president’s<strong>report</strong>“The Council is most grateful to the thous<strong>and</strong>s <strong>of</strong> Fellows<strong>and</strong> trainees who contribute to the <strong>College</strong> <strong>and</strong> thepr<strong>of</strong>ession on a pro bono basis. The <strong>College</strong> wouldstruggle to exist without this dedicated commitment<strong>and</strong> would fail in its goals <strong>of</strong> continuous innovation<strong>and</strong> improvement.”This annual <strong>report</strong> demonstrates thesignificant progress made by the <strong>College</strong>in a range <strong>of</strong> areas in <strong>2010</strong>. This progressis due to the strong collaborationbetween ANZCA management <strong>and</strong> themany Fellows who are engaged in thework <strong>of</strong> the <strong>College</strong> <strong>and</strong> in ensuring ourhealthcare system can look after us,our families <strong>and</strong> our communitiesin the future.Engagement – a strategic priorityThe first <strong>of</strong> nine strategic priorities forANZCA, as identified in the ANZCAStrategic Plan <strong>2010</strong>-2012, is to “increasethe engagement <strong>of</strong> the <strong>College</strong>’smembers <strong>and</strong> the interaction withkey external stakeholders”.In <strong>2010</strong>, major steps towards achievingthis goal were taken. A survey <strong>of</strong> Fellowswas undertaken in mid-<strong>2010</strong> with a solidresponse rate <strong>of</strong> about 50 per cent.Valuable feedback from Fellows wasalso obtained at focus group sessionsheld during the <strong>2010</strong> <strong>Annual</strong> ScientificMeeting in Christchurch.The ANZCA Fellowship Survey founda high level <strong>of</strong> satisfaction with ANZCAoverall (71 per cent) <strong>and</strong> with staff (77per cent) <strong>and</strong> 60 per cent <strong>of</strong> Fellowsdescribed the annual subscriptionas reasonable or at least acceptable.The <strong>College</strong>’s most important roleswere perceived to be quality <strong>and</strong>safety, pr<strong>of</strong>essional st<strong>and</strong>ards settingas well as education <strong>and</strong> training. TheFellows saw particular strengths in the<strong>College</strong>’s pr<strong>of</strong>essional documents, theannual scientific meeting, the library,publications <strong>and</strong> communications, <strong>and</strong>the support <strong>of</strong> research by the <strong>College</strong>.Importantly, the fellowship survey foundthat more than half the Fellowship –55 per cent <strong>of</strong> respondents – <strong>report</strong>edundertaking pro bono roles, mostlyin teaching roles.Feedback was received through thesurvey about how the <strong>College</strong> canimprove its service to Fellows inrelation to the continuing pr<strong>of</strong>essionaldevelopment (CPD) program, <strong>and</strong>steps have already been taken to ensureimproved ease <strong>of</strong> access <strong>and</strong> support,especially since participation in CPDis now m<strong>and</strong>atory.“Interaction with key external stakeholders”is the second part <strong>of</strong> the strategic plan’snumber one point. The <strong>College</strong>’s PolicyUnit made 44 submissions to <strong>Australian</strong>government <strong>and</strong> related bodies <strong>and</strong> afurther eight submissions were madein <strong>New</strong> Zeal<strong>and</strong>.Media coverage <strong>of</strong> the <strong>College</strong> <strong>and</strong>anaesthesia <strong>and</strong> pain medicine increasedin <strong>2010</strong>. The <strong>College</strong>’s CommunicationsUnit produced 30 media releases in<strong>2010</strong> achieving widespread coveragethroughout Australia <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong><strong>and</strong> lengthy features appeared in print<strong>and</strong> on radio. The <strong>Annual</strong> ScientificMeeting in Christchurch attracted asignificant amount <strong>of</strong> media coverage.There was also an enormous amount<strong>of</strong> media coverage in the lead-up to,<strong>and</strong> during, the National Pain Summitin