Annual Report 2011 - Sturt Fleurieu

educating doctors for a future in general practiceAnnual Report 2011For the year ended 31 December 2011www.sfgpet.com.au

Sturt FleurieuABN 77 072 089 959Acknowledgement:Sturt Fleurieu is a contracted regional training provider of theAustralian General Practice Program that is administered byGeneral Practice Education and Training Ltd and funded by theCommonwealth Department of Health and Ageing.Copyright:© 2012 Sturt Fleurieu.All rights reserved. No part of this document may bereproduced by any means or in any form without theexpressed permission in writing from Sturt Fleurieu.Published by Sturt Fleurieu18 Alfred Place STRATHALBYN SA 5255t. (08) 8536 5000f. (08) 8536 8019e. sturt.fleurieu@sfgpet.com.auwww.sfgpet.com.auWinnerGPETInnovation Award

Contents2011 at a Glance 2Chairman’s Report 4The Sturt Fleurieu Board 6Corporate Governance 8Chief Executive Officer’s Report 9Strategic Plan 10Strategic Themes 11GP Training Locations 12Training Practice Details 13Director of Medical Education Report 14Prevocational GP Placements Program 18Medical Education Team 20Administration Team 21Registrar Liaison Officer Report 22My Academic Post Experience by Dr Trinh Tran 23My Academic Post Experience by Dr Nyoli Valentine 24Our Fellowed Registrars 23Financial Reports 25Annual Report 20111

At a Glance 2011Excellence in medicine and general practice...is delivered through exclusive Sturt Fleurieu training and educationalmaterial developed from the most recognised and awardedprogram in the country.…Oversubscribed with GP Training applicationsThere was an encouraging response from applicants who selectedSturt Fleurieu as their AGPT training provider of choice for 2012. Wereceived 51 applications for 38 general practice training positions....CEO profiled in Medical ObserverOur CEO, Dr Bruce Mugford was profiled as a Health Industryidentity in the November edition of Medical Observer.His profile discusses medical student advice, curing diseases, andphilosophical principles which inform his work.…Medical EducatorPublished in MedicalJournal of AustraliaSturt Fleurieu Medical Educator,Dr Nyoli Valentine, made hermark in the medical field withdetails of her diabetes researchpublished in the March editionof the Medical Journal ofAustralia (MJA).Nyoli found testing glycatedhemoglobin (HbA1c) levelsusing blood samples takenfrom all adult patients admittedto hospital was a simple, costeffectivescreening test fordiabetes detection.…Breakthrough StrokeResearchFormer Sturt Fleurieu registrar,Dr Elaine Leung, undertook herPhD research in Stroke andTIA (transient ischemic attacks)patient management.Sturt Fleurieu has partiallyfunded Elaine’s ongoingresearch which was conductedat the Basil Hetzel Institute atthe Queen Elizabeth Hospitalcampus. Elaine has developeda systematic approach forpatients presenting withneurological symptomsincluding a five minuteneurological examination,stroke therapy updates, TIAassessments and managementstrategies.2 Annual Report 2011

...Record Number of RuralIMGsSturt Fleurieu has been subcontractedby the Rural Doctors WorkforceAgency (RDWA) to support and guideInternational Medical Graduates (IMGs)in our rural catchment areas (withinthe Barossa, Riverland and South Eastregions) towards sitting and passing theFellowship exam through either of theACRRM or RACGP Colleges.This year 29 IMGs were supported bySturt Fleurieu.…Former MP Karlene Maywaldjoins our BoardFormer South Australian Water SecurityMinister, Karlene Maywald, has beenappointed as an invited member of theSturt Fleurieu Board.Karlene is eager to be involved in thegeneral practice training field.She brings with her a broad range ofher skills and her extensive professionalbackground which will be of enormousvalue to the Board.…Presidential honor at AMA(SA)Our Registrar, Dr Rick Fielke was recognised with thePresident Award for outstanding service to the AMA(SA)at their Gala Dinner on Saturday 21 May 2011. Dr RickFielke is currently Chair of the AMA(SA) Doctors inTraining (DiT) Committee and has held this positionsince May 2009.The Doctors-in-Training Committee focuses onhighlighting and investigating the interests of emergingmedical professionals. Comprised of doctors in training,medical students and senior doctors, the Committeeunderstands and identifies the key issues relevant tothis particular segment and works hard to protect theirinterests....Registrar Tops the StateDr Brian Ambrose, received special accolades fortopping the state with his RACGP exam scores last year.He was honoured at the RACGP Fellowship Ceremonythis year on 27 August 2011 at the Adelaide WineCentre.Brian took out the coveted David Game Prize forachieving the highest scores for the AKT, KFP and OSCEexams within the South Australian and Northern Territoryregions in Semester 2, 2010....Alan Chancellor Award WinFormer Registrar, Dr Elaine Leung, presented herresearch on “Community based rapid transientischaemic attack (TIA) care: COMBAT stroke,” at theRACGP Annual GP11 Conference and she won the AlanChancellor Award. The award is presented each yearto the General Practitioner or GP Registrar consideredthe best, first time presenter of a research paper at theRACGP Annual Conference.Annual Report 20113

Chairman’s ReportI am pleased to report that Sturt Fleurieu has continued to thrive. Most particularly, ourmove into the South East of South Australia appears to have been a resounding success.Practice recruitment has been most encouraging and an increase in registrar applicants,especially to our rural pathway, has paralleled that growth.minor issues emerging from our successful accreditationhave been taken care of also by both organisational staffand the Management Committee. Self assessment ofthe Management Committee has become routine andis a useful activity to keep, particularly me, alert. Riskmanagement is obviously pivotal to our ongoing successand we are in the process of following the staff in a fullreview of risk, risk appetite and contingency planning toshore up our capacity to continue to deliver at the high levelthat we pride ourselves on.A Special ThanksIn my report of 2010, I filled most of the pageacknowledging the coming and going of several boardmembers. With this we lost some experience andcorporate knowledge but in return we have gained newideas and a broader range of talents which have certainlybeen useful in 2011. After approximately a year on theSFGPET Management Committee, Daniel Cox who hadbeen nominated to join us by State Health resigned. I dowant to thank him for his interest and enthusiasm duringthat year and his willingness to acknowledge the issuesthat emerge from our dealings with State Health. A furthernomination from State Health was put forward and, whilstthe candidate was very well credentialed, a decision wasmade to defer taking new members on board pendingsome likely significant restructuring expected to occur in2012.2011 Highlights at Sturt FleurieuBefore exploring those issues, I do want to say that I ampleased to report that Sturt Fleurieu has continued to thrive.Most particularly, our move into the South East of SouthAustralia appears to have been a resounding success.Practice recruitment has been most encouraging and anincrease in registrar applicants, especially to our ruralpathway, has paralleled that growth. It is a great creditto our organisational staff that this has unfolded this wayas there were some significant obstacles in the formativemonths of this proposed expansion. During 2011, some4 Annual Report 2011Medicare LocalsIt is no secret that the Labour Government’s health agendacontinues to roll out and we will see in 2012 a numberof Medicare Locals born largely morphing out of thedivisions of general practice. As a result, many of thesedivisions will cease to exist and certainly it seems thatthey will all lose their Federal funding. For an organisationsuch as ours this presents some logistical challenges asfive of our member organisations are divisions of generalpractice. Hence we will, by necessity, have a change ofmembership. Likewise as we are one of only two generalpractice training organisations who remain as incorporatedassociations, we are looking long and hard at altering ourconstitution to form a company limited by guarantee. Thisis a work in progress and is planned for the end of 2012.An Incorporation Working Party has been set up from withinour Management Committee and legal assistance hasbeen engaged. Work will certainly have to be done to lookat exactly how our Management Committee will look in ayear’s time.PGPPPAt risk of overlapping with the CEO’s report I do feel theneed to mention the exceptional job that our staff havedone expanding the PGPPP program in the Sturt Fleurieuregion. PGPPP remains a fertile recruiting ground for GPtraining and the fact that this has been able to expand sorapidly is exceptional particularly when you compare usto other organisations interstate. The likelihood of furtherexpansion is imminent particularly as our team work toenhance the experience of the junior doctors beyonda placement into a real learning situation. Every goodexperience in general practice is likely to continue to assistin building a high quality and adequately manned GPworkforce.

The 2011 Sturt Fleurieu Board (Back row, from left to right:) Dr RichardJohns, Dr David Rosenthal, Dr Graeme Nicholson (Middle row, left to right)Dr Richard Wilson, Dr Trinh Tran, Dr Steve Dunn (Front row, left to right:)Dr David Adams, Hon Karlene Maywald, Dr Bruce Mugford.Sturt Fleurieu Board and StaffI continue to remain indebted to all members of theManagement Committee whose dedication andapplication, as well as camaraderie and good humour,have made my job straightforward. I am pleased to beable to say that we are, I believe, a highly functioninggroup, within which every member is contributingsignificantly. I express my sincerest thanks to allconcerned. This has been another busy year and as eachyear seems to bring forward more complexity, it has beenparticularly helpful that Dr David Rosenthal as Chair ofthe Finance and Risk Management subcommittee hasshouldered a substantial work load assisting Ken Redfordin providing workable and readily comprehensible financialreports and advice to us. Dr David Adams, as Chair ofthe Planning subcommittee and Vice Chairman of theManagement Committee, has continued to work diligentlyand efficiently. Dr Bruce Mugford, Ken Redford and DrPeter Clements and the rest of their staff have continuedto perform exceptionally well and Sturt Fleurieu continuesto run like clockwork. I believe that we continue to providean enjoyable high quality experience for our registrars andjunior doctors and our region is seeing the benefits of that.Dr Richard JohnsChair, Sturt FleurieuAnnual Report 20115

The Sturt Fleurieu BoardDr Richard JohnsChairManagement CommitteeFinance & Risk Managementsub-committeePlanning & Nominations subcommitteeDivision Affiliation: GeneralPractice Network SouthDr Richard Johns wasappointed as a board membersince Sturt Fleurieu’s inceptionin 2001. He was selected asChair in late October 2004 andhas held the position for overseven years.Dr Johns gained Fellowship ofthe Royal Australian Collegeof General Practitioners(RACGP) in 2009 and haspracticed as an urban GP atKingston Family Clinic, wherehe currently consults and hasworked since 1983.His medical interests extendto whole of life generalistcare, skin cancer surgeryand rehabilitation medicine.Dr Johns has worked asan RACGP examiner andhas spent many years asa Continuing DevelopmentAdvisor at General PracticeNetwork South (GPNS). Heis a member of the ClinicalLeadership Group GP andalso works as a Sturt FleurieuMedical Student Supervisor.Dr Johns is married withfour adult children and twingrandchildren. Outside of theconsulting room, Dr Johnsinterests include fishing,cycling, walking and music.Dr David AdamsVice ChairManagement CommitteePlanning & Nominations subcommittee– ChairDivision Affiliation: BarossaDivision of General PracticeDr David Adams is a rural GPat Angaston Medical Centrewhere he has been consultingsince 1991.Dr Adams graduated in 1979,and has been working as arural GP in South Australia for31 years. He is a proceduralGP with specific medicalinterests in anaesthetics,chronic diseases andgeriatrics.Dr Adams is vice chair ofthe Sturt Fleurieu Board,and chairs the Planning andNominations subcommittee.He also works as aSupervisor for trainee generalpractitioners.As well as full time generalpractice, Dr Adams also worksin an advisory capacity to theSA Rural Locum Service.Outside of the medicalenvironment, he is marriedwith three adult children.Recreational interests includegardening, sailing, andenjoying wine.Dr David RosenthalManagement CommitteeFinance & Risk Managementsub-committee – ChairDivision Affiliation: RiverlandDivision of General PracticeDr David Rosenthal is aninaugural Sturt Fleurieu Boardmember, appointed in 2001.He gained Fellowship from theAustralian College of Rural andRemote Medicine (ACRRM)in 1999, and is a proceduralrural general practitionerat Renmark Medical Clinicwhere he has practised for 38years. Dr Rosenthal is alsoa Management Committeemember of the RiverlandDivision of General Practice.Dr Rosenthal’s medicalinterests lie in medicaleducation together withsafety and quality in healthcare. He is a Clinical Adviserto Country Health SA in thatarea. Dr Rosenthal has asenior academic appointmentwith Flinders University RuralClinical School and is Chairof the Rural Health EducationFoundation’s Board.Dr Richard WilsonManagement CommitteeFinance & Risk Managementsub-committeeDivision Affiliation: Adelaide HillsDivision of General PracticeDr Richard Wilson has workedas a GP in practices throughoutStrathalbyn, Stirling andBridgewater over the past38 years and was appointedas a Sturt Fleurieu Boardmember in January 2006. Hegraduated from the Universityof Adelaide in 1967 andobtained the Diploma of theRoyal College of Obstetriciansand Gynaecologists in the UKin 1970.He became a Fellow of theRoyal Australian Collegeof General Practitioners(FRACGP) in 1982 and a Fellowof the Australian College ofRural and Remote Medicine(FACRRM) in 2000.Dr Wilson was Chairman ofthe Board of the Adelaide HillsDivision of General Practicefrom 2005 to 2011. He has hada significant involvement inthe medico-legal field over thepast 27 years and now worksas a Senior Medical Advisorwith Avant. He continues towork in general practice inStirling and also providessurgical assistance in the areasof general, orthopaedic andplastic surgery. Dr Wilson hasan interest in health promotionand supporting health researchand is on the Board of theProstate Cancer Foundation ofAustralia (SA Branch) and is aRegional Director on the Boardof Australian Rotary Health.6 Annual Report 2011

