $1.683 million in2009). The lower result came throughreduced revenue from key activityareas, again largely as a result <strong>of</strong> JFICM:registration, training <strong>and</strong> exam fees(down $779,344) <strong>and</strong> meeting <strong>and</strong>course income (down $627,291); partially<strong>of</strong>fset by increases in subscriptions<strong>and</strong> entry fees (up $135,895) <strong>and</strong> otherincome, including Anaesthesia <strong>and</strong>Pain Medicine Foundation sponsorship<strong>and</strong> donations, international medicalgraduate specialist (IMGS) assessments<strong>and</strong> 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 to<strong>report</strong> that the <strong>College</strong> investments(comprising the investment portfolio<strong>and</strong> interest bearing operational bankaccounts) followed on from the 2009positive return <strong>of</strong> $980,408 with a furtherpositive result <strong>of</strong> $721,432. The result wasdriven by income earnings <strong>of</strong> $782,443,partially <strong>of</strong>fset by unrealised capitallosses <strong>of</strong> $61,011. Whilst this is pleasing,indications are that in 2011, investmentmarkets will still face volatility <strong>and</strong> someuncertainty, further reinforcing the<strong>College</strong> approach <strong>of</strong> minimal relianceon investment earnings to fundoperational activities.The surplus from investments allowed fora small consolidated surplus <strong>of</strong> $6066 tobe achieved, compared to $2.663 millionin 2009. The asset transfer to the new<strong>College</strong> <strong>of</strong> Intensive Care Medicine in2009 <strong>of</strong> approximately $1 million underthe terms <strong>of</strong> the separation <strong>of</strong> JFICMmeant that the net surplus for 2009was $1.684 million. Minor exchangetranslation differences between the<strong>New</strong> Zeal<strong>and</strong> <strong>and</strong> <strong>Australian</strong> dollarat balance date, resulted in the totalcomprehensive income for the yearbeing a negative $1894.Statement <strong>of</strong> financial positionThis is a summary <strong>of</strong> the assets, liabilities<strong>and</strong> equity position <strong>of</strong> the <strong>College</strong>.Over the year, the net assets <strong>of</strong> the<strong>College</strong> were maintained at $20.429million compared to $20.430 million atthe end <strong>of</strong> 2009 despite the net assettransfers to JFICM.The maintenance <strong>of</strong> the net assetposition with no debt after the JFICMseparation is an indication <strong>of</strong> the soundfinancial position <strong>of</strong> the <strong>College</strong>.Statement <strong>of</strong> cash flowsA further indication <strong>of</strong> the sound financialposition <strong>of</strong> the <strong>College</strong> is the cashholdings <strong>of</strong> $4.267 million at the end <strong>of</strong><strong>2010</strong>. This is $372,563 greater than 2009.The <strong>College</strong> operations produced a netcash outcome <strong>of</strong> $1.480 million partiallydriven by strong receipts for 2011 events<strong>and</strong> subscriptions which was sufficientto fund net investment spending oncapital asset purchases <strong>and</strong> growing theportfolio <strong>of</strong> $1.108 million.CommentsIn 2011 <strong>and</strong> beyond, Council iscommitted to maintaining a directionthat ensures financial sustainability <strong>and</strong>prudent use <strong>of</strong> retained surpluses thatwill enable us to take up opportunities<strong>and</strong> to invest wisely in the future.The sound financial position <strong>of</strong> the<strong>College</strong> is a reflection <strong>of</strong> the loyalty <strong>and</strong>dedication <strong>of</strong> councillors, committeemembers, Fellows <strong>and</strong> staff throughoutAustralia, <strong>New</strong> Zeal<strong>and</strong> <strong>and</strong> south-eastAsia. Without their continued support the<strong>College</strong> would not be in the position it istoday. I would like to acknowledge thatcommitment on behalf <strong>of</strong> the <strong>College</strong>.Dr Lindy RobertsHonorary Treasurer42 ANZCA <strong>Annual</strong> Report <strong>2010</strong>ANZCA <strong>Annual</strong> Report <strong>2010</strong> 43