You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>Annual</strong><br />
<strong>Report</strong><br />
<strong>2011</strong>
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
2<br />
CONTENTS<br />
Council 3<br />
President’s <strong>Report</strong> 4<br />
Honorary Secretary’s <strong>Report</strong> 6<br />
Honorary Treasurer’s <strong>Report</strong> 7<br />
CEO’s <strong>Report</strong> 8<br />
Censor-in-Chief’s <strong>Report</strong> 9<br />
Board of Education Committee <strong>Report</strong>s 11<br />
Board of Education Committee<br />
Membership<br />
Council Committee <strong>Report</strong>s 21<br />
Council Committee Membership 26<br />
Faculty <strong>Report</strong>s 27<br />
Faculty Board Membership 31<br />
Editor-in-Chief’s <strong>Report</strong><br />
Emergency Medicine Australasia<br />
Awards 33<br />
Vale 33<br />
Fellows 34<br />
Administration 40<br />
Financial <strong>Report</strong> 41<br />
Cover: Advanced Trainee, Michaela Mee, ED Dandenong Hospital Vic, member of Southern Health<br />
Photos: Thank you to Southern Health and Dandenong Hospital for their assistance with the creation of the ED images in this report.<br />
17<br />
32
COUNCIL<br />
Executive<br />
Sally McCarthy (President)<br />
Peter Freeman (Vice President)<br />
Anthony Cross (Honorary Secretary)<br />
Andrew Maclean (Honorary Treasurer)<br />
Yuresh Naidoo (Censor-in-Chief)<br />
Ruth Hew (Deputy Censor-in-Chief)<br />
Australian Capital Territory<br />
Andrew Singer<br />
New South Wales<br />
Sally McCarthy<br />
Kate Porges<br />
Alan Tankel<br />
New Zealand<br />
John Bonning<br />
Peter Freeman<br />
Northern Territory<br />
Didier Palmer<br />
Queensland<br />
Niall Small<br />
Chris May<br />
South Australia<br />
Judy Cornish<br />
Tasmania<br />
Tony Lawler<br />
Victoria<br />
Anthony Cross<br />
Diana Egerton-Warburton<br />
Andrew Maclean<br />
Western Australia<br />
David Mountain<br />
Yusuf Nagree<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
3
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
4<br />
PRESIDENT’S<br />
REPORT Sally McCarthy<br />
As President of <strong>ACEM</strong>, it is my pleasure to present the<br />
<strong>Annual</strong> <strong>Report</strong> for <strong>2011</strong>. This has been a year of exciting<br />
growth and expansion for the College and it is pleasing<br />
to look back on the achievements of <strong>2011</strong> whilst looking<br />
forward to the challenges of 2012.<br />
Within College<br />
The past year has seen a fundamental review of the way we do<br />
things, from review of training and assessment, to review of offi ce<br />
staffi ng and management structures, and I mention just a few<br />
items in this report, with more details available on the College<br />
website. Most importantly, fi nal recommendations were received<br />
from the Training and Assessment Review Working Group,<br />
and after consultation and consideration by BOE and others,<br />
were accepted by Council. As a result we now see the start<br />
of the Curriculum Revision Project which will involve existing<br />
committees of College, as well as giving the opportunity for<br />
many additional Fellows to be part of the work over a number of<br />
years. Signifi cant outcomes will include non-clinical content areas<br />
becoming integrated into the curriculum across the training<br />
period, increased focus on workplace based assessment, and<br />
better transparency of progress throughout the training period,<br />
thus ensuring trainees are adequately prepared for examinations,<br />
and Fellowship.<br />
In December 2010, a Deputy Censor-in-Chief position was<br />
introduced to support the CIC and BOE. I thank Yuresh<br />
Naidoo (CIC) and Ruth Hew (Deputy CIC) for their work<br />
and collaborative effort in making this new role a great success.<br />
They have also completed the work of implementing fi nal<br />
BOE changes planned from the governance restructure of<br />
some time ago.<br />
Trainee input into College functions has been strengthened<br />
with trainee representation now on the majority of committees,<br />
and heartening interest from a large number of trainees for<br />
these roles. Council Executive and the CEO attended a short<br />
external course to enhance their knowledge about requirements<br />
of Boards as a prelude to the introduction of more formalised<br />
training for all new Councillors.<br />
Health Reform<br />
It is timely that this report coincides with the recently released<br />
progress report on National Health Reform. Of particular<br />
interest to Australian Fellows and trainees is the establishment of<br />
National Emergency Access Targets and the implications of these<br />
measures, and fortunately we can learn from the experience of<br />
colleagues in Western Australia and New Zealand. As you are<br />
aware, an Expert Panel was formed to examine issues associated<br />
with the implementation of the elective surgery and emergency<br />
department targets and <strong>ACEM</strong> was one of seventy organisations<br />
and individuals to make a submission to this group. College<br />
representatives attended consultation forums and Fellows and<br />
trainees made a large contribution towards the development of<br />
the recommendations now available on the COAG website.<br />
The focus of the College submissions was the need to take a<br />
holistic approach and recognise that time-based targets are a<br />
tool to drive change and not an end in themselves.<br />
It was gratifying to note that the recommendations<br />
put forward in the College submissions were largely<br />
refl ected in the Expert Panel recommendations<br />
released in June. The College is also a partner in<br />
a national research collaboration examining the<br />
impact of the access target.<br />
Hospital Overcrowding<br />
The <strong>2011</strong> Access Block Point Prevalence Survey (2)<br />
recently carried out by the Road Trauma and<br />
Emergency Medicine Unit of Australian National<br />
University on behalf of <strong>ACEM</strong> identifi ed that caring<br />
for patients waiting for beds represents nearly<br />
one third of ED workload in major hospitals. The<br />
number of patients waiting for beds continues to<br />
exceed the number waiting to be seen by a doctor<br />
(Richardson, <strong>2011</strong>). <strong>ACEM</strong> continues to lobby on<br />
behalf of patients and staff for improved access to<br />
hospital beds and the alleviation of constraints and<br />
issues leading to hospital overcrowding.<br />
Emergency Department<br />
Workforce<br />
Non-specialist doctors are a critical element of<br />
the emergency department workforce and the<br />
College was pleased to receive support from<br />
the Department of Health and Ageing (DOHA)<br />
to facilitate further resource development and<br />
training for these practitioners. Following the<br />
successful conclusion of the pilot of the Emergency<br />
Medicine Certifi cate early this year, and the positive<br />
independent evaluation received, the Certifi cate has<br />
been rolled out across Australasia. Finalisation of the<br />
Diploma content is currently occurring, with that<br />
course becoming available from early 2012.<br />
As part of a large-scale program supported by<br />
DOHA, <strong>ACEM</strong> will also be introducing projects<br />
to support international medical graduates and<br />
rural and regional hospitals. The funding will allow<br />
increased capacity within the College with benefi ts<br />
for all trainees and Fellows.<br />
References:<br />
RICHARDSON, D. <strong>2011</strong>. <strong>2011</strong> Access Block Point Prevalence<br />
Study (2). Australian National University.
PRESIDENT’S<br />
REPORT (continued)<br />
Strategic Planning<br />
The Strategic Planning process ensures that the College has a<br />
clearly articulated and communicated set of objectives outlining<br />
the goals for the coming year. Advocacy has been identifi ed as<br />
a key priority for <strong>ACEM</strong> and as the peak body for emergency<br />
medicine in Australia and New Zealand, much of the focus of<br />
this year has been on promoting and supporting this objective.<br />
Looking to the coming year and beyond, we will continue to<br />
ensure that the voice of emergency medicine is heard and that<br />
the interests of patients and staff are protected and promoted.<br />
Staff<br />
Jenny Freeman resumed her retirement in February this year<br />
and on behalf of Council, Committees, Fellows and trainees we<br />
would like to thank Jenny for her outstanding contribution to<br />
the College. We wish her all the best for a very well-deserved<br />
retirement and hope she maintains contact with the College as<br />
an Honorary Fellow, colleague and friend.<br />
Alana Killen commenced her role as CEO, having spent the<br />
previous two years as Director of Education. Alana’s educational<br />
background coupled with her management experience ensures<br />
the College is in capable hands. Under Alana’s guidance, the<br />
staff of the College has grown and the newly implemented<br />
restructure ensures that <strong>ACEM</strong> is well-placed for a sustainable<br />
and productive future. I would like to thank all the staff for their<br />
professional commitment to their respective roles and for a<br />
successful year in <strong>2011</strong>.<br />
<strong>ACEM</strong> is committed to actively representing the<br />
membership on matters directly and indirectly<br />
impacting emergency medicine in Australia and<br />
New Zealand and we are fortunate to have the<br />
benefi t of enthusiastic and dedicated members<br />
who generously donate their time, knowledge<br />
and expertise.<br />
Thank you on behalf of the Council of <strong>ACEM</strong> for<br />
your continued support and I look forward to<br />
another productive, challenging and exciting year<br />
in 2012.<br />
Sally McCarthy, President<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
5
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
6<br />
HONORARY SECRETARY’S<br />
REPORT Anthony Cross<br />
The recent expansion of College activities has provided many<br />
challenges to staff, Fellows and trainees. It is gratifying to see,<br />
however, impressive progress and achievements in such a wide<br />
spectrum of project areas.<br />
A large and important new program for the College is the<br />
‘Improving Australia’s ED Medical Workforce’ project. Funded<br />
by the Department of Health and Ageing, the program is being<br />
implemented by new program manager, Sam Denny. In brief, the<br />
College will be managing a range of projects aimed at enhancing<br />
and improving the skills of our ED workforce.<br />
The pilot program of the Emergency Medicine Certifi cate was<br />
completed earlier this year. The excellent feedback received<br />
from participants and the independent evaluators supported<br />
the College’s decision to proceed with the roll-out of the course<br />
in August. Now the College will offer non-specialist qualifi cations<br />
in Emergency Medicine to address a widely acknowledged need.<br />
The Curriculum project is now in its development phase, in<br />
preparation for an implementation program over the next few<br />
years. These initiatives are all addressed in more detail in other<br />
areas of this report but, in short, are a comprehensive revision<br />
and update of the curriculum.<br />
Jenny Freeman’s retirement as CEO signalled the end of an era for<br />
the College. Jenny’s enormous contribution and absolute dedication<br />
to the College over more than 20 years is greatly appreciated by<br />
staff, Fellows and trainees. Alana Killen, previously Director of<br />
Education, was appointed CEO and is skilfully steering the College<br />
through an exciting and challenging phase of development.<br />
The College offi ce has undergone a substantial refurbishment<br />
this year, to accommodate the growing number of staff who have<br />
been brought on board to assist with new projects and the overall<br />
expansion of College activities. A new management structure,<br />
put in place by Alana Killen, positioned the College offi ce well to<br />
support this expansion and future strategic direction. I am pleased<br />
to welcome the following new staff: Peter Bain, Rachel Brooks,<br />
Claire Byrne, Zoë Cocks, Sam Denny, Louise Feeney, Andrew<br />
Gosbell, Pam Jadeja, Mary Lawson, Tammy McEvoy, Marie Mucha,<br />
Bec McPhee, Johanna Owen, Claire Ridgway, Claire Spooner and<br />
Nat Tunbridge. I would like to thank all staff for their hard work<br />
and support of the College and its Fellows and trainees.<br />
The College governance structure has also seen development,<br />
with the inclusion of the new role of Deputy Censor-in-Chief.<br />
With a majority vote of approval from Fellows of the College, the<br />
composition of the Executive was extended to include the Deputy<br />
CIC role and the Constitution updated accordingly. Yuresh Naidoo,<br />
Censor-in-Chief and Ruth Hew, Deputy Censor-in-Chief,<br />
were welcomed to their fi rst Council meeting in March this year.<br />
The Australasian College for Emergency Medicine remains,<br />
primarily, an organisation reliant on the contributions of its Fellows.<br />
I would like to thank all those Fellows who have taken part in<br />
College activities during the last year. I would also like to encourage<br />
all Fellows to do so in the next year – there really is ‘something for<br />
everyone’ when it comes to the College’s ever-broadening role as<br />
the pre-eminent organisation in emergency medicine.<br />
Anthony Cross, Honorary Secretary<br />
Attendance at Council and<br />
Executive Meetings 2010–<strong>2011</strong><br />
Council<br />
(4)<br />
John Bonning (NZ) 4 of 4<br />
Judy Cornish (SA) 4 of 4<br />
Anthony Cross (VIC)<br />
(Hon. Secretary<br />
from Nov 2010)<br />
Diana Egerton-<br />
Warburton (VIC)<br />
Executive<br />
(8)<br />
2 of 4 5 of 8<br />
4 of 4<br />
Peter Freeman (NZ) 4 of 4 8 of 8<br />
Ruth Hew (VIC)<br />
(from January <strong>2011</strong>)<br />
Tony Lawler (TAS)<br />
(Hon. Secretary<br />
to Nov 2010)<br />
1 of 4 4 of 8<br />
3 of 4 1 of 8<br />
Andrew Maclean (VIC) 4 of 4 8 of 8<br />
Chris May (QLD) 4 of 4<br />
Sally McCarthy (NSW) 4 of 4 8 of 8<br />
David Mountain (WA) 4 of 4<br />
Yusuf Nagree (WA) 4 of 4<br />
Yuresh Naidoo (WA)<br />
(from January <strong>2011</strong>)<br />
Debra O’Brien (WA)<br />
(to November 2010)<br />
Didier Palmer (NT)<br />
(from Nov 09)<br />
Kate Porges (NSW)<br />
(from Nov 09)<br />
1 of 4 4 of 8<br />
3 of 4 2 of 8<br />
3 of 4<br />
4 of 4<br />
Andrew Singer (ACT) 4 of 4<br />
Niall Small (QLD)<br />
(from Nov 09)<br />
Alan Tankel (NSW)<br />
(from Nov 09)<br />
3 of 4<br />
4 of 4
HONORARY TREASURER’S<br />
REPORT Andrew Maclean<br />
I am pleased to report that the College has continued<br />
the strong performance of 2010. A surplus of $1,929,668<br />
($1,597,851 in 2010) and an increase in net assets to<br />
$14,681,607 ($12,555,826 in 2010) are indicative of<br />
both the growth and the sound fi nancial position of<br />
the College.<br />
During the year, a major renovation of the College offi ce was<br />
undertaken to accommodate the expansion of staff numbers<br />
required for the DOHA funded project ‘More Doctors for<br />
Emergency Departments’. The renovation and recruitment of<br />
staff for the project have been notable items of expenditure<br />
that are fully offset by the project funding.<br />
Other notable increases in expenditure include College<br />
committee costs, computer software support, primary<br />
examination costs and wages. The valuable work of the<br />
College committees continues to expand and the number<br />
of committees has grown, with the transition of the<br />
Non-Specialist working group to a committee and<br />
establishment of the International Development Fund<br />
Committee. A one-off expenditure in the 2010-<strong>2011</strong><br />
fi nancial year was required to establish the online MCQs<br />
for the primary examination. The increase in staff numbers,<br />
outside of those staff brought on board for the DOHA<br />
project, has resulted in higher expenditure on both wages<br />
and staff benefi ts. In other areas, such as printing, postage<br />
and stationery the pattern of substantial savings continues<br />
through from 2010.<br />
Looking forward, the College is moving into a period of<br />
signifi cant growth. The preparation of a Budget for <strong>2011</strong>-<br />
2012 by Peter Bain, <strong>ACEM</strong>’s new Director of Operations, has<br />
clarifi ed that the primary focus over the next 12 months will<br />
be the implementation phase associated with the College staff<br />
restructure, redesign and development of both the website<br />
and database and the DOHA Project. Other key areas will<br />
include initiatives in education including e-learning and the<br />
CPD program and developments associated with the Policy<br />
and Research area. These initiatives will result in a smaller<br />
surplus than previous fi nancial years but, even taking into<br />
account the additional expenditure required, it is forecast<br />
that the College will achieve a substantial surplus for the<br />
<strong>2011</strong>-2012 year. My thanks go to Peter and Alana Killen for<br />
the work they have undertaken in project planning, budget<br />
and business planning, ensuring that the College maintains<br />
its sound position into the future.<br />
I am pleased to welcome Johanna Owen, Finance Offi cer,<br />
to the team and extend thanks to Mandy Strates, Finance<br />
Manager, for another year of hard work and much<br />
appreciated support.<br />
Andrew Maclean, Honorary Treasurer<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
7
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
8<br />
CEO’S REPORT Alana Killen<br />
As <strong>2011</strong> draws to a close, it provides the opportunity<br />
to refl ect on the past year and look with anticipation<br />
towards 2012.<br />
Having stepped back in to provide support and guidance at a<br />
critical point, Jenny Freeman recommenced her well-deserved<br />
retirement in February this year. The College is indebted to<br />
Jenny for her dedication to the role she faithfully carried out<br />
for over 20 years and we know she is enjoying her new role as<br />
grandmother to baby Ivy Rose.<br />
I was honoured to be offered the position of CEO after working<br />
at the College for two years as the Director of Education.<br />
This experience had enabled me to gain a thorough<br />
understanding of the purpose and goals of <strong>ACEM</strong> and ensured<br />
a smooth transition for staff, Fellows and trainees. As you all<br />
know, specialist medical colleges are fairly unique bodies in terms<br />
of governance, core business and management, so having an<br />
appreciation of this type of organisation has been an advantage<br />
when commencing this position.<br />
The College has grown rapidly over the past fi ve years and with<br />
this growth has come a need to restructure the management of<br />
the College. This restructure will best meet the requirements<br />
of the Fellows and trainees, and also enable the implementation<br />
of the strategic plans developed by Council. The traditional<br />
secretariat model has been replaced by a professional<br />
management model which will ensure the sustained and future<br />
growth of the College. The appointment of Directors to key<br />
positions and the promotion of current staff to management<br />
roles will enable more proactive implementation of <strong>ACEM</strong>’s goals<br />
and will provide substantial support to the invaluable work of<br />
committees and subcommittees.<br />
Advocacy has been identifi ed as a key priority by the Fellows<br />
and trainees and the appointment of a Director of Policy and<br />
Research, Dr Andrew Gosbell, has been made to address this<br />
goal. This position will be responsible for working closely<br />
with committees to determine appropriate approaches to<br />
engagement and partnerships. This area will also monitor<br />
proposed changes and issues impacting on emergency medicine<br />
and will provide strategic support and advice to committees.<br />
Research will also be a focus of the department and this<br />
appointment supports <strong>ACEM</strong>’s commitment to building capacity<br />
in the important area of emergency medicine research.<br />
Internally, the Director of Operations, Peter Bain, is overseeing<br />
the redevelopment of the College website, the introduction of<br />
a new fi nance system and the redesign of the database. Growth<br />
has seen the need to introduce IT systems that will ensure<br />
future sustainability and streamline processes within the College.<br />
Peter successfully managed the renovation of the offi ce area<br />
to increase the capacity for new staff and is working on risk<br />
management strategies critical for an organisation of this size.<br />
Mary Lawson, the new Director of Education has<br />
taken on a large portfolio which includes e-learning,<br />
training and assessment, CPD and curriculum<br />
redevelopment. Mary’s extensive experience in<br />
the fi eld of medical education means the College<br />
is in excellent hands for this exciting new phase in<br />
educational development. Online exams have now<br />
been introduced and our e-learning presence will<br />
continue to grow and develop in the coming months<br />
and years ahead.<br />
The DOHA project, as it is commonly referred to, is<br />
a major body of work which commenced this year.<br />
Sam Denny (Ms) has been appointed as program<br />
manager and has made substantial progress in<br />
implementing this exciting, but complex program.<br />
You will no doubt have heard about the project and<br />
the opportunities this will provide. This project<br />
came to fruition due to the hard work and<br />
commitment of our President Sally McCarthy, who<br />
has advocated tirelessly for increased support for<br />
our emergency medicine workforce. It marks a<br />
new direction for the College and highlights <strong>ACEM</strong>’s<br />
inclusive, innovative and future-oriented goals.<br />
Thank you to all the committees and subcommittees<br />
for their extraordinary contribution to the College.<br />
This continuous and committed support has ensured<br />
that the College is in a strong position in terms of<br />
fi nance, management structure and governance.<br />
Finally, I would like to acknowledge the wonderful<br />
staff of the College who have demonstrated<br />
dedication to their roles throughout the transition<br />
process, patience throughout the renovation<br />
process and ongoing professionalism on a daily basis.<br />
As a group, they share a strong commitment to<br />
the goals and values of <strong>ACEM</strong> and I thank them<br />
for their loyalty.<br />
Alana Killen, CEO
CENSOR-IN-CHIEF’S<br />
REPORT Yuresh Naidoo<br />
It has been a very busy and exciting nine months for myself<br />
and Ruth Hew, Deputy Censor-in-Chief. A number of new<br />
initiatives and projects have been commenced and we look<br />
ahead with both excitement and trepidation. These projects<br />
require the dedicated work and goodwill of Fellows and<br />
College staff to ensure that we deliver quality products<br />
to our members.<br />
Curriculum Revision Project (CRP)<br />
Following a lengthy period of review, consultative forums and<br />
workshops, a Curriculum Project Outline was prepared by the<br />
Training and Assessment Review Working Group (TARWG) and<br />
submitted to the BOE and Council in July. Approval was given to<br />
proceed with the setting up of the Curriculum Revision Project<br />
governance structure and the development of an implementation<br />
plan for the revised <strong>ACEM</strong> training program.<br />
The revised training program will be aligned with the<br />
recommendations resulting from the review process and<br />
implemented over a period of at least fi ve years, from 2012.<br />
The governance structure will comprise a number of subgroups,<br />
overseen by a steering group which will report to Council via<br />
the BOE. A series of calls for expressions of interest in the<br />
various areas of the project has been issued by the College to<br />
commence the CRP.<br />
Further details of the CRP and timeline are available from a link<br />
on the home page of the <strong>ACEM</strong> website and I invite all Fellows<br />
and trainees to remain informed and become involved as this<br />
important project proceeds.<br />
DOHA Emergency Department<br />
Workforce Initiative<br />
<strong>ACEM</strong> has been awarded this important DOHA project aimed<br />
at ‘…increasing and sustaining the number of training places<br />
available, developing qualifi cations for non-specialist doctors,<br />
expanding the settings available for training, providing resources<br />
and support for supervision and training of emergency doctors...<br />
[which will]…contribute to building capacity in the emergency<br />
medicine workforce’.<br />
It is the intent of the College to provide a proactive contribution<br />
to the training and support of those doctors working in<br />
emergency departments through the development of<br />
specifi c programs.<br />
This is a signifi cant achievement and provides the opportunity<br />
to improve <strong>ACEM</strong>’s current role in providing specialist training<br />
as well as expanding its role to include programs targeting<br />
other members of the workforce and thereby becoming<br />
a comprehensive provider of education and expertise in<br />
emergency medicine in Australia.<br />
Emergency Medicine Certifi cate<br />
(EMC)<br />
A very successful pilot for the EMC was completed<br />
in March this year and the online exam was<br />
conducted in May. An independent evaluation of<br />
the pilot was conducted by Monash University,<br />
confi rming the high educational standard of the<br />
course and that it was well received by both<br />
candidates and supervisors. In August, the EMC<br />
was made available to candidates, and the course<br />
in Clinical Supervision is being conducted in major<br />
cities to ensure the availability of a suitable number<br />
of supervisors. Development of the initial clinical<br />
module of the Emergency Medicine Diploma is<br />
underway.<br />
Director of Education<br />
In May this year, following Alana Killen’s<br />
commencement as Chief Executive Offi cer, Mary<br />
Lawson joined the College as Director of Education<br />
– a role that encompasses education, training and<br />
assessment. The BOE is very pleased to welcome<br />
Mary to the College.<br />
Trainee Committee<br />
In November 2010, Council welcomed Andrew<br />
Perry as the new Chair of the Trainee Committee.<br />
With Andrew’s enthusiastic assumption of this role,<br />
the Committee has not only continued to provide<br />
valuable input to the BOE, but broadened the<br />
involvement of trainees in committees of both the<br />
BOE and Council. Unfortunately, Andrew’s term is<br />
coming to an end and we would like to thank him<br />
for his enormous contribution and welcome Chris<br />
Duncan as incoming chair.<br />
Online MCQs<br />
The Primary Examination MCQs went online this<br />
year and in spite of occasional computer teething<br />
problems and major geological upheaval, was very<br />
successful. The College staff are to be commended<br />
on their prompt and effi cient response to the<br />
Christchurch earthquakes and the smooth running<br />
of the examinations overall.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
9
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
10<br />
CENSOR-IN-CHIEF’S<br />
REPORT (continued)<br />
CPD Program<br />
This is currently undergoing a review with a planned needs<br />
analysis to be commenced early in 2012. Following this<br />
process, a new raft of educational content and activities will be<br />
progressively made available to Fellows to address these needs.<br />
Vote of thanks<br />
Ruth and I are very grateful to members of BOE, Committee<br />
Chairs and Council for their support over the year in allowing us<br />
to grow into our new roles.<br />
To Debra O’Brien, immediate past Censor-In-Chief and<br />
Bob Dunn, retiring Censor for South Australia, special thanks<br />
for your tireless, long-term contribution to <strong>ACEM</strong> and vision<br />
in taking <strong>ACEM</strong> to where we are currently.<br />
As the College looks forward to the next decade of the new<br />
millennium with its challenges and potential for expansion,<br />
I would urge all Fellows and trainees to become involved<br />
and informed participants of <strong>ACEM</strong>.<br />
Election to Fellowship<br />
Congratulations to the following Fellows who were elected<br />
to Fellowship since the last <strong>Annual</strong> <strong>Report</strong> (2 October 2010<br />
to 20 September <strong>2011</strong>):<br />
Deborah Bernstein, Sabine Böes, Charles Britton,<br />
Roderick Campbell, Sean Casey, Iris Chan, Peter Cheng,<br />
Angela Chiew, Benjamin Clarke, Matthew Clarke, Megan Cooney,<br />
Chris Cresswell, Daniel Crompton, Jacob Crosdale,<br />
Benjamin Croton, Michael Davey, Conor Deasy, Deepak Doshi,<br />
Dino Druda, Blake Eddington, James Falconer, Alistair Fergusson,<br />
Kate Field, James Flynn, Angeline Foo, Kate Gallop, Femke Geijsel,<br />
Clinton Gibbs, Nicole Grant, David Grundy, Marc Gutenstein,<br />
Kusay Haba, Julia Haire, Joseph Harris, Christopher Hill,<br />
Andrew Hooper, Mark Hussey, James Innes, Katherine Isoardi,<br />
Ashish Jaison, Phil Janson, Thomas Jerram, Jon Johnston,<br />
Easwaran Krishnan, Tiffany Kuehl, Paul Labana, David Lang,<br />
Tony Lourensen, Amit Maini, Sander Manders, Vijay Manivel,<br />
Leonie Marcus, Alex Markwell, Kevin Maruno, Jakub Matera,<br />
Peter May, Duncan McAuley, Joshua McConkey, Kristi McLendon,<br />
Allison Moore, Carla Morgan, Keiko Morioka, Enasio Morris,<br />
Kim Mullaley, Kim Munckton, Andrew Na, Javad Najafi ,<br />
Reoch Nanda, Khiem Ngo, Anna Nienaber, Bethany O’Neill,<br />
Shu-Haur Ooi, Scott Orman, Paula O’Sullivan, Cynthia Papendick,<br />
Hiten Patel, Hanh Pham, Michelle Philander, John Pierce,<br />
Edward Pink, Eileen Rogan, Sharon Roscoe, Cameron Rosie,<br />
Mark Rugless, Melanie Rule, Manoj Samuel, William Sargent,<br />
Franco Schreve, Gautam Sinha, Suzanne Smallbane,<br />
Jeremy Smith, Simon Smith, Jack Springer, Jeremy Stevens,<br />
Ananth Sundaralingam, John Sutherland, Ryan Tan, Ben Taylor,<br />
Lynn Williams, Ryan Windish, Karen Winter, Natalie Woo,<br />
Hakan Yaman, Natalia Zuleta.<br />
Yuresh Naidoo, Censor-in-Chief
BOARD OF EDUCATION<br />
COMMITTEE REPORTS<br />
Accreditation<br />
Committee<br />
This last year has seen the<br />
Accreditation Committee remain<br />
busy undertaking an increasing<br />
number of inspections, whilst also<br />
continuing to work towards making<br />
the accreditation process easier to<br />
navigate for hospitals, emergency<br />
departments and other health services.<br />
With respect to the structure of<br />
the Committee, we welcomed<br />
Christopher Duncan as the new<br />
Trainee Representative and Andre<br />
Vanzyl. I would like to thank Andrew<br />
Perry for his time and contribution<br />
to the Committee as the previous<br />
Trainee Representative.<br />
The Committee with the aid of<br />
regional censors, deputy censors,<br />
DEMTs and Fellows completed<br />
28 emergency department inspections<br />
and 16 special skills term inspections<br />
in the last 12 months. There are<br />
currently 114 emergency departments<br />
accredited for training and 71 special<br />
skills terms available for trainees<br />
across Australasia. The Committee<br />
would like to thank all Fellows who<br />
have provided their time to serve in<br />
accreditation inspection teams.<br />
From an administrative perspective,<br />
the Committee formalised new<br />
criteria for the position of the DEMT<br />
within departments and developed<br />
guidelines for a number of special<br />
skills terms to create consistency for<br />
hospitals and health services applying<br />
for accreditation and for trainees<br />
entering these posts. The Committee<br />
has also started the move toward<br />
implementing an electronic Hospital<br />
Information Questionnaire that will<br />
tie in with the College’s database and<br />
enable enhanced collation of data<br />
concerning emergency departments<br />
across Australia and New Zealand.<br />
Finally, I would like to express sincere<br />
appreciation to Kirsty Grove, Sarah<br />
Smith and Marie Mucha within the<br />
College offi ce for their considerable<br />
efforts in facilitating the work of<br />
the Committee.<br />
James Collier, Chair<br />
Continuing Professional<br />
Development Committee<br />
(CPD)<br />
The MOPS Committee has completed<br />
its name change to the CPD<br />
Committee to bring our program<br />
into line with the majority of<br />
Australasian medical colleges and<br />
with the new Medical Board of<br />
Australia terminology.<br />
Much of our activity over the last<br />
12 months has been to ensure we<br />
understood the requirements of the<br />
new National Registration Scheme<br />
in Australia, whilst ensuring that<br />
any changes introduced would not<br />
adversely affect our New Zealandbased<br />
or international Fellows.<br />
In summary, it is now a requirement<br />
for re-registration in Australia, as it<br />
has been in New Zealand for some<br />
time, for Fellows to be compliant with<br />
a specialty-specifi c CPD program.<br />
Additionally in Australia, but not in<br />
New Zealand, it is a requirement that<br />
any Fellow registered to practice in<br />
more than one specialty has an active<br />
CPD program for each specialty.<br />
Compliance by Fellows for the<br />
2010-<strong>2011</strong> year is 97% as at<br />
20 September <strong>2011</strong>.<br />
In addition, we have an increasing<br />
role in provision of CPD for nonspecialist<br />
doctors practising in<br />
emergency medicine. In many parts<br />
of both Australia and New Zealand<br />
non-specialist doctors make up a<br />
substantial portion of our workforce<br />
and, with the completion of the<br />
fi rst EM Certifi cate program and<br />
introduction of this program going<br />
forward, we see this aspect of the<br />
CPD Committee’s work expanding.<br />
Looking forward, over the next 18<br />
months there will be major revisions<br />
to the CPD program to align it with<br />
the new training curriculum<br />
to ensure continuity of education<br />
and development going forward<br />
from Fellowship.<br />
Kevin Humphrey, Chair<br />
Skills Maintenance Question<br />
Subcommittee<br />
The hard work of the Skills<br />
Maintenance Question Subcommittee<br />
has provided an excellent ongoing<br />
opportunity for CPD development,<br />
as well as generating some friendly<br />
debate and review. As all the Fellows<br />
working on this Subcommittee are<br />
colleagues and volunteers it is worth<br />
remembering that constructive<br />
debate is most helpful in resolving any<br />
perceived issues with the questions.<br />
Fellows’ feedback to these questions<br />
has been most helpful in developing<br />
future questions and processes.<br />
Alan Broomhead, Chair<br />
ACME Monitoring<br />
Subcommittee<br />
The College’s Advanced Complex<br />
Medical Emergencies (ACME) Course<br />
has continued to be popular for<br />
F<strong>ACEM</strong>s and senior trainees during<br />
the 2010-<strong>2011</strong> year.<br />
Five ACME courses were run during<br />
this time, two at St Vincent’s Hospital<br />
Melbourne Medical Education<br />
Department, and one each at<br />
Southern Health Skills and Simulation<br />
Centre, Queensland Health Clinical<br />
Skills Development Centre and<br />
the Australian Centre for Health<br />
Innovation at the Alfred Hospital.<br />
A total of 53 participants attended<br />
these courses.<br />
Interest from New Zealand and<br />
Western Australia Faculty in running<br />
ACME continues to grow. The fi rst<br />
WA ACME courses (participants and<br />
facilitators) were run at Edith Cowan<br />
University in Perth in July <strong>2011</strong>, while<br />
plans are underway to run ACME in<br />
Auckland in early 2012.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
11
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
12<br />
BOARD OF EDUCATION<br />
COMMITTEE REPORTS (continued)<br />
Senior registrars continue to attend<br />
ACME alongside their Consultant<br />
colleagues and contribute greatly<br />
to the healthy discussions that take<br />
place. In addition, the ACME course<br />
has been expanded to also include<br />
Career or Senior Medical Offi cers<br />
working in emergency medicine with<br />
the recommendation of their<br />
F<strong>ACEM</strong> director.<br />
Two workshops (‘A Taste of ACME’)<br />
were run at the <strong>ACEM</strong> ASM in<br />
Canberra in November 2010. These<br />
workshops provided participants with<br />
the chance to have a taste of ACME<br />
and hopefully dispel any concerns<br />
they may have had around simulationbased<br />
learning.<br />
Subcommittee members have fi nished<br />
editing the content and structure of<br />
the course based on their experiences,<br />
participant feedback and evolving<br />
medical knowledge, and these changes<br />
have already been incorporated<br />
into ACME.<br />
There will be a call for expressions<br />
of interest from F<strong>ACEM</strong>s to join the<br />
ACME Subcommittee during the<br />
<strong>2011</strong>-2012 year and I would urge all<br />
F<strong>ACEM</strong>s interested in education and<br />
simulation medicine to apply.<br />
Stuart Dilley, Chair<br />
Credentials Committee<br />
<strong>2011</strong> is yet another busy year for the<br />
Credentials Committee. The initiatives<br />
of the previous year continue to be<br />
progressed and the planning and<br />
development of procedures and<br />
policies to allow the Committee<br />
to make rulings in a transparent<br />
and consistent fashion is likewise<br />
undergoing expansion.<br />
Of particular signifi cance is the<br />
development of guidelines pertaining<br />
to circumstances in which a trainee<br />
might seek special consideration in<br />
assessments or examinations. A policy<br />
on networked training in emergency<br />
medicine for educational purposes is<br />
also under development.<br />
Development of the OTA Program<br />
is underway to allow DEMTs online<br />
access to their trainees’ previous ITAs<br />
(a feature which has been requested<br />
by a number of DEMTs). This<br />
functionality should be helpful in the<br />
development of individualised training<br />
and educational strategies for trainees<br />
performing below the expected level.<br />
Michael Bastick, Chair<br />
Examiner Committee<br />
The Examiner Committee will hold<br />
its fi rst meeting of <strong>2011</strong> in September.<br />
Following the meeting in October<br />
2010, there were fi ve new examiners<br />
appointed: Jennifer Davidson, Herman<br />
Chua, Sean Lawrence, Ian Summers<br />
and Barry Gunn. All new examiners<br />
have completed orientation through<br />
<strong>2011</strong>.<br />
The <strong>2011</strong> application call has recently<br />
gone out and recommendations<br />
will be forthcoming. The quality of<br />
applicants for examiner posts remains<br />
exceptionally high and we encourage<br />
reapplication from those Fellows who<br />
have not yet been successful but who<br />
wish to contribute to the College in<br />
this way.<br />
There has been successful<br />
implementation of a process to have<br />
more examiners marking the SAQ<br />
component of the Fellowship exam<br />
as the numbers of papers for marking<br />
were becoming very diffi cult. It is<br />
believed that this process will improve<br />
consistency and fairness of marking.<br />
The Peer Support examiner process<br />
continues to develop in its role, with<br />
the focus on consistency of marking<br />
and examining standards, as well as<br />
mentoring new examiners. There<br />
has been a noticeable achievement<br />
of consistent standards since the<br />
implementation of this program.<br />
Improving feedback to trainees for all<br />
components of the examinations has<br />
continued to be a focus. This can at<br />
times be challenging, given the time<br />
constraints of the examinations, but<br />
all examiners have been focusing on<br />
this aspect of the role. This enables the<br />
regional censors, deputy censors or<br />
senior examiners from each region to<br />
support and advise trainees who have<br />
been unsuccessful in examinations.<br />
Diane King, Chair<br />
Fellowship Examination<br />
Committee (FEC)<br />
The FEC has continued its efforts to<br />
set valid and reliable examinations<br />
that refl ect the <strong>ACEM</strong> Fellowship<br />
curriculum. The clinical examinations<br />
ran smoothly in Melbourne and<br />
Wellington in <strong>2011</strong>, and were<br />
coordinated extremely well at all<br />
sites involved. My thanks go to all site<br />
coordinators and their teams.<br />
I would like to thank the hard<br />
working chairs and members of<br />
each of the FEC subcommittees, the<br />
Court of Examiners and especially<br />
Virginia Cunsolo, the <strong>ACEM</strong> Manager<br />
of Training and Assessment, who<br />
coordinates the organisation of<br />
the Fellowship exam so well at<br />
the College. The list of successful<br />
candidates and examiners follows<br />
as part of this report.<br />
Sheila Bryan, Chair<br />
46th Fellowship Examination<br />
2010/2<br />
The Buchanan prize was awarded to<br />
Joanne Cole.<br />
Successful candidates:<br />
Kate Anson, Deborah Bernstein,<br />
Roderick Campbell, Sean Casey, Iris<br />
Chan, Peter Cheng, Matthew Clarke,<br />
Benjamin Clarke, Jo Cole, Chris<br />
Cresswell, Michael Davey, Dino Druda,<br />
Blake Eddington, James Falconer,<br />
Alistair Fergusson, Kate Field, Kate<br />
Gallop, Marysha Gardner, Femke<br />
Geijsel, Marc Gutenstein, Julia Haire,<br />
Christopher Hill, Mark Hussey, Ashish<br />
Jaison, Thomas Jerram, Easwaran<br />
Krishnan, Tony Lourensen, Amit Maini,<br />
Alex Markwell, Erin Martin, Kevin<br />
Maruno, Allison Moore, Keiko Morioka,<br />
Kim Mullaley, Kim Munckton, Javad<br />
Najafi , Khiem Ngo, Anna Nienaber,<br />
Bethany O’Neill, Scott Orman, Cynthia<br />
Papendick, Hiten Patel, Michelle<br />
Philander, Mark Rugless, Melanie Rule,<br />
Manoj Samuel, Sean Scott, Hui Shi,<br />
Ananth Sundaralingam, Wei Tan Yin,<br />
Anthony Tzannes, Abigail Williams,<br />
Fran Williamson, Natalie Woo,<br />
Hakan Yaman, Natalia Zuleta.
