Annual Report 2010 - ACEM

AnnuAl 

RepoRt 

2010

1 

ACEM AR 2010 

CONTENTs 

Council 2 

President’s Report 3 

Honorary secretary’s Report 4 

Honorary Treasurer’s Report 6 

Censor-in-Chief’s Report 7 

Board of Education Committee Reports 9 

Board of Education Committee Membership 15 

Council Committee Reports 19 

Council Committee Membership 24 

Faculty Reports 25 

Faculty Board Membership 30 

Editor-in-Chief’s Report 

Emergency Medicine Australasia 31 

Awards 32 

Vale 32 

College Fellows 33 

Administration 40 

Financial statements 41

2 


COuNCil 

Executive 

sally McCarthy (President) 

Peter Freeman (Vice President) 

Anthony lawler (Honorary secretary) 

Andrew Maclean (Honorary Treasurer) 

Debra O’Brien (Censor-in-Chief) 

Australian Capital Territory 

Andrew singer 

New South Wales 

sally McCarthy 

Kate Porges 

Alan Tankel 

New Zealand 

John Bonning 

Peter Freeman 

Northern Territory 

Didier Palmer 

Queensland 

Chris May 

Niall small 

South Australia 

Judy Cornish 

Tasmania 

Tony lawler 

Victoria 

Anthony Cross 

Diana Egerton-Warburton 

Andrew Maclean 

Western Australia 

David Mountain 

Yusuf Nagree

3 


PREsiDENT’s 

REPORT 

Sally McCarthy 

As always, the past 12 months has been busy within College, 

with significant progress made on many initiatives old and new, 

and undoubtedly even more change in the medico-political 

landscape externally. 

in April the Council of Australian Governments announced a four hour 

National Access Target as part of health reforms for Australian ED. 

The New Zealand government had implemented a six hour shorter stays in 

ED target in July 2009. in response to these initiatives, the College statement 

on time-based targets was developed with wide consultation, and is available 

on our website. 

leading up to the Australian federal election a very welcome pre-election 

announcement by Prime Minister Gillard and Health Minister Roxon 

allocated funding to provide additional emergency medicine training places, 

to support supervision time for specialists in 129 emergency departments 

across the country, plus an additional 10 places to provide training 

supervision in the private sector, funding for emergency medicine education 

officers to assist in implementation of College’s educational programs, 

and for College to administer additional training places, and to develop 

educational resources to support the roll-out of non-specialist training 

programs across the country.A meeting with representatives from the 

Department of Health and Ageing will occur shortly to progress these items. 

A planning day was held late in 2009 and considerable progress has been made 

across the broad range of priorities identified for further development. 

A full report of planning day outcomes and the progress since was included in 

the september edition ofYD, available on the College website and i encourage 

all Fellows and Trainees to read this, if you have not already done so. 

i will mention just a few of the many activities continuing within College 

during the year.With regard to Trainees, significant changes have occurred 

related to the training program with respect to the delivery of, and progress 

through, the primary exam, and changes to requirements for the research 

component.The Trainee Committee Chair now has voting rights on additional 

committees, and Council is considering this question for itself as well. 

Within Council committees and working groups there is increasing engagement 

with other Colleges to produce joint policies and position statements, and 

more focus on external collaborations in disaster management, and public 

health.There is ongoing work on Fellow support resources as well.The Board 

of Education has successfully implemented and bedded down the significant 

governance changes of some time ago, and has overseen many initiatives to 

further improve our training program content and structure. As part of the 

continued evolution and fine-tuning of College’s educational activities, the 

Training and Assessment ReviewWorking Group will be submitting a report 

to Council in November which will provide advice to Council on required 

changes to the training program. College has also benefitted from the work 

of the Educational Advisory Group this year.Administratively, i am sure all have 

welcomed the move to electronic means of communication rather than paper, 

which now extends to almost all correspondence. 

i reported last year that work was continuing on development of educational 

programs for non-specialist doctors practising emergency medicine. i am now 

able to report that the pilot of the Emergency Medicine Certificate six month 

course has commenced in a number of EDs in Australia.A successful Course 

in Clinical supervision for Fellow supervisors for the pilot was recently held 

at College, and it is planned to conduct this course 

regionally in future.The pilot will be evaluated by 

external experts, and feedback incorporated into 

future courses.Work to finalise the Diploma course 

is underway, with the involvement of key stakeholders 

including RACGP and ACRRM. 

College contribution to the broader medical 

environment continues principally through our 

involvement in CPMC and other stakeholder 

committees.The health workforce, and the 

inextricable link with training, is currently occupying 

federal government and other stakeholder groups. 

There has been consultation on a national 

competency based framework for the health 

workforce, and discussion regarding simulated 

learning environments for training. 

With commencement of national registration in July, 

the focus has been on finalising accreditation, and 

specialist recognition, arrangements. 

i attended the iFEM Board meeting at the very 

successful iCEM in singapore this year. unfortunately 

i was unable to attend the recent meeting in 

las Vegas, where Peter Cameron took the chair as 

iFEM President for the first time. ian Knox continues 

in the role of Treasurer, with ACEM providing the 

secretariat through Carol Reardon. 

i would like to mention the resignation of Debra 

O’Brien as Censor-in-Chief of the College from 

November this year, and record my thanks for her 

unstinting hard work, attention to detail, and drive to 

have the best training program possible, as evidenced 

by her wish for College to not only fully meet, but 

stay ahead of AMC requirements. Debra will have 

held this position for the past three years, during 

a time of significant change in the structure of the 

then Board of Censors to the Board of Education, 

and has overseen the transition of the Board and its 

committees tirelessly and enthusiastically. Deb will 

continue to contribute in her role as Examiner, and 

i know all join with me in thanking her, and wishing 

her the best for her future endeavours. 

Once again, i am very thankful for the hard work and 

dedication of our College staff under the leadership 

of Jenny Freeman.The smooth conduct of all College 

processes, and their ability to incorporate new 

initiatives and changes continues to be impressive. 

it is an honour to serve the College as President, 

and i thank you all for your support. 

Sally McCarthy, President

4 


HONORARY 

sECRETARY’s REPORT 

Anthony Lawler 

As to be expected in an Australian election year, especially with 

an election that seemed to start some months before polling 

day and continued some weeks thereafter, health featured 

prominently in the public discussion space.Appropriately, 

emergency medicine had its place firmly at the forefront at 

these discussions. 

Following on from the success of the access block summit in september 

2008, there was much focus federally on initiatives intended to address 

resourcing and access issues in Australia’s emergency departments. 

The Rudd Hospital Reform process shone the spotlight on the adoption 

nationally of the ‘4 hour target’.While this has been variably taken up over 

the country, and while each Fellow and trainee will have his or her own view 

on it, the College has been active in clarifying its view on the initiative, 

and has made clear that time-based indicators should feature as a part of 

a suite of system-wide indicators related to access. in addition, any move 

to a time-based indicator should be applied only when clinically appropriate 

on a patient-by-patient basis.The development of the College’s statement 

on this issue was a good example of the capacity of ACEM to reflect a broad 

range of views, with discussions involving Council, Faculties, various College 

committees including the Trainee Committee, and Fellows leading local 

implementation projects. 

The College’s statement can be found on the College’s easily navigable 

website – as can all of the College’s policies, publications, statements and 

governance information. 

This year has also seen a number of innovations in the provision of 

emergency training, many of which will be addressed elsewhere in this report. 

There was no Winter symposium this year, owing to the iCEM being held 

in singapore.The 2009 Annual scientific Meeting, held in Melbourne in 

November, was an outstanding success, with over 800 registrations. 

it explored several initiatives, including the provision of the meeting handbook 

electronically and the purchase of carbon credits to offset the impact of the 

meeting. Congratulations to the convenors and organising committee for 

such a successful endeavour. 

in order to integrate more effectively the functions of the faculties and 

‘head office’, and more importantly to provide a support resource for faculty 

officials when issues of national relevance impact locally, the role of Honorary 

secretary will be expanded to encompass the function of a Faculty liaison 

Officer. it is envisaged that this will complement the provision by the College 

of administrative support for Faculty Board activities. 

As a result of the continued growth of the College, and due to some 

resignations, we have been pleased to welcome the following new staff 

members during the year: Helen Kaminski, Jane Macaulay, suzi Taleska, Hydie 

Pallier, Freda ligaras, Katherine Ebbs, sarah McArthur, and Carol Reardon. 

Jackie King, Myra Karantzas, Helen Cooper and sarah smith have gone on to 

other things and we thank them for their contribution. On behalf of Council 

i would like to acknowledge the commitment of all staff members of the 

College and of the Fellows, trainees and committees that that they support. 

i would also like to note the resignation of 

Debra O’Brien as Censor-in-Chief of the College 

which will take effect from November this year. 

We wish her the best and extend our thanks for 

her massive contribution. 

The work of the College would grind to a halt 

without the dedicated contribution of Fellows 

and trainees across Australasia. individuals who all 

have full enough plates with their own clinical load, 

administrative, research or teaching work, and study 

give further of themselves to assist in ensuring the 

highest quality training, robust clinical standards and 

sound system reform. 

i would like to end this report with a heartfelt note 

of thanks to all Fellows and trainees who give of their 

own time, in many capacities, to the advancement of 

emergency medicine in Australasia through the 

activities of the College.ACEM has a role as a training 

and standards body, but is also seen as the preeminent 

body advocating the provision of emergency 

care in Australia and New Zealand. 

Tony Lawler, Honorary Secretary

5 


Attendance at Council and Executive Meetings 

2009-2010 

sylvia Andrew-starkey (QlD) ) (to Nov 09) 0 of 2 

shalini Arunathy (NsW) (to Nov 09) 2 of 2 

John Bonning (NZ) 4 of 4 

Judy Cornish (sA) (from Nov 09) 2 of 2 

Anthony Cross (ViC) 4 of 4 

Diana Egerton-Warburton (ViC) (from Nov 09) 1 of 2 

Tony Eliseo (sA) (to Nov 09) 2 of 2 

Council (4) Executive (6) 

Peter Freeman (NZ) 4 of 4 5 of 6 

Tony Joseph (NsW) (to Nov 09) 1 of 2 

Tony lawler (TAs) 4 of 4 5 of 6 

Andrew Maclean (ViC) 4 of 4 5 of 6 

Chris May (QlD) 3 of 4 

sally McCarthy (NsW) 4 of 4 6 of 6 

David Mountain (WA) 4 of 4 

Elizabeth Mowatt (NT) (to Nov 09) 2 of 2 

Yusuf Nagree (WA) 4 of 4 

Debra O’Brien (WA) 4 of 4 6 of 6 

Didier Palmer (NT) (from Nov 09) 1 of 2 

Kate Porges (NsW) (from Nov 09) 1 of 2 

Peter Ritchie (ViC) (to Nov 09) 2 of 2 

Andrew singer (ACT) 4 of 4 

Niall small (QlD) (from Nov 09) 2 of 2 

Alan Tankel (NsW) (from Nov 09) 1 of 2

6 


HONORARY 

TREAsuRER’s REPORT 


i am pleased to report this year that the operating result shows a 

strong surplus of $1,597,851 and net assets have now increased 

to $12,555,826 ($10,680,936 in 2009). it is pleasing to see the 

College in such a sound financial position. 

The surplus is up from $956,798 in 2009 and reflects the fact that the year 

has largely been one of consolidation following the very significant increase 

in staff, the finalisation of the new premises and the effect of the Global 

Financial Crisis on the previous year. 

in reviewing the income and Expenditure Account there are increases in 

costs associated with the rise in activity within the Council and Board of 

Education Committees and conducting of courses, which was to be 

expected. However, savings can be seen in other areas such as printing, 

postage and stationery due to the introduction of electronic mailing. 

Venues to cater for the increased size of the Primary Examination were 

sourced early for this year and as a result significant savings were made in 

that area. Also, it was noted that there had been some difficulty with the 

allocation of exam expenses in general during the somewhat turbulent staff 

changes in the last financial year, and it would appear that some of the costs 

associated with the Fellowship Examination were allocated to the Primary 

Exam codes which distorted the 2009 figures. 

The iT requirements of the College have been reviewed recently and a report 

will be delivered to Council in November. it is expected that additional funds 

will be expended in this area in the coming year. Work has commenced in 

this area with a full upgrade to the server and associated hardware being 

recently completed. Additional significant expenditure over the next financial 

year is not expected. 

The College is clearly in a very sound position which will allow future 

development without financial impediment. 

My thanks to Mandy strates, for her diligent work as Bookkeeper and 

to the staff at Headquarters for their support. 

Andrew Maclean, Honorary Treasurer

7 


CENsOR-iN-CHiEF’s 

REPORT 

Debra O’Brien 

it has been a very busy year and i would like to start my report 

by acknowledging the wonderful work and support of members 

of the Board of Education and its committees. 

The BOE and each of the Committees has had a very productive year and 

information about the work completed and work underway within each of 

the committees is contained in the Board of Education committee reports 

that follow my report. 

At the strategic Planning Workshop in November last year, it was agreed 

that the main focus for 2010-2011, would be to review the existing training 

and assessment program to better identify learning objectives for trainees 

as they move through their years of training, and to adjust the methods of 

assessment where necessary.The aim is to enhance the current curriculum, 

highlight potential gaps, achieve optimal clinical competence and, it is 

anticipated, build on the existing syllabus. 

To assist in this a Training and Assessment Review Working Group (TARWG) 

was established early this year and they are well underway with their task. 

The first full report of the TARWG will come to the Board of Education for 

consideration at the November Board of Education meeting. 

Also at the planning workshop, the recommendations from the AMC 

accreditation were again reviewed, with the remaining requirements being 

identified for action.The majority of the recommendations had either been 

actioned or are currently underway and a number of those remaining form 

part of the training program review. 

A further initiative was to develop an Educational Advisory Group. 

Appointed in February this year, the EAG, whose members have educational 

qualifications or a particular interest in education, and or an interest in iT, 

has been formed to provide advice to the Board and to the Director of 

Education on matters under consideration.The group’s first task has been 

to provide advice to the TARWG. The College is fortunate to have many 

Fellows with a strong interest in education and they represent a very 

valuable resource. 

Director of Education 

The Director of Education,Alana Killen, has been co-ordinating the Training 

and Assessment Review Project and my thanks to her for all she has done 

in this area.Amongst other tasks,Alana has involvement in the delivery of 

the DEMT Course, held an MCQ writing and review workshop in March 

and a further workshop on standard setting for representatives of the exam 

committees is planned. 

Online Training Assessment 

The major addition to the OTA during the past year was the addition of 

the Trainee Term Feedback form.This form provides feedback from the 

trainee on their term and is completed prior to completion of the iTA. 

At the completion of each year, de-identified information will be fed back 

to the DEMT and the director of each department, along with de-identified 

comparative data in regard to hospital performance.Trainees will also be 

providing feedback on their non ED terms. 

DEMT Course 

The Basic and Advanced DEMT Courses have been 

run during the past year.The faculty who deliver 

the courses are again to be congratulated on the 

consistently high quality of the courses and the 

energy and enthusiasm with which the material 

is delivered.We all know a little more about our 

personality type thanks to Bob Dunn’s Myers-Briggs 

sessions.The DEMTs have a very important role in 

the College and it is pleasing to be able to provide 

some support to them through these initiatives. 

Trainee Committee 

The Trainee Committee, through the Chair, continues 

to provide valuable input to the Board meetings and 

to the Committees on which they are represented. 

My thanks to shane George for his excellent input 

as Chair this year. 

Election to Fellowship 

My congratulations to the following Fellows who 

were elected to Fellowship since the last Annual 

Report (22 August 2009 to 1 October, 2010). 

Pankaj Arora,Ali Asadpour,Yasmin Ashraff, 

serena Ayers,Andrea Bell,Andrew Blunt, Dan Bodnar, 

simon Bolch, scott Bomann,Alison Boyle, 

sylvia Boys, sandra Brownlea,Andy Buck, 

simon Bugden, Jonathon Candrick, Ronald Cook, 

John Craven, Fergal Cummins,Andre Danforth, 

William Davies,Trudi Davis,Adrienne Deans, 

John Ding, Martin Dutch, Ed Egan, Bernard Fouke, 

Ekram Gadallah,Alan Gault, ian Gawthrope, 

Mark Gilbert, Rahul Goswami, stephen Gourley, 

shaun Greene, leanne Hartnett, Claire Helm, 

Tom Hoey, Dane Horsfall, Kelley Hubble, shaila islam, 

Dushan Jayaweera, David Johns, liz Jones, Michael King, 

Fran Kinnear, Hilmar Kjartansson, Raymond Kwok, 

David lamond, lucia le-Kim, stephen Macdonald, 

Richard Mahoney, Gopi Mann, Kelly McCann, 

Nora McCullagh, Melissa McGrath, Donald McKee, 

Juliet McKenzie, Jennifer Medcalf, David Melvin, 

Michelle Mok, Fen Moy, David Murphy,Alistair Murray, 

Jannatun Nayim, Daniel Ng, sarah Olsen, 

Elizabeth Paterson, David Poff,Treena Quarin,

8 


CENsOR-iN-CHiEF’s 

REPORT continued 

Cecilia Rademeyer, Fatima Rahman, stephan Remke, sarah Rickman, 

Martin Rochford, Zoe Rodgers, Mark Ross,Alison Ryan, Jan sadewasser, 

Julianne schliebs,Anastasia sfakiotaki, Claire shadwell, Prathibha shenoy, 

Matthew shepherd, Romesh singam,Vera sistenich, Kirsty skinner, 

Matthew smith, Brett squires, Matthew summerscales, Claire Taylor, 

Nicholas Taylor,Yusuke ueno-Dewhirst, lynda Vine, Neil Waldman, 

Merle Weber,Yolande Weiner, Robyn Wilkinson, Jules Willcocks, 

Kelly Williams, Michelle Withers, Jonathan Wraight, lai Kin Yaw, Bernard Yeoh. 

Finally, my thanks to all those who have contributed in so many ways during the 

year. To the Censors and Deputy Censors, the members of the Committees 

and their subcommittees, to the Court of Examiners, the Adjudicators and 

those who have attended accreditation visits and delivered DEMT Courses. 

it is indeed a vast number of Fellows involved in the delivery of all the elements 

that make up the training program.As a College we are so fortunate to have 

their collective dedication and skill enabling the provision of such high quality 

training, education and assessment. 

i would like to pay particular thanks to James Taylor and to ian Rogers. 

James retired as Censor for Victoria in November last year, completing three 

years as Censor and six years as Deputy Censor. On his retirement 

as Censor, James was also the Chair of the Overseas Credentials Committee 

– a role he has continued to hold during this year. He continues to hold 

positions on the Accreditation Committee and the Adjudicator Panel. 

His contribution to the Board over so many years and his unfailing support 

for the trainees and their welfare as Censor and Deputy Censor was 

exemplary.We are pleased to have his continued input as Chair of the OCC. 

We are pleased to welcome Ruth Hew to the position of Censor for Victoria. 

ian resigned his position as Censor for Western Australia and Chair of the 

Examiners Committee in March and continues as a Peer support Examiner 

and a member of the Adjudicator Panel. ian has held many positions over 

many years including Censor, Chair of Accreditation, Chair of the Fellowship 

Examination Committee and member of the Court of Examiners.To all these 

roles he brought his attention to detail, his clear thinking and his enthusiasm 

and energy. His contribution to the Board over so many years is much 

appreciated and highly valued. 

We are pleased to welcome Yuresh Naidoo to the position of Censor for 

Western Australia and Di King as Chair of the Examiners Committee. 

Finally, many thanks go to Jenny Freeman and the many members of staff 

who support the work of the Board and its Committees. Their patience and 

diligence make it all possible.The expansion of the headquarters at Jeffcott 

street, has meant that we have been able to bring on board additional staff 

to help keep pace with the rapid growth of our College. The extraordinary 

knowledge of the longstanding staff members is so vital and is now being shared 

and passed on to new staff. We are indebted to Jenny’s extremely capable and 

dedicated stewardship through this period of great change. 

This will be my last report as Censor-in- 

Chief as i have decided to step down from 

the position at the end of this year. 

it has been an honour to serve in this 

role for the past three years and to 

contribute to the Board of Censors/ 

Board of Education for 10 years. i feel very 

fortunate to have been able to work with 

the many Fellows who give so generously 

of their time and expertise to the 

specialist training activities of the College 

and i look forward to continuing my 

involvement on the Court of Examiners. 

Best wishes 

Debra O’Brien, Censor-in-Chief

9 


BOARD OF EDuCATiON 

COMMiTTEE REPORTs 

Accreditation 

Committee 

This past year has seen the Accreditation 

Committee continue to undertake work 

to streamline the accreditation process 

for emergency department and special 

skills terms. 

With respect to the structure of the 

committee, we welcomed Robert Day and 

David Ward as new members and James 

Taylor took on the role of Deputy Chair. 

The committee, with the aid of Regional 

Censors, Deputy Censors, DEMTs 

and Fellows, completed 20 emergency 

department inspections and 18 special 

skills term inspections in the last 

12 months.There are currently 113 

emergency departments accredited for 

training and 51 special skills terms 

available for trainees across Australasia. 

The committee would like to thank all 

Fellows who have provided their time to 

serve in accreditation inspection teams. 

From an administrative perspective, the 

committee has taken over from Credentials 

the role of assessing all Category C 

special skills term applications.This will 

allow a more consistent approach across 

all categories of special skills terms. New 

criteria have also been generated with 

respect to paediatric logbook accreditation. 

The creation of Rural Health special skills 

terms and the inclusion of CiCM accredited 

Basic Training intensive Care units to satisfy 

the critical care component of training, have 

provided additional training opportunities 

for trainees. 

Finally, i would like to express sincere 

appreciation to Kirsty MacDowell of the 

College office for her considerable efforts 

in facilitating the work of the committee. 

James Collier, Chair 

Credentials Committee 

2010 has been another busy year for the 

Credentials Committee.The change in 

the ACEM Board of Education structure 

to form the Credentials Committee has 

proved most fruitful. Rather than being 

time pressured and only able to consider 

urgent matters, the committee has 

been able to examine its practices and 

undertake some strategic planning. 

The main thrust of this planning has been 

to develop procedures and policies to 

allow the committee to make rulings in 

a transparent and consistent fashion. 

Two major advances in this area have been 

the introduction of clear leave guidelines for 

trainees and the introduction of a process 

for managing poorly performing trainees. 

Previously, trainees who were performing 

at below expected levels could be handled 

in a variety of manners.A clear, published 

guideline now exists to inform all ACEM 

members and ensure trainees are supported 

and managed in a consistent fashion. 

2010 has seen consolidation of the OTA 

program.The on-line process has been 

embraced by the majority of trainees and 

DEMTs.This has allowed a streamlining of 

credentials processes and contemporaneous 

updating of trainee records. 

As Chair, i am indebted to liv Cameron 

and the rest of the ACEM secretariat for 

their tireless efforts. liv’s attention to 

detail and her vast corporate knowledge 

of ACEM processes are invaluable to the 

smooth running of the committee. 

Michael Bastick, Chair 

Examiner Committee 

in March 2010, ian Rogers resigned as 

Chair but has continued on the Court 

of Examiners as a Peer support Examiner. 

i would like to thank ian for his valuable 

contribution in setting up the Examiner 

Committee (EC). 

The EC continues to develop into its new 

role.Three new members were appointed 

in July – Bob Dunn, Bernard Foley and 

Jenny Brookes and these members will 

participate in our meeting in October. 

The annual appointment of new examiners 

continues, with orientation occurring at 

the first primary exam of the year. 

The appointment process for 2010 has not 

yet been completed but interest from the 

Fellows continues to be strong. Examiners 

appointed to the senior Court in 2010 

were Peter Aitken, Bernard Foley, 

Wayne Hazell, Debbie leach, 

lindsay Murray and Kim Yates. 

