RACS Post Op Podcast: Recent Episodes
Royal Australasian College of Surgeons
RACS Post Op Podcast is a medical podcast by the Royal Australasian College of Surgeons. It features extended interviews on articles in the current issue of Surgical News magazine, plus practical advice that surgeons can implement in their practices, including insights on financial management and wealth creation, legal and tax advice and economic forecasts.
For nearly 20 years, general and acute care physician Dr Simon Quilty has witnessed up-close the poverty that inflicts indigenous communities in the Northern Territory. The conditions are exacerbated by systems failures and lack of health care. Despite the incredible challenges, there are opportunities. Dr Quilty commends the Royal Australasian College of Surgeons’ attempts to encourage surgeons to work in remote parts of the country. Dr Quilty has been instrumental with Purple House, an initiative which provides Aboriginal communities with much needed medical and social support.
Dr Simon Quilty is presenting at the RACS NT, WA & SA Annual Scientific Meeting 2023
Date: 10-11 August 2023
Venue: Darwin Convention Centre
More Information: https://surgeons.eventsair.com/tristate2023
Purple House – https://www.purplehouse.org.au/
RACS Post Op Podcast is proudly brought to you by leading financial services organisation the Bongiorno National Network: https://bongiorno.com.au/about-us/our-bongiorno-national-network/
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When Dr Emilia Dauway decided to relocate to regional Queensland from Texas, she didn’t intend for it to be permanent.
The 40-bed Queensland hospital she relocated to was a far cry from the 700-bed academic hospital in the US where she was Chief of Breast Surgery and Director of the Breast Cancer Program.
Now, based permanently in Harvey Bay, Dr Dauway’s committed to raising funds and educating women in regional Queensland on breast cancer treatments, through ‘Restore More’ a non-profit she founded in 2018.
Dr Emilia Dauway: http://dremiliadauway.com/
RACS Post Op Podcast is proudly brought to you by leading financial services organisation the Bongiorno National Network: https://bongiorno.com.au/about-us/our-bongiorno-national-network/
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The Surgical Education & Training (SET) One-Year scholarship that Dr Jamie-Lee Rihari received is an opportunity she says to help continue her passion to promote health equity among Indigenous people, particularly among the Maori and Pacifika community of Aotearoa New Zealand.
That passion is exemplified by many things she’s done, including her PhD research, which focused on investigating equity in access to bariatric surgery for Māori, and also understanding how health benefits could be optimised for Māori post-surgery.
Having a safe and supportive workplace – that’s inclusive of everyone – is an important step, she says, for the greater good of patients.
RACS Post Op Podcast is proudly brought to you by leading financial services organisation the Bongiorno National Network: https://bongiorno.com.au/about-us/our-bongiorno-national-network/
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This month, we welcome the College’s new president, Associate Professor Kerin Fielding. Based in the New South Wales regional centre of Wagga Wagga since 1992, Assoc Prof Fielding has been a role model to younger surgeons working in rural areas.
She was the first woman in New South Wales to become an orthaepedic surgeon, and only the third in Australia. She’s also an associate professor with the University of Notre Dame.
Assoc Prof Fielding discusses what her priorities are, and what she hopes to achieve in her role as President.
RACS Post Op Podcast is proudly brought to you by leading financial services organisation the Bongiorno National Network: https://bongiorno.com.au/about-us/our-bongiorno-national-network/
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Specialist International Medical Graduates (SIMGs) with formal postgraduate specialist qualifications in surgery who wish to work in Australia and Aotearoa New Zealand can apply to RACS for an assessment of their qualifications and experience.
Graeme Campbell, Clinical Director for SIMG Assessment & Support at RACS, explains the application process, which includes exams for some, supervised practice and face-to-face interviews.
SIMG Overview
https://www.surgeons.org/en/SIMGs/simg-overview
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The 2023 RACS Annual Scientific Congress will be held at the Adelaide Convention Centre on 1-5 May. There’s been a lot of work behind the scenes to prepare for what should be an exciting event, with a variety of topics and speakers. The theme this year is ‘Equity in Surgery’. Convener of the 2023 RACS ASC is Professor Amal Abou-Hamden, who discusses the event’s details in this episode.
2023 RACS 91st Annual Scientific Congress:
https://asc.surgeons.org/
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RACS’s Trauma Committee has been pivotal in helping prevent acute trauma in the community. That includes encouraging surgeons to pursue a trauma specialty.
Instrumental to its success is Dr Li Hsee, who stepped down as Chair of the Aotearoa New Zealand Trauma Committee in late 2022, after eight years in the role.
Among other leadership roles in trauma both at home and internationally, Dr Hsee’s responsible for the development and implementation of the first Acute Surgical Unit in Aotearoa New Zealand. He’s also the Clinical Director in General Surgery at Auckland City Hospital.
RACS Post Op Podcast is proudly brought to you by leading financial services organisation the Bongiorno National Network: https://bongiorno.com.au/about-us/our-bongiorno-national-network/
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Dr Mat Brick’s journey into the world of surgery wasn’t the most conventional. He studied at medical school, but shifted direction to focus on running and cycling. He is a two-time world champion duathlete and he’s represented Aotearoa New Zealand at the world championship level in cycling. That passion for sports and activity-related injury enticed him back to the medical fold as an orthopaedic surgeon.
Today he’s one of just a handful of surgeons world-wide who have experienced thousands of hip arthroscopies. Dr Brick is on several international committees relating to hip arthroscopies, and he’s actively involved in research and teaching.
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WorldPride is the biggest event on the world’s LGBTQIA+ calendar. This year, it’s being hosted by Sydney – the first time WorldPride is held in the Southern hemisphere – coinciding with the iconic Sydney Gay & Lesbian Mardi Gras. This year, RACS is participating in WorldPride alongside several other medical colleges. The involvement has come about through the advocacy of a new LGBTQIA+ community, Pride in Medicine.
Two key figures of the group are Dr Matt Marino, a surgical Fellow who is President of Pride in Medicine and Dr Sarah Rennie, Aotearoa New Zealand Surgical Advisor and a driver of this initiative for RACS. Both participated in the Mardi Gras parade.
The College’s participation demonstrates its advocacy on behalf of the health and wellbeing of LGBTIQIA+ communities. It is also part of the College’s strategic focus of building a culture of respect and embracing diversity as well as serving all communities equitably to build sustainable surgical services.
For more information read the RACS Diversity and Inclusion Plan.
Sydney WorldPride 2023
17 February – 5 March, 2023
https://sydneyworldpride.com/
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Economically, it’s a tough time right now. Interest rates are rising, there are labour shortages, residential rents are up, house prices are down, almost everything is more expensive – all these issues are exacerbated by world events including the war in Ukraine. And that means cash flow is tight for everyone, including those in the medical profession. That’s according to Nick Fennessy, Director and Partner at the The Bongiorno Group. He joins Mark Bremner, the Bongiorno Group’s Senior Financial Consultant, to discuss options for surgeons who are looking to get ahead financially in the near and long term.
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A new novel shines the light on excessive workloads faced by junior doctors and specialist trainees. The Registrar is written by debut author, Dr Neela Janakiramanan, a plastic and reconstructive surgeon specialising in hands and wrists. She tells the story through protagonist Emma Swann, a surgical registrar who not only is overwhelmed by a punishing schedule, she’s also confronted by bullying and harassment.
To purchase a copy from Booktopia, please visit: https://www.booktopia.com.au/the-registrar-neela-janakiramanan/book/9781761066511.html
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An Australian-first study investigating fertility and pregnancy complications among Australian and Aotearoa New Zealand doctors discovered greater pregnancy complications than the general population.
Dr Jasmina Kevric was one of three doctors who conducted the survey of 1099 doctors. She says training requirements have delayed family planning and subsequently increased age-related pregnancy complications. She discusses what measures can be taken to address these issues.
Medical Mums and Mums to Be (Australia & Aotearoa New Zealand) Facebook page is available to those who provide their AHPRA number.
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In 2019, Norway’s capital of Oslo recorded just one death from a traffic accident. From a peak of 570 annual roads deaths in the 1970s nationwide, in recent years Norway’s toll has been reduced to just 80 deaths a year.
Senior Advisor at the Norwegian Council for Road Safety Bard Johansen says its success has been a multi-faceted and integrated approach. It includes lower speed limits, safer vehicles, safer roads, better technology, stricter policing of those driving under the influence of alcohol and drugs, and a significant education campaign.