Dr Graeme NicholsonManagement CommitteeDivision Affiliation: Murray MalleeGeneral Practice NetworkDr Graeme Nicholson is aMurray Mallee GP Networknominee and was appointedas a board member in 2010.Dr Nicholson obtained aFellowship of the RoyalAustralian College of GeneralPractitioners (FRACGP) in1995 and Fellowship from theAustralian College of Rural andRemote Medicine (FACRRM)in 2000. His medical interestsextend to anaesthetics,obstetrics and medicaleducation.Dr Nicholson’s generalpractice experience includes4 years working as a soloGP in Laura, South Australia,which is located 3 hours awayfrom the Adelaide CBD. Hehas worked in a small GPpractice at Waikerie MedicalCentre for over 13 years. Hecurrently consults at BridgeClinic in Murray Bridge, SouthAustralia where he has beenpractising for the last 13 yearsand commenced work as aGP Supervisor in 1993.Professor RichardReedManagement CommitteePlaning & Nominations subcommitteeAffiliation: Flinders UniversityProfessor Richard Reedcommenced as Head of theDiscipline of General Practicein October, 2005 at FlindersUniversity in Adelaide, SouthAustralia. He has an additionalrole as the Deputy Head ofFlinders Promotion, Preventionand Primary Health Care atFlinders University.Professor Reed is originallyfrom the United States wherehe received his medicaldegree from the University ofRochester, School of Medicinein Rochester New York andcompleted a Family MedicineRegistrar Training Program atthe University of Washington.Professor Reed has beena medical school facultymember at the Universityof Arizona, the University ofMinnesota and the UnitedArab Emirates University.He is a Fellow of the RoyalAustralian College of GeneralPractitioners (FRACGP)and active in patient care.His medical researchinterests centre on engagingconsumers in their ownhealth care and improvingmanagement of chronicconditions in general practice.He also studies the role ofgeneral practice in improvingpopulation health.Hon KarleneMaywaldManagement CommitteeFinance & Risk Managementsub-committeeInvited MemberKarlene Maywald is theManaging Director ofMaywald Consultants PtyLtd, specialising in advisoryservices to Government andthe private sector. She is alsoa partner with her husband,Dean, in their Vineyard/Almondproperty at Langhorne Creek.Karlene was the Member forChaffey in the South AustralianParliament from October1997 to March 2010. Shewas appointed as a CabinetMinister from July 2004 untilMarch 2010. Her Portfolioresponsibilities includedThe River Murray, WaterSecurity, Small Business,Regional Development,Consumer Affairs, Scienceand Information Economy,and Assisting the Minister forIndustry and Trade.Karlene has a keen interestin the future development ofthe Health Workforce and wasappointed to the ManagementCommittee of Sturt Fleurieu inFebruary 2011.Dr Steve DunnManagement CommitteePlanning & Nominations subcommitteeInvited MemberDr Steve Dunn has followedhis father’s example with 30years of procedural generalpractice in the South Eastof South Australia, based atHawkins Clinic in Mt Gambier.Steve joined the Board in2010. His Board interests haveled to involvement with TheLimestone Coast Division ofGeneral Practice, the AMABranch Council and GeneralPractice South Australia(GPSA).Clinical interests have includedteaching, obstetrics, industrialhealth and academicmedicine. He has enjoyeda variety of work in Wales,England, Brunei and NewZealand.He holds Diplomas inAnaesthetics, Obstetrics,Industrial Health and AsianStudies. He is a Fellowof RACGP, ACRRM andthe Australian Institute ofCompany Directors. He hasMasters Degrees in FamilyMedicine and GP Psychiatry.One of his current interestsincludes cycling trips in foreignclimates.Annual Report 20117

The Sturt Fleurieu Board continuedDr Trinh TranPlanning & Nominations subcommitteeDivision Affiliation: GeneralPractice Registrars Australia(GPRA)Dr Trinh Tran graduatedfrom the University ofLondon, UK and is awaitingFellowship with the RoyalAustralian College of GeneralPractitioners (FRACGP) whilstworking towards a Fellowshipin Advanced Rural GeneralPractice (FARGP).Dr Tran worked as a SturtFleurieu Registrar LiaisonOfficer between 2008 and2010. She was appointedas a Board member in2008 to continue registrarrepresentation. Dr Tran is alsoa member of the Planning andNominations sub-committeeon the Sturt Fleurieu Board.Dr Tran consults at HahndorfMedical Centre. She alsoworks in the Vaccinology &Immunology Research TrialsUnit (VIRTU) at the Women’sand Children’s Hospital, aswell as providing a service atNunkuwarrin Yunti AboriginalHealth Centre.Dr Bruce MugfordChief Executive OfficerManagement CommitteeFinance & Risk Managementsub-committeePlanning & Nominations subcommitteeDr Bruce Mugford has beenthe CEO at Sturt Fleurieusince its formation in 2001.General practice has alwaysbeen able to offer him thevariation he needs in his life.He has been lucky enoughto work as a clinician in awide variety of places fromrural and remote Australia toIndonesia and Cambodia.Dr Mugford’s particularinterest has always beengeneral practice but he hasundertaken both the GraduateDiploma in General Practicefrom Monash University andMasters of Public Healthand Tropical Medicine fromJames Cook University;courses which have had asignificant influence on howhe approaches medicine,teaching and training.Corporate GovernanceSturt Fleurieu is an incorporated not-for-profit Association. A Management Committee of nine members comprisingof representatives of the five regional Divisions of General Practice (Adelaide Hills, Barossa, Murray-Mallee,Riverland and Southern), one representative from Flinders University, two invited members and a registrarrepresenting the GPRA organisation. The Management Committee has responsibility for the overall strategy,governance and performance of the organisation. Day-to-day management of the organisation is the responsibilityof the Chief Executive Officer.8 Annual Report 2011

Chief Executive Officer’s ReportOur organisation has continued to deliverstrongly in primary care training through 2011albeit with some challenges.Program GrowthOur two major programs, Australian General PracticeTraining (AGPT) and the Prevocational General PracticePlacement Program (PGPPP) have grown in terms ofsize and scope throughout the year. Increases in AGPTapplicant numbers have been well publicised and we havebeen anticipating gradual increases in line with our usualallocations. Much of our planning around the increasesis now coming to the fore, however in line with a maturingprogram we have encountered changes to GPET fundingwhich in turn has meant reduction in availability of some ourprograms. None the less we have been pleased that ourprogram continues to attract applicants and all positionswere filled for the 2012 training year.PGPPPIn contrast, PGPPP has grown significantly. With contractchanges initiated by GPET, consolidation of programsaround accredited providers meant more activity for SturtFleurieu both in the country, at Mt Gambier and in Adelaide.In circumstances such as these change inevitably occursand two rotations could not continue. Significant work wasthen undertaken to replace these rotations, and in the endwe were able to over deliver on PGPPP training weeks.Given the negotiation challenges in bringing together StateHealth, teaching hospitals and general practice trainingsites this was quite a feat. The success of junior doctortraining in general practice in South Australia is not anovernight success and our ability to bring these groupstogether is born from the long history of these programs inour state.Such significant growth has meant that PGPPP hasbecome mainstream business and, to reflect this, theeducation program required more planning, change andgreater resourcing. As a result, we are now delivering moreactivity to a larger number of junior doctors in a much moreintegrated manner.IMGsInternational Medical Graduate (IMG) training assistancealso grew significantly, and there are now over thirty suchdoctors in our region, up from only five or six two years ago.Our desire is that we should be able to offer this groupmore but at this stage no new programs appear to be onthe horizon.Changing Medical LandscapeOur Chair has reported on the changing landscape ofgeneral practice, in particular the appearance of MedicareLocals and the changes in funding to Divisions of GeneralPractice. As part of risk management the ManagementCommittee has instigated a review of our corporatestructure and membership to ensure that we will be able tooperate efficiently into the future. I am confident that thiswill be the case and throughout the year we have activelyengaged with both RACGP and ACRRM to ensure theyhave as good an understanding about both our majorprimary care programs as is practicably possible.In conclusion, I thank both the Management Committeemembers and Sturt Fleurieu staff for their support. The listof individual thanks is too long to include here, however tosucceed the organisation remains reliant on its people andthe relationships they forge with registrars, junior doctors,hospitals, Practice Managers and Supervisors.Dr Bruce MugfordCEO, Sturt FleurieuSuite of Educational ProductsOur educational products continue to attract nationalattention. In a very pleasing move, Pro-start anaestheticshas been accredited by ACRRM as Core Clinical Training.To be able to offer this to registrars who cannot obtain thisexperience in the hospital has been invaluable. Throughthe year, additional modules have been added to gp-startand derm-start has been used in other training providers aswell.Annual Report 20119

Strategic PlanVision – Core Focus:The core focus ofSturt Fleurieu is theprovision of trainingand educational servicesin the health sectorand as a result it shouldseek to become theprovider of choicefor other health careorganisations whichmay be establishedacross the existingtraining footprint.Mission:“To deliver highquality responsiveand forward thinkinggeneral practiceeducation andtraining to provideour community with askilled and sustainablegeneral practiceworkforce.”Strategic Objectives:Sturt Fleurieu aims to ensurethe sustainable future of theorganisation by:• Providing high qualityvocational and prevocationaldoctor training, including ruraland remote medicine• Promoting the organisation• Planning for optimal size andscope of the organisationunder the current contractingand delivery framework• Providing a safe, supportiveand effective workingenvironmentwww.gpstart.com.auAn Introductionto Advanced TrainingAn Introduction toDermatologyAn Introduction to GeneralPractice AnaestheticsA Guide toEmergency Medicinein General Practice10 Annual Report 2011