Examiners:<br />
Sylvia Andrew-Starkey, Lou Finnel,<br />
Craig Hore, Tonia Nicholson, Nadi<br />
Pandithage, Jennifer Brookes, Sheila<br />
Bryan, Diane King, Debbie Leach,<br />
David Lewis-Driver, Bhavani Peddinti,<br />
Paul Pielage, Mark Smith, David<br />
Symmons, James Taylor, Eric Van<br />
Puymbroeck, Garry Wilkes, Philip Aplin,<br />
Shalini Arunanthy, Tony Brown, Gary<br />
Browne, Adam Chan, James Collier,<br />
Steve Dunjey, David Eddey, Diana<br />
Egerton-Warburton, Bernard Foley,<br />
Anna Holdgate, Tony Joseph, Fergus<br />
Kerr, Belinda Leigh, John Maguire, Leo<br />
Marneros, Jennie Martin, Mark Miller,<br />
Richard Mulcahy, Yuresh Naidoo,<br />
Michael Ragg, Philip Richardson, John<br />
Roberts, Irene Rotenko, Andrew<br />
Singer, Mark Smith, Kim Yates, Bryan<br />
Walpole, George Braitberg, Ian Rogers.<br />
47th Fellowship Examination<br />
<strong>2011</strong>/1<br />
The Buchanan Prize was awarded to<br />
David Lang.<br />
Successful candidates:<br />
Heidi Baker, Michael Baker, David<br />
Banfi eld, Jude Bharath, Sabine Böes,<br />
Alexander Browne, James Cameron,<br />
Daniel Crompton, Alwis De Chamila,<br />
Melissa Gan, Shane George, Clinton<br />
Gibbs, Nicole Grant, Kusay Haba,<br />
Louise Hewitt, Andrew Hooper,<br />
Kirsten Hrabar, Phil Janson, Murali<br />
Krishnaraj, Paul Kwa, Paul Labana,<br />
David Lang, Amaali Lokuge, Sander<br />
Manders, Vijay Manivel, Leonie Marcus,<br />
Jakub Matera, Mikael Mikaelsson,<br />
Carla Morgan, Enasio Morris, Omar<br />
Muhammed Noori, Andrew Na, Reoch<br />
Nanda, Shu-Haur Ooi, Ngoc-Hanh<br />
Pham, John Pierce, Tim Ritchie, Eileen<br />
Rogan, Sharon Roscoe, Cameron<br />
Rosie, Franco Schreve, Ainslie Senz,<br />
Shamus Shepherd, Amith Shetty, Ray<br />
Siauw, Mirjana Sikic, Gautam Sinha,<br />
Clare Skinner, Jeremy Smith,<br />
Logan Stuckey, Ryan Tan.<br />
Examiners:<br />
Neil Banham, Anne-Maree Kelly,<br />
Paul Mark, David Mountain, Debra<br />
O’Brien, Garry Wilkes, Matthew Chu,<br />
Bob Dunn, Eric Van Puymbroeck,<br />
Leo Marneros, Peter Aitken,<br />
Philip Aplin, Shalini Arunanthy, Michael<br />
Bastick, Simon Brown, Sheila Bryan,<br />
Betty Chan, Bill Croker, Steve Dunjey,<br />
David Eddey, Lou Finnel, Bernard<br />
Foley, Chris Gavaghan, Mark Gillett,<br />
Richard Harrod, Wayne Hazell, Ruth<br />
Hew, Craig Hore, Trevor Jackson, Tony<br />
Joseph, Diane King, Debbie Leach,<br />
Belinda Leigh, David Lightfoot, John<br />
Maguire, Jennie Martin, Sally McCarthy,<br />
Greg McDonald, Richard Mulcahy,<br />
Lindsay Murray, Tonia Nicholson,<br />
Bhavani Peddinti, Michael Ragg, Drew<br />
Richardson, Philip Richardson, John<br />
Roberts, Andrew Singer, Mark Smith,<br />
James Taylor, Graeme Thomson, Kim<br />
Yates, Diane King, Graeme Thomson,<br />
Richard Harrod, Matthew Chu,<br />
Greg McDonald.<br />
Overseas Credentials<br />
Committee (OCC)<br />
The OCC activities continue to grow in<br />
complexity, reliability and transparency.<br />
We expect to have processed up to 45-<br />
50 Overseas Trained Specialist (OTS)<br />
specialist assessment applications by the<br />
end of <strong>2011</strong>.<br />
The majority of our processes,<br />
reports and recommendations are<br />
made online using the College OCC<br />
e-Learning (Moodle) site.<br />
In line with College decisions, the<br />
OCC has further expanded the<br />
supervision guidelines to cover<br />
applicants from the wider emergency<br />
medicine community. In essence,<br />
only specialists who have completed<br />
a recognised training program from<br />
IFEM-approved colleges will be<br />
considered. Those without advanced<br />
standing qualifi cations will be required<br />
to complete the Fellowship exam in<br />
addition to the usual supervision and<br />
research requirements. Specialists<br />
with advanced standing qualifi cations<br />
continue to be exempt from the<br />
Fellowship exam (FCEM, FRCPC, and<br />
ABEM – by exam – from UK, Canada<br />
and USA respectively).<br />
In order to improve governance and<br />
supervision of Area of Need (AON)<br />
Specialists, all applicants are now<br />
interviewed by a senior F<strong>ACEM</strong> panel<br />
via teleconference.<br />
Eleven tele-interviews have been<br />
conducted since the implementation<br />
of AON Guidelines in November<br />
2010.<br />
The OCC would like to thank the<br />
members of the OTS and AON<br />
interview panels for their support.<br />
In addition we recognise the efforts<br />
of those Fellows who have provided<br />
structured references and oversight<br />
reports during the year.<br />
The OCC also formalised College<br />
approval and recognition of Specialist<br />
in Training (SIT) applicants. The<br />
aim is to communicate to external<br />
agencies the College criteria for<br />
suitable applicants. This pathway is<br />
for applicants within two years of<br />
completing specialist training in their<br />
country of training, although some<br />
qualifi ed specialists in emergency<br />
medicine may be eligible with a view<br />
to gaining experience not available<br />
in their country of origin or training.<br />
Fourteen SIT applications have been<br />
processed over the last year.<br />
I would like to congratulate Stephen<br />
Priestley on his appointment as<br />
Queensland Representative to the<br />
OCC, and thank Corinne Millane for<br />
her valuable assistance in supporting<br />
the Committee.<br />
James Taylor, Chair<br />
Non-Specialist Training<br />
Committee<br />
This Committee was initially convened<br />
as a working group at the request of<br />
Council in November 2008 to address<br />
a recognised gap in training and<br />
credentialling for the large number<br />
of doctors who work in Australasian<br />
emergency departments and are not in<br />
the <strong>ACEM</strong> specialist training program.<br />
It was decided to develop both<br />
a Certifi cate and a Diploma in<br />
Emergency Medicine (EM).<br />
The EM Certifi cate will provide<br />
participants with a broad range of<br />
knowledge and skills to meet the<br />
demands of basic EM practice and<br />
the EM Diploma will provide more<br />
advanced knowledge and skills, building<br />
on those gained in the EM Certifi cate.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
13
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
14<br />
BOARD OF EDUCATION<br />
COMMITTEE REPORTS (continued)<br />
It was decided that the learning and<br />
assessment would be largely based in<br />
the workplace with both summative<br />
and formative components.<br />
The College engaged the Australian<br />
Institute for Clinical Education (AICE)<br />
to develop the online learning and<br />
assessment modules, and the working<br />
group provided the curriculum<br />
framework and collaborated in<br />
module development and fi nalisation.<br />
In order to enrol in and complete the<br />
EM Certifi cate, the participants must<br />
be at least PGY 3 level and complete<br />
six months supervised practice in an<br />
approved ED under the supervision<br />
of a F<strong>ACEM</strong> supervisor. They are also<br />
required to complete an ELS Course.<br />
In order to enrol in and complete the<br />
EM Diploma, the participants must<br />
have completed the EM Certifi cate<br />
(or equivalent) and complete a further<br />
12 months of supervised training in<br />
an approved ED as well as either six<br />
months anaesthetics training or three<br />
months anaesthetics and three months<br />
intensive care training. They are also<br />
required to complete either an EMST<br />
or APLS Course.<br />
A supervisors’ course was developed<br />
by the Director of Education in<br />
order to provide an overview of<br />
adult learning principles, workplacebased<br />
assessment, application of<br />
the assessment tools and the skills<br />
to apply these in the workplace<br />
environment. The pilot EM Certifi cate<br />
Course commenced in 2010 with<br />
14 participants.<br />
At the request of Council, the College<br />
commissioned an evaluation of the EM<br />
Certifi cate by the Health Workforce<br />
Education and Assessment Research<br />
Team, Faculty of Medicine, Nursing and<br />
Health Sciences at Monash University.<br />
This was completed in August <strong>2011</strong><br />
with a very positive assessment and<br />
strong support for the continuing<br />
roll-out of the EMC with ‘ongoing<br />
improvements over time’.<br />
The curriculum for the EM Diploma<br />
is being fi nalised at the time of writing<br />
this report and it is planned that the<br />
fi rst Diploma course will commence<br />
in early 2012.<br />
The development of this educational<br />
initiative by the College has fi lled<br />
an obvious gap in training and<br />
education for the large section of<br />
the EM workforce which previously<br />
had limited access to training under<br />
F<strong>ACEM</strong> supervision. This has been<br />
recognised by the Commonwealth<br />
Government in the form of signifi cant<br />
fi nancial support to assist in the<br />
provision of appropriate training<br />
and supervision to this section of<br />
the medical workforce, to deliver<br />
improved emergency care to the<br />
Australian community.<br />
I would like to thank the members of<br />
the College staff who have provided<br />
invaluable support in the development<br />
of this important initiative: Alana Killen,<br />
Katharine Ebbs, Mary Lawson and<br />
Helen Kaminski.<br />
I would also like to thank the<br />
members of the working group (and<br />
now the Committee) who have spent<br />
many hours of their valuable time<br />
in the development of the curricula:<br />
Shane Curran, Bronwyn Pierce,<br />
Liz Mowatt, Sally McCarthy, Paul<br />
Spillane, Andrew Bezzina, Andrew Jan,<br />
Brendon Smith, Kees Nydam, Eric<br />
Van Puymbroeck, Simon Chu, Stephen<br />
Gourley, Konrad Blackman, Yuresh<br />
Naidoo, James Smyth, Victoria Brazil,<br />
Thomas Chan, Craig Wallace, Jennifer<br />
Williams and Wayne Hazell.<br />
Tony Joseph, Chair<br />
Primary Examination<br />
Committee (PEC)<br />
The Primary Examination strode<br />
bravely into the 21st century this<br />
year when, for the fi rst time, we<br />
ran the MCQ section of the exam<br />
electronically at centres in every state,<br />
mainland territory and two centres in<br />
New Zealand. Extensive prior work<br />
was undertaken by the College staff<br />
in cooperation with Cliftons, the<br />
company hosting the exam, which<br />
ensured a smooth transition with<br />
minimal issues. My thanks go to the<br />
staff for this work. Candidates are now<br />
selectively invited to the oral exams,<br />
which are held in a single venue about<br />
six weeks after the MCQs.<br />
This break allows trainees to<br />
concentrate on viva practise prior to<br />
sitting the orals and feedback from<br />
examiners confi rms that the candidate<br />
presentations were of a higher<br />
standard. The selective invitation<br />
also allows for a more effi cient and<br />
streamlined examination as a whole.<br />
<strong>ACEM</strong> is the fi rst of the specialty<br />
colleges to run online exams and<br />
should be congratulated on leading<br />
the way.<br />
The TARWG has recommended<br />
changes to the PE. Individual subject<br />
MCQs will remain, but the oral<br />
examination will consist of a number<br />
of ‘combined’ vivas, where candidates<br />
will be examined in areas of each<br />
subject based upon a more clinical<br />
scenario. Work will begin in 2012<br />
on this transition.<br />
Two workshops will be held in <strong>2011</strong><br />
with work concentrating on exam<br />
setting, and improving the question<br />
database. The PEC is also working<br />
towards formal standard setting of<br />
the MCQ exams via its standard<br />
setting group.<br />
My thanks go to the executive and<br />
membership of the PEC, as well as<br />
the College staff for their ongoing<br />
dedication and hard work. Two<br />
members of the College staff deserve<br />
special mention. Dee Reynolds has<br />
been principally responsible for the<br />
PE for the last 10 years, and for most<br />
of that time has virtually singlehandedly<br />
ensured that the examination<br />
ran smoothly. With the College’s<br />
restructure she is now responsible<br />
for CPD. I would like to personally<br />
acknowledge and thank Dee for her<br />
huge contribution. We really couldn’t<br />
have run the exam without her. My<br />
gratitude also goes to Hydie Pallier,<br />
who has now taken on responsibility<br />
for the PE and has administered the<br />
last two exams with aplomb.<br />
David Lightfoot, Chair
48th Primary Examination<br />
2010/2<br />
The Joseph Epstein Prize was awarded<br />
to Thomas Georgeson.<br />
The following candidates have<br />
passed:<br />
Isaac Adewumi, Muhammad Akbar,<br />
Gabriel Akra, Christopher Alcock,<br />
George Allen, Claire Allerton, Daniel<br />
Anderson, Nicholas Annesley, Malcolm<br />
Anto, Maya Aoude, Caitlin Appleby,<br />
Melanie Armitage, Zoe Bamber, Aman<br />
Bamra, Noor Bari, Dirk Bass, David<br />
Bertoni, Steven Broad, Andrew Brown,<br />
Cindy Bullock, Jaswinder Buttar, Freddy<br />
Chafota, Deanne Chiu, Christopher<br />
Cole, Lucy Coulter, Timothy Cowan,<br />
Rosalind Crombie, Julia De Boos,<br />
Mawanana De Silva, Alec Dearden,<br />
Peter Dewing, David Dixon, Clare<br />
Doherty, Fiona Duncan, Rosamond<br />
Dwyer, Lucy Edwards, Charles Elliott,<br />
Mary Estrada, Suzan Fox, Philip<br />
Gartland, Thomas Georgeson, Robin<br />
Glover, Sridhar Gouravaram, Haider<br />
Hamed, Una Harrington, Joseph<br />
Hewitt, Belinda Hibble, Melody<br />
Hiew, Daniel Honneyman, Laura<br />
Hutchinson, Natasha Hutton, Suneth<br />
Jayasekara, Emmanouele Karpathakis,<br />
Rajasutharsan Kathirgamanathan,<br />
Julia Kelly, Jung-Hyun Kim, Alexander<br />
Kochi, Saleel Krishnan, Felicia Kwok,<br />
Richard Lane, Rhulameh Latona,<br />
Cherry Lau, Jacques Loubser, Eleanor<br />
Loughhead, Jane Lown, Stephen<br />
Luke, Sara MacKenzie, Alex Mackey,<br />
Hughes Makoni, Ena Maleckas, Yusuf<br />
Mamoojee, Pethidia Mango, Dawn<br />
Martin, Abhishek Mitra, Cara Moore,<br />
Terence Murray, Mstafa Najem, Una<br />
Nic Ionmhain, Seema Nimesh, Ruth<br />
Parsell, Christopher Partyka, Siegfried<br />
Perez, Norman Petersen, Soo Phang,<br />
Hsu Phua, Shweta Priyadarshini,<br />
Christine Quigley, Claudiu Radeanu,<br />
Paramenthiran Ramanathan, Kannan<br />
Ramanathan, Michaele Rawson,<br />
Alasdhair Reid, Craig Richards, Robert<br />
Roe, Mahesh Sainani, Anand Senthi,<br />
Alireza Shangarffam, Kirsty Short,<br />
Neeraj Shrestha, Rhea Sicat, Anna<br />
Singleton, Tara Smith, Zafar Smith,<br />
Michelle Snape, Matthew Spotswood,<br />
Ahmad Srour, Rosemary Stratford,<br />
Hannah Sundqvist, Sara Taher, Babak<br />
Tajvidi, Soon Kim Tan, Paul Tan,<br />
Christopher Tang, Lucy Taylor, Sumitra<br />
Thambirajah, Jonathan Thomson,<br />
Sheryl Tweddell, Andrew Underhill,<br />
Laura Valea, Lawrence Vilvarajah,<br />
Catherine Vogler, Simon Walker, Milena<br />
Wilke, Siew Wong, Kathryn Woolfi eld,<br />
Min-Hua Wu, Alex Yartsev.<br />
Examiners:<br />
Bob Dunn, Janet Talbot-Stern, David<br />
Eddey, Philip Richardson, Richard<br />
Harrod, Leo Marneros, Steve Dunjey,<br />
Andrew Singer, Garry Wilkes, Eric<br />
Van Puymbroeck, Chris Gavaghan,<br />
Ruth Hew, Drew Richardson, Richard<br />
Mulcahy, Irene Rotenko, Michael<br />
Ragg, Bill Croker, Shalini Arunanthy,<br />
Betty Chan, Tony Joseph, Sheila<br />
Bryan, Mark Miller, John Maguire,<br />
David Symmons, Greg McDonald,<br />
Yuresh Naidoo, Bernard Foley, Diana<br />
Egerton-Warburton, Bhavani Peddinti,<br />
Chanh Huynh, Matthew Chu, Fergus<br />
Kerr, Stephen Priestley, Belinda Leigh,<br />
Lindsay Murray, Jennie Martin, Diane<br />
King, Tonia Nicholson, Craig Hore,<br />
Nadi Pandithage, George Braitberg,<br />
Ian Rogers, Pam Rosengarten, Graeme<br />
Thomson, Trevor Jackson, David<br />
Mountain, Paul Pielage, Mark Smith,<br />
Mark Webb.<br />
49th Primary Examination<br />
<strong>2011</strong>/1<br />
The Joseph Epstein Prize was awarded<br />
to Andrew Dobinson and Liam<br />
Hannon.<br />
Successful Candidates:<br />
Abdulaziz Alrabiah, Ashwini<br />
Amaratunga, Amanda Appleton, Rory<br />
Ardlie, Emad Atia, Andrew Backay,<br />
Motaz Bahageel, Haidar Balasem, Ziad<br />
Basyouny, Amie Beattie, Jessie Biles,<br />
Sebastiaan Blank, Santiago Cegarra<br />
Garcia, Andrew Challen, Shimonti<br />
Chatterjee, Heng Cheok, David Clancy,<br />
Sarah Clarke, John D’Arcy, Johannes<br />
Davel, Owen Davies, James Dent,<br />
Andrew Dobinson, Suzanne Doherty,<br />
Tracey-Ann D’Souza, Christopher<br />
Duncan, Michael Edmonds, Mary-<br />
Ann Elliott, Danielle Feigin, Ciaran<br />
Ferguson, Barrie Field, Mark Fisher,<br />
Shailesh Ganasegaram,<br />
Vinay Gangathimmaiah, Mark Garcia,<br />
Philip Gaudin, Bahareh Ghadak,<br />
Rachael Gill, Atul Goel, Cade Grima,<br />
Liam Hannon, Pradeep Hanumantha<br />
Rao, Caroline Heggie, Joanne Henry,<br />
Arsalan Hermiz, Karina Hochholzer,<br />
Adam Hollingworth, Sanna Huhtamaki,<br />
Anna Ings, Michael Jacob, Simon Jones,<br />
Laura Joyce, Sunita Kantavil, Helen<br />
Kanter, John Kao, Daniel Khamoudes,<br />
Riaz Khan, Darren Khodaverdi, Julie<br />
Kiel, Jin Liao, Danny Lim, Deborah<br />
Maher, Caroline Mann, Claire Manning,<br />
Anit Manudhane, Michelle McNamara,<br />
Sarah Mikhail, Aidan Murray, Terry<br />
Nash, Pushpa Nettle, Michael Noonan,<br />
Brian O’Connell, Adesoji Olabode,<br />
Christopher Pazaratz, Su Pham, Guy<br />
Porter, Kevin Power, Khuram Qazi,<br />
Anirban Rashid, Mohammed Rayyan,<br />
Claire Roche, Hannah Rotherham,<br />
Mihir Roy, Anand Sadashiva, Diya Saleh,<br />
Rajbir Sandha, Anil Seshadri, Xiaofeng<br />
Shen, Yousuf Sheriff, Yii Wern Siow,<br />
Hannah Smith, Mthuthuzeli Sobantu,<br />
Sandeep Somanathan, Danielle<br />
Spratt, Phillippa Stuart, Ilse Swart,<br />
Andrew Tagg, Loana Tanielu, Yogendra<br />
Tikare, Cadressen Villepin, Robert<br />
Wakuluk, Persia Waldock, Amanda<br />
Wallis, Elizabeth Walsh, Simon Walsh,<br />
Christopher Wignall.<br />
Examiners:<br />
Neil Banham, Diana Egerton<br />
Warburton, Philip Aplin, James Collier,<br />
Andrew Singer, Leo Marneros, Anna<br />
Holdgate, Sally McCarthy, James<br />
Taylor, Scott Pearson, Garry Wilkes,<br />
Shalini Arunanthy, Matthew Chu, Bill<br />
Croker, Bernard Foley, Debra O’Brien,<br />
Jennifer Brookes, Eric Van Puymbroeck,<br />
Lindsay Murray, Ruth Hew, Tony<br />
Joseph, Bhavani Peddinti, Simon<br />
Brown, Bob Dunn, John Maguire, Chan<br />
Huynh, George Braitberg, Yuresh<br />
Naidoo, Sheila Bryan, Mark Webb,<br />
Drew Richardson, David Symmons,<br />
GraemeThomson, David Lewis-Driver,<br />
Philip Richardson, Wayne Hazell, Philip<br />
Richardson, Adam Chan, Michael<br />
Ragg, Tony Lawler, Craig Hore, Mark<br />
Smith, Debbie Leach, Jennie Martin,<br />
Trevor Jackson, Herman Chua, Jennie<br />
Davidson, Barry Gunn, Sean Lawrence,<br />
Ian Summers.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
15
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
16<br />
BOARD OF EDUCATION<br />
COMMITTEE REPORTS (continued)<br />
Trainee Research<br />
Committee (TRC)<br />
This has been another busy year<br />
for the TRC. Since the introduction<br />
of the alternative pathway and the<br />
introduction of the minimum criteria<br />
for a TRP there has been a signifi cant<br />
change in the way that trainees are<br />
satisfying the College’s research<br />
requirement. Currently, approximately<br />
two thirds of trainees are completing<br />
the requirement via the alternative<br />
pathway with one third choosing to do<br />
a trainee research project. There are<br />
now 45 subjects from 16 universities<br />
approved and, so far, the feedback<br />
regarding these subjects has been<br />
very positive. Retrospective approval<br />
of suitable subjects is now also a<br />
possibility for trainees.<br />
Those choosing to perform TRPs are<br />
now producing studies of a higher<br />
quality than previously, as they are<br />
now required to meet all of the<br />
College’s minimum criteria for a TRP.<br />
Whilst the new standards have proved<br />
challenging for some, it is expected<br />
that this should be a temporary issue<br />
as trainees and supervisors adjust to<br />
the new requirements.<br />
During the year the College offi cer<br />
for Trainee Research changed again,<br />
with Freda Lisgaras leaving and Kirsty<br />
Grove (née MacDowell) having to<br />
fi ll in at short notice. A new College<br />
offi cer, Pam Jadeja, was appointed and<br />
has already proved her worth. On<br />
behalf of the TRC I would like to thank<br />
Kirsty and Pam very much for their<br />
hard work for the Committee during<br />
the year.<br />
I would like to thank all adjudicators<br />
for their important work in helping<br />
develop research skills in our Fellows.<br />
So far this year there have been more<br />
than 60 TRPs requiring adjudication. As<br />
adjudicators often spend considerable<br />
time and effort performing their<br />
duties, I would like to acknowledge the<br />
following adjudicators who have made<br />
a particularly signifi cant contribution<br />
over the last year(s): David Taylor,<br />
Richard Mulcahy, Shane Curran, Alan<br />
Tankel, Kevin Chu, Daniel Fatovich,<br />
Tony Brown, Peter Jones, Mark Miller,<br />
Anna Holdgate, Michael Bastick, David<br />
Mountain, Garry Wilkes, Phil Aplin,<br />
Glenn Arendts, Sue Ieraci, Fergus Kerr,<br />
Alastair Meyer, George Braitberg, Ian<br />
Rogers, Michael Ragg, Chris May, Jamie<br />
Hendrie, Matthew Chu, Robert Meek,<br />
Tony Joseph, James Collier, Wayne<br />
Hazell, Andrew Maclean, James Taylor,<br />
Kim Yates and Thomas Chan.<br />
In addition I would like to thank our<br />
retiring members of the adjudication<br />
panel, Alan O’Connor, Debra O’Brien,<br />
Trevor Jackson and Lou Finnel for<br />
their contribution to the College<br />
over many years. I would also like<br />
to welcome Brendon Smith, Colin<br />
Page, David Teubner, James Kwan,<br />
James Smyth, Peter Aitken and Pamela<br />
Rosengarten and congratulate Alan<br />
Tankel, Chris May and Jamie Hendrie<br />
on their appointment to the Senior<br />
Panel of Adjudicators.<br />
Finally, as I am standing down from<br />
the TRC in November, I would like to<br />
welcome Peter Jones as the new Chair<br />
and Kevin Chu and Pam Rosengarten<br />
as new TRC members. I would also<br />
like to thank all TRC members yet<br />
again for their considerable and<br />
intelligent commitment to the working<br />
of the Committee – it has always been<br />
a privilege and a pleasure to work<br />
with such a great group of people.<br />
With the changes introduced over<br />
the last three years I am confi dent that<br />
future Fellows will be better than ever<br />
prepared to understand and undertake<br />
research.<br />
Robert Dunn, Chair<br />
Trainee Committee<br />
<strong>2011</strong> has been a very positive year<br />
from the trainee point of view for a<br />
large number of reasons.<br />
Firstly the participation of trainees<br />
in <strong>ACEM</strong>’s governance continues<br />
to grow with Trainee Committee<br />
representatives appointed to a<br />
further eight committees within<br />
<strong>ACEM</strong>, bringing our total number of<br />
committees to 15 and ensuring the<br />
trainee voice and perspective is heard.<br />
This input into governance has also<br />
continued at the level of policy, with<br />
the Trainee Committee continuing<br />
to make formal representations and<br />
submissions either to the College<br />
or in its own right to such measures<br />
as the Commonwealth Expert Panel<br />
on the National Access ED Target,<br />
the Medical Board of Australia’s draft<br />
Registration Standard for Internship<br />
and the Medical Council of New<br />
Zealand’s review of the prevocational<br />
years. The College has been very<br />
supportive of this form of advocacy<br />
and incorporated trainee views into<br />
overall College positions.<br />
Trainee Committee representatives<br />
were also involved in the fi nalisation<br />
of the Training and Assessment Review<br />
Working Group’s recommendations,<br />
and the ongoing role of trainees has<br />
been embedded in the governance<br />
structure of the Curriculum Revision<br />
Project which will enact these<br />
signifi cant curriculum changes.<br />
An area in which trainees show<br />
considerable interest is the utilisation<br />
of technology for education. Members<br />
of the Trainee Committee are working<br />
closely with College staff in this area<br />
through such facilities as Moodle and<br />
converting the Paediatric Logbook to<br />
an electronic format.<br />
This year’s <strong>Annual</strong> Scientifi c Meeting<br />
has education as its focus, which was<br />
welcomed by trainees.<br />
Communicating with trainees<br />
continues to be a priority and, as well<br />
as keeping trainees informed of our<br />
submissions via College emails, the<br />
Committee helped coordinate surveys<br />
of trainees about recent Primary Exam<br />
changes. These surveys will likely be<br />
repeated on other topics, given<br />
their success.<br />
A fi nal point of interest is that<br />
according to Australian Dept of Health<br />
and Ageing data from the Medical<br />
Training Review Panel, <strong>ACEM</strong> now has<br />
the third largest number of trainees<br />
of all of the bi-national colleges with<br />
approximately 2000 trainees at the<br />
commencement of the training year.<br />
Andrew Perry, Chair
BOARD OF EDUCATION<br />
COMMITTEE MEMBERSHIP at 30 June <strong>2011</strong><br />
Censors<br />
Yuresh Naidoo (Censor-in-Chief)<br />
Ruth Hew (Deputy Censor-in-Chief)<br />
Michael Bastick (Censor NSW)<br />
James Collier (Censor QLD)<br />
David Cruse (Censor WA)<br />
Bob Dunn (Censor SA)<br />
Lou Finnel (Censor NZ)<br />
Barry Gunn (Censor VIC)<br />
Paul Pielage (Censor TAS)<br />
Sally McCarthy (Ex-Offi cio)<br />
Andrew Perry (Chair Trainee Committee)<br />
Accreditation<br />
Committee<br />
James Collier (Chair)<br />
Jennifer Davidson<br />
Robert Day<br />
Gina De Cleene<br />
Michael Hall<br />
Craig Hore<br />
Diane King<br />
Paul Pielage<br />
James Taylor<br />
Andre Vanzyl<br />
David Ward<br />
Simon Wood<br />
Andrew Perry (Trainee Rep)<br />
Continuing Professional<br />
Development<br />
Committee<br />
Kevin Humphrey (Chair)<br />
Alan Broomhead<br />
Greg Comadira<br />
Stuart Dilley<br />
Tim Gray<br />
Fergus Kerr<br />
Marian Lee<br />
Deputy Censors<br />
Shalini Arunanthy (NSW)<br />
Terry Brown (TAS)<br />
Joanne Dalgleish (VIC)<br />
Gina De Cleene (NZ)<br />
Simon Chu (SA)<br />
Colin Parker (WA)<br />
Philip Richardson (QLD)<br />
Kim Lim<br />
Geoffrey Mifsud<br />
Yuresh Naidoo<br />
Bhavani Peddinti<br />
Geoffrey Williamson<br />
Simon Wood<br />
Philip Richardson<br />
(Censor Liaison)<br />
Skills Maintenance<br />
Questions Subcommittee<br />
Alan Broomhead (Chair)<br />
Kevin Humphrey<br />
Kim Lim<br />
Geoffrey Mifsud<br />
Yuresh Naidoo<br />
Bhavani Peddinti<br />
Simon Wood<br />
ACME Monitoring<br />
Subcommittee<br />
Stuart Dilley (Chair)<br />
Tim Gray<br />
Cameron Burrows<br />
Tim Gray<br />
Kevin Humphrey<br />
Sean Lawrence<br />
Marian Lee<br />
Sandra Neate<br />
Bhavani Peddinti<br />
Committee Chairs<br />
Michael Bastick Credentials Committee<br />
Sheila Bryan Fellowship Examination Committee<br />
James Collier Accreditation Committee<br />
Bob Dunn Trainee Research Committee<br />
Kevin Humphrey Continuing Professional<br />
Development Committee<br />
Tony Joseph Non-Specialist Training Committee<br />
Diane King Examiner Committee<br />
David Lightfoot Primary Examination Committee<br />
Andrew Perry Trainee Committee<br />
James Taylor Overseas Credentials Committee<br />
Credentials Committee<br />
Michael Bastick (Chair)<br />
Reza Ali<br />
Shalini Arunanthy<br />
Waruna de Alwis<br />
Lou Finnel<br />
Andrew Giles<br />
Ruth Hew<br />
Yuresh Naidoo<br />