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Dr Samantha Pillay graduated from the University of Adelaide Medical School in 1992 to become the first female urological surgeon in South Australia. From a very early age a physical condition prevented Dr Pillay from being able to walk. But it’s made her all the more determined to pursue her dreams and to help others in need.
Dr Pillay is the founder of Continence Matters, an online resource to educate the medical professional and the general public on bladder and continence issues. She’s also an accomplished public speaker, an entrepreneur, and author of ‘The No Recipe Cookbook’ and ‘When I’m a Surgeon’.
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Ben Bravery was diagnosed with colorectal cancer in his late 20s. That led to many months of treatment and much of his time in hospital wards and doctors’ clinics. He was confronted with over-worked and stressed medical staff and a health system which placed grades over patient bed-side manner. Once treated, he decided to enact change in the health system by becoming a doctor himself. He’s written a memoir about his experience, The Patient Doctor, where he shines a light on what needs to change to ensure the patient is at the heart of healthcare.
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There comes a time in a surgeon’s career when they’ll start to think about obtaining their own medical practice. It’s a big decision, with a substantial financial outlay. There’s much to consider, including the location, the size of the space, and whether to obtain a room on their own or with others. Also important are the tax implications, structure considerations, and the option of buying rooms via a self-managed super fund. Simon Farmer, Managing Director of Walshs Financial Planning and Hugh Walsh, Partner at Walshs, discuss the details of owning a room.
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Technology in surgery continues to evolve in leaps and bounds, particularly the advances of robotics. A little under 20 years ago, Professor Tony Costello performed the first radical prostatectomy using robotics in Australia.
Since then, he has performed 2,500 robotic procedures and has trained dozens of international robotic surgeons at International Medical Robotics Academy (IMRA), an institution he founded and of which he is currently Executive Director and CEO.
RACS has partnered with IMRA to deliver ‘The Foundations of Robotic Surgery’ online introductory course, which provides foundational theory and principles required to safely perform robotic surgical procedures. This course is the first of its kind to have surgeons instructing surgeons on how to use robots in surgery.
International Medical Robotics Academy
https://amraaus.org.au/
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The incidents of domestic violence resulting in trauma (injury) would probably shock a lot of people. In Australia, a report from the Australian Institute of Health & Welfare showed that more than 29,000 people had at least one hospital stay due to family and domestic violence in the seven years between 2010-11 and 2017-18.
In fact, the leading cause of homicide in Australia and Aotearoa New Zealand is domestic and family violence, mostly against women.
Surgeons are very much on the frontline dealing with trauma in a medical sense. But, they’re also in a position to help mitigate future harm.
RACS Fellow, Assoc Prof Payal Mukherjee would like to see more education within the surgical community on how to help prevent family and domestic violence.
On November 10th this year – during Trauma Week – Assoc Prof Mukherjee and Dr Ken Harrison, a Fellow of the Australian and New Zealand College of Anaesthetists will be convening a joint symposium to address family violence.
RACS/ANZCA/ACEM Joint Symposium: Family Violence – Health System Response
Thursday 10 November, 9am - 4pm
Jubilee Room NSW Parliament, 6 Macquarie Street, Sydney
Details: https://www.surgeons.org/Resources/interest-groups-sections/trauma/trauma-week#Trauma%20Week%202022
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Since 1996, the Pasifika Medical Association (PMA) has worked closely with governments and communities to meet the health needs of people across the Pacific region. The PMA helps boost the workforce of Pasifika healthcare professionals and to increase the number of Pacific people in leadership roles. It also provides disaster support for Pacific countries, and helped with the COVID-19 response, both within Pacific countries and Pasifika communities in Aotearoa New Zealand.
The current PMA president is Dr Teariki ‘Kiki’ Maoate, an Aotearoa New Zealand-based paediatric surgeon. In this podcast he discusses the PMA’s focus and the future of healthcare for Pacific people.
Pasifika Medical Association Group – https://www.pmagroup.org.nz/
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First published in 1931, the ANZ Journal of Surgery is a prestigious publication serving the surgical community in Aotearoa New Zealand and Australia It’s purpose? To publish articles that further the art and science of all of surgery. It’s the job of Professor Julian Smith, Cardiothoracic Surgeon and Editor in Chief of the ANZ Journal of Surgery, to painstakingly sort through and select the cream of the submissions crop. Professor Smith delves into the submission process and offers some tips for how to get your articles in print.
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In 2020, Dr Muecke was awarded Australian of the Year in recognition for his many decades of pioneering blindness prevention, particularly in South East Asia. He cofounded ‘Vision Myanmar’ and ‘Sight for All’, both initiatives to help prevent and treat blindness.
These days, Dr Muecke is championing action to prevent Type 2 diabetes – a preventable disease and the leading cause of blindness in Australian adults.
His profile is helping raise awareness of the role sugar and processed foods play in the incidence of Type 2 diabetes.
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As a new Fellow, Dr Zainab Naseem was hoping to achieve a more comfortable work-life balance when she came across an advertisement for the New Fellow Rural Placement – or NFRP – on the College’s website. The NFRP is an initiative delivered by RACS through the Specialist Training Program, funded by the Australian Department of Health.
Dr Naseem was at Sydney’s Royal North Shore Hospital at the time when she applied for the rural placement at Griffith Base Hospital, in the Riverina region of central New South Wales. Although it was hard to adjust at first, Dr Naseem and her young family have learned to love the regional city.
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One of the requirements for Surgical Trainees is the RACS Surgical Education and Training interview. If you’re a junior doctor who has yet to face your questioners, don’t fear! With the right preparation, it doesn’t have to be so daunting. Someone who has been through the process is Dr Teriana Maheno, a SET 3 Orthopaedic Trainee in Aotearoa New Zealand. She shares her insights on how the interviews are structured, how to prepare for them, and – importantly – how to manage those nerves on interview day.
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Before the Australian federal election, the Coalition had legislated a number of changes to superannuation, which came into effect in July this year. What are those changes and what do you need to do to take advantage of tax concessions with your own super? For answers we turn to Michael Walsh, CEO of chartered accountants and financial advisors, Walshs.
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Have you ever thought what it’s like to be married to another surgeon? Well, for married surgical couple Dr Sandra Krishnan and Dr Adrian Fernandez, it’s been a blessing, not only for each other (of course!) but also for the surgical work they do. Dr Sandra Krishnan is a senior breast and surgical oncologist in Sydney and Canberra. And Dr Adrian Fernandez is a general and colorectal surgeon based in the Far South Coast, NSW and Canberra. They reflect on their work, which can involve long and odd hours, and the early days of bringing up their children.
Drs Krishnan and Fernandez will be convening at the upcoming ACT Annual Scientific Meeting in August on the topic of technology and the future of surgery.
For details on the ASM, please visit: https://www.surgeons.org/en/about-racs/racs-offices/australian-capital-territory/act-activities
YouTube promo video from Drs Krishnan and Fernandez: https://www.youtube.com/watch?v=jC7j_yMWNNY
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There comes a time when a medical student or junior doctor decides to proceed on the path of a surgical career. The first step is the process of surgical training, education, and assessment conduct by the Royal Australasian College of Surgeons. Dr Joseph Xavier, General Surgery SET Registrar, SET 4 Trainee, and RACSTA Committee member explains the application process. He reflects on his own experience, including what he would have done differently if he’d had his time again.
SET selection requirements, process and application: https://www.surgeons.org/en/become-a-surgeon/how-do-i-become-a-surgeon/set-selection-requirements-process-and-application
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Despite decades of media campaigns, more work still needs to be done to raise the awareness and treatment of skin cancer in Aotearoa New Zealand and Australia – two countries with the highest rates of melanoma in the world. To help fight the disease, ten doctors have committed to reclaim their world record of rowing for 60 hours in Brisbane’s Princess Alexandra Hospital foyer from the 22nd to the 24th of June. Their ‘A Million Metres for Melanoma’ team set the world record in 2016, while raising funds melanoma. Charity founder, orthopaedic surgeon and RACS Fellow Dr Chris Conyard, discusses the reasons behind the team’s campaign, and what they hope to achieve in this year’s challenge.