High numbers of examiners continue 

to be required for both primary and 

fellowship exams and the EC aims to 

maintain required examiner numbers, 

provide ongoing opportunity for Fellows 

to participate as examiners, and maintain 

adequate experience and mentoring 

capability within the Court. 

The EC this year has been focussed on 

strengthening the feedback to trainees 

with the dissemination of a Feedback 

Package to Examiners, Censors and 

DEMTs which provides ‘best practice’ 

practical advice in providing feedback 

specific to the examination process for 

trainees.This has been very well received. 

Work is also underway to develop a 

system to improve the consistency and 

transparency of the fellowship written 

paper marking for the sAQs and the VAQs. 

Di King, Chair 

Fellowship Examination 

Committee 

The Fellowship Examination Committee 

(FEC) has continued its efforts to 

set exit examinations that assess a 

broad range of relevant and important 

curriculum topics reflecting contemporary 

emergency medicine practice. increasingly, 

our subcommittees have adopted the 

ACEM Moodle platform in their work

10 




continued 

in preparing the written sections, which 

shows promise for facilitating question 

development with enhanced security. 

Further work has progressed the standard 

setting and quality of the MCQ database, 

with one result of this being a move to 

four distracter items in 2011. 

The clinical examinations ran smoothly 

in Brisbane and Canberra in 2009/2010 

and were excellently coordinated at all 

sites involved. My thanks go to all site 

coordinators and their teams. 

During 2010, a much improved process for 

feedback to unsuccessful candidates has 

been introduced, which we anticipate will 

aid these trainees in subsequent attempts. 

Finally, i wish to thank the hard working 

Chairs and members of each of the FEC 

subcommittees, the Court of Examiners 

and especially Virginia Cunsolo, the ACEM 

Education Officer who coordinates the 

FEC’s organisation so well at the College. 

The list of successful candidates and 

examiners follows as part of this report. 

44th Fellowship Examination 

2009/2 

The Buchanan prize was awarded to 

Alex Kazewmi-Jovestani. 

Successful candidates: 

Kelly Austin, Glenn Bennett, 

leanne Cameron, Jonathan Candrick, 

Benjamin Croton,Andre Danforth, 

Alan Gault, stephen Gourley, 

Kelley Hubble, shaila islam, 

Dushan Jayaweera, liz Jones, 

Alex Kazemi-Jovestani, David lamond, 

stephen Macdonald, Kelly McCann, 

Nora McCullagh, David Murphy, 

David Poff,Treena Quarin, 

Cecilia Rademeyer, stephan Remke, 

sarah Rickman, Claire shadwell, 

Matthew shepherd, Romesh singam, 

Kirsty skinner, suzanne smallbane, 

Matthew smith, Brett squires, Matthew 

summerscales, Ben Taylor, Merle Weber, 

Robyn Wilkinson, Julian Willcocks, 

lynda Yeo. 

Examiners: 

Bill Croker,Tim Gray, sally McCarthy, 

Paul Pielage, Pamela Rosengarten, 

Adam Chan, Matthew Chu, David Eddey, 

Diana Egerton-Warburton, Bernard Foley, 

Anna Holdgate, lindsay Murray, 

David Richards, Mark Webb, Garry Wilkes, 

Kim Yates,Allen Yuen, Philip Aplin, 

Jennifer Brookes,Tony Brown, sheila Bryan, 

James Collier, Chris Curry, linda Dann, 

steve Dunjey, Bob Dunn, Gordian Fulde, 

Mark Gillett, David Green, Craig Hore, 

Chanh Huynh, Diane King, John Maguire, 

Paul Mark, David Mountain,Yuresh Naidoo, 

scott Pearson, John Roberts, ian Rogers, 

Andrew singer, David symmons, 

James Taylor, GraemeThomson,Allen Yuen, 

Bryan Walpole, Nadi Pandithage. 

45th Fellowship Examination 

2010/1 

The Buchanan prize was awarded to 

Angela Chiew. 

Successful candidates: 

Charles Britton, sandra Brownlea, 

Angela Chiew, John Craven, 

Jacob Crosdale,William Davies, 

Trudi Davis, Martin Dutch, Ed Egan, 

James Flynn, Ekram Gadallah, 

Georgina Hayden, Dane Horsfall, 

James innes, Katherine isoardi, 

Kirsty Jackson, Raymond Kwok, 

Richard lin, Richard Mahoney, 

Melissa McGrath, Juliet McKenzie, 

Michelle Mok, Fen Moy, Jannatun Nayim, 

Paula O’sullivan, Fatima Rahman, 

Zoe Rodgers, Mark Ross, Julianne schliebs, 

Prathibha shenoy, simon smith, 

Jeremy stevens, Claire Taylor, 

Yusuke ueno-Dewhirst, Karen Winter, 

lai Kin Yaw, Bernard Yeoh. 

Examiners: 

Tony Brown, Craig Hore,Anne-Maree 

Kelly, David lightfoot, lewis Macken, 

Tonia Nicholson, scott Pearson, 

sheila Bryan, Matthew Chu, 

James Collier, Chris Curry, Bernard Foley, 

Chris Gavaghan,Wayne Hazell, 

Diane King, Paul Pielage, David symmons, 

James Taylor, Neil Banham, Michael Bastick, 

Jennifer Brookes, Bill Croker, steve Dunjey, 

David Eddey, lou Finnel, Mark Gillett, 

Richard Harrod, Ruth Hew, Chanh Huynh, 

David Kirkpatrick,Anthony lawler, 

Greg McDonald, David Mountain, 

lindsay Murray,Yuresh Naidoo, 

Nadi Pandithage, Bhavani Peddinti, 

stephen Priestley, David Richards, 

Drew Richardson,Andrew singer, 

Mark Webb, Kim Yates, Graeme Thomson, 

Bryan Walpole, shalini Arunanthy, 

Fergus Kerr, leo Marneros, Mark Miller, 

Richard Mulcahy, Michael Ragg, 

Philip Richardson, Eric Van Puymbroeck. 

Trevor Jackson, Chair 

Maintenance of 

Professional Standards 

Committee (MOPS) 

2009/2010 has been an interesting year 

for the MOPs Committee, but 2010/2011 

promises to be much more interesting. 

The committee’s activities this year 

have focused around the usual role of 

management of the MOPs program, 

monitoring compliance with the program 

and performing audits of Fellows’ 

MOPs returns. 

We are pleased to report that Fellows 

are maintaining a compliance rate with the 

program that is effectively 96.8% (including 

Fellows who have currently been approved 

for exemption from the program). 

We would like to note quite clearly that 

compliance has become a requirement 

for ongoing specialist registration with the 

new Medical Board of Australia, and that 

there are ongoing issues to be addressed

11 




continued 

with respect to how the MBA and the 

College will interact on CPD issues. 

The ACME monitoring subcommittee, in 

conjunction with the MOPs Committee, is 

supervising a revision of the ACME course, 

taking into account feedback from all 

Fellows who have undertaken the course to 

date. see the subcommittee’s report, below. 

Skills Maintenance Subcommittee 

The subcommittee has been hard at work 

providing the spot Diagnosis and Case 

scenario questions that are delivered 

on the MOPs site each quarter and are 

grateful for Fellows’ feedback on these 

questions. in line with the Board of 

Education’s recent decision to move to 

a four answer format for all MCQs, from 

January sD and Cs skills Maintenance will 

use a four answer format. 

i would like to take this opportunity to 

thank Dee Reynolds and Hydie Pallier 

for doing most of the work for us, 

Alana Killen for her support and input, 

Jaycen Cruickshank and stuart Dilley for 

their work as Chairs of the subcommittees 

and all the members of each of the 

committees for their hard work 

and support. 

Kevin Humphrey, Chair 

ACME Monitoring 

Subcommittee 

since its inception in 2006, over 

200 FACEMs and senior registrars have 

participated in an ACME Participants’ 

Course.Approximately 50 fellows have also 

completed the ACME Facilitators’ Course. 

Course demand was strong during the 

2009/2010 year and most courses were 

fully subscribed. While some of this 

demand came from senior registrars, 

the majority of participants were 

FACEMs. some courses were oversubscribed, 

resulting in a need to waitlist 

prospective participants or refer 

them to alternative centres. interest in 

conducting ACME courses in New Zealand 

and Western Australia is strong with a 

number participants coming from these 

regions. Recent ACME courses saw the 

participation of senior registrars alongside 

Fellows for the first time. All agreed 

that this was a positive experience and 

feedback from participants continues to 

be very good in general terms. 

subcommittee members are in the final 

stages of reviewing and editing the content 

and structure of the course based on 

their experiences, participant feedback 

and evolving medical knowledge. it is 

envisaged that these changes will be 

implemented in 2011. 

i would like to acknowledge Tim Gray 

and other subcommittee members for 

their work prior to my involvement with 

the subcommittee and for their 

continued assistance. 

Stuart Dilley, Chair 

Overseas Credentials 

Committee 

The Overseas Credentials Committee 

(OCC) has been a separate committee 

of the BOE for 12 months.The majority 

of the processes have been streamlined 

to allow decisions and recommendations 

to be made online.We aim to have all 

applicants interviewed and reviewed 

within three months. 

To ensure reliability and accountability 

of OCC recommendations, our interview 

panels regularly include a Fellow from the 

applicant’s intended state or country. 

in addition ‘cross Tasman’ representatives 

have been included to ensure 

comparability between Australian 

and New Zealand panels. 

The OCC has revised the structured 

Reference to set the benchmark as 

‘substantially equivalant with a newly 

qualified Australasian Fellow’. it has also 

established guidelines regarding suitability 

of specialists in Training (siT) and Area of 

Need (AoN) positions. in essence, only 

applicants from countries with recognised 

training programs, which are members 

of the international Federation for 

Emergency Medicine (see iFEM website) 

will be considered for these positions. 

The OCC has continued to expand 

its activity and has overseen a record 

number of applicants.Twenty-two new 

OTs applications have been received to 

date and we expect to have processed 

approximately thirty by the end of 2010, 

plus siT and AoN applications. 

The OCC would like to thank the 

members of the interview panels for 

their support. in addition we recognize 

the efforts of those Fellows who have 

provided structured References during 

the year. 

i would like to congratulate Peter Ritchie 

on his appointment as Deputy Chair of 

the OCC, and thank Corinne Millane for 

her valuable assistance in supporting the 

committee. 

James Taylor, Chair 

Primary Examination 

Committee 

2010 has been a challenging and busy year 

for the Primary Examination Committee 

(PEC). At the annual workshop in February, 

the changes to the syllabus brought about 

by the curriculum review in 2009 were 

consolidated by extensive revision of the 

MCQ examination bank. Members of the 

PEC attended an MCQ writing workshop, 

run by Alana Killen at the College, aimed 

at increasing the level of expertise in 

question setting.As a result, we have seen 

an increased emphasis on making the basic

12 




continued 

sciences accessible to trainees with clinically 

framed questions where appropriate. 

The growing numbers of candidates 

presenting at the primary examination 

(over 450 at the latest 2010/2 exam) has 

been recognised as creating unsustainable 

logistical difficulties. Plans have been 

developed to administer the MCQ 

component of the exam as a regionalbased 

on-line examination, with selective 

invitation to the subsequent Viva for 

potential pass candidates.The first 

examination of 2011 will see these 

changes implemented. 

The PEC contributed a submission to 

the Training and Assessment Review 

Working Group and looks forward to 

the outcome of this review.We have 

developed closer links with the Fellowship 

Examination Committee, streamlining 

processes where applicable, and have 

participated in the Examiner Committee 

and Board of Education. late 2010 will 

see PEC involvement in a standard setting 

workshop at the College. 

On a personal note, i will be relinquishing 

the Chair of this committee at the end 

of the year and wish to thank all the 

committee members, especially the PEC 

Executive, for their hard work. i have no 

doubt that under the leadership of David 

lightfoot the committee will continue to 

develop in innovative ways. My final words 

must be to thank the College officers 

and in particular Dee Reynolds, a pillar of 

strength and wisdom in PEC matters, with 

whom it has been a pleasure to work over 

these years. 

46th Primary Examination 

2009/2 

The Joseph Epstein Prize was awarded 

to Edward Burns. 

The following candidates have passed: 

Richard Accurso, Babatunde Ajayi, 

Hamed Akhlaghi, Muhammad Akram, 

Mustafa Al-sa’Ad,Wisam Ali,Ali Altaleb, 

Michael Ashbolt, Rachel Atkins, syed Aziez, 

Fiona Baker, Neil Barnard, Kate Barnett, 

Tessa Blom,Tanya Bohlmann, 

Andrew Brice, Drew Brownlee, Julia Bruce- 

Thomson, luke Burman, Edward Burns, 

Corey Cassidy, Marcus Chan, Christopher 

Cheeseman, Jotham Chikwakukire, 

Huw Clark, louise Clark, shalini Cleophas, 

Andrew Coggins, Katherine Commons, 

Penelope Conor, Jacki Cowell, 

Belinda Cox, MA Del Rosario, 

Kevin Domingo, Julien Duay, Nicole Dyer, 

simon Edward, sara Edwards, 

Rajesh Elanchezhian, Rafael Gaszynski, 

Evert Gips, Julia Goninon, Mirmohammad 

Hamidi, Gabriela Haslam-Jones, 

Nigel Hendrickson, ula Heywood, 

Kate Hughes, Catherine Jackson, 

irfaan Jetha, Christopher Jones, 

sarah Karalus, Janette Keady, 

Diane Kelly, syed Khadri,Yasir Khattak, 

Glyn lackie, John larkin, James le Fevre, 

Ashley leadbeatter,Yit Hung leang, 

Xiu Qing lee, Caitlyn lovett, lydia lozzi, 

Joseph Macauley, scott Mackenzie, Mlungisi 

Mahlangu, Rajesh Malik, Nadia Maqbool, 

Cheryl Martin,Aye Aye Maw, Jonathan 

McMillan, David McQuade, Brendan 

Morrissey, Bahati Moseti, ian Muir, 

Claire Nicholls, Patrick Nixon, Clifford 

November, Bethan Owen, Mark Patterson, 

Paul Power, Peter Preisz, Kiran Pujar, 

Mohan Raghavan, Nicholas Roberts, 

Bevan Roodenburg,Varuna Ruggoo, 

Eugen salahoru, Ondrej saska, ina schapiro, 

Beatrice scicchitano, Chandika seneviratne, 

Rachna shankar, savitha shankar Raju, 

susan sharpe, Jatinder shekhawat, 

stephen skinner, laura smith, Kate 

stanbridge, Dominik stepien, Philip stokes, 

Amy stokoe, Kristin strunk, Johannes 

strydom,Ali Talb,Yen Teoh, Madhukar 

Thakkalpalli,Andrew Toffoli, Roger Tong, 

Kate Towers, Emma Trace, Rachel Tullet, 

sonia Twigg,Anthony Van Assche, 

Kerrie Veling, Peter Velloza, Marijke Verink, 

Tracy Walczynski,Thomas Wallis, 

Nathan Watkins, Frances Werner, 

Daniel Weston, Oksana Williams. 

47th Primary Examination 

2010/1 

The Joseph Epstein Prize was awarded 

to John Dewing. 

The following candidates have passed: 

Javed Ahmad, Keith Amarakone, Habakkala 

Amarasekera, James Andrews, sendhil 

Babu sundaramurthy, shankar Badu, 

Katherine Bassett, Cynthia Bierl, 

Amanda Bracey,Alasdair Burns, 

John Burston,Alexander Buttfield, 

David Camilleri, Christopher Chang, 

Vun-Peng Chang, syed Chanth Basha, 

Timothy Chimunda, Jaclyn Chin, 

Hiren Chotaliya, steven Colhoun, 

Jennifer Crampsey, Michael Culshaw, 

Tim Currie, John Daly, Hari Davuluru, 

Jerry Delic, John Dewing, Dananjaya 

Dissanayake,Andrew Doolan, 

Nathan Dryburgh, Bridget Edwards, 

Ana-laura Ehlert, Khaled El-Khawas, 

Munawar Farooq, Josef Ferguson, 

scott Flannagan, Eve Foreman, Hesly 

Fuentes Patarroyo, Debasish Ghosh, 

Robert Giles, shelly Gill, Geetha Gokul 

Naidu, sarah Gollance, Kerry Gomes, 

Kishani Goonewardene, Mubashir Hamid, 

Donald Hannam,Anthony Houlding, 

Henkuang Houng, Kathleen Hyland, 

Mahesh Jagada Gangadharaiah, 

sarah Jarrold, Bilesha Jayawardena, 

Chungath Juni Jobson, Omid Kahkouie, 

Miron Kazi, simon Keane, sumit Khanna, 

Marija Kirjanenko,Teck-Hun Koh,Thomas 

Koroma, Dilip Kumar, Markos Kyriakides, 

Jeremy lawrence, ines lerner,Tone levang, 

Jamie lew, Natalie liberts, Fiona liew, 

Maria livera, Rachael luckie, Jane Masen, 

Robert McMahon, Kylie McNamara, 

Richard McNulty, Nola McPherson, 

lucy Modra, ingo Moeller, Reza Mohseni 

Mofrad, Juan Mora,Anna Mulvaney,

13 




continued 

Belinda Murphy, sonja Nel, Felicia Ng, 

Petra Niclasen, Julie O’Driscoll, Zeynep 

Oyman, sean Parsons, Jayaprakash 

Patnamkuppuswamy, Nadia Peoples, 

Morne Pienaar, Kimberly Poole, Pourya 

Pouryahya Taherkhani, Omid Rahmani, 

Bindiya Rai, Mohammed Raisuddin, 

Moncompu Ramachandran, Rasesh Rao, 

leanne Ratcliffe, Juanita Rayner, samuel 

Robertson, luke Robinson, Euan Robinson, 

Raymond Roque, Dominik Rutz, sarabjit 

saggu, Jacobus schabort, stephanie 

schlueter, Marc schnekenburger, Hayden 

snow, Michelle spelman,Andrew spiller, 

Timothy stewart, Muhammad Tahir, Malek 

Telfah, Natalie Thurtle, Colleen Van laar, 

Kumutha Vimalachandra, James Weaver, 

Gregory White, shashi Wijesinghe, 

Jennifer Williams, Jonan Woo, Alan 

Choong Kit Yan,Yang Yang, layla Yasmeen, 

Marcus Yong, sunny Yoo. 

Examiners: 

Peter Aitken, Philip Aplin, Neil Banham, 

Michael Bastick, George Braitberg, 

Tony Brown, Garry Browne, sheila Bryan, 

Adam Chan, Matthew Chu, James Collier, 

Bill Croker, Chris Curry, linda Dann, steve 

Dunjey, Bob Dunn, David Eddey, lou Finnel, 

Gordian Fulde, Chris Gavaghan, Mark 

Gillett, Richard Harrod,Wayne Hazell, 

Ruth Hew,Anna Holdgate, Chanh Huynh, 

Trevor Jackson, Diane King,Tony lawler, 

Belinda leigh, David lightfoot, lewis 

Macken, John Maguire, Paul Mark, Jennie 

Martin, Greg McDonald, David Mountain, 

lindsay Murray,Yuresh Naidoo, Debra 

O’Brien, Nadi Pandithage, Bhavani Peddinti, 

Paul Pielage, stephen Priestley, Paul Preisz, 

David Richards, ian Rogers, Pam 

Rosengarten, irene Rotenko,Andrew singer, 

Mark smith, David symmons, James Taylor, 

Graeme Thomson, Mark Webb, 

Garry Wilkes, Kim Yates, Allen Yuen. 

Debbie Leach, Chair 

Trainee Research 

Committee 

This has been another dynamic year 

for the TRC.The alternative pathway to 

satisfy the College’s research requirement 

has been successfully established with 

approximately 25% of trainees choosing 

this option and 27 subjects from 

11 universities accredited thus far. 

A meeting of adjudicators will be held in 

November aimed at further improving 

the standard of adjudication of TRPs. 

An important part of this will be orienting 

adjudicators to the minimum criteria for 

a TRP - the standard that all TRPs will be 

judged against from January 1 2011. 

There has been a 50% increase in the 

number of trainees who will complete 

the research requirement this year and 

as a result of this increased workload, 

Kirsty MacDowell has had to hand on 

her role as the College officer for the 

TRC to concentrate fully on assisting 

the Accreditation Committee. On behalf 

of the TRC, i would like to thank Kirsty 

very much for her enthusiasm, good 

humour and hard work for the TRC since 

its inception a few years ago.We are 

fortunate, however, to be able to welcome 

Freda lisgaras as the new College officer 

for the TRC and are sure she will also be 

a valuable asset to the TRC. 

Finally i would like to thank all adjudicators 

for their important work in helping the 

development of research skills in our 

Fellows, and the members of the TRC 

for their considerable and intelligent 

commitment to the working of the TRC. 

Bob Dunn, Chair 


The past year has once again seen a very 

busy Trainee Committee.We have had 

increased involvement with all relevant 

committees of the College, and have 

welcomed the proactive involvement 

of trainees in all relevant areas of 

College business. 

Trainees have embraced the training and 

assessment review process with a large 

number of submissions to the review from 

trainees, as well as the group submission 

from the Trainee Committee.As a group 

we look forward to the outcomes of this 

process and the resultant improvements in 

the emergency medicine training program. 

The planned 4-hour national access target 

continues to worry trainees with the 

potential for adverse effects on training 

and patient care if not implemented for 

the right reasons and with the engagement 

of the profession.The Trainee Committee 

has been involved in the formulation of the 

College position on the targets and looks 

forward to further involvement as the 

targets are implemented and evaluated. 

The Trainee Committee would like to 

sincerely thank Virginia Cunsolo for 

the support, guidance and time she has 

provided the committee as our college 

officer over the years. 

i will step down from the position of 

Trainee Committee Chair in November 

this year. i would like to thank all the 

members of the committee for their work 

and support over my term as chair and 

wish Andrew Perry all the best as he takes 

on the role.Thanks also to the Board of 

Education and Council for their support 

over my term as chair. 

Shane George, Chair

14 




continued 

Joint Training 

Committee for 

Paediatric Emergency 

Medicine 

2010 has been a year of consolidation 

for the JTC-PEM as the ACEM-RACP 

partnership continues to grow and 

strengthen. Paediatric emergency medicine 

is now viewed as a serious career choice 

among emergency trainees. 

Trainee numbers have remained relatively 

static throughout 2010. Currently, there 

are approximately 50-60 trainees training 

in paediatric EM under the JTC. Of these, 

60% are RACP stream and 40% are 

ACEM stream. 

The recent year has seen the ACEM and 

RACP streams grow closer together. 

ACEM has adopted a similar policy 

to RACP, which will now allow post 

FACEM training in paediatric emergency 

medicine under the JTC.To align with 

their ACEM stream counterparts, RACP 

stream trainees have also been granted 

permission to satisfy their formal project 

requirements via an alternative pathway 

(ie. university short courses, etc.). 

RACP has undertaken a major review 

of advanced training for all of its subspecialty 

programs with the results 

recommending some significant changes 

for advanced trainees, including the 

introduction of formative assessments. 

These changes will be introduced in 

2011.This has meant a busy time for the 

JTC, as the entire paediatric emergency 

medicine curriculum required revision to 

accommodate for the proposed changes 

in assessment.This process is nearing 

completion and it is hoped that the 

curriculum will be released shortly. 

2010 has seen the chairing of the 

committee revert to the RACP 

representatives. Peter Barnett will chair 

the committee until April 2012. 