Alex Paspaliaris<br />
Paul Pielage<br />
Philip Richardson<br />
Kylie McNamara<br />
(Trainee Rep)<br />
Trainee Selection<br />
Committee<br />
Diana Egerton-Warburton<br />
(Chair)<br />
Philip Aplin<br />
David Brook<br />
Christopher Johnstone<br />
Jonathan Knott<br />
Willem Landman<br />
David Mah<br />
Debra O’Brien<br />
Stephen Parnis<br />
Marielle Ruigrok<br />
Greg Sweetman<br />
Eric Van Puymbroeck<br />
Jack Wearne<br />
Graham Williams<br />
Kylie McNamara<br />
(Trainee Rep)<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
17
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
18<br />
BOARD OF EDUCATION<br />
COMMITTEE MEMBERSHIP at 30 June <strong>2011</strong><br />
(continued)<br />
Examiner Committee<br />
Diane King (Chair)<br />
George Braitberg<br />
Jennifer Brookes<br />
Bob Dunn<br />
Bernard Foley<br />
Trevor Jackson<br />
David Lightfoot<br />
Fellowship Examination<br />
Committee (FEC)<br />
Sheila Bryan (Chair)<br />
Phil Aplin<br />
Bernard Foley<br />
Anna Holdgate<br />
Trevor Jackson<br />
Don Liew<br />
FEC Subcommittees<br />
MCQ Subcommittee<br />
Anna Holdgate (Chair)<br />
Lindsay Bridgford<br />
Sean Clark<br />
Rob Edwards<br />
Tim Gray<br />
Wayne Hazell<br />
Susan Hertzberg<br />
James Mallows<br />
David Mountain<br />
Richard Mulcahy<br />
David Richards<br />
Shameem Safi h<br />
Janet Talbot-Stern<br />
Gim Tan<br />
SAQ Subcommittee<br />
Bernard Foley (Chair)<br />
Simon Chu<br />
Matthew Chu<br />
Hector Fuentes<br />
Victor Lee<br />
Yusuf Nagree<br />
Alex Paspaliaris<br />
Tom Reade<br />
Andrew Singer<br />
Adam West<br />
VAQ Subcommittee<br />
Philip Aplin (Chair)<br />
Christina Fong<br />
Jeremy Furyk<br />
Paul Gee<br />
James Hayes<br />
Irene Ho<br />
Bronwyn Peirce<br />
Michael Ragg<br />
Duncan Reid<br />
Philip Richardson<br />
SCE Subcommittee<br />
Don Liew (Chair)<br />
Shalini Arunanthy<br />
Rachel Boddy<br />
Jan Bone<br />
Geoff Couser<br />
Anthony Cross<br />
Shane Curran<br />
Jennifer Davidson<br />
Emmeline Finn<br />
Sean Lawrence<br />
Andrew Munro<br />
Bhavani Peddinti<br />
Ian Summers<br />
David Symmons<br />
Joseph Ting<br />
Non-Specialist Training<br />
Committee<br />
Tony Joseph (Chair)<br />
Andrew Bezzina<br />
Konrad Blackman<br />
Victoria Brazil<br />
Thomas Chan<br />
Simon Chu<br />
Shane Curran<br />
Stephen Gourley<br />
Wayne Hazell<br />
Andrew Jan<br />
Sally McCarthy<br />
Elizabeth Mowatt<br />
Yuresh Naidoo<br />
Kees Nydam<br />
Bronwyn Peirce<br />
Brendon Smith<br />
James Smyth<br />
Eric Van Puymbroeck<br />
Jennifer Williams<br />
Overseas Credentials<br />
Committee<br />
James Taylor (Chair)<br />
Peter Ritchie<br />
George Braitberg<br />
Chris Cahill<br />
Lou Finnel<br />
Peter Freeman<br />
Andrew Maclean<br />
Sally McCarthy<br />
Yuresh Naidoo<br />
Paul Pielage<br />
Peter Ritchie<br />
Primary Examination<br />
Committee (PEC)<br />
David Lightfoot (Chair)<br />
Philip Aplin<br />
Reza Ali<br />
Varna Amarasinghe<br />
Shalini Arunanthy<br />
Gary Ayton<br />
George Braitberg<br />
Alan Broomhead<br />
Sheila Bryan<br />
Herman Chua<br />
Adam Coulson<br />
Simon Craig<br />
Shailesh Dass<br />
Hector Fuentes<br />
Naren Gunja<br />
Barry Gunn<br />
Darsim Haji<br />
Kim Hansen<br />
Jamie Hendrie<br />
Ruth Hew<br />
Fergus Kerr<br />
Zoe Knights<br />
Jonathan Knott<br />
Debbie Leach<br />
Marian Lee<br />
Shyaman Menon<br />
Richard Mulcahy<br />
Yuresh Naidoo<br />
Kenneth Ooi<br />
Bhavani Peddinti<br />
Mani Rajee<br />
Jason Scop<br />
Brendon Smith<br />
Timothy Stanley<br />
Miguel Taliana<br />
Peter Thompson<br />
Gino Toncich<br />
Eric Van Puymbroeck<br />
Michael Yeoh<br />
Cheryl Martin (Trainee Rep)<br />
PEC Anatomy<br />
Subcommittee<br />
Eric Van Puymbroeck (Chair)<br />
Philip Aplin<br />
Alan Broomhead<br />
Shailesh Dass<br />
Ruth Hew<br />
Richard Mulcahy<br />
Bhavani Peddinti<br />
Mani Rajee<br />
Jason Scop<br />
PEC Pathology<br />
Subcommittee<br />
Shalini Arunanthy (Chair)<br />
Reza Ali<br />
Varna Amarasinghe<br />
Herman Chua<br />
Hector Fuentes<br />
Kim Hansen<br />
Jamie Hendrie<br />
Zoe Knights<br />
Jonathan Knott<br />
Miguel Taliana<br />
PEC Physiology<br />
Subcommittee<br />
Michael Yeoh (Chair)<br />
Darsim Haji<br />
Marian Lee<br />
David Lightfoot<br />
Shyaman Menon<br />
Yuresh Naidoo<br />
Kenneth Ooi<br />
Timothy Stanley<br />
Peter Thompson<br />
Gino Toncich<br />
PEC Pharmacology<br />
Subcommittee<br />
Fergus Kerr (Chair)<br />
George Braitberg<br />
Sheila Bryan<br />
Simon Craig<br />
Naren Gunja<br />
Barry Gunn<br />
Brendon Smith
Trainee Research<br />
Committee<br />
Bob Dunn (Chair)<br />
Peter Jones<br />
Meredith Borland<br />
Tony Brown<br />
Daniel Fatovich<br />
Ruth Hew<br />
Anna Holdgate<br />
Peter Jones<br />
Tony Lawler<br />
David Taylor<br />
Anna Fairbairn<br />
(Trainee Rep)<br />
Adjudicators –<br />
Senior Panel<br />
Richard Aickin<br />
Philip Aplin<br />
Glenn Arendts<br />
Michael Bastick<br />
George Braitberg<br />
Tony Brown<br />
Kevin Chu<br />
James Collier<br />
Shane Curran<br />
Bob Dunn<br />
Daniel Fatovich<br />
Gordian Fulde<br />
Mark Gillett<br />
Tim Green<br />
Wayne Hazell<br />
Anna Holdgate<br />
Craig Hore<br />
Sue Ieraci<br />
Peter Jones<br />
Tony Joseph<br />
Anne-Maree Kelly<br />
Robert Meek<br />
Alastair Meyer<br />
David Mountain<br />
Richard Mulcahy<br />
Michael Ragg<br />
Geoff Ramin<br />
Ian Rogers<br />
James Taylor<br />
David Taylor<br />
John Vinen<br />
Garry Wilkes<br />
Kim Yates<br />
Adjudicators – Panel<br />
Peter Aitken<br />
Meredith Borland<br />
Thomas Chan<br />
Matthew Chu<br />
David Cooper<br />
Robert Dowsett<br />
Diana Egerton-Warburton<br />
Craig Ellis<br />
Bernard Foley<br />
Christina Fong<br />
Jeremy Furyk<br />
Adrian Goudie<br />
Andis Graudins<br />
Joanne Grindlay<br />
Ruth Hew<br />
Gerben Keijzers<br />
Fergus Kerr<br />
Jonathan Knott<br />
James Kwan<br />
Tony Lawler<br />
Don Liew<br />
Andrew Maclean<br />
Sally McCarthy<br />
Mark Miller<br />
Biswadev Mitra<br />
Lindsay Murray<br />
Gerard O’Reilly<br />
Colin Page<br />
Georgina Phillips<br />
Paul Pielage<br />
Drew Richardson<br />
Philip Richardson<br />
Pamela Rosengarten<br />
Michael Sinnott<br />
Brendon Smith<br />
James Smyth<br />
David Teubner<br />
Ogilvie Thom<br />
Graeme Thomson<br />
Bryan Walpole<br />
Michael Yeoh<br />
Trainee Committee<br />
Andrew Perry (Chair)<br />
Michael Natale<br />
Christopher Duncan<br />
Anna Fairbairn<br />
Yusuf Mamoojee<br />
Cheryl Martin<br />
Anna McKinlay<br />
Kylie McNamara<br />
Michael Natale<br />
Jennifer Williams<br />
Adrian Bonsall<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
19
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
20<br />
BOARD OF EDUCATION<br />
COMMITTEE MEMBERSHIP at 30 June <strong>2011</strong><br />
(continued)<br />
Senior Court of Examiners Year Appointed<br />
George Braitberg VIC 2002<br />
Matthew Chu NSW 2002<br />
Richard Harrod VIC 2002<br />
Paul Mark WA 2002<br />
Greg McDonald NSW 2002<br />
Adam Chan NSW 2003<br />
David Lewis-Driver QLD 2003<br />
Paul Pielage TAS 2003<br />
John Roberts NSW 2003<br />
Pamela Rosengarten VIC 2003<br />
Mark Smith VIC 2003<br />
Tony Brown QLD 2005<br />
Diane King SA 2005<br />
Ian Rogers WA 2005<br />
Andrew Singer ACT 2005<br />
Philip Aplin OS 2006<br />
Neil Banham WA 2006<br />
Jennifer Brookes VIC 2006<br />
Sheila Bryan VIC 2006<br />
Bill Croker NSW 2006<br />
Steve Dunjey WA 2006<br />
David Eddey VIC 2006<br />
Anne-Maree Kelly VIC 2006<br />
David Kirkpatrick NSW 2006<br />
John Maguire NSW 2006<br />
Colin Myers NT 2006<br />
James Taylor VIC 2006<br />
Drew Richardson ACT 2007<br />
Sylvia Andrew-Starkey QLD 2009<br />
Betty Chan NSW 2009<br />
Bob Dunn SA 2009<br />
Chris Gavaghan NSW 2009<br />
Mark Gillett NSW 2009<br />
Timothy Gray VIC 2009<br />
Anna Holdgate NSW 2009<br />
Stephen Priestley QLD 2009<br />
Garry Wilkes WA 2009<br />
Peter Aitken QLD 2010<br />
Bernard Foley NZ 2010<br />
Wayne Hazell NZ 2010<br />
Debbie Leach VIC 2010<br />
Lindsay Murray NSW 2010<br />
Janet Talbot-Stern OS 2010<br />
Kim Yates NZ 2010<br />
Court of Examiners Year Appointed<br />
Michael Bastick NSW 2002<br />
Simon Brown TAS 2002<br />
Gary Browne NSW 2002<br />
Diana Egerton-Warburton VIC 2002<br />
Craig Hore NSW 2002<br />
Trevor Jackson WA 2002<br />
Tony Joseph NSW 2002<br />
Jennie Martin NSW 2002<br />
David Mountain WA 2002<br />
Debra O’Brien WA 2002<br />
Scott Pearson NZ 2002<br />
Bhavani Peddinti NZ 2002<br />
Mark Webb SA 2002<br />
David Lightfoot VIC 2003<br />
James Collier QLD 2007<br />
Chanh Huynh SA 2007<br />
Belinda Leigh SA 2007<br />
Tonia Nicholson NZ 2007<br />
David Richards NZ 2007<br />
David Symmons QLD 2007<br />
Lou Finnel NZ 2008<br />
Ruth Hew VIC 2008<br />
Tony Lawler TAS 2008<br />
Sally McCarthy NSW 2008<br />
Yuresh Naidoo WA 2008<br />
Nadi Pandithage NT 2008<br />
Shalini Arunanthy NSW 2009<br />
Fergus Kerr VIC 2009<br />
Leo Marneros QLD 2009<br />
Mark Miller NSW 2009<br />
Richard Mulcahy QLD 2009<br />
Michael Ragg VIC 2009<br />
Philip Richardson QLD 2009<br />
Eric Van Puymbroeck QLD 2009<br />
Jennifer Davidson NSW 2010<br />
Barry Gunn VIC 2010<br />
Sean Lawrence QLD 2010<br />
Ian Summers VIC 2010<br />
Peer Support Examiners Year Appointed<br />
George Braitberg VIC 2006<br />
Pam Rosengarten VIC 2006<br />
Bryan Walpole TAS 2006<br />
Ian Rogers WA 2009<br />
Graeme Thomson VIC 2010<br />
Tony Brown QLD 2010<br />
Matthew Chu NSW 2010<br />
David Green QLD 2010<br />
Richard Harrod VIC 2010<br />
Diane King SA 2010<br />
Greg McDonald NSW 2010
COUNCIL COMMITTEE<br />
REPORTS<br />
Constitution and<br />
Regulations Committee<br />
During the past year, the Committee<br />
has reviewed faculty regulations and<br />
special interest group regulations,<br />
along with regulations relating to<br />
the Board of Education and the<br />
non-specialist training program, the<br />
minimum paediatric requirement and<br />
the interruption of training.<br />
Special Considerations and<br />
Discretionary Powers of Board of<br />
Education policies have been added,<br />
along with a new regulation for<br />
establishment of a Gift Fund.<br />
Internal and external communication<br />
processes have been reviewed.<br />
To fully establish the role of Deputy<br />
Censor-in-Chief, a number of<br />
clauses of the Constitution and the<br />
Regulations have been amended.<br />
Regulations relating to quorums<br />
for committees and subcommittees<br />
as well as voting rights for trainee<br />
representatives on Council<br />
committees have been clarifi ed.<br />
The structure and numbering of<br />
the Regulations are currently being<br />
reviewed.<br />
A draft proposal for review of the<br />
Terms of Reference is to be forwarded<br />
to Council Executive for consideration<br />
and advice, with a view to updating<br />
the role of the Constitution and<br />
Regulations Committee.<br />
I am indebted to Liv Cameron and the<br />
other Committee members for their<br />
continuing support and advice.<br />
Alan Tankel, Chair<br />
Private Practice<br />
Committee<br />
In the previous 12 months, there have<br />
been signifi cant developments within<br />
the Private Practice Committee.<br />
Yusuf Nagree ended his tenure as<br />
Chair of the Committee. Kate Porges<br />
and Greg McDonald were elected as<br />
co-chairs, with Kate Porges remaining<br />
the Council representative.<br />
Other new members include Aled<br />
Williams, Pankaj Arora, Pip Wills and<br />
Michael Ben-Meir.<br />
A major funding stream became<br />
available through the federal<br />
Department of Health and Ageing<br />
(DOHA) to enhance supervision<br />
of trainees in private emergency<br />
departments, including registrars<br />
and career medical offi cers. Several<br />
departments made successful<br />
applications for this funding, most<br />
receiving between $1-2 million over<br />
three years. This will allow the<br />
appointment of emergency physician<br />
supervisors of training, as well as<br />
infrastructure and clerical/support<br />
staff.<br />
In conjunction with this program, the<br />
College and DOHA have negotiated<br />
additional funded registrar positions<br />
in private emergency departments<br />
under the Specialist Training Program.<br />
Those emergency departments who<br />
successfully received funding for<br />
enhanced supervision have committed<br />
to increasing the number of<br />
emergency medicine training positions<br />
within their departments or their<br />
hospitals.<br />
The problem with adequate<br />
remuneration of private emergency<br />
physicians and the fl awed funding<br />
model for private emergency<br />
departments continues. Put simply,<br />
private emergency departments<br />
cannot be self-funding under the<br />
current fi nancial model and require<br />
signifi cant out-of-pocket expenses<br />
for patients and cross subsidies from<br />
the parent hospital. The Committee<br />
has considered ways of enhancing<br />
emergency physician remuneration<br />
and will discuss these with the College<br />
and present them to DOHA in the<br />
next 12 months.<br />
There are also some anomalies<br />
regarding the Medicare reimbursement<br />
rates for trainee emergency physicians<br />
in private departments. Again, the<br />
Committee will negotiate these<br />
anomalies with DOHA.<br />
It has been noted that knowledge<br />
of the general scope and activities<br />
of private emergency departments<br />
throughout Australia is not adequate.<br />
The Committee will survey all private<br />
emergency departments so that it can<br />
know more about their activities and<br />
better advocate for private emergency<br />
medicine.<br />
Other issues considered by the<br />
Committee are: private practice<br />
emergency department role<br />
delineation; accreditation standards;<br />
and establishing a Moodle page on the<br />
College website for private emergency<br />
physicians.<br />
The Committee thanks Corinne<br />
Millane for her contribution as<br />
Committee administrator, and<br />
welcomes Bec McPhee as its new<br />
administrator.<br />
Greg McDonald, Chair<br />
Public Health<br />
Committee<br />
Many Fellows and trainees may be<br />
unaware of the role and actions of<br />
the Public Health Committee (PHC)<br />
and uncertain of why a college for<br />
emergency medicine even has one.<br />
It may seem far from important to<br />
busy emergency doctors just trying<br />
to do their best for their patients.<br />
The challenges that face us may risk<br />
us becoming inwardly focused, with<br />
almost a siege mentality. The curious<br />
emergency physician may ask: why<br />
do I keep seeing the same types of<br />
injury or illness? Why am I working in<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
21
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
22<br />
COUNCIL COMMITTEE<br />
REPORTS (continued)<br />
an overcrowded department? Could<br />
this overcrowding or presentation<br />
be prevented? Involvement in<br />
preventative medicine and public<br />
health allows us, albeit remotely, to<br />
become part of the answers to these<br />
questions. It is not easy however;<br />
many interventions have failed to<br />
demonstrate improved outcomes and<br />
resource limitations are challenging.<br />
The PHC has traditionally worked<br />
mainly on policy development and<br />
has produced a number of excellent<br />
documents which can be sourced<br />
on the College website. We have<br />
also been involved in education<br />
with numerous presentations at<br />
conferences. These roles have been<br />
largely passive. As Chair, I would like<br />
to see the PHC take an active role in<br />
public health in emergency medicine.<br />
Over the last year the PHC has<br />
developed a curriculum in public health<br />
and, if this is submitted, it will be a fi rst<br />
for a college for emergency medicine.<br />
We are also planning a forum in which<br />
Fellows and trainees will be invited to<br />
participate. The forum will be divided<br />
into two days, one with an internal<br />
focus and the other external. We will<br />
be investigating how the College can<br />
actively be involved in public health. We<br />
will also lobby for additional resources<br />
to allow EDs the opportunity to take<br />
up this innovative role.<br />
We will be surveying Fellows and<br />
asking them for expressions of interest<br />
in attending the forum and I would<br />
encourage you to get involved.<br />
Diana Egerton-Warburton, Chair<br />
Disaster Subcommittee (DSC)<br />
Bruce Bartley has assumed the<br />
position of Chair of the DSC with the<br />
handover occurring at the May faceto-face<br />
meeting. Formal approval was<br />
given for this transition by Council<br />
at its July <strong>2011</strong> meeting. Council<br />
also approved the DSC’s proposed<br />
policy of rotating the Chair position<br />
to ensure ongoing enthusiasm and<br />
regeneration of the Subcommittee.<br />
This has worked well and could be<br />
considered as either part of a ‘toolkit’,<br />
or even policy, for subcommittees.<br />
Membership<br />
The new faces have blended in well<br />
and added new scope and interests to<br />
the DSC.<br />
College Support<br />
College support for the DSC<br />
transitioned from Corinne Millane to<br />
Pam Jadeja at the face-to-face meeting,<br />
and has now moved to Zoë Cocks.<br />
The DSC would like to thank Pam for<br />
her efforts and support while with us<br />
and take the opportunity to formally<br />
welcome Zoë to the group.<br />
Policies and Guidelines<br />
The DSC has drafted a College<br />
position statement on man-made<br />
climate change and potential for<br />
disasters. This has been posted on<br />
the web site for faculty comment and<br />
reviewed by Standards in <strong>2011</strong>, before<br />
submission to Council.<br />
Scientifi c Meetings<br />
Consistent with previous DSC<br />
coordinated sessions at ASMs in<br />
Canberra and Melbourne, planning<br />
is well underway for a number of<br />
disaster sessions at the <strong>2011</strong> ASM in<br />
Sydney.<br />
Research<br />
A number of research activities are<br />
underway, with the focus currently<br />
being a mapping exercise illustrating<br />
the timeline of disaster legislation.<br />
Education<br />
A Surge Action Card has been<br />
developed based on a paper published<br />
in Academic Emergency Medicine, with<br />
work continuing on a fully costed<br />
proposal to distribute this through<br />
<strong>ACEM</strong>.<br />
Linkages<br />
The formal approval by IFEM Executive<br />
of an IFEM Disaster Medicine Special<br />
Interest Group will occur in October<br />
<strong>2011</strong>. The aim is to aid collaboration<br />
and sharing of learning and experience<br />
between disaster subcommittees<br />
(or equivalents) of member<br />
organisations. Peter Aitken has been<br />
asked to be the inaugural Chair of<br />
the IFEM DMSIG, and as Chair will<br />
also be a member of the IFEM Clinical<br />
Practice Committee. Initial activities<br />
of this group are in the planning<br />
stages. Collaborative linkages with<br />
groups such as WADEM are also being<br />
explored, through the IFEM DMSIG.<br />
Future Planning<br />
Organisation is underway for a PHC<br />
and DSC Strategic Planning Day,<br />
which is likely to align with the 2012<br />
Winter Symposium.<br />
On a fi nal note I would like to thank<br />
members of the DSC, and particularly<br />
Corinne, Pam and Zoë for their<br />
support during my term as Chair of<br />
the DSC.<br />
Peter Aitken, Chair (to July <strong>2011</strong>)<br />
Rural Regional and<br />
Remote Committee<br />
This year the Rural and Regional<br />
Committee has been offi cially<br />
renamed the Rural Regional and<br />
Remote Committee (RRR) to<br />
better refl ect the broad practice<br />
of emergency medicine in nonmetropolitan<br />
areas.<br />
A number of RRR members are<br />
involved in delivering the <strong>ACEM</strong><br />
Emergency Medicine Certifi cate and<br />
will be helping with the roll-out of the<br />
Diploma, which is being planned at<br />
present.<br />
I have had the opportunity to join the<br />
<strong>ACEM</strong>-led National Project Steering<br />
Group implementing the <strong>ACEM</strong>/<br />
Department of Health and Ageing<br />
(DOHA) project: ‘Improving Australia’s<br />
Emergency Department Medical<br />
Workforce’. This project offers huge<br />
potential to support non-specialist<br />
emergency medicine training, to provide<br />
clinical supervision by Fellows of junior<br />
doctors, and supervision and support of<br />
international medical graduates.<br />
A large component of the project is<br />
aimed specifi cally at outer metropolitan,<br />
regional and rural areas, so has<br />
particular relevance to Fellows working<br />
in these areas of emergency medicine.<br />
The Committee has submitted<br />
a document outlining ‘Desirable<br />
Learning Objectives from an<br />
Accredited Rural/Remote term’ to the<br />
Accreditation Committee and looks
forward to trainees being able to<br />
access advanced training in rural and<br />
remote facilities.<br />
We continue to promote and support<br />
the various individual and project<br />
applications to the Rural Health<br />
Continuing Education program<br />
supported by DOHA.<br />
In line with other College committees,<br />
we have welcomed a trainee<br />
representative, Anna Fairbairn,<br />
to the group.<br />
Through the new option on the <strong>ACEM</strong><br />
Fellow Information Sheet, which now<br />
allows Fellows to nominate as Rural/<br />
Regional practitioners, we can now<br />
communicate more effectively with<br />
that group.<br />
Our admin support has passed from<br />
Corinne Millane, to Pam Jadeja and<br />
now rests with Bec McPhee. Thank<br />
you to all three for their support<br />
over the year.<br />
Niall Small, Chair<br />
Scientifi c Committee<br />
The Scientifi c Committee has had a<br />
very productive year undertaking a<br />
major review of the ‘Guidelines for<br />
Conduct of the College Scientifi c<br />
Meetings’. This document now<br />
combines updated guidelines for<br />
both the <strong>Annual</strong> Scientifi c Meeting<br />
and Winter Symposium and provides<br />
comprehensive information to ensure<br />
that the meetings run smoothly and<br />
consistently. In addition, the guidelines<br />
now include a set of resources<br />
to assist conference organising<br />
committees with the planning and<br />
coordination of the meetings.<br />
One of the more signifi cant changes<br />
includes the requirement of total<br />
separation of trade and industry from<br />
the scientifi c program. This allows the<br />
scientifi c program to be free from<br />
infl uence, yet still provide an exhibition<br />
forum for industry to showcase their<br />
products and services.<br />
Scientifi c meetings are run to ‘breakeven’,<br />
however, meetings often<br />
produce surpluses. The Scientifi c<br />
Committee and Council are fi nalising<br />
guidelines as to the use of any surplus.<br />
Broadly speaking, surpluses will be<br />
used to promote research within<br />
emergency medicine, enhance the<br />
quality of future meetings and to<br />
support attendance at the meeting<br />
by delegates from economically<br />
challenged countries.<br />
The Committee continues to have<br />
broad representation on a number<br />
of external committees and regularly<br />
reviews external guidelines and<br />
policies for endorsement.<br />
The Committee has recently endorsed<br />
the NHMRC pain management<br />
guidelines and work continues with<br />
the Royal Australasian College of<br />
Anaesthetists on joint guidelines for<br />
procedural sedation.<br />
I would like to thank Committee<br />
members for the hard work and time<br />
they have given to the Committee this<br />
year. Thanks also to Anthony Cross,<br />
the previous Chair, who instigated<br />
much of the workplan for this year.<br />
Yusuf Nagree, Chair<br />
Standards Committee<br />
The new College administrative<br />
structure has provided continuity<br />
of support, allowing the Committee<br />
to conduct an enormous amount<br />
of work. The backlog of document<br />
reviews and work around new<br />
documents has been completed. All<br />
documents are now up to date and<br />
catalogued under the new system.<br />
Documents are catalogued under<br />
each specifi c group of statements,<br />
policies and guidelines respectively.<br />
All future documents will have<br />
continuous numbering relevant to each<br />
group, rather than the old system of<br />
continuous, single sequential numbering<br />
across all groups. All documents<br />
created by the College since inception<br />
have been identifi ed and allocated<br />
numbers within each group. Crossreferences<br />
have been applied where, for<br />
example, a guideline has transitioned<br />
to a policy. The new system now tracks<br />
every document from creation to<br />
implementation. Document review and<br />
creation processes have been refi ned<br />
and simplifi ed to ensure the shortest<br />
time to implementation is achieved.<br />
Advice and information sheets have<br />
been developed to assist document<br />
reviewers and creators.<br />
The Committee is in the process of<br />
developing orientation packages for<br />
subcommittee members and chairs,<br />
Standards Committee members and<br />
the Standards Committee Chair. It is<br />
hoped this will improve the transition<br />
for new members. A review will be<br />
conducted after implementation as a<br />
quality measure.<br />
New documents developed or in the<br />
process of development this year<br />
include: Emergency Department Role<br />
Delineation – completely new format<br />
and structure; new Management<br />
of Blood Products Policy (jointly<br />
with the Red Cross); and Role of<br />
Nurse Practitioners in Emergency<br />
Departments (jointly with CENA<br />
and ACEN).<br />
The IT special interest group has<br />
been developed and the ED Design<br />
Subcommittee has been reconstituted.<br />
Both have new terms of reference and<br />
should provide a valuable resource for<br />
the College.<br />
The subcommittees have done<br />
an incredible job this year. Special<br />
mention should be made of the<br />
Quality Management, ED Ultrasound<br />
and Pre-Hospital Subcommittees,<br />
which have developed a new quality<br />
framework, new credentialling processes<br />
for ultrasound use and a proposal<br />
for transition to a Pre-Hospital and<br />
Retrieval Committee respectively.<br />
On behalf of my Committee<br />
members, subcommittee chairs and<br />
subcommittee members, I would like<br />
to express my sincere thanks, gratitude<br />
and admiration for the tremendous<br />
amount of work done and dedication<br />
applied. Particularly, I want to thank<br />
Bec McPhee, the Standards Committee<br />
support offi cer whose persistence,<br />
hard work and organisational ability<br />
has been invaluable.<br />
Chris May, Chair<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
23
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
24<br />
COUNCIL COMMITTEE<br />
REPORTS (continued)<br />
Emergency Department<br />
Ultrasound Subcommittee<br />
Ultrasound use in emergency medicine<br />
continues to expand, both through<br />
the increasing numbers using it for<br />
core indications, and a smaller number<br />
performing more advanced and<br />
specialised scans. The growing number<br />
of special skills posts in ultrasound for<br />
trainees and ultrasound fellowships is<br />
a sign of the continued interest and<br />
growing expertise within the College<br />
of this skill set. The Subcommittee is<br />
pleased to see this expansion of use,<br />
and with it, the increased recognition<br />
of emergency ultrasound in Australasia<br />
by broader groups, both nationally<br />
and internationally, with <strong>ACEM</strong><br />