A Million Metres for Melanoma: https://millionmetresformelanoma.com/
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An Australian-first study investigating fertility and pregnancy complications among Australian and Aotearoa New Zealand doctors discovered greater pregnancy complications than the general population. Dr Jasmina Kevric was one of three doctors who conducted the survey of 1099 doctors. She says training requirements have delayed family planning and subsequently increased age-related pregnancy complications. She discusses what measures can be taken to address these issues.
Medical Mums and Mums to Be (Australia & Aotearoa New Zealand) Facebook page is available to those who provide their AHPRA number.
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Since 2010, the College has awarded the John Corboy Medal in recognition of exceptional service of surgical Trainees. The medal is named after Dr John Corboy, former Chair of RACS Trainee Association, who gave generously to his peers and who offered energetic service for surgery despite facing personal adversity.
On the recommendation of the Trainee’s Association, the medal is awarded annually to a Trainee who demonstrates the characteristics for which Dr Corboy was admired. The award is made to a candidate for one or more of the following qualities: outstanding leadership, selfless service, tenacity, and service to Trainees of the College.
RACS is proud to announce the 2022 John Corboy Medal is awarded to Dr Amanda Nikolic, who has worked tirelessly to help surgical Trainees.
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In 2019, Norway’s capital of Oslo recorded just one death from a traffic accident. From a peak of 570 annual roads deaths in the 1970s nationwide, in recent years Norway’s toll has been reduced to just 80 deaths a year. Senior Advisor at the Norwegian Council for Road Safety Bard Johansen says its success has been a multi-faceted and integrated approach. It includes lower speed limits, safer vehicles, safer roads, better technology, stricter policing of those driving under the influence of alcohol and drugs, and a significant education campaign.
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Health care delivery has shifted from one of blame-seeking to a more enlightened and sophisticated understanding of a modern complex system. That’s according to Dr Mark O’Brien, Associate Fellow & Programme Director, Oxford Healthcare Leadership Programme, Saïd Business School, University of Oxford. Dr O’Brien, a passionate advocate of quality and safety in healthcare, says it’s important to minimise the mistakes people make, as well as to have systems and cultures that are safe.
Dr Mark O’Brien will be speaking at RACS 90th Annual Scientific Congress, 2-6 May 2022. For more information and to register: https://asc.surgeons.org/
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Although the Australian federal election had yet to be announced, it was very much on the minds of everybody when the Australian federal budget was delivered by Treasurer Josh Frydenberg on the 29 March. Michael Waycott, Director of The Bongiorno Group, discusses the key take-outs for surgeons in Australia.
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Dr Samantha Pillay graduated from the University of Adelaide Medical School in 1992 to become the first female urological surgeon in South Australia. From a very early age a physical condition prevented Dr Pillay from being able to walk. But it’s made her all the more determined to pursue her dreams and to help others in need. Dr Pillay is the founder of Continence Matters, an online resource to educate the medical professional and the general public on bladder and continence issues. She’s also an accomplished public speaker, an entrepreneur, and author of ‘The No Recipe Cookbook’ and ‘When I’m a Surgeon’.
See omnystudio.com/listener for privacy information.
RACS is considering a proposal to change the name of the College following a request from our Fellowship. RACS Council appointed a working party to progress the matter and it was agreed that an electronic vote of members on the proposed name change will be conducted later in 2022, allowing ample time for member and stakeholder education and engagement.
The working group has agreed to go with the name, Royal Australian and Aotearoa New Zealand College of Surgeons (RAANZCS).
In this episode, otolaryngologist Dr Rachelle Love discusses the details.
You can share your thoughts by emailing us: RACS.Communications@surgeons.org
Opinions can be sent to Surgical News: surgical.news@surgeons.org
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Surgeons have benefited greatly in recent years with a range of digital tools allowing them to innovate, learn and communicate with patients. One benefit of digital health technologies is that they enable efficiencies in the workplace, says Dr Jill Tomlinson, a plastic and reconstructive surgeon based in Melbourne. Dr Tomlinson outlines the range of tools available and how to incorporate them into your own practice.
MORE INFORMATION
Digital Health Hub https://www.surgeons.org/Resources/digital-health-hub
Digital Health for Specialists https://www.digitalhealth.gov.au/healthcare-providers/specialists
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Flexible training increases diversity in the surgical workforce by enabling Trainees to broaden their experience and pursue wider interests and opportunities while progressing towards Fellowship. The Royal Australasian College of Surgeons Trainees' Association (RACSTA) supports trainees pursue more flexible training if required.
In this episode we hear from two surgeons who have taken advantage of flexible training: Dr Winnie Gill, a Hepatobiliary Fellow at Royal Melbourne Hospital; and Dr Tim Sladden, a general surgery SET 2 Gen Search Trainee at Brisbane’s Mater Hospital.
Please note that maximum training time still applies. If you need information about the maximum training time for your specialty and how flexible training will impact your unique situation, please contact your specialty training board directly.
More about flexible training: https://www.surgeons.org/en/Trainees/the-set-program/flexible-training
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Forty-one years after first arriving in the Northern Territory, general surgeon Assoc. Prof. Phillip Carson has retired from clinical practice. He talks about his career highlights in the Top End, including his immense satisfaction being involved with the local and surgical communities of the NT. Assoc. Prof. Carson continues his active engagement with the College - in surgical education, governance of cancer services, and facilitating the delivery of surgical services across Australia's vast and remote areas.
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The Surgical Education and Training (SET) Program is designed to ensure surgical trainees become competent surgeons to the communities they serve, which include regional areas of Australian and New Zealand. Associate Professor Matthias Wichmann is a general surgeon who has been highly supportive in mentoring SET aspirants in Mount Gambier in South Australia. A recent general surgical SET trainee is Dr Matt Watson. Both discuss the benefits of the program and the attraction of working and living rurally. Learn more about Select for Rural https://bit.ly/31OyjnZ For more information on the SET program and application to SET please visit https://www.surgeons.org/Trainees/the-set-program
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It’s been almost six years since the College commenced work on the Building Respect Improving Patient Safety initiative. A 2015 investigation led by an expert advisory group – or EAG – uncovered issues around discrimination, bullying and sexual harassment.
Since the findings, the College has been implementing a long-term program of work to support professionalism in surgery. Recently, the College has conducted to surveys: the evaluation survey and a prevalence survey to ascertain current behaviours and attitudes relating to discrimination, bullying and harassment.
Ruth Friedman is the external evaluator of the RACS Building Respect Action Plan, who has been evaluating its work to build a culture of respect in surgery.
More information
https://www.surgeons.org/about-racs/about-respect
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The Wellbeing Charter for Doctors was created by medical colleges to signify the importance of the role that such colleges, hospitals and health jurisdictions have to play to support doctors and ensure that they have the opportunity to prioritise their physical and mental wellbeing.
It is important that doctors thrive in all aspects of life, not only in medicine, and this is a key principle of the charter. The charter is only the beginning of work on shining a spotlight on doctors’ wellbeing. It was created to start conversations about wellbeing amongst doctors themselves, and their supervisors and managers, and to demonstrate a unified approach to doctors’ wellbeing.
We speak to Dr Ruth Bollard, Chair of the RACS Wellbeing Working Group, and Dr Eric Levi, a member of the working group. Dr Bollard and Dr Levi are both passionate advocates for shining the spotlight on doctors’ wellbeing.
To access the Wellbeing Charter for Doctors: https://www.surgeons.org/about-racs/surgeons-wellbeing
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Volunteering overseas is a goal for many doctors. While it’s not for the faint hearted it’s also incredibly rewarding, as Dr Thomas Schaefer, an orthopaedic surgeon in Western Australia explains. Making a difference to in-need communities like those in Gaza, is what humanitarian work is all about for Dr Schaefer. He lets us into his journey from Switzerland to working in WA and volunteering overseas when and where he’s needed.
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This year a new protocol has been in development aimed at supporting information sharing between the College and hospitals. Instrumental in its evolution is the College’s Censor-in-Chief, Dr Adrian Anthony. He explains how the information-sharing protocol is about supporting patient safety through a culture of respect.
More information
https://www.surgeons.org/about-racs/about-respect
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After facing his own battle with mental illness, cardiologist Dr Geoffrey Toogood champions mental health support for fellow medical professionals and the general public. He says it's important for people to talk about mental health issues in order to break down the stigma.