Strategic ThemesInnovationAdvanced SkillsSuperior TrainingOpportunitiesgp-start; a unique program atthe core of training, gp-start hasbeen specifically developed inconjunction with senior generalpractice training Supervisorsto ease the transition fromhospital to general practice, andfocuses on the diagnosis andmanagement of common clinicalproblems in patients.gp-advanced; forming thebasis of comprehensive RACGPexam preparation, gp-advancedprovides the opportunity toreview patient scenarios in-depthand to develop practice examquestions.Workshops; held in large andsmall-group formats, theseworkshops further explorecomplex medical issues andtheir treatments, including thoseencountered in women’s andaboriginal health areas.PGPPP; targets junior doctorswho are undertaking hospitaltraining but have not yet enrolledin a specialty, and providesthe opportunity to experiencesupervised general practice at anearly stage of training.pro-start; hands-on learningguides which provide earlyexposure to rural proceduralpractice, including EmergencyTraining, specifically developedwith general practice in mind andAnaesthetics, which provides theopportunity to learn Anaestheticskills under the guidance ofan Anaesthetics Supervisor ingeneral practice.Clinical Attachments; offeredin a range of specialist areasincluding medical education,diabetes, sexual assault anddomestic violence, chronicpain and addiction treatment,disability medicine and palliativecare. Delivered concurrently withGP training terms.Extended skills; placementand training in specialised 3 or6-month skills posts.Advanced Rural Skills; providesthe opportunity for registrars todevelop extra skills in a numberof core disciplines throughundertaking an advanced ruralskills post.derm-start; helps in thediagnosis and management ofskin problems commonly seen ingeneral practice settings.Vocation; in order to supportour general practice Supervisorsand Medical Educators fortheir role in training registrars,Sturt Fleurieu provides acomprehensive professionaldevelopment program. Thisprogram provides the opportunityto constantly review and revisepractice-based and small grouplearning activities to ensure thetraining received is the best in theindustry, provided by the mostoutstanding GPs.Rotation; working closely withour selected GP practicesprovides the opportunity tobe placed in a supportive,innovative and effective teachingenvironment, with continuityof training provided yearafter year. Where a registrarexperiences training difficultieswe offer access to well-being andremediation programs designedspecifically to the registrar’sneeds.Location; Sturt Fleurieucovers a diverse region in bothmetropolitan and rural areasposing a range of challengingand interesting health andmedical issues. Sturt Fleurieuis well placed to ensure traininglocations will meet the clinicaland education requirements toprovide the opportunity for anexcellent education and trainingexperience.PerformanceAnnual Report 201111

ortMillicentambierAccredited GP Training Practice LocationsNuriootpaGawlerKapundaAngastonTanundaWaikerieRenmarkBarmera BerriLoxtonNuriootpaawler03KapundaAngastonTanundaMount PleasantGumerachaHahndorfLittlehamptonMt Barker Murray BridgeStrathalbynnkalillaorGoolwaMiddletonWaikerieDarwinRenmarkBarmeraAdelaide BerriLoxtonAdelaideMount PleasantGumerachaHahndorfLittlehamptonMt Barker Murray BridgeStrathalbynYankalillaVictor HarborGoolwaMiddletonNuriootpaGawlerKapundaAngastonTanundaWaikerieMount PleasantGumeracha KeithHahndorfLittlehamptonBordertownMt Barker Murray BridgeRenmarkBarmera BerriLoxtonKeithBordertownYankalillaVictor HarborGoolwaMiddletonStrathalbynKingstonNaracoorteKingstonNaracoorteMillicentBeachportMillicentMount GambierMount GambierKeithBordertownAdelaide 21714101668 518 71112 1315219194203Darwin1 Aberfoyle Park2 Adelaide(Nunkawarrin Yunti)3 Aldgate4 Aldinga Beach5 Bedford Park6 Belair7 Blackwood8 Brighton9 Christies Beach10 Clovelly ParkAdelaide21714101668 518 71112 1311 Flagstaff Hill12 Hallett Cove1513 Happy 21 Valley914 Hawthorn2015 19 Morphett Vale (3)16 Parkside417 Seacombe Gardens18 Seaford19 Stirling (2)20 Woodcroft3KingstonNaracoorteBeachportMillicentMount GambierDarwin12 Annual Report 2011

Training Practice DetailsURBANTraining Provider Name Suburb DivisionACRRMAccreditedASGC-RAClassificationOuter MetroAberfoyle Park Medical Centre Aberfoyle Park South 1Arkaba Medical Centre Parkside Adelaide 1Aldinga Medical Centre* Aldinga Beach South 1Bedford Medical Clinic Clovelly Park South 1Belair Medical Clinic Belair South 1Blackwood Clinic Blackwood South 1Chandlers Hill Surgery Happy Valley South 1Christies Beach Medical Centre Christies Beach South 1Crafter Medical Centre Hawthorn Adelaide 1Flagstaff Hill Medical Centre Flagstaff Hill South 1Floreat Surgery Morphett Vale South 1Gawler Medical Clinic Gawler Northern 1Hallett Cove Corner Surgery Hallett Cove South 1Hills Medical Service Aldgate Adelaide Hills 1Kingston Family Clinic Brighton South 1Morphett Vale Family Practice Morphett Vale South 1Nunkuwarrin Yunti Adelaide Adelaide # 1Seacombe Medical Centre Seacombe Gardens South 1Seaford Day and Night Clinic Seaford South 1Stirling Central Health Clinic Stirling Adelaide Hills 1Stirling Medical Centre Stirling Adelaide Hills 1Wirreanda Clinic Morphett Vale South 1Woodcroft Medical Centre Woodcroft South 1RURALTraining Provider Name Town Division ACRRM Accredited ASGC-RA ClassificationAngaston Medical Centre Angaston Barossa # 2Barmera Medical Clinic Barmera Riverland # 3Beachport Medical Services Beachport Limestone Coast 3Berri Medical Clinic Berri Riverland # 3Bridge Clinic* Murray Bridge Murray Mallee # 2Ferrers Medical Clinic Mount Gambier Limestone Coast 2Goolwa Medical Centre* Goolwa South 2Gumeracha Medical Practice Gumeracha Adelaide Hills # 2Hahndorf Medical Centre* Hahndorf Adelaide Hills 2Hawkins Medical Clinic Mount Gambier Limestone Coast 2Kapunda Medical Practice* Kapunda Barossa # 2Kincraig Medical Clinic Naracoorte Limestone Coast # 3Littlehampton Medical Centre Littlehampton Adelaide Hills 2Loxton Health Centre Loxton Riverland # 3Millhouse Medical Centre Middleton South 2Mt Barker Balhannah Clinics* Mt Barker / Balhannah Adelaide HIlls 2Mt Barker Medical Clinic* Mt Barker Adelaide Hills 2Mt Pleasant (Talunga Clinic) Mount Pleasant Barossa 2Norfolk House Medical Services Victor Harbor South 2Nuriootpa Medical Centre Nuriootpa Barossa 2Renmark Medical Centre Renmark Riverland # 3Southern Fleurieu Family Practice Yankalilla South 2Strathalbyn Branch - Mt Barker Medical Clinic* Strathalbyn Adelaide Hills 2Strathalbyn Medical Clinic* Strathalbyn Adelaide Hills # 2Tanunda Medical Centre Tanunda Barossa 2The Medical Clinic Millicent Millicent Limestone Coast # 3Victor Medical Centre* Victor Harbor South # 2Waikerie Medical Centre Waikerie Riverland # 3* These practices have branch practices in which registrars will be required to work. Current as of June 2011Annual Report 201113

Director of Medical Education ReportWith increased registrar numbers and increased practices to trainregistrars, 2011 was a busy but ultimately satisfying and successfulyear for Sturt Fleurieu.Growth of Registrar IntakeOur potential intake increased from 34 to 38 for 2011 andwe were pleased to fill these places with extremely stronginterest in the rural training pathway. So strong is thisinterest, that we are beginning to see significant pressuresin relation to available rural training practices and pressureon several practices to take multiple registrars.New PracticesIn 2011 we welcomed the following practices and were ableto accredit them for commencing training in either 2011 or2012 and into the future:• Allcare Medical Centre• Beachport Medical Services• The Cove Medical Centre• Adelaide Hills Medical Clinics• Medical One• Seaford Day and Night ClinicAboriginal Health Education and TrainingThe program continued to be run with a series of majorrelease day educational events beginning with a 3-dayorientation for all incoming registrars and then three 2-dayreleases as well as a 2-day Aboriginal Health workshop.Many of the presentations at these workshops were givenby GPs as well as Sturt Fleurieu Supervisors and MedicalEducators which is consistent with our long standing beliefthat GPs are the best presenters of general practice issues.14 Annual Report 2011The Aboriginal Health workshop was held this year attwo locations - Port Adelaide and Adelaide CBD andwas brought together by our Aboriginal Health MedicalEducator, Dr Phil Johns. Phil has worked hard through theyear to develop the workshop as well as to develop tieswith Aboriginal Health organisations for the future.Several visits by Sturt Fleurieu to the ACCHO at PangulaMannumurna in Mt Gambier were undertaken with the aimof creating registrar placements at this location. These arebeginning to pay dividends and 2012 should see the first ofthese placements for registrars in the South East.I thank Phil for his tireless work in this area and look forwardto further developments with educational material availableon the Sturt Fleurieu website and increased emphasis oneducation of registrars through the mini release program onhealth issues relating to Aboriginal peoples.RME GroupsOur Regional Medical Educator program continued through2011 for GPT1 and GPT2 registrars with 10 sessions ofat least 3 hours held through the year with facilitation ofa Regional Medical Educator. These educators are nowexperienced and the programs run smoothly and effectively.The new Medical Educator for the South East group is DrMalcolm Gale and this group reported positive experiencesin their group work with him.I wish to thank this very dedicated group for their work withthe small groups as well as their input into the programdevelopment and involvement in external clinical teachervisits and performance review. The Regional MedicalEducators are Dr Danny Byrne (Deputy Director of MedicalEducation), Dr Cate Price, Dr Anke Doley, Dr Beth Miller,Dr Ken Wanguhu, Dr Malcolm Gale and Dr Shirley Fung.Thanks also to Drs Nyoli Valentine and Sarah Parker fortheir role as Medical Educators and we look forward tofurther roles for them in the future.High Profile RMEsSpecial mention should be made of Dr Danny Byrne whowon the Flinders University Best Lecturer for 2011 afterbeing voted the favorite of 10 Lecturers by second yearMedical Students. This was no surprise to Sturt Fleurieuwho recognise Danny’s great skills and dedication toteaching. Also Ken Wanguhu added to his already highprofile by piloting the Riverland’s first patient consultation

It continues to be used by six other training providersand further interest from another has been expressed forcommencement in 2012.through video link. Both are fantastic educators and thesame must be said of their fellow Sturt Fleurieu educatorswho bring great strength and dedication to our program.Emergency Simulation ProgramSimulation was returned to Flinders Medical Centre for2011 and the program continued to stimulate and testregistrars as well as being an enjoyable experience forall. The simulation relates to management of emergencysituations and consists of a pre course MCQ. Two daysof skill stations and scenarios using both high and lowfidelity manikins and actors as well as a post course MCQand practical test. It will continue in 2012 and we will seethe introduction of another Regional Medical Educator, DrGrant Baker, who will be responsible for running simulationfor registrars and interns. We welcome Grant with his vastexperience and teaching skills in emergency medicine.The Medical Educators also run small group sessionsfor GPT2 registrars for the gp-advanced program. Thisis a highly successful program which provides excellentexam preparation and the registrar only section of thewebsite contains over 500 sets of registrar prepared examquestions and answers of generally high quality.GP-StartGp-start continues as the structural base for registrarsin GPT1 and continued through 2011 to rate highly withregistrars who see very strong positives around thestructure it offers as well as the readings and Supervisorreview (“time spent with Supervisor”). New modules weredeveloped through the year and are offered as optionalmodules.Teaching PracticesOur teaching practices remain the cornerstone of theteaching program and we continue to work hard to supportour practices in their teaching and in the supervisionrequirements. Supervisor and Practice Manager workshopsremain an important part of our educational program andin 2011 they were again very well supported and receivedpositive feedback. The Supervisor group is always willingto give feedback to us and we use this feedback to planfurther workshops but also to consider changes to thesupervisor requirements and support offered in the future.Some outstanding Supervisor achievements shouldbe noted. Dr Greg Wheeler was awarded the FlindersUniversity GP Supervisor of the Year for 2011 and Dr JohnPenna was awarded a Distinguished Service Award byACRRM in 2011. Well done and well deserved men!Video ReviewVideo review is now an established part of the SturtFleurieu program with reviews being done by registrars andSupervisors. Despite some continued resistance from a fewSupervisors and initial reluctance from some registrars, theoverwhelming feedback is that there is much to gain fromthe review process. It is well accepted in most practicesand by most patients. It is a time consuming process todo the reviews but I believe the positives are inescapableand video review will continue through 2012 and we alwayswelcome feedback on how things can be refined.Annual Report 201115