Fellows being invited to participate in<br />
meetings and committees at national<br />
and international level (including the<br />
Australasian Society for Ultrasound in<br />
Medicine, the International Consensus<br />
Conference of Focused Echo and the<br />
World Congress on Ultrasound in<br />
Medical Education).<br />
The Subcommittee continues to focus<br />
on education and credentialling. Work<br />
has continued on developing standards<br />
for teaching and credentialling bedside<br />
echo in life support. Thanks go to<br />
Adam Bystrzycki, Darsim Haji, James<br />
Rippey and Katie Walker for their<br />
efforts in creating the initial draft<br />
proposal, which has then developed<br />
with input from other critical care<br />
specialties. It is hoped that the fi nal<br />
policy will be available shortly.<br />
A submission has been made to<br />
TARWG, discussing the role<br />
of ultrasound in the training of<br />
emergency physicians, refl ecting its<br />
developing position as a core skill. The<br />
College’s Moodle teaching website<br />
now hosts a large amount of teaching<br />
information on ultrasound, and we<br />
extend particular thanks to Alana<br />
Killen, Katherine Ebbs and Justin<br />
Bowra for their efforts in making<br />
this available. To further encourage<br />
research and learning projects in<br />
ultrasound, the <strong>ACEM</strong> WINFOCUS<br />
Ultrasound Bursary has been created<br />
from donations and funds from the<br />
2009 WINFOCUS Point of Care<br />
Ultrasound Conference in Sydney.<br />
I would like to thank all members of<br />
the Subcommittee for their time and<br />
effort, and on their behalf thank the<br />
College support staff, without whose<br />
assistance we would not have been<br />
able to achieve the results that<br />
we have.<br />
Adrian Goudie, Chair<br />
Hospital Overcrowding<br />
Subcommittee<br />
The membership of the Subcommittee<br />
changed signifi cantly this year with<br />
a few new faces and more than 50%<br />
of previous members leaving. Many<br />
thanks to all those who have spent<br />
time on the Subcommittee. The<br />
Subcommittee also welcomed a new<br />
member, Kylie McNamara, who will<br />
represent the trainees.<br />
The Subcommittee has been involved<br />
in a number of key issues during<br />
the year. It was involved in putting<br />
together the College submission to<br />
the DOHA Expert panel on national<br />
health reform about the four hour<br />
rule. The recommended changes<br />
were almost universally accepted by<br />
that panel and are now refl ected in<br />
changed government targets. The need<br />
for research and review of the four<br />
hour rule implementation (AU) or<br />
six hours (NZ) needs to be pushed<br />
at state levels as they will have the<br />
implementation money. This has<br />
already occurred in WA.<br />
A research project involving many<br />
stakeholders continues to be<br />
progressed. Initial funding from the<br />
Department of Health WA and <strong>ACEM</strong><br />
will start the project examining the<br />
WA four hour rule implementation.<br />
An NHMRC partnership grant<br />
proposal has been submitted for an<br />
expanded research program across<br />
four states and territories. This has<br />
passed through the fi rst round. The<br />
Subcommittee’s proposal that the<br />
College increase its funding for this<br />
vital project was successful. The<br />
Subcommittee will continue to look<br />
for other ways to promote research<br />
into overcrowding and access block<br />
and its solutions.<br />
A new statement (S57) on ED<br />
overcrowding and its management<br />
was reviewed and has been passed<br />
by Council. The resource document<br />
about the causes, effects, potential<br />
solutions and non-solutions: Access<br />
Block and Overcrowding in Emergency<br />
Departments (April 2004), will be<br />
reviewed and revised this year.<br />
The Subcommittee provides a good<br />
forum for information gathering<br />
and distribution on issues related to<br />
overcrowding and access block. In<br />
addition, it facilitates the dissemination<br />
of key messages and a more uniform<br />
approach to public comments and<br />
media discussions about access block.<br />
It is vital that Fellows are seen to<br />
speak as one in the public arena on<br />
these issues and we look forward<br />
to working with the new media and<br />
policy offi cers at the College in the<br />
coming year.<br />
With the continued severe<br />
overcrowding in many EDs in many<br />
states, the coming year looks to<br />
be full of further challenges for the<br />
Subcommittee and will provide plenty<br />
of work for the members.<br />
There are still three positions free<br />
on this Subcommittee and we would<br />
welcome additional members for<br />
what will be another challenging and<br />
interesting year for EDs faced with<br />
severe overcrowding.<br />
David Mountain, Chair<br />
Pre-Hospital Care<br />
Subcommittee<br />
<strong>2011</strong> has been an exciting and<br />
productive year for the Subcommittee.<br />
In the UK, pre-hospital emergency<br />
medicine has been formally recognised<br />
as a medical subspecialty this year.<br />
A curriculum has been developed,<br />
overseen by an intercollegiate board,<br />
with formal training anticipated to<br />
commence in 2012.<br />
The Subcommittee has proposed<br />
that <strong>ACEM</strong> takes a lead role in a<br />
similar process in Australasia, given<br />
the strong presence of <strong>ACEM</strong> Fellows<br />
and trainees in this area of practice.<br />
The aims are to develop formalised<br />
training, education and credentialling
standards and create a process<br />
whereby non-fellows can be embraced<br />
within the <strong>ACEM</strong> structure.<br />
To achieve these aims, College<br />
Executive has given in principle<br />
approval to the formation of a new<br />
committee: the Pre-Hospital and<br />
Retrieval Committee. The proposal<br />
includes working closely with the<br />
Board of Education and strengthening<br />
links with the UK group.<br />
A series of face-to-face meetings has<br />
now been planned to commence the<br />
large amount of work required. It will<br />
be a challenging time as we embark<br />
upon this exciting task.<br />
As always my thanks to the current<br />
and past members who work<br />
tirelessly in this high intensity area<br />
of our specialty.<br />
Garry Wilkes, Chair<br />
Quality Management<br />
Subcommittee<br />
<strong>2011</strong> has been an active year for the<br />
Quality Management Subcommittee.<br />
Work continues with both the Royal<br />
Australian and New Zealand College<br />
of Radiologists and the Royal College<br />
of Pathologists of Australasia for the<br />
development of joint college guidelines<br />
for medical imaging and pathology<br />
ordering from the emergency<br />
department. It is hoped that some<br />
preliminary guidelines will be available<br />
late in <strong>2011</strong> on the <strong>ACEM</strong> website.<br />
In May <strong>2011</strong> the Subcommittee met<br />
in Melbourne for an all day workshop.<br />
The group reviewed quality indicators<br />
used in Canadian and United Kingdom<br />
emergency departments, as well as<br />
the new ACHS emergency medicine<br />
indicators. The result was a major<br />
revision of P28 Policy on Quality<br />
Management in Emergency Medicine,<br />
now renamed P28 ‘Policy on a<br />
Quality Framework for Emergency<br />
Departments’. The policy recommends<br />
that all EDs should have a quality<br />
framework and designated quality<br />
team. A balanced quality program<br />
is recommended for EDs, with<br />
elements drawn from the following<br />
fi ve areas; clinical, education and<br />
training, research, administration and<br />
professional profi le of the department.<br />
It is anticipated that this revised policy<br />
will form the basis for EDs moving<br />
towards measuring the quality of the<br />
care delivered in their department,<br />
rather than the purely time-based<br />
parameters of emergency care.<br />
The Quality Management<br />
Subcommittee contributed to the<br />
development of the new ACHS<br />
‘Clinical indicators for emergency<br />
medicine’, released in July <strong>2011</strong>. This<br />
saw an expansion of the number of<br />
emergency medicine indicators from 9<br />
to 21, with an increased emphasis on<br />
quality indicators.<br />
The Subcommittee submitted a<br />
proposal to Standards for a specialtyspecifi<br />
c incident monitoring project, in<br />
conjunction with the Australian Patient<br />
Safety Foundation. This would see the<br />
development of an online incident<br />
monitoring tool for Australasian<br />
EDs, and would aim to inform future<br />
research and education in patient<br />
safety in emergency medicine.<br />
Carmel Crock, Chair<br />
Trauma Subcommittee<br />
Entering into its sixth year of<br />
existence, the Subcommittee has laid<br />
foundations for future growth and<br />
development in the different aspects<br />
of trauma management to optimise<br />
patient outcomes.<br />
From an educational perspective for<br />
the College trainees, a trauma tool<br />
kit, which identifi es key learning areas<br />
in trauma for advanced trainees, will<br />
shortly be available on the College<br />
website for reference.<br />
Trauma simulation is another valuable<br />
educational tool that can enhance<br />
team cohesion and performance.<br />
It is currently used in the tertiary<br />
centres and major teaching centres.<br />
The Subcommittee encourages active<br />
participation by all trainees and<br />
Fellows.<br />
In collaboration with the Royal<br />
Australasian College of Surgeons,<br />
members have generously contributed<br />
to the trauma verifi cation process –<br />
a comprehensive review encompassing<br />
all aspects of trauma care that assists<br />
the institution involved to ‘benchmark’<br />
their trauma service. This especially<br />
ensures that the interests of<br />
emergency medicine are taken into<br />
account. In this vein, the Trauma<br />
Subcommittee would like to highly<br />
recommend F<strong>ACEM</strong> representation<br />
and participation in hospital trauma<br />
committees.<br />
Ezila Kapilan, Chair<br />
Workforce Subcommittee<br />
The Workforce Subcommittee<br />
continued to work on workforce<br />
planning this year. A review of the<br />
present standing of the Guideline<br />
on Workforce Construction was<br />
completed. There was no additional<br />
research or evidence found to<br />
necessitate change to the formulae<br />
in the guideline.<br />
Work continued on the data analysis<br />
from the College in relation to the<br />
longitudinal study on workforce<br />
(Fellows). A questionnaire has<br />
been developed to supplement data<br />
already stored. Data extraction has<br />
been problematic, but some results<br />
should be available by the end of the<br />
year. Based on this, a modifi cation<br />
to the annual subscription renewal<br />
will be made to better track Fellows<br />
throughout their career.<br />
Chris May, Chair<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
25
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
26<br />
COUNCIL COMMITTEE<br />
MEMBERSHIP at 30 June <strong>2011</strong><br />
Constitution and<br />
Regulations Committee<br />
Alan Tankel (Chair)<br />
William Davies<br />
John Ding<br />
Tony Lawler<br />
Philip Richardson<br />
Andrew Singer<br />
International<br />
Development Fund<br />
Committee<br />
Gerard O’Reilly (Chair)<br />
Peter Aitken<br />
Chris Curry<br />
Craig Hore<br />
John Kennedy<br />
Andrew Maclean (ex-offi cio)<br />
Robyn Parker<br />
Georgina Phillips<br />
Guy Sansom<br />
Gim Tan<br />
Brady Tassicker<br />
Jules Willcocks<br />
Matthew Wright<br />
Private Practice<br />
Committee<br />
Greg McDonald (Chair)<br />
Kate Porges<br />
Pankaj Arora<br />
Paul Bailey<br />
Michael Ben-Meir<br />
Andrew Jan<br />
Phillip Kay<br />
Jarrod Koh<br />
Greg McDonald<br />
David Rosengren<br />
David Smart<br />
Ronald Sultana<br />
Aled Williams<br />
Pip Wills<br />
Public Health<br />
Committee<br />
Diana Egerton-Warburton<br />
(Chair)<br />
Peter Aitken<br />
Marianne Cannon<br />
Gerry FitzGerald<br />
Dale Hanson<br />
George Jelinek<br />
John Kennedy<br />
Georgina Phillips<br />
Kate Porges<br />
Roger Swift<br />
Lynda Vine<br />
Andrew Wilde<br />
Disaster Subcommittee<br />
Bruce Bartley (Chair)<br />
Peter Aitken<br />
David Bradt<br />
David Cooper<br />
Hilmar Kjartansson<br />
Mary McCaskill<br />
Colin Myers<br />
Conrad Ng<br />
Ian Norton<br />
Gerard O’Reilly<br />
Andrew Singer<br />
Roger Swift<br />
Kavita Varshney<br />
Rural Regional and<br />
Remote Committee<br />
Niall Small (Chair)<br />
Diana Badcock<br />
Cameron Dart<br />
Jonathan Dryburgh<br />
Alan Forrester<br />
Randall Greenberg<br />
Elizabeth Mowatt<br />
Bronwyn Peirce<br />
Shameem Safi h<br />
Paul Spillane<br />
Alan Tankel<br />
Neale Thornton<br />
Greg Treston<br />
Scientifi c Committee<br />
Yusuf Nagree (Chair)<br />
Glenn Arendts<br />
Peter Cameron<br />
Grant Cave<br />
Anthony Cross<br />
Andis Graudins<br />
Anna Holdgate<br />
Geoff Isbister<br />
James Kwan<br />
Peter Leman<br />
Paul Middleton<br />
Joseph Ting<br />
John Vinen<br />
Emergency Medicine<br />
Clinical Trials Group<br />
Subcommittee<br />
Paul Middleton (Chair)<br />
Anthony Cross<br />
Daniel Finucci<br />
Gerben Keijzers<br />
Jonathan Knott<br />
David Taylor<br />
Ogilvie Thom<br />
Joseph Ting<br />
Standards Committee<br />
Chris May (Chair)<br />
John Bonning<br />
Matthew Chu<br />
Carmel Crock<br />
Adrian Goudie<br />
Ezila Kapilan<br />
Kim Lim<br />
Sally McCarthy<br />
David Mountain<br />
Tony Nocera<br />
Melinda Truesdale<br />
Garry Wilkes<br />
ED Ultrasound<br />
Subcommittee<br />
Adrian Goudie (Chair)<br />
Scott Bomann<br />
Justin Bowra<br />
Adam Bystrzycki<br />
Brian Doyle<br />
Michele Franks<br />
Tony Joseph<br />
Hugo Poncia<br />
James Rippey<br />
Michael Rose<br />
Peter Smith<br />
Melinda Truesdale<br />
Katie Walker<br />
Hospital Overcrowding<br />
Subcommittee<br />
David Mountain (Chair)<br />
Michael Ardagh<br />
Anthony Bell<br />
Peter Cameron<br />
Peter Freeman<br />
Simon Judkins<br />
Sally McCarthy<br />
Kylie McNamara<br />
Stephen Parnis<br />
Matthew Vukasovic<br />
Pre-Hospital Care<br />
Subcommittee<br />
Garry Wilkes (Chair)<br />
Neil Ballard<br />
Conor Deasy<br />
Mark Elcock<br />
Daniel Ellis<br />
Craig Ellis<br />
Emmeline Finn<br />
Stephen Gourley<br />
Tim Gray<br />
Greg Hollis<br />
Marcus Kennedy<br />
Stefan Mazur<br />
Steve Walker<br />
Quality Management<br />
Subcommittee<br />
Carmel Crock (Chair)<br />
Kim Hansen<br />
Peter Jones<br />
Tony Joseph<br />
Sally McCarthy<br />
Yusuf Nagree<br />
Anil Nair<br />
Stephen Priestley<br />
David Spain<br />
Amanda Stafford<br />
Melinda Truesdale<br />
Geoffrey Williamson<br />
Trauma Subcommittee<br />
Ezila Kapilan (Chair)<br />
Donovan Dwyer<br />
Ian Ferguson<br />
Mark Fitzgerald<br />
Gordian Fulde<br />
Monica Gope<br />
Catherine Hurn<br />
Tony Joseph<br />
Kevin Lai<br />
Andrew Pearce<br />
John Roberts<br />
Workforce Subcommittee<br />
Chris May (Chair)<br />
Michael Bryant<br />
Anthony Cross<br />
Con Georgakas<br />
Michael Golding<br />
Marten Howes<br />
James Mallows<br />
Richard Paoloni
FACULTY REPORTS<br />
Australian Capital<br />
Territory<br />
This year has been another interesting<br />
and challenging year for the ACT<br />
Faculty. One of the highlights was<br />
hosting the <strong>Annual</strong> Scientifi c Meeting<br />
in November 2010 at the National<br />
Convention Centre. The conference<br />
was well attended, and we were both<br />
informed and entertained by our<br />
keynote speakers, Art Kellerman and<br />
Jonathon Benger. Special thanks go to<br />
Lisa Bell as the Convenor, but many<br />
Faculty members contributed to the<br />
success of the meeting.<br />
Activity continues to increase at both<br />
emergency departments. We are also<br />
starting to respond to the challenges<br />
posed by the National Emergency<br />
Access Target. At TCH, there have<br />
been a number of changes. Mike Hall<br />
has taken over as DEM, with Nick<br />
Taylor as DEMT. We have seen the<br />
opening of the Surgical Assessment<br />
and Planning Unit, and the fi rst<br />
anniversary of the Walk-in Centre,<br />
with the expected controversy over<br />
the effectiveness of both units.<br />
At Calvary, Garry Wilkes has been<br />
appointed as DEM. The future of<br />
Calvary continuing to run a public ED<br />
now seems settled, with a new ICU/<br />
CCU opened this year.<br />
Finally, I would like to thank all Faculty<br />
members for their efforts, both<br />
clinically and for the College during<br />
the year.<br />
Andrew Singer, Councillor and<br />
Faculty Chair<br />
New South Wales<br />
Garling recommendations<br />
There has been continued<br />
activity in relation to the Garling<br />
Recommendations. The NSW<br />
Department of Health states that it<br />
has met the timelines of approximately<br />
60% of the recommendations,<br />
although this has not included any of<br />
the recommendations that will have<br />
signifi cant impact. The major issue for<br />
EDs has been reluctance of wards to<br />
accept patients with vital signs outside<br />
the ‘normal’ range and some<br />
pressure is being placed to amend<br />
the criteria for clinical review prior<br />
to ward transfer.<br />
Emergency Care Institute<br />
Also related to the Garling report is<br />
the establishment of the Emergency<br />
Care Institute to bring emergency<br />
medicine in line with other clinical<br />
specialty groups in NSW. The ECI<br />
will have a role in research as well<br />
as quality and safety, particularly as it<br />
pertains to models of care and process<br />
improvement. Sally McCarthy has been<br />
appointed to the half-time director<br />
position and commenced the role<br />
earlier this year. There will also be a full<br />
time ECI manager and some funding<br />
of project offi cers. This is an important<br />
appointment and there will be a need<br />
for the ECI director to work together<br />
with the NSW Faculty and the<br />
Ministerial Taskforce for Emergency<br />
Care. Sally has been active in visiting<br />
a large number of sites, including<br />
rural hospitals, and meeting with key<br />
stakeholder groups. A current survey<br />
has been widely disseminated to<br />
gauge the key concerns of emergency<br />
clinicians in NSW.<br />
The Committee of NSW Faculty<br />
Chairs (<strong>ACEM</strong> and other colleges)<br />
The Faculty Chairs remain keen to<br />
provide clinical feedback and input<br />
into the NSW implementation plan for<br />
the National Health Reform agenda,<br />
including the implementation of the<br />
‘four hour rule’.<br />
<strong>ACEM</strong> ASM November <strong>2011</strong><br />
in Sydney<br />
The organising committee, under the<br />
leadership of Sue Hertzberg, has put<br />
together the scientifi c program and<br />
is working hard to fi nalise all other<br />
details. Abstracts have closed and have<br />
been ranked and allocated to oral or<br />
poster sessions.<br />
NSW Audit offi ce<br />
The NSW Faculty was approached<br />
by the NSW Audit Offi ce as a key<br />
stakeholder in relation to an audit of<br />
the planning of staff specialist and VMO<br />
positions across the public health<br />
sector in NSW. A detailed response<br />
was provided which included compiling<br />
data on the F<strong>ACEM</strong>: population ratio<br />
for Australian states and territories<br />
over time.<br />
Alcohol related violence<br />
The NSW Faculty has been<br />
approached and is continuing to liaise<br />
with the Royal Australasian College<br />
of Surgeons in NSW in relation to<br />
promotion of responsible use of<br />
alcohol and of the impact of alcohol<br />
related violence.<br />
NSW Election<br />
The Liberal party won the State<br />
election in a landslide victory in March<br />
<strong>2011</strong>, defeating the Labor party which<br />
had been in government for 16 years.<br />
There have been a number of<br />
implications of this in the short term:<br />
the appointment of a new Director<br />
General of Health, Dr Mary Foley;<br />
a series of recently concluded audits<br />
into multiple aspects of health, to<br />
direct future policy; an external review<br />
conducted into the implementation<br />
and utility of FirstNet, the Cerner ED<br />
module being rolled out state-wide by<br />
the Dept of Health; and development<br />
of a public website indicating ED<br />
waiting times, which went live in<br />
the fi rst week of June <strong>2011</strong>.<br />
Another key election promise was<br />
a review of the increased intern<br />
numbers and provision of adequate<br />
supervisors/supervisory time. We are<br />
yet to see this being progressed.<br />
The fi nancial position of the state<br />
remains dire and the poor economic<br />
situation is likely to retard progress<br />
in many key areas, including health,<br />
even if the political will to make<br />
changes is present.<br />
Richard Paoloni, Chair<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
27
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
28<br />
FACULTY REPORTS (continued)<br />
New Zealand<br />
Issues in <strong>2011</strong> for the NZ Faculty have<br />
included two successful conferences in<br />
the 4th Taupo Regional ED conference<br />
and the <strong>ACEM</strong> Winter Symposium in<br />
Queenstown, the ‘Shorter stays in ED’<br />
Ministry of Health six hour target and<br />
engagement with Health Workforce<br />
NZ (HWNZ) regarding our future<br />
workforce planning,<br />
A fourth NZ Regional ED conference<br />
was held in Taupo this year and for<br />
the fourth consecutive year was<br />
addressed by the Minister of Health.<br />
The conference has a non-clinical<br />
ED theme and is attended by a wide<br />
range of doctors, nurses and managers<br />
who work with acute care. Themes<br />
were the Ministry Target, increasing<br />
workloads, IT systems and workforce<br />
planning. This year we also welcomed<br />
the College CEO Alana Killen to<br />
discuss non-specialist training in EM.<br />
The <strong>ACEM</strong> Winter Symposium<br />
was held in Queenstown and was<br />
very well attended from both sides<br />
of the Tasman. It was run by the<br />
Christchurch Faculty and the sessions<br />
on the earthquake were particularly<br />
moving. Most of you will know of the<br />
(second large) February earthquake<br />
that claimed the lives of 182 and<br />
stretched the ability of Christchurch<br />
Hospital to cope. The ED staff<br />
worked tirelessly to save lives in an<br />
extraordinary situation. Whilst some<br />
emergency doctors were singled<br />
out as exemplary leaders, in true<br />
egalitarian fashion they declined to be<br />
personally honoured as they felt that it<br />
was a team effort and unfair to single<br />
out a few.<br />
As Australia launches into their ‘four<br />
hour target’ we continue to work<br />
with our ‘Shorter stays in ED’ target at<br />
six hours. Many DHBs have achieved<br />
this 95% of the time, 14 of the 20<br />
DHBs are above 90% and all hospitals<br />
continue to slowly improve. Some<br />
have reached a plateau in the 80s;<br />
overall the average across the entire<br />
country is 92% (of patients being seen<br />
and admitted or discharged within six<br />
hours). Some hospitals still struggle<br />
to see the target as an organisational<br />
one as opposed to an ED target.<br />
Peter Jones, a F<strong>ACEM</strong> in Auckland,<br />
with Health Research Council funding,<br />
is putting together a prospective<br />
study – ‘Implementing Performance<br />
Improvement; the six hour time target<br />
policy’ – of quality issues surrounding<br />
the shorter stays initiative that we<br />
hope will be useful across Australasia.<br />
The researchers have been impressed<br />
by the 100% response (from every ED<br />
in the country) point prevalence (of<br />
access block) studies similar to those<br />
run in Australia.<br />
We have initiated meetings with<br />
HWNZ regarding future planning for<br />
the emergency medical workforce<br />
in NZ for the next 10 years. Our<br />
workforce and the role of F<strong>ACEM</strong>s<br />
is felt to be vulnerable as 50% of the<br />
doctors working in EDs in NZ are<br />
non-F<strong>ACEM</strong>s (a mix of CMOs, IMGs,<br />
Rural Hospitalists and Accident &<br />
Medical practitioners). As some<br />
parts of Australia face similar issues<br />
we will keep Council informed as<br />
this progresses.<br />
I would like to thank all members of<br />
the Faculty Board for their ongoing<br />
support, enthusiasm and contribution<br />
during the year. I would like to<br />
particularly thank Dr Peter Freeman<br />
who after eight years on Council,<br />
the last two as Vice President, is<br />
stepping down. Peter has tirelessly<br />
represented New Zealand’s interests<br />
and contributed to the running of<br />
our College.<br />
John Bonning, Chair<br />
Queensland<br />
The Queensland Faculty continues to<br />
work hard at developing collaborative<br />
relationships with Queensland Health<br />
in an attempt to drive constructive<br />
change in emergency medicine health<br />
policy at a state level. Queensland is<br />
fortunate to have a very functional<br />
State ED Clinical Network, of which<br />
the Faculty is a member. The Network<br />
feeds directly into the highest level<br />
of health administration. No longer is<br />
there an excuse that the message was<br />
watered down as it fi ltered through<br />
to the top.<br />
The Faculty maintains a strong and<br />
independent voice on the Network<br />
panel and there is consensus that we<br />
can drive change more effectively from<br />
working within rather than yelling<br />
from outside the fence.<br />
A new Health Minister and an<br />
upcoming election year have provided<br />
opportunities to meet with both sides<br />
of politics and actively discuss health<br />
policy agenda. The national four hour<br />
access target dominates discussion.<br />
Queensland has been well represented<br />
at the national level providing input to<br />
implementation of the target.<br />
Access block, overcrowding and<br />
ambulance ramping dominate negative<br />
media reporting on emergency<br />
medicine health delivery. The Faculty<br />
has advocated strongly the message<br />
that the problem lies outside of the<br />
ED and that ED dysfunction is merely<br />
a symptom of the hospital-wide<br />
problem. Although the solution has<br />
not yet been found, it is becoming<br />
more obvious that the message is<br />
beginning to get through. Health CEOs<br />
across Queensland now have hospital<br />
access and ED block as one of their<br />
key performance criteria and the<br />
issues of inpatient bed management<br />
are fi nally being focused on.<br />
Queensland will be no different from<br />
the rest of the country with regard<br />
to access block and overcrowding but<br />
with the lowest bed per capita statistic<br />
in the country, we have a tough fi ght<br />
to make progress. The impact of the<br />
recent fl oods and cyclone have not<br />
done much to help the health budget.<br />
The Faculty Autumn Symposium was<br />
held recently and was a huge success.<br />
Over 120 Fellows, trainees and nurses<br />
attended a world class program. A<br />
discussion panel on ramping involving<br />
the Deputy Director General of<br />
Health and Assistant Commissioner<br />
of the Queensland Ambulance Service<br />
generated signifi cant interest. Special<br />
thanks must go to James Collier<br />
and Philip Richardson for the hours<br />
of preparation that went into the<br />
organisation of this increasingly world<br />
class event.