For support and advice, talk to your GP, or contact Oz Lifeline 13 11 14 or Beyond Blue 1300 22 4636. For Aotearoa New Zealand listeners, call Lifeline on 0800 543 354.
RACS has partnered with Converge International to provide confidential support to Fellows, Trainees, International Medical Graduates, RACS Global Health Volunteers and their immediate family members. Telephone 1300 687 327 in Australia or 0800 666 367 in Aotearoa New Zealand.
This is a popular episode originally released in October, 2019.
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The only profession that continues to use gendered titles in Australia and Aotearoa New Zealand is surgery. Spearheading a push to phase out its archaic and discriminatory usage is Dr Christine Lai, a general surgeon based in Adelaide, and Chair of the Fellow Services Committee at the Royal Australasian College of Surgeons. She’s encouraging surgeons to replace gendered titles such as Mr, Ms, Miss, and Mrs, with Doctor or academic titles such as Professor.
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Climate change and other environmental issues may not be at the front of your mind when you’re dealing with any number of minor or major medical crises. But, it might surprise you how much healthcare contributes to emissions. So says thoracic surgeon Dr Ben Dunne, who’s taken up the mantle of raising awareness among Fellows in the College. Dr Dunne says medical professionals can do their bit by – among many things – consciously reducing, reusing, and recycling their equipment at work.
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Australian financial regulator APRA has announced major reforms to income protection insurance, which will reduce the amount of benefits available to Australian policy holders . So, if you haven’t looked at your current cover for a while, best you do so now. That’s according to Michael Waycott, Director of The Bongiorno Group, who discusses the changes which will be implemented by 1 October 2021.
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RACS Rural Surgery Fellowship for Provincial Surgeons helps provincial surgeons to take time away from their practice to travel and develop existing skills or acquire new skills. Orthopaedic surgeon Dr Sarah Coll, who is based in Cairns in Far North Queensland, was delighted to discover she was entitled to apply for a Learning and Development grant. She explains her own experiences with the grant and the benefits the grant provides for RACS Fellows located in non-metropolitan areas of Australia & Aotearoa New Zealand.
The Rural Surgery Fellowship for Provincial Surgeons is one of many grants now open for application through RACS Learning and Development grants round, with outcomes advised in November.
Applications close 12 September 2021.
For more information and to apply, visit: www.surgeons.org/scholarships
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The RACS Clinical Trials Network Australia and New Zealand – or CTANZ – was formed in 2017 to provide a structure for RACS Trainees, Junior Doctors, and medical students to lead – and be involved in – high quality surgical research and trials.
Since then, CTANZ has driven improvements in surgical care by enabling investigator-led multi-centre trials to be carried out in Australia and New Zealand.
CTANZ has proven valuable to trainees, who work at the coalface of surgical care, and are able to identify gaps in knowledge and procedure. These gaps are the genesis of future clinical studies, changing patient care for the better.
More information https://surgeons.org/CTANZ
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One of the largest providers of scholarships and grants for the surgical community worldwide is the RACS Foundation for Surgery’s Scholarships and Grants Program, which offers two rounds of applications each year.
Consultant colorectal surgeon Mr Ryash Vather was awarded a Bongiorno National Network Younger Fellows Travel Grant to undertake a prestigious six-month pelvic exenteration fellowship at St Marks in London.
He discusses the opportunity, and his advice for others who might be thinking of applying.
For further information, or to apply for a Learning and Development Grant, please visit, https://surgeons.org/scholarships
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In 2020, Dr Muecke was awarded Australian of the Year in recognition for his many decades of pioneering blindness prevention, particularly in South East Asia. He cofounded ‘Vision Myanmar’ and ‘Sight for All’, both initiatives to help prevent and treat blindness.
These days, Dr Muecke is championing action to prevent Type 2 diabetes – a preventable disease and the leading cause of blindness in Australian adults.
His profile is helping raise awareness of the role sugar and processed foods play in the incidence of Type 2 diabetes.
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In this episode we welcome the new RACS Vice President, orthopaedic surgeon, Dr Lawrie Malisano. Based in Spring Hill, Queensland, Dr Malisano has had numerous roles in the College, including RACS Councilor and Chair of Professional Development. He’s a foundation member of the Anthroplasty Society of Australia, a member of the Australian Orthopaedic Trauma Association, and former president of the Australian Orthopaedic Association. Dr Malisano discusses his role and the opportunities ahead.
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The Royal Australasian College of Surgeons and the Foundation for Surgery have been instrumental in supporting surgical needs in remote and disadvantaged communities, not only in Australia and New Zealand but also our neighbours in the Asia Pacific. One surgeon who’s benefited from their support is Dr Trevor Cullwick, Head of Department of Surgery and Orthopaedic surgeon in Vila Central Hospital, the main referral hospital in Vanuatu. Born and raised in Vanuatu, Dr Cullwick discusses his career and experiences working in a remote Pacific-island nation.
MORE INFORMATION
Foundation for Surgery – https://www.surgeons.org/en/foundation-for-surgery
Pledge-a-Procedure – https://fees.surgeons.org/Fees/Fundraising/RacsDonationDetailAU.aspx?ItemId=DON_PAPGH21
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As we turn the page on another financial year, what do you need to think about between now and June 30? For answers we turn to Michael Walsh, CEO of chartered accountants and financial advisors, Walshs, who outlines some of the major tax considerations for surgeons in Australia.
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This month the College extends a warm welcome its new President, Dr Sally Langley, who takes over the role from Dr Tony Sparnon.
Dr Langley is a New Zealand plastic surgeon, former president of the New Zealand Association of Plastic Surgeons and who’s worked in both public and private surgery for more than 30 years.
She discusses her role and the challenges and opportunities facing the College in the near future.
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The much-anticipated Federal Budget delivered by Treasurer Josh Frydenberg last week was certainly a big-spending one, particularly in relation to aged-care and mental health.
For commentary, we turn to Michael Waycott, Director of The Bongiorno Group, who guides Chris Ashmore through the major take-outs for surgeons.
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After 30 years as a plastic surgeon, Chris Edwards transitioned smoothly into a career as a sculptor. Chris is a former president of the Australasian Society of Aesthetic Plastic Surgery, who initially chose plastic surgery all those years ago because of his interest in art.
He says learning and practicing art has improved his powers of observation. Chris firmly believes studying art or photography helps elevate the skills of a plastic surgeon.
Chris’s artwork will appear on the virtual gallery at this year’s RACS Annual Scientific Congress in May. Also, as part of the Congress’s opening plenary, Chris will give a presentation titled ‘The art of being a creative surgeon’.
For more information and to register for RACS 89th Annual Scientific Congress, please visit:
https://asc.surgeons.org/
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Supportive, confidential, respectful, and non-judgemental – these words best describe new and enhanced complaints process at RACS. As an organisation that furthers the interests of our members by supporting their ongoing development and maintenance of expertise, the College is in a unique position when it comes to investigating complaints. Concerns raised in the past by Fellows, Trainees and Specialist International Medical Graduates offered lessons in preparing a new way to handle the process. Emily Wooden, RACS Chief Operating Officer, discusses the changes and why they were introduced.
RACS Surgeons Support Program
Website: https://convergeinternational.com.au/
Contact our Feedback and Complaints team
Phone (Australia): 1800 892 491
Phone (New Zealand): 0800 787 470
Email: complaints@surgeons.org
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A common challenge to both New Zealand and Australia is providing medical care for people in remote communities. The College is actively working on issues like workforce recruitment, retention and professional development to areas outside the major cities. RACS’s Rural Surgery Section Committee (RSSC) is dedicated to providing solutions to surgical challenges in remote and regional areas. Chair of the RSSC is Dr Bridget Clancy, who discusses its strategy and aims for the next twelve months.
For more information about Rural Surgery Section Committee, please visit: https://www.surgeons.org/resources/interest-groups-sections/rural-surgery/about-the-rural-surgery-section
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The RACS Continuing Professional Development (CPD) program is undergoing changes for 2021, providing more flexibility, and with an emphasis on health equity and the importance of cultural competency. CPD is viewed as a way RACS Fellows can demonstrate their commitment to lifelong learning and patient care; the new program will reflect this and support their learning journey. To discuss the changes is Professor Andrew Hill, Chair of the College’s Professional Standards Committee.