Michael Bastick, Immediate Past Chair, 

Current ACEM representative

15 



COMMiTTEE MEMBERsHiP 

Board of Education 

Censors 

Debra O’Brien (Censor in Chief) 

Michael Bastick (Censor NSW) 

James Collier (Censor QLD) 

Bob Dunn (Censor SA) 

lou Finnel (Censor NZ) 

Ruth Hew (Censor VIC) 

Yuresh Naidoo (Censor WA) 

Paul Pielage (Censor TAS) 

sally McCarthy (Ex-Officio) 

shane George (Chair Trainee Committee) 

Board of Education Committees 

Accreditation 

Committee 

James Collier (Chair) 

James Taylor (Deputy Chair) 

Jennifer Davidson 

Robert Day 

Gina De Cleene 

Michael Hall 

Craig Hore 

Diane King 

Andrew Perry 

Paul Pielage 

Andre Vanzyl 

David Ward 

simon Wood 

Credentials Committee 

Michael Bastick (Chair) 

Reza Ali 

shalini Arunanthy 

Waruna de Alwis 

lou Finnel 

Andrew Giles 

Ruth Hew 

Yuresh Naidoo 

Paul Pielage 

Philip Richardson 

Jayantha Weeraratne 

Deputy Censors 

shalini Arunanthy (NSW) 

Terry Brown (TAS) 

simon Chu (SA) 

Gina De Cleene (NZ) 

David Cruse (WA) 

Barry Gunn (VIC) 

Philip Richardson (QLD) 

Examiner Committee 

Diane King (Chair) 

George Braitberg 

Jennifer Brookes 

Bob Dunn 

Bernard Foley 

Trevor Jackson 

Debbie leach 


Committee 

Trevor Jackson (Chair) 

Philip Aplin 

sheila Bryan 

Bernard Foley 

Mark Gillett 

Don liew 


Subcommittees 

MCQ Subcommittee 

sheila Bryan (Chair) 

lindsay Bridgford 

sean Clark 

Rob Edwards 

leong Goh 

Timothy Gray 

Committee Chairs 

Michael Bastick, Credentials 

James Collier, Accreditation 

Bob Dunn, Trainee Research 

Diana Egerton-Warburton, Trainee Selection 

shane George, Trainee Committee 

Kevin Humphrey, MOPS 

Trevor Jackson, Fellowship Examination 

Di King, Examiners 

Debbie leach, Primary Examination 

James Taylor, Overseas Credentials 

susan Hertzberg 

Anna Holdgate 


Richard Mulcahy 

David Richards 

shameem safih 

Janet Talbot-stern 

Gim Tan 

John van der Post 

stephen Walker 

SAQ Subcommittee 

Bernard Foley (Chair) 

Matthew Chu 

James Collier 

Hector Fuentes 

Victor lee 

Yusuf Nagree 

Alex Paspaliaris 

Matt Ryan 

Andrew singer 

Adam West 

VAQ Subcommittee 

Philip Aplin (Chair) 

Christina Fong 

Jeremy Furyk 

Paul Gee 

James Hayes 

irene Ho 

Mark Miller 

Bronwyn Peirce 

Michael Ragg 

Duncan Reid 


Justin Yeung 

SCE Subcommittee 

Don liew (Chair) 


Rachel Boddy 

Jan Bone 

Anthony Cross 

shane Curran 


lou Finnel 

ian Higginson 

sean lawrence 

Bevan lowe 

Andrew Munro 

Bhavani Peddinti 

ian summers 

David symmons 

Joseph Ting

16 


BOARD OF EDuCATION 

COMMITTEE MEMBERSHIP 

continued 

MOPS Committee 

Kevin Humphrey (Chair) 

Alan Broomhead 

Timothy Gray 

Fergus Kerr 

Marian Lee 

Kim Lim 

Geoffrey Mifsud 

Yuresh Naidoo 


Simon Wood 

Philip Richardson (Censor 

Liaison) 

Skills Maintenance Questions 

Subcommittee 


Kevin Humphrey 

Kim Lim 


Yuresh Naidoo 


ACME Monitoring 

Subcommittee 

Stuart Dilley (Chair) 

Cameron Burrows 

Timothy Gray 


Sean Lawrence 

Marian Lee 

Sandra Neate 


Overseas Credentials 

Committee 

James Taylor (Chair) 

Peter Ritchie (Deputy Chair) 


Chris Cahill 

Lou Finnel 

Peter Freeman 


Sally McCarthy 


Paul Pielage 

Primary Examination 

Committee (PEC) 

Debbie Leach (Chair) 

Philip Aplin 

Reza Ali 

Varna Amarasinghe 

Shalini Arunanthy 

Gary Ayton 



Sheila Bryan 

Herman Chua 

Adam Coulson 

Simon Craig 

Shailesh Dass 


Naren Gunja 

Barry Gunn 

Darsim Haji 

Kim Hansen 

Jamie Hendrie 

Ruth Hew 

Fergus Kerr 

Jonathan Knott 

Marian Lee 

David Lightfoot 

Cheryl Martin 

Shyaman Menon 


Yuresh Naidoo 

Kenneth Ooi 


Louis Pouw 

Mani Rajee 

Jason Scop 

Brendon Smith 

Timothy Stanley 

Miguel Taliana 

Peter Thompson 

Gino Toncich 

Eric Van Puymbroeck 

Michael Yeoh 

PEC Anatomy Subcommittee 

Eric Van Puymbroeck (Chair) 

Philip Aplin 


Shailesh Dass 


(to July 2010) 

Ruth Hew 



Louis Pouw 

Mani Rajee 

Jason Scop 

PEC Pathology Subcommittee 

Jonathan Knott (Chair) 

Reza Ali 


Shalini Arunanthy 

Herman Chua 


Kim Hansen 

Jamie Hendrie 

Zoe Knights 


PEC Physiology Subcommittee 

Michael Yeoh (Chair) 

Darsim Haji 

Marian Lee 

David Lightfoot 

Shyaman Menon 

Yuresh Naidoo 

Kenneth Ooi 

Timothy Stanley 


Gino Toncich 

PEC Pharmacology 

Subcommittee 

Fergus Kerr (Chair) 


Sheila Bryan 

Adam Coulson 

Simon Craig 

Naren Gunja 

Barry Gunn 

Debbie Leach 

Brendon Smith 

Trainee Research 

Committee 

Bob Dunn (Chair) 

Meredith Borland 

Tony Brown 

Daniel Fatovich 

Ruth Hew 

Anna Holdgate 

Peter Jones 

Tony Lawler 

Stephen McDonald 

David Taylor 

Adjudicators – Senior Panel 

Richard Aickin 

Philip Aplin 

Glenn Arendts 

Michael Bastick 


Tony Brown 

Kevin Chu 

James Collier 

Shane Curran 

Bob Dunn 


Gordian Fulde 

Mark Gillett 

Tim Green 

Wayne Hazell 

Anna Holdgate 

Craig Hore 

Sue Ieraci 

Peter Jones 

Tony Joseph 

Anne-Maree Kelly 

Robert Meek 

Alastair Meyer 




Alan O’Connor 

Michael Ragg 

Geoff Ramin 

Ian Rogers 

David Taylor 

James Taylor 

John Vinen 

Garry Wilkes 

Kim Yates

17 




continued 

Adjudicators – Panel 


sheila Bryan 

Thomas Chan 

Matthew Chu 

David Cooper 

Robert Dowsett 


Craig Ellis 

Bernard Foley 


Jeremy Furyk 

Adrian Goudie 

Andis Graudins 

Joanne Grindlay 

Jamie Hendrie 

Ruth Hew 


Gerben Keijzers 

Fergus Kerr 


Tony lawler 

Don liew 


Chris May 


Mark Miller 

Biswadev Mitra 

lindsay Murray 

Gerard O’Reilly 

Georgina Phillips 

Paul Pielage 


Drew Richardson 

Michael sinnott 

Alan Tankel 

Ogilvie Thom 

Graeme Thomson 

Bryan Walpole 

Michael Yeoh 

Trainee Selection 

Subcommittee 


(Chair) 

Philip Aplin 

David Brook 

shane George 

John Holmes 

Christopher Johnstone 

David Kirkpatrick 


Willem landman 

David Mah 


Karen Richards (to July 2010) 

Greg sweetman 


Jack Wearne 

Graham Williams 


shane George (Chair) 

Christopher Duncan 

Anna Fairbairn 

John larkin 

Cheryl Martin 

Anna McKinlay 

Kylie McNamara 

Michael Natale 

Andrew Perry 

Karen Robins-Browne 

(to July 2010)

18 




continued 

Court of Examiners 

Peer Review Examiners State Year 

App’ted 

George Braitberg ViC 2006 

Pam Rosengarten ViC 2006 

Bryan Walpole TAs 2006 

ian Rogers WA 2010 

Graeme Thomson ViC 2010 

Senior Court of Examiners State Year 

App’ted 

Matthew Chu NsW 2002 

Richard Harrod ViC 2002 

Paul Mark WA 2002 

Greg McDonald NsW 2002 

Adam Chan NsW 2003 

David lewis-Driver QlD 2003 

Paul Pielage TAs 2003 

John Roberts NsW 2003 

Mark smith ViC 2003 

Tony Brown QlD 2005 

Chris Curry WA 2005 

Diane King sA 2005 

irene Rotenko NsW 2005 

Andrew singer ACT 2005 

Philip Aplin sA 2006 

Neil Banham WA 2006 

Jennifer Brookes ViC 2006 

sheila Bryan ViC 2006 

Bill Croker NsW 2006 

steve Dunjey WA 2006 

David Eddey ViC 2006 

Anne-Maree Kelly ViC 2006 

David Kirkpatrick NsW 2006 

John Maguire NsW 2006 

Colin Myers NT 2006 

James Taylor ViC 2006 

Drew Richardson ACT 2007 

sylvia Andrew-starkey QlD 2009 

Betty Chan NsW 2009 

Bob Dunn sA 2009 

Chris Gavaghan NsW 2009 

Mark Gillett NsW 2009 

Timothy Gray ViC 2009 

Anna Holdgate NsW 2009 

stephen Priestley QlD 2009 

Garry Wilkes WA 2009 

Janet Talbot-stern NsW 2010 

Court of Examiners State Year 

App’ted 

Peter Aitken QlD 2000 

Bernard Foley NZ 2000 

Wayne Hazell NZ 2000 

Debbie leach ViC 2000 

lindsay Murray WA 2000 

Kim Yates NZ 2000 

Michael Bastick NsW 2002 

simon Brown WA 2002 

Gary Browne NsW 2002 

Diana Egerton-Warburton ViC 2002 

Craig Hore NsW 2002 

Trevor Jackson WA 2002 

Tony Joseph NsW 2002 

lewis Macken NsW 2002 

Jennie Martin NsW 2002 

David Mountain WA 2002 

Debra O’Brien WA 2002 

scott Pearson NZ 2002 

Bhavani Peddinti NZ 2002 

Mark Webb sA 2002 

David lightfoot ViC 2003 

James Collier QlD 2007 

Chanh Huynh sA 2007 

Belinda leigh sA 2007 

Tonia Nicholson NZ 2007 

David Richards NZ 2007 

David symmons QlD 2007 

lou Finnel NZ 2008 

Ruth Hew ViC 2008 

Tony lawler TAs 2008 

sally McCarthy NsW 2008 

Yuresh Naidoo WA 2008 

Nadi Pandithage NT 2008 

shalini Arunanthy NsW 2009 

Fergus Kerr ViC 2009 

leo Marneros QlD 2009 

Mark Miller NsW 2009 

Richard Mulcahy QlD 2009 

Michael Ragg ViC 2009 

Philip Richardson QlD 2009 

Eric Van Puymbroeck QlD 2009

19 ACEM AR 2010 

COuNCil COMMiTTEE 

REPORTs 

Constitution and 

Regulations Committee 

Following the revision of the 

Constitution of the College overseen 

by my predecessor,Anthony lawler, 

the Constitution and Regulations 

Committee has commenced an extensive 

review of the College’s Regulations. 

several amendments to the Regulations 

have already been endorsed by Council at 

its most recent meeting in July 2010, but 

there is still a significant amount of work 

to be done. 

in addition, given the dynamic nature of 

the College and the need to regularly 

review the Regulations, processes have 

been put in place to ensure that we are able 

to promptly respond to the needs of the 

College and incorporate decisions of the 

various committees into the Constitution 

and Regulations in a timely fashion. 

A needs analysis is being undertaken, 

particularly with regard to faculty 

regulations, special interest group 

regulations, the development of 

regulations relating to subcommittee 

structure and tenure of the Board 

of Education and the review of 

communication regulations in light of 

the move to electronic communication. 

The committee is also currently reviewing 

its Terms of Reference and this will be 

brought before Council. 

i am indebted to Jenny Freeman, 

liv Cameron and the other committee 

members for their support and advice. 

AlanTankel, Chair 

Private Practice 

Committee 

The Private Practice Committee (PPC) has 

three main agenda items on its workstream: 

Role Delineation for Private EDs 

With standards Committee revising 

the role delineation document, it was 

agreed that there would be separate role 

delineation for private EDs, recognising 

the fact that private EDs operate under 

different organisational conditions. 

A draft document has been developed 

and is undergoing further refinement, prior 

to presenting to the standards Committee 

and Council. 

Private ED involvement in National 

Termset Project 

As some FACEMs may be aware, the 

Department of Health has developed 

a standardised national termset for 

presenting problems and diagnosis.The 

termset is to be pilot tested in a few 

public EDs around the country prior 

to being rolled out. it was felt that the 

termset should also be piloted in at least 

one private ED. However, there was 

little enthusiasm from private hospital 

CiOs, nor funding to allow this to occur. 

The PPC will continue to watch the 

development of the termset. 

CMBS Items & Descriptors 

The recent Medicare schedule has revised 

the CMBs descriptors. it appears that this 

has occurred without consultation. PPC 

intend to review this in more detail and 

prepare a response for the HiC. 

The issue of inadequate CMBs rebates 

is also on the agenda. However, with 

the current government there is little 

sympathy towards a review of these rates. 

Yusuf Nagree, Chair 

Public Health 

Committee 

The Public Health Committee (PHC) has 

continued work on policies and statements 

relevant to emergency medicine. Policy 

statements currently under review and 

submitted to standards are: statement on 

Early Access to Defibrillation; Policy on 

Early Access to Defibrillation for Cardiac 

Arrest in Healthcare settings; Policy 

on immunisation in EDs;The Policy on 

Domestic and Family Violence .A draft 

policy on heatwave is in the final stages 

of development prior to submission 

to standards. 

The engagement of speakers and 

finalisation of topics for the ACEM Annual 

scientific Meeting 2010 - ‘Emergency 

Medicine and Public Healthcare Planning 

and Policy’ is complete, with excellent 

local and international speakers presenting 

on public health and disaster medicine. 

Contact has been made with the Public 

Health Association of Australia (PHAA) 

regarding the development of joint policies 

and statements. Discussions are ongoing. 

Both the PHC and DsC made submissions 

to the Training and Assessment Review 

Working Group (TARWG) to ensure 

that public health and disaster will be an 

important part of the revised training 

program.A submission was also made 

to the iFEM curriculum development 

committee to include public health, and 

this was supported and adopted. 

We are hoping to take a more proactive 

role in the future by developing web based 

public health bundles, which would contain 

information and links for Fellows to access. 

The first bundle we are working on is the 

heatwave information. 

Diana Egerton-Warburton, Chair 

Disaster Subcommittee 

The Disaster subcommittee (DsC) has 

had an active year with many tasks either 

completed or continuing to progress. 

The Disaster Working Group’s paper 

‘ED surge Capacity: Recommendations of 

the Australasian surge strategy Working 

Group’ has been published by Academic 

Emergency Medicine. There has been a 

positive reception to the paper and the 

group is looking into the possibility of 

development of a surge Action Card. 

Contact has been made with iFEM about 

the development of linkages between 

Disaster Committees in various member 

nations to aid future collaboration and 

sharing of learning and experience.

20 



REPORTs continued 

A Disaster Medicine session has been 

organised at the 2010 ACEM Annual 

scientific Meeting in Canberra, with 

the generous support of the organising 

committee.This promises to be both 

interesting and informative. 

Members of the subcommittee have been 

part of an NHMRC funded review of the 

impact of H1N1 on Australian emergency 

departments.A number of other research 

activities, in early stages of development, 

are underway. 

The subcommittee has reviewed a 

number of College Policies, including: 

‘Hazard Material Responses Plan: staff 

Participation’;‘Disaster Medical services’ 

and ‘infectious Disease and Biohazard 

Exposure in the ED’. 

The subcommittee has also drafted a 

College position statement on manmade 

climate change and potential for disasters 

for consideration by Council, and 

supported in principle a proposal from 

the Chair of the ANZCA Disaster 

Response Executive to explore the 

possible establishment of a frozen blood 

and blood products capability in Australia. 

Bruce Bartley has been appointed as Deputy 

Chair of the Disaster subcommittee. 

Peter Aitken, Chair 

Rural and Regional 

Committee 

The work of the Rural and Regional 

Committee continues and we acknowledge 

the contribution of the previous Chair, 

liz Mowatt.We have met by teleconference 

and will be assembling from far 

and wide for a face-to-face meeting at the 

College in October. 

During the year, the main point of 

discussion has been the implementation 

by ACEM of a Certificate in Emergency 

Medicine for non-specialists, which has 

the support of the committee.This should 

help consolidate ACEM as the leading 

provider of non-specialist training in 

emergency medicine across Australia 

and New Zealand. 

The issue of encouraging and supporting 

trainees to spend time in a rural or regional 

emergency department remains a priority 

for the committee as a way of ensuring 

that a broad spectrum of experience is 

available to ACEM trainees.The casemix and 

experience available in these departments 

will be quite different to that available to 

trainees in larger metropolitan emergency 

departments.Work is underway with the 

BOE to look at ways of supporting trainees 

spending training time in rural and regional 

emergency departments.The various 

regional health departments all have 

different views on how best to encourage 

trainees from all specialities to work in 

rural and regional hospitals, and Di Badcock 

has been working with the Department of 

Health inVictoria in this area. 

The new federal program: Rural Health 

Continuing Education (RHCE) is now 

underway with expressions of interest 

submitted to the program.The committee 

has participated in the planning for this 

program on behalf of the College, and 

looks forward to support being allocated 

to some of the proposed programs. 

The annual ACEM Fellow information 

sheet now includes the option for 

Fellows to identify themselves as a rural 

or regional practitioner and it is hoped 

this will allow more Fellows to become 

involved in the work of the committee. 

We will also be looking at other ways of 

continuing to promote rural and regional 

emergency medicine through the ACEM 

website and the trainee newsletter. 

Recruiting and retaining a rural workforce 

remains a big challenge which has been 

made more challenging following the 

introduction of the new APHRA process 

mid year! Hopefully, the system will ‘bed 

down’ quickly and we can all realise the 

benefits of a national registration system. 

Niall Small, Chair 

Scientific Committee 

Perhaps two of the committee’s most 

significant achievements this year have 

related to College endorsement of 

externally generated documents. The 

National stroke Foundation Guidelines 

2010 and ANZCA’s Procedural sedation 

Policy are both now co-badged with 

ACEM. This came about after extensive 

consultation and discussion and i feel 

the views of FACEMs are now well 

represented in those areas that relate to 

our practice and had generated, at times, 

significant controversy. 

A large, ongoing body of work relates 

to oversight of the College’s scientific 

Meetings, representation on external 

bodies and review of a wide range of 

documents. 

The Committee is also undertaking a 

review of the guidelines for the conduct 

of scientific Meetings. This is partly a 

routine review of an ageing document, 

but also aims to address recent points of 

discussion. in particular, the relationships 

with industry, keynote speakers, meeting 

profits and conference organisers are 

being addressed to reflect the current 

views of Fellows. 

Once again, i would like to thank the 

Committee members for their invaluable 

time and contribution to another very 

productive year. 

Anthony Cross, Chair

21 




Emergency Medicine Clinical 

Trials Group Subcommittee 

Paul Middleton took over the chair of 

the EMCTG at the April 2010 meeting, 

following ratification at the March 2010 

Council meeting. 

Members had previously emphasised 

that the original purpose behind the 

establishment of the EMCTG, as a 

subcommittee of the scientific Committee, 

was to set up collaborative clinical 

research in emergency medicine under 

the auspices of the College and to 

promote research in emergency medicine. 

The EMCTG membership comprises 

researchers with a wide breadth of 

experience in the design, execution and 

processes involved in clinical trial research, 

and as such can provide expert input into 

the development of other people’s ideas, 

and can provide a process for seeking 

College endorsement for clinical trials. 

The EMCTG has agreed that the priorities 

of the subcommittee should therefore be 

education, promotion and organisation. 

The focus will be to foster research and 

provide the training necessary to set 

up research projects, particularly the 

development of large, collaborative projects. 

The EMCTG terms of reference do not 

require all projects to be conducted by 

subcommittee members, therefore it is 

planned to encourage research and to 

train others to conduct projects. it is also 

planned to seek allocated time on the 

agenda of each scientific meeting to provide 

seminars for College members on clinical 

trial methodologies. 

The EMCTG is currently considering a 

multi-centre intervention trial targeting 

pain management. 

Paul Middleton, Chair 

Standards Committee 

The standards Committee has been active 

throughout 2010. Following on from 

the ground work in 2009, the committee 

has had an extensive workload with 

reviews of existing policies, statements 

and guidelines according to the program 

developed in 2009. The year has seen a 

number of personnel changes at College 

headquarters, which has slowed some 

of the workload completion. Now that 

this situation has stabilised, a number of 

documents have been reviewed, updated 

and finalised.A complete list of the 

updated policies, guidelines and statements 

can be found on the College website. 

Committee members can access agendas 

and minutes on the website. 

New policies, statements and guidelines 

in development address areas such as the 

roles of Nurse Practitioners in emergency 

departments and implications of proposed 

new performance indicators following 

the new COAG agreement.A complete 

revision and restructure of the Emergency 

Departments Role Delineation statement 

has been undertaken. 

To a large extent, the committee and 

subcommittees have achieved the program 

set in 2009. subcommittees have been 

working tirelessly to complete their 

workload for this year. Please see the 

individual subcommittee reports for 

progress during 2010. 

Policies, guidelines and statements are 

reviewed on a five year cycle. in addition 

to this, it is intended to review the full list 

of documents next year with regard to 

the numbering, identification and 

tracking systems to further enhance 

document control. 

As Chair, i would like to thank the 

members of the standards Committee 

for some outstanding work this year 

and their contributions to the workload 

for 2010. Additionally, the Chairs and 

members of the subcommittees are to be 

congratulated on their achievements and 

work throughout the year. Their work 

and contributions are invaluable to the 

success of the standards Committee. 

Chris May, Chair 

Emergency Department 

Ultrasound Subcommittee 

The ED ultrasound subcommittee 

continues to work to improve ultrasound 

education and credentialing.The 

international conference on point of 

care ultrasound,WiNFOCus 2009, was 

held in sydney in september as a satellite 

conference to the ‘World Federation 

for ultrasound in Medicine and Biology’ 

international meeting. Most of the 

members of the organising committee are 

members of ACEM, and it was pleasing to 

see the demonstration of the high level of 

expertise in emergency ultrasound that 

exists within the College standing equal 

to international experts.The residual 

profit from the conference will be used to 

create the ACEM WiNFOCus ultrasound 

Bursary, to support emergency ultrasound 

research and development.Additionally, 

in recognition of this success and the 

growing role of ultrasound for non-imaging 

specialists, the Australasian society for 

ultrasound in Medicine is considering 

hosting regular sections or satellite 

meetings for clinicians during its annual 

scientific meeting. 

Work has continued with Alana Killen, 

the College Director of Education, to 

create a web based education resource 

for emergency ultrasound. special thanks 

are extended to Justin Bowra, who has 

contributed much of this material. 

A survey of the current state of 

emergency ultrasound in Australasia has 

recently been published by Nagaraj, Chu 

and Dinh in Emergency Medicine Australasia,

22 




with a covering editorial. This confirms 

the growing use of emergency ultrasound 

but also reveals the variable standards of 

credentialing that are applied within EDs, 

often less than College recommendations. 

The subcommittee will continue to work 

on this area, to ensure that the benefits of 

ultrasound are realised while minimising 

the risks inherent in the utilisation of a 

new skill by those who are inexperienced. 

The growing number of accredited 

courses and experienced and credentialed 

practitioners is positive, and should allow 

those who are still gaining experience 

to be properly supervised and assessed 

to gain accreditation in keeping with the 

College standards. 

in response to increasing requests, 

the subcommittee has begun to look 

at standards for bedside echo in the 

periarrest/arrest setting.This is being 

undertaken in concert with other relevant 

colleges and societies, with the aim of 

creating a uniform standard for Australasia. 

i would like to thank all of the members 

of the subcommittee and our support 

staff for their time and efforts during the 

past year in assisting this still new area of 

practice to continue to develop. 

Adrian Goudie, Chair 

Hospital Overcrowding 

Subcommittee 

This was the inaugural year for this 

subcommittee of the standards Committee. 

it was formed from the access block 

special interest group due to the clear 

need for a subcommittee to advocate on 

issues around emergency department 

overcrowding. During the first year of its 

existence it underwent a name change 

to ‘Hospital Overcrowding’ due to the 

need to clarify the issue and also because 

‘overcrowding’ identifies the hospital 

system-wide problem - not just the 

ED problem.The subcommittee has been 

involved in replying to a number of articles 

in medical journals on overcrowding, 

as well as providing vital input into the 

ACEM and AMA position statements on 

the 4 hour rule.The subcommittee seeks 

to achieve a more widespread consensus 

on ACEM public pronouncements and 

advocacy regarding overcrowding and 

potential solutions. it is keen to hear from 

Fellows and to be a clearing house for 

information on research, solutions and 

issues raised by this, the most pressing issue 

facing our College. Clarity in statements 

in the media on causes of and myths 

regarding overcrowding and related issues, 

and the implementation of time based 

rules are areas of ongoing import for the 

subcommittee.The need for a co-ordinated 

advocacy on the Australian 4 hour rule and 

the New Zealand 6 hour rule will be vital 

in the coming year as results from these 

experiments in system change become 

available. Exciting times ahead! 

David Mountain, Chair 

Pre-Hospital Care 

Subcommittee 

2010 has been yet another year where 

we have seen ACEM Fellows and trainees 

actively engaged in pre-hospital care 

with excellent outcomes. in concert with 

our colleagues in the other critical care 

specialties, this expertise continues to 

shape and lead this area of practice. 

The past year has seen important 

advancements in the area of governance. 

This has included the revision of the 

document ‘Minimum standards for 

intrahospital Transport of Critically 

ill Patients’, a process coordinated by 

ANZCA, as well as the ACEM initiated 

revision of the key document ‘Minimum 

standards for interhospital Transport of 

Critically ill Patients’. By the time this 

report goes to print, we should also 

have the final draft of suggested KPis 

for prehospital activities.This will be the 

first time KPis have been drafted on an 

Australasian basis. 

With the ongoing pressures occurring 

within EDs across Australasia at the 

moment, the year ahead will be an 

interesting one.The pressure to move 

patients out of ED within specified time 

frames has flow on effects, both within the 

hospital and also to pre-hospital providers. 

We will watch with interest and become 

actively engaged in those areas where we 

can make a positive contribution. 

My thanks to all current and past 

members, who work tirelessly in a field 

that is mostly out of the limelight but is 

none the less a vital facet of our specialty. 

Garry Wilkes, Chair 

Quality Management 

Subcommittee 

There have been a number of initiatives 

undertaken by the subcommittee during 2010. 

Yusuf Nagree, Carmel Crock and 

Kim Hansen have been part of a joint 

working party with the Royal Australian 

and New Zealand College of Radiologists 

(RANZCR) which has recently completed 

guidelines for imaging in emergency 

medicine.These guidelines will be available 

soon on the College website and i am sure 

that you will join with me in congratulating 

the members of both Colleges for 

developing such comprehensive and 

sensible guidelines for the imaging of 

emergency department patients. 

Committee representatives David 

spain and myself have also been involved 

in discussions with Royal College of 

Pathologists of Australasia (RCPA) in 

developing appropriate guidelines for 

the ordering of pathology tests in EDs. 

We will be having our second meeting

23 




early in October and are hopeful that we 

will be able to circulate some guidelines 

for appropriate test ordering in the next 

few months. 

Carmel Crock has also been involved 

with the Australian Patient safety 

Foundation (APsF) in an initiative to 

develop an Australasian incident reporting 

system for emergency medicine.To date 

we have been unable to secure funding for 

this proposal, but remain hopeful that the 

federal government will be convinced 

this is a worthwhile project to support. 

Fellows may be interested to know 

that the APsF is sponsor of ‘The 

Australasian Conference on Error in 

Medical imaging: Making imaging safer’, 

11-12 November 2010 at the swiss 

Grand Bondi, sydney. Carmel Crock is the 

College representative on the organising 

committee and this conference will have 

content which will be of interest to 

College Fellows and trainees. 

The subcommittee is also currently 

working on the development of 

Australasian Emergency Department 

Key Performance indicators which should 

be available in draft form for Fellows to 

comment on in early 2011. 

A policy on ‘Handover in the ED’ has 

been recently finalised and will be sent to 

the standards Committee for ratification 

before going to Council for final approval. 

The subcommittee has also been asked to 

comment on a number of proposals from 

the Australian Committee on safety and 

Quality in Healthcare (ACsQHC) as well as 

the latest Australian Council on Healthcare 

standards (ACHs) Clinical indicators. 

As i will be stepping down as Chair of the 

subcommittee at the end of 2010, i would 

like to take this opportunity to thank all 

the members of the subcommittee as well 

as the College administrative officers for 

their hard work and cooperation over the 

last two years. Carmel Crock has kindly 

agreed to take over as Chair and i am sure 

she will do an excellent job in this role. 

Tony Joseph, Chair 

Trauma Subcommittee 

The Trauma subcommittee wishes to 

thank Andrew Pearce for his valuable 

contribution as the previous Chair. 

Andrew continues to provide guidance 

through his ongoing involvement in 

the subcommittee. 

ACEM and subcommittee members are 

working towards forging stronger links 

with the Royal Australasian College of 

surgeons (RACs) to enhance the care of 

trauma related presentations, which we 

hope will also improve communication and 

teamwork for surgical patients in general. 

Tony Joseph, a past Chair of the Trauma 

subcommittee is the ACEM representative 

on the RACs Trauma Committee. Tony 

will also coordinate subcommittee input 

to development of the Rural Health 

Continuing Education (RHCE) Rural 

Trauma project. Through this project, 

RACs proposes to develop an increased 

range and variety of trauma workshops for 

rural surgeons and emergency 

medicine specialists. 

Other subcommittee members are 

participating in the trauma verification 

process as part of the RACs Trauma 

Verification Group.This comprehensive 

review process encompasses all the 

contingencies involved in trauma care, 

including significant resources which are 

not generally readily available, and assists 

the institution involved to ‘benchmark’ its 

trauma services. This process may also 

provide a benchmark for other ancillary 

services. Andrew Pearce, Gordian Fulde 

and Colin Myers generously give their 

time to this group. 

A ‘Trauma Tool’ has been developed by 

the subcommittee, which will identify 

and act as a guide to key areas in trauma 

management. intended as an aid to 

advanced trainees, the document is 

currently being reviewed in line with 

the College curriculum. 

We encourage participation in trauma 

team simulation training: multi-disciplinary, 

scenario based, often videotaped, followed 

by a debrief. The training is targeted to 

the level of expertise available locally 

and focuses on communication, decision 

making and working as team.The ultimate 

aim is to make the training affordable 

and relevant and to develop a bank of 

scenarios/multiple choice questions for 

Fellows and trainees to use. 

As the provision of trauma care is a key 

role and function of our specialty, 

we would like to encourage all Fellows 

to work with us in providing leadership 

and excellence in care. We value your 

feedback and ideas and look forward 

to hearing from you. 

Ezila Kapilan, Chair 

Workforce Subcommittee 

The subcommittee has continued to 

monitor the response to the ‘Guideline 

for Constructing an Emergency Medicine 

Medical Workforce’.A literature review 

has been carried out to identify new 

evidence to add to the document. 

Additionally, the longitudinal workforce 

study has been progressing and a 

workforce survey is nearing completion. 

Results of this survey will provide an 

understanding of the present state and 

construction of the ED workforce across 

Australasia. it is hoped that elements of 

the survey will form the basis of a future 

yearly survey to track the emergency 

medicine workforce. 

i would like to thank all the members 

of the Workforce subcommittee for their 

great efforts this year. 

Chris May, Chair

24 



MEMBERsHiP 

Constitution and 

Regulations Committee 

Alan Tankel (Chair) 

Ken Abraham 

Tony lawler 


Andrew singer 

Private Practice 

Committee 

Yusuf Nagree (Chair) 

Reza Ali 


Gavan Doig 

Andrew Jan 

ian Knox 

Greg McDonald 

David Rosengren 

David smart 

Ronald sultana 

Public Health 

Committee 


(Chair) 

Peter Aitken 

Michael Aitken 

Marianne Cannon 

Gerry FitzGerald 

Ezila Kapilan 


Roger swift 

Andrew Wilde 

Disaster Subcommittee 

Peter Aitken (Chair) 

Reza Ali 

Bruce Bartley 

David Bradt 

Tony Eliseo 


Colin Myers 

Tony Nocera 


Andrew singer 

Roger swift 

Michael Westmore 

Andrew Wilde 

Rural and Regional 

Committee 

Niall small (Chair) 

Diana Badcock 

Adam Coulson 

Cameron Dart 

Randall Greenberg 

Ruth large 

Elizabeth Mowatt 

Bill Nimorakiotakis 


Peter Pereira 

Paul spillane 

Alan Tankel 

Greg Treston 

Scientific Committee 

Anthony Cross (Chair) 

Glenn Arendts 

Peter Cameron 

Grant Cave 


Anna Holdgate 

Geoff isbister 

James Kwan 

Peter leman 

Paul Middleton 

David Taylor 

Joseph Ting 

John Vinen 

Michael Yeoh 

Emergency Medicine Clinical 

Trials Group Subcommittee 

Paul Middleton (Chair) 

Glenn Arendts 

Kevin Chu 

Anthony Cross 

Anna Holdgate 


Peter Jones 


James Kwan 

Richard Paoloni 

David Taylor 

Standards Committee 

Chris May (Chair) 

John Bonning 

Matthew Chu 

Adrian Goudie 

Tony Joseph 



Colin Myers 

Tony Nocera 

Andrew Pearce 

Melinda Truesdale 

Garry Wilkes 

ED Ultrasound Subcommittee 

Adrian Goudie (Chair) 

Justin Bowra 

Matthew Bragg 

Brett Gerrard 

Andrew Haig 

Tony Joseph 

Victor lee 

Michael Rose 

Peter smith 

Andrew staib 


Katie Walker 

Daniel Watson 

Hospital Overcrowding 

Subcommittee 

David Mountain (Chair) 

Michael Ardagh 


Peter Cameron 

Paul Cullen 

Paul Cunningham 


Geoffrey Hughes 

Tony Joseph 

Tony lawler 

Paul Mark 


Tim Parke 

stephen Parnis 


Pre-Hospital Care 

Subcommittee 

Garry Wilkes (Chair) 

Neil Ballard 

Craig Ellis 

Emmeline Finn 

Greg Hollis 

stefan Mazur 

Colin Myers 

Andrew Pearce 

steve Walker 

stuart Young 

Quality Management 

Subcommittee 

Tony Joseph (Chair) 

lisa Bell 

Carmel Crock 

Peter Freeman 

Kim Hansen 


Yusuf Nagree 

stephen Priestley 

David spain 


Geoffrey Williamson 

Trauma Subcommittee 

Ezila Kapilan (Chair) 

Reza Ali 

Donovan Dwyer 

Gordian Fulde 

Monica Gope 

Amanda Holgate 

Tony Joseph 

sashi Kumar 

Anthony Mattick 

stefan Mazur 

Colin Myers 

Andrew Pearce 

Mani Rajee 

Mark Rewi 

Workforce Subcommittee 

Chris May (Chris) 

John Bonning 

Michael Bryant 

Anthony Cross 

Con Georgakas 

Marten Howes 

Malcolm Johnston-leek 

simon Judkins 

Fergus Kerr 


simon Wood

25 


FACulTY REPORTs 

Australian Capital 

Territory 

it has been a fairly busy year for the 

ACT Faculty. in October, the fellowship 

examination was held for the first time in 

Canberra. it worked well and thanks go 

to the whole faculty for helping out, and 

especially to sam scanlan and lisa Bell 

who coordinated the two sites. 

Most of the past year has been spent 

preparing to host the Annual scientific 

Meeting in November 2010.Again, this has 

been an ‘all-in’ effort by faculty members and 

we are looking forward to a great meeting. 

The faculty’s training program also 

continues to perform well, with success in 

both primary and fellowship examinations 

during the year.We are also beginning to 

see some growth in interest amongst JMOs 

in pursuing emergency medicine as a career, 

which we hope will translate into both new 

Fellows and trainees in the future. 

Both hospitals have seen some major 

issues. For Calvary, it has been the 

proposal to sell the public hospital to the 

ACT Government.Whilst this initially 

appeared to have widespread support, 

the offer was eventually withdrawn. 

Negotiations have continued throughout 

the year, though without a resolution. 

We hope a resolution will be reached 

soon.Work has begun on the 

redevelopment of the combined iCu/ 

CCu at Calvary, and major redevelopment 

works are commencing at TCH, preparing 

for the new Women’s and Children’s and 

Mental Health buildings. 

issues for TCH have included a recent 

rapid growth in attendances after a period 

of relative stability, and the creation of two 

new units: the Mental Health Assessment 

unit at the back of the emergency 

department, and the opening of the nurserun 

Walk-in Centre.As expected, the latter 

has had no impact on ED attendances. 

Thanks again to all the faculty members 

for their work and ongoing support of 

the activities of the College. 

Andrew Singer, 

Faculty Chair and Councillor 


There has been continued activity in 

relation to the Garling Recommendations. 

The NsW Department of Health 

states that they have met the 

timelines of approximately 60% of the 

recommendations, although this has not 

included any of the recommendations 

that will have significant impact and 

therefore be more difficult to implement. 

Currently, focus is on ‘recognition of 

the deteriorating patient’. standardised 

observation charts, including colour coding 

of abnormal vital signs as triggers for 

escalating assessment and management 

(‘between the flags’) are being developed, 

along with a range of other projects. 

Meetings between the NsW Director- 

General of Health and the committee of 

NsW Faculty Chairs (ACEM and other 

colleges) have continued. The Faculty 

Chairs remain keen to provide clinical 

feedback and input into the NsW 

implementation plan for the National 

Health Reform agenda. 

Considerable concerns have been raised 

by Fellows at the potential nationwide 

implementation of a four hour rule for 

emergency departments.The Faculty 

Chairs contributed to extensive 

discussions with College Executive about 

this issue during the formation of the 

College Position statement on national 

time based emergency access targets. 

Despite a number of communications with 

the Department of Health about influenza, 

there has been little progress on this issue. 

The NsW DOH plan for managing H1N1 

influenza, released in June, was a high 

level public health document with little 

operational information.The plan gave no 

indication that EDs would not be used as 

the point of assessment of these patients. 

The NsW Faculty Chair has again raised 

with the NsW Chief Health Officer, the 

need for a definitive plan to prevent these 

patients being assessed in EDs, which may 

potentially compromise ED care. 

Overall, there have been no major adverse 

effects from the introduction of the NsW 

Trauma Plan. information from both 

RPAH and Westmead indicates that the 

increased urgent trauma surgical load, 

and subsequent surgical and iCu bed 

utilisation, is impacting on semi-elective 

and elective surgical cases. Discussion 

continues regarding the impact of this plan, 

particularly on Western sydney. 

shalini Arunanthy continues to represent 

the faculty on the institute of Medical 

Education and Training Emergency 

Medicine Training implementation Group 

(EMTiG), which is being co-chaired 

by Jon Hayman (FACEM). standard 

selection criteria for EM trainee positions 

and unaccredited positions has been 

distributed.The implementation of 

network based recruitment and ‘lifetime 

of training’ contracts has been deferred 

to next year. 

The tragic and potentially preventable 

death of Vanessa Anderson in a NsW 

hospital, after the teenager was struck 

on the head with a golf ball, prompted 

Jillian skinner, the shadow Minister for 

Health to introduce a Private Member’s 

Bill to NsW Parliament in June 2010. 

The Bill sought to mandate paediatric 

review of all children (

26 



continued 

New Zealand 

The year has been a busy one for the 

NZ Faculty Board. There have been three 

teleconference meetings, held 2-3 weeks 

following the College Council and one 

face-to-face meeting held in conjunction 

with the Regional ED Meeting in October 

last year. 

Currently New Zealand has 140 FACEMs 

and 180 trainees. 

Faculty Courses and Meetings 

A ninth pre Fellowship exam course will 

be held in Auckland in early November, 

convened again by louise Finnel. 

As previously reported, these workshops 

continue to be very popular and successful. 

This year’s course is again fully subscribed, 

with a total of 24 registrations and a 

number on the waiting list. 

A very successful and enjoyable Regional 

ED meeting, hosted by Central Region 

Emergency Care Coordinating Team 

(ECCT) was held in Taupo in October 

2009, which was attended by the Minister 

of Health. Another meeting is planned for 

October 2010, with the theme ‘EDs, their 

place in the community and the 6 hour 

target’. The conference is aimed at 

providing a forum where we can explore 

aspects of where we fit in the bigger 

network of acute care providers regionally 

and nationally. 

New Zealand has been asked to host 

the 2011 Winter symposium which will 

be held in Queenstown and organised by 

Fellows in Christchurch. 

New Zealand ‘Shorter Stays in ED’ 

Ministry Target 

This year has seen twelve months of the 

6 hour ED length of stay target.The New 

Zealand emergency medicine community 

has been generally supportive of this 

initiative which has Mike Ardagh as the 

national champion. if shorter stays in EDs 

is a measure of success of the project, 

the initiative has been a resounding 

success, as the national average has risen 

to 87% compliance – with patients being 

admitted, discharged or transferred 

from the ED within six hours of arrival. 

The compliance rate for the final 

quarter ranges from 74% to 100% and 

each District Health Board (DHB) has 

been visited by the Ministry monitoring 

group to encourage improvement, share 

initiatives and check on reliability of 

data.The emphasis of the New Zealand 

initiative is on quality of care rather 

than speed of care, so much of the 

improvement has been in bed management 

and inpatient responsiveness to admission. 

Council of Medical Colleges 

The faculty is a member of the Council 

of Medical Colleges (CMC) and meetings, 

held every three months, are attended by 

the faculty chair or representative. in the 

past, CMC has been a useful networking 

body but not particularly effective in 

influencing change. However, CMC is 

now looking to position itself in a more 

prominent role, which could realise the 

true potential of the representatives of all 

the medical colleges to influence change. 

Emergency Department IT Systems – 

National Health IT Board 

The Ministerial Review Group last year 

called for ‘a higher level of strategic 

leadership and ownership…from clinicians, 

managers and governors of iT projects’. 

it stated that ‘There is a tendency to 

look for iT solutions without getting 

the fundamentals right, like looking at 

standardising clinical process and assessing 

readiness for changes in behaviour 

necessary to make the systems work 

effectively’. A Clinical leadership Group 

(ClG) was established late last year 

in recognition of the fact that clinical 

leadership was required at a national level 

for ‘transfer of care’.The group was made 

up of nominations from colleges 

and professional bodies including emergency 

medicine. With the creation of the National 

Health Board, and specifically the National 

Health iT Board, the role of the ClG was 

extended to provide clinical leadership input 

to the National Health iT Plan. The work of 

the emergency medicine iT advisory group 

has been to develop national standards 

for iT support of EM practice. The iT 

Board plans to curtail fragmentation of iT 

development within DHBs and take the 

initiative with regard to standardisation of 

practice and iT support. The problem has 

been that, over the last 15-20, years each 

DHB has purchased their own systems and 

each has different platforms and interfacing 

problems. The National Health iT Board 

have engaged with the Faculty to establish a 

common view of iT solutions for emergency 

departments and Peter Freeman has been 

approached to be the project lead for 

this work. 

Access Block Point Prevalence Study 

This study was undertaken by the 

emergency research teams at Auckland 

City Hospital and North shore Hospital 

by Peter Jones and sarah Olsen, with 

the support of the NZ Faculty. it was 

identical to the studies carried out in 

Australia by Drew Richardson on behalf 

of ACEM. The project was approved in 

New Zealand by the Multi-Region Ethics 

Committee as observational research. 

The information gathered will assist in 

determining the extent of access block 

and ED overcrowding in New Zealand 

and the ability of EDs to cope with a 

major incident. Data was collected at a 

single ‘point in time’ from all New Zealand 

EDs. The survey was a great success, 

with a 100% return rate. The Faculty had 

been advised that the emergency research 

team at Auckland City Hospital had been 

successful in the Health Research Council’s 

funding round for their research proposal 

‘implementing Performance improvement;

27 



continued 

the six hour time target policy’. This is 

the first time the Health Research Council 

has funded emergency department based 

research in New Zealand and will provide 

an opportunity to help improve the quality 

of care provided in emergency departments. 

i would like to thank all members of the 

Faculty Board for their ongoing support, 

enthusiasm and contribution during the 

year and wish John Bonning every success 

as the new Chair of Faculty. 

i would particularly like to thank 

Denise Tringham, who is the NZ ACEM 

administrator, for her untiring support and 

contribution to the activities of the faculty. 

Peter Freeman, Chair 


The NT Faculty met informally (not 

minuted) four times in 2010 with 

representatives from Darwin and Alice 

springs. Most discussions are at present 

at an operational level, but the key 

strategic discussions, actions and outcomes 

have focused on the following areas: 

NT Medical Officers Pay Agreement 

Conclusion of this agreement is presently 

running behind all other states and 

territories except Tasmania.This is an 

important factor limiting recruitment and 

retention of specialists and hampering 

development of EM in the NT. FACEM led 

negotiation on specialist pay is now close 

to agreement. 

Alcohol legislation in the NT 

The NT has the highest per capita rate of 

alcohol consumption in Australia, highest 

alcohol related health costs per capita 

(both trauma and chronic illness) and 

highest per capita rate of alcohol related 

Police costs. Cross college lobbying by NT 

branches of ACEM, RACP, RACs,AFPHM 

to the Minister of Health, in concert with 

the Health Ministers Advisory Council 

(which has FACEM representation) and 

the NT News who have spotlighted 

the issue, has resulted in new alcohol 

legislation for drinkers causing harm and 

increased awareness of the next potential 

legislative steps amongst policy makers. 

Inaccurate reporting of NT ED data 

to the Commonwealth 

A letter to Minister Roxon and CE DHF, 

has resulted in an apology from Minister 

Roxon and re-enforcement of DHF policy 

regarding release of data. 

We will work to formal and minuted 

meetings in 2011 

Didier Palmer, Chair 

Queensland 

Queensland Faculty continues to be very 

energetic in providing a forum for Fellows 

to communicate and discuss the issues of 

the moment.The monthly faculty meetings 

are accessible by both teleconference 

and videoconference and despite the 

challenges of finding time, provide a great 

opportunity for Fellows to be involved. 

The key issues of the moment in Queensland: 

The Generalist in Emergency Medicine 

program 

Being administered by the Australian 

College for Rural and Remote Medicine 

(ACRRM), the program has progressed 

to the stage of reviewing credentials for 

accreditation of the first cohort of GEM 

doctors in Queensland. it is fair to say 

there are mixed opinions from FACEMs 

around the state regarding this. At this 

point in time, the faculty position is that 

ACEM provides an excellent environment 

for training and credentialing of emergency 

medicine specialists capable of providing 

specialist services in emergency 

departments, regardless of size or location. 

Whilst ACEM has not formally endorsed 

the GEM curriculum or program, FACEMs 

continue to be involved at various levels 

in a collaborative fashion.The Qld Faculty 

strongly supports the need to upskill, 

standardise and recognise the rural and 

regional sMO workforce, but it does not 

support the need for alternative pathways 

for specialist training. 