March.Other strategic prioritiesAlso in keeping with our strategic planpriorities, the <strong>College</strong> established anOverseas Aid Committee chaired byDr Wayne Morriss from <strong>New</strong> Zeal<strong>and</strong>.An indigenous health working party forindigenous communities in Australia<strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> <strong>and</strong> chaired by Dr RodMitchell was also established.Support for research increased withthe <strong>College</strong> announcing $664,677 for15 projects. ANZCA Fellows were alsoawarded $10.3 million in National Health<strong>and</strong> Medical Research Council grants.The <strong>College</strong> has also enhanced its supportfor Fellows <strong>and</strong> trainees in quality <strong>and</strong>safety through initiatives such as theWebAIRS incident monitoring project.The formation <strong>of</strong> an <strong>Australian</strong> <strong>and</strong><strong>New</strong> Zeal<strong>and</strong> Tripartite AnaestheticData Committee (ANZTDAC) AnalysisSubcommittee <strong>and</strong> an increased number<strong>of</strong> quality <strong>and</strong> safety articles in theANZCA Bulletin <strong>and</strong> items in theANZCA E-<strong>New</strong>sletter is also indicative<strong>of</strong> our <strong>College</strong>’s commitment to thisimportant area.ExaminationsIn <strong>2010</strong>, 492 c<strong>and</strong>idates sat thepharmacology section <strong>of</strong> the primaryexamination (up from 419 in 2009) witha pass rate <strong>of</strong> 56.7 per cent. A total <strong>of</strong>519 c<strong>and</strong>idates (up from 423) sat thephysiology section with a pass rate <strong>of</strong>55.8 per cent.A total <strong>of</strong> 269 c<strong>and</strong>idates successfullycompleted the primary examination (371in 2009) <strong>and</strong> 305 c<strong>and</strong>idates (334 in2009) sat the final examination in <strong>2010</strong>with a total pass rate <strong>of</strong> 74.8 per cent.Another achievement in <strong>2010</strong> was theimplementation <strong>of</strong> the online in-trainingassessment (ITA) process.EducationAn extensive review <strong>of</strong> the ANZCAtraining program was completed in <strong>2010</strong><strong>and</strong> the Curriculum Redesign Projectwas launched. A new ANZCA curriculumframework has been established with arevised curriculum to be developed forimplementation in 2013.In <strong>2010</strong>, the <strong>College</strong> also developed <strong>and</strong>launched the ANZCA Teacher Courseaimed at helping supervisors <strong>of</strong> training<strong>and</strong> clinical teachers in anaesthesiatraining. A project to scope an onlineteacher program also commenced <strong>and</strong>the <strong>College</strong> continued to develop itse-learning activities.Events <strong>and</strong> conferencesThe <strong>College</strong> ran many successfulcontinuing medical education events in<strong>2010</strong> including the outst<strong>and</strong>ing <strong>Annual</strong>Scientific Meeting in Christchurch whichwas attended by 756 full registrants,154 Faculty registrants, 92 exhibitorregistrants <strong>and</strong> 49 day registrants.Fellows recorded a CPD participationrate <strong>of</strong> 80 per cent by the end <strong>of</strong> <strong>2010</strong>.CouncilNominations were called for fivevacancies on Council with Dr LindyRoberts <strong>and</strong> Dr Genevieve Gouldingre-elected for three years.<strong>New</strong> councillors Dr Patrick Farrell, DrRodney Mitchell <strong>and</strong> Dr Mark Reeves whohad previously been co-opted to Councilwere elected <strong>and</strong> Dr Nicole Phillipscompleted her two-year term as newFellow councillor in May. Dr Justin Burkewas elected as her replacement.ConclusionThe <strong>College</strong> continues to excel in its coreroles <strong>of</strong> training <strong>and</strong> continuing education<strong>and</strong> promoting pr<strong>of</strong>essional st<strong>and</strong>ards<strong>and</strong> patient safety in anaesthesia <strong>and</strong>pain medicine.ANZCA remains in a strong financialposition with net assets at similar levelsto the