If you have any feedback about the CPD program, please email CPD.College@surgeons.org
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Each year RACS provides a number of scholarships through the Foundation of Surgery. Scholarships are important to help surgeons, trainees and health professionals facilitate changes and improve the quality of surgical care and practice. Two past scholarship recipients include Professor Greg O’Grady and Doctor Deborah Wright, both based in New Zealand. They share their experiences and discuss the benefits that scholarships have provided to each of them in their fields of research and their careers.
Research scholarships open in March, and Learning and development grants open in August.
2022 research scholarships are ‘now open’ until 12 April, with outcomes advised in August; learning and development grants open in August this year.
If you are a current Trainee or active Fellow, a 2022 Research scholarship could help you contribute to improving the quality of surgical care and practice.
To learn more about the Scholarships and grants program including available scholarships and grants, how to apply and the selection process, visit https://www.surgeons.org/scholarships
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Due to COVID-19 many events were cancelled last year, including the College’s 2020 Annual Scientific Congress. But, with a lot of planning and plenty of hard work from all involved, ASC coordinator Dr Liz McLeod is looking forward – as we all are – to the 2021 Congress to be held from May 10 – 14. In this episode, Dr McLeod explains the theme of the ASC and what participants can look forward to.
For more information about RACS ASC 2021, please visit: https://asc.surgeons.org/
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COVID-19 has greatly affected the way we’ve all worked in the last 12 months. If there’s a silver lining, it would be the fact that surgeons and their patients can rely on technology to talk to each other online.
The College conducted a survey with several hundred Fellows and patients and their attitudes towards using telehealth services.
The response? Overwhelmingly positive, says Professor Mark Frydenberg, who explains the results of the survey in this episode.
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In April, orthopaedic surgeon Associate Professor Claudia Di Bella, and her team at BioFab3D, trademarked a revolutionary new method of stem cell transplantation. Located within St Vincent's Hospital in Melbourne, the 3D laboratory is Australia's first hospital-based bio-fabrication lab. In this episode Assoc. Prof. Di Bella explains how its cartilage project aims to build biological structures with the use of stem cells printed within a gelatinous scaffold, and then cultured in 3D.
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The title of the 2021 Annual Scientific Congress is ‘Celebrating the Art of Surgery in a Time of Disruption’. After cancellation of the 2020 Congress due to COVID-19, the 89th ASC is expected to be a hybrid of in-attendance and online events. Convenor, Professor Wendy Brown, discusses the challenges and rewards of preparing for what will be the most interesting ASC yet.
For more information, please visit asc.surgeons.org
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Since 1992, RACS Councillor Associate Professor Kerin Fielding has lived and worked in the NSW Riverina city of Wagga Wagga. As an orthopaedic surgeon practicing in a regional part of the Australia, she's cognisant how health outcomes for people in rural areas are impacted by the lack of facilities and medical professionals. Using her own experience as an example, she'd like everyone to know how country areas are uniquely rewarding for surgeons and their careers, as well as being great places to live.
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Associate Professor Payal Mukherjee is completing a PhD in new technologies in ear surgery. As one of few females studying technology, she's pushing for greater female participation in STEM disciplines – that is, Science Technology Engineering and Mathematics. Assoc. Prof. Mukherjee is an Ear, Nose, Throat Surgeon with a special interest in ear surgery. She's Deputy Chair of the RACS State Committee of New South Wales and an Associate Professor of Surgery at The University of Sydney. And, she was a finalist in the 2019 New South Wales Premier's Woman of the Year Award. In this episode Assoc. Prof. Mukherjee explains why she chose surgery as a vocation and how rewarding it's been for her.
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To promote flexible training and encourage take-up across the profession, RACS have published new resources on their website, including a toolkit with tips for establishing flexible roles and a series of interviews with surgeons and Trainees who have experienced it personally.
For more information about flexible training go to: www.surgeons.org/flexibletraining
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Experienced vascular surgeon Dr Bernard Bourke founded his surgical practice in Gosford, NSW, in 1986. In recent years, his son Dr Victor Bourke has joined him at Central Coast Vascular. The Bourkes explain their passion for surgery, their love of learning, and what it’s like to work closely together.
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Dr Priya Nandoskar is one of two Fellows selected to participate in a pilot coordinated by the RACS Specialist Training Program for new Fellows in regional and rural areas. Funded by the Australian Government Department of Health, the program is designed to offer Fellows a comprehensive, high-quality experience outside the big cities. Based in Darwin for her twelve-month placement, Dr Nandoskar discusses her highlights so far and how worthwhile the program has been.
Specialist Training Program
https://www.surgeons.org/en/Education/specialist-training-program
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On 6 October 2020, Federal Treasurer Josh Frydenberg delivered a big-spending budget in a year where the economy has been hit hard by unprecedented events. Michael Waycott, Director at The Bongiorno National Network, looks at the takeouts from the budget for those in the medical profession and for surgeons in particular.
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Since its establishment, the One College Transformation program has been gaining momentum. It was designed to help streamline processes and deliver more reliable data among the College’s many people working and learning across various fields and locations on both sides of the Tasman.
To provide an update on its progress we turn to John Biviano, Chief Executive Officer at the Royal Australasian College of Surgeons. He explains how One College Transformation Program is changing the way Fellows, Trainees and Specialist International Medical Graduates engage with the College.
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In 2019, the Australian Government Department of Health approved a proposal from the RACS Specialist Training Program to coordinate a pilot for New Fellows in regional and rural areas. It was designed in consultation with the RACS Rural Surgery Section to give them a comprehensive, high-quality experience, outside the big cities. Dr Michael Basedow is one of two Fellows funded by the Australian Government Department of Health through the Specialist Training Program. He explains his involvement in the program and highlights so far.
Specialist Training Program
https://www.surgeons.org/en/Education/specialist-training-program
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The Royal Australasian College of Surgeons comprises more than 9000 Fellows, Trainees, International Medical Graduates and Staff. With so many people working and learning across various fields and different regions, a program was recently established to help streamline processes and deliver more reliable member data. The initiative is called ‘One College Transformation’; it’s a huge task which aims to reform organisational structure and capabilities, governance, and communication channels. Instrumental to its establishment is Dr Richard Perry – a colorectal surgeon and, until recently, RACS Vice President – who explains the background of the program.
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Dr Nitin Verma – For the past 16 years, leading Hobart ophthalmologist Dr Nitin Verma has taken his skills, passion and determination to Timor Leste to combat the serious issue of eye disease in that poverty-stricken nation. In the process he and his teams of volunteers have transformed the lives of thousands. Dr Verma discusses the development of his East Timor Eye Program since its small beginnings in the year 2000.
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COVID-19 has affected the way many people in the community communicate with their health professionals. Fortunately, great strides had already been taken in the use of Telehealth – that is, the provision of health via online technology. An advocate for Telehealth is Prof. Mark Frydenberg, a urological surgeon and Chairman of the Department of Urology at Monash Health in Melbourne. In this episode, Prof. Frydenberg discusses the advantages Telehealth has brought to both patients and medical professionals.
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Forty-one years after first arriving in the Northern Territory, general surgeon Assoc. Prof. Phillip Carson has retired from clinical practice. He talks about his career highlights in the Top End, including his immense satisfaction being involved with the local and surgical communities of the NT. Assoc. Prof. Carson continues his active engagement with the College - in surgical education, governance of cancer services, and facilitating the delivery of surgical services across Australia's vast and remote areas.
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The RACS Morbidity Audit and Logbook tool (MALT) has been useful to electronically log procedures, conduct self-audit and peer-review audit. Paediatric surgeon Mr Paul Jackson uses MALT for recording his own personal data as a surgeon as well as mentoring trainees by examining their data. Mr Jackson works as a specialist Paediatric Surgeon and Paediatric Urologist at Wellington Children's Hospital, New Zealand. He is also a Clinical Senior Lecturer for the School of Medicine & Health Sciences at the University of Otago in Wellington. In this episode he explains the benefits of MALT for both mentors and their trainees.
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When general surgeon Dr Ruth Bollard migrated to Australia from England in 2006, she chose Victoria's regional city of Ballarat to established her own practice. She says rural and regional areas like Ballarat offer terrific lifestyle opportunities. Dr Bollard would like to encourage more medical specialists to consider regional and rural areas, which can offer fulfilling professional opportunities too.