The Queensland Emergency Medicine<br />
Research Foundation (QEMRF) has<br />
continued to grow strongly with<br />
nearly $6M in funding for research<br />
projects within Queensland public<br />
hospital emergency departments.<br />
The growth in research capability has<br />
been exponential and the competitive<br />
pressure of grant rounds has pushed<br />
the quality of project applications<br />
to the highest standard. The Health<br />
Minister attended the Symposium as<br />
part of the Queensland Emergency<br />
Medicine Research Foundation awards<br />
ceremony – a great opportunity to<br />
showcase positive outcomes from the<br />
Faculty. For more information, go to<br />
http://www.qemrf.org.au.<br />
The next few years offer opportunities<br />
to drive change that we have never<br />
before seen in our professional lives<br />
and may never see again. There is<br />
plenty of work to do to capitalise<br />
on these opportunities. There is also<br />
plenty of enthusiasm.<br />
Thanks to every one of the Fellows<br />
and trainees in Queensland for<br />
their support in the last 12 months.<br />
Queensland is a great place to be an<br />
emergency physician!<br />
David Rosengren, Chair<br />
South Australia<br />
Signifi cant changes have occurred<br />
recently within the South Australian<br />
Faculty Board, with the resignation of<br />
Bob Dunn from the role of Censor<br />
and Hendrika Meyer from the Faculty<br />
Chair. Both have made outstanding<br />
contributions to the Faculty and<br />
emergency medicine within SA and we<br />
are indebted to both.<br />
Simon Chu is the newly appointed<br />
Censor and Melissa Nelligan the new<br />
Deputy Censor for SA – congratulations<br />
to both on their appointments. At<br />
the time of writing the Faculty Chair<br />
position is being decided and will be an<br />
update for the next report. However,<br />
we can congratulate Tom Soulsby<br />
following his very recent appointment<br />
to the Board vacancy.<br />
This means that the Faculty Board<br />
consists of: Judy Cornish (Councillor),<br />
Simon Chu (Censor), Melissa Nelligan<br />
(Deputy Censor), Diane King, Tony<br />
Eliseo, James Smyth and Tom Soulsby.<br />
The SA Faculty Awards as nominated<br />
and voted by the Faculty on an annual<br />
basis this year went to: Fellows<br />
award: Sam Alfred, RAH, for his<br />
contributions to emergency medicine<br />
in general, in particular the setting<br />
up of the toxicology service at RAH;<br />
Trainees award: Al Fergusson, RAH,<br />
for generally being a great bloke,<br />
supportive of peers and the teaching of<br />
junior staff. Congratulations to both.<br />
ED overcrowding continues to remain<br />
a signifi cant issue for most sites and,<br />
over the <strong>2011</strong> winter, has deteriorated<br />
further. The main exception to that<br />
has been Flinders Medical Centre;<br />
however its continuing redevelopment<br />
has caused its own challenges.<br />
The end result should make it all<br />
worthwhile.<br />
Within the Faculty there have been<br />
some robust discussions regarding<br />
implementation of state and federal<br />
emergency access targets. There are<br />
varied opinions regarding the role<br />
of the time-based targets, however<br />
there is clear and universal agreement<br />
on the importance of reducing<br />
overcrowding, hospital reforms<br />
that are appropriately resourced,<br />
protection of both the role of the<br />
emergency physician and training<br />
experiences and, above all, an emphasis<br />
on quality and safety.<br />
Over the next 12 months the<br />
Faculty will be turning its attention<br />
to preparing for EMSA 2012 in<br />
collaboration with CENA and the<br />
South Australian Ambulance Service,<br />
continuing the biannual combined<br />
meeting approach, and of course<br />
hosting the 2012/2 Fellowship exam –<br />
so we hope to see you at one or<br />
both in 2012.<br />
Judy Cornish, Acting Chair<br />
Tasmania<br />
Despite being a small group, the<br />
Tasmania Faculty of <strong>ACEM</strong> has had a<br />
busy year.<br />
The much anticipated Emergency Care<br />
Clinical Network is offi cially up and<br />
running with the clinical leader Tony<br />
Lawler at the helm. The purpose of<br />
the network is to enable clinicians and<br />
other members to become actively<br />
involved in the planning, delivery,<br />
evaluation and improvement of<br />
emergency care services in Tasmania.<br />
This will enhance collaboration<br />
and coordination across perceived<br />
organisational boundaries, and improve<br />
outcomes for patients and consumers.<br />
The fi ve primary workstreams<br />
identifi ed include access and fl ow,<br />
information and communications<br />
technology, workforce, emergency<br />
care interface, and consistency of<br />
practice. For more information about<br />
the Emergency Care Network, please<br />
visit https://clinicalnetworks.dhhs.tas.<br />
gov.au.<br />
There are four major public<br />
emergency departments in Tasmania.<br />
Three of them are undergoing<br />
redevelopment and rebuilding. The<br />
Launceston General Hospital ED will<br />
fi nish its rebuilding at the end of <strong>2011</strong><br />
anticipating about 43 beds. The Mersey<br />
Community Hospital ED should be<br />
fi nished in early 2012 with 16 beds.<br />
The North West Regional Hospital<br />
ED’s rebuild has been funded and is<br />
in the design phase. The project is<br />
scheduled for completion in the next<br />
couple of years. Therefore, it looks<br />
like ‘bricks and mortar’ are not an<br />
issue. But of course staffi ng remains<br />
a challenge for EDs outside of major<br />
tertiary centres.<br />
The <strong>ACEM</strong> <strong>Annual</strong> Scientifi c Meeting<br />
will be held in beautiful Hobart in<br />
November 2012. Organisation and<br />
planning is well underway, with Geoff<br />
Couser as the convenor. We really<br />
look forward to an excellent academic<br />
program showcasing the best parts<br />
of the city.<br />
The state-wide, video-conferenced<br />
‘Grand Rounds’ links all major EDs<br />
for a monthly discussion on high-end<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
29
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
30<br />
FACULTY REPORTS (continued)<br />
emergency medicine topics. This has<br />
met with great success and we look<br />
forward to its continuation in 2012.<br />
Other issues that have been<br />
addressed by Tasmania Faculty include<br />
exploration of a state-wide training<br />
scheme, rotation of F<strong>ACEM</strong>s amongst<br />
different sites, ultrasound workshops,<br />
improvement in ED information<br />
technology, four hour rule and the<br />
ever present access block.<br />
We anticipate 2012 will be equally<br />
busy for our small Faculty and we look<br />
forward to seeing many of you at our<br />
<strong>Annual</strong> Scientifi c Meeting in Hobart.<br />
Brian Doyle, Chair<br />
Victoria<br />
The Victorian Faculty continues<br />
to evolve. Issues, which have been<br />
addressed and debated furiously over<br />
the year, have included:<br />
National Targets and the Health<br />
Reform Agenda<br />
The Faculty received much feedback<br />
and enthusiastic debate over the<br />
reforms and targets. Although<br />
opinions were strong and vocal, for<br />
and against, the Vic Faculty has thrown<br />
its support behind the reform agenda.<br />
We will now concentrate on the<br />
implementation and ensure that the<br />
concepts outlined in the Expert Panel<br />
submission regarding ‘whole hospital<br />
reform’, inpatient process change and<br />
addition of capacity through process<br />
and investment are introduced<br />
in a transparent and accountable<br />
manner. Access block and ramping<br />
is a continuing problem but, through<br />
ongoing pressure, open discussion and<br />
networking with other organisations<br />
and the media, the issue remains high<br />
on the political and social agenda.<br />
Paediatric services<br />
Concern was expressed by many<br />
regarding Paediatric services and<br />
expertise outside of the main centres.<br />
The College is actively pursuing this<br />
as a major concern and is anticipating<br />
further discussion and change.<br />
Regional and Rural support<br />
The Faculty made a submission to<br />
the Department of Health (DoH)<br />
regarding its thoughts on how to<br />
offer better service, support and<br />
patient outcomes to regional and rural<br />
Victoria. Enthusiastic support for the<br />
DoH is expected.<br />
IT<br />
With the ‘Health Smart’ platform and<br />
Cerner implementation struggling along,<br />
the Faculty is preparing a submission,<br />
through an IT working group, to the<br />
Minister outlining IT needs both in EDs<br />
and the wider system. At this stage,<br />
the IT program is dogged by ongoing<br />
diffi culties, and we hope to be involved<br />
in fi nding a solution.<br />
Faculty Scientifi c Meeting<br />
Due to clashes with other College<br />
events, this year’s scheduled meeting<br />
has been moved to March 2012. More<br />
information is coming soon.<br />
All in all, it’s been a proactive year,<br />
with engagement of many F<strong>ACEM</strong>s in<br />
activities both within and outside the<br />
College. I anticipate that emergency<br />
medicine and members of the<br />
College will continue to elevate<br />
these issues, and others as they arise,<br />
with intelligence, enthusiasm and<br />
a continued focus on how we can<br />
best deliver our brand of medicine<br />
throughout Victoria.<br />
Simon Judkins, Chair<br />
Western Australia<br />
The WA Faculty Board has consisted<br />
of the following members: R Graydon<br />
(Chair), J Cooper (Hon. Secretary),<br />
M Summerscales (Hon. Treasurer)<br />
and S Rennie.<br />
The <strong>Annual</strong> Seminar was held at the<br />
Fremantle campus of the University<br />
of Notre Dame Australia, in May<br />
<strong>2011</strong>. Speakers included Kim Snowball<br />
- Director General of WA Health,<br />
David Mountain - President of the WA<br />
Branch of the AMA and F<strong>ACEM</strong>, and<br />
Alana Killen - CEO of <strong>ACEM</strong>.<br />
All speakers gave most interesting<br />
insights into the theme: ‘Our futures<br />
in the WA health system’. There were<br />
three 4.10 registrar presentations.<br />
The number of 4.10 presentations<br />
appears to have diminished over the<br />
last few years. The convenors of this<br />
year’s seminar were Greg Sweetman<br />
and Robert Graydon.<br />
The four hour rule implementation<br />
continues in the metropolitan general<br />
hospitals and regional centres. The<br />
WA Faculty membership remains<br />
divided over the effectiveness of the<br />
program. The compliance targets are<br />
proving to be diffi cult to achieve in<br />
most participating hospitals during the<br />
current winter. The state government<br />
has formed a committee to investigate<br />
the four hour rule program. To date,<br />
this committee has yet to report.<br />
The state government continues with<br />
an aggressive program of hospital<br />
development. It is anticipated that the<br />
new 783 bed Fiona Stanley Hospital<br />
will open in 2014, followed by the 307<br />
bed Midland Health Campus in 2015.<br />
The Princess Margaret Hospital for<br />
Children will relocate to the Queen<br />
Elizabeth II in Nedlands over the next<br />
several years. With signifi cant changes<br />
to the hospital infrastructure will<br />
come considerable workforce issues<br />
that have yet to be addressed.<br />
A number of metropolitan-based<br />
Fellows continue to provide fl y in/<br />
fl y out emergency medicine services<br />
to several regional hospitals. It is<br />
anticipated that this requirement for<br />
a mobile workforce will expand over<br />
the next few years as funding from<br />
the state government Royalties for<br />
Regions program grows.<br />
Robert Graydon, Chair
FACULTY BOARD<br />
MEMBERSHIP at 30 June <strong>2011</strong><br />
Australian Capital<br />
Territory<br />
Andrew Singer (Chair, Councillor)<br />
Drew Richardson (Hon.<br />
Secretary)<br />
New South Wales<br />
Richard Paoloni (Chair)<br />
Ezila Kapilan (Deputy Chair)<br />
Michael Bastick (Censor)<br />
Marian Lee<br />
Mary McCaskill<br />
Sally McCarthy (Councillor)<br />
Kate Porges (Councillor)<br />
Alan Tankel (Councillor)<br />
Northern Territory<br />
Didier Palmer (Chair, Councillor)<br />
Stephen Gourley (Deputy Chair)<br />
New Zealand<br />
John Bonning (Chair, Councillor)<br />
Scott Boyes (Deputy Chair)<br />
John Chambers<br />
Andre Cromhout<br />
Andrew Ewens<br />
Lou Finnel (Censor)<br />
Peter Freeman (Councillor)<br />
Queensland<br />
David Rosengren (Chair)<br />
Robert Butler (Deputy Chair)<br />
James Collier (Censor)<br />
Chris May (Councillor)<br />
Alan O’Connor<br />
Niall Small (Councillor)<br />
Andrew Staib<br />
South Australia<br />
Judy Cornish<br />
(Acting Chair from 15 June <strong>2011</strong>,<br />
Councillor)<br />
Hendrika Meyer<br />
(Chair to 10 June <strong>2011</strong>)<br />
Tony Eliseo (Deputy Chair)<br />
Bob Dunn (Censor)<br />
Diane King<br />
James Smyth<br />
Tasmania<br />
Brian Doyle (Chair)<br />
Konrad Blackman (Deputy Chair)<br />
Helen Cooley<br />
Tony Lawler (Councillor)<br />
Paul Pielage (Censor)<br />
Victoria<br />
Simon Judkins (Chair)<br />
Julia Fisher (Hon. Secretary)<br />
Emma West (Hon. Treasurer)<br />
Anthony Cross (Councillor)<br />
Diana Egerton-Warburton<br />
(Councillor)<br />
Barry Gunn (Censor)<br />
Ruth Hew<br />
Fergus Kerr<br />
Andrew Maclean (Councillor)<br />
Western Australia<br />
Robert Graydon (Chair)<br />
Jim Cooper (Hon. Secretary)<br />
Matthew Summerscales<br />
(Hon. Treasurer)<br />
David Cruse (Censor)<br />
David Mountain (Councillor)<br />
Yusuf Nagree (Councillor)<br />
Sandra Rennie<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
31
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
32<br />
EMERGENCY MEDICINE<br />
AUSTRALASIA Anthony F T Brown, Editor-in-Chief<br />
The high points of the year included the release of our 2010<br />
Impact Factor (IF) in mid-June, which had risen to 1.089 from<br />
0.901. This IF has taken Emergency Medicine Australasia (EMA)<br />
past Pediatric Emergency Care that was ranked 10th out of the<br />
19 journals in last year’s ISI Journal Citation <strong>Report</strong>s®: Emergency<br />
Medicine Category. However, as there are now 23 journals within<br />
this category, and somewhat surprisingly as no less than three<br />
new journals all achieved inaugural IFs above us, our ranking is<br />
currently 13th out of 23. Interestingly, Resuscitation now tops<br />
the category rankings with an IF of 4.177 closely followed by<br />
Annals of Emergency Medicine at 4.142. Although the IF does not<br />
tell you which papers were cited, our own competitive IF again<br />
demonstrates that Emergency Medicine Australasia continues<br />
to provide access to a scientifi cally solid and internationally<br />
reputable journal.<br />
In addition, we successfully removed all drug company<br />
advertising from Emergency Medicine Australasia this year, with<br />
the ‘cost of independence’ to our subscribers being a mere $5<br />
increase in Fellow and trainee subscriptions. Our laudable stand<br />
against pharmaceutical advertising was even recognised in the<br />
correspondence section of the July 2 issue of the Lancet.<br />
This stance, endorsed since Professor George Jelinek<br />
championed the move, is a proud achievement for our journal.<br />
In other areas, unfortunately this year has been a challenging one<br />
in particular for our publisher Wiley-Blackwell, as major process<br />
problems arose including editorial offi ce issues in Melbourne<br />
and production issues in Singapore. The underlying problems<br />
were investigated and processes put in place by Wiley-Blackwell<br />
to mitigate against any recurrence. In addition, <strong>ACEM</strong> offered<br />
assistance from their newly appointed Director of Policy and<br />
Research, which was gratefully accepted and commences in<br />
October.<br />
No sooner were the challenges of the fi rst half of the year<br />
beginning to settle down, when it was discovered that the online<br />
‘Author Guide’ was substantially inferior to the version that<br />
was published as usual, once-a-year, in the February issue of<br />
Emergency Medicine Australasia. Indeed, in comparison, the online<br />
‘Author Guide’ was found to be miserably out of date! Thus a<br />
new online ‘Author Guide’ has been fi nalised and will shortly<br />
be released, which will be carefully updated and also contain the<br />
promised additional new material to assist authors who submit<br />
papers on Disaster or International Emergency Medicine articles<br />
(which follow a slightly different format than all other<br />
submitted articles).<br />
Despite the challenges this year, the journal has<br />
continued to thrive and has attracted more<br />
submissions than ever, such that there is a backlog<br />
of accepted papers awaiting print publication.<br />
Although of course all original research and review<br />
articles are immediately published online on Early<br />
View with a unique citable .doi (Digital Object<br />
Identifi er) number, after being fi nalised and type-set<br />
by production in Singapore, the six printed journals<br />
will have increased page counts of 120 per issue<br />
from 2012 (up from an average of 98).<br />
Finally, we again welcomed some new Section<br />
Editors in <strong>2011</strong> including Peter Jones (original<br />
research), Mark Little (toxicology) and Meredith<br />
Borland (paediatrics). I would like to sincerely<br />
thank outgoing editor Matthew O’Meara for his<br />
contribution and dedication to the paediatrics<br />
section, which has grown strongly. Indeed, this<br />
commendation extends to all of the Section Editors,<br />
peer reviewers, and Editorial Board for their hard<br />
work in <strong>2011</strong>. The journal would not exist without<br />
your creative scientifi c expertise, as ever offered so<br />
generously and selfl essly. Thank you to all of you –<br />
it is much appreciated.<br />
I look forward to 2012 with a tighter and more<br />
reliable production process, as well as to seeing<br />
you send your best research to Emergency Medicine<br />
Australasia, safe in the knowledge that we do indeed<br />
compete strongly in the international arena and,<br />
equally importantly, that you will be reaching a large,<br />
like-minded readership.<br />
Anthony F T Brown, Editor-in-Chief
AWARDS<br />
Australian Honours<br />
The College records with honour the awarding of the following<br />
Australian Honour to a College Fellow on 13 June <strong>2011</strong>.<br />
Dr Anne F D’Arcy<br />
The award of Medal of the Order of Australia was granted to<br />
Dr Anne D’Arcy for service to emergency medicine and to<br />
professional organisations.<br />
Teaching Excellence Award<br />
The Teaching Excellence Award is awarded to Fellows at the<br />
discretion of the Council of the College in recognition of<br />
distinguished and extensive service in teaching and learning<br />
for the College.<br />
The College is delighted to record that three Teaching Excellence<br />
Awards were presented at the College Ceremony in November<br />
2010, to Matthew Chu, Bob Dunn and Trevor Jackson.<br />
John Gilroy Potts Award<br />
The John Gilroy Potts Award is an award made to the author of<br />
an article published in a refereed journal, the content of which<br />
made a signifi cant contribution to emergency medicine.<br />
In 2010, the award was presented to Geoffrey Isbister (lead<br />
author) and Simon Brown for a paper entitled Failure of<br />
antivenom to improve recovery in Australian snakebite coagulopathy.<br />
Emergency Medicine Research<br />
Foundation<br />
The Morson Taylor Research Award is made by the Emergency<br />
Medicine Research Foundation to foster research in emergency<br />
medicine.<br />
The Morson Taylor Research Award for 2010 was awarded to<br />
David Taylor for a study entitled A simple target to change clinical<br />
practice in pain management.<br />
VALE<br />
The College records with much sadness the passing of the<br />
following Fellows during the past year:<br />
Dr Cynthia Sandler-O’Young (NSW)<br />
Dr David Snow (NZ)<br />
Dr Marjory Vanderpyl (NZ)<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
33
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
34<br />
FELLOWS at 30 June <strong>2011</strong><br />
Australian Capital<br />
Territory (21)<br />
Jamie Christie<br />
John Craven<br />
Karyn Cuthbert<br />
Betty Domazet<br />
David Elliott<br />
James Falconer<br />
Kelvin Grove<br />
Michael Hall<br />
Greg Hollis<br />
Sashi Kumar<br />
Paul Lamberth<br />
David Lamond<br />
Daniel McCormack<br />
John Merchant<br />
Drew Richardson<br />
Andrée Salter<br />
Sam Scanlan<br />
Andrew Singer<br />
Suzanne Smallbane<br />
Nicholas Taylor<br />
Megan Thomas<br />
New South Wales<br />
(317)<br />
Ken Abraham<br />
Judy Alford<br />
Reza Ali<br />
Mike Anscombe<br />
Pankaj Arora<br />
Shalini Arunanthy<br />
Stephen Asha<br />
Yasmin Ashraff<br />
Serena Ayers<br />
Neil Ballard<br />
Michael Bastick<br />
Simon Battersby<br />
Kendall Bein<br />
Lisa Bell<br />
Andrea Bell<br />
Samantha Bendall<br />
Melinda Berry<br />
Andrew Bezzina<br />
Roderick Bishop<br />
Rachel Boddy<br />
Sabine Böes<br />
Justin Bowra<br />
Robyn Brady<br />
Matthew Bragg<br />
Gary Browne<br />
Brian Burns<br />
Chris Cahill<br />
Steve Cameron<br />
Jonathon Candrick<br />
Genevieve Carbonatto<br />
Thomas Carrigan<br />
Swee Cham<br />
Betty Chan<br />
Adam Chan<br />
Trevor Chan<br />
Yao-Hua Chang<br />
Martin Chase<br />
Michelle Chen<br />
Angela Chiew<br />
Natasha Ching<br />
Fiona Chow<br />
Louis Christie<br />
Matthew Chu<br />
Christopher Chung<br />
Peter Clark<br />
Michael Clark<br />
Brian Collits<br />
Cathy Constantine<br />
Sarah Coombes<br />
David Cooper<br />
Megan Cox<br />
Richard Cracknell<br />
Roslyn Crampton<br />
Susan Crawford<br />
Bill Croker<br />
Paul Cunningham<br />
Shane Curran<br />
Kate Cush<br />
Andre Danforth<br />
Linda Dann<br />
Cameron Dart<br />
Jennifer Davidson<br />
Robert Davies<br />
William Davies<br />
Matt Davis<br />
Trudi Davis<br />
Robert Day<br />
Anthony Delaney<br />
John Dimitriadis<br />
Michael Dinh<br />
Steven Doherty<br />
Michael Donoghue<br />
Michael Downes<br />
Fiona Downes<br />
Robert Dowsett<br />
Anne Drinkwater<br />
Jonathan Dryburgh<br />
Martin Duffy<br />
Andrew Dwyer<br />
Donovan Dwyer<br />
Rick Easton<br />
Noel Eatough<br />
Keith Edwards<br />
Rob Edwards<br />
James Edwards<br />
Ed Egan<br />
Sharif Elgafi<br />
Rochelle Facer<br />
Ian Ferguson<br />
Sanj Fernando<br />
Kate Field<br />
Andrew Finckh<br />
Lee Fineberg<br />
Daniel Finucci<br />