Director of Medical Education Report continuedAccreditationAs indicated in last year’s report, 2011 has seen theeventual sign off on a new accreditation process. Thishas been agreed on by both the RACGP and ACRRMand means that Sturt Fleurieu will now be responsible forthe whole process of teaching practice accreditation fornew and existing practices, although the final ratificationlies with the respective colleges. Therefore, there will bea rolling series of practice visits for this purpose over athree year period and information collected throughout thetraining program will be used to continuously ensure thataccreditation standards are met.Registrar SuccessesIn 2011, there were a total of 23 registrars who passed allsegments of the RACGP examinations and we congratulateall those successful registrars. A congratulatory dinner andpresentation was held recently to celebrate this success.Special mention should be made of Dr David Bursill whowas awarded the top marks and prize in the first set ofexams and to Dr Celia Tildesley who won a secondaryaward in the second exam for 2011 for the highest scorein the AKT in the South Australian and Northern Territoryregions.The overall success rate remains very high despiteincreased numbers of registrars entering the program.Of note is the award from the AMA(SA) to Dr Rick Fielkewho won their President Award for outstanding service.Well done Rick.Selection Centres2011 saw the introduction of a new process which wasused Australia wide for registrar selection into the trainingprogram.This consisted of a written test (Situational Judgment Test)and an interview done on the same day. The sections wereundertaken at selection centres and the interviewers werenot aware of which training provider a potential registrarhad applied to join. This was a successful process in SouthAustralia but required greatly increased staff workloadsand there was much dissatisfaction around the countryat several aspects of the process, not least of which wasthe decision not to allow the requested training provider tointerview their own applicants.The process will not be changed in 2012.PGPPPThe PGPP Program continues to expand. 2011 sawchanges to the program with an increase in the orientationprogram from a half day to a full day event and a simulationworkshop was also made available. Dr Ian McCombe andAlison Day managed the program very effectively and weanticipate further growth in the program over the next fewyears.International Medical GraduatesSturt Fleurieu continues to offer exam preparation supportto International Medical Graduates through a contractwith the Rural Doctors Workforce Agency. The programexpanded further through 2011 and there have been somesuccesses in fellowship achievement for several of theseGPs. The program will further expand and we rely on the16 Annual Report 2011

good work of Alison Day, Dr Ken Wanguhu and Dr DannyByrne, in particular, to provide this coordinated support.Staff ChangesAt the beginning of the year we welcomed, JuliaWaddington-Powell as Manager of Education Services andJulia worked hard to develop a strong education team andmuch was achieved as a result. Taya Peek was joined byEddie Howlett as Training Coordinator with the team andRaffaella Oke as the Training Support Officer. They are astrong team and they worked well together. I am grateful toall for their dedication throughout the year.We look forward to a stable year of consolidation in 2012.2011 In Review2011 was busy, interesting and challenging on severalfronts. We expect further registrar number increases in 2012and therefore will look to recruit further training practices.Our program needs to adapt to meet new challengesthrown at us from Government, communities, GPET,registrars and Supervisors and we strive to meet thesechanging demands.It has been a satisfying year with many major successesand I wish to thank all for their excellent contributionsthroughout the year.Bring on 2012.Dr Peter ClementsDirector of Medical Education, Sturt FleurieuAnnual Report 201117

Prevocational GP Placements ProgramIt has been a year of growth and consolidation. The growth and increased provision ofsupport in 2011 has seen an increase in the staff involved and I would like to welcome MsAlison Day, Mrs Wendy Sell and Dr Nyoli Valentine who have all contributed to the smoothrunning of what is now a complex and busy timetable.12/1/2011 to 10/1/2012Summary of Junior Doctor PlacementsTermRotationDateWeeksBerriMedical(FMC)RA3BridgeClinic(FMC)RA2Hills(Aldgate)(FMC)RA2Jamestown(FMC) RA3Victor(FMC)RA2Kapunda(Lyell Mc)RA2Mannum(RAH)RA2ChristiesBeach(RAH)RA1Hawkins(RAH)Millicent(MtGambier)112/01/11to29/03/1111 DanielleCrosbyMyrtleStibbeGeorginaWhitingLaboni AfsanaNicole GanDebbyPratiwiUtamaRebeccaThomasMarnyRoyansSien LoongTanNicholasFlack230/03/11to07/06/1110 Sara Nguyen YolandaBenardMei-Fen(Mea) SungAnnetteStewardElitaSantosaputriEllen HornerJenny ChongAnnie Chih-An LeeJessicaChoongGreg Dubuc308/06/11to23/08/1111 BrittannieBiertonAyeshaRichardsonAlexanderDunnJoel PrzybylkoSam MangerAndrewBuckleLaurenceKimLouiseDexterShyalleKahawitaJulie Tullett424/08/11to01/11/1110 RichardLewisCaitlinKerriganMandanaMasterRachelMcDonaldEleanorWilsonJian QianyKeith WongNicholasAndrewLouisPapilionMichelle TanMiriamWhitten502/11/11to10/01/1210 MatthewLynchAdamSwallingShahrinaAriffFiona Downs-WoolleyAinsleyMcCaskillSara LeNeevikaManoharanMohammadGadiNataliePayneAdrianNightingaleRMOsTermRotationDateWeeksTSS: City South(FMC) (TQEH)Drug & AlcoholSSA (RAH)Christies Beach(LMHS)Berri MedicalCommunityWirreanda(QEH)Bridge Clinic(FMC)102/02/11to03/05/1113PGY2Chia May Wong204/05/11to02/08/1113PGY2Dusan SajdakPGY2John McLean3403/08/11to25/10/1126/10/11to31/01/121214PGY2Nicole WilliamsPGY2Aye AungPGY2Shuba DevPGY2John McLeanPGY4Serena KaurPGY2Lauren Lee (4 weeks)PGY3Andrew BoydPGY4Angela Knight18 Annual Report 2011

Program OverviewSturt Fleurieu has continued to provide an orientationsession for interns on the first day of their rotation, it hasbeen increased from a half day to a full day orientation. Allinterns meet together in Adelaide and are presented with anoverview of their placement. They also get a reminder (andsome practise) at ear and eye examinations, suturing andlesion removal, and immunisations. Dr James Allen and DrBoris Eskandari have been frequent visiting presenters, andSturt Fleurieu is thankful for their input and expertise.PGY2+ doctors get a half day orientation before theirplacement, this includes an overview of their placement, atutorial on billing, an overview of ears and a dermatologyrefresher.All junior doctors get an in practice External ClinicalTeaching visit. This is a session where the junior doctors areobserved whilst working clinically, and given ‘one on one’clinical teacher input. The doctors also get a structuredinterview, this is done to ensure the junior doctors aregetting a positive experience, and to keep communicationflowing between the practice, Sturt Fleurieu and the tertiary‘feeder’ hospital. The visits ensure the interns continueto get a valuable learning experience, in a supportedenvironment.All junior doctors meet at the end of their rotations forhandover of laptops, a lively feedback session from theirplacements and case presentations from their experiencein general practice. The doctors are required to explainclinical aspects of their cases as well as demonstrating anability to reflect on their practice.Challenges and Achievements for 20112011 was a year of growth, consolidation and change. Wewelcome four new PGY2+ positions that have started inWirreanda, Bridge Clinic, Berri Medical Clinic and ChristiesBeach. We have also welcomed two new intern positions:Hawkins Clinic Mt Gambier (rotating from RAH) andMillicent Medical Clinic (rotating from Mt Gambier Hospital).These positions are set to continue in 2012.Overall, the placements are highly successful and feedbackfrom the junior doctors continues to be overwhelminglypositive. Sturt Fleurieu junior doctor general practiceplacements have certainly built up a reputation as excellentrotations for learning in a supportive environment and areactively requested by junior doctors.The Year AheadWe look forward to another productive year in 2012 and areactively seeking more potential sites for training. We willbe starting a new intern position in 2012 at Littlehampton(rotating out of Queen Elizabeth Hospital) and a new RMOposition at Aldinga (rotating out of Flinders Medical Centre)we look forward to welcoming these practices next year.Dr Ian McCombeMedical Educator (Hospital)/PGPPP Coordinator,Sturt FleurieuAward Winning EducationDuring the year, Sturt Fleurieu’s award winning ‘gp-start’modules (Asthma, Cardiovascular Disease, Diabetes,Introduction to Supervisor, GP Consulting and WorkCover)were made available to all junior doctors via a CD ROM.This provided the junior doctors with some useful referencematerial as well as giving Supervisors’ potential ‘tutorialfodder’. The rural interns are also provided with laptopswhich come complete with electronic Murtagh, electronicTherapeutic Guidelines (eTG) and Australian MedicinesHandbook (AMH). The rural interns are provided withaccommodation and broadband connection.Annual Report 201119

Medical Education TeamThe Medical Education Team is focused on the evolving needs of the general practice industry. In ourten years of service we have provided high quality medical education and training for general practicethroughout South Australia. Our commitment to medical excellence, superior training delivery along with ourinnovative, award-winning program ensures our registrars obtain comprehensive learning and a broad skillset in accordance with the vocational curriculum standards and requirements set by the relevant professionalColleges, RACGP and ACRRM.Director of MedicalEducationDr Peter ClementsDeputy Director ofMedical Education/RMEDr Daniel ByrneManager EducationServicesJulia Waddington-PowellSenior TrainingCoordinator -December 2011Jennifer EvittsTraining CoordinatorTaya Peek (MaternityLeave 2012)TrainingCoordinatorEddie HowlettMedical Educator(Hospital)/PGPPPCoordinatorDr Ian McCombeMedical Educator(Junior Doctors) -September 2011Dr Sarah ParkerEducation SupportOfficerRenee Samwell- February 2011Education SupportOfficerRaffaela OkeRegional MedicalEducator (RME)Dr Shirley FungRegional MedicalEducatorDr Anke DoleyRegional MedicalEducatorDr Ken WanguhuRegional MedicalEducatorDr Cate PriceRegional MedicalEducatorDr Malcolm GalePhoto unavailableat the time ofpublication.Indigenous HealthTraining MedicalEducatorDr Phil JohnsRegistrar LiasonOfficer (RLO)Dr Kassandra FairhallRegional MedicalEducatorDr Beth Miller20 Annual Report 2011

Administration TeamThe Administration Team works collaboratively to maintain the smooth running of all Sturt Fleurieuadministrative operations and supports the education team, our registrars, junior doctors, and practices toachieve quality education and training outcomes. Delivery of AGPT and PGPPP through contracts with GPETare central to the ongoing sustainability of the organisation.General ManagerOperationsKen RedfordManager e-EducationKimberley MartinsenManager EducationProgram IntegrationAlison DayAdministrationManagerLeeann AncellFinance OfficerSue Hope-JohnstoneCommunicationsOfficer/Junior DoctorsJulia PhippsAdministrationSupport/ReceptionistWendy SellAnnual Report 201121

Registrar Liaison Officer ReportI have continued to provide support to Registrars in a number of ways.I have strived to maintain contact through regular emails, presence atmeetings and dinners and direct conversations over the phone and inperson. I have helped on a number of issues related to training andgeneral practice work. This has been a very rewarding part of my job.I have found that consolidating the RLO role has maderesponding to a variety of requests, situations and issuesand planning activities simpler. I have been able tomaintain close communication with Dr Trinh Tran (theRegistrar Sturt Fleurieu Board Member), the registrars,General Practice Registrars Australia (GPRA) and SturtFleurieu staff effectively and efficiently.ActivitiesI have continued my involvement with GPRA, representingregistrars’ interests and addressing issues at a Nationallevel as a member of the Advisory Council (AC). GPRAhave also developed a number of subcommittees toaddress specific large issues effecting registrars nationwideand I have been heavily involved in the National MinimumTerms and Conditions development and the in-practicetraining committees. I attended two face-to-face ACmeetings, and several teleconference meetings overthe year to organize and collaborate with other RLOs onregistrars concerns and current issues.As the RLO, I have taken on a greater education role withinSturt Fleurieu. I participated in several of the “EducationDinners” with the Hospital registrars providing both supportand education. This has helped to forge good relationshipswith the registrars as well as share some GP knowledge.I also had the privilege of presenting at the Orientation forthe GPT1 registrars.I have continued to provide support to the registrars ina number of ways. I have strived to maintain contactthrough regular emails, attending meetings and dinners,and direct conversations over the phone and in person.I have helped registrars on a number of issues related totraining and general practice work. This has been a veryrewarding part of my job. I have provided a communicationavenue between Sturt Fleurieu, GPET and GPRA, assistingregistrars with their queries or concerns.The RLO role has continued to enable engagement withthe AMA through the Doctors in Training Committee.This state based group deals with the issues that faceall training doctors, and my position on the committeeprovided representation for GP registrars in both SouthAustralia and more specifically Sturt Fleurieu. The AMA hasalso reinvigorated the Council of GPs, and I have been aninvited member. This allowed the registrar voice to be heardand gave advice regarding general practice as a professionin South Australia.I have continued to promote general practice as themedical specialty of choice. I have given talks andintegrated with medical students through GPSN, to givean accurate and exciting representation of GP and the GPtraining program.Achievements 2011I had increased my involvement with the Sturt Fleurieu staff.I was able to attend staff meetings on a regular basis, andbecame more aware of the day to day activities of SturtFleurieu. I have made a concentrated effort to be presentat as many registrar events as possible to improve thevisibility of the RLO. I have also taken these opportunitiesto educate regarding the role of the RLO both as a supportfor registrars and as a position, hopefully to create interestin the role and assist with succession planning.Challenges for 2012The number of registrars continues to increase and I feelthe RLO role will need to expand to protect the interestsof registrars and provide further support in training andpractice. The structure of the role this year has helpedto facilitate this, but an ongoing commitment to theimportance of and support for the RLO role will need tocontinue. Further measures will need to be taken to ensurethat the RLO becomes intimately integrated into the RTPstaff, especially with a number of new staff starting with theSturt Fleurieu team. Efforts will need to be made towards asocial program for the registrars as well as continuing andimproving the quality and quantity of contact with them.As I will be acquiring my Fellowship in 2012, I have steppeddown from the RLO position. Dr Phil Deacon will be takingover the position and will remain as a solo RLO for SturtFleurieu and in 2012. I wish him all the best for his timewith Sturt Fleurieu and I give thanks for the support I havehad over my two years with Sturt Fleurieu.Dr Kassandra FairhallRegistrar Liaison Officer, Sturt Fleurieu22 Annual Report 2011