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In April, orthopaedic surgeon Associate Professor Claudia Di Bella, and her team at BioFab3D, trademarked a revolutionary new method of stem cell transplantation. Located within St Vincent's Hospital in Melbourne, the 3D laboratory is Australia's first hospital-based bio-fabrication lab. In this episode Assoc. Prof. Di Bella explains how its cartilage project aims to build biological structures with the use of stem cells printed within a gelatinous scaffold, and then cultured in 3D.
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Overcrowding, lack of running water, poor hygiene, nutrition, lack of access to medical care – all are symptoms of acute poverty into which Aboriginal children are born in remote corners of Australia. And they're the reasons why indigenous children have the highest rates of middle ear infection in the world.
For forty years Paediatric Otolaryngologist Dr Harvey Coates has spent up to several weeks each year providing treatment to the most vulnerable of Australian children, and continues to lead the charge of better health outcomes for children and ear disease. Dr Coates was appointed an Officer of the Order of Australia in 2005 for his work and research in paediatric otolaryngology and ear disease in Aboriginal children.
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While most of us have been impacted in some way from the COVID-19 pandemic, the crisis has also exposed the health vulnerabilities of Indigenous people. Deputy Chair of the Foundation for Surgery and member of the Indigenous Health Committee, Dr Ruth Mitchell, says an important part of our response with tackling the pandemic is addressing inequalities of health outcomes.
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Junior doctor and Wiradjuri woman Dr Claudia Paul is passionate about Indigenous health and opportunities for Indigenous medical students and junior doctors. Dr Paul is only the third Australian Aboriginal woman to be awarded a Rhodes Scholarship. With welcome the support from Foundation of Surgery, she's currently studying a PhD at Oxford University. In this episode, she says would like to see surgical care more equitable to all Australians, including better accessibility and health care outcomes to Indigenous Australians.
If you would like to learn more about the studies mentioned, we’ve included a list of references below: Secombe P, Brown A, McAnulty G, Pilcher D. Aboriginal and Torres Strait Islander patients requiring critical care: characteristics, resource use, and outcomes. Crit Care Resusc. 2019. http://www.scopus.com/inward/record.url?scp=85071617883&partnerID=8YFLogxK Bureau of Health Information. Patient Perspectives – Hospital care for Aboriginal people. Sydney (NSW); BHI; 2016. Peiris D, Brown A, Howard M et al. Building better systems of care for Aboriginal and Torres Strait Islander people: findings from the Kanyini health systems assessment. BMC Health Serv Res. 2012. https://doi.org/10.1186/1472-6963-12-369 Australian Government. National Aboriginal and Torres Strait Islander Health Plan 2013 – 2023, Australian Government, Canberra. 2013.https://www1.health.gov.au/internet/main/publishing.nsf/content/B92E980680486C3BCA257BF0001BAF01/$File/health-plan.pdf Azzopardi P S, Sawyer S M, Carlin J B et al. Health and wellbeing of Indigenous adolescents in Australia: a systematic synthesis of population data. The Lancet. 2018. http://doi.org/10.1016/ S0140-6736(17)32141-4. Thong DW, Kim J, Dobson B et al. Variation in anti- microbial prescription and complications post emergency appendicectomy in Australia: do we follow recommended guidelines? ANZ J. Surg. 2019. https://doi.org/10.1111/ans.15099. Henman K, Gordon C, Gardiner T et al. Surgical site infections following caesarean section at Royal Darwin Hospital, Northern Territory. Healthcare Infection. 2012. http://dx.doi.org/10.1071/HI11027 De Jager E, Gunnarsson R, Ho, Y. Measuring the quality of surgical care provision to Aboriginal and Torres Strait Islander patients. ANZ J. Surg. 2019. https://doi.org/10.1111/ans.15535. Commons R J, Robinson C H, Gawler D et al. High burden of diabetic foot infections in the top end of Australia: An emerging health crises (DEFINE study). Diabetes Res Clin Pract. 2015.https://doi.org/10.1016/j.diabres.2015.09.016 West M, Chuter V, Munteanu S, Hawke F. Defining the gap: a systematic review of the difference in rates of diabetes-related foot complications in Aboriginal and Torres Strait Islander Australians and non-Indigenous Australians. Journal of Foot and Ankle Research. 2017. https://doi.org/10.1186/s13047-017-0230-5
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The RACS Morbidity Audit and Logbook Tool – often referred to its acronym, MALT – is a system designed to log procedures electronically. Easily accessible from a web-based device, MALT, is provided to Trainees, international medical graduates, RACS Fellows, and registered JDocs. Bariatric surgeon Dr John Treacy explains how he and his colleagues at the Royal Darwin Hospital have participated in an audit using MALT – which has provided some encouraging findings.
Morbidity Audit and Logbook Tool: https://www.surgeons.org/research-audit/morbidity-audits/morbidity-audit-and-logbook-tool
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Without doubt, the pandemic we're facing is disrupting much of what we do, where we go and how we travel. The impact on the economy will be huge, which has led the federal government to announce a range of initiatives for businesses who are on the front line of this unprecedented crisis. To help understand the effect the coronavirus is having on the global economy we hear from Simon Farmer, managing director of Walshs Financial Planning. He's joined by Partner, Hugh Walsh, who details the federal government's cash flow assistance for businesses and other packages to assist medical practices.
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Associate Professor Payal Mukherjee is completing a PhD in new technologies in ear surgery. As one of few females studying technology, she's pushing for greater female participation in STEM disciplines – that is, Science Technology Engineering and Mathematics. Assoc. Prof. Mukherjee is an Ear, Nose, Throat Surgeon with a special interest in ear surgery. She's Deputy Chair of the RACS State Committee of New South Wales and an Associate Professor of Surgery at The University of Sydney. And, she was a finalist in the 2019 New South Wales Premier's Woman of the Year Award. In this episode Assoc. Prof. Mukherjee explains why she chose surgery as a vocation and how rewarding it's been for her.
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Major changes to the rules covering income protection insurance have been proposed by APRA, the Australian Prudential Regulation Authority. Michael Waycott, a Director of the Bongiorno Group, discusses what the changes mean and what you can do before the new policies take effect on 1 April this year.
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Sydney vascular surgeon Dr John Swinnen OAM has risked his life treating hundreds of gunshot wounds, bomb blast injuries and performed countless operations not often seen in developed countries like ours. Dr Swinnen's voluntary work with Médecins Sans Frontières (MSF) has taken him to the world's most dangerous regions, including Eastern Congo, the Afghanistan-Pakistan border, Yemen and Gaza. He discusses the kinds of operations he performs in these combat zones, and why he's continued to volunteer his time for one or two months every year for the last decade.
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Since 1992, RACS Councillor Associate Professor Kerin Fielding has lived and worked in the NSW Riverina city of Wagga Wagga. As an orthopaedic surgeon practicing in a regional part of the Australia, she's cognisant how health outcomes for people in rural areas are impacted by the lack of facilities and medical professionals. Using her own experience as an example, she'd like everyone to know how country areas are uniquely rewarding for surgeons and their careers, as well as being great places to live.
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Modern medical treatments can do so much to prolong life. But at what point should surgeons hold back, despite a conviction that treatment will benefit the patient? Palliative medicine specialist Dr Will Cairns from Queensland Health in Townsville brings decades of experience to the issue. His message: look beyond your expertise to the wishes of patients. And that means conversations.
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Dr Katrina Hutchison – Gender biases can be so subtle that often the behaviour is not obvious to victims or offenders alike. However, the consequences can be very real and, in surgery, quite devastating. Dr Katrina Hutchison is a Macquarie University Research Fellow in the Department of Philosophy; her current project focuses on gender biases in surgery and their impact on both surgeons and patients.
Systemic gender biases in the development, testing and approval of medical devices can have debilitating effects on patients. Dr Katrina Hutchison, from a paper she co-authored, examines two cases: hip prostheses and tissue repair meshes to treat pelvic organ prolapse (POP). She discusses the impact of unconscious sexism in surgery and steps needed to raise awareness of this important issue.
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A medical team at the Royal Children's Hospital successfully separated conjoined Bhutanese twins, Nima and Dawa. The 14-month-old girls and their mother were brought to Australia in October 2018, courtesy of the charity organisation Children First Foundation, to undergo the surgery led by Dr Joe Crameri, Head of Paediatric Surgery at the RCH. He explains the details of the successful operation and the ongoing post-surgical care for the resilient and much-loved twins.