Paul Fischer<br />
Toby Fogg<br />
Angeline Foo<br />
Carole Foot<br />
Richard Forbes<br />
Alan Forrester<br />
Michele Franks<br />
James Fratzia<br />
Gordian Fulde<br />
Ekram Gadallah<br />
Alan Garner<br />
Paul Gaudry<br />
Chris Gavaghan<br />
Chris Geraghty<br />
Shima Ghedia<br />
Johann Gildenhuys<br />
Alan Giles<br />
Mark Gillett<br />
David Gleadhill<br />
Martin Gleeson<br />
Michelle Golden<br />
Michael Golding<br />
Peter Grant<br />
Nicole Grant<br />
Tim Green<br />
Randall Greenberg<br />
Andrew Grouse<br />
Naren Gunja<br />
Karel Habig<br />
Andrew Haig<br />
Timothy Hall<br />
Charlotte Hall<br />
Roger Harris<br />
Jonathan Hayman<br />
Claire Helm<br />
Susan Hertzberg<br />
Michael Hession<br />
Rosslyn Hing<br />
Irene Ho<br />
Anna Holdgate<br />
Digby Hone<br />
Herbert Hooi<br />
Craig Hore<br />
Ruby Hsu<br />
Andrew Hugman<br />
Carolyn Hullick<br />
Philip Hungerford<br />
Sue Ieraci<br />
Geoff Isbister<br />
Shaila Islam<br />
Mana Ittimani<br />
Dushan Jayaweera<br />
Daya Jeganathan<br />
Christopher Jenkins<br />
Liz Jones<br />
Tony Joseph<br />
Ezila Kapilan<br />
Philippa Keir<br />
Sean Kelly<br />
John Kennedy<br />
Patricia Kijvanit<br />
David Kirkpatrick<br />
Ivana Kliman<br />
Zoe Knights<br />
Stephen Korbel<br />
Easwaran Krishnan<br />
Priya Kumar<br />
James Kwan<br />
Raymond Kwok<br />
Paul Labana<br />
Kevin Lai<br />
Gabriel Lau<br />
Charles Lawrie<br />
Marian Lee<br />
Mark Lee<br />
Richard Lennon<br />
Julie Leung<br />
Mee Luong Ling<br />
Rod Little<br />
Conrad Loten<br />
Tatiana Lowe<br />
Jeffrey Lui<br />
Ien Soun Ly<br />
Lewis Macken<br />
John Mackenzie<br />
Katie Maclean<br />
Matthew MacPartlin<br />
John Maguire<br />
David Mah<br />
Richard Mahoney<br />
Marta Malkiewicz<br />
James Mallows<br />
Vijay Manivel<br />
Gopi Mann<br />
Ronald Manning<br />
Alvaro Manovel<br />
Jennie Martin<br />
Kevin Maruno<br />
Peter May<br />
Maura McCambridge<br />
Kelly McCann<br />
Sally McCarthy<br />
Mary McCaskill<br />
Fergal McCourt<br />
Greg McDonald<br />
Joe McGirr<br />
Gayle McInerney<br />
Lorna McLeod<br />
Stephen Meaney<br />
David Melvin<br />
Frances Miao<br />
Rachel Michie<br />
Paul Middleton<br />
Geoffrey Mifsud<br />
Mark Miller<br />
Satish Mitter<br />
Amanda Moore<br />
Simone Moore<br />
John Morgan
Mary Morgan<br />
Enasio Morris<br />
David Murphy<br />
Lindsay Murray<br />
Andrew Na<br />
Javad Najafi<br />
Jannatun Nayim<br />
Mark Newcombe<br />
Peter Ngo<br />
Garry Nieuwkamp<br />
Virginia Noel<br />
Michael Novy<br />
Carissa Oh<br />
Fenton O’Leary<br />
Joanne Oo<br />
Martin Pallas<br />
Richard Paoloni<br />
James Parks<br />
Stephen Peak<br />
Guy Peden<br />
Dragan Petkovic<br />
Hanh Pham<br />
Tamara Pollock<br />
Hugo Poncia<br />
Kate Porges<br />
Paul Preisz<br />
John Raftos<br />
Sanjay Ramrakha<br />
Andy Ratchford<br />
Duncan Reed<br />
Clifford Reid<br />
Barry Rigby<br />
John Roberts<br />
Peter Roberts<br />
Malcolm Robertson<br />
Gregory Robinson<br />
Kent Robinson<br />
Simon Rodda<br />
Zoe Rodgers<br />
Geoffrey Rofe<br />
Eileen Rogan<br />
Sharon Roscoe<br />
Mark Ross<br />
Irene Rotenko<br />
Tim Royle<br />
Nick Ryan<br />
Trish Saccasan Whelan<br />
Iromi Samarasinghe<br />
John Sammut<br />
Sharon Saw<br />
Phanomkham Saysana<br />
Guyon Scott<br />
Ross Sheil<br />
Matthew Shepherd<br />
John Shirley<br />
Romesh Singam<br />
Peter Smith<br />
Brendon Smith<br />
Mechelle Smith<br />
Matthew Smith<br />
Paul Spillane<br />
Brett Squires<br />
Timothy Stanley<br />
Stuart Stapleton<br />
Andrew Stearman<br />
Marty Sterrett<br />
Elizabeth Swinburn<br />
Elzbieta Szynal-Mrowka<br />
Janet Talbot-Stern<br />
Miguel Taliana<br />
Gary Tall<br />
Clifford Tan<br />
Hwang Sin Tan<br />
Kevin Tang<br />
Alan Tankel<br />
Ben Taylor<br />
Deniz Tek<br />
Chris Trethewy<br />
Shane Trevithick<br />
Daniel Turner<br />
Alexander Tzannes<br />
Setthy Ung<br />
Danielle Unwin<br />
Kavita Varshney<br />
John Vassiliadis<br />
John Vinen<br />
Natalie Vu<br />
Matthew Vukasovic<br />
Steve Walker<br />
Gina Watkins<br />
Stuart Watkins<br />
Andrew Watson<br />
Bruce Way<br />
Jacqui Weeden<br />
Penelope Weir<br />
Pamela Woodruff<br />
Tony Woolford<br />
Michael Wu<br />
Tammy Wu<br />
Peter Wyllie<br />
Bill Wyndham<br />
Colin Xavier<br />
David York<br />
Michael Zhang<br />
Northern Territory<br />
(16)<br />
Sandra Brownlea<br />
Mark De Souza<br />
James Fordyce<br />
Stephen Gourley<br />
Paul Helliwell<br />
Malcolm Johnston-Leek<br />
Kerrie Jones<br />
Sander Manders<br />
Ian Norton<br />
Didier Palmer<br />
Nadi Pandithage<br />
William Sargent<br />
Hilary Tyler<br />
Merle Weber<br />
Jules Willcocks<br />
Michelle Withers<br />
New Zealand (151)<br />
Christopher Abbott<br />
Adrienne Adams<br />
Richard Aickin<br />
Kate Allan<br />
Michael Ardagh<br />
Kelly Austin<br />
Laura Bainbridge<br />
Mark Barlow<br />
Stuart Barrington-<br />
Onslow<br />
Emma Batistich<br />
Barbara Blok<br />
Scott Bomann<br />
Jan Bone<br />
Richard Bonham<br />
John Bonning<br />
Scott Boyes<br />
Sylvia Boys<br />
Paul Brydon<br />
Scott Cameron<br />
Roderick Campbell<br />
Sarah Carr<br />
Grant Cave<br />
John Chambers<br />
Iris Chan<br />
Giles Chanwai<br />
Matthew Clarke<br />
Garry Clearwater<br />
Caroline Collins<br />
Aileen Conboy<br />
Helen Cosgrove<br />
Louise Couch<br />
Sue Creighton<br />
Chris Cresswell<br />
Andre Cromhout<br />
Gina De Cleene<br />
Murray Delport<br />
Claire Dillon<br />
Owen Doran<br />
Clive Dreyer<br />
Nikica Drinkovic<br />
Jeremy Dryden<br />
Craig Ellis<br />
Robert Everitt<br />
Andrew Ewens<br />
Lou Finnel<br />
Dominic Fleischer<br />
Bernard Foley<br />
Bernard Fouke<br />
Peter Freeman<br />
Mark Friedericksen<br />
Mark Gardener<br />
Paul Gee<br />
Brett Gerrard<br />
Mark Gilbert<br />
Shane Greaves<br />
Chip Gresham III<br />
David Grundy<br />
Tod Gulick<br />
Kusay Haba<br />
Joseph Harris<br />
Martyn Harvey<br />
Amanda Holgate<br />
Carl Horsley<br />
Craig Hourigan<br />
Ryan Howard<br />
Mark Hussey<br />
Jacqui Irvine<br />
Chip Jaffurs<br />
Penny Jeffery<br />
Peter Jones<br />
Tim Kerruish<br />
Michael Killeen<br />
Hilmar Kjartansson<br />
Sharon Kletchko<br />
Tiffany Kuehl<br />
Bruce Lambie<br />
Willem Landman<br />
David Lang<br />
Ruth Large<br />
Christopher Lash<br />
Ywain Lawrey<br />
Richard Makower<br />
Ian Martin<br />
Donald McKee<br />
Adam McLeay<br />
MaryLeigh Moore<br />
Tom Morton<br />
Fen Moy<br />
Andrew Munro<br />
Anil Nair<br />
Jocelyn Neutze<br />
Mike Nicholls<br />
Tonia Nicholson<br />
Anna Nienaber<br />
Rob Ojala<br />
Sarah Olsen<br />
Scott Orman<br />
Paula O’Sullivan<br />
Tim Parke<br />
Gary Payinda<br />
David Peak<br />
Scott Pearson<br />
Bhavani Peddinti<br />
Angela Pitchford<br />
Terri Prest<br />
Karen Quay<br />
Paul Quigley<br />
Cecilia Rademeyer<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
35
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
36<br />
FELLOWS at 30 June <strong>2011</strong> (continued)<br />
Sandra Rattenbury<br />
Lucy Reed<br />
Duncan Reid<br />
Mark Rewi<br />
David Richards<br />
Michael Roberts<br />
Peter Rodwell<br />
Cameron Rosie<br />
Jill Rubython<br />
Shameem Safi h<br />
Derek Sage<br />
Jules Schofi eld<br />
Michael Scott<br />
Claire Shadwell<br />
Catherine Simpson<br />
Gautam Sinha<br />
Donna Steele<br />
Greg Stevens<br />
Anna Sullivan<br />
Andy Swain<br />
Eunicia Tan<br />
Claire Taylor<br />
Martin Than<br />
Lynn Theron<br />
Vanessa Thornton<br />
Maurice Toes<br />
Chris Underwood<br />
Vicki Vertongen<br />
Neil Waldman<br />
Muir Wallace<br />
Craig Wallace<br />
Benjamin Walters<br />
Daniel Watson<br />
Martin Watts<br />
Andrew Wilde<br />
Graham Williams<br />
Andrew D Williams<br />
Lynn Williams<br />
Dionne Williamson<br />
Tanya Wilton<br />
Kim Yates<br />
Phillip Young<br />
Natalia Zuleta<br />
Overseas (49)<br />
Matthew Anstey<br />
Rick Brennan<br />
Michael Brzozowski<br />
Jacqui Butler<br />
James Cameron<br />
Martin Carey<br />
Ivy Cheng<br />
Beth Christian<br />
Ronald Cook<br />
Fergal Cummins<br />
William Cupo<br />
Pete Davis<br />
Eoghan Ferrie<br />
Jason Fitch<br />
Ross Geddes<br />
Rahul Goswami<br />
David Graber<br />
Amanda Hall<br />
Miriam Harris<br />
Tim Harris<br />
Jeffrey Hartman<br />
Ian Higginson<br />
Andrew Hobart<br />
Sandy Inglis<br />
Jon Johnston<br />
Debra Kennedy<br />
Russ Kino<br />
Sampsa Kiuru<br />
Rachel Landau<br />
Michael Lattimore<br />
Nadine Levick<br />
Hamish Maclaren<br />
Ross McAlpine<br />
Man Ho Ng<br />
Mark Nicol<br />
Sinead O’Gorman<br />
Frank Parks<br />
Kelly Pettit<br />
David Poleski<br />
Martin Rochford<br />
Asim Shah<br />
Rosanne Skalicky<br />
Neil Slabbert<br />
James Stevenson<br />
Declan Stewart<br />
Sian-Ling Tan<br />
Jane Terris<br />
Katren Tyler<br />
Jonathan Wraight<br />
Queensland (250)<br />
Peter Aitken<br />
Michael Aitken<br />
Sylvia Andrew-Starkey<br />
Alasdair Arthur<br />
Richard Ashby<br />
Paul Bailey<br />
Kylie Baker<br />
Mark Baldwin<br />
Colin Banks<br />
Mary Basire<br />
Peter Bastable<br />
Tina Bazianas<br />
Bruce Beal<br />
Anthony Bell<br />
Christa Bell<br />
Daniel Bitmead<br />
Denise Blake<br />
Dan Bodnar<br />
Robert Bonnin<br />
Paul Bowe<br />
Alison Boyle<br />
Shahina Braganza<br />
Victoria Brazil<br />
Katina Breeze<br />
Stephen Brierley<br />
Charles Britton<br />
Tony Brown<br />
Richard Brown<br />
Simon Bugden<br />
John Burke<br />
Ellen Burkett<br />
Robert Butler<br />
Michael Cameron<br />
Donald Campbell<br />
Bruce Campbell<br />
Marianne Cannon<br />
Rob Cardwell<br />
Michaela Cartner<br />
Nicholas Childs<br />
Kevin Chu<br />
Ron Clark<br />
Sean Clark<br />
Benjamin Clarke<br />
Michael Cleary<br />
Ben Close<br />
James Collier<br />
Greg Comadira<br />
Sheree Conroy<br />
David Cooksley<br />
Sara Cooksley<br />
Bev Coyne<br />
Rosalind Crawford<br />
Deanne Crosbie<br />
Benjamin Croton<br />
Paul Cullen<br />
Louise Cullen<br />
Philip Cumpston<br />
Mark Dalton<br />
Shailesh Dass<br />
Michelle Davison<br />
Waruna de Alwis<br />
Jo Deverill<br />
Gavan Doig<br />
Grant Eddie<br />
Mark Elcock<br />
Greg Emerson<br />
Paul Ferguson<br />
Jonathan Field<br />
Allison Fifoot<br />
Emmeline Finn<br />
Gerry FitzGerald<br />
Hector Fuentes<br />
Kate Gallop<br />
Peter Garrett<br />
Audra Gedmintas<br />
Femke Geijsel<br />
Terence George<br />
Clinton Gibbs<br />
Riesa Ginsberg<br />
Steven Grant<br />
Neil Grant<br />
Tanya Gray<br />
David Green<br />
Digby Green<br />
Lambros Halkidis<br />
Mohannad Hamed<br />
Kim Hansen<br />
Dale Hanson<br />
Tim Harraway<br />
Tony Harrington<br />
Sass Hayes<br />
Wayne Hazell<br />
Peter Herron<br />
Brett Hoggard<br />
Anthony Holley<br />
John Holmes<br />
Jeffrey Hooper<br />
Kevin Humphrey<br />
Harvey Hunt<br />
Catherine Hurn<br />
Caroline Hwang<br />
James Innes<br />
Jonathon Isoardi<br />
Katherine Isoardi<br />
Graham Jay<br />
Simon Jensen<br />
Emmanuel Jeyarajah<br />
Rasiah Jeyarajan<br />
David Johns<br />
Christopher Johnstone<br />
Phillip Kay<br />
Gerben Keijzers<br />
Richard Kenworthy<br />
Sean Keogh<br />
Alex King<br />
Fran Kinnear<br />
Ian Knox<br />
Elizabeth Kyle<br />
Mark Laverty<br />
Sean Lawrence<br />
Michelle Lees<br />
David Lewis-Driver<br />
Darren Lien<br />
Kong Liew<br />
James Lind<br />
Kirsty Lindsay<br />
Mark Little<br />
Peter Logan<br />
Bevan Lowe<br />
William Lukin<br />
Ben Margetts<br />
Michaela Marginean<br />
Alex Markwell<br />
Leo Marneros<br />
Franco Martinese<br />
Graeme Maw<br />
Chris May<br />
Duncan McAuley<br />
Andy McClelland<br />
Nora McCullagh<br />
Melissa McGrath<br />
Larry McGuire<br />
Juliet McKenzie<br />
David McKinnon<br />
Kristi McLendon<br />
Charley McNabb<br />
Iain McNeill<br />
Peter McSweeney<br />
Mark Michalski<br />
Christian Michel<br />
Peter Miller<br />
Katie Mills<br />
Katherine Monypenny<br />
Douglas Morel<br />
Dean Morgan<br />
Harpreat Moudgil<br />
Elizabeth Mowatt<br />
Richard Mulcahy<br />
Roy Mulcahy<br />
Ellis Murdoch<br />
Duncan Murray<br />
Colin Myers<br />
Keith Nallaratnam<br />
Yogesh Nataly
Kim Nicholls<br />
Rhianne Nowell<br />
Leo Nunnink<br />
Kees Nydam<br />
Alan O’Connor<br />
Roger O’Gorman<br />
Carl O’Kane<br />
Anthony Padowitz<br />
Colin Page<br />
Zaahid Pandie<br />
Andrew Parkin<br />
Peter Pereira<br />
Edward Pink<br />
Robert Pitt<br />
David Poff<br />
Joanne Potts<br />
Darren Powrie<br />
Stephen Priestley<br />
Geoff Ramin<br />
Stephen Rashford<br />
James Reeves<br />
Fiona Reilly<br />
James Renton<br />
Karen Richards<br />
Philip Richardson<br />
Peter Rizzo<br />
Sonya Rose<br />
David Rosengren<br />
Sean Rothwell<br />
Melanie Rule<br />
Alison Ryan<br />
Glenn Ryan<br />
Jan Sadewasser<br />
Bob Scott<br />
Mark Scott<br />
Raj Sehdev<br />
Vijey Selvarajah<br />
Kate Sharpe<br />
Andrew Shield<br />
Sue Shiels<br />
Chanelle Simpson<br />
Michael Sinnott<br />
Bob Slawinski<br />
Niall Small<br />
Sharyn Smith<br />
Annabel Somerville<br />
David Spain<br />
Andrew Staib<br />
Lauren Stephenson<br />
Noel Stevenson<br />
Richard Stone<br />
John Sutherland<br />
David Symmons<br />
Simon Taylor<br />
Simon Tebbutt<br />
Adrian Ternouth<br />
Ogilvie Thom<br />
Jamie Thomas<br />
Peter Thompson<br />
Fiona Thomson<br />
Neale Thornton<br />
James Tilleard<br />
Joseph Ting<br />
Ric Todhunter<br />
Thomas Torpie<br />
Greg Treston<br />
Charles Tweed<br />
Yusuke Ueno-Dewhirst<br />
Eric Van Puymbroeck<br />
Matthew Verdolini<br />
Melanie Voigt<br />
Andrew Walker<br />
Stephen Walker<br />
Mark Walker<br />
Christine Waller<br />
Carrie Wang<br />
David Ward<br />
Laura Wee<br />
Yolande Weiner<br />
Daragh Weldon<br />
Luke Wheatley<br />
Richard Whitaker<br />
Julian Williams<br />
Adam Wilson<br />
Stuart Young<br />
Khalid Yousif<br />
South Australia<br />
(71)<br />
Samuel Alfred<br />
Louise Allonby-Neve<br />
Christopher Angley<br />
Philip Aplin<br />
Chris Baggoley<br />
Catriona Balfour<br />
Ulrike Basch<br />
Alan Broomhead<br />
Julie Bunney<br />
Maureen Busutil<br />
Diane Campbell<br />
Simon Chu<br />
Herman Chua<br />
Jane Cocks<br />
Judy Cornish<br />
Michael Davey<br />
Andrew Doley<br />
Bob Dunn<br />
Tony Eliseo<br />
Daniel Ellis<br />
Lisa Farmer<br />
Patrick Feeny<br />
Alistair Fergusson<br />
Andrew Giles<br />
Lee Hammerstein<br />
Jim Holland<br />
Matthew Hooper<br />
Geoffrey Hughes<br />
Chanh Huynh<br />
Truc Huynh<br />
Sue Johanson<br />
Alison Kent<br />
Diane King<br />
Jarrod Koh<br />
Sam Lam<br />
Kenneth Lee<br />
Joon Chong Lee<br />
Tom Lee<br />
Belinda Leigh<br />
Derek Louey<br />
Jake Mallon<br />
Timothy Mann<br />
Stefan Mazur<br />
Hendrika Meyer<br />
Keiko Morioka<br />
Alistair Murray<br />
Melissa Nelligan<br />
Tobias Otto<br />
Mohines Pala<br />
Sharad Pandit<br />
Cathrin Parsch<br />
Andrew Pearce<br />
David Pope<br />
Jane Rowland<br />
Jennifer Rush<br />
Brett Sampson<br />
Julianne Schliebs<br />
Sharon Semmler<br />
Frances Settle<br />
James Smyth<br />
Thomas Soulsby<br />
Richard Strickland<br />
Peter Stuart<br />
David Teubner<br />
Jack Wearne<br />
Mark Webb<br />
Conrad Williams<br />
Ryan Windish<br />
Matthew Wright<br />
Alex Wurm<br />
Luke Yip<br />
Tasmania (29)<br />
Konrad Blackman<br />
David Brook<br />
Terry Brown<br />
Andrew Climie<br />
Helen Cooley<br />
Geoff Couser<br />
Brian Doyle<br />
Rod Franks<br />
Corinne Ginifer<br />
Julia Haire<br />
Emma Huckerby<br />
Andrew Hughes<br />
Michael King<br />
Jorian Kippax<br />
Tony Lawler<br />
Esther Lok<br />
Thomas McDonagh<br />
Eve Merfi eld<br />
Paul Pielage<br />
Dean Powell<br />
David Rigg<br />
Michael Rose<br />
Marielle Ruigrok<br />
David Smart<br />
Brady Tassicker<br />
Alicia Tucker<br />
Richard Vane-Tempest<br />
Bryan Walpole<br />
Nick Watkins<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
37
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
38<br />
FELLOWS at 30 June <strong>2011</strong> (continued)<br />
Victoria (333)<br />
Nicholas Adams<br />
Meredith Adie<br />
Hussein Alabodi<br />
Yaman Al-Azzawi<br />
David Alexander<br />
Hani Aljamal<br />
Varna Amarasinghe<br />
Angelo Annunziata<br />
Peter Archer<br />
Sean Arendse<br />
Ali Asadpour<br />
Amer Ashour<br />
Michael Augello<br />
Gary Ayton<br />
Diana Badcock<br />
Peter Bailey<br />
Timothy Baker<br />
Peter Barnett<br />
Bruce Bartley<br />
Nigel Beck<br />
Danny Ben-Eli<br />
Michael Ben-Meir<br />
Jack Bergman<br />
Stephen Bernard<br />
Deborah Bernstein<br />
Michelle Bertolucci<br />
Paul Biegler<br />
Gabriel Blecher<br />
Andrew Blunt<br />
Simon Bolch<br />
Antony Bottrall<br />
David Bradt<br />
George Braitberg<br />
Lindsay Bridgford<br />
Kate Bristow<br />
Jennifer Brookes<br />
Joanne Brown<br />
Sheila Bryan<br />
Michael Bryant<br />
Mary Buchanan<br />
Andy Buck<br />
Dinh Bui<br />
Paul Buntine<br />
Peter Burke<br />
Nathan Bushby<br />
Adam Bystrzycki<br />
Peter Cameron<br />
Gary Campain<br />
Belinda Carne<br />
Andrew Casamento<br />
Kirsten Cassidy<br />
Craig Castle<br />
Thomas Chan<br />
Barry Chan<br />
Tony Chan<br />
Andrew Chan<br />
Pauline Chapman<br />
Peter Cheng<br />
Antony Chenhall<br />
Ifeanyi Chiezey<br />
Herman Chiu<br />
Wei Ch’ng<br />
Min-Hin Chong<br />
Linda Chow<br />
Tsung Hsin Chung<br />
Carlos Cobelas<br />
John Coleridge<br />
Michael Coman<br />
Carolyn Cooper<br />
Rachael Coutts<br />
Simon Craig<br />
Anne Creaton<br />
Andrew Crellin<br />
Carmel Crock<br />
Daniel Crompton<br />
Heather Crook<br />
Anthony Cross<br />
Peter Crossley<br />
Jaycen Cruickshank<br />
Neil Cunningham<br />
Nicola Cunningham<br />
Joanne Dalgleish<br />
Anna Davis<br />
Andrew Dean<br />
Adrienne Deans<br />
Conor Deasy<br />
Mark Dent<br />
Stuart Dilley<br />
John Ding<br />
Warwick Dobson<br />
George Douros<br />
Jonathan Dowling<br />
Dino Druda<br />
Paul Duggan<br />
Martin Dutch<br />
Andrew Dyall<br />
Linas Dziukas<br />
David Eddey<br />
Diana Egerton-<br />
Warburton<br />
Robin Endersbee<br />
Joseph Epstein<br />
Julia Fisher<br />
Mark Fitzgerald<br />
Diane Flood<br />
Colleen Fluharty<br />
Christina Fong<br />
Peter Fritz<br />
Phyllis Fu<br />
Jeremy Furyk<br />
Bruce Garbutt<br />
Pascal Gelperowicz<br />
Michael Geluk<br />
Con Georgakas<br />
Angaj Ghosh<br />
Dimitrios Giannios<br />
Robert Gocentas<br />
Leong Goh<br />
Neil Goldie<br />
Jim Goutzamanis<br />
Andis Graudins<br />
Tim Gray<br />
Shaun Greene<br />
Joanne Grindlay<br />
Abey Gunaratne<br />
Barry Gunn<br />
Robyn Gunn<br />
Susan Hahnemann<br />
Darsim Haji<br />
Kavi Haji<br />
Jason Harney<br />
Julia Harrison<br />
Glenn Harrison<br />
Richard Harrod<br />
Mark Hartnell<br />
Semsudin Hasanovic<br />
James Hayes<br />
James Hendrie<br />
Jackie Herington<br />
Ruth Hew<br />
Helen Hewitt<br />
Kenny Hii<br />
Tom Hoey<br />
Kent Hoi<br />
Hans Hollerer<br />
Natalie Hood<br />
Nalini Hooper<br />
Sandy Hopper<br />
Dane Horsfall<br />
Madeleine Howard<br />
Kelley Hubble<br />
Jennie Hutton<br />
Christine Jackman<br />
David Jawary<br />
George Jelinek<br />
Keith Joe<br />
Tara Johansson<br />
John Johnston<br />
Peter Jordan<br />
Simon Judkins<br />
Mohan Kamalanathan<br />
Tony Kambourakis<br />
Harry Karipis<br />
Jonathan Karro<br />
Peter Kas<br />
Anne-Maree Kelly<br />
Marcus Kennedy<br />
Elissa Kennedy-Smith<br />
Fergus Kerr<br />
Ameera Khan<br />
Evangelos Klonis<br />
Jonathan Knott<br />
Nick Kokotsis<br />
Martin Koolstra<br />
Anna Korin<br />
Zeff Koutsogiannis<br />
David Krelle<br />
Matthew Labattaglia<br />
Ian Lamb<br />
Helen Laurence<br />
Debbie Leach<br />
Victor Lee<br />
Lucia Le-Kim<br />
Martin Lew<br />
Don Liew<br />
David Lightfoot<br />
Kim Lim<br />
Cynthia Lim<br />
Kenneth Lim<br />
Wendy Lim<br />
Mandy Lishman<br />
Anita Liu<br />
John Loy<br />
Benjamin Lui<br />
Jane Lukins<br />
Andrew Maclean<br />
Matthew Maiden<br />
Amit Maini<br />
Jacqueline Maplesden<br />
Luigi Marino<br />
Francine Marshall<br />
Rebecca Marson<br />
Jakub Matera<br />
Mark Matthiesson<br />
Melanie McCann<br />
Daniel McGannon<br />
Ben McKenzie<br />
Robert Meek<br />
Greg Mele<br />
Shyaman Menon<br />
Wolfgang Merl<br />
Alastair Meyer<br />
Robert Millar<br />
Sue Mitchell<br />
Biswadev Mitra<br />
Christopher Mobbs<br />
Michelle Mok<br />
Alfredo Mori<br />
Venita Munir<br />
Gregory Nathan<br />
Sandra Neate<br />
Jason Nebbs<br />
Julia Ng<br />
Khiem Ngo<br />
Fiona Nicholson<br />
Bill Nimorakiotakis<br />
Tony Nocera<br />
Stephen Nutter<br />
Edward Oakley<br />
Adam O’Brien<br />
Kenneth Ooi<br />
Shu-Haur Ooi<br />
Gerard O’Reilly<br />
Laven Padayachee<br />
Christopher Paes<br />
Sylvia Palanca<br />
Peter Papadopoulos<br />
Jonathan Papson<br />
Helen Parker<br />
Robyn Parker<br />
Meera Parkhe<br />
Stephen Parnis<br />
John Pasco<br />
Alex Paspaliaris<br />
Rajesh Patel<br />
Maureen Patumau-Koo<br />
Ileana Petre<br />
Michelle Philander<br />
Georgina Phillips<br />
Wilson Phiri
Fabrice Pierre<br />
Steven Pincus<br />
Robert Poulton<br />
Louis Pouw<br />
Kirsty Povey<br />
Helen Psihogios<br />
Mark Putland<br />
Treena Quarin<br />
Michael Ragg<br />
Fatima Rahman<br />
Umadevan Rajasagaram<br />
Mani Rajee<br />
Thomas Razga<br />
Tom Rade<br />
Nickie Reid<br />
Joanna Richardson<br />
Sarah Rickman<br />
Peter Ritchie<br />
Penelope Roberts<br />
Aaron Robinson<br />
Pamela Rosengarten<br />
Andrew Rosengarten<br />
Rachel Rosler<br />
Mark Rugless<br />
Matt Ryan<br />
Manoj Samuel<br />
Guy Sansom<br />
Mark Santamaria<br />
Anastasia Sfakiotaki<br />
Nicholas Simpson<br />
De Villiers Smit<br />
Mark Smith<br />
Simon Smith<br />
Jack Spencer<br />
Julian Stella<br />
Helen Stergiou<br />
Jeremy Stevens<br />
Ronald Sultana<br />
Ian Summers<br />
Ananth Sundaralingam<br />
Alex Swain<br />
Gim Tan<br />
Andrew Tay<br />
James Taylor<br />
David Taylor<br />
Michael Taylor<br />
Graeme Thomson<br />
Gino Toncich<br />
Anh Tran<br />
Steven Troupakis<br />
Melinda Truesdale<br />
Spiro Tsipouras<br />
Susan Tucker<br />
Igor Tulchinsky<br />
Lisa Vallender<br />
Michelle Van Den<br />
Driesen<br />
Denise Van Vugt<br />
Andre Vanzyl<br />
Mark Wadsworth<br />
Andrew Walby<br />
Katie Walker<br />
Richard Waller<br />
Liam Walsh<br />
Matthew Walsh<br />
Nicola Walsham<br />
Sarah Ward<br />
Jayantha Weeraratne<br />
Johannes Wenzel<br />
Adam West<br />
Emma West<br />
Melissa White<br />
Allan Whitehead<br />
Sarah Whitelaw<br />
Ann Whitfi eld<br />
Amanda Wilkin<br />
Pip Wills<br />
Craig Winter<br />
Peter Wirth<br />
Peter Wright<br />
Michael Yeoh<br />
Bernard Yeoh<br />
Simon Young<br />
Allen Yuen<br />
Salomon Zalstein<br />
Western Australia<br />
(140)<br />
Peter Allely<br />
Ashok Arasu<br />
Glenn Arendts<br />
Jason Armstrong<br />
Paul Bailey<br />
Neil Banham<br />
Simone Bartlett<br />
Meredith Borland<br />
Simon Brown<br />
Cameron Burrows<br />
Mike Cadogan<br />
Ngaire Caruso<br />
Tony Celenza<br />
Phillip Chapman<br />
Robert Chircop<br />
Andrew Christophers<br />
Colin Clarke<br />
Jim Cooper<br />
Adam Coulson<br />
David Cruse<br />
Chris Curry<br />