My Academic Post ExperienceCurrent AMA (SA) President, Dr Peter Sharley,recently wrote a report entitled ‘Research isthe most important preventative medicine.’My Research ExpeditionIn 2011 I embarked on my research journey as part of a 12month part-time academic post within the Vaccinology &Immunology Research Trials Unit (VIRTU) at the Women’s& Children’s Hospital and School of Paediatrics &Reproductive Health, University of Adelaide. My researchproject is entitled ‘Impact of pneumococcal conjugatevaccination on invasive pneumococcal disease in SouthAustralian children’. The fruits of my research havebeen accepted for oral presentation at the 13th NationalImmunisation Conference, Darwin and poster presentationat the European Society of Paediatric Infectious DiseasesConference 2012, Thessaloniki, Greece.The study compared the causative Streptococcuspneumonia serotypes and disease severity before and afterintroduction of 7-valent pneumococcal conjugate vaccine(7vPCV). Findings of the research included a reduction ininvasive pneumococcal disease (IPD) caused by 7vPCVserotypes that is partly offset by an increase in diseasecaused by non-7vPCV serotypes. Non-7vPCV serotypedisease is associated with more reported complications.Predominant circulating pneumococcal serotypes mayalso impact disease severity. 7vPCV appears to have hada greater impact on IPD in non Aboriginal and Torres StraitIslander (ATSI) children than in ATSI children.The result of the research highlights the importance ofcontinued surveillance of vaccination impact on disease.This will help guide decisions about inclusion of the nextgeneration of pneumococcal conjugate vaccines in furtherpneumococcal vaccine programs.Highlights from this ExperienceThe academic post was a wonderful and enlighteningexperience of research in an area of interest within a fundedposition, affiliation to a research institution and access toresources in research, many avenues for personal selfdevelopmentand forums to network with other researchers.The research post was also very well supported with regularwebinars, workshops and funding to attend conferencesincluding the Public Health Care Research & InformationService (PHC RIS) and Royal Australian College of GeneralPractitioners (RACGP) GP11 conference.The experience and exposure has certainly whetted myappetite for research in my general practice career. Infact, I am continuing my research position at the Women’s& Children’s Hospital and University of Adelaide toincorporate data from ongoing developments in this field.I have enjoyed promoting the academic post to otherregistrars at workshops and dinners, in the RTP newsletterand through word of mouth. I continue to highlyrecommend the post to GP registrars – it is a truly uniqueopportunity during registrar training and an importantaspect of delivering care in general practice.Dr Trinh TranRegistrar and Board Member, Sturt FleurieuAnnual Report 201123

My Academic Post ExperienceMy research project was entitled “Detecting undiagnoseddiabetes using HbA1c, an automated screening test inhospitalised patients.” I very much enjoyed my academic postexperience. I have developed skills in critical thinking, projectwork, leadership and teaching.This project reviewed the prevalence of undiagnoseddiabetes within hospitalised patients and assessed the utilityof HbA1c as a screening tool for diabetes. The researchconcluded there was a high prevalence of undiagnoseddiabetes within hospitalised patients (11%), and HbA1ceasily automated and was a cost effective method ofdetecting undiagnosed diabetes. Pilot data of the researchwas presented at the Australian Diabetes Society Meetingin Adelaide, and final data was presented at the WorldCongress of Internal Medicine in Melbourne and at thePrimary Health Care Research Conference in Darwin. I willpresent my findings at the European Association for theStudy of Diabetes in Stockholm later this year.Unexpected BenefitsIn addition to the research undertaken, my academic termprovided me the with the opportunity to undertake teaching.This involved leading medical student pharmacotherapytutorials on the use of medications in diabetes. Followingon from this, I had the opportunity to co-author two NationalPrescribing Service teaching modules on type 2 diabetes.To complement my research and teaching experience,I worked in a tertiary diabetes clinic for 12 months. Thisprovided an opportunity to implement my theoreticalknowledge and develop clinical skills in the nonpharmacological and pharmacological management ofdiabetes.Enhancing My SkillsI very much enjoyed my academic post experience. I havedeveloped skills in critical thinking, project work, leadershipand teaching. I enjoyed the opportunity to work within anacademic unit and collaborated with other researchersand clinicians. The post also added variety to the clinicalwork I was undertaking. In every way my academic postexperience has made me a better clinician for my patients.My improved understanding of research and critical thinkingallows me to better filter, appraise, interpret and applyevidence to my patients.I am now working as the Registrar Research andDevelopment Officer for GPET, continuing my involvementin general practice research. I am also working as a JuniorMedical Educator for Sturt Fleurieu continuing my teachinginvolvement.SummaryAcademic Posts are a unique and rewarding educationalopportunity. I decided to undertake an academic post afterbeing inspired by the activities and achievements of aprevious Sturt Fleurieu academic registrar. I am very gladSturt Fleurieu encourages registrars to pursue academicposts to enhance their GP training experience and hope thatfuture registrars will continue to embrace Sturt Fleurieu’sacademic involvement.Dr Nyoli ValentineJunior Medical Educator, Sturt FleurieuOur Fellowed RegistrarsSturt Fleurieu would like to congratulate the following Registrars who obtained Fellowshipwith the RACGP in 2011:Anny TjiasmantoBriony AndrewChuong Quoc VuJanssen AngJessica PitmanKatherine HancockLi Qun ZhangLoan HoMarianna DareMegan McLaughlinNora DabbaghNurazlin SabtuPenuel JacobRobyn MarchRolf Tsz Kit TsuiSarah ParkerSharon MoeyZanna Murfitt24Annual Report 2011

Financial ReportsFor the year ended 31 December 2011Committee’s Report 26Statement of Comprehensive Income 27Balance Sheet 28Statement of Changes in Equity 29Cash Flow Statement 29Notes to the Financial Statements 30Statement by Members of the Committee 47Independent Audit Report 48Annual Report 2011 25

Committee’s ReportYour Committee Members submit the financial report of the Association for the financial year ended31 December 2011.1. General InformationCommittee MembersThe names of the Committee Members throughout the year and at the date of this report are:Dr Richard JohnsDr David AdamsDr David RosenthalDr Bruce MugfordDr Trinh TranMr Daniel Cox (resigned March 2011)Dr Graeme NicholsonDr Steven DunnMs Karlene Maywald (appointed February 2011)Dr Richard WilsonProfessor Richard ReedDr Kassandra Fairhall (resigned March 2011)Dr Bronwyn Knight (resigned March 2011)Principal ActivitiesThe principal activities of the Association during the financial year were:- to promote and deliver general practice education and training to medical practitioners and medicalstudents wishing to pursue a career in general practice in Australia.Significant ChangesNo significant change in the nature of these activities occurred during the year.2. Business reviewOperating ResultThe profit of the Association for the financial year amounted to $107,760 (2010: Loss $20,630).Signed in accordance with a resolution of the Members of the Committee.Dr Richard JohnsCommittee MemberDr David RosenthalCommittee MemberDated this day of 2012.26Annual Report 2011

Statement of Comprehensive IncomeFor the year ended 31 December 2011Revenue 2 7,722,173 6,307,081Board Expenses (82,080) (76,032)Depreciation (144,854) (119,517)Education Costs (4,198,465) (3,478,065)Employee Benefits Expense (2,132,918) (1,692,392)Loss on Sale of Assets (18,270) (7,641)Motor Vehicle Expenses (59,590) (39,355)Office Costs (239,352) (202,860)Other Employee Costs (177,265) (176,453)Registrar Costs and Incentives (243,774) (311,644)Supervisor Costs (44,604) (62,189)Other Expenses (127,341) (142,122)Finance Costs (24,300) (19,441)Operating Grant - prior period repayment (121,600) -Profit before income tax 107,760 (20,630)Other comprehensive income:Other comprehensive income for the year - -Total comprehensive income for the year 107,760 (20,630)Note2011$2010$The accompanying notes form part of these financial statements.Annual Report 2011 27

Balance SheetAs at 31 December 2011ASSETSNote2011$2010$CURRENT ASSETSCash and cash equivalents 5 2,333,506 1,903,062Trade and other receivables 6 27,375 -Other assets 7 7,146 4,639TOTAL CURRENT ASSETS 2,368,027 1,907,701NON CURRENT ASSETSProperty, plant and equipment 8 561,784 464,972TOTAL NON-CURRENT ASSETS 561,784 464,972TOTAL ASSETS 2,929,811 2,372,673LIABILITIESCURRENT LIABILITIESTrade and other payables 9 937,950 639,207Borrowings 10 154,991 161,537Short-term provisions 11 122,169 115,111TOTAL CURRENT LIABILITIES 1,215,110 915,855NON CURRENT LIABILITIESBorrowings 10 175,490 54,411Other long-term provisions 11 336,670 307,626TOTAL NON CURRENT LIABILITIES 512,160 362,037TOTAL LIABILITIES 1,727,270 1,277,892NET ASSETS 1,202,541 1,094,781EQUITYRetained earnings 1,202,541 1,094,781TOTAL EQUITY 1,202,541 1,094,781The accompanying notes form part of these financial statements.28Annual Report 2011

Statement of Changes in EquityFor year ended 31 December 2011RetainedEarnings$2011Balance at 1 January 2011 1,094,781 1,094,781Profit attributable to members of the entity 107,760 107,760Balance at 31 December 2011 1,202,541 1,202,5412010Balance at 1 January 2010 1,115,411 1,115,411Profit attributable to members of the entity (20,630) (20,630)Balance at 31 December 2010 1,094,781 1,094,781Total$Cash Flow StatementFor year ended 31 December 2011CASH FROM OPERATING ACTIVITIESOperating grant receipts 8,250,149 7,055,143Payments to suppliers and employees (7,745,398) (6,648,209)Interest received 95,396 75,070Interest paid (24,300) (19,441)Net cash provided by (used in) operating activities 12(a) 575,847 462,563CASH FLOWS FROM INVESTING ACTIVITIESProceeds from sale of plant and equipment 6,363 23,636Purchase of property, plant and equipment (61,790) (35,369)Net cash provided by (used in) investing activities (55,427) (11,733)CASH FLOWS FROM FINANCING ACTIVITIESPayment of finance lease liabilities (89,976) (77,922)Net cash provided by (used in) financing activities (89,976) (77,922)OTHER ACTIVITIESNet cash increase (decreases) in cash and cash equivalents 430,444 372,908Cash and cash equivalents at beginning of financial year 1,903,062 1,530,154Cash and cash equivalents at end of financial year 5 2,333,506 1,903,062The accompanying notes form part of these financial statements.Note2011$2010$Annual Report 2011 29