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Volunteering overseas is a goal for many doctors. While it’s not for the faint hearted it’s also incredibly rewarding, as Dr Thomas Schaefer, an orthopaedic surgeon in Western Australia explains. Making a difference to in-need communities like those in Gaza, is what humanitarian work is all about for Dr Schaefer. He lets us into his journey from Switzerland to working in WA and volunteering overseas when and where he’s needed.
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Living and working in regional parts of Australia can be immensely rewarding for surgeons. Port Macquarie on NSW's mid-north coast has been an attractive place to call home for both Dr Kesley Pedler and Dr Rupert Snyman and their respective families. They discuss why they made the move, the work that they do, some of the challenges of working in a regional city, and why they want to stay.
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Specialist upper gastrointestinal surgeon, Dr Ken Loi has a number of priorities he'd like to address as regional chairman NSW RACS. In this episode, Dr Loi also discusses NSW Surgeons month which helps recognise and celebrate the wide variety of work that surgeons do.
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To help shine a light on the financial considerations involved for Fellows entering into private practice, the Bongiorno National Network is running a series of workshops around Australia. It includes the upcoming 'Preparation for Private Practice' in Brisbane. Presenting at the event is Simon Farmer, Managing Director of Walshs. On this episode, Simon discusses some of the workshop's main topics, including: Business structures Debt management Wealth creation Personal insurance
Preparation for Practice (Brisbane) 9-10 November, 2019 For more information, or to register for the event: Website: https://bit.ly/342ykQx Email: courtney.rhone@surgeons.org Phone: +61 402 736 732
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The College's Trainee Association – or RACSTA – serves an important role in representing the interests of surgical trainees. Imogen Ibbett, Chair of RACSTA, explains the good work the organisation does and how it strongly advocates the quality of training, workplace culture and well-being of trainees.
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After facing his own battle with mental illness, cardiologist Dr Geoffrey Toogood champions mental health support for fellow medical professionals and the general public. He says it's important for people to talk about mental health issues in order to break down the stigma.
For support and advice, talk to your GP, or contact Oz Lifeline 13 11 14 or Beyond Blue 1300 22 4636. For New Zealand listeners, call Lifeline on 0800 543 354.
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RACS recently welcomed its new president, Adelaide paediatric surgeon, Dr Tony Sparnon, who replaced outgoing president, Dr John Batton. Since his appointment, Dr Sparton has been busy with issues relating to surgeons’ fees, informed consent and informed financial consent. He says it’s important that the College continues to adapt its surgical standards and professional values to keep pace with societal change.
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Stress can sneak up on anyone over time, and if left unchecked can affect the quality of behaviour and performance. But there are strategies to help build resilience – not only at the individual level, but for teams and organisations as well. General surgeon Dr Richard Turner, who is Director of Hobart Clinical School and Professor of Surgery at University of Tasmania School of Medicine, explains the steps you can take to build resilience.
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The lack of surgeons based in rural and regional Australia is impacting the health and financial wellbeing of families living in those areas. Long commutes to capital cities to access surgery mean some people are forgoing care entirely. Economic modelling done by ENT Surgeon and newly-appointed Chair of the RACS Rural Surgery Section Committee, Dr Bridget Clancy, reveals the eye-watering cost to the community. Based in Warrnambool, in regional Victoria, she outlines some of the steps that can be taken to address the shortages of surgeons in country regions.
Find out more about the Rural Surgery Section: https://www.surgeons.org/resources/interest-groups-sections/rural-surgery
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From the practice structure you choose, to tax, insurance, superannuation, investing and personal finance - all the critical considerations for starting out in private practice are discussed in the Preparation for Practice workshops, launched by RACS and drawing on the expertise of accounting and financial advisory group, the Bongiorno National Network.
More information: https://www.surgeons.org/education/professional-development/all-professional-development-activities/preparation-for-practice
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Dr Phil Worley, Chair for the RACS South Australia State Committee, examines the current and future initiatives in South Australia. In recent times, the state has benefited from major medical developments, including the Royal Adelaide Hospital and the South Australian Health and Medical Research Institute. In early September, Port Lincoln will host the SA, NT and WA ASM; this year's theme is 'Robots in Surgery – Tsunami or just the next wave?'
The SA, NT and WA Annual Scientific Meeting Dates: 5-7 September Location: Port Lincoln Hotel Details: https://www.surgeons.org/conferences-events/college-calendar/2019-sa-nt-wa-annual-scientific-meeting Contact: 08 8239 1000 or email college.sa@surgeons.org
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Fellows and Trainees in Australia and New Zealand can be assured that personal or reflective notes are registered under Commonwealth legislation for protection. This clarification from Michael Gorton AM, from Russell Kennedy Lawyers, stems from a negligence case in the UK where it was suggested reflective notes were used against Dr Bawa-Garba in her criminal conviction. Michael says the requirements for a criminal charge in Australia and New Zealand, which have been tested in the courts in both countries, require a higher standard than the UK.
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What do surgeons need to provide high quality surgical care in every part of Queensland? That's the challenge facing Paediatric Surgeon and Adjunct Professor Deborah Bailey, the newly appointed Chair of the RACS Queensland State Committee. She says it's important for RACS to promote the highest standards of education and professionalism in surgery, much of which comes down to communication between surgeons at the coalface, the College office bearers and the government.
Queensland Scientific Meeting 12-14 July 2019
https://www.surgeons.org/about/racs-offices/queensland/queensland-state-activities/#Conference
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Most Australian surgeons struggle with shoulder, neck and upper back pain, according to recent research conducted by Dr Katherine Grant and Dr Leong Tiong. Dr Grant is a surgical resident based at Royal Adelaide Hospital and is pursuing a career in general surgery. The research was based on a survey which also showed that female and younger surgeons are more likely to suffer from work-related musculoskeletal disorders (WRMD). Dr Grant discusses the implications of the research and what steps are needed to prevent these disorders.
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Professor Kingsley Faulkner has overseen significant transformation of the Foundation for Surgery since his leadership in 2010. Stepping down this month, he reflects on the achievements of the Foundation over the last nine years, which has included a significant increase in donations. Professor Faulkner reminisces over his medical career, including time spent in the Pilbara region of Western Australia in the early 1970s.
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Stark differences are emerging in tax policy between the major political parties as we head full tilt towards the federal election on May 18th. How will your financial health be impacted by a change in Government and what are the big comparisons between the tax policies of the Coalition versus the ALP? Michael Waycott of the Bongiorno National Network highlights what you need to know.
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Most surgical trainees respond well to feedback on their performance – they reflect on the advice that's given and make the necessary changes to improve. But, some trainees are less responsive and conversations with them can be quite challenging. That's according to neurosurgeon, Dr Andrew Davidson, Associate Professor at Macquarie University. Dr Davidson is an educator and trainer with RACS's Foundation Skills for Surgical Educators Course. He's a key educator with the new Advanced Feedback in Surgical Course and the soon-to-be-revised Surgical Teachers Course. In this episode, Dr Davidson describes the process with handling challenging conversations.
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Last year, the College welcomed urological surgeon, Dr Henry Woo, as an elected Council Member. Based at the Sydney Adventist Hospital, Dr Woo is renowned as a pioneer in the development of therapies for benign prostate disease. He is also Professor of Surgery with the Sydney Medical School of the University of Sydney; he's on the Board of Directors of the Australian and New Zealand Urogenital and Prostate Clinical Trials Group; and he runs Australian Clinical Trials Pty Ltd. He is focused on research into prostate cancer and benign prostate hyperplasia. In this episode, Dr Woo discusses a range of issues, including professionalism in surgery, what he hopes to achieve as Councillor, and reflections on his own work-life balance.
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For many of us social media can be both helpful and annoying. Annoying because it can take over our lives if we let it. Helpful because it allows us to connect and engage in a deeper way than anything before. The College has embraced social media to connect and inform Fellows and Trainees. Agron Dauti, the College's Digital Media Coordinator, explains the most common social media platforms and best practice ways to connect and network with them.
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A recent qualitative study attempts to examine the reasons why women are choosing to leave surgical training, proportionally higher than men. Lead author, Gold Coast surgeon Dr Rhea Liang, says there are a myriad of reasons including bullying, sexual harassment, unavailability of leave, insufficient role models and lack of pathways for support. She says the stresses accumulate like a tower of blocks – a final action can trigger the collapse of the tower and lead to a Trainee choosing to leave.