Qld DEMT group formalised 

James Collier and Philip Richardson 

have been very busy strengthening 

communication and coordination of the 

DEMTs around the state. Formal meetings 

are scheduled to address training issues at 

a local level and the faculty is working with 

the Queensland Health Medical Workforce 

Advisory unit to promote a greater 

understanding of training opportunities 

and deficits around the state. 

Autumn Symposium 

Held in Brisbane on May 21-22, the 

symposium was attended by over 

110 Fellows andTrainees. An excellent 

program was very well received and the 

quality of 4.10 presentations was extremely 

satisfying.The Deputy Premier and Health 

Minister attended to present QEMRF 

research grants to Queensland FACEMs 

and trainees and the symposium was a great 

opportunity to showcase the cohesive and 

collaborative network of the faculty. 

QHealth collaboration 

The faculty continues to have a strong 

positive contribution to Queensland 

Health initiatives and is an active member 

of the state ED Network, the Queensland 

Council of Medical specialist Colleges 

and the National Health Reform External 

stakeholders Panel.This provides the 

faculty with a fantastic opportunity to 

promote the ACEM agenda at multiple 

levels within Queensland Health. 

Queensland Emergency Medicine 

Research Foundation 

QEMRF continues to progress very 

strongly with over $4 million in grant 

applications for the upcoming round. 

The quality of grant applications has 

exponentially increased, indicating the

28 



continued 

obvious growth in research capability in 

Queensland.The foundation handed out 

its first capacity building grants to fund 

research personnel within departments. 

special thanks to Chris May and Niall 

small, who represent Queensland 

enthusiastically at Council. 

David Rosengren, Chair 


2010 began welcoming Judy Cornish to 

the position of ACEM Councillor for sA. 

simon Chu was also welcomed as the 

Deputy Censor. in addition to simon, 

James smyth also joined the Faculty Board, 

which now includes representation from 

all ACEM accredited sites within the 

Adelaide Health service. Di King, Bob 

Dunn,Tony Eliseo and Hendrika Meyer 

complete the local board.We continue 

to have bi monthly meetings.Andrew 

Perry – our state trainee representative – 

also attends these meetings and provides 

feedback to and from the trainee group. 

His attendance has provided a further 

means of communication between groups, 

which is always welcome and i would like 

to thank Andrew for the hard work and 

enthusiasm that he puts into his role. 

The ‘4 hour rule’, not surprisingly, 

dominated many faculty meetings 

during the year. As with our colleagues 

across the nation, we are keeping a close 

watch on developments both locally and 

federally. At a state level, we are engaging 

with our Minister of Health to discuss 

implementation issues and the concerns 

that faculty members have. it is hoped 

that this dialogue will continue, to ensure 

the best outcomes for all involved, but 

particularly for our patients and the quality 

of care provided to them.The faculty is also 

represented on the state emergency access 

taskforce.This is in addition to the existing 

DEM representation within this group. 

Representatives of the sA faculties of 

ACEM, CENA and ACAP combined to 

host EMsA 2010 in Adelaide. 

This combined emergency health 

professional conference was well 

supported by all disciplines over its two 

day duration. in keeping with a trend 

seen at ACEM meetings recently, a variety 

of practical workshops were run with 

trainees and specialist MOPs in mind. 

Feedback from these was generally positive 

and the inclusion of the workshops was 

welcomed by the conference delegates. 

i would like to thank all those who 

participated in some way to the success of 

the event. i would particularly like to thank 

our colleagues from interstate who came 

to present at the conference and to assess 

the 4.10 presentations. 

Faculty again hosted a booth at the ‘Big 

Careers in Medicine’ expo held at the 

Adelaide Entertainment Centre.This is an all 

day expo held by the state Department of 

Health showcasing careers in all specialties. 

Junior medical officers and students are 

encouraged to attend.Although the ACEM 

booth always attracts visitors, we felt that 

we had a lot more interest in emergency 

medicine careers than in previous years. 

it will be interesting to see whether this 

translates into an increase in job applications 

and College membership in this state during 

the next year. 

Hendrika Meyer, Chair 

Tasmania 

The Tasmania Faculty has had a ground 

breaking year in planning and establishing 

the Tasmania Emergency Care Clinical 

Network.The inaugural ECN development 

workshop was held in May 2010 with 

representation from multiple stakeholders 

across the state.Terms of reference are 

drafted and a steering committee is being 

formed.We are currently recruiting for an 

experienced FACEM clinical leader and it 

is anticipated that this will be filled by the 

time this report goes to print.This is 

obviously a fantastic endeavour for 

emergency medicine in Tasmania and we 

look forward to more to come from the 

workings of this new clinical network. 

Current technology allowed the Tasmania 

Faculty to organise monthly Emergency 

Medicine Grand Rounds via videoconference.These 

are beamed across all 

accredited emergency departments in 

Tasmania, as well as some other sites. 

This has been seen as a great opportunity 

to get the departments together on a 

monthly basis and share some high-end 

topics in emergency medicine.We have 

a rotating roster for the presenting 

hospital of the Royal Hobart Hospital, 

the launceston General Hospital, and 

the North West Regional Hospital.These 

Grand Rounds have resulted in the 

largest gatherings of Tasmania FACEMs 

and trainees outside formal conferences 

and we are excited to see this continue. 

We would strongly encourage other state 

faculties to give this a go. 

Emergency departments in Tasmania 

have encountered some of the typical 

recruiting issues problematic in many 

areas of Australia.There are FACEM level 

vacancies in almost all public hospitals. 

As is everyone else, we are supervising a 

larger quota of interns. it is hoped this 

will result in some light at the end of the 

tunnel when a number of them become 

trainees of the College. 

Among other things, the Tasmania faculty 

has also had ongoing involvement with 

quality assurance, feedback on the 4 

hour rule, research opportunities and 

the regular TasFAsT introduction to 

Emergency ultrasound Workshops. 

Hobart is set to host the ACEM Annual 

scientific Meeting in 2012.This will come

29 



continued 

around before you know it. so mark your 

calendars for a visit to our beautiful state! 

Brian Doyle, Chair 

Victoria 

The last year has seen a number of 

interesting events and challenges for the 

faculty in Victoria. 

The most significant of these was the 

staging of the Annual scientific Meeting 

held in Melbourne in November of 2009. 

This was an extremely well attended event, 

with a great program and a conference 

dinner that will be remembered for 

years to come. it also set a benchmark in 

being the ‘greenest’ emergency medicine 

conference held to date.Again, thanks 

and congratulations go to Di Egerton- 

Warburton and the organising committee 

for their great efforts.We are all looking 

forward to seeing what the team in the 

ACT can do. 

There was also a changing-of-the-guard at 

board level.After two years of dedicated 

and passionate service, David Eddey stepped 

down as the Faculty Chair. Mary Buchanan 

handed over theTreasurer’s position to 

EmmaWest,Thomas Chan was superseded 

by Julia Fisher as secretary and Fergus Kerr 

was newly elected as a board member. 

Attendance at the faculty meetings 

fluctuates, but the dedication of those 

who attend in contributing to the 

evolution and expansion of emergency 

medicine in Victoria is impressive. 

The main issue on the agenda has been 

the National Access Target ( the ‘4 hour 

rule’) but many other issues have stirred 

debate, including workforce levels, 

relationships with Ambulance Victoria and 

the emergence of the Victorian Emergency 

Physicians Association (VEPA). 

The faculty also reconvened the directors 

meeting.All directors of accredited 

departments were invited to attend and 

this promises to be a positive initiative. 

The Victorian scientific Meeting was 

held at southern Health on election 

day - the day we couldn’t decide who 

was going to manage the public hospital 

system for the next three years.This 

was an excellent meeting and will be the 

stepping stone for a bigger event next 

year.The faculty is discussing the merits 

of taking the pressure off individual health 

services in hosting this event and moving 

to a centralised meeting with a diverse 

organising committee. 

The main issue we are facing in Victoria is 

the decision by the Federal Government 

to introduce the 4-hour national target. 

Debate continues as to its pros and 

cons, but we remain hopeful that with a 

proper understanding of the problems 

that contribute to access block and the 

injection of funds into the right areas by 

the Department of Health, this may be a 

positive change.We are asking all of our 

Fellows to contribute to this debate and 

our Directors to come up with models of 

care that we feel are most appropriate for 

the Victorian health system. Meetings with 

the Health Minister have, so far, 

been positive.Watch this space … 

Simon Judkins, Chair 


The WA Faculty has been active in a 

number of areas, including: Healthy Roads, 

WA Donation and Transplant Advisory 

Committees and WA Careers Expo - 

attended by medical students and junior 

medical staff. 

We held a very successful annual seminar 

in May 2010. This was run by Royal Perth 

Hospital and had over 80 registrants. 

Our thanks go to Michelle Johnston 

for organising this. Next year’s seminar 

is being coordinated by swan District 

Hospital using the facilities of 

Notre Dame university. 

A significant number of metropolitan based 

Fellows are providing clinical services to 

regional hospitals on a fly-in, fly-out basis. 

Our Fellows have been very positively 

received by these hospitals.There remains 

considerable difficulty attracting and 

retaining Fellows to live and work in 

regional centres, particularly Bunbury. 

The faculty position on the 4 hour rule 

is one of qualified engagement.A number 

of our Fellows are actively engaged in 

the implementation of these processes. 

We have emphasised the importance of 

adequate resourcing behind these changes. 

Appropriate quality measures have been 

implemented to monitor the changes to 

our services.To date, the teaching hospitals 

are rarely meeting the target compliance 

goals, although a number of Fellows report 

significant reduction in access block and 

improved working conditions in the 

departments.The metropolitan general 

hospitals are currently in the early stages 

of implementation of these new processes. 

it is too early to say how effective these 

changes have been. 

We are very pleased to acknowledge the 

election of David Mountain to President 

of the WA Branch of the AMA. David 

has contributed extensively to the 

development and promotion of 

emergency medicine in this state. 

i would like to extend my thanks to 

Adam Coulson for his efforts as the 

previous Chair of the WA Faculty. 

Robert Graydon, Chair

30 


FACulTY 

BOARD MEMBERsHiP 

Australian Capital Territory 

Andrew singer (Chair, Councillor) 


Richard Paoloni (Chair) 

Ezila Kapilan (Deputy Chair) 

shalini Arunanthy (Deputy Censor) 

Michael Bastick (Censor) 

Marian lee 

sally McCarthy (Councillor) 

Kate Porges (Councillor) 

Alan Tankel (Councillor) 


Didier Palmer (Chair, Councillor) 

stephen Gourley (Deputy Chair) 

New Zealand 

Peter Freeman (Chair) 

Robert Butler (Deputy Chair) 

John Bonning (Councillor, Chair from 

september 2010) 

John Chambers 

Andre Cromhout 

Gina De Cleene (Deputy Censor) 

Andrew Ewens 

lou Finnel (Censor) 

Queensland 

David Rosengren (Chair) 

James Collier (Censor) 

Chris May (Councillor) 


Philip Richardson (Deputy Censor) 

Niall small (Councillor) 

Andrew staib 


Hendrika Meyer (Chair) 

Tony Eliseo (Deputy Chair) 

simon Chu (Deputy Censor) 

Judy Cornish (Councillor) 

Bob Dunn (Censor) 

Diane King 

James smyth 

Tasmania 

Brian Doyle (Chair) 

Konrad Blackman (Deputy Chair) 

Terry Brown (Deputy Censor) 

Helen Cooley 

Tony lawler (Councillor) 

Paul Pielage (Censor) 

Victoria 

simon Judkins (Chair) 

Anthony Cross (Councillor) 

Diana Egerton-Warburton (Councillor) 

Julia Fisher 

Barry Gunn (Deputy Censor) 

Ruth Hew (Censor) 

Fergus Kerr 

Andrew Maclean (Councillor) 

Emma West 


Robert Graydon (Chair) 

Jim Cooper (secretary) 

David Mountain (Councillor) 

Yusuf Nagree (Councillor) 

Yuresh Naidoo (Censor) 

sandra Rennie 

Matt summerscales (Treasurer)

31 


EMERGENCY MEDICINE 

AuSTRALASIA 

The high point of the year was the release of the first impact 

Factor (iF) for the journal in mid-June, which surpassed our 

expectations at an impressive 0.901. 

This iF ranks Emergency Medicine Australasia (EMA) at 11th out of the 

19 journals in the 2009 ISI Journal Citation Reports®: Emergency Medicine 

Category produced by Thomson Reuters. in fact we were close to the median 

Emergency Medicine Category iF of 0.916, between scores that ranged from 

4.232 (Annals of Emergency Medicine) to 0.075 (Notarzt), with the Emergency 

Medicine Journal (EMJ) sitting in 6th spot at 1.477 (yet whose iF was 0.801 as 

recently as 2005).Thus 0.901 is an outstanding result, and a truly impressive 

international benchmark to rate the quality of our own journal’s scientific 

content. 

if anyone wonders how this iF figure of 0.901 was reached, it was calculated 

from the numerator of 137 citations in 2009 to the denominator of source 

articles of which there 152 items published in total in 2007 and 2008 

(84 and 68 in respective years). Clearly this does not tell you which actual 

papers were cited, or that most papers are not cited at all whereas others were 

cited several times! However you wish to interpret this iF on a personal level, 

Emergency Medicine Australasia’s inaugural impact Factor is a fine achievement, 

and a proud testimony to a first-class editorial and publishing process that we 

should all be proud of – from the journal Editorial staff themselves, who are 

now spread across 19 different sections, to the Editorial Board, peer reviewers 

and Wiley-Blackwell staff. i can assure you, the readers, that you are accessing a 

scientifically solid and internationally reputable journal. 

An important change that took place in early August was to launch a new 

web-based platform Wiley Online Library that now offers integrated access to 

more than 4 million articles from 1,500 journals, 9,000 books, and hundreds 

of reference works and databases, and replaces Wiley InterScience. Wiley Online 

Library provides a clear and simple interface with easier intuitive navigation, 

enhanced discoverability options and with an expanded range of functionalities 

and personalisation options.All Wiley Interscience content has been migrated 

across, along with all online licences for current and perpetual access rights, 

so that there should have been no problems for ACEM and AsEM subscription 

members and others in continuing to utilise content. 

The results of the EMA Readership survey became available compiled from 

a sorry total of just 61 respondents (including 48 from Australia, 8 from New 

Zealand and 22 trainees). lack of sample size validity aside, 69% respondents 

still prefer to read the journal in print, and of the content the most highly 

ranked for interest included reviews, original research, trauma, toxicology and 

paediatric emergency medicine (no real surprises in that list). importantly the 

most influential general reasons that shaped readers’ decision which journal 

to submit a paper to included speed and quality of peer review, followed 

by speed of first publication. it is worth noting then that EMA is able to 

immediately publish original research and review papers online in Early View, 

then in the next paper issue. i apologise personally to those thankfully few 

individuals (you know who you are) who clearly fell outside the acceptable 

article turn-around time, and suffered long and frustrating waits – sadly in 

reality a problem with every journal. 

Challenging all of us who run EMA, the three worst things about the journal 

gave ample scope for catharsis with comments about the low quality of 

articles, often too long, that fail to pass the ‘so what test’; review papers that 

are waffly and not more rigorously evidence-based 

complete with number needed to treat/harm etc 

(NNT/NNH); and one respondent who simply stated 

“Only 3!”. On a slightly more creative front, the three 

things that should be changed about the journal 

brought comments that mirrored those above, 

but also included more emphasis on educational 

articles, reflective essays from high-profile emergency 

medicine practitioners demonstrating leadership 

and advocacy for our specialty, and the enlightening 

quip “More clinical, less clerical, more innovative”. 

The Editorial Executive will take on board all of these 

comments and endeavour to bring you what you 

want. unfortunately, this still fundamentally depends 

on what you submit, so as i have written many times 

before, if you don’t like what you read, your moral, 

practical and pre-emptive response should be to 

send EMA your best articles. if you want to take a 

leadership role and advocate for better emergency 

medicine care in Australasia, put this in writing in 

a punchy editorial or perspective piece, send us a 

useful and concise review paper, and or submit your 

cutting edge research. start writing – blow your 

own trumpet and join in, don’t simply add to the 

background cacophony. 

Finally we welcomed some new faces in 2010 

including Kevin Chu (original research), Diana 

Egerton-Warburton (public health), Andis Graudins 

(toxicology) and Garry Wilkes (case reports). i would 

like to sincerely thank two outstanding outgoing 

editors simon Brown and Geoff isbister for their 

tireless work over the years that did much to shape 

the journal.Thanks also to all of the section Editors, 

peer reviewers,Wiley-Blackwell staff and Editorial 

Board with new member Eillyne seow (singapore) 

for their hard work in 2010.The journal could not 

exist without your help given so generously and 

creatively. let’s look forward to 2011 not for ‘more 

of the same’ but for something better, that fulfils the 

needs of our readers and acts to convert some of 

our doubters. 

Anthony FT Brown, Editor-in-Chief

32 


AWARDs 

Australian Honours 

The College records with honour the 

awarding of the followingAustralian Honours 

to College Fellows on 26 January, 2010. 

Dr Richard Ashby AM 

The Award of Member of the Order of 

Australia was granted to Dr Richard Ashby 

for service to emergency medicine, 

to medical administration, and to a range 

of professional associations. 

Dr Edward Brentnall OAM 

The Award of the Medal of the Order 

of Australia was granted to Dr Edward 

Brentnall for service to acute and 

emergency medicine, particularly through 

the development of innovative procedures. 

Teaching Excellence 

Award 

The Teaching Excellence Award is 

awarded to Fellows at the discretion of 

the Council of the College in recognition 

of distinguished and extensive service in 

teaching and learning for the College. 

The College is delighted to record that the 

Teaching Excellence Award was presented 

to stephen Dunjey at the College 

Ceremony in November 2009. 

VAlE 

The College records with much sadness 

the passing of the following Fellows during 

the past year: 

Dr Robin Mitchell (NZ) 

Dr Greg Moore (NsW) 

John Gilroy Potts Award 

The John Gilroy Potts Award is an award 

made to the author of an article published 

in a refereed journal, the content of 

which made a significant contribution 

to emergency medicine. 

in 2009, the award was presented to 

David Taylor (lead author) and Joanna 

Richardson for a paper entitled Effect of 

topical alkane vapocoolant spray on pain 

with intravenous cannulation in patients in 

emergency departments: randomised double 

blind placebo controlled trial. 

Emergency Medicine 

Research Foundation 

The Morson Taylor Research Award 

is made by the Emergency Medicine 

Research Foundation to foster research 

in emergency medicine. 

The MorsonTaylor ResearchAward for 2009 

was awarded to Diana Egerton-Warburton 

for a study entitled A randomised placebo 

controlled trial of antiemetic agents in adult 

emergency department patients with nausea 

or vomiting. 

International Federation 

for Emergency Medicine 

The Order of the international Federation 

for Emergency Medicine (FiFEM) is 

reserved for individuals who have 

demonstrated an extensive and continued 

commitment to the specialty of emergency 

medicine in their own country and who 

have made a significant contribution 

to the advancement of the specialty 

internationally through the iFEM. 

The College advises with pleasure that 

the Order of the iFEM was bestowed on 

Andrew singer in June 2010.

33 


FEllOWs as at 

4 October 2010 

Australian Capital 

Territory (19) 

Jamie Christie 

John Craven 

Karyn Cuthbert 

Betty Domazet 

David Elliott 

Kelvin Grove 

Michael Hall 

Greg Hollis 

sashi Kumar 

Paul lamberth 

David lamond 

Daniel McCormack 

John Merchant 


Andrée salter 

sam scanlan 

Andrew singer 

Nicholas Taylor 

Megan Thomas 

New South Wales (310) 

Ken Abraham 

Judy Alford 

Reza Ali 

Mike Anscombe 

Pankaj Arora 


stephen Asha 

Yasmin Ashraff 

serena Ayers 

Michael Bastick 

simon Battersby 

Kendall Bein 

lisa Bell 

Andrea Bell 

samantha Bendall 

Melinda Berry 

Andrew Bezzina 

Roderick Bishop 

Rachel Boddy 

Justin Bowra 

Matthew Bragg 

Gary Browne 

sandra Brownlea 

Brian Burns 

Chris Cahill 

steve Cameron 

Diane Campbell 

Jonathon Candrick 

Genevieve Carbonatto 

Thomas Carrigan 

swee Cham 

Trevor Chan 

Adam Chan 

Betty Chan 

Yao-Hua Chang 

Martin Chase 

Michelle Chen 

Natasha Ching 

Fiona Chow 

louis Christie 

Matthew Chu 

Christopher Chung 

Peter Clark 

Michael Clark 

Brian Collits 

Cathy Constantine 

Ronald Cook 

sarah Coombes 

David Cooper 

Megan Cox 

Richard Cracknell 

Roslyn Crampton 

susan Crawford 

Bill Croker 

Paul Cunningham 

shane Curran 

Kate Cush 

Andre Danforth 

linda Dann 

Cameron Dart 


William Davies 

Robert Davies 

Trudi Davis 

Matt Davis 

Robert Day 

Anthony Delaney 

John Dimitriadis 

Michael Dinh 

steven Doherty 

Michael Donoghue 

Michael Downes 

Fiona Downes 

Robert Dowsett 

Anne Drinkwater 

Jonathan Dryburgh 

Martin Duffy 

Andrew Dwyer 

Donovan Dwyer 

Rick Easton 

Noel Eatough 

James Edwards 

Keith Edwards 

Rob Edwards 

Ed Egan 

sharif Elgafi 

Rochelle Facer 

ian Ferguson 

sanj Fernando 

Andrew Finckh 

lee Fineberg 

Daniel Finucci 

Paul Fischer 

Toby Fogg 

Carole Foot 

Richard Forbes 

Alan Forrester 

Michele Franks 

James Fratzia 

Gordian Fulde 

Ekram Gadallah 

Alan Garner 

Paul Gaudry 

Chris Gavaghan 

Chris Geraghty 

shima Ghedia 

Johann Gildenhuys 

Alan Giles 

Mark Gillett 

David Gleadhill 

Martin Gleeson 

Michelle Golden 

Michael Golding 

Peter Grant 

Tim Green 

Randall Greenberg 

Andrew Grouse 

Naren Gunja 

Karel Habig 

Andrew Haig 

Charlotte Hall 

Timothy W Hall 

Roger Harris 

Antony Harrison 

Jonathan Hayman 

Claire Helm 

susan Hertzberg 

Michael Hession 

Rosslyn Hing 

irene Ho 

Anna Holdgate 

Digby Hone 

Herbert Hooi 

Ruby Hsu 

Andrew Hugman 

Carolyn Hullick 

Philip Hungerford 

sue ieraci 


shaila islam 

Mana ittimani 

Dushan Jayaweera 

Daya Jeganathan 

Christopher Jenkins 

liz Jones 

Tony Joseph 

Ezila Kapilan 

Philippa Keir 

sean Kelly 

John Kennedy 

Patricia Kijvanit 

David Kirkpatrick 

ivana Kliman 

Zoe Knights 

stephen Korbel 

Priya Kumar 

James Kwan 

Raymond Kwok 

Kevin lai 

Gabriel lau 

laurence lau 

Charles lawrie 

Marian lee 

Mark lee 

Richard lennon 

Julie leung 

Mee luong ling 

Rod little 

Conrad loten 

Tatiana lowe 

Jeffrey lui 

ien soun ly 

lewis Macken

34 


FEllOWs as at 

4 October 2010 continued 

John Mackenzie 

Katie Maclean 

Matthew MacPartlin 

John Maguire 

David Mah 

Richard Mahoney 

Marta Malkiewicz 

James Mallows 

Gopi Mann 

Ronald Manning 

Alvaro Manovel 

Jennie Martin 

Maura McCambridge 

Kelly McCann 


Mary McCaskill 

Fergal McCourt 

Greg McDonald 

Joe McGirr 

Gayle Mcinerney 

lorna Mcleod 

stephen Meaney 

David Melvin 

Eve Merfield 

Frances Miao 

Rachel Michie 

Paul Middleton 


Mark Miller 

satish Mitter 

William Monaghan 

simone Moore 

Amanda Moore 

Mary Morgan 

John Morgan 

David Murphy 

lindsay Murray 

Jannatun Nayim 

Mark Newcombe 

Peter Ngo 

Garry Nieuwkamp 

Virginia Noel 

Michael Novy 

Carissa Oh 

Fenton O’leary 

Joanne Oo 

Cynthia O’Young 

Martin Pallas 


James Parks 

stephen Peak 

Guy Peden 

Dragan Petkovic 

Tamara Pollock 

Hugo Poncia 

Kate Porges 

Paul Preisz 

John Raftos 

sanjay Ramrakha 

Andy Ratchford 

Duncan Reed 

Clifford Reid 

Barry Rigby 

John Roberts 

Peter Roberts 

Malcolm Robertson 

Gregory Robinson 

Kent Robinson 

simon Rodda 

Zoe Rodgers 

Geoffrey Rofe 

Mark Ross 

irene Rotenko 

Tim Royle 

Nick Ryan 

Trish saccasan Whelan 

iromi samarasinghe 

John sammut 

sharon saw 

Phanomkham saysana 

Guyon scott 

Ross sheil 

Matthew shepherd 

John shirley 

Romesh singam 

Mechelle smith 

Brendon smith 

Matthew smith 

Peter smith 

Paul spillane 

Brett squires 

Timothy stanley 

stuart stapleton 

Andrew stearman 

Marty sterrett 

Declan stewart 

Elizabeth swinburn 

Elzbieta szynal-Mrowka 

Janet Talbot-stern 


Gary Tall 

Clifford Tan 

Hwang sin Tan 

Kevin Tang 

Alan Tankel 

Michael Taylor 

Deniz Tek 

Chris Trethewy 

shane Trevithick 

Daniel Turner 

Alexander Tzannes 

setthy ung 

Danielle unwin 

sylviane Van De Haar 

Kavita Varshney 

John Vassiliadis 

John Vinen 

Natalie Vu 

Matthew Vukasovic 

steve Walker 

Gina Watkins 

stuart Watkins 

Andrew Watson 

Bruce Way 

Jacqui Weeden 

Penelope Weir 

Robyn Wilkinson 

Pamela Woodruff 

Tony Woolford 

Tammy Wu 

Michael Wu 

Peter Wyllie 

Bill Wyndham 

Colin Xavier 

David York 

Graham Yule 

Michael Zhang 

Northern Territory (12) 

James Fordyce 

stephen Gourley 

Paul Helliwell 

Craig Hore 

Kerrie Jones 

Keith Nallaratnam 

ian Norton 

Didier Palmer 

Nadi Pandithage 

Hilary Tyler 

Merle Weber 

Michelle Withers 

New Zealand (140) 

Christopher Abbott 

Adrienne Adams 

Richard Aickin 

Kate Allan 

Michael Ardagh 

laura Bainbridge 

Mark Barlow 

stuart Barrington-Onslow 

Emma Batistich 

Barbara Blok 

Jan Bone 

Richard Bonham 

John Bonning 

scott Boyes 

sylvia Boys 

stephen Brady 

Paul Brydon 

Robert Butler 

scott Cameron 

sarah Carr 

Grant Cave 

John Chambers 

Giles Chanwai 

Garry Clearwater 

Caroline Collins 

Aileen Conboy 

Helen Cosgrove 

louise Couch 

sue Creighton 

Andre Cromhout 

Gina De Cleene 

Murray Delport 

Claire Dillon 

Owen Doran 

Clive Dreyer 

Nikica Drinkovic 

Jeremy Dryden 

Craig Ellis 

Robert Everitt 

Andrew Ewens 

lou Finnel 

Dominic Fleischer 

Bernard Foley

35 


FEllOWs as at 


Bernard Fouke 

Peter Freeman 

Mark Gardener 

Paul Gee 

Brett Gerrard 

Mark Gilbert 

shane Greaves 

Tod Gulick 

Amanda Hall 

Martyn Harvey 

Wayne Hazell 

Amanda Holgate 

Carl Horsley 

Craig Hourigan 

Ryan Howard 

sandy inglis 

Jacqui irvine 

Chip Jaffurs 

Penny Jeffery 

Peter Jones 

Tim Kerruish 

Michael Killeen 

sampsa Kiuru 

Hilmar Kjartansson 

sharon Kletchko 

Bruce lambie 

Willem landman 

Ruth large 

Christopher lash 

Ywain lawrey 

Heather leslie 

Richard Makower 

ian Martin 

Donald McKee 

Adam Mcleay 

Maryleigh Moore 

Tom Morton 

Fen Moy 

Andrew Munro 

Anil Nair 

Jocelyn Neutze 

Michael Nicholls 

Tonia Nicholson 

Rob Ojala 

sarah Olsen 

Tim Parke 

Gary Payinda 

David Peak 

scott Pearson 


Angela Pitchford 

Terri Prest 

Karen Quay 

Paul Quigley 

Cecilia Rademeyer 

sandra Rattenbury 

lucy Reed 

Duncan Reid 

Mark Rewi 

David Richards 

Peter Rodwell 

Jill Rubython 

shameem safih 

Derek sage 

Jules schofield 

Michael scott 

Claire shadwell 

Catherine simpson 

David snow 

Donna steele 

Greg stevens 

Anna sullivan 

Andy swain 

Eunicia Tan 

Claire Taylor 

Martin Than 

lynn Theron 

Vanessa Thornton 

Maurice Toes 

Chris underwood 

Marjory van der Pyl 

Vicki Vertongen 

Neil Waldman 

Muir Wallace 

Craig Wallace 

Benjamin Walters 

Daniel Watson 

Martin Watts 

Andrew Wilde 

Jules Willcocks 

Graham Williams 

Kelly Williams 

Dionne Williamson 

Tanya Wilton 

Kim Yates 

Phillip Young 

Khalid Yousif 

Queensland (236) 

Peter Aitken 

Michael Aitken 

sylvia Andrew-starkey 

Christopher Armson 

Alasdair Arthur 

Richard Ashby 

ian Audley 

Paul Bailey 

Kylie Baker 

Mark Baldwin 

Neil Ballard 

Colin Banks 

Mary Basire 

Peter Bastable 

Bruce Beal 

Anthony Bell 

Christa Bell 

Daniel Bitmead 

Denise Blake 

Dan Bodnar 

Robert Bonnin 

Paul Bowe 

Alison Boyle 

Robyn Brady 

shahina Braganza 

Victoria Brazil 

Katina Breeze 

stephen Brierley 

Tony Brown 

Richard Brown 

simon Bugden 

John Burke 

Ellen Burkett 

Michael Cameron 

Donald Campbell 

Bruce Campbell 

Marianne Cannon 

Rob Cardwell 

Michaela Cartner 

Nicholas Childs 

Kevin Chu 

sean Clark 

Ron Clark 

Michael Cleary 

Ben Close 

James Collier 

Greg Comadira 

sheree Conroy 

David Cooksley 

sara Cooksley 

Bev Coyne 

Rosalind Crawford 

Deanne Crosbie 

louise Cullen 

Paul Cullen 

Philip Cumpston 

Mark Dalton 

shailesh Dass 

Michelle Davison 

Waruna de Alwis 

Jo Deverill 

Gavan Doig 

Grant Eddie 

Mark Elcock 

Greg Emerson 

Paul Ferguson 

Jonathan Field 

Allison Fifoot 

Emmeline Finn 

Paul FitzGerald 



Frank Garlick 

Peter Garrett 

Audra Gedmintas 

Terence George 

Riesa Ginsberg 

Neil Grant 

steven Grant 

Tanya Gray 

Digby Green 

David Green 

lambros Halkidis 

Mohannad Hamed 

Dale Hanson 

Tim Harraway 

Tony Harrington 

sass Hayes 

Peter Herron 

Brett Hoggard 

Anthony Holley 

John Holmes 

Jeffrey Hooper 


Harvey Hunt 

Catherine Hurn 

Caroline Hwang

36 


FEllOWs as at 


Jonathon isoardi 

Graham Jay 

simon Jensen 

Emmanuel Jeyarajah 

Rasiah Jeyarajan 

David Johns 

Christopher Johnstone 

Malcolm Johnston-leek 

Phillip Kay 

Gerben Keijzers 

Richard Kenworthy 

Alex King 

Fran Kinnear 

ian Knox 

Elizabeth Kyle 

Mark laverty 

sean lawrence 

Michelle lees 

David lewis-Driver 

Darren lien 

Kong liew 

James lind 

Kirsty lindsay 

Peter logan 

Bevan lowe 

William lukin 

Ben Margetts 

Michaela Marginean 

leo Marneros 

Franco Martinese 

Graeme Maw 

Chris May 

Andy McClelland 

Nora McCullagh 

Melissa McGrath 

larry McGuire 

Juliet McKenzie 

David McKinnon 

Charley McNabb 

iain McNeill 

Peter Mcsweeney 

Mark Michalski 

Christian Michel 

Peter Miller 

Katie Mills 

Douglas Morel 

Dean Morgan 

Harpreat Moudgil 

Elizabeth Mowatt 


Roy Mulcahy 

Ellis Murdoch 

Duncan Murray 

Colin Myers 

Yogesh Nataly 

Jason Nebbs 

Kim Nicholls 

Rhianne Nowell 

leo Nunnink 

Kees Nydam 


Roger O’Gorman 

Carl O’Kane 

Anthony Padowitz 

Colin Page 

Zaahid Pandie 

Andrew Parkin 

Peter Pereira 

Robert Pitt 

David Poff 

Joanne Potts 

Darren Powrie 

stephen Priestley 

Geoff Ramin 

stephen Rashford 

James Reeves 

Fiona Reilly 

James Renton 

Karen Richards 


Peter Rizzo 

sonya Rose 

David Rosengren 

sean Rothwell 

Alison Ryan 

Glenn Ryan 

Jan sadewasser 

Mark scott 

Bob scott 

Raj sehdev 

Vijey selvarajah 

Kate sharpe 

Andrew shield 

sue shiels 

Chanelle simpson 

Michael sinnott 

Neil slabbert 

Bob slawinski 

Niall small 

sharyn smith 

Annabel somerville 

David spain 

Andrew staib 

Tina stathakis 

lauren stephenson 

Noel stevenson 

Richard stone 

David symmons 

simon Taylor 

simon Tebbutt 

Adrian Ternouth 

Ogilvie Thom 

Jamie Thomas 


Fiona Thomson 

Neale Thornton 

James Tilleard 

Joseph Ting 

Ric Todhunter 

Thomas Torpie 

Greg Treston 

Charles Tweed 

Yusuke ueno-Dewhirst 


Matthew Verdolini 

Melanie Voigt 

Mark Walker 

stephen Walker 

Andrew Walker 

Christine Waller 

Carrie Wang 

David Ward 

laura Wee 

Yolande Weiner 

luke Wheatley 

Richard Whitaker 

Julian Williams 

Adam Wilson 

stuart Young 

South Australia (68) 

samuel Alfred 

louise Allonby-Neve 

Christopher Angley 

Philip Aplin 

Chris Baggoley 

Catriona Balfour 

ulrike Basch 


Julie Bunney 

Maureen Busuttil 

simon Chu 

Herman Chua 

Jane Cocks 

Judy Cornish 

Michael Davey 

Andrew Doley 

Bob Dunn 

Tony Eliseo 

Daniel Ellis 

lisa Farmer 

Patrick Feeny 

Andrew Giles 

lee Hammerstein 

Jim Holland 

Matthew Hooper 

Geoffrey Hughes 

Truc Huynh 

Chanh Huynh 

sue Johanson 

Alison Kent 

Diane King 

Jarrod Koh 

sam lam 

Tom lee 

Joon Chong lee 

Kenneth lee 

Belinda leigh 

Derek louey 

Jake Mallon 

Timothy Mann 

stefan Mazur 

Hendrika Meyer 

Alistair Murray 

Melissa Nelligan 

Tobias Otto 

Mohines Pala 

sharad Pandit 

Cathrin Parsch 

Andrew Pearce 

Garry Phillips 

David Pope 

Jane Rowland 

Jennifer Rush 

Brett sampson 

Julianne schliebs 

sharon semmler 

Frances settle 

Prathibha shenoy 

James smyth

37 


FEllOWs as at 


Thomas soulsby 

Richard strickland 

Peter stuart 

David Teubner 

Jack Wearne 

Mark Webb 

Conrad Williams 

Alex Wurm 

luke Yip 

Tasmania (29) 

John Barrenger 

Konrad Blackman 

David Brook 

Terry Brown 

Andrew Climie 

Helen Cooley 

Geoff Couser 

Brian Doyle 

Rod Franks 

Corinne Ginifer 

Emma Huckerby 

Andrew Hughes 

Harry Jamison 

Michael King 

Jorian Kippax 

Tony lawler 

Esther lok 

Thomas McDonagh 

Paul Pielage 

Dean Powell 

David Rigg 

Michael Rose 

Marielle Ruigrok 

David smart 

Brady Tassicker 

Alicia Tucker 

Richard Vane-Tempest 

Bryan Walpole 

Nick Watkins 

Victoria (323) 

Nicholas Adams 

Meredith Adie 

Hussein Alabodi 

Yaman Al-Azzawi 

David Alexander 

Hani Aljamal 


Angelo Annunziata 

Peter Archer 

sean Arendse 

Ali Asadpour 

Amer Ashour 

Michael Augello 

Gary Ayton 

Diana Badcock 

Peter Bailey 

Timothy Baker 

Peter Barnett 

Bruce Bartley 

Nigel Beck 

Danny Ben-Eli 

Michael Ben-Meir 

Jack Bergman 

stephen Bernard 

Michelle Bertolucci 

Paul Biegler 

Andrew Blunt 

simon Bolch 

Antony Bottrall 

David Bradt 


Edward Brentnall 

lindsay Bridgford 

Kate Bristow 

Jennifer Brookes 

Joanne Brown 

sheila Bryan 

Michael Bryant 

Mary Buchanan 

Andy Buck 

Dinh Bui 

Paul Buntine 

Peter Burke 

Nathan Bushby 

Adam Bystrzycki 

Peter Cameron 

Gary Campain 

Belinda Carne 

Andrew Casamento 

Kirsten Cassidy 

Craig Castle 

Richard Cathie 

Tony Chan 

Andrew Chan 

Thomas Chan 

Barry Chan 

Pauline Chapman 

Antony Chenhall 

ifeanyi Chiezey 

Herman Chiu 

Wei Ch’ng 

Min-Hin Chong 

linda Chow 

Tsung Hsin Chung 

Carlos Cobelas 

John Coleridge 

Michael Coman 

Carolyn Cooper 

Rachael Coutts 

simon Craig 

Anne Creaton 

Andrew Crellin 

Carmel Crock 

Heather Crook 

Anthony Cross 

Peter Crossley 

Jaycen Cruickshank 

Neil Cunningham 

Nicola Cunningham 

Joanne Dalgleish 

Anne D’Arcy 

Anna Davis 

Andrew Dean 

Adrienne Deans 

Mark Dent 

stuart Dilley 

John Ding 

Warwick Dobson 

George Douros 

Jonathan Dowling 

Paul Duggan 

Martin Dutch 

Andrew Dyall 

linas Dziukas 

David Eddey 


Robin Endersbee 

Joseph Epstein 

Julia Fisher 

Mark Fitzgerald 

Diane Flood 

Colleen Fluharty 


Peter Fritz 

Phyllis Fu 

Jeremy Furyk 

Bruce Garbutt 

Pascal Gelperowicz 

Michael Geluk 

Con Georgakas 

Angaj Ghosh 

Dimitrios Giannios 

Robert Gocentas 

leong Goh 

Neil Goldie 

Jim Goutzamanis 


Timothy Gray 

shaun Greene 

Joanne Grindlay 

Abey Gunaratne 

Barry Gunn 

Robyn Gunn 

susan Hahnemann 

Darsim Haji 

Kavi Haji 

Kim Hansen 

Jason Harney 

Julia Harrison 

Glenn Harrison 

Richard Harrod 

Mark Hartnell 

semsudin Hasanovic 

James Hayes 

Jamie Hendrie 

Jackie Herington 

Ruth Hew 

Helen Hewitt 

Kenny Hii 

Tom Hoey 

Kent Hoi 

Hans Hollerer 

Natalie Hood 

Nalini Hooper 

sandy Hopper 

Dane Horsfall 

Madeleine Howard 

Rachel Hoyle 

Jennie Hutton 

Christine Jackman 

David Jawary 

George Jelinek 

Keith Joe 

Tara Johansson 

John Johnston

38 


FEllOWs as at 


Peter Jordan 

simon Judkins 

Eddie Kaan 

Mohan Kamalanathan 

Tony Kambourakis 

Harry Karipis 

Jonathan Karro 

Peter Kas 

Anne-Maree Kelly 

Marcus Kennedy 

Elissa Kennedy-smith 

Fergus Kerr 

Ameera Khan 

Evangelos Klonis 


Nick Kokotsis 

Martin Koolstra 

Anna Korin 

Zeff Koutsogiannis 

David Krelle 

Matthew labattaglia 

ian lamb 

Helen laurence 

Debbie leach 

Victor lee 

lucia le-Kim 

Martin lew 

Don liew 

David lightfoot 

Kim lim 

Cynthia lim 

Kenneth lim 

Wendy lim 

Mandy lishman 

Anita liu 

John loy 

Benjamin lui 

Jane lukins 


Matthew Maiden 

Jacqueline Maplesden 

luigi Marino 

Francine Marshall 

Rebecca Marson 

Mark Matthiesson 

Melanie McCann 

Daniel McGannon 

Barry Mcilroy 

Ben McKenzie 

Robert Meek 

Greg Mele 

shyaman Menon 

Wolfgang Merl 

Alastair Meyer 

Robert Millar 

sue Mitchell 

Biswadev Mitra 

Christopher Mobbs 

Wanda Moore 

Alfredo Mori 

Venita Munir 

Gregory Nathan 

sandra Neate 

Julia Ng 

Fiona Nicholson 

Bill Nimorakiotakis 

Tony Nocera 

stephen Nutter 

Edward Oakley 

Adam O’Brien 

James Ogilvy 

Kenneth Ooi 


laven Padayachee 

Christopher Paes 

sylvia Palanca 

Peter Papadopoulos 

Jonathan Papson 

Robyn Parker 

Helen Parker 

Meera Parkhe 

stephen Parnis 

John Pasco 

Alex Paspaliaris 

Rajesh Patel 

Maureen Patumau-Koo 

ileana Petre 


Wilson Phiri 

Fabrice Pierre 

steven Pincus 

Robert Poulton 

louis Pouw 

Kirsty Povey 

Helen Psihogios 

Mark Putland 

Treena Quarin 

Michael Ragg 

Fatima Rahman 

umadevan Rajasagaram 

Mani Rajee 

Thomas Razga 

Tom Reade 

Nickie Reid 

Joanna Richardson 

sarah Rickman 

Peter Ritchie 

Penelope Roberts 

Aaron Robinson 

Pamela Rosengarten 

Andrew Rosengarten 

Matt Ryan 

Guy sansom 

Mark santamaria 

Anastasia sfakiotaki 

Nicholas simpson 

De Villiers smit 

Mark smith 

Jack spencer 

Julian stella 

Helen stergiou 

Ronald sultana 

ian summers 

Alex swain 

Gim Tan 

Andrew Tay 

David Taylor 

James Taylor 

Graeme Thomson 

Gino Toncich 

Anh Tran 

steven Troupakis 


spiro Tsipouras 

susan Tucker 

igor Tulchinsky 

lisa Vallender 

Michelle Van Den Driesen 

Denise Van Vugt 

Andre Vanzyl 

Mark Wadsworth 

Andrew Walby 

Katie Walker 

Richard Waller 

liam Walsh 

Matthew Walsh 

Nicola Walsham 

sarah Ward 

Jayantha Weeraratne 

Daragh Weldon 

Johannes Wenzel 

Adam West 

Emma West 

Michael Westmore 

Melissa White 

Allan Whitehead 

sarah Whitelaw 

Ann Whitfield 

Amanda Wilkin 

Pip Wills 

Craig Winter 

Peter Wirth 

Peter Wright 

Matthew Wright 

Michael Yeoh 

Bernard Yeoh 

simon Young 

Allen Yuen 

salomon Zalstein 

Western Australia (140) 

Peter Allely 

David Alltree 

Matthew Anstey 

Ashok Arasu 

Glenn Arendts 

Jason Armstrong 

Paul Bailey 

Neil Banham 

simone Bartlett 


simon Brown 

Cameron Burrows 

Mike Cadogan 

Ngaire Caruso 

Tony Celenza 

Phillip Chapman 

Robert Chircop 

Andrew Christophers 

Colin Clarke 

Jim Cooper 

Adam Coulson 

David Cruse 

Chris Curry 

Frank Daly 

ian Dey

39 


FEllOWs as at 


steve Dunjey 

Rodney Ellis 

Tor Ercleve 

ian Everitt 


Nick Forgione 

Michael Galvin 

Alan Gault 

ian Gawthrope 

Gary Geelhoed 

Michele Genevieve 

Wouter Gerryts 

Paddy Golden 

Monica Gope 

Adrian Goudie 

stephen Grainger 

suzanne Gray 

Norman Gray 

Robert Graydon 

Joann Gren 

Thomas Hamilton 

leanne Hartnett 

stephen Hartwig 

Geoff Hawking 

Richard Hay 

Niall Henry 

Garth Herrington 

Ronald Hirsch 

Thomas Hitchcock 

Jack Hodge 

sarah Hodson 

Kerry Hoggett 

Marten Howes 

Kelley Hubble 

Richard Jackman 


Andrew Jan 

Werner Janse van Rensburg 

Michelle Johnston 

ilan Josephs 

Cem Kibar 

Dieter Kohrs 

Christopher Kruk 

Peter leman 

John lewis 

Nicole liesis 

Mark little 

Godfrey lo 

Francis loutsky 

Michael lovegrove 

Orla lyons 

stephen Macdonald 

Eleanor Marillier 

Paul Mark 

Anthony Mattick 

David McCoubrie 

Helen Mead 

Jennifer Medcalf 

Michelle Mok 

Mark Monaghan 

David Morgan 


David Moxon 

Yusuf Nagree 

Yuresh Naidoo 

Conrad Ng 

Daniel Ng 


Colin Parker 

Ovidiu Pascu 

Elizabeth Paterson 

Harry Patterson 


Peter Pridmore 

Nantha Ramachandran 

stephan Remke 

sandra Rennie 

Michael Richardson 

James Rippey 

ian Rogers 

Mark salib 

Jason scop 

Vera sistenich 

Kirsty skinner 

Jessamine soderstrom 

Peter sprivulis 

Amanda stafford 

Arthur stephenson 

lindsay stewart 

Matthew summerscales 

Greg sweetman 

Roger swift 

Conway Tang 

Val Turner 

John van der Post 

Jennifer Vance 

Anna Varone 

lynda Vine 

Heidi Wade 

Vida Wardhana 

Andrew Waring 

Helga Weaving 

Chung Wei Wee 

Kate Wheadon 

James Wheeler 

Garry Wilkes 

Aled Williams 

Geoffrey Williamson 

Glenda Wilson 

Carolyn Wilson 

James Winton 

simon Wood 

Michael Woosey 

lai Kin Yaw 

Justin Yeung 

Overseas (49) 

Gabriel Blecher 

scott Bomann 

Rick Brennan 

Michael Brzozowski 

Jacqui Butler 

James Cameron 

Martin Carey 

ivy Cheng 

Beth Christian 

Fergal Cummins 

William Cupo 

Pete Davis 

Mark De souza 

Jason Fitch 

Mark Friedericksen 

Ross Geddes 

Rahul Goswami 

David Graber 

Tim Harris 

Miriam Harris 

Jeffrey Hartman 

ian Higginson 

Andrew Hobart 

Debra Kennedy 

sean Keogh 

Russ Kino 

Rachel landau 

Michael lattimore 

Nadine levick 

Hamish Maclaren 

Ross McAlpine 

Katherine Monypenny 

Man Ho Ng 

Mark Nicol 

sinead O’Gorman 

Frank Parks 

Kelly Pettit 

David Poleski 

Michael Roberts 

Martin Rochford 

Asim shah 

Rosanne skalicky 

James stevenson 

sian-ling Tan 

Jane Terris 

John Thompson 

Katren Tyler 

Andrew D Williams 

Jonathan Wraight 

Honorary (5) 

Alan Chirnside 

suresh David 

Jenny Freeman 

Glenn Hamilton 

Peter london 

David Wilson

40 


NOTEs TO THE FiNANCiAl sTATEMENTs 

for the year ended 30 JuNE 2010 continued 

ADMiNisTRATiON 

Chief Executive Officer 

Jennifer Freeman 

Director of Education 

Alana Killen 

Instructional Designer 

Katharine Ebbs 

Executive Assistant to the CEO 

Jane Macaulay 

Co-ordinator, Credentials 

and Training 

liv Cameron 

Education Officers 

Virginia Cunsolo 

Dee Reynolds 

Administrative Officers 

Helen Kaminski 

Freda lisgaras 

Kirsty McDowell 

Corinne Millaine 

Hydie Pallier 

suzi Taleska 

Receptionist 

Val Josifovska 

Bookkeeper 

Amanda strates 

Administrative Assistants 

sarah McArthur 

leonie Tatt 

Administrative Officer 

New Zealand 

Denise Tringham 

IFEM Executive Officer 

Carol Reardon 

College Contact Details 

34 Jeffcott street,West Melbourne 

Vic. 3003 Australia 

Telephone: (03) 9320 0444 

Fax: (03) 9320 0400 

Telephone international: +61 3 9320 0444 

Fax international: +61 3 9320 0400 

Email: admin@acem.org.au 

Website: www.acem.org.au

41 




finAnCiAl 

REpoRt 

for the year ended 30 June 2010

42 


COuNCillORs’ 

REPORT 

The Members of Council present their report together with the 

accounts of The Australasian College for Emergency Medicine for 

the year ended 30 June 2010 and the Auditor’s Report thereon. 

