ANZCA Bulletin - June 2009 - Australian and New Zealand College ...

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President’smessageIn this edition of the Bulletin we examinethe future of anaesthesia. This followsthe release in March of the Australianworkforce study “Supply and Demandfor Anaesthesia Services” which lookedinto factors that shape the supply of, anddemand for, anaesthesia services andidentified gaps in service provision over thenext 20 years. A similar survey is plannedfor New Zealand. As I mentioned when thestudy was released, it is vitally importantthat ANZCA take a central role in not onlyassessing the demand for anaestheticservices and the number of anaesthetistsrequired but that we also have a viewabout the proper scope of services and theappropriate model of care. In this editionwe publish some views about the future ofour specialty and we take a look at someinteresting and exciting developmentsin some private practices in Australiawhich will hopefully stimulate debateabout future directions. There are manychallenges in front of us as we continue tofulfil our aim of serving the community byfostering safe and high quality patient carein anaesthesia, intensive care andpain medicine.College of Intensive Care MedicineOur colleagues in the Joint Faculty ofIntensive Care Medicine have decidedthat their specialty is best served byestablishing an independent college,and preparations for this are now wellunderway. I would like to thank Fellowswho took the time to vote on the resolutionto endorse Council’s decision in respect ofseparation issues. In the JFICM vote, 1310votes were counted, 1161 for (88.6%) and149 against (11.4%). ANZCA’s support for anew College has been gratefully receivedby JFICM and it provides a strong basis forexcellent relations in the future.Our training programs and standardsetting processes have been separatefor some time so for many people, theseparation will have very little directeffect. The group who could be affectedwill be our Fellows who practice bothanaesthesia and intensive care medicinebut have FANZCA and not FJFICM. TheseFellows are mainly working in smallerhospitals, and we (ANZCA and CICM) willbe supporting their practice. We anticipateworking very closely with the new Collegeon this and other matters, as we do withother specialist medical Colleges. This iscritical with our current advocacy for theretention of the role of medical collegeswithin specialist medical training andaccreditation. Having multiple colleges isa strength of our system, as each specialtycan develop its own standards in a waythat is best suited to the specialty.ANZCA FoundationA great deal of work has been undertakenin recent months to complete the essentialinfrastructure for the ANZCA Foundation.This has included developing a suite ofpromotional materials, establishing a fundraising database, and consulting withregional committees to seek their input.Raising funds for medical research andraising awareness of anaesthesia, perioperativemedicine and pain medicineresearch and education is crucial. Withongoing research we can improve thequality of outcomes for patient comfortand can return many people to virtuallynormal lives in work, family enjoymentand community activities. The success ofthe Foundation will depend greatly on theparticipation and willingness of Fellowsand trainees to support it, includingcommunicating its existence and benefitsmore widely. To this end, in July you willreceive some information and promotionalmaterial covering the Bequest programand the Patrons Program. By supportingthe Foundation you will be making a vitalcontribution to promoting the role that ourprofession makes to the well-being of somany people and enable further crucialresearch to be undertaken.ANZCA Strategic PlanWork continues on developing a revisedANZCA Strategic Plan for the next threeyears. Our current plan has led to a rangeof important projects and improvements.Consultation continues with regionalcommittees and other key stakeholders.Council will consider the plan further atits August Council meeting. It is envisagedthat the key elements of the strategy will becommunicated to Fellows and trainees inthe months ahead.Dr Leona WilsonPresident2The ANZCA Bulletin June 2009
NewsSafety of AnaesthesiaReportThe Mortality Working Group reviewsanaesthesia-related mortality in Australiaand New Zealand under the auspices ofANZCA. The report for the period 2003-2005will be published next month. This is the fifthtriennial report collated and published byANZCA. The report will be sent to Fellows andtrainees in July and will be disseminated toall appropriate bodies to contribute to furtherimprovements in patient safety.Australian budgetThe Australian Government has announced$A500 million funding to support theexpansion of pre-professional clinicaltraining places by 2013. This fundingwill support clinical training for anexpected increase of 12,000 in healthrelatedundergraduate school numbers– from 66,000 in 2009 to 78,000 in 2013. Anadditional 212 ongoing GP training places willbe provided as well as 73 specialist trainingplaces in the private sector. The governmentalso announced the establishment of theNational Workforce Agency to “bettercoordinate and expand capacity for clinicaltraining across a range of workforce settingsand assist with workforce planning”.MABEL doctors surveyThe first results of the MABEL longitudinalsurvey of doctors have been released.There were 10,512 participants in thesurvey including 4603 specialists and 1072doctors enrolled in a specialist trainingprogram. Initial results showed that over80% of doctors were satisfied with theirwork. Specialists were the most likelyto want to reduce their hours of work.Although satisfaction levels were high,the survey found that 12% of GPs and 13%of specialists were “very likely” to quitmedical work entirely within the next fiveyears, driven largely by people aged over55 who were expected to retire. For furtherinformation visit www.mabel.org.au oremail enquiries@mabel.org.auAustralian nationalregistration andaccreditationscheme updateA Senate inquiry into the FederalGovernment’s proposed nationalregistration and accreditation scheme isdue to report by the end of June, althoughthis is