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How widespread is the inappropriate use of antibiotics in Australian surgery? Pretty wide, according to Dr Kathryn Daveson, the Clinical Director for the Antimicrobial Resistance and Usage in Australia Surveillance System. But a wider awareness of the issues is leading to better prescribing practices.
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How will politics affect the economy in general and your practice in particular in the year ahead? We ask Professor Neville Norman of Melbourne University for his assessment of the year ahead. Do we have reason to be optimistic or otherwise? Neville underlines the political likelihoods in 2019, while offering his economic predictions for 2019 around interest rates, house prices, exchange rates and stock prices.
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A medical team at the Royal Children's Hospital was in the media spotlight recently as they prepared to separate conjoined Bhutanese twins, Nima and Dawa. The 14-month-old girls and their mother were brought to Australia in October, courtesy of the charity organisation Children First Foundation, to undergo the surgery led by Dr Joe Crameri, Head of Paediatric Surgery at the RCH. He explains the details of the successful operation and the ongoing post-surgical care for the resilient and much-loved twins.
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A recent study of notifications made to the Medical Board of Australia showed that surgeons are twice as likely to have claims made against them than any other physicians. Why? Medico-legal expert and Michael Gorton AM from Russell Kennedy Lawyers tells us what the data reveals, with some wise advice on how to keep those complaints at bay.
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The Bicycle Network, Australia's largest cycling advocacy body, is calling for laws to be relaxed to allow cyclists to ride without helmets on paths where there isn't traffic. For the College's position on this issue, we hear from Professor Jeffrey Rosenfeld AC OBE, Director of the Monash Institute of Medical Engineering, Professor of Surgery at Monash University and a senior neurosurgeon at The Alfred Hospital in Melbourne. He shares his thoughts on the consequences of relaxing the current laws.
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For more than 25 years, Dr Gerald Hickson and his colleagues at Vanderbilt University Medical Center (VUMC) have studied reasons why patients file malpractice claims and what can be done to improve patient care. Key initiatives include both patient and staff reporting systems which encourage the disclosure of unsafe medical practices. Dr Hickson explains how the systems work and the overwhelming response they’ve received from medical centres across the United States.
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When ENT surgeon Dr Gillian Dunlop told her father she wanted to be an artist on finishing high school, he said get a 'proper job'. As much as it distressed her at the time, she's grateful now; she insists it's important for women to achieve financial independence. It's a topic Dr Dunlop will cover at this year's RACS NSW Surgeon's month at the Art Gallery of NSW. Her medical career never stopped her from pursuing a passion for art. Dr Dunlop is also a well known portrait artist, and has painted many prominent Australians, including Dame Quentin Bryce and Dame Marie Bashir.
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Perth-based Plastic and Reconstructive Surgical Trainee, Dr Emily Ryan is conducting world-first research to understand the connection between Non-Severe Burn Injury (NSBI) and high rates of cardiovascular disease (CVD). She has had access to 30 years of records from Western Australian hospitals showing an increase in hospitalisation of NSBI patients for CVD. The research will help educate GPs and prompt careful longterm monitoring of cardiovascular health among NSBI sufferers.
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Since gun control laws were introduced following the Port Arthur massacre in 1996, where 35 people died, there has only been one gun homicide from which five or more people died. That was in May this year. Paediatric surgeon, Dr Michael Ee is a passionate supporter of tough gun control laws. As a health issue, Dr Ee explains RACS's position on gun violence and its recommendation to continue restrictions on the importation and ownership of semi-automatic and pump-action rifles and shotguns.
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Some of the most overworked people in society are medical professionals. Doctors are suffering from increased workloads, and they are suffering in silence. ENT Surgeon, Dr Eric Levi has documented his own challenges in a blog, which has resonated with doctors around the world. Dr Levi delivered a plenary talk, titled 'Broken Doctors, Broken Systems' at the College's recent ASM, addressing the issue of what he calls 'institutional health', which can result in burnout and can affect the mental health of medical professionals. In this episode, he discusses the widespread incidence of depression in the medical profession and discusses some ways to address the issues of mental health.
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For patients in remote regions of Australia and New Zealand telehealth has been a welcome service. The Skype-like technology allows doctors to provide consultancy services from a city-based hospital which saves the patient time and money. Orthopaedic surgeon, Dr John North, has been using telehealth from a purpose-built facility since 2012 at Princess Alexandra Hospital (PAH) in Brisbane.
Dr John North will be presenting at the SA, WA and NT Annual Scientific Meeting, which is being held from 23-25 August 2018 in Alice Springs. Follow this link to view the provisional program or register online.
For more information about telehealth, please refer to the websites of Australasian Telehealth Society, the College of Rural and Remote Medicine or the Australian Government's Department of Health.
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Overcrowding, lack of running water, poor hygiene, nutrition, lack of access to medical care – all are symptoms of acute poverty into which Aboriginal children are born in remote corners of Australia. And they're the reasons why indigenous children have the highest rates of middle ear infection in the world.
For forty years Paediatric Otolaryngologist Dr Harvey Coates has spent up to several weeks each year providing treatment to the most vulnerable of Australian children, and continues to lead the charge of better health outcomes for children and ear disease. Dr Coates was appointed an Officer of the Order of Australia in 2005 for his work and research in paediatric otolaryngology and ear disease in Aboriginal children.
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The disturbing number of facial fractures resulting from interpersonal violence has prompted Dr Swee Tan to call on the community and government to act. Dr Tan specialises in plastic and reconstructive surgery and is the Founder and Executive Director of the Gillies McIndoe Research Institute. He is senior author of a study conducted by Wellington's Hutt Hospital in NZ, examining patients referred to the hospital's Plastic, Maxillofacial and Burns Unit with facial fractures from 2012-2017. Almost 40% of those in the study admitted with facial fractures were a result of violence.
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There comes a time for every surgeon after a long career to step back and call it a day. But, what to do in retirement? Medecins Sans Frontieres provided Ivan Thompson a long-held ambition to carry out humanitarian work overseas. MSF – also known as Doctors Without Borders – provides crucial medical treatment to places in the world lacking the necessary support that we take for granted back home. Some of those places include volatile regions with large masses of displaced peoples, like Qayyarrah in northern Iraq where Ivan Thompson completed his first assignment in late 2017.
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Professor Jeffrey Rosenfeld AC OBE is a globally acclaimed neurosurgeon, whose current project as Director of the Monash Institute of Medical Engineering is developing a bionic vision device to help people see again. It's a world away for the longstanding RACS Fellow who is a Professor of Surgery at Monash University and a senior neurosurgeon at The Alfred Hospital in Melbourne. He has spent considerable time on deployments in conflict zones overseas, where he has witnessed horrific injuries resulting from bomb blasts. He says the immediate action to stop bleeding by the use of tourniquets is a lesson first responders can apply in emergency situations back on home soil.
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The higher you rank on the socioeconomic ladder, the better your health, and consequently the longer you can expect to live. That's according to Sir Michael Marmot, Professor of Epidemiology and Public Health at University College London, who was invited to RACS’ 2018 Annual Scientific Congress in Sydney to discuss inequalities in the developing world. Sir Michael, for years a leading researcher on health inequality, insists some of the biggest inequities occur in the world's richest nations, including Australia.
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With the 2018 Federal Budget done and dusted, what are the take-outs for surgeons? Michael Waycott, Director at The Bongiorno National Network, takes us through some of the announcements from what he calls a relatively safe Budget, with few outlandish spending promises.
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When you’re called as an expert witness in a court case, your expertise will be scrutinised, you could come under some serious grilling and the whole process could become seriously uncomfortable. How do you best manage the "expert witness" process? Medico-legal expert and solicitor Michael Gorton has some valuable pointers.
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Well known American trauma surgeon Dr Adil Haider has pioneered research around racial trauma care for more than a decade. His own investigations into US data uncovered inequalities in the treatment of trauma patients from different racial or socio-economic backgrounds. Dr Haider outlines the solutions to tackle these disparities and says he is hopeful for the future.
Dr Haider will present a keynote lecture, 'Disparities in Trauma – Why is it important and what can we do about it?', at RACS's Annual Scientific Meeting in Sydney, 7-11 May 2018.
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One of the complications after abdominal surgery is postoperative ileus, which leads to patient discomfort and morