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Annual Report 2010 - ACEM

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29<br />

<strong>ACEM</strong> AR <strong>2010</strong><br />

FACulTY REPORTs<br />

continued<br />

around before you know it. so mark your<br />

calendars for a visit to our beautiful state!<br />

Brian Doyle, Chair<br />

Victoria<br />

The last year has seen a number of<br />

interesting events and challenges for the<br />

faculty in Victoria.<br />

The most significant of these was the<br />

staging of the <strong>Annual</strong> scientific Meeting<br />

held in Melbourne in November of 2009.<br />

This was an extremely well attended event,<br />

with a great program and a conference<br />

dinner that will be remembered for<br />

years to come. it also set a benchmark in<br />

being the ‘greenest’ emergency medicine<br />

conference held to date.Again, thanks<br />

and congratulations go to Di Egerton-<br />

Warburton and the organising committee<br />

for their great efforts.We are all looking<br />

forward to seeing what the team in the<br />

ACT can do.<br />

There was also a changing-of-the-guard at<br />

board level.After two years of dedicated<br />

and passionate service, David Eddey stepped<br />

down as the Faculty Chair. Mary Buchanan<br />

handed over theTreasurer’s position to<br />

EmmaWest,Thomas Chan was superseded<br />

by Julia Fisher as secretary and Fergus Kerr<br />

was newly elected as a board member.<br />

Attendance at the faculty meetings<br />

fluctuates, but the dedication of those<br />

who attend in contributing to the<br />

evolution and expansion of emergency<br />

medicine in Victoria is impressive.<br />

The main issue on the agenda has been<br />

the National Access Target ( the ‘4 hour<br />

rule’) but many other issues have stirred<br />

debate, including workforce levels,<br />

relationships with Ambulance Victoria and<br />

the emergence of the Victorian Emergency<br />

Physicians Association (VEPA).<br />

The faculty also reconvened the directors<br />

meeting.All directors of accredited<br />

departments were invited to attend and<br />

this promises to be a positive initiative.<br />

The Victorian scientific Meeting was<br />

held at southern Health on election<br />

day - the day we couldn’t decide who<br />

was going to manage the public hospital<br />

system for the next three years.This<br />

was an excellent meeting and will be the<br />

stepping stone for a bigger event next<br />

year.The faculty is discussing the merits<br />

of taking the pressure off individual health<br />

services in hosting this event and moving<br />

to a centralised meeting with a diverse<br />

organising committee.<br />

The main issue we are facing in Victoria is<br />

the decision by the Federal Government<br />

to introduce the 4-hour national target.<br />

Debate continues as to its pros and<br />

cons, but we remain hopeful that with a<br />

proper understanding of the problems<br />

that contribute to access block and the<br />

injection of funds into the right areas by<br />

the Department of Health, this may be a<br />

positive change.We are asking all of our<br />

Fellows to contribute to this debate and<br />

our Directors to come up with models of<br />

care that we feel are most appropriate for<br />

the Victorian health system. Meetings with<br />

the Health Minister have, so far,<br />

been positive.Watch this space …<br />

Simon Judkins, Chair<br />

Western Australia<br />

The WA Faculty has been active in a<br />

number of areas, including: Healthy Roads,<br />

WA Donation and Transplant Advisory<br />

Committees and WA Careers Expo -<br />

attended by medical students and junior<br />

medical staff.<br />

We held a very successful annual seminar<br />

in May <strong>2010</strong>. This was run by Royal Perth<br />

Hospital and had over 80 registrants.<br />

Our thanks go to Michelle Johnston<br />

for organising this. Next year’s seminar<br />

is being coordinated by swan District<br />

Hospital using the facilities of<br />

Notre Dame university.<br />

A significant number of metropolitan based<br />

Fellows are providing clinical services to<br />

regional hospitals on a fly-in, fly-out basis.<br />

Our Fellows have been very positively<br />

received by these hospitals.There remains<br />

considerable difficulty attracting and<br />

retaining Fellows to live and work in<br />

regional centres, particularly Bunbury.<br />

The faculty position on the 4 hour rule<br />

is one of qualified engagement.A number<br />

of our Fellows are actively engaged in<br />

the implementation of these processes.<br />

We have emphasised the importance of<br />

adequate resourcing behind these changes.<br />

Appropriate quality measures have been<br />

implemented to monitor the changes to<br />

our services.To date, the teaching hospitals<br />

are rarely meeting the target compliance<br />

goals, although a number of Fellows report<br />

significant reduction in access block and<br />

improved working conditions in the<br />

departments.The metropolitan general<br />

hospitals are currently in the early stages<br />

of implementation of these new processes.<br />

it is too early to say how effective these<br />

changes have been.<br />

We are very pleased to acknowledge the<br />

election of David Mountain to President<br />

of the WA Branch of the AMA. David<br />

has contributed extensively to the<br />

development and promotion of<br />

emergency medicine in this state.<br />

i would like to extend my thanks to<br />

Adam Coulson for his efforts as the<br />

previous Chair of the WA Faculty.<br />

Robert Graydon, Chair

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