Annual Report 2010 - ACEM

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3 ACEM AR 2010 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 ACEM AR 2010 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
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