Notes to the Financial StatementsFor year ended 31 December 2011Note 1Summary of Significant Accounting PoliciesThe financial report covers Sturt Fleurieu GPET Incorporatedas an individual entity. Sturt Fleurieu GPET Incorporated isan Association incorporated in South Australia under theAssociations Incorporation Act 1985.Basis of PreparationThe financial report is a general purpose financialstatement that has been prepared in accordance withAustralian Accounting Standards, Australian AccountingInterpretations, other authoritative pronouncements ofthe Australian Accounting Standards Board and theAssociations Incorporation Act 1985.Australian Accounting Standards set out accounting policiesthat the AASB has concluded would result in a financialreport containing relevant and reliable information abouttransactions, events and conditions to which they apply.Material accounting policies adopted in the preparation ofthis financial report are presented below. They have beenconsistently applied unless otherwise stated.The financial report has been prepared on an accruals basisand is based on historical costs, modified, where applicable,by the measurement at fair value of selected non-currentassets, financial assets and financial liabilities.(a) Income TaxesThe Association is an income tax exempt body.(b) Property, Plant and EquipmentEach class of property, plant and equipment is carried atcost or fair value as indicated less, where applicable, anyaccumulated depreciation and impairment losses.Plant and equipmentPlant and equipment are measured on the cost basisless depreciation and impairment losses.The carrying amount of plant and equipment is reviewedannually by committee members to ensure it is not inexcess of the recoverable amount from these assets.The recoverable amount is assessed on the basis ofthe expected net cash flows that will be received fromthe assets employment and subsequent disposal. Theexpected net cash flows have been discounted to theirpresent values in determining recoverable amounts.The cost of fixed assets constructed within theAssociation includes the cost of materials, direct labour,borrowing costs and an appropriate proportion of fixedand variable overheads.Subsequent costs are included in the asset’scarrying amount or recognised as a separate asset,as appropriate, only when it is probable that futureeconomic benefits associated with the item will flowto the Association and the cost of the item can bemeasured reliably. All other repairs and maintenanceare charged to the statement of comprehensive incomeduring the financial period in which they are incurred.DepreciationThe depreciable amount of all fixed assets includingbuilding and capitalised lease assets, is depreciated ona straight-line basis or a diminishing value basis overthe asset’s useful life commencing from the time theasset is held ready for use. Leasehold improvementsare depreciated over the shorter of either the unexpiredperiod of the lease or the estimated useful lives of theimprovements.The depreciation rates used for each class ofdepreciable assets are:Class of Fixed Asset Depreciation RatePlant and equipment 2.5-66.6%Motor Vehicles 25%Improvements 7.5% - 13.35%The assets’ residual values and useful lives are reviewedand adjusted, if appropriate, at each balance sheet date.An asset’s carrying amount is written down immediatelyto its recoverable amount if the asset’s carrying amountis greater than its estimated recoverable amount.Gains and losses on disposals are determined bycomparing proceeds with the carrying amount. Thesegains and losses are included in the statement ofcomprehensive income. When revalued assets are sold,amounts included in the revaluation reserve relating tothat asset are transferred to retained earnings.(c) Financial InstrumentsInitial recognition and measurementFinancial assets and financial liabilities are recognisedwhen the entity becomes a party to the contractualprovisions to the instrument. For financial assets, this isthe equivalent to the date that the Association commitsitself to either the purchase or sale of the asset (ie tradedate accounting is adopted).Financial instruments are initially measured at cost ontrade date, which includes transaction costs, whenthe related contractual rights or obligations exist.Subsequent to initial recognition these instruments aremeasured as set out below.30Annual Report 2011

Classification and subsequent measurementFinancial instruments are subsequently measured ateither of fair value, amortised cost using the effectiveinterest rate method, or cost. Fair value represents theamount for which an asset could be exchanged or aliability settled, between knowledgeable, willing parties.Where available, quoted prices in an active market areused to determine fair value. In other circumstances,valuation techniques are adopted.Amortised cost is calculated as:• the amount of which the financial asset or financialliability is measured at initial recognition;• less principal repayments;• plus or minus the cumulative amortisation of thedifference, if any, between the amount initiallyrecognised and the maturity amount calculated usingthe effective interest method; and• less any reduction for impairment.The effective interest method is used to allocate interestincome or interest expense over the relevant periodand is equivalent to the rate that exactly discountsestimated future cash payments or receipts (includingfees, transaction costs and other premiums or discounts)through the expected life (or when this cannot bereliably predicted, the contractual term) of the financialinstrument to the net carrying amount of the financialasset or financial liability. Revisions to expected futurenet cash flows will necessitate an adjustment to thecarrying value with a consequential recognition of anincome or expense in profit or loss.The Association does not designate any interests insubsidiaries, associates or joint venture entities as beingsubject to the requirements of accounting standardsspecifically applicable to financial instruments.(i) Financial assets at fair value through profit orlossFinancial assets are classified at ‘fair value throughprofit or loss’ when they are either held for trading forthe purpose of short term profit taking, derivatives notheld for hedging purposes, or when they are designatedas such to avoid an accounting mismatch or to enableperformance evaluation where a group of financialassets is managed by key management personnel ona fair value basis in accordance with a documented riskmanagement or investment strategy. Such assets aresubsequently measured at fair value with changes incarrying value being included in profit or loss.(ii) Loans and receivablesLoans and receivables are non-derivative financial assetswith fixed or determinable payments that are not quotedin an active market and are subsequently measured atamortised cost.Loans and receivables are included in current assets,except for those which are not expected to mature within12 months after the end of the reporting period. (Allother loans and receivables are classified as non-currentassets.)(iii) Held-to-maturity investmentsHeld-to-maturity investments are non-derivativefinancial assets that have fixed maturities and fixedor determinable payments, and it is the Association’sintention to hold these investments to maturity. They aresubsequently measured at amortised cost.Held-to-maturity investments are included in non-currentassets, except for those which are expected to maturewithin 12 months at the end of the reporting period. (Allother investments are classified as current assets.)If during the period the Association sold or reclassifiedmore than an insignificant amount of the held-to-maturityinvestments before maturity, the entire held-to-maturityinvestments category would be tainted and reclassifiedas available-for-sale.(iv) Available-for-sale financial assetsAvailable-for-sale financial assets are non-derivativefinancial assets that are either not suitable to beclassified into other categories of financial assets dueto their nature, or they are designated as such bymanagement. They comprise investments in the equityof other entities where there is neither a fixed maturity norfixed or determinable payments.Available-for-sale financial assets are included in noncurrentassets, except for those which are expected tomature within 12 months after the end of the reportingperiod. (All other financial assets are classified as currentassets.)(v) Financial LiabilitiesNon-derivative financial liabilities (excluding financialguarantees) are subsequently measured at amortisedcost.Annual Report 2011 31

Notes to the Financial Statements continuedFor year ended 31 December 2011Fair ValueFair value is determined based on current bid prices forall quoted investments. Valuation techniques are appliedto determine fair value for all unlisted securities, includingrecent arm’s length transactions, reference to similarintruments and option pricing models.ImpairmentAt the end of each reporting period, the Associationassess whether there is objective evidence that afinancial instrument has been impaired. In the caseof available-for-sale financial instruments, a prolongeddecline in the value of the instrument is consideredto determine whether an impairment has arisen.Impairment losses are recognised in the statement ofcomprehensive income.DerecognitionFinancial assets are derecognised where the contractualrights to receipt of cash flows expires or the assetis transferred to another party whereby the entity nolonger has any significant continuing involvement in therisks and benefits associated with the asset. Financialliabilities are derecognised where the related obligationsare either discharged, cancelled or expired. Thedifference between the carrying value of the financialliability extinguished or transferred to another party andthe fair value of consideration paid, including the transferof non-cash assets or liabilities assumed is recognised inprofit or loss.(d) LeasesLeases of fixed assets where substantially all the risksand benefits incidental to the ownership of the asset, butnot the legal ownership, that are transferred to entities inthe Association are classified as finance leases.Finance leases are capitalised by recording an assetand a liability at the lower of the amounts equal to thefair value of the leased property or the present value ofthe minimum lease payments, including any guaranteedresidual values. Lease payments are allocated betweenthe reduction of the lease liability and the lease interestexpense for the period.Leased assets are depreciated on a straight-line basisover the shorter of their estimated useful lives or thelease term.Lease payments for operating leases, where substantiallyall of the risks and benefits remain with the lessor, arecharged as expenses on a straight-line basis over the lifeof the lease term.Lease incentives under operating leases are recognisedas a liability and amortised on a straight-line basis overthe life of the lease term.The minimum rental revenue of operating leases withfixed rental increases, where the lessor effectively retainssubstantially all of the risks and benefits of ownership ofthe leased item, are recognised on a straight-line basis.Revenue from other leases is recognised in accordancewith the lease agreement, which is considered to bestrepresent the pattern of service rendered through theprovision of the leased asset.(e) Impairment of AssetsAt each reporting date, the Association reviews thecarrying values of its tangible and intangible assets todetermine whether there is any indication that thoseassets have been impaired. If such an indication exists,the recoverable amount of the asset, being the higher ofthe asset’s fair value less costs to sell and value in use,is compared to the asset’s carrying value. Any excess ofthe asset’s carrying value over its recoverable amount isexpensed to the statement of comprehensive income.Where it is not possible to estimate the recoverableamount of an individual asset, the Association estimatesthe recoverable amount of the cash-generating unit towhich the asset belongs.(f) Employee BenefitsProvision is made for the Association’s liability foremployee benefits arising from services rendered byemployees to balance date. Employee benefits thatare expected to be settled within one year have beenmeasured at the amounts expected to be paid when theliability is settled. Employee benefits payable later thanone year have been measured at the present value ofthe estimated future cash outflows to be made for thosebenefits. Those cashflows are discounted using marketyields on National Government bonds with terms tomaturity that match the expected timing of cashflows.(g) Cash and Cash EquivalentsCash and cash equivalents include cash on hand,deposits held at call with banks, other short-term highlyliquid investments with original maturities of three monthsor less, and bank overdrafts. Bank overdrafts are shownwithin short-term borrowings in current liabilities on thestatement of financial position.32Annual Report 2011

(h) RevenueThe Association recognises revenue when the amountof revenue can be reliably measured, it is probablethat future economic benefits will flow to the entityand specific criteria have been met for each of theAssociation’s activities as discussed below.Revenue is measured at the fair value of theconsideration received or receivable after taking intoaccount any trade discounts and volume rebatesallowed. Any consideration deferred is treated as theprovision of finance and is discounted at a rate of interestthat is generally accepted in the market for similararrangements. The difference between the amountinitially recognised and the amount ultimately received isinterest revenue.Grant revenueGovernment grants are recognised at fair value wherethere is reasonable assurance that the grant will berecieved and all grant conditions will be met. Grantsrelating to expense items are recognised as income overperiods necessary to match the grant costs they arecompensating. Grants relating to assets are credited todeferred income at fair value and are credited to incomeover the expected useful life of the asset on a straightlinebasis.Interest RevenueInterest revenue is recognised using the effective interestrate method, which, for floating rate financial assets, isthe rate inherent in the instrument.Provision of servicesRevenue recognition relating to the provision ofservices is determined with reference to the stage ofcompletion of the transaction at the end of the reportingdate and where the outcome of the contract can beestimated reliably. Stage of completion is determinedwith reference to the services performed to date as apercentage of total anticipated services to be performed.Where the outcome cannot be estimated reliably,revenue is recognised only to the extent that relatedexpenditure is recoverable.All revenue is stated net of the amount of goods andservices tax (GST).such time as the assets are substantially ready for theirintended use or sale.All other borrowing costs are recognised in income in theperiod in which they are incurred.(j) ProvisionsProvisions are recognised when the Association hasa legal or constructive obligation, as a result of pastevents, for which it is probable that an outflow ofeconomic benefits will result and that outflow can bereliably measured.(k) ComparativesWhen required by Accounting Standards, comparativefigures have been adjusted to conform to changes inpresentation for the current financial year.(l) Goods and Services Tax (GST)Revenues, expenses and assets are recognised net of theamount of GST, except where the amount of GST incurredis not recoverable from the Australian Tax Office. In thesecircumstances, the GST is recognised as part of the costof acquisition of the asset or as part of an item of theexpense. Receivables and payables in the statement offinancial position are shown inclusive of GST.Cash flows are presented in the cash flow statement on agross basis, except for the GST component of investingand financing activities, which are disclosed as operatingcash flows.(m) Going ConcernSturt Fleurieu has been awarded a new contract byGPET for the period 1st January 2010 to 31st December2012 to deliver the Australian General Practice Trainingprogram to registrars in South Australia in the followingareas: the Adelaide Hills, Barossa Valley, Fleurieu, MurrayMallee, Riverland, the South East of South Australiaand southern metropolitan Adelaide. PGPPP placementdistribution funding contract for the year 2012 has beenfinalised.(i) Borrowing CostsBorrowing costs directly attributable to the acquisition,construction or production of assets that necessarily takea substantial period of time to prepare for their intendeduse or sale, are added to the cost of those assets, untilAnnual Report 2011 33

Notes to the Financial Statements continuedFor year ended 31 December 2011(n) Adoption of new and revised accounting standardsDuring the current year, the Association adopted all of the new and revised Australian Accounting Standards andInterpretations applicable to its operations which became mandatory.The adoption of these Standards has impacted the recognition, measurement and disclosure of certain transactions.The following is an explanation of the impact the adoption of these Standards and Interpretations has had on thefinancial statements of Sturt Fleurieu GPET Incorporated.Standard NameAASB 2010-3/ AASB 2009-5 Amendments and furtherAmendments to Australian Accounting Standards - Group CashsettledShare-based Payment TransactionsAASB 2009-8 Amendments to Australian Accounting Standards -Group Cash-settled Share-based Payment TransactionsAASB 2009-9 Amendments to Australian Accounting Standards- Additional Exemption for First-time Adopters / AASB 2010-1Limited exemption from comparative AASB 7 disclosures for firsttimeadoptersAASB 2009-10 Amendments to Australian Accounting Standards -Classification of Rights IssuesInterpretation 19 Extinguishing liabilities with equity instrumentsImpactNo significant changes on adoption of these standards.No significant changes on adoption of these standards.No impact since the entity is not a first-time adopter of IFRS.No significant changes on adoption of this standard.No significant changes on adoption of this standard.(o) New accounting standards for application in future periodsThe AASB has issued new and amended Accounting Standards and Interpretations that have mandatory applicationdates for future reporting periods. The Association has decided against early adoption of these standards. Thefollowing table summarises those future requirements, and their impact on the Association:Standard nameAASB 124 Related PartyDisclosures and amendingstandard AASB 2009-12AASB 9 FinancialInstruments and amendingstandards AASB 2009-11/AASB 2010-7AASB 2009-14Amendments to AustralianInterpretation –Prepayments of a MinimumFunding RequirementAASB 2010-4/2010-5Amendments and furtheramendments to AustralianAccounting Standardsarising from the AnnualImprovements ProjectAASB 2010-6 Amendmentto Australian AccountingStandards - Disclosures ontransfers of financial assetsEffective date Requirementsfor entity31/12/2012 - Clarification of the definition of a related party- Requirement to disclose commitments torelated parties- Disclosure exemptions for government-relatedentities31/12/2014 - Changes to the classification andmeasurement requirements for financialassets and financial liabilities.- New rules relating to derecognition of financialinstruments.31/12/2012 Changes where the entity is subject to minimumfunding requirements and makes an earlypayment to cover these requirements in relationto defined benefit plans.31/12/2012 Makes changes to a number of standards /interpretations including:- Clarification of the content of the statement ofchanges in equity- Financial instrument disclosures- Fair value of award credits31/12/2012 Requires additional disclosures regarding forexample, remaining risks where an entity hastransferred a financial asset.ImpactMinimal impactexpected.The impact of AASB9 has not yet beendetermined.No significant impactexpected.No impact expected.No impact expected.34Annual Report 2011

AASB 2010-8 Amendmentto Australian AccountingStandards - Deferred tax:Recovery of underlyingassetsAASB 2010-9/ 2010-10Amendment to AustralianAccounting Standards –Severe hyperinflation andremoval of fixed dates forfirst-time adoptersAASB 1054 AdditionalAustralian disclosures /AASB 2011-1 Amendmentsto Australian AccountingStandards arising fromTrans-Tasman convergenceAASB 2011-2 Amendmentsto Australian AccountingStandards arising fromTrans-Tasman convergence- Reduced DisclosureRequirementsAASB 2011-3 Amendmentsto Australian AccountingStandards – OrderlyAdoption of Changes toABS GFS Manual andRelated AmendmentsAASB 10 ConsolidatedFinancial Statements/ AASB 11 JointArrangements / AASB 12Disclosures of Interestsin Other Entities, AASB127 Separate FinancialStatements and AASB 128Investments in Associates.AASB 13 Fair ValueMeasurement [expectedto be released by AASB inJuly / August 2011].AASB 2011-8- Amendmentsto Australian AccountingStandards arisingfrom AASB 13 [AASB1,2,3,4,5,7,9,2009-11,2010-7,101,102,108,110,116,117,118,119,120,121,128,131,132, 133, 134, 136, 138,139,140,141,1004,1023&1038 and Interpretations2, 4,12,13,14,17,19,131 &132]31/12/2013 Adds a presumption to AASB 112 that therecovery of the carrying amount of an investmentproperty at fair value will be through sale.No impact expected.31/12/2012 Makes amendments to AASB 1. No impact since theentity is not a first-timeadopter of IFRS.31/12/2012 Collates the Australian specific disclosures intoone Accounting Standard rather than includingthem within a number of different standards.31/12/2014 Highlights the disclosures not required in AASB1054 for entities applying the RDR.31/12/2013 Standard is applicable for whole of Governmentand general Government financial statementsonly. AASB 2011 provides details of changes inaccounting treatment due to the GovernmentFinance Statistics manual.31/12/2014 AASB 10 includes a new definition of control,which is used to determine which entities areconsolidated, and describes consolidationprocedures.The Standard provides additional guidance toassist in the determination of control where this isdifficult to assess.AASB 11 focuses on the rights and obligations ofa joint venture arrangement, rather than its legalform (as is currently the case). IFRS 11 requiresequity accounting for joint ventures, eliminatingproportionate consolidation as an accountingchoice.AASB 12 includes disclosure requirements forall forms of interests in other entities, includingjoint arrangements, associates, special purposevehicles and other off balance sheet vehicles.31/12/2014 AASB 13 provides a precise definition of fair valueand a single source of fair value measurementand disclosure requirements for use acrossAccounting Standards but does not change whenfair value is required or permitted.There are a number of additional disclosurerequirements.Little impact sincemost of the disclosuresrequired by AASB 1054are already includedwithin the financialstatements.The entity is notadopting the RDR andtherefore this standard isnot relevant.Standard is notapplicable and thereforethere will be no impacton adoption.The entity is not part of agroup and therefore thisstandard is not relevant.Fair value estimatescurrently made by theentity will be revised andpotential changes toreported values may berequired.The entity has notyet determined themagnitude of anychanges which may beneeded.Some additionaldisclosures will beneeded.Annual Report 2011 35

Notes to the Financial Statements continuedFor year ended 31 December 2011AASB 2011 - 4 -Amendments to AustralianAccounting Standards toRemove Individual KeyManagement PersonnelDisclosure Requirements[AASB 124]AASB 2011 - 5Amendments to AustralianAccounting Standards– Extending Relief fromConsolidation, the EquityMethod and ProportionateConsolidation [AASB 127,AASB 128 & AASB 131]AASB 2011 - 6 -Amendments to AustralianAccounting Standards- Extending Relief fromConsolidation, the EquityMethod and ProportionateConsolidation - ReducedDisclosure Requirements[AASB 127, AASB 128 &AASB 131]AASB 2011-7- Amendmentsto Australian AccountingStandards arising from theConsolidation and JointArrangements Standards[AASB 1,2, 3, 5, 7, 9, 2009-11,101,107,112,118,121,124,132, 133, 136, 138,139,1023 & 1038 andInterpretations 5, 9, 16 &17]31/12/2014 Remove individual key management personneldisclosure requirements (i.e. components ofremuneration) for disclosing entities.31/12/2012 This Standard extends the relief fromconsolidation, the equity method andproportionate consolidation by removing therequirement for the consolidated financialstatements prepared by the ultimate or anyintermediate parent entity to be IFRS compliant,provided that the parent entity, investor orventurer and the ultimate or intermediate parententity are not-for-profit entities that comply withAustralian Accounting Standards.31/12/2014 This Standard extends the relief fromconsolidation, the equity method andproportionate consolidation by removing therequirement for the consolidated financialstatements prepared by the ultimate or anyintermediate parent entity to be IFRS compliant,provided that the parent entity, investor or venturerand the ultimate or intermediate parent entitycomply with Australian Accounting Standardsor Australian Accounting Standards - ReducedDisclosure Requirements.31/12/2014 This standard provides many consequentialchanges due to the release of the newconsolidation and joint venture standards.Since the entity is adisclosing entity, theKMP remunerationnote in the financialstatements will notinclude individualcomponents ofremuneration.The entity is not part ofa group and thereforethis amendment has noimpact.Since the entity doesnot comply with theReduced DisclosureRegime there is noimpact on the adoptionof this standard.The impact of thisstandard is expected tobe minimal.(p) Critical Accounting Estimates and JudgmentsThe committee evaluates estimates and judgments incorporated into the financial statements based on historicalknowledge and best available current information. Estimates assume a reasonable expectation of future events and arebased on current trends and economic data, obtained both externally and within the Association.Key estimates - ImpairmentThe Association assesses impairment at the end of each reporting period by evaluating conditions specific to theAssociation that may be indicative of impairment triggers.36Annual Report 2011

Note 2 - RevenueOperating activitiesOperating grants 7,222,778 5,968,434Interest received 95,396 75,069Other revenue 403,999 263,578Total Revenue 7,722,173 6,307,0812011$2010$Note 3 - Profit for the Year(a) ExpensesFinance costs 24,300 19,441Depreciation 144,854 119,517Loss on Sale of Assets 18,270 7,6412011$2010$Note 4 - Auditors’ RemunerationRemuneration of the auditor of the Association for:auditing or reviewing the financial report 2011 16,800 15,000other services - 2009 - 8,450other services - 2010 4,450 13,000other services - 2011 12,600 -2011$2010$33,850 36,450Note 5 - Cash and Cash EquivalentsCash at bank 2,333,506 1,903,062Note2011$2010$2,333,506 1,903,062Reconciliation of cashCash at the end of the financial year as shown in the cash flow statement isreconciled to items in the balance sheet as follows:Cash and cash equivalents 14 2,333,506 1,903,0622,333,506 1,903,062Annual Report 2011 37

Notes to the Financial Statements continuedFor year ended 31 December 2011Note 6 - Trade and Other ReceivablesNote2011$2010$CURRENTTrade and receivables 14 27,375 -27,375 -(a) Credit Risk - Trade and Other ReceivablesThe entity has no significant concentration of credit risk with respect to any single counterparty or group of counterparties.The main source of credit risk to the entity is considered to relate to the class of assets described as trade and otherreceivables.The following table details the entity’s trade receivables exposed to credit risk with ageing analysis and impairment providedtheron. Amounts considered as ‘past due’ when the debt has not been settled within the terms and conditions agreedbetween the Association and the member or counterparty to the transaction. Receivables that are past due are assessed forimpairment by ascertaining their willingness to pay and are provided for where there are specific circumstances indicatingthat the debt may not be fully repaid to the entity.The balances of receivables that remain within initial terms (as detailed in the table) are considered to be of high creditquality.Grossamount$Pastdue andimpaired$31-60$61-90$>90$Withininitial tradeterms$2011Trade and term receivables 27,375 - - - - 27,375Total 27,375 - - - - 27,3752010Trade and term receivables - - - - - -Total - - - - - -(b) Collateral held as securityNo collateral is held as security for any of the trade and other receivable balances.(c) Financial assets classified as loans and receivablesNote 7 - Other AssetsCURRENT2011$2010$Prepayments 7,146 4,6397,146 4,63938Annual Report 2011

Note 8 - Property, Plant and EquipmentPlant and EquipmentAt cost 235,003 241,889Accumulated depreciation (126,400) (146,013)Total plant and equipment 108,603 95,876Motor vehiclesUnder lease 385,098 294,306Accumulated depreciation (63,107) (86,641)Total motor vehicles 321,991 207,665ImprovementsAt cost 234,729 234,729Accumulated depreciation (103,539) (73,298)Total improvements 131,190 161,4312011$2010$Total Property, Plant and Equipment 561,784 464,972Movements in Carrying AmountsMovements in the carrying amount for each class of property, plant and equipment between the beginning and end of thecurrent financial year.Current YearPlant &Equipment$MotorVehicles$Improvements$Balance at the beginning of year 95,876 207,665 161,431 464,972Additions 61,791 295,317 - 357,108Disposals - written down value (7,445) (107,997) - (115,442)Depreciation expense (41,619) (72,994) (30,241) (144,854)Carrying amount at the end of year 108,603 321,991 131,190 561,784Prior YearBalance at the beginning of year 96,742 193,798 191,726 482,266Additions 35,369 98,131 - 133,500Disposals - written down value (8,869) (22,408) - (31,277)Depreciation expense (27,366) (61,856) (30,295) (119,517)Carrying amount at the end of year 95,876 207,665 161,431 464,972Total$Annual Report 2011 39

Notes to the Financial Statements continuedFor year ended 31 December 2011Note 9 - Trade and other payablesCURRENTNote2011$2010$Trade Payables 659,397 408,408Employee Benefits:Annual Leave 133,314 97,514Other 145,239 133,285937,950 639,207Financial liabilities at amortised cost classified as trade and other payablesTrade and other payables- Total Current 937,950 639,207Less:Employee Benefits (133,314) (97,514)Financial liabilities as trade and other payables 14 804,636 541,693Note 10 - BorrowingsCURRENTSecured liabilitiesNote2011$2010$Finance lease obligation 14 154,991 161,537154,991 161,537NON-CURRENTSecured liabilitiesFinance lease obligation 14 175,490 54,411175,490 54,411Total Borrowings 330,481 215,948Note 11 - ProvisionsEmployeeEntitlements$Other Provisions$Total$Opening balance at 1 January 2011 222,737 200,000 422,737Additional provisions 44,186 - 44,186Amounts used (8,084) - (8,084)Balance at 31 December 2011 258,839 200,000 458,83940Annual Report 2011