previous year.The Council is most grateful to thethous<strong>and</strong>s <strong>of</strong> Fellows <strong>and</strong> traineeswho contribute to the <strong>College</strong> <strong>and</strong> thepr<strong>of</strong>ession on a pro bono basis. The<strong>College</strong> would struggle to exist withoutthis dedicated commitment <strong>and</strong> wouldfail in its goals <strong>of</strong> continuous innovation<strong>and</strong> improvement.In particular, I would like to acknowledgeour committee members, supervisors<strong>of</strong> training, examiners, working groupmembers, inspectors, tutors, communityrepresentatives, the <strong>College</strong> solicitor <strong>and</strong>councillors for the thous<strong>and</strong>s <strong>of</strong> hoursthey contribute.I would also like to acknowledge the staff<strong>of</strong> the <strong>College</strong> whose pr<strong>of</strong>essionalismcontinues to increase under theoutst<strong>and</strong>ing leadership <strong>of</strong> our ChiefExecutive Officer, Dr Mike Richards.We can be very proud <strong>of</strong> our <strong>College</strong>’sachievements <strong>and</strong> as one <strong>of</strong> the world’sleading medical colleges.Pr<strong>of</strong>essor Kate LeslieANZCA President4 ANZCA <strong>Annual</strong> Report <strong>2010</strong>ANZCA <strong>Annual</strong> Report <strong>2010</strong> 5
chief executive<strong>of</strong>ficer’s <strong>report</strong>“The principal focus <strong>of</strong> the year centered around education<strong>and</strong> training, particularly the development <strong>of</strong> curriculumframeworks <strong>and</strong> materials, the development <strong>of</strong> workplacebasedassessments (WBAs) for the training program, <strong>and</strong>the further development <strong>of</strong> e-learning capability.”The year in review was a very busy onefor ANZCA with significant achievementsbeing made by the <strong>College</strong>. Some <strong>of</strong> thehighlights achieved by Fellows supportedby staff in <strong>2010</strong> included that the <strong>College</strong>:• staged a highly successful <strong>Annual</strong>Scientific Meeting in Christchurch, <strong>New</strong>Zeal<strong>and</strong> with more than 1000 delegates;• provided communications, policy <strong>and</strong>administrative 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 the<strong>Australian</strong> Society <strong>of</strong> Anaesthetists<strong>and</strong> the <strong>New</strong> Zeal<strong>and</strong> Society <strong>of</strong>Anaesthetists) the pilot phase <strong>of</strong>the anaesthetic incident monitoringinitiative;• successfully launched the 2.5 daysFoundation Level ANZCA TeacherCourse;• awarded medical research grants tothe value <strong>of</strong> $664,677;• conducted a pioneering attitude survey<strong>of</strong> the fellowship, released the results<strong>and</strong> committed to action to addressthe identified issues;• implemented the online In-TrainingAssessment (ITA) system with morethan 500 ITAs submitted online,viewable by regional education <strong>of</strong>ficers/national education <strong>of</strong>ficers <strong>and</strong>supervisors <strong>of</strong> training;• developed more than 40 policysubmissions to governmentdepartments, agencies <strong>and</strong> regulatorybodies in Australia <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong>;• exp<strong>and</strong>ed the <strong>College</strong>’s overseas aidprogram delivering Essential PainManagement courses in Lae <strong>and</strong>Port Moresby, PNG;• continued the growth <strong>of</strong> pr<strong>of</strong>essionalsupport to the fellowship with theappointment <strong>of</strong> two additionalsenior clinicians as directors <strong>of</strong>pr<strong>of</strong>essional affairs working in theareas <strong>of</strong> pr<strong>of</strong>essional documents <strong>and</strong>international medical graduate specialist(IMGS) processes; <strong>and</strong>• successfully achieved stage one specialtyrecognition for pain medicine in<strong>New</strong> Zeal<strong>and</strong>.Important though these highlightswere, the