Frank Daly<br />
Michael Davey<br />
Ian Dey<br />
Steve Dunjey<br />
Rodney Ellis<br />
Tor Ercleve<br />
Ian Everitt<br />
Daniel Fatovich<br />
James Flynn<br />
Nick Forgione<br />
Alan Gault<br />
Ian Gawthrope<br />
Gary Geelhoed<br />
Michele Genevieve<br />
Wouter Gerryts<br />
Paddy Golden<br />
Monica Gope<br />
Adrian Goudie<br />
Stephen Grainger<br />
Norman Gray<br />
Suzanne Gray<br />
Robert Graydon<br />
Joann Gren<br />
Leanne Hartnett<br />
Stephen Hartwig<br />
Geoff Hawking<br />
Richard Hay<br />
Niall Henry<br />
Garth Herrington<br />
Thomas Hitchcock<br />
Jack Hodge<br />
Sarah Hodson<br />
Kerry Hoggett<br />
Marten Howes<br />
Richard Jackman<br />
Trevor Jackson<br />
Andrew Jan<br />
Werner Janse van<br />
Rensburg<br />
Michelle Johnston<br />
Ilan Josephs<br />
Cem Kibar<br />
Dieter Kohrs<br />
Christopher Kruk<br />
Peter Leman<br />
John Lewis<br />
Nicole Liesis<br />
Godfrey Lo<br />
Francis Loutsky<br />
Michael Lovegrove<br />
Orla Lyons<br />
Stephen Macdonald<br />
Eleanor Marillier<br />
Paul Mark<br />
Anthony Mattick<br />
David McCoubrie<br />
Helen Mead<br />
Jenny Medcalf<br />
Mark Monaghan<br />
David Morgan<br />
David Mountain<br />
David Moxon<br />
Kim Mullaley<br />
Kim Munckton<br />
Yusuf Nagree<br />
Yuresh Naidoo<br />
Conrad Ng<br />
Daniel Ng<br />
Debra O’Brien<br />
Colin Parker<br />
Ovidiu Pascu<br />
Hiten Patel<br />
Elizabeth Paterson<br />
Harry Patterson<br />
Bronwyn Peirce<br />
Peter Pridmore<br />
Nantha Ramachandran<br />
Stephan Remke<br />
Sandra Rennie<br />
Michael Richardson<br />
James Rippey<br />
Ian Rogers<br />
Mark Salib<br />
Jason Scop<br />
Prathibha Shenoy<br />
Vera Sistenich<br />
Kirsty Skinner<br />
Jessamine Soderstrom<br />
Peter Sprivulis<br />
Amanda Stafford<br />
Arthur Stephenson<br />
Matthew Summerscales<br />
Greg Sweetman<br />
Roger Swift<br />
Ryan Tan<br />
Conway Tang<br />
John Thompson<br />
John van der Post<br />
Jennifer Vance<br />
Anna Varone<br />
Lynda Vine<br />
Heidi Wade<br />
Vida Wardhana<br />
Andrew Waring<br />
Helga Weaving<br />
Chung Wei Wee<br />
Kate Wheadon<br />
James Wheeler<br />
Garry Wilkes<br />
Robyn Wilkinson<br />
Aled Williams<br />
Geoffrey Williamson<br />
Glenda Wilson<br />
Carolyn Wilson<br />
James Winton<br />
Simon Wood<br />
Michael Woosey<br />
Hakan Yaman<br />
Lai Kin Yaw<br />
Justin Yeung<br />
Honorary Fellows<br />
David Suresh<br />
Jenny Freeman<br />
Glenn Hamilton<br />
Peter London<br />
David Wilson<br />
Gordon Wong<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
39
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
40<br />
ADMINISTRATION<br />
Offi ce of the CEO<br />
Alana Killen Chief Executive Offi cer<br />
Jane Macaulay Executive Assistant<br />
Bec McPhee Administration Offi cer<br />
Education<br />
Mary Lawson Director of Education<br />
Claire Byrne Education Project Manager<br />
Claire Spooner Curriculum Project Offi cer<br />
Dee Reynolds Manager Continuing Professional Development<br />
(CPD)<br />
Katharine Ebbs Manager, E-Learning<br />
Louise Feeney Project Offi cer, E-Learning<br />
Virginia Cunsolo Manager Training and Assessment<br />
Rachel Brooks Committee Administrator<br />
Pam Jadeja Administration Offi cer, Provisional Training & Trainee<br />
Research 4.10<br />
Hydie Pallier Administration Offi cer, Primary Exam<br />
Sarah McArthur Administration Offi cer, Registrations, Trainee<br />
Committee & DEMT Course<br />
Claire Ridgway Assessment Offi cer<br />
Suzi Taleska Administration Offi cer, Advanced Training<br />
Policy & Research<br />
Andrew Gosbell Director Policy and Research<br />
Liv Cameron Manager Policy, Quality and Regulations<br />
Zoë Cocks Committee Administrator<br />
Corinne Millane Overseas Credentials Offi cer<br />
Marie Mucha Administration Offi cer, Accreditation Committee<br />
Sarah Smith Administration Offi cer, Accreditation<br />
Operations<br />
Peter Bain Director of Operations<br />
Amanda Strates Manager Finance<br />
Johanna Owen Finance Offi cer<br />
Nat Tunbridge Communications Offi cer<br />
Tammy McEvoy HR Administrator<br />
Leonie Tatt Offi ce Administrator<br />
Val Josifovska Receptionist<br />
National Projects<br />
Sam Denny National Program Director<br />
Helen Kaminski Administration Offi cer Projects<br />
International Federation<br />
for Emergency Medicine<br />
Carol Reardon Executive Offi cer<br />
New Zealand Faculty<br />
Denise Tringham Administration Offi cer<br />
College Contact Details<br />
34 Jeffcott Street<br />
West Melbourne Vic 3003<br />
Australia<br />
Telephone: (03) 9320 0444<br />
Fax: (03) 9320 0400<br />
Telephone International: +61 3 9320 0444<br />
Fax International: +61 3 9320 0400<br />
Email: admin@acem.org.au<br />
Website: www.acem.org.au
Financial<br />
<strong>Report</strong><br />
for the year ended<br />
30 June <strong>2011</strong><br />
ABN 76 009 090 715<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
41
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
COUNCILLORS’<br />
REPORT<br />
42 The Members of Council present their report together Principal Activities<br />
with the accounts of The Australasian College for<br />
Emergency Medicine for the year ended 30 June <strong>2011</strong><br />
and the Auditor’s <strong>Report</strong> thereon.<br />
The Members of Council in offi ce at any time during<br />
or since the end of the year are:<br />
President<br />
Dr Sally McCarthy, MBBS, F<strong>ACEM</strong>, MBA<br />
Vice President<br />
Dr Charles (Peter) Freeman, BChB, FRCS, FFAEM, F<strong>ACEM</strong><br />
Honorary Secretary<br />
Dr Anthony Cross, MBBS, DRANZCOG, F<strong>ACEM</strong>, FCICM<br />
Honorary Treasurer<br />
Dr Andrew Maclean, MBBS, F<strong>ACEM</strong><br />
Censor-In-Chief<br />
Dr Yuresh Naidoo, MBChB (appointed 17 December 2010)<br />
Dr Debra O’Brien, MBBS, F<strong>ACEM</strong>, MPH<br />
(resigned 11 April <strong>2011</strong>)<br />
Deputy Censor-In-Chief<br />
Dr Ruth Li-Shan Hew, MBBS, BA, F<strong>ACEM</strong><br />
(appointed 11 March <strong>2011</strong>)<br />
Councillors<br />
Dr John Bonning, BHB, MBChB, F<strong>ACEM</strong><br />
Dr Judy Cornish, BMBS, F<strong>ACEM</strong><br />
Dr Diana Egerton-Warburton, MBBS, F<strong>ACEM</strong>, M.Clin.Epidem<br />
Dr Anthony Lawler, MBBS, F<strong>ACEM</strong><br />
Dr Christopher May, MBBS, FRACGP, F<strong>ACEM</strong><br />
Dr David Mountain, MBBS, F<strong>ACEM</strong><br />
Dr Yusufali Nagree, MBBS, F<strong>ACEM</strong>, Grad.Dip.CompSci, MBA<br />
Dr Didier Palmer, MB.BCh, MRCGP, MRCP, FRCS, FCEM, F<strong>ACEM</strong><br />
Dr Kate Porges, MBBS, F<strong>ACEM</strong><br />
Dr Andrew Singer, MBBS, F<strong>ACEM</strong><br />
Dr Niall Small, MBChB, MRCGP, F<strong>ACEM</strong><br />
Dr Alan Tankel, B.Sc, MBChB, F<strong>ACEM</strong><br />
The principal activity of the College is to promote and<br />
advance the study of the principles and practice of<br />
emergency medicine. There was no signifi cant change<br />
in the nature of the College’s activity during the year.<br />
Review and Result of Operations<br />
The net surplus of the College for this year was<br />
$1,929,668 (2010 – $1,597,851). The overall increase in<br />
the net surplus is 20.8%. (2010 – increase of 67.0%).<br />
The operating income has increased by 12.9% (2010 –<br />
9.8%). The non-operating income has increased by 57.2%<br />
($152,512) largely due to the increase in interest revenue.<br />
Expenditure has increased by 12.7%, including defi cits on<br />
sale of investments of $58,226 (2010 – $110,394).<br />
The fi nancial year results have been prepared on<br />
an accrual accounting basis and are therefore fully<br />
comparable.<br />
The College’s Net Assets were $14,681,607 as at<br />
30 June <strong>2011</strong> (2010 – $12,555,826).<br />
Dividend<br />
The College’s Memorandum of Association prohibits the<br />
payment of a dividend.<br />
Likely Developments<br />
The College will continue to pursue its aim of promotion<br />
and advancement of the study of the principles and<br />
practice of emergency medicine.<br />
Signifi cant Changes in the State of Affairs<br />
During the fi nancial year, the College entered into an<br />
agreement with the Federal Department of Health and<br />
Ageing entitled More Doctors for Emergency Departments<br />
<strong>2011</strong>-2013 (DOHA Project). This agreement will increase<br />
the College’s turnover by a total of approximately<br />
$44,520,000 million over the next three years to be<br />
expended in accordance with a structured payment<br />
schedule.<br />
No other signifi cant changes in the College’s state of<br />
affairs occurred during the fi nancial year.<br />
Events Subsequent to Balance Date<br />
No matters or circumstances have arisen since the end of<br />
the fi nancial year and the date of this report, which have<br />
signifi cantly affected or are likely, in the opinion of the<br />
Councillors, to signifi cantly affect:<br />
(i) the operations of the College;<br />
(ii) the results of those operations; or<br />
(iii) the state of affairs of the College in subsequent<br />
fi nancial years.
Environmental Regulation and Performance<br />
The College is not subject to any particular or signifi cant<br />
environmental regulation.<br />
Indemnifi cation and Insurance of Councillors<br />
The College holds appropriate insurance for the<br />
Councillors’ liabilities.<br />
Councillor’s Benefi ts<br />
No Councillor, since the end of the previous fi nancial<br />
period, has received or has become entitled to receive<br />
a benefi t by reason of a contract made by the College<br />
or a related corporation with a member of the Council<br />
or with a fi rm of which a Councillor is a member or<br />
with a company in which a Councillor has a substantial<br />
fi nancial interest.<br />
Court Proceedings<br />
No person has applied for leave of the Court to bring<br />
proceedings on behalf of the College or intervene in<br />
any proceedings to which the College is a party for the<br />
purpose of taking responsibility on behalf of the College<br />
for all or any part of those proceedings. The College was<br />
not a party to any such proceedings during the year.<br />
Auditor’s Independence Declaration<br />
A copy of the auditor’s independence declaration as<br />
required under section 307C of the Corporations Act 2001<br />
is set out on page 44.<br />
Signed in accordance with a resolution of the Members<br />
of Council.<br />
Dr Sally McCarthy Dr Andrew Maclean<br />
President Honorary Treasurer<br />
Dated at Melbourne this 3rd day of October <strong>2011</strong>.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
43
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
AUDITOR’S<br />
DECLARATION<br />
44 Auditor’s Independence Declaration<br />
under Section 307c of the Corporations<br />
Act 2001 to the Councillors<br />
of The Australasian College<br />
for Emergency Medicine<br />
I declare that, to the best of my knowledge and belief, during<br />
the year ended 30 June <strong>2011</strong> there have been:<br />
(i) no contraventions of the auditor independence requirements<br />
as set out in the Corporations Act 2001<br />
in relation to the audit; and<br />
(ii) no contraventions of any applicable code of professional<br />
conduct in relation to the audit.<br />
Name of Firm: CARTHILLS<br />
Chartered Accountants<br />
Name of Partner: Frank Hills<br />
Address: 2072 Logan Road, Brisbane<br />
Dated this 3rd day of October <strong>2011</strong>.
STATEMENT OF COMPREHENSIVE<br />
INCOME for the year ended 30 June <strong>2011</strong><br />
REVENUE 2 5,619,654 4,871,050<br />
Note<br />
<strong>2011</strong><br />
$<br />
2010<br />
$<br />
5,619,654 4,871,050<br />
Employee benefi ts expenses (1,362,336) (1,090,690)<br />
Committee meeting costs (638,060) (490,781)<br />
Exam expenses (529,019) (480,875)<br />
Administration expense (320,985) (495,081)<br />
Depreciation and amortisation 4 (286,656) (250,292)<br />
Audit, legal and consultancy expense (185,200) (214,919)<br />
DOHA Project expense (145,569) -<br />
Occupancy costs (58,292) (46,398)<br />
Defi cit on disposal of investments 4 (58,226) (110,394)<br />
Other expenses (105,643) (93,769)<br />
Surplus for the year 4 1,929,668 1,597,851<br />
OTHER COMPREHENSIVE INCOME:<br />
Net surplus on revaluation of fi nancial assets 196,113 277,039<br />
Other comprehensive income for the year 196,113 277,039<br />
TOTAL COMPREHENSIVE INCOME FOR THE YEAR 2,125,781 1,874,890<br />
The accompanying notes form part of these fi nancial statements.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
45
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
46<br />
STATEMENT OF FINANCIAL<br />
POSITION as at 30 June <strong>2011</strong><br />
ASSETS<br />
CURRENT ASSETS<br />
Cash and cash equivalents 5 8,936,074 3,110,719<br />
Trade and other receivables 6 1,321,960 1,150,821<br />
Other current assets 7 290,261 50,096<br />
TOTAL CURRENT ASSETS 10,548,295 4,311,636<br />
NON-CURRENT ASSETS<br />
Trade and other receivables 6 2,000 2,000<br />
Financial assets 8 7,535,420 5,474,954<br />
Property, plant and equipment 9 5,203,157 5,078,992<br />
Intangible assets 10 59,853 92,138<br />
TOTAL NON-CURRENT ASSETS 12,800,430 10,648,084<br />
TOTAL ASSETS 23,348,725 14,959,720<br />
LIABILITIES<br />
CURRENT LIABILITIES<br />
Trade and other payables 11 8,511,590 2,287,025<br />
Short-term provisions 12 72,473 49,480<br />
TOTAL CURRENT LIABILITIES 8,584,063 2,336,505<br />
NON-CURRENT LIABILITIES<br />
Long-term provisions 12 83,055 67,389<br />
TOTAL NON-CURRENT LIABILITIES 83,055 67,389<br />
TOTAL LIABILITIES 8,667,118 2,403,894<br />
NET ASSETS 14,681,607 12,555,826<br />
ACCUMULATED FUNDS<br />
Reserves 16 (396,482) (592,595)<br />
Retained surpluses 13 15,078,089 13,148,421<br />
TOTAL ACCUMULATED FUNDS 14,681,607 12,555,826<br />
The accompanying notes form part of these fi nancial statements.<br />
Note<br />
<strong>2011</strong><br />
$<br />
2010<br />
$
STATEMENT OF CHANGES<br />
IN ACCUMULATED FUNDS<br />
for the year ended 30 June <strong>2011</strong><br />
STATEMENT OF CASH FLOWS<br />
for the year ended 30 June <strong>2011</strong><br />
Note<br />
Retained<br />
Surpluses<br />
$<br />
Financial<br />
Assets Reserve<br />
$<br />
Balance at 1 July 2009 11,550,570 (869,634) 10,680,936<br />
Surplus for the year ended 30 June 2010 1,597,851 - 1,597,851<br />
Total other comprehensive income for the year - 277,039 277,039<br />
Balance at 30 June 2010 13,148,421 (592,595) 12,555,826<br />
Surplus for the year ended 30 June <strong>2011</strong> 1,929,668 - 1,929,668<br />
Total other comprehensive income for the year - 196,113 196,113<br />
BALANCE AT 30 JUNE <strong>2011</strong> 15,078,089 (396,482) 14,681,607<br />
For a description of reserves, refer Note 16.<br />
CASH FLOWS FROM OPERATING ACTIVITIES<br />
Receipts from fellows and trainees 5,255,938 4,302,564<br />
Receipts from DOHA Project funding 6,081,580 -<br />
Receipts from investments 113,625 133,926<br />
Payments to suppliers and employees (3,439,584) (3,102,569)<br />
Interest received 286,750 119,779<br />
Cash fl ow from conferences (165,270) 88,521<br />
Cash fl ow from Journal of Emergency Medicine Australasia (5,122) (6,683)<br />
Net cash provided by operating activities 14 8,127,917 1,535,537<br />
CASH FLOWS FROM INVESTING ACTIVITIES<br />
Purchase of property (131,797) (52,034)<br />
Purchase of plant and equipment (204,794) (122,696)<br />
Sale of plant and equipment 2,677 -<br />
Purchase of available-for-sale investments (682,000) (473,153)<br />
Sale of available-for-sale investments 257,853 162,190<br />
Purchase of other unlisted investments (3,754,960) (2,254,959)<br />
Sale of other unlisted investments 2,254,949 -<br />
Purchase of website improvements (44,490) (49,079)<br />
Net cash used in investing activities (2,302,562) (2,789,731)<br />
Net increase/(decrease) in cash and cash equivalents held 5,825,355 387,568<br />
Cash and cash equivalents at beginning of year 3,110,719 4,364,913<br />
Cash at cash equivalents end of year 5 8,936,074 3,110,719<br />
The accompanying notes form part of these fi nancial statements.<br />
Note<br />
<strong>2011</strong><br />
$<br />
Total<br />
$<br />
The accompanying notes form part of these fi nancial statements.<br />
2010<br />
$<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
47
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
48<br />
NOTES TO THE FINANCIAL<br />
STATEMENTS for the year ended 30 June <strong>2011</strong><br />
1. Statement of Signifi cant<br />
Accounting Policies<br />
The fi nancial statements are for The Australasian College for<br />
Emergency Medicine as an individual entity. The Australasian<br />
College for Emergency Medicine is limited by guarantee,<br />
incorporated and domiciled in Australia.<br />
Basis of Preparation<br />
The fi nancial statements are general purpose fi nancial<br />
statements that have been prepared in accordance with<br />
Australian Accounting Standards (including Australian Accounting<br />
Interpretations) and the Corporations Act 2001.<br />
Australian Accounting Standards set out accounting policies that<br />
the AASB has concluded would result in the fi nancial statements<br />
containing relevant and reliable information about transactions,<br />
events and conditions. Material accounting policies adopted<br />
in the preparation of these fi nancial statements are<br />
presented below. They have been consistently applied<br />
unless otherwise stated.<br />
The fi nancial statements have been prepared on an accruals basis<br />
and are based on historical costs modifi ed, where applicable,<br />
by the measurement at fair value of selected non-current assets,<br />
fi nancial assets and fi nancial liabilities.<br />
Accounting Policies<br />
Income Tax<br />
The Australian Taxation Offi ce has advised that income of the<br />
College is exempt from the payment of income tax under<br />
Section 50-5 of the Income Tax Assessment Act 1997, as<br />
amended.<br />
Property, Plant and Equipment<br />
Each class of property, plant and equipment is carried at cost or<br />
fair values as indicated, less, where applicable, any accumulated<br />
depreciation and impairment losses.<br />
Property<br />
Freehold land and buildings are not revalued to an amount above<br />
their recoverable amount, and where carrying values exceed this<br />
recoverable amount assets are written down.<br />
Increases in the carrying amount arising on revaluation of land<br />
and buildings are recognised in other comprehensive income<br />
and accumulated in the revaluation surplus in accumulated funds.<br />
Revaluation decreases that offset previous increases of the<br />
same class of assets shall be recognised in other comprehensive<br />
income under the heading of revaluation surplus. All other<br />
decreases are charged to the statement of comprehensive<br />
income.<br />
Plant and equipment<br />
Plant and equipment are measured on the cost basis less<br />
depreciation and impairment losses.<br />
The carrying amount of plant and equipment is reviewed annually<br />
by Councillors to ensure it is not in excess of the recoverable<br />
amount from these assets. The recoverable amount is assessed<br />
on the basis of the expected net cash fl ows that will be received<br />
from the assets’ employment and subsequent disposal.<br />
The expected net cash fl ows have been discounted to their<br />
present values in determining recoverable amounts.<br />
The cost of fi xed assets constructed within the College includes<br />
the cost of materials, direct labour, borrowing costs and an<br />
appropriate proportion of fi xed and variable overheads.<br />
Subsequent costs are included in the asset’s carrying amount<br />
or recognised as a separate asset, as appropriate, only when it<br />
is probable that future economic benefi ts associated with the<br />
item will fl ow to the College and the cost of the item can be<br />
measured reliably. All other repairs and maintenance are charged<br />
to the statement of comprehensive income during the fi nancial<br />
period in which they are incurred.<br />
Depreciation<br />
The depreciable amount of all fi xed assets including buildings,<br />
but excluding freehold land, is depreciated on a straight line<br />
or diminishing value basis over their useful life to the College<br />
commencing from the time the asset is held ready for use.<br />
The depreciation rates used for each class of<br />
depreciable assets are:<br />
Class of Fixed Asset Depreciation Rate<br />
Buildings (College Headquarters) 2.5%<br />
Plant & Equipment 5 - 30%<br />
Library 15%<br />
Computer Equipment 20 - 50%<br />
Anatomy Models 10 - 21.42%<br />
The assets’ residual values and useful lives are reviewed, and<br />
adjusted if appropriate, at the end of each reporting period.<br />
An asset’s carrying amount is written down immediately to its<br />
recoverable amount if the asset’s carrying amount is greater than<br />
its estimated recoverable amount.<br />
Gains and losses on disposals are determined by comparing<br />
proceeds with the carrying amount. These gains or losses are<br />
included in the statement of comprehensive income. When<br />
revalued assets are sold, amounts included in the revaluation<br />
reserve relating to that asset are transferred to retained surpluses.<br />
Financial Instruments<br />
Initial recognition and measurement<br />
Financial assets and fi nancial liabilities are recognised when the<br />
College becomes a party to the contractual provisions to the<br />
instrument. For fi nancial assets, this is equivalent to the date<br />
the College commits itself to either purchase or sell the asset.<br />
Financial instruments are initially measured at fair value plus<br />
transaction costs except where the instrument is classifi ed ‘at fair<br />
value through surplus or defi cit’ in which case the transaction<br />
costs are expensed to surplus or defi cit immediately.<br />
Classifi cation and subsequent measurement<br />
Financial instruments are subsequently measured at either fair<br />
value, amortised cost using the effective interest rate method<br />
or cost. Fair value represents the amount for which an asset<br />
could be exchanged or a liability settled, between knowledgeable,<br />
willing parties. Where available, quoted prices in an active market<br />
are used to determine fair value.<br />
(i) Financial assets at fair value through surplus and defi cit<br />
A fi nancial asset is classifi ed in this category if acquired<br />
principally for the purpose of selling in the short term or if<br />
so designated by management and within the requirements<br />
of AASB 139: Financial Instruments: Recognition and<br />
Measurement. Derivatives are also categorised as held for<br />
trading unless they are designated as hedges. Such assets are<br />
subsequently measured at fair value with changes in carrying<br />
value being included in surplus or defi cit.