likely to be delayed. Since theSenate inquiry began, the AustralianHealth Workforce Ministerial Councilhas announced a number of changes,including making the accreditation functionindependent of government and remainingwith the Australian Medical Council –something ANZCA has consistently calledfor. There will be both general and specialistregisters for medicine. The specialistregister will not cover practitionersregistered to practice in an area of need.There is also acknowledgement of the roleof specialist medical colleges in the areaof continuing professional development.Part B of the legislation, which outlines theoperation of the scheme, has been releasedprior to its introduction to the QueenslandParliament in the second half of 2009.NZ budget booststrainee numbersThe New Zealand Government hasannounced an additional 60 medicalschool places boosting trainee doctornumbers by 200 within five years and a$NZ15.3 million voluntary bonding schemeto decrease New Zealand’s dependence onforeign-trained doctors. A further $NZ70million has been earmarked to train 800additional anaesthetists, surgeons, residentmedical officers, nurses and techniciansand other health professionals to staff andsupport the new elective surgery “supercentres”. The government has said it iscommitted to building 20 new electivesurgery theatres with associated bedsand facilities as part of its policy toreduce hospital waiting times andincrease access to elective surgery.Launch of ANZCAFinal Examinationpreparation resourceTo assist trainees preparing for the ANZCAFinal Examination, a new resource thatprovides insights into the exam process andwhat happens on the day has been launched.It includes examples of “mock” vivas todemonstrate ways to optimise performanceand can be found on the ANZCA website.The ANZCA FoundationPatrons ProgramThe ANZCA Foundation will shortlyintroduce a Patrons Program to encourageand recognise those who wish to supportmedical research and education. Alldonations (which are tax deductible) willbe directed solely towards medical researchand education with the ANZCA Councildetermining the awarding of the grants.Full details will be made availablein coming months.RASTS program –web conferencing pilotANZCA is piloting web conferencingtechnology that will soon be available toall trainees. The education developmentunit is looking for trainees now on rotationin a rural area who are preparing for theANZCA Final Examination to participatein the pilot. Please contact Susan Batur(+61 3 0093 4909) oremail SBatur@anzca.edu.auBest of web projectANZCA has launched a “best of web”initiative that aims to review existingonline educational material and evaluateit for its applicability to all Fellows andtrainees. Each online resource will bereviewed, rated and approved for claimingcontinuing professional development(CPD) points. The project group is seekingtopic recommendations from Fellows andtrainees. Please send your suggestionsto cpd@anzca.edu.auThe ANZCA Bulletin June 20093
Page 3: 12 27 20 36ContentsThe ANZCA Bullet
Page 7 and 8: Simulation-based sedationcourse for
Page 9 and 10: anzca Research AwardThe Lennard Tra
Page 11 and 12: Annual General MeetingminutesMinute
Page 13 and 14: 4. Declaration of the PollsCouncil
Page 15 and 16: Snapshot1657 Full registrants 152 F
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Page 19 and 20: The College Ceremony; Dr James Sart
Page 21 and 22: ASM photo galleries and videosof th
Page 23 and 24: Leading the debate onthe future of
Page 25 and 26: BroadeningrolesDr Vanessa BeavisWe
Page 27 and 28: “Commencing medical students are
Page 29 and 30: An anaesthetist-ledPerioperativeCar
Page 31 and 32: advertisementThe ANZCA Bulletin Jun
Page 33 and 34: Hobart AnaesthesiaGroupThe Hobart A
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Page 37 and 38: large number of anaesthetic colleag
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Page 43 and 44: profileDr Vanessa Beavis:From South
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Page 47 and 48: advertisementRoyal Melbourne Hospit
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Page 51 and 52: Changes to medicaloxygen connection
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ANZCACurriculum ReviewThe Why, Who,
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advertisement142_ANT_Agilia_HP_Ad d
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The CanMEDS Roles are typicallyrepr
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fellowship affairsContinuing Profes
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Australian and New Zealand College
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Essential guide to generic skills /
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RegionsAustralian CapitalTerritoryT
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RegionsContinuedQueenslandThe Facul
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Western AustraliaThe WA 2009 Autumn
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April 2009Stefan Andre LOMBAARDChri
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advertisementASURA 2009Australasian
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advertisementPRACTICAL AIRWAYMANAGE
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Joint Faculty of Intensive Care Med
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Faculty of Pain MedicineDean’s Me
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Faculty of Pain MedicineOrganisatio
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Faculty of Pain MedicineThe symposi
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Dr Carolyn Arnold, A/Prof Leigh Atk
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Faculty of Pain MedicineDean’s Re
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Faculty of Pain MedicineHonorary Fe
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FELLOWSHIP AFFAIRSProfessionaldocum
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Australian and New Zealand Collegeo
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October 16-182009 Fpm Spring Meetin
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Christchurch 2010
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