principal focus <strong>of</strong> the yearcentered around education <strong>and</strong>training, particularly the development<strong>of</strong> curriculum frameworks <strong>and</strong> materials,the development <strong>of</strong> workplace-basedassessments (WBAs) for the trainingprogram, <strong>and</strong> the further development<strong>of</strong> e-learning capability. Revising thecurriculum is the most importantinitiative <strong>of</strong> the <strong>College</strong> for many years,<strong>and</strong> the Curriculum Redesign Project,which has flowed out <strong>of</strong> the review, willprovide the foundations for an excitingtraining program in anaesthesia in theyears ahead. The curriculum projecthas involved Fellows <strong>and</strong> staff workingcollaboratively to achieve a trainingprogram at world’s best practice.The project management stage <strong>of</strong>implementing the revised curriculumwill commence in mid-2011 <strong>and</strong> continueuntil the curriculum is rolled out forthe 2013 training year.Engagement <strong>of</strong> FellowsLooking ahead, the <strong>College</strong> has put inplace plans for 2011 that build upon theinfrastructure developments <strong>of</strong> previousyears to put a key focus on deliveringbenefits to the fellowship. Key activitiesthrough 2006 to 2009 had focused onmodernising the <strong>College</strong>’s operations,moving it from an organisation providingbasic secretariat support for the Fellowsto a more pr<strong>of</strong>essional governanceorganisation better able to support thework <strong>of</strong> the fellowship through the keycommittees <strong>of</strong> Council <strong>and</strong> in EducationDevelopment, Training <strong>and</strong> Assessments,<strong>and</strong> the regions.Through 2011 the <strong>College</strong> will shift thefocus <strong>of</strong> resource allocation more directlyto Fellows by providing strengthenedsupport for the fellowship in a range<strong>of</strong> important new initiatives – to betterfacilitate the Council’s key objective forFellows to more fully engage with the<strong>College</strong> across a range <strong>of</strong> areas. Whereprevious focus has been on rebuildinginfrastructure, developing capability,<strong>and</strong> modernising our key administrativesystems <strong>and</strong> processes (all <strong>of</strong> whichhave been important for building astrong foundation for exp<strong>and</strong>ed Fellowactivities), activity in 2011 will put anemphasis on the fellowship <strong>and</strong> supportfor Fellows.In essence, through budget decisions, the<strong>College</strong> 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 the<strong>College</strong> <strong>and</strong> the way it seeks to achieveits important mission.The key features <strong>of</strong> plans relating t<strong>of</strong>ellowship engagement are initiatives to:• create a new Fellowship Affairsdepartment to enhance support forFellow activity – the new departmentwill bring together the existing units<strong>and</strong> functional centres <strong>of</strong> continuingpr<strong>of</strong>essional development (CPD),Quality <strong>and</strong> Safety, the <strong>Australian</strong> <strong>and</strong><strong>New</strong> Zeal<strong>and</strong> Tripartite AnaesthesiaData Committee (ANZTADC) <strong>and</strong> theClinical Trials Group to give a greaterfocus to Fellow-related pr<strong>of</strong>essionalactivity <strong>and</strong> provide strengthenedsupport for the related committees;• assist the Fellowship to fulfil m<strong>and</strong>atoryCPD requirements – significantimprovements are planned to assistin the ease <strong>of</strong> access to the CPDprogram <strong>and</strong> provide more extensiveaccess to podcasts <strong>and</strong> other CPDrelatededucational material. Thisinvolves redevelopment <strong>of</strong> the CPDdatabase, <strong>and</strong> a redesign <strong>of</strong> the CPDsection <strong>of</strong> the ANZCA website. As well,educational material will be captured<strong>and</strong> disseminated for Fellow usethrough podcasts <strong>and</strong> other media;• enhance support