(ii) Loans and receivables<br />
Loans and receivables are non-derivative fi nancial assets with<br />
fi xed or determinable payments that are not quoted in an<br />
active market and are subsequently measured at amortised<br />
cost using the effective interest rate method.<br />
(iii) Held-to-maturity investments<br />
These investments have fi xed maturities, and it is the<br />
College’s intention to hold these investments to maturity.<br />
Any held-to-maturity investments held by the College are<br />
stated at amortised cost using the effective interest rate<br />
method.<br />
(iv) Available-for-sale fi nancial assets<br />
Available-for-sale fi nancial assets are non-derivative fi nancial<br />
assets not included in the above categories. Available-for-sale<br />
fi nancial assets are refl ected at fair value.<br />
(v) Financial liabilities<br />
Non-derivative fi nancial liabilities are subsequently measured<br />
at amortised cost.<br />
Fair Value<br />
Fair value is determined based on current bid prices for all<br />
quoted investments. Valuation techniques are applied<br />
to determine fair value for all unlisted securities.<br />
Impairment of Assets<br />
At the end of each reporting period, the College reviews the<br />
carrying values of its tangible and intangible assets to determine<br />
whether there is any indication that those assets have been<br />
impaired. If such an indication exists, the recoverable amount of<br />
the asset, being the higher of the asset’s fair value less costs to<br />
sell and value in use, is compared to the asset’s carrying value.<br />
Any excess of the asset’s carrying value over its recoverable<br />
amount is expensed to the statement of comprehensive income.<br />
Impairment testing is performed annually for goodwill and<br />
intangible assets with indefi nite lives.<br />
Where it is not possible to estimate the recoverable amount of<br />
an individual asset, the College estimates the recoverable amount<br />
of the cash-generating unit to which the asset belongs.<br />
Where an impairment loss on a revalued asset is identifi ed, this<br />
is debited against the revaluation surplus in respect of the same<br />
class of asset to the extent that the impairment loss does not<br />
exceed the amount in the revaluation surplus for that same class<br />
of asset.<br />
Intangibles<br />
Web-site costs are initially recognised on the cost basis. After<br />
initial recognition, web-site costs are carried at their cost, less<br />
any accumulated amortisation over their estimated useful life or<br />
fi ve years, and any accumulated impairment losses.<br />
Employee Benefi ts<br />
Provision is made for the College’s liability for employee benefi ts<br />
arising from services rendered by employees to the end of the<br />
reporting period. Employee benefi ts that are expected to be<br />
settled within one year have been measured at the amounts<br />
expected to be paid when the liability is settled, plus related<br />
on-costs. Employee benefi ts payable later than one year have<br />
been measured at the present value of the estimated future cash<br />
outfl ows to be made for those benefi ts.<br />
Contributions are made to employee superannuation funds<br />
and are charged as expenses when incurred. All employees are<br />
entitled to varying levels of benefi ts on retirement, disability<br />
or death. The superannuation plans or equivalent provide<br />
accumulated benefi ts. Contributions are made in accordance<br />
with the statutory requirements of each jurisdiction.<br />
Provisions<br />
Provisions are recognised when the College has a legal or<br />
constructive obligation, as a result of past events, for which it is<br />
probable that an outfl ow of economic benefi ts will result and<br />
that outfl ow can be reliably measured. Provisions recognised<br />
represent the best estimate of the amounts required to settle<br />
the obligation at reporting date.<br />
Cash and Cash Equivalents<br />
Cash and cash equivalents include cash on hand, deposits held atcall<br />
with banks, other short-term highly liquid investments with<br />
original maturities of six months or less, and bank overdrafts.<br />
Bank overdrafts are shown within short-term borrowings in<br />
current liabilities on the statement of fi nancial position.<br />
Revenue<br />
Revenue from the sale of goods is recognised when the goods<br />
are delivered to customers.<br />
Interest revenue is recognised on a proportional basis taking into<br />
account the interest rates applicable to the fi nancial assets.<br />
Subscriptions and Exam Fees<br />
Subscriptions and Exam Fees have been included on an accruals<br />
basis which is consistent with the accounting policy adopted in<br />
the previous year. The revenue is recognised when the service<br />
has been provided.<br />
Grant revenue from the DOHA Project “More Doctors for<br />
Emergency Departments <strong>2011</strong>-2013”, which commenced in June<br />
<strong>2011</strong>, is recognised in the statement of comprehensive income<br />
on a systematic basis over the periods in which the College<br />
recognises as expenses the related costs for which the grant is<br />
intended to compensate. All other grant revenue is recognised in<br />
the statement of fi nancial position as a liability until the service<br />
has been delivered to the contributor, at which time the net<br />
surplus/(defi cit) on the project is recognised in the statement of<br />
comprehensive income.<br />
Revenue from the providing of all other services is recognised<br />
when the service is provided.<br />
Borrowing Costs<br />
Borrowing costs directly attributable to the acquisition,<br />
construction or production of assets necessarily take a<br />
substantial period of time to prepare for their intended use or<br />
sale, are added to the cost of those assets, until such time as the<br />
assets are substantially ready for their intended use of sale.<br />
All other borrowing costs are recognised in income in the period<br />
in which they are incurred.<br />
Goods and Services Tax (GST)<br />
Revenues, expenses and assets are recognised net of the amount<br />
of GST, except where the amount of GST incurred is not<br />
recoverable from the Tax Offi ce. In these circumstances, the GST<br />
is recognised as part of the cost of acquisition of an asset or as<br />
part of an item of the expense. Receivables and payables in the<br />
balance sheet are shown inclusive of GST.<br />
Cash fl ows are presented in the statement of cash fl ows on<br />
a gross basis, except for the GST component of investing and<br />
fi nancing activities, which are disclosed as operating cash fl ows.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
49
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
50<br />
NOTES TO THE FINANCIAL<br />
STATEMENTS for the year ended 30 June <strong>2011</strong><br />
Comparative Figures<br />
When required by Accounting Standards, comparative fi gures<br />
have been adjusted to conform to changes in presentation for<br />
the current fi nancial year.<br />
Trade and Other Payables<br />
Trade and other payables represent the liability outstanding at<br />
the end of the reporting period for goods and services rendered<br />
by the company during the reporting period which remain<br />
unpaid. The balance is recognised as a current liability with<br />
the amounts normally paid within 30 days of recognition of<br />
the liability.<br />
Critical Accounting Estimates and Judgements<br />
The Councillors evaluate estimates and judgements incorporated<br />
into the fi nancial statements based on historical knowledge and<br />
best available current information. Estimates assume a reasonable<br />
expectation of future events and are based on current trends and<br />
economic data, obtained both externally and within the College.<br />
New Accounting Standards for Application in<br />
Future Periods<br />
The AASB has issued new and amended Accounting Standards<br />
and Interpretations that have mandatory application dates for<br />
future reporting periods and which the College has decided not<br />
to early adopt, including:<br />
♦ AASB 9: Financial Instruments (December 2010).<br />
♦ AASB 1053: Application of Tiers of Australian Accounting<br />
Standards and AASB 2010-2: Amendments to Australian<br />
Accounting Standards arising from Reduced Disclosure<br />
Requirements.<br />
♦ AASB 2009-12: Amendments to Australian Accounting<br />
Standards.<br />
♦ AASB 2010-4: Further Amendments to Australian Accounting<br />
Standards arising from the <strong>Annual</strong> Improvements Project.<br />
♦ AASB 2010-5: Amendments to Australian Accounting<br />
Standards.<br />
♦ AASB 2010-7: Amendments to Australian Accounting<br />
Standards arising from AASB 9 (December 2010).<br />
2. Revenue<br />
Operating revenue<br />
<strong>2011</strong><br />
$<br />
2010<br />
$<br />
Fellows annual and entrance fees 1,352,963 1,304,172<br />
Reimbursement of secretarial<br />
services<br />
255,476 281,579<br />
Exam fees received 1,501,704 1,393,939<br />
Trainee annual and entrance fees 1,654,056 1,435,294<br />
Sundry subscriptions and fees 81,789 52,287<br />
Continuing professional<br />
development levy (non-fellows)<br />
57,127 27,403<br />
DOHA Project income 145,569<br />
Project grant surplus 104,545 -<br />
Conference surplus 47,112 109,138<br />
Sales - 559<br />
Surplus on sale of non-current<br />
assets<br />
122 -<br />
Total operating revenue 5,200,463 4,604,371<br />
Other revenue<br />
Investment revenue 113,625 133,926<br />
Interest revenue 305,566 132,753<br />
Total other revenue 419,191 266,679<br />
Total revenue 5,619,654 4,871,050<br />
Investment revenue from:<br />
♦ Investment trusts distributions<br />
received<br />
113,625 133,926<br />
Total investment revenue 113,625 133,926<br />
Interest revenue from:<br />
♦ Other entities 305,566 132,753<br />
Total interest revenue 305,566 132,753<br />
3. Auditor’s Remuneration<br />
Remuneration of the auditor for:<br />
♦ Auditing or reviewing the<br />
fi nancial report<br />
13,000 11,500<br />
♦ Accounting and taxation services 20,500 14,400<br />
33,500 25,900
4. Surplus<br />
Expenditure<br />
<strong>2011</strong><br />
$<br />
2010<br />
$<br />
Amortisation of website costs 76,775 95,141<br />
Depreciation of property, plant and<br />
equipment<br />
209,881 155,151<br />
286,656 250,292<br />
Bad debts 12,062 -<br />
Doubtful debts expense 1,260 6,870<br />
Net defi cit on disposal of investments:<br />
Proceeds on disposal 257,853 162,190<br />
Disposal at cost (316,079) (272,584)<br />
Net defi cit on disposals<br />
for the year ended 30 June <strong>2011</strong><br />
5. Cash<br />
Current<br />
(58,226) (110,394)<br />
Cash on hand – petty cash 300 271<br />
Cash at bank – petty cash 963 7,589<br />
Cash at bank – cheque account 433,838 580,313<br />
Cash management call account 6,525 6,559<br />
Cash deposit account - 2,000,000<br />
Online saver account 8,294,445 -<br />
ASGARD eWrap cash account 100,003 415,987<br />
ASGARD term deposit 100,000 100,000<br />
8,936,074 3,110,719<br />
Included in cash and cash equivalents as at 30 June <strong>2011</strong> is<br />
$5,383,140 representing unspent DOHA Project funding<br />
grant income (Refer Note 11).<br />
Reconciliation of cash<br />
Cash at the end of the fi nancial year as shown in the<br />
statement of cash fl ows is reconciled to the related items in<br />
the statement of fi nancial position as follows:<br />
Cash on hand – petty cash 300 271<br />
Cash at bank – petty cash 963 7,589<br />
Cash at bank – cheque account 433,838 580,313<br />
Cash management call account 6,525 6,559<br />
Cash deposit account - 2,000,000<br />
Online saver account 8,294,445 -<br />
ASGARD eWrap cash account 100,003 415,987<br />
ASGARD term deposit 100,000 100,000<br />
8,936,974 3,110,719<br />
<strong>2011</strong><br />
$<br />
6. Trade and Other Receivables<br />
2010<br />
$<br />
Current<br />
Debtors 1,197,103 1,127,990<br />
Less: Provision for doubtful debts (8,130) (13,014)<br />
1,188,973 1,114,976<br />
Emergency Medicine Conference<br />
deposits<br />
132,987 35,845<br />
Non-Current<br />
1,321,960 1,150,821<br />
Cabcharge Bond 2,000 2,000<br />
Total trade and other receivables 1,323,960 1,152,821<br />
The College does not have any material credit risk exposure<br />
to any single or group of receivables.<br />
7. Other Current Assets<br />
Current<br />
Accrued income 147,030 12,974<br />
Prepayments 143,231 37,122<br />
8. Financial Assets<br />
Non-Current<br />
Available-for-sale fi nancial assets<br />
Managed funds:<br />
♦ ASGARD Investments, at ‘fair<br />
value’<br />
Other unlisted investments, at<br />
cost:<br />
290,261 50,096<br />
3,739,643 3,177,609<br />
♦ Term Deposits 3,754,960 2,254,959<br />
♦ John Gilroy Potts - Memorial<br />
Deposit<br />
40,817 42,386<br />
7,535,420 5,474,954<br />
The ‘cost’ base of the ASGARD Investments as at 30 June<br />
<strong>2011</strong> was $4,136,125; the fair value at 30 September <strong>2011</strong><br />
being $3,344,169, which would see the Accumulated Funds<br />
‘Reserves’ account defi cit balance increasing to $791,956 as<br />
at 30 September <strong>2011</strong> representing a decline in the value of<br />
investments held subsequent to year end.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
51
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
52<br />
NOTES TO THE FINANCIAL<br />
STATEMENTS for the year ended 30 June <strong>2011</strong><br />
<strong>2011</strong><br />
$<br />
9. Property, Plant and Equipment<br />
Land and Buildings<br />
2010<br />
$<br />
At cost 5,124,040 4,992,243<br />
Less accumulated depreciation (384,589) (301,348)<br />
Total land and buildings 4,739,451 4,690,895<br />
Plant and equipment:<br />
♦ At cost 540,957 517,424<br />
♦ Less accumulated depreciation (297,101) (265,737)<br />
Total plant and equipment 243,856 251,687<br />
Computer equipment:<br />
♦ At cost 435,223 257,761<br />
♦ Less accumulated depreciation (238,410) (146,992)<br />
Total computer equipment 196,813 110,769<br />
Anatomy models:<br />
♦ At cost 48,931 48,931<br />
♦ Less accumulated depreciation (25,894) (23,290)<br />
Total anatomy models 23,037 25,641<br />
Total plant and equipment 463,706 388,097<br />
Total property,<br />
plant and equipment<br />
Movements in Carrying Amounts<br />
5,203,157 5,078,992<br />
Movement in the carrying amounts for each class of property, plant and equipment<br />
between the beginning and end of the current fi nancial year.<br />
Land &<br />
Buildings<br />
$<br />
Plant &<br />
equipment<br />
$<br />
Computer<br />
equipment<br />
$<br />
Anatomy<br />
models<br />
$<br />
Balance at 1 July 2009 4,718,648 278,085 34,233 28,547 5,059,513<br />
Additions 52,034 14,081 108,615 - 174,730<br />
Disposals - - (100) - (100)<br />
Depreciation expense (79,787) (40,479) (31,979) (2,906) (155,151)<br />
Balance at 30 June 2010 4,690,895 251,687 110,769 25,641 5,078,992<br />
Additions 131,797 26,300 178,494 - 336,591<br />
Disposals - (1,636) (909) - (2,545)<br />
Depreciation expense (83,241) (32,495) (91,541) (2,604) (209,881)<br />
Balance at 30 June <strong>2011</strong> 4,739,451 243,856 196,813 23,037 5,203,157<br />
Total<br />
$
10. Intangible Assets<br />
Website costs:<br />
<strong>2011</strong><br />
$<br />
2010<br />
$<br />
♦ At cost 359,514 315,023<br />
♦ Less accumulated amortisation (299,661) (222,885)<br />
Reconciliation of website costs<br />
♦ Balance at the beginning<br />
of the year<br />
59,853 92,138<br />
92,138 138,200<br />
♦ Additions 44,490 49,079<br />
♦ Amortisation (76,775) (95,141)<br />
Carrying amount<br />
at the end of the year<br />
11. Trade and Other Payables<br />
Current<br />
59,853 92,138<br />
Subscriptions and levies in advance 1,988,493 1,832,706<br />
Trade creditors 215,869 172,788<br />
Accrued expenses 149,482 78,018<br />
Net GST payable 661,209 102,063<br />
Unexpired portion of grants:<br />
DOHA Project 5,383,140 -<br />
SSRS Start Up Grant 39,587 39,587<br />
Ultrasound Conference 37,244 -<br />
Educational Development Project 36,566 -<br />
Ministerial Taskforce - 49,743<br />
Improving Discharge Process<br />
(Admire Project)<br />
- 12,120<br />
8,511,590 2,287,025<br />
12. Provisions<br />
Employee Benefi ts<br />
<strong>2011</strong><br />
$<br />
2010<br />
$<br />
Opening balance at 1 July 2010 116,869 94,728<br />
Additional provisions raised during<br />
the year<br />
153,503 81,251<br />
Amounts used (114,844) (59,110)<br />
Closing balance at 30 June <strong>2011</strong> 155,528 116,869<br />
Analysis of Total Provisions<br />
Current<br />
<strong>Annual</strong> leave 72,473 49,480<br />
Non-Current<br />
72,473 49,480<br />
<strong>Annual</strong> leave 6,285 7,387<br />
Long service leave 76,770 60,002<br />
83,055 67,389<br />
Total provisions 155,528 116,869<br />
A provision has been recognised for employee benefi ts<br />
relating to long service leave for employees. In calculating the<br />
present value of future cash fl ows of long service leave, the<br />
probability of long service leave taken is based on historical<br />
data. The measurement and recognition criteria for employee<br />
benefi ts has been included in Note 1.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
53
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
54<br />
NOTES TO THE FINANCIAL<br />
STATEMENTS for the year ended 30 June <strong>2011</strong><br />
13. Retained Surpluses<br />
<strong>2011</strong><br />
$<br />
2010<br />
$<br />
Retained surpluses at the beginning<br />
of the fi nancial year<br />
13,148,421 11,550,570<br />
Net surplus 1,929,668 1,597,851<br />
Retained surpluses<br />
at the end of the fi nancial year<br />
15,078,089 13,148,421<br />
14. Cash Flow Information<br />
Reconciliation of net cash<br />
provided by operating activities to<br />
surplus<br />
Surplus 1,929,668 1,597,851<br />
Non-cash fl ows in surplus:<br />
Surplus on sale of non-current<br />
assets<br />
(122) -<br />
Defi cit on disposal of non-current<br />
assets<br />
58,226 110,493<br />
Amortisation 76,775 95,141<br />
Depreciation 209,881 155,151<br />
Changes in assets and liabilities:<br />
(Increase) / Decrease in trade and<br />
other receivables<br />
(Increase) / Decrease in other<br />
current assets<br />
Increase / (Decrease) in<br />
subscriptions and levies in<br />
advance<br />
(171,139) (252,560)<br />
(240,165) (17,335)<br />
155,787 (225,514)<br />
(Increase) / Decrease in Memorial<br />
deposit<br />
1,569 784<br />
Increase / (Decrease) in creditors,<br />
accruals and GST<br />
673,691 (358)<br />
Increase / (Decrease) in unexpired<br />
grants<br />
5,395,087 49,743<br />
Increase / (Decrease) in provisions 38,659 22,141<br />
Net Cash provided by operating<br />
activities<br />
8,127,917 1,535,537<br />
15. Financial Risk Management<br />
Financial Risk Management<br />
The College’s fi nancial instruments consist primarily of deposits<br />
with banks, local money market instruments, short-term and<br />
long-term investments, accounts receivable and accounts payable.<br />
The main purpose of non-derivative fi nancial instruments is to<br />
raise fi nance for College operations.<br />
The company does not have any derivative instruments<br />
at 30 June <strong>2011</strong>.<br />
1. Financial Risks<br />
The main risks the College is exposed to through its fi nancial<br />
instruments are liquidity risk, credit risk and market risk<br />
relating to interest rate and price risk.<br />
Foreign Currency Risk<br />
The College is not exposed to fl uctuations in foreign<br />
currencies.<br />
Liquidity Risk<br />
Liquidity risk arises from the possibility that the College<br />
might encounter diffi culties in settling its debts or otherwise<br />
meeting its obligations in relation to fi nancial liabilities. The<br />
College manages liquidity risk by monitoring forecast cash<br />
fl ows.<br />
Credit Risk<br />
Exposure to credit risk relating to fi nancial assets arises<br />
from the potential non-performance by counterparties of<br />
contract obligations that could lead to a fi nancial defi cit for<br />
the College. The College does not have any material credit<br />
risk exposure to any single receivable or group of receivables<br />
under fi nancial instruments entered into by the College.<br />
Price Risk<br />
Price risk relates to the risk that fair value or future cash<br />
fl ows of a fi nancial instrument will fl uctuate because of<br />
changes in market prices of securities held. The College is<br />
exposed to securities price risk on available-for-sale fi nancial<br />
assets. Such risk is managed through diversifi cation of<br />
investments across managed funds.<br />
2. Interest Rate Risk<br />
The College’s exposure to interest rate risk, which is the risk<br />
that a fi nancial instrument’s value will fl uctuate as a result of<br />
changes in market interest rates and the effective weighted<br />
average interest rates on those fi nancial assets and fi nancial<br />
liabilities, is as follows:
15. Financial Risk Management (Continued)<br />
<strong>2011</strong><br />
Financial Assets<br />
Weighted<br />
Average<br />
Effective<br />
Interest<br />
Rate<br />
%<br />
Floating<br />
Interest<br />
Rate<br />
$<br />
Fixed Interest Rate<br />
Maturing<br />
Within 1<br />
year<br />
$<br />
1 to 5<br />
years<br />
$<br />
Non-<br />
Interest<br />
Bearing<br />
$<br />
Total<br />
Carrying<br />
Amounts<br />
$<br />
Net Fair<br />
Values<br />
$<br />
Cash and cash equivalents 4.5 8,815,523 100,000 - 20,551 8,936,074 8,936,074<br />
Trade and other receivables - - - - 1,323,960 1,323,960 1,323,960<br />
Investments 6.0 40,817 3,754,960 - 3,739,643 7,535,420 7,535,420<br />
Financial Liabilities<br />
8,856,340 3,854,960 - 5,084,154 17,795,454 17,795,454<br />
Trade and other payables - - - - 8,511,590 8,511,590 8,511,590<br />
2010<br />
Financial Assets<br />
Weighted<br />
Average<br />
Effective<br />
Interest<br />
Rate<br />
%<br />
Floating<br />
Interest<br />
Rate<br />
$<br />
- - - 8,511,590 8,511,590 8,511,590<br />
Fixed Interest Rate<br />
Maturing<br />
Within 1<br />
year<br />
$<br />
1 to 5<br />
years<br />
$<br />
Non-<br />
Interest<br />
Bearing<br />
$<br />
Total<br />
Carrying<br />
Amounts<br />
$<br />
Net Fair<br />
Values<br />
$<br />
Cash and cash equivalents 3.5 2,979,754 100,000 - 30,965 3,110,719 3,110,719<br />
Trade and other receivables - - - - 1,152,821 1,152,821 1,152,821<br />
Investments 5.9 42,386 2,254,959 - 3,177,609 5,474,954 5,474,954<br />
Financial Liabilities<br />
3,022,140 2,354,959 - 4,361,395 9,738,494 9,738,494<br />
Trade and other payables - - - - 2,287,025 2,287,025 2,287,025<br />
3. Sensitivity Analysis<br />
The following illustrates sensitivities to the College’s<br />
exposures to changes in interest rate and prices.<br />
The amounts indicate the impact on how surplus and<br />
accumulated funds reported at the end of the reporting<br />
period would have been affected by changes to the relevant<br />
risk variable that management considers to be reasonably<br />
possible. These sensitivities assume that the movement in a<br />
particular variable is independent of other variables.<br />
Year ended 30 June <strong>2011</strong><br />
Surplus<br />
$<br />
Accumulated<br />
Funds $<br />
♦ +/- 2% in interest rates +/- 126,357 +/- 126,357<br />
♦ +/- 10% in listed<br />
investments<br />
Year ended 30 June 2010<br />
+/- 11,363 +/- 373,964<br />
♦ +/- 2% in interest rates +/- 60,442 +/- 60,442<br />
♦ +/- 10% in listed<br />
investments<br />
+/- 13,393 +/- 317,760<br />
- - - 2,287,025 2,287,025 2,287,025<br />
4. Net Fair Values<br />
The fair values of fi nancial assets and fi nancial liabilities are<br />
presented in the above interest rate risk tables and can be<br />
compared to their carrying values as presented therein as<br />
per the statement of fi nancial position. Fair values are those<br />
amounts for which an asset could be exchanged, or a liability<br />
settled, between knowledgeable, willing parties in an arm’s<br />
length transaction.<br />
The net fair values of listed investments have been valued<br />
at the quoted market bid price at balance date and adjusted<br />
for transaction costs expected to be incurred. For other<br />
assets and other liabilities, the net fair value approximates<br />
their carrying value. No fi nancial assets and fi nancial liabilities<br />
are readily traded on organised markets in standardised<br />
form other than listed investments. Financial assets where<br />
the carrying amount exceeds net fair values have not been<br />
written down as the College intends to hold these assets<br />
to maturity.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
55
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
56<br />
NOTES TO THE FINANCIAL<br />
STATEMENTS for the year ended 30 June <strong>2011</strong><br />
16. Reserves<br />
The fi nancial assets reserve records revaluation increments<br />
and decrements (that do not represent impairment write-downs)<br />
that relate to fi nancial assets that are classifi ed as<br />
available-for-sale.<br />
17. College Details<br />
The registered offi ce and principal place of business of the<br />
College is:<br />
The Australasian College for Emergency Medicine<br />
34 Jeffcott Street<br />
WEST MELBOURNE VIC 3003<br />
18. Segment <strong>Report</strong>ing<br />
The College operates predominantly in one industry -<br />
emergency medicine study and practice - and in both Australia<br />
and New Zealand.<br />
19. Commitments<br />
During the fi nancial year, the College entered into an agreement<br />
with the Federal Department of Health and Ageing entitled<br />
“More Doctors for Emergency Departments <strong>2011</strong>-2013”.<br />
The agreement allows for funding of up to $48,972,000<br />
(GST Inclusive), to be paid in seven instalments over the period<br />
ending 31 December 2013, to be utilised by the College in<br />
accordance with an agreed upon structured payment scheme.<br />
The College entered into an agreement with the Australian<br />
Institute for Clinical Education in November 2010 for the<br />
provision of on-line e-learning contract services. The contract<br />
provides for the payment of royalty fees by the College; the<br />
rates of which are to be negotiated in good faith in November<br />
2012 with respect to ongoing fees payable. Given the uncertainty<br />
of candidate participation and inability to provide a practical<br />
estimate, no provision is made in the fi nancial statements as at<br />
30 June <strong>2011</strong> for such future royalty payments.<br />
20. Fellow’s Guarantee<br />
The College is incorporated under the Corporations Act 2001 and<br />
is an entity limited by guarantee. If the College is wound up, the<br />
constitution states that each fellow is required to contribute a<br />
maximum of $10 each towards meeting any outstandings and<br />
obligations of the College.
COUNCILLORS’<br />
DECLARATION<br />
In the opinion of the Members of the Council of<br />
The Australasian College for Emergency Medicine:<br />
1. The fi nancial statements and notes of the College,<br />
as set out on pages 45 to 56, are in accordance with<br />
the Corporations Act 2001, including:<br />
(a) giving a true and fair view of the College’s fi nancial<br />
position as at 30 June <strong>2011</strong> and of the College’s<br />
performance for the year ended on that date; and<br />
(b) complying with Australian Accounting Standards<br />
and Corporations Regulations 2001.<br />
2. At the date of this statement there are reasonable<br />
grounds to believe that the College will be able to pay<br />
its debts as, and when they fall due.<br />
3. The College’s accounts have been properly prepared<br />
by a competent person and, in respect of the year<br />
ended 30 June <strong>2011</strong>, the College has:<br />
(a) kept such accounting records as correctly record<br />
and explain the transactions and fi nancial position<br />
of the College;<br />
(b) kept its accounting records in such manner as<br />
would enable true and fair accounts of the College<br />
to be prepared from time to time; and<br />
(c) kept its accounting records in such a manner as<br />
would enable the accounts of the College to be<br />
conveniently and properly audited in accordance<br />
with the Corporations Law.<br />
Signed in accordance with a resolution of the Members of<br />
the Council.<br />
Dr Sally McCarthy Dr Andrew Maclean<br />
President Honorary Treasurer<br />
Dated at Melbourne this 3rd day of October <strong>2011</strong>.<br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
57
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
INDEPENDENT<br />
AUDITOR’S REPORT<br />
To the Fellows of The Australasian<br />
College for Emergency Medicine<br />
58 Independence<br />
<strong>Report</strong> on the Financial <strong>Report</strong><br />
We have audited the accompanying fi nancial report<br />
of The Australasian College for Emergency Medicine,<br />
which comprises the statement of fi nancial position as at<br />
30 June <strong>2011</strong>, the statement of comprehensive income,<br />
statement of changes in accumulated funds and statement<br />
of cash fl ows for the year then ended, notes comprising<br />
a summary of signifi cant accounting policies and other<br />
explanatory information, and the Councillors’ declaration.<br />
Councillors’ Responsibility for the<br />
Financial <strong>Report</strong><br />
The Councillors of the College are responsible for the<br />
preparation of the fi nancial report that gives a true<br />
and fair view in accordance with Australian Accounting<br />
Standards (including the Australian Accounting<br />
Interpretations) and the Corporations Act 2001 and for such<br />
internal control as the Councillors determine is necessary<br />
to enable the preparation of the fi nancial report that is<br />
free from material misstatement, whether due to fraud<br />
or error.<br />
Auditors’ Responsibility<br />
Our responsibility is to express an opinion on the fi nancial<br />
report based on our audit. We conducted our audit in<br />
accordance with Australian Auditing Standards. Those<br />
Auditing Standards require that we comply with relevant<br />
ethical requirements relating to audit engagements and<br />
plan and perform the audit to obtain reasonable assurance<br />
whether the fi nancial report is free from material<br />
misstatement.<br />
An audit involves performing procedures to obtain<br />
audit evidence about the amounts and disclosures in the<br />
fi nancial report. The procedures selected depend on the<br />
auditor’s judgment, including the assessment of the risks<br />
of material misstatement of the fi nancial report, whether<br />
due to fraud or error. In making those risk assessments,<br />
the auditor considers internal control relevant to the<br />
entity’s preparation of the fi nancial report that gives a true<br />
and fair view in order to design audit procedures that are<br />
appropriate in the circumstances, but not for the purpose<br />
of expressing an opinion on the effectiveness of the<br />
entity’s internal control. An audit also includes evaluating<br />
the appropriateness of accounting policies used and the<br />
reasonableness of accounting estimates made by the<br />
Councillors, as well as evaluating the overall presentation<br />
of the fi nancial report.<br />
We believe that the audit evidence we have obtained<br />
is suffi cient and appropriate to provide a basis for our<br />
audit opinion.<br />
In conducting our audit, we have complied with the<br />
independence requirements of the Corporations Act 2001.<br />
We confi rm that the independence declaration required<br />
by the Corporations Act 2001, which has been given to the<br />
Councillors of The Australasian College for Emergency<br />
Medicine, would be in the same terms if provided to the<br />
Councillors as at the date of this auditor’s report.<br />
Auditor’s Opinion<br />
In our opinion, the fi nancial report of The Australasian<br />
College for Emergency Medicine is in accordance with the<br />
Corporations Act 2001, including:<br />
(i) giving a true and fair view of the College’s fi nancial<br />
position as at 30 June <strong>2011</strong> and of its performance for<br />
the year ended on that date; and<br />
(ii) complying with Australian Accounting Standards and<br />
the Corporations Regulations 2001.<br />
Name of Firm: CARTHILLS<br />
Chartered Accountants<br />
Name of Partner: Frank Hills<br />
Address: Brisbane<br />
Dated this 3rd day of October <strong>2011</strong>.
ACCOUNTANTS’<br />
REPORT<br />
To the Fellows of The Australasian<br />
College for Emergency Medicine<br />
On the basis of information provided by the College,<br />
we have compiled in accordance with APS 9 “Statement<br />
on Compilation of Financial <strong>Report</strong>s” the additional<br />
following fi nancial statement of the client for the year<br />
ended 30 June <strong>2011</strong>.<br />
The extent to which Accounting Standards and UIG<br />
Consensus Views have or have not been adopted in<br />
the preparation of the general purpose fi nancial statement<br />
is set out in Note 1.<br />
The College is solely responsible for the information<br />
contained in the fi nancial statement and has determined<br />
that the accounting policies used are consistent with<br />
the fi nancial reporting requirements of the College’s<br />
Constitution and are appropriate to meet the needs of<br />
the College for the purpose of management.<br />
The additional fi nancial statement has been prepared<br />
from the books and records of the College which have<br />
been subjected to the auditing procedures applied in<br />
our statutory audit of the College for the year ended<br />
30 June <strong>2011</strong>. It will be appreciated that our statutory<br />
audit did not cover all details of the additional fi nancial<br />
statement. Accordingly, we do not express an opinion on<br />
such fi nancial statement and no warranty of accuracy or<br />
reliability is given.<br />
To the extent permitted by law, we do not accept liability<br />
for any loss or damage, which any person, other than the<br />
College, may suffer arising from any negligence on our<br />
part. No person should rely on the additional fi nancial<br />
statement without having an audit or review conducted.<br />
The additional fi nancial statement was prepared for<br />
the benefi t of the College and purpose identifi ed above.<br />
We do not accept responsibility to any other person for<br />
the contents of the additional fi nancial statement.<br />
This fi nancial statement is issued in compliance with the<br />
requirements of APS 9 “Statement on Compilation of<br />
Financial <strong>Report</strong>s”, issued by The Institute of Chartered<br />
Accountants in Australia.<br />
CARTHILLS<br />
Chartered Accountants<br />
Brisbane<br />
4 October <strong>2011</strong><br />
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
59
<strong>ACEM</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
INCOME AND EXPENDITURE<br />
ACCOUNT for the year ended 30 June <strong>2011</strong><br />
60 <strong>2011</strong><br />
INCOME<br />
<strong>2011</strong><br />
$<br />
2010<br />
$<br />
Fellows annual and entrance fees 1,352,963 1,304,172<br />
Reimbursement of secretarial<br />
services<br />
255,476 281,579<br />
Exam fees received 1,501,704 1,393,939<br />
Trainee annual & entrance Fees 1,654,056 1,435,294<br />
Sundry subscriptions & fees 81,789 52,287<br />
Continuing professional<br />
development levy (non-fellows)<br />
57,127 27,403<br />
DOHA Project income 145,569 -<br />
Project Grant surplus 104,545 -<br />
Conference surplus 47,112 109,138<br />
Surplus on sale of non-current<br />
assets<br />
122 -<br />
Gross surplus from trading - 559<br />
OTHER INCOME<br />
5,200,463 4,604,371<br />
Investment Trusts Distributions<br />
Received<br />
113,625 133,926<br />
Interest received 305,566 132,753<br />
419,191 266,679<br />
5,619,654 4,871,050<br />
EXPENDITURE<br />
Access Block Summit 2008 (11,000) 832<br />
Accountancy fees 20,500 14,400<br />
Accreditation expenses 59,256 50,313<br />
ACME Course development 15,131 2,675<br />
<strong>Annual</strong> leave 21,890 27,716<br />
Amortisation 76,775 95,141<br />
Auditor’s remuneration 13,000 11,500<br />
Awards, gifts and memorabilia 10,676 1,323<br />
Bad debts 12,062 -<br />
Bank merchant charges 40,915 54,780<br />
Bank charges 4,918 2,436<br />
BOE expenses 63,521 59,386<br />
Cleaning 10,723 10,975<br />
Computer software support 111,055 71,341<br />
College committee expenditure 275,182 154,620<br />
Council expenses 49,110 50,102<br />
Conferences 9,194 6,795<br />
Consultancy fees 2,431 47,621<br />
Consultants - Web & Print 36,230 33,152<br />
$<br />
2010<br />
$<br />
Depreciation 209,881 155,151<br />
DEMT expenditure 72,269 70,803<br />
DOHA Project expenses 145,569 -<br />
Donations 2,000 550<br />
Doubtful debts 1,260 6,870<br />
Electricity 20,337 16,577<br />
Exam expenses - Primary 302,376 241,455<br />
Exam expenses - Fellowship 226,643 239,420<br />
Faculty expenses 35,158 26,002<br />
Fellowship entry interview 6,889 7,511<br />
Filing fees 990 145<br />
Freight 4,757 2,999<br />
General expenses 19,231 19,104<br />
Insurance 32,140 32,761<br />
IFEM expenses 26,201 36,885<br />
International Development Fund - 20,000<br />
Investment advice 21,631 17,631<br />
Journal<br />
Emergency Medicine Australasia<br />
5,122 6,683<br />
Legal costs 37,769 10,285<br />
Long service leave provided 16,768 (5,575)<br />
Defi cit on disposal of non-current<br />
assets<br />
58,226 110,493<br />
Media – monitoring 14,090 13,202<br />
Media – publicity 21,449 26,326<br />
Meeting expenses 37,149 24,857<br />
John Gilroy Potts - Memorial<br />
Award paid<br />
1,500 2,550<br />
Offi ce expenses 1,737 1,140<br />
Printing, postage & stationery 64,445 281,468<br />
Rates 1,538 1,386<br />
Repairs & maintenance 25,694 17,460<br />
Staff recruitment 60,231 72,833<br />
Subscriptions & memberships 11,330 12,442<br />
Superannuation contributions 108,210 87,195<br />
Telecommunications 28,198 21,169<br />
Wages 1,215,468 981,354<br />
Staff benefi ts 21,536 6,720<br />
Workcare levy 10,625 12,239<br />
3,689,986 3,273,199<br />
Surplus 1,929,668 1,597,851<br />
This account is to be read in conjunction with the attached<br />
Accountants’ <strong>Report</strong>.
AUSTRALASIAN<br />
COLLEGE<br />
FOR<br />
EMERGENCY<br />
MEDICINE<br />
ABN 76 009 090 715<br />
Postal Address:<br />
34 Jeffcott Street,<br />
West Melbourne, Vic. 3003<br />
Australia<br />
Tel: +61 (0)3 9320 0444<br />
Fax: +61 (0)3 9320 0400<br />
Email: admin@acem.org.au<br />
Website: www.acem.org.au<br />
© Copyright – Australasian College for Emergency Medicine<br />
All rights reserved