Analysis of Total ProvisionsCurrent 122,169 115,111Non-current 336,670 307,6262011$2010$458,839 422,737Note 12 - Cash Flow Information(a) Reconciliation of Cash Flow from Operations with Profit after Income TaxNet income/loss for the period 107,760 (20,630)Non-cash flows in profitDepreciation 144,854 119,517Net gain on disposal of property, plant and equipment 18,270 7,641Changes in assets and liabilities(Increase)/decrease in trade and term receivables (27,375) 201,097(Increase)/decrease in prepayments (2,507) (373)Increase/(decrease) in trade payables and accruals 510,701 110,111Increase/(decrease) in employee benefits (175,856) 45,200575,847 462,563(b) Non-cash Financing and Investing ActivitiesProperty, plant and equipmentDuring the financial year, the Association acquired plant and equipment with an aggregate fair value of $303,801 (2010: $98,131)by means of hire purchase agreements. These acquisitions are not reflected in the statement of cash flows.2011$2010$Note 13 - Capital and Leasing Commitments(a) Finance Lease CommitmentsPayable - minimum lease payments:- not later than 12 months 180,629 176,228- between 12 months and 5 years 190,436 55,984Minimum lease payments 371,065 232,212Less future finance changes (40,584) (16,264)Present value of minimum lease payments 330,481 215,9482011$2010$Annual Report 2011 41

Notes to the Financial Statements continuedFor year ended 31 December 2011(b) Expenditure Commitments for forthcoming yearExpenditure commitments contracted for:Salary and wages - contractual 2,300,300 2,029,200Practice payments 1,385,000 1,172,000Premises 60,000 34,000Other - telephone 40,000 34,000PGPPP Contracts 3,316,400 2,150,1007,101,700 5,419,3002011$2010$Note 14 - Financial Risk ManagementThe Association’s financial instruments consist mainly of deposits with banks, local money market instruments, short-terminvestments, accounts receivable and payable, and leases.The totals for each category of financial instruments, measured in accordance with AASB 139 as detailed in the accountingpolicies to these financial statements, are as follows:Financial AssetsNote2011$2010$Cash and cash equivalents 5 2,333,506 1,903,062Total Financial Assets 2,333,506 1,903,062Financial Liabilities- Trade and other payables 9 919,109 408,408- Borrowings 10 330,481 215,948Total Financial Liabilities 1,249,590 624,356Financial Risk Management PoliciesThe Association’s Finance Committee is responsible for, among other things, monitoring and managing financial riskexposures of the Association. The Committee monitors the Association’s transactions and reviews the effectiveness ofcontrols relating to credit risk, financial risk and interest rate risk. Discussions on monitoring and managing financial riskexposures are held on a regular basis.Specific Financial Risk Exposures and ManagementThe main risks the Association is exposed to through its financial instruments are credit risk, liquidity risk and market riskconsisting of interest rate risk.(a) Credit RiskExposure to credit risk relating to financial assets arises from the potential non-performance by counter parties ofcontract obligations that could lead to a financial loss to the Association.Credit risk is managed through maintaining procedures (such as the utilisation of systems for the approval, grantingand removal of credit limits, regular monitoring of exposure against such limits and monitoring of the financial stabilityof significant customers and counterparties) ensuring, to the extent possible, that members and counterparties totransactions are of sound credit worthiness.Risk is also minimised through investing surplus funds in financial institutions that maintain a high credit rating.42Annual Report 2011

Credit Risk ExposuresThe maximum exposure to credit risk by class of recognised financial assets at balance date, excluding the value of anycollateral or other security held, is equivalent to the carrying value and classification of those financial assets (net of anyprovisions) as presented in the statement of financial position.Collateral held by the Association securing receivables are detailed in Note 6: Trade and Other Receivables.The Association has no significant concentration of credit risk with any single counterparty or group of counterparties.Details with respect to credit risk of Trade and Other Receivables are provided in Note 6.Trade and other receivables that are neither past due or impaired are considered to be of high credit quality. Aggregatesof such amounts are as detailed at Note 6.(b) Liquidity RiskLiquidity Risk arises from the possibility that the Association might encounter difficulty in settling its debts or otherwisemeeting its obligations related to financial liabilities. The Association manages risk through the following mechanisms:• preparing forward looking cash flow analysis in relation to its operational, investing and financial activities;• monitoring undrawn credit facilities;• obtaining funding from a variety of sources;• maintaining a reputable credit risk profile;• managing credit risk related to financial assets;• only investing surplus cash with major financial institutions; and• comparing the maturity profile of financial liabilities with the realisation profile of financial assets.The tables over the following pages reflect an undiscounted contractual maturity analysis for financial liabilities. Bankoverdrafts have been deducted in the analysis as management does not consider that there is any material risk that thebank will terminate such facilities. The bank does however maintain the right to terminate the facilities without notice andtherefore the balances of overdrafts outstanding at the years end could become repayable within 12 months.Cash flows realised from financial assets reflect management’s expectation as to the timing of realisation. Actual timingmay therefore differ from that disclosed. The timing of cash flows presented in the table to settle financial liabilitiesreflects the earliest contractual settlement dates and does not reflect management’s expectations that banking facilitieswill be rolled forward.Annual Report 2011 43

Notes to the Financial Statements continuedFor year ended 31 December 2011Financial liability and financial asset maturity analysisWithin 1 Year 1 to 5 Years Over 5 Years2011$2010$2011$2010$2011$2010$Total ContractualCash FlowFinancial liabilitiesdue for paymentTrade and otherpayables (excluding 659,397 408,408 - - - - 659,397 408,408estimated annual leave)Finance lease liabilities 154,991 176,228 175,490 55,984 - - 330,481 232,212Total contractualoutflows814,388 584,636 175,490 55,984 - - 989,878 640,620Total expectedoutflows814,388 584,636 175,490 55,984 - - 989,878 640,620Financial assets -cash flows realisableCash and cashequivalents233,506 1,903,062 - - - - 233,506 1,903,062Net (outflow)/inflow on financialinstruments(580,882) 1,318,426 (175,490) (55,984) - - (756,372) 1,262,4422011$2010$(c) Market Riski. Interest rate riskExposure to interest rate risk arises on financial assets and financial liabilities recognised at the end of the reportingperiod whereby a future change in interest rates will affect future cash flows or the fair value of fixed rate financialinstruments. The Association is also exposed to earnings volatility on floating rate instruments.(d) Foreign Exchange RiskThe Association is not exposed to fluctuations in foreign currencies.(e) Price RiskThe Association is not exposed to any material commodity price risk.Sensitivity AnalysisThe following table illustrates sensitivities to the Association’s exposures to changes in interest rates. The tableindicates the impact on how profit and equity values reported at balance date would have been affected by changesin the relevant risk variable that management considers to be reasonably possible. These sensitivities assume that themovement in a particular variable is independent of other variables.44Annual Report 2011

Interest Rate Risk Sensitivity AnalysisAt 31 December 2011, the effect on profit and equity as a result of changes in the interest rate, with all other variablesremaining constant would be as follows:Change in profit- Increase in interest rate of 0.5% [2010:0.5%] 11,667 9,515- Decrease in interest rate of 0.25% [2010:0.25%] (5,834) (4,758)Change in equity- Increase in interest rate of 0.5% [2010:0.5%] 11,667 9,515- Decrease in interest rate of 0.25% [2010:0.25%] (5,834) (4,758)2011$2010$Net Fair ValuesFair value estimationThe fair values of financial assets and financial liabilities are presented in the following table and can be compared to theircarrying values as presented in the statement of financial position. Fair values are those amounts at which an asset couldbe exchanged, or a liability settled, between knowledgeable, willing parties in an arm’s length transaction.Fair values derived may be based on information that is estimated or subject to judgement, where changes in assumptionsmay have a material impact on the amounts estimated. Areas of judgement and the assumptions have been detailedbelow. Where possible, valuation information used to calculate fair value is extracted from the market, with more reliableinformation available from markets that are actively traded. In this regard, fair values for listed securities are obtained fromquoted market bid prices. Where securities are unlisted and no market quotes are available, fair value is obtained usingdiscounted cash flow analysis and other valuation techniques commonly used by market participants.Financial AssetsFootnoteNetCarryingValue$2011 2010Net FairValue$NetCarryingValue$Net FairValue$Cash and cash equivalents (i) 2,333,506 2,333,506 1,903,062 1,903,062Total Financial Assets 2,333,506 2,333,506 1,903,062 1,903,062Financial LiabilitiesTrade and other payables (i) 659,397 659,397 408,408 408,408Lease Liabilities (ii) 330,481 330,481 215,948 215,948Total Financial Liabilities 989,878 989,878 624,356 624,356The fair values disclosed in the above table have been determined based on the following methodologies:(i) Cash and cash equivalents, trade and other receivables and trade and other payables are short-term instruments in nature whose carryingvalue is equivalent to fair value. Trade and other payables exclude amounts relating to the provision of annual leave and sick leave, whichis not considered a financial instrument.(ii) These liabilities are fixed interest leases carried at amortised cost.Annual Report 2011 45

Notes to the Financial Statements continuedFor year ended 31 December 2011Note 15 - Related Party TransactionsTransactions between related parties are on normal commercial terms and conditions no more favourable than those available toother parties unless otherwise stated.Payments made to associated entities2011$2010$Angaston Medical Centre 57,496 37,633Barmera/Lake Bonney Private Medical Clinic - 26,334Bridge Clinic 273,432 219,373Children, Youth & Women’s Health Services Inc 40,870 -Crafter Medical Centre - 30,777Hawkins Medical Clinic 147,704 -Hills Medical Service - 169,164Kingston Family Clinic 71,096 21,339Renmark Medical Clinic - 9,773Total 590,598 514,393Note 16 - Interests of Key Management PersonnelShort-termbenefits$Post employmentbenefit$2011Total compensation 639,875 108,779 748,6542010Total compensation 582,616 99,045 681,661Total$Note 17 - Contingent Liabilities and Contingent AssetsNil.Note 18 - Events after the end of the reporting periodNil.Note 19 - Segment InformationThe Association operates predominantly in one business and geographical segment, being the delivery of generalpractice education and training to medical practitioners and medical students.Note 20 - Association DetailsThe registered office of the Association is:Sturt Fleurieu GPET Incorporated18 Alfred Place, Strathalbyn, SA 525546Annual Report 2011

Statement by Members of theCommitteeIn the opinion of the Committee the financial report as set out on pages 26 to 46:1. Presents fairly the financial position of Sturt Fleurieu GPET Incorporated as at 31 December 2011 andits performance for the year ended on that date in accordance with Australian Accounting Standards(including Australian Accounting Interpretations) of the Australian Accounting Standards Board.2. At the date of this statement, there are reasonable grounds to believe that Sturt Fleurieu GPETIncorporated will be able to pay its debts as and when they fall due.3. The Committee submit the following report for the financial year 31 December 2011 under sub-section35(5) of the Associations Incorporation Act 1985 (as amended) as follows:-(a) other than as disclosed in Note 15 to the accounts, no officer of the Association has, since the endof the previous financial year received, or become entitled to receive a benefit (other than a benefitincluded in the aggregate amount of emoluments received or due and receivable by the officers of theAssociation shown in the accounts) as a result of a contract between the officer or a firm of which he isa member or an entity in which he has a substantial financial interest and the Association.(b) no officer of the Association has, since the end of the previous financial year, received directly orindirectly from the Association, any payment or other benefit of a pecuniary value (other than a benefitincluded in the aggregate amount of emoluments received or due and receivable by the officers of theAssociation shown in the accounts).This statement is made in accordance with a resolution of the Committee and is signed for and on behalf ofthe Committee by:Dr Richard JohnsCommittee MemberDr David RosenthalCommittee MemberDated this day of 2012.Annual Report 2011 47

48Annual Report 2011

Annual Report 2011 49

educating doctors for a future in general practiceSturt FleurieuABN 77 072 089 959Published by Sturt Fleurieu18 Alfred Place STRATHALBYN SA 5255t. (08) 8536 5000f. (08) 8536 8019e. sturt.fleurieu@sfgpet.com.auwww.sfgpet.com.au