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<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 />

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<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

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