The Members of Council in office at any time during or since the 

end of the year are: 

President 

Dr sallyann McCarthy, MBBs, FACEM, MBA 

Vice President 

Dr Charles (Peter) Freeman, BChB, FRCs, FFAEM, FACEM 

Honorary Secretary 

Dr Anthony lawler, MBBs, FACEM 

Honorary Treasurer 

Dr Andrew Maclean, MBBs, FACEM 

Censor-In-Chief 

Dr Debra O’Brien, MBBs, FACEM, MPH 

Councillors 

Dr sylvia Andrew-starkey, MBBs, FACEM (ceased 15/11/09) 

Dr shalini Arunanthy, MBBs, FACEM (ceased 15/11/09) 

Dr John Bonning, BHB, MBChB, FACEM 

Dr Judy Cornish, BMBs, FACEM (appointed 15/11/09) 

Dr Anthony Cross, MBBs, DRANZCOG, FACEM, FCiCM 

Dr Diana Egerton-Warburton, MBBs, FACEM, M.Clin.Epidem 

(appointed 15/11/09) 

Dr Antonio Eliseo, MBBs, FACEM (ceased 15/11/09) 

Dr Anthony Joseph, MBBs, FACEM (ceased 15/11/09) 

Dr Christopher May, MBBs, FRACGP, FACEM 

Dr David Mountain, MBBs, FACEM 

Dr Elizabeth Mowatt, MBBs, Grad.Dip.Ed, FACEM (ceased 

15/11/09) 

Dr Yusefali Nagree MBBs, FACEM, Grad.Dip.Compsci, MBA 

Dr Didier Palmer, MB.BCh, MRCGP, MRCP, FRCs, FCEM, FACEM 

(appointed 15/11/09) 

Dr Kate Porges, MBBs, FACEM (appointed 15/11/09) 

Dr Peter Ritchie, MBBs, FACEM, MPH (ceased 15/11/09) 

Dr Andrew singer, MBBs, FACEM 

Dr Niall small, MBChB, MRCGP, FACEM (appointed 15/11/09) 

Dr Alan Tankel, B.sc, MBChB, FACEM (appointed 15/11/09) 

Principal Activities 

The principal activity of the College is to promote and advance 

the study of the principles and practice of emergency medicine. 

There was no significant change in the nature of the College’s 

activity during the year. 

Review and Result of Operations 

The net surplus of the College for this year was $1,597,851 

(2009 - $956,798).The overall increase in the net surplus is 

67.0%. (2009 – decrease of 56.0%). 

The operating income has increased by 9.8% (2009 : 19.5%). 

The non-operating income has decreased by 31.0% ($119,972) 

largely due to the decrease in investment trust distributions 

received. Expenditure has decreased by 9.7% after accounting for 

deficits on sale of investments of $110,394 (2009 - $416,724). 

The financial year results have been prepared on an accrual 

accounting basis and are therefore fully comparable. 

The College’s Net Assets were $12,555,826 as at 30 June 2010 

(2009 - $10,680,936). 

Dividend 

The College’s Memorandum of Association prohibits the payment 

of a dividend. 

Likely Developments 

The College will continue to pursue its aim of promotion and 

advancement of the study of the principles and practice of 

emergency medicine. 

Significant Changes in the State of Affairs 

No significant changes in the College’s state of affairs occurred 

during the financial year. 

Events Subsequent to Balance Date 

No matters or circumstances have arisen since the end of the 

financial year and the date of this report, which have significantly 

affected or are likely, in the opinion of the Councillors, 

to significantly affect: 

(i) the operations of the College; 

(ii) the results of those operations; or 

(iii) the state of affairs of the College in subsequent 

financial years. 

Environmental Regulation and Performance 

The College is not subject to any particular or significant 

environmental regulation.

43 



REPORTcontinued 

Indemnification and Insurance of Councillors 

The College holds insurance for the Councillors’ liabilities. 

Councillor’s Benefits 

No Councillor, since the end of the previous financial period, 

has received or has become entitled to receive a benefit 

by reason of a contract made by the College or a related 

corporation with a member of the Council or with a firm of 

which a Councillor is a member or with a company in which 

a Councillor has a substantial financial interest. 

Court Proceedings 

No person has applied for leave of the Court to bring 

proceedings on behalf of the College or intervene in any 

proceedings to which the College is a party for the purpose of 

taking responsibility on behalf of the College for all or any part 

of those proceedings.The College was not a party to any such 

proceedings during the year. 

Auditors Independence Declaration 

A copy of the auditor’s independence declaration as required 

under section 307C of the Corporations Act 2001 is set out 

on page 44. 

signed in accordance with a resolution of the Members 

of Council. 

Dr sallyann McCarthy Dr Andrew Maclean 

President Honorary Treasurer 

Dated at Melbourne this 5th October 2010.

44 


FiNANCiAl REPORT 

for the year ended 30 June 2010 

Auditor’s Independence Declaration under Section 307c 

of the Corporations Act 2001 to the Councillors of 

The Australasian College for Emergency Medicine 

i declare that, to the best of my knowledge and belief, during the year ended 30 June 2010 

there have been no: 

(i) contraventions of the auditor independence requirements as set out in the Corporations Act 2001 

in relation to the audit; and 

(ii) contraventions of any applicable code of professional conduct in relation to the audit. 

Name of Firm: CARTHills 

Chartered Accountants 

Name of Partner: Frank Hills 

Address: Brisbane 

Dated this 5th day of October 2010

45 


STATEMENT OF COMPREHENSIVE INCOME for the year ended 30 June 2010 

REVENUE 2 4,871,050 4,581,141 

Note 

2010 

$ 

2009 

$ 

4,871,050 4,581,141 

Employee benefits expenses (1,090,690) (911,892) 

Depreciation and amortisation 4 (250,292) (173,084) 

Committee meeting costs (490,781) (481,211) 

Exam expenses (480,875) (670,973) 

Audit, legal and consultancy expense (214,919) (315,643) 

Deficit on disposal of investments 4 (110,394) (416,724) 

Administration expense (495,081) (517,745) 

Occupancy costs (46,398) (41,581) 

Other expenses (93,769) (95,490) 

Surplus for the year 4 1,597,851 956,798 

OTHER COMPREHENSIVE INCOME 

Net surplus/(deficit) on revaluation of financial assets 277,039 (869,634) 

Other comprehensive income for the year 277,039 (869,634) 

TOTAL COMPREHENSIVE INCOME FOR THE YEAR 1,874,890 87,164 

The accompanying notes form part of these financial statements.

46 


STATEMENT OF FINANCIAL POSITION as at 30 June 2010 

ASSETS 

CURRENT ASSETS 

Cash and cash equivalents 5 3,110,719 4,364,913 

Trade and other receivables 6 1,150,821 898,261 

Other current assets 7 50,096 32,761 

TOTAL CURRENT ASSETS 4,311,636 5,295,935 

NON-CURRENT ASSETS 

Trade and other receivables 6 2,000 2,000 

Financial assets 8 5,474,954 2,743,170 

Property, plant and equipment 9 5,078,992 5,059,513 

intangible assets 10 92,138 138,200 

TOTAL NON-CURRENT ASSETS 10,648,084 7,942,883 

TOTAL ASSETS 14,959,720 13,238,818 

LIABILITIES 

CURRENT LIABILITIES 

Trade and other payables 11 2,287,025 2,463,154 

short-term provisions 12 49,480 29,151 

TOTAL CURRENT LIABILITIES 2,336,505 2,492,305 

NON-CURRENT LIABILITIES 

long-term provisions 12 67,389 65,577 

TOTAL NON-CURRENT LIABILITIES 67,389 65,577 

TOTAL LIABILITIES 2,403,894 2,557,882 

NET ASSETS 12,555,826 10,680,936 

ACCUMULATED FUNDS 

Reserves 17 (592,595) (869,634) 

Retained surpluses 13 13,148,421 11,550,570 

TOTAL ACCUMULATED FUNDS 12,555,826 10,680,936 

The accompanying notes form part of these financial statements. 

Note 


$ 

2009 

$

47 


STATEMENT OF CHANGES IN ACCUMULATED FUNDS 

for the year ended 30 June 2010 

Note 

Retained 

Surpluses 

$ 

Financial Assets 

Reserve 

$ 

Balance at 1 July 2008 10,593,772 - 10,593,772 

surplus for the year ended 30 June 2009 956,798 - 956,798 

Total other comprehensive income for the year - (869,634) (869,634) 

Balance at 30 June 2009 11,550,570 (869,634) 10,680,936 

surplus for the year ended 30 June 2010 1,597,851 - 1,597,851 

Total other comprehensive income for the year - 277,039 277,039 

Balance at 30 June 2010 13,148,421 (592,595) 12,555,826 

For a description of reserves, refer Note 17. 


STATEMENT OF CASH FLOWS for the year ended 30 June 2010 

CASH FLOWS FROM OPERATING ACTIVITIES 

Receipts from fellows and trainees 4,360,402 4,325,186 

Receipts from investments 133,926 209,626 

Payments to suppliers and employees (3,160,408) (3,210,393) 

interest received 119,779 176,837 

Cash flow from conferences 88,521 110,177 

Cash flow from Journal of Emergency Medicine Australasia (6,683) (38,816) 

Net cash provided by operating activities 15 1,535,537 1,572,617 

CASH FLOWS FROM INVESTING ACTIVITIES 

Purchase of property (52,034) (936,109) 

Purchase of plant and equipment (122,696) (197,213) 

Purchase of available-for-sale investments (473,153) (347,332) 

sale of available-for-sale investments 162,190 399,520 

Purchase of other unlisted investments (2,254,959) - 

Purchase of intangibles (49,079) (104,044) 

Net cash used in investing activities (2,789,731) (1,185,178) 

Net increase/(decrease) in cash and cash equivalents held (1,254,194) 387,568 

Cash and cash equivalents at beginning of year 4,364,913 3,977,345 

Cash at cash equivalents end of year 


5 3,110,719 4,364,913 

Note 


$ 

Total 

$ 

2009 

$

48 



for the year ended 30 JuNE 2010 

1. Statement of Significant Accounting 

Policies 

The financial statements are for The Australasian College for 

Emergency Medicine as an individual entity.The Australasian 

College for Emergency Medicine is limited by guarantee, 

incorporated and domiciled in Australia. 

Basis of Preparation 

The financial statements are general purpose financial statements 

that have been prepared in accordance with Australian Accounting 

standards (including Australian Accounting interpretations) and the 

Corporations Act 2001. 

Australian Accounting standards set out accounting policies that 

the AAsB has concluded would result in the financial statements 

containing relevant and reliable information about transactions, 

events and conditions. Material accounting policies adopted in the 

preparation of these financial statements are presented below. 

They have been consistently applied unless otherwise stated. 

The financial statements have been prepared on an accruals basis 

and are based on historical costs modified, where applicable, 

by the measurement at fair value of selected non-current assets, 

financial assets and financial liabilities. 

Accounting Policies 

Income Tax 

The Australian Taxation Office has advised that income of the 

College is exempt from the payment of income tax under 

section 50-5 of the Income Tax Assessment Act 1997, as amended. 

Property, Plant and Equipment 

Each class of property, plant and equipment is carried at cost or 

fair values as indicated, less, where applicable, any accumulated 

depreciation and impairment losses. 

Property 

Freehold land and buildings are not revalued to an amount above 

their recoverable amount, and where carrying values exceed this 

recoverable amount assets are written down. 

increases in the carrying amount arising on revaluation of land 

and buildings are recognised in other comprehensive income 

and accumulated in the revaluation surplus in accumulated funds. 

Revaluation decreases that offset previous increases of the same 

class of assets shall be recognised in other comprehensive income 

under the heading of revaluation surplus.All other decreases are 

charged to the statement of comprehensive income. 

Plant and equipment 

Plant and equipment are measured on the cost basis less 

depreciation and impairment losses. 

The carrying amount of plant and equipment is reviewed annually 

by Councillors to ensure it is not in excess of the recoverable 

amount from these assets.The recoverable amount is assessed on 

the basis of the expected net cash flows that will be received from 

the assets’ employment and subsequent disposal.The expected 

net cash flows have been discounted to their present values in 

determining recoverable amounts. 

The cost of fixed assets constructed within the College includes 

the cost of materials, direct labour, borrowing costs and an 

appropriate proportion of fixed and variable overheads. 

subsequent costs are included in the asset’s carrying amount or 

recognised as a separate asset, as appropriate, only when it is 

probable that future economic benefits associated with the item 

will flow to the College and the cost of the item can be measured 

reliably.All other repairs and maintenance are charged to the 

statement of comprehensive income during the financial period 

in which they are incurred. 

Depreciation 

The depreciable amount of all fixed assets including buildings, 

but excluding freehold land, is depreciated on a straight line 

or diminishing value basis over their useful life to the College 

commencing from the time the asset is held ready for use. 

The depreciation rates used for each class of depreciable 

assets are: 

Class of Fixed Asset Depreciation Rate 

Buildings (College Headquarters) 2.5% 

Plant & Equipment 5 - 30% 

library 15% 

Computer Equipment 20 - 50% 

Anatomy Models 10 - 21.42% 

The assets’ residual values and useful lives are reviewed, and 

adjusted if appropriate, at the end of each reporting period. 

An asset’s carrying amount is written down immediately to its 

recoverable amount if the asset’s carrying amount is greater than 

its estimated recoverable amount. 

Gains and losses on disposals are determined by comparing 

proceeds with the carrying amount. These gains or losses are 

included in the statement of comprehensive income. When revalued 

assets are sold, amounts included in the revaluation reserve relating 

to that asset are transferred to retained surpluses. 

Financial Instruments 

Initial recognition and measurement 

Financial assets and financial liabilities are recognised when the 

College becomes a party to the contractual provisions to the 

instrument. For financial assets, this is equivalent to the date 

the College commits itself to either purchase or sell the asset. 

Financial instruments are initially measured at fair value plus 

transaction costs except where the instrument is classified 

‘at fair value through surplus or deficit’ in which case the 

transaction costs are expensed to surplus or deficit immediately.

49 




Classification and subsequent measurement 

Financial instruments are subsequently measured at either fair 

value, amortised cost using the effective interest rate method or 

cost. Fair value represents the amount for which an asset could 

be exchanged or a liability settled, between knowledgeable, willing 

parties.Where available, quoted prices in an active market are 

used to determine fair value. 

(i) Financial assets at fair value through surplus and deficit 

A financial asset is classified in this category if acquired 

principally for the purpose of selling in the short term or if 

so designated by management and within the requirements 

of AAsB 139: Financial instruments: Recognition and 

Measurement. Derivatives are also categorised as held for 

trading unless they are designated as hedges. such assets are 

subsequently measured at fair value with changes in carrying 

value being included in surplus or deficit. 

(ii) Loans and receivables 

loans and receivables are non-derivative financial assets with 

fixed or determinable payments that are not quoted in an 

active market and are subsequently measured at amortised 

cost using the effective interest rate method. 

(iii) Held-to-maturity investments 

These investments have fixed maturities, and it is the College’s 

intention to hold these investments to maturity.Any heldto-maturity 

investments held by the College are stated at 

amortised cost using the effective interest rate method. 

(iv) Available-for-sale financial assets 

Available-for-sale financial assets are non-derivative financial 

assets not included in the above categories.Available-for-sale 

financial assets are reflected at fair value. 

(v) Financial liabilities 

Non-derivative financial liabilities are subsequently measured 

at amortised cost. 

Fair Value 

Fair value is determined based on current bid prices for all quoted 

investments.Valuation techniques are applied to determine fair 

value for all unlisted securities. 

Impairment of Assets 

At the end of each reporting period, the College reviews the 

carrying values of its tangible and intangible assets to determine 

whether there is any indication that those assets have been 

impaired. if such an indication exists, the recoverable amount of 

the asset, being the higher of the asset’s fair value less costs to sell 

and value in use, is compared to the asset’s carrying value. 

Any excess of the asset’s carrying value over its recoverable 

amount is expensed to the statement of comprehensive income. 

impairment testing is performed annually for goodwill and 

intangible assets with indefinite lives. 

Where it is not possible to estimate the recoverable amount of an 

individual asset, the College estimates the recoverable amount of 

the cash-generating unit to which the asset belongs. 

Where an impairment loss on a revalued asset is identified, this is 

debited against the revaluation surplus in respect of the same class 

of asset to the extent that the impairment loss does not exceed 

the amount in the revaluation surplus for that same class of asset. 

Intangibles 

Web-site costs are initially recognised on the cost basis. 

After initial recognition, web-site costs are carried at their cost, 

less any accumulated amortisation over their estimated useful life 

or 5 years, and any accumulated impairment losses. 

Employee Benefits 

Provision is made for the College’s liability for employee benefits 

arising from services rendered by employees to the end of the 

reporting period. Employee benefits that are expected to be 

settled within one year have been measured at the amounts 

expected to be paid when the liability is settled, plus related 

on-costs. Employee benefits payable later than one year have 

been measured at the present value of the estimated future cash 

outflows to be made for those benefits. 

Contributions are made to employee superannuation funds and 

are charged as expenses when incurred.All employees are entitled 

to varying levels of benefits on retirement, disability or death. 

The superannuation plans or equivalent provide accumulated 

benefits. Contributions are made in accordance with the statutory 

requirements of each jurisdiction. 

Provisions 

Provisions are recognised when the College has a legal or 

constructive obligation, as a result of past events, for which it is 

probable that an outflow of economic benefits will result and that 

outflow can be reliably measured. Provisions recognised represent 

the best estimate of the amounts required to settle the obligation 

at reporting date. 

Cash and Cash Equivalents 

Cash and cash equivalents include cash on hand, deposits held 

at-call with banks, other short-term highly liquid investments with 

original maturities of six months or less, and bank overdrafts. Bank 

overdrafts are shown within short-term borrowings in current 

liabilities on the statement of financial position.

50 




Revenue 

Revenue from the sale of goods is recognised when the goods 

are delivered to customers. 

interest revenue is recognised on a proportional basis taking 

into account the interest rates applicable to the financial assets. 

Subscriptions and Exam Fees 

subscriptions and Exam Fees have been included on an accruals 

basis which is consistent with the accounting policy adopted in 

the previous year.The revenue is recognised when the service 

has been provided. 

Revenue from the providing of all other services is recognised 

when the service is provided. 

Borrowing Costs 

Borrowing costs directly attributable to the acquisition, 

construction or production of assets necessarily take a substantial 

period of time to prepare for their intended use or sale, are 

added to the cost of those assets, until such time as the assets are 

substantially ready for their intended use of sale. 

All other borrowing costs are recognised in income in the period 

in which they are incurred. 

Goods and Services Tax (GST) 

Revenues, expenses and assets are recognised net of the amount 

of GsT, except where the amount of GsT incurred is not 

recoverable from the Tax Office. in these circumstances, the GsT 

is recognised as part of the cost of acquisition of an asset or as 

part of an item of the expense. Receivables and payables in the 

balance sheet are shown inclusive of GsT. 

Cash flows are presented in the statement of cash flows on 

a gross basis, except for the GsT component of investing and 

financing activities, which are disclosed as operating cash flows. 

Comparative Figures 

When required by Accounting standards, comparative figures 

have been adjusted to conform to changes in presentation for 

the current financial year. 

Trade and Other Payables 

Trade and other payables represent the liability outstanding at the 

end of the reporting period for goods and services rendered by 

the company during the reporting period which remain unpaid. 

The balance is recognised as a current liability with the amounts 

normally paid within 30 days of recognition of the liability. 

Critical Accounting Estimates and Judgements 

The Councillors evaluate estimates and judgements incorporated 

into the financial statements based on historical knowledge and 

best available current information. Estimates assume a reasonable 

expectation of future events and are based on current trends and 

economic data, obtained both externally and within the College. 

Adoption of New and Revised Accounting Standards 

During the current year, the College adopted all of the new and 

revised Australian Accounting standards and interpretations 

applicable to its operations which became mandatory. 

The adoption of these standards has impacted the recognition, 

measurements and disclosure of certain transactions.The following 

is an explanation of the impact the adoption of these standards 

and interpretations has had on the financial statements of the 

College. 

Terminology changes – The revised version of AAsB 101 contains 

a number of terminology changes, including the amendment of the 

names of primary financial statements. 

Reporting changes in accumulated funds – The revised AAsB 

101 requires all non-Fellow changes in accumulated funds to be 

presented in the statement of comprehensive income. 

Statement of comprehensive income – The revised AAsB 

101 requires all income and expenses to be presented in either 

one statement, the statement of comprehensive income, or two 

separate statements, a separate income statement and a statement 

of comprehensive income.The previous version of AAsB 101 

required only the presentation of a single income statement. 

The College’s financial statements now contain a statement of 

comprehensive income. 

Other comprehensive income – The revised version of AAsB 

101 introduces the concept of ‘other comprehensive income’ 

which comprises of income and expenses that are not recognised 

in surplus or deficit as required by other Australian Accounting 

standards. items of other comprehensive income are to be 

disclosed in the statement of comprehensive income. 

New Accounting Standards for Application in 

Future Periods 

The AAsB has issued new and amended accounting standards and 

interpretations that have mandatory application dates for future 

reporting periods.The College has decided against early adoption 

of these standards.A discussion of those requirements and their 

impact on the College follows: 

• AAsB 9: Financial instruments and AAsB 2009-11: 

Amendments to Australian Accounting standards arising from 

AAsB 9 [AAsB 1, 3, 4, 5, 7, 101, 102, 108, 112, 118, 121, 127, 

128, 131, 132, 136, 139, 1023 & 1038 and interpretations 

10 &12]. 