to Fellows in theirroles as clinical teachers, supervisors<strong>of</strong> training, <strong>and</strong> regional education<strong>of</strong>ficers – in 2011 the <strong>College</strong> will run anexp<strong>and</strong>ed number <strong>of</strong> clinical teachingtraining courses, <strong>and</strong> update thesupervisor <strong>of</strong> training SOT h<strong>and</strong>book tobetter support Fellows taking on theseimportant roles. Specifically, a teachercourse (advanced level) will be deliveredin each region, <strong>and</strong> three pilot courses<strong>of</strong> the teacher course (foundation level)will be fully funded in 2011 <strong>and</strong> held inthree regions;• implement the action programarising from the ANZCA FellowshipSurvey – this will involve a number<strong>of</strong> new initiatives to facilitate Fellowengagement with the <strong>College</strong>, rangingfrom a new Fellows kit to a communityawareness campaign. The new Fellowskit will contain essential informationabout ANZCA <strong>and</strong> its key activities<strong>and</strong> make it easier for them to engagewith the <strong>College</strong>. Following on fromthe fellowship survey, the communityawareness campaign will be a staged,three-year project commencing in 2011to explain <strong>and</strong> articulate the role <strong>of</strong>the pr<strong>of</strong>ession in modern medicine.The project will establish a baseline <strong>of</strong>community attitudes to the pr<strong>of</strong>ession;develop a communications programto address community perceptions<strong>of</strong> anaesthetists; <strong>and</strong> implementthe program to enhance communityunderst<strong>and</strong>ing <strong>and</strong> recognition <strong>of</strong>the important work <strong>and</strong> communitycontribution <strong>of</strong> the pr<strong>of</strong>ession;• provide a more user-friendly websiteby enhancing navigability <strong>and</strong> ease <strong>of</strong>use – the extensive website re-designcontinued through the latter half <strong>of</strong><strong>2010</strong> <strong>and</strong> the final enhancementswill be rolled out by mid-2011;• provide a service to those Fellows whocannot attend the annual scientificmeeting (ASM) through an exp<strong>and</strong>edonline multi-media coverage <strong>of</strong> the event– the successful coverage <strong>of</strong> the ASMin Christchurch will be enhanced via theCSM e-<strong>New</strong>sletter in Hong Kong, videointerviews, photo galleries <strong>and</strong> podcasts<strong>and</strong> increased media coverage; <strong>and</strong>• provide enhanced Fellow supportin the regions by adding to theregional staff resources <strong>and</strong> improvingaccommodation amenities for regionalcommittees – this involves recruitinga policy <strong>of</strong>ficer to the <strong>New</strong> Zeal<strong>and</strong><strong>of</strong>fice to strengthen capability in makingsubmissions to government over crucialissues affecting the fellowship in <strong>New</strong>Zeal<strong>and</strong> (<strong>and</strong> potentially in Australia, aswell). It also involves increasing the staffsupport in Tasmania <strong>and</strong> elsewhere.ConclusionFinally, I would like to thank the Council<strong>and</strong> executive <strong>of</strong> the <strong>College</strong> – particularlysuccessive presidents, Dr Leona WilsonONZM <strong>and</strong> Pr<strong>of</strong>essor Kate Leslie; Vice-President Dr Lindy Roberts; <strong>and</strong> Dean<strong>of</strong> Education Pr<strong>of</strong>essor Barry Baker– for their support in <strong>2010</strong>; my seniormanagement team <strong>and</strong> the staff <strong>of</strong> the<strong>College</strong> for their dedicated efforts <strong>and</strong>hard work over the course <strong>of</strong> the year;<strong>and</strong> the Fellows <strong>and</strong> trainees <strong>of</strong> ANZCA,whose pr<strong>of</strong>essional interests I have beenprivileged to serve.(Dr.) Mike Richards FAIM, FAICDChief Executive Officer6 ANZCA <strong>Annual</strong> Report <strong>2010</strong>ANZCA <strong>Annual</strong> Report <strong>2010</strong> 7