• AAsB 2009-4:Amendments to Australian Accounting standards 

arising from the Annual improvements Project [AAAsB 2 and 

AAsB 138 and AAsB interpretations 9 & 16] and AAsB 2009- 

5: Further Amendments to Australian Accounting standards 

arising from the Annual improvements Project [AAsB 5, 8, 

101, 107, 117, 118, 136 & 139]. 

• AAsB 2009-12:Amendments to Australian Accounting 

standards [AAsBs 5, 8, 108, 110, 112, 119, 133, 137, 139, 1023 

& 1031 and interpretations 2, 4, 16, 1039 & 1052]. 

The College does not anticipate early adoption of any of the above 

Australian Accounting standards.

51 




2. Revenue 

Operating revenue 


$ 

2009 

$ 

subscriptions received 1,176,430 1,034,258 

Reimbursement of secretarial 

services 281,579 279,359 

Exam fees received 1,393,939 1,439,245 

Trainee annual and entrance fees 1,435,294 1,096,276 

Fellowship entrance fees 127,742 221,915 

sundry subscriptions and fees 52,287 59,065 

Continuing professional 

development levy (non-fellows) 27,403 21,545 

sales 559 670 

Conference surplus 109,138 42,157 

Total operating revenue 4,604,371 4,194,490 

Other revenue 

investment revenue 133,926 208,652 

interest revenue 132,753 177,999 

Total other revenue 266,679 386,651 

Total revenue 4,871,050 4,581,141 

Investment revenue from: 

- investment trusts 

distributions received 133,926 208,652 

Total investment revenue 133,926 208,652 

Interest revenue from: 

- other entities 132,753 177,999 

Total interest revenue 132,753 177,999 

3. Auditors’ Remuneration 

Remuneration of the auditor for: 


$ 

2009 

$ 

- auditing or reviewing 

the financial report 11,500 10,500 

- accounting and taxation 

services 14,400 18,820 

25,900 29,320 

4. Surplus 


$ 

2009 

$ 

Expenditure 

Amortisation of website costs 

Depreciation of property, plant 

95,141 77,198 

and equipment 155,151 95,886 

250,292 173,084 

Doubtful debts expense 

Net deficit on disposal of investments: 

6,870 2,928 

Proceeds on disposal 162,190 399,520 

Disposal at cost 

Net deficit on disposals 

(272,584) (816,244) 

as at 30 June 2010 (110,394) (416,724) 

5. Cash and Cash Equivalents 


$ 

2009 

$ 

Current 

Cash on hand – petty cash 

Cash on hand – 

271 - 

undeposited funds 30,694 45,094 

Cash at bank – petty cash 7,589 377 

Cash at bank – cheque account 549,619 665,640 

Cash management call account 6,559 6,593 

Cash deposit account 2,000,000 2,962,518 

AsGARD eWrap cash account 415,987 684,691 

AsGARD term deposit 100,000 - 

3,110,719 4,364,913 

Reconciliation of cash 

Cash at the end of the financial year as shown in the statement 

of cash flows is reconciled to the related items in the statement 

of financial position as follows: 

Cash on hand – petty cash 

Cash on hand – 

271 - 

undeposited funds 30,694 45,094 

Cash at bank – petty cash 7,589 377 

Cash at bank – cheque account 549,619 665,640 

Cash management call account 6,559 6,593 

Cash deposit account 2,000,000 2,962,518 

AsGARD eWrap cash account 415,987 684,691 

AsGARD term deposit 100,000 - 

3,110,719 4,364,913

52 




6. Trade and Other Receivables 

Current 


$ 

2009 

$ 

Debtors 1,127,990 885,961 

less: Provision for doubtful debts (13,014) (2,928) 

1,114,976 883,033 

Emergency Medicine 

Conference deposits 35,845 15,228 

Non-Current 

1,150,821 898,261 

Cabcharge Bond 2,000 2,000 

Total trade and other receivables 1,152,821 900,261 

The College does not have any material credit risk exposure to 

any single or group of receivables. 

7. Other Current Assets 

Current 


$ 

2009 

$ 

Accrued income 12,974 - 

Prepayments 37,122 32,761 

8. Financial Assets 

Non-Current 

Available-for-sale financial assets 

50,096 32,761 


$ 

2009 

$ 

Managed funds: 

- AsGARD investments, 

at ‘fair value’ 3,177,609 2,700,000 

Other unlisted investments, 

at cost: 

- Term Deposit 

- John Gilroy Potts - 

2,254,959 - 

Memorial Deposit 42,386 43,170 

5,474,954 2,743,170 

The ‘cost’ base of the AsGARD investments as at 30 June 2010 was 

$3,770,204; the fair value at 30 september 2010 being $3,279,463. 

9. Property, Plant and Equipment 

Land and Buildings: 


$ 

2009 

$ 

At cost 4,992,243 4,940,209 

less accumulated depreciation (301,348) (221,561) 

Total land and buildings 4,690,895 4,718,648 

Plant and Equipment: 

At cost 517,424 503,343 


Total plant and equipment 251,687 278,085 

Computer equipment: 

At cost 257,761 157,830 


Total computer equipment 110,769 34,233 

Anatomy models: 

At cost 48,931 48,931 


Total anatomy models 25,641 28,547 

Total plant and equipment 388,097 340,865 

Total property, plant 

and equipment 5,078,992 5,059,513

53 




9. Property, Plant and Equipment continued 

Movements in Carrying Amounts 

Movement in the carrying amounts for each class of property, plant and equipment between 

the beginning and end of the current financial year. 

Land & 

Buildings 

$ 

Plant & 

equipment 

$ 

11. Trade and Other Payables 

Current 

Computer 

equipment 

$ 


$ 

2009 

$ 

subscriptions and levies in advance 1,832,706 2,058,220 

sundry creditors 250,806 255,157 

Net GsT payable 102,063 98,070 

Unexpired portion of grants: 

Anatomy 

models 

$ 

Balance at 1 July 2008 3,821,561 166,861 21,524 12,131 4,022,077 

Additions 936,109 147,719 30,584 18,910 1,133,322 

Disposals - - - - - 

Depreciation expense (39,022) (36,495) (17,875) (2,494) (95,886) 

Balance at 30 June 2009 4,718,648 278,085 34,233 28,547 5,059,513 

Additions 52,034 14,081 108,615 - 174,730 

Disposals - - (100) - (100) 

Depreciation expense (79,787) (40,479) (31,979) (2,906) (155,151) 

Balance at 30 June 2010 4,690,895 251,687 110,769 25,641 5,078,992 

10. Intangible Assets 

Website costs: 


$ 

2009 

$ 

At cost 315,023 265,944 

less accumulated amortisation (222,885) (127,744) 

Reconciliation of website costs 

92,138 138,200 

Balance at the beginning of the year 138,200 111,354 

Additions 49,079 104,044 

Amortisation (95,141) (77,198) 

Carrying amount 

at the end of the year 92,138 138,200 

Total 

$ 

improving Discharge Process 

(Admire Project) 12,120 12,120 

ssRs start up Grant 39,587 39,587 

Ministerial Taskforce 49,743 - 

2,287,025 2,463,154

54 




12. Provisions 

Employee Benefits 


$ 

2009 

$ 

Opening balance at 1 July 2009 94,728 129,004 

Additional provisions raised 

during the year 81,251 67,467 

Amounts used (59,110) (101,743) 

Closing balance at 30 June 2010 116,869 94,728 

Analysis of Total Provisions 

Current 

Annual leave 49,480 29,151 

Non-Current 

49,480 29,151 

Annual leave 7,387 - 

long service leave 60,002 65,577 

67,389 65,577 

Total provisions 116,869 94,718 

A provision has been recognised for employee benefits relating to 

long service leave for employees. in calculating the present value 

of future cash flows of long service leave, the probability of long 

service leave taken is based on historical data.The measurement 

and recognition criteria for employee benefits has been included 

in Note 1. 

13. Retained Surpluses 


$ 

2009 

$ 

Retained surpluses at the 

beginning of the financial year 11,550,570 10,593,772 

Net surplus 1,597,851 956,798 

Retained surpluses at the end 

of the financial year 13,148,421 11,550,570 

14. Events After the Reporting Period 

No matters or circumstances have arisen since the end of the 

financial year which significantly affected or may significantly affect 

the operation of the College, the results of those operations, or 

the state of affairs of the College. 

15. Cash Flow Information 

Reconciliation of net cash provided by 

operating activities to surplus 


$ 

2009 

$ 

surplus 1,597,851 956,798 

Non-cash flows in surplus: 

(surplus) / deficit on (sale) / 

disposal of non-current assets 110,493 416,724 

Amortisation 95,141 77,198 

Depreciation 155,151 95,886 

Changes in assets and liabilities: 

(increase) / Decrease 

in current receivables (252,560) (649,648) 


in other current assets (17,335) (9,910) 

increase / (Decrease) 

in subscriptions and levies 

in advance (225,514) 572,407 


in Memorial deposit 784 127 


in sundry creditors (358) 147,438 


in unexpired grants 49,743 - 

increase / (Decrease) in provisions 22,141 (34,276) 

Net Cash provided by 

operating activities 1,535,537 1,572,617 

16. Financial Risk Management 

The College’s financial instruments consist primarily of deposits 

with banks, local money market instruments, short-term and longterm 

investments, accounts receivable and accounts payable. 

The main purpose of non-derivative financial instruments is to 

raise finance for College operations. 

The company does not have any derivative instruments at 

30 June 2010. 

1. Financial Risks 

The main risks the College is exposed to through its financial 

instruments are liquidity risk, credit risk and market risk relating 

to interest rate and price risk.

55 




16. Financial Risk Management continued 

Foreign Currency Risk 

The College is not exposed to fluctuations in 

foreign currencies. 

Liquidity Risk 

liquidity risk arises from the possibility that the College might 

encounter difficulties in settling its debts or otherwise meeting its 

obligations in relation to financial liabilities.The College manages 

liquidity risk by monitoring forecast cast flows. 

Credit Risk 

Exposure to credit risk relating to financial assets arises from 

the potential non-performance by counterparties of contract 

obligations that could lead to a financial deficit for the College. 



Weighted 

Average 

Effective 

Interest Rate 

% 

Floating 

Interest 

Rate 

$ 

The College does not have any material credit risk exposure 

to any single receivable or group of receivables under financial 

instruments entered into by the College. 

Price Risk 

Price risk relates to the risk that fair value or future cash flows of 

a financial instrument will fluctuate because of changes in market 

prices of securities held.The College is exposed to securities 

price risk on available-for-sale financial assets. such risk is managed 

through diversification of investments across managed funds. 

2. Interest Rate Risk 

The College’s exposure to interest rate risk, which is the risk that 

a financial instrument’s value will fluctuate as a result of changes in 

market interest rates and the effective weighted average interest 

rates on those financial assets and financial liabilities, is as follows: 

Fixed Interest Rate 

Maturing 

Within 

1 year 

$ 

1 to 5 

years 

$ 

Non- 

Interest 

Bearing 

$ 

Total 

Carrying 

Amounts 

$ 

Net 

Fair 

Values 

$ 

Cash and cash equivalents 3.5 2,979,754 100,000 - 30,965 3,110,719 3,110,719 

Trade and other receivables - - - - 1,152,821 1,152,821 1,152,821 

investments 5.9 42,386 2,254,959 - 3,177,609 5,474,954 5,474,954 

Financial Liabilities 

3,022,140 2,354,959 - 4,361,395 9,738,494 9,738,494 

Trade and other payables - - - - 2,287,025 2,287,025 2,287,025 

2009 


Weighted 

Average 

Effective 

Interest Rate 

% 

Floating 

Interest 

Rate 

$ 

- - - 2,287,025 2,287,025 2,287,025 

Fixed Interest Rate 

Maturing 

Within 

1 year 

$ 

1 to 5 

years 

$ 

Non- 

Interest 

Bearing 

$ 

Total 

Carrying 

Amounts 

$ 

Net 

Fair 

Values 

$ 

Cash and cash equivalents 3.8 4,319,819 - - 45,094 4,364,913 4,364,913 

Trade and other receivables - - - - 900,261 900,261 900,261 

investments 5.9 43,170 - - 2,700,000 2,743,170 2,743,170 

Financial Liabilities 

4,362,989 - - 3,645,355 8,008,344 8,008,344 

Trade and other payables - - - - 2,463,154 2,463,154 2,463,154 

- - - 2,463,154 2,463,154 2,463,154

56 




16. Financial Risk Management continued 

3. Sensitivity Analysis 

The following illustrates sensitivities to the College’s exposures 

to changes in interest rate and prices,The amounts indicate the 

impact on how surplus and accumulated funds reported at the 

end of the reporting period would have been affected by changes 

to the relevant risk variable that management considers to be 

reasonably possible.These sensitivities assume that the movement 

in a particular variable is independent of other variables. 

Year ended 30 June 2010 

Surplus 

Accumulated 

Funds 

+/- 2% in interest rates 60,442 60,442 

+/- 10% in listed investments 13,393 317,760 

Year ended 30 June 2009 

+/- 2% in interest rates 87,260 87,260 

+/- 10% in listed investments 20,865 270,000 

4. Net Fair Values 

The fair values of financial assets and financial liabilities are 

presented in the above interest rate risk tables and can be 

compared to their carrying values as presented therein as per the 

statement of financial position. Fair values are those amounts for 

which an asset could be exchanged, or a liability settled, between 

knowledgeable, willing parties in an arm’s length transaction. 

The net fair values of listed investments have been valued at 

the quoted market bid price at balance date and adjusted for 

transaction costs expected to be incurred. For other assets and 

other liabilities, the net fair value approximates their carrying 

value. No financial assets and financial liabilities are readily traded 

on organised markets in standardised form other than listed 

investments. Financial assets where the carrying amount exceeds 

net fair values have not been written down as the College intends 

to hold these assets to maturity. 

17. Reserves 

The financial assets reserve records revaluation increments and 

decrements (that do not represent impairment write-downs) that 

relate to financial assets that are classified as available-for sale. 

18. College Details 

The registered office and principal place of business of the College 

is: 

The Australasian College for Emergency Medicine 

34 Jeffcott street 

WEsT MElBOuRNE ViC 3003 

19. Segment Reporting 

The College operates predominantly in one industry - 

emergency medicine study and practice - and in both Australia 

and New Zealand. 

20. Fellow’s Guarantee 

The College is incorporated under the Corporations Act 2001 

and is an entity limited by guarantee. if the College is wound up, 

the constitution states that each Fellow is require to contribute 

a maximum of $10 each towards meeting any outstandings and 

obligations of the College.

57 



DEClARATiON 

in the opinion of the Members of the Council of The Australasian College for Emergency Medicine: 

1. The financial statements and notes of the College, as set out on pages 45 to 56, are in accordance 

with the Corporations Act 2001, including: 

(a) giving a true and fair view of the College’s financial position as at 30 June 2010 and of the 

College’s performance for the year ended on that date; and 

(b) complying with Accounting standards and Corporations Regulations 2001. 

2. At the date of this statement there are reasonable grounds to believe that the College will be able 

to pay its debts as, and when they fall due. 

3. The College’s accounts have been properly prepared by a competent person and, in respect of 

the year ended 30 June 2010, the College has: 

(a) kept such accounting records as correctly record and explain the transactions 

and financial position of the College; 

(b) kept its accounting records in such manner as would enable true and fair accounts of 

the College to be prepared from time to time; and 

(c) kept its accounting records in such a manner as would enable the accounts of the College 

to be conveniently and properly audited in accordance with the Corporations law. 

signed in accordance with a resolution of the Members of the Council. 

Dr Sallyann McCarthy Dr Andrew Maclean 

President Honorary Treasurer 

Dated at Melbourne this 5th day of October 2010.

58 


iNDEPENDENT 

AuDiTOR’s REPORT 

TO THE FELLOWS OF 

THE AUSTRALASIAN COLLEGE FOR EMERGENCY MEDICINE 

Report on the Financial Report 

We have audited the accompanying financial statements of 

The Australasian College for Emergency Medicine, which 

comprises the statement of financial position as at 30 June 2010, 

and the statement of comprehensive income, statement of changes 

in accumulated funds and statement of cash flows for the year 

ended on that date, a summary of significant accounting policies 

and other explanatory notes and the Councillors’ declaration. 

Councillors’ Responsibility for 

the Financial Report 

The Councillors of the College are responsible for the 

preparation and fair presentation of the financial statements in 

accordance with Australian Accounting standards (including the 

Australian Accounting interpretations) and the Corporations Act 

2001.This responsibility includes designing, implementing and 

maintaining internal controls relevant to the preparation and fair 

presentation of the financial statements that are free from material 

misstatement, whether due to fraud or error; selecting and 

applying appropriate accounting policies; and making accounting 

estimates that are reasonable in the circumstances. 

Auditors’ Responsibility 

Our responsibility is to express an opinion on the financial 

statements based on our audit.We conducted our audit in 

accordance with Australian Auditing standards.These Auditing 

standards require that we comply with relevant ethical 

requirements relating to audit engagements and plan and perform 

the audit to obtain reasonable assurance whether the financial 

statements are free from material misstatement. 

An audit involves performing procedures to obtain audit evidence 

about the amounts and disclosures in the financial statements. 

The procedures selected depend on the auditors’ judgment, 

including the assessment of the risks of material misstatement 

of the financial statements, whether due to fraud or error. 

in making those risk assessments, the auditors consider internal 

control relevant to the entity’s preparation and fair presentation 

of the financial statements in order to design audit procedures that 

are appropriate in the circumstances, but not for the purpose of 

expressing an opinion on the effectiveness of the entity’s internal 

control.An audit also includes evaluating the appropriateness of 

accounting policies used and the reasonableness of accounting 

estimates made by the Councillors, as well as evaluating the overall 

presentation of the financial statements. 

We believe that the audit evidence we have obtained is sufficient 

and appropriate to provide a basis for our audit opinion. 

Independence 

in conducting our audit, we have complied with the independence 

requirements of the Corporations Act 2001.We confirm that the 

independence declaration required by the Corporations Act 2001, 

provided to the Councillors of The Australasian College for 

Emergency Medicine on 5 October 2010, would be in the same 

terms if provided to the Councillors as at the date of this auditor’s 

report. 

Auditors’ Opinion 

in our opinion, the financial statements presents fairly, in all 

material respects, the financial position of The Australasian 

College for Emergency Medicine as of 30 June 2010, and its 

financial performance and cash flows for the year then ended 

in accordance with the Corporations Act 2001 and the 

Australian Accounting standards (including Australian 

Accounting interpretations). 



Name of Partner: Frank Hills 

Address: BRisBANE 


59 


ACCOuNTANTs’ 

REPORT 

TO THE FELLOWS OF 

THE AUSTRALASIAN COLLEGE FOR EMERGENCY MEDICINE 

On the basis of information provided by the College, we have compiled in accordance with APs 9 

“statement on Compilation of Financial Reports” the additional financial statement of the client 

for the year ended 30 June 2010 as set out on page 60. 

The extent to which Accounting standards and uiG Consensus Views have or have not been 

adopted in the preparation of the general purpose financial statement is set out in Note 1. 

The College is solely responsible for the information contained in the general purpose financial 

statement and has determined that the accounting policies used are consistent with the financial 

reporting requirements of the College’s constitution and are appropriate to meet the needs of 

the College for the purpose of management. 

The additional financial statement has been prepared from the books and records of the College 

which have been subjected to the auditing procedures applied in our statutory audit of the College 

for the year ended 30 June 2010. it will be appreciated that our statutory audit did not cover all 

details of the additional financial statement. Accordingly, we do not express an opinion on such 

financial statement and no warranty of accuracy or reliability is given. 

To the extent permitted by law, we do not accept liability for any loss or damage, which any person, 

other than the College, may suffer arising from any negligence on our part. No person should rely 

on the additional financial statement without having an audit or review conducted. 

The additional financial statement was prepared for the benefit of the College and purpose identified 

above. We do not accept responsibility to any other person for the contents of the additional 

financial statement. 

This financial statement is issued in compliance with the requirements of APs 9 “statement on 

Compilation of Financial Reports”, issued by The institute of Chartered Accountants in Australia. 




60 


iNCOME AND EXPENDiTuRE ACCOuNT 

for the year ended 30 JuNE 2010 


$ 

2009 

$ 

INCOME 

subscriptions received 

Reimbursement of secretarial 

1,176,430 1,034,258 

services 281,579 279,359 

Exam fees received 1,393,939 1,439,245 

Trainee annual & entrance Fees 1,435,294 1,096,276 

Fellowship entrance Fees 127,742 221,915 

sundry subscriptions & fees 

Continuing professional development 

52,287 59,065 

levy (non-fellows) 27,403 21,545 

Conference surplus 109,138 42,157 

Gross surplus from trading 559 670 

4,604,371 4,194,490 

OTHER INCOME 

investment Trusts Distributions 

Received 

133,926 208,652 

interest received 132,753 177,999 

266,679 386,651 

4,871,050 4,581,141 

EXPENDITURE 

Access Block summit 2008 832 124,530 

Accountancy fees 14,400 18,820 

Accreditation expenses 50,313 45,854 

ACME Course development 2,675 6,407 

Annual leave 27,716 (8,991) 

Amortisation 95,141 77,198 

Auditor’s remuneration 11,500 10,500 

Awards, gifts and memorabilia 1,323 10,935 

Bank merchant charges 54,780 46,323 

Bank charges 2,436 2,077 

BOE (prev. Censors) expenses 59,386 37,470 

Cleaning 10,975 6,839 

Computer software support 71,341 35,630 

College committee expenditure 154,620 94,668 

Council expenses 50,102 67,182 

Conferences 6,795 - 

Consultancy fees 47,621 24,931 

Consultants - Media - 9,058 

Consultants - Web & Print 33,152 99,888 

This account is to be read in conjunction with the attached Accountants’ Report. 


$ 

2009 

$ 

Depreciation 155,151 95,886 

DEMT expenditure 70,803 36,508 

Donations 550 500 

Doubtful debts 6,870 - 

Electricity 16,577 13,147 

Exam expenses - Primary 241,455 488,918 

Exam expenses - Fellowship 239,420 182,055 

Faculty expenses 26,002 26,339 

Fellowship entry interview 7,511 1,158 

Filing fees 145 540 

Fringe benefits tax - 1,955 

Freight 2,999 17,081 

General expenses 19,104 12,761 

insurance 32,761 25,750 

iFEM expenses 36,885 15,034 

international Development Fund 20,000 - 

investment advice 17,631 17,845 

Journal Emergency Medicine Australasia 6,683 38,816 

legal costs 10,285 19,967 

long service leave provided (5,575) (25,285) 

Deficit on disposal of non-current 

assets 110,493 416,724 

Media – monitoring 13,202 - 

Media – publicity 26,326 18,430 

Meeting expenses 

John Gilroy Potts – 

24,857 26,062 

Memorial Award paid 2,550 1,230 

Office expenses 1,140 4,418 

Printing, postage & stationery 281,468 310,230 

Rates 1,386 2,576 

Repairs & maintenance 17,460 19,019 

staff recruitment 72,833 132,869 

subscriptions & memberships 12,442 9,814 

superannuation contributions 87,195 67,164 

Telecommunications 21,169 45,106 

Wages 981,354 879,004 

staff benefits 6,720 5,532 

Workcare levy 12,239 7,871 

3,273,199 3,624,343 

Surplus 1,597,851 956,798

AustrAlAsiAn 

College 

for 

emergenCy mediCine 

ABN 76 009 090 715 

Postal Address: 

34 Jeffcott Street, 

West Melbourne, Vic, 3003, 

Australia 

Tel: +61 (0)3 9320 0444 

Fax: +61 (0)3 9320 0400 

Email: admin@acem.org.au 

Web: www.acem.org.au

Annual Report 2010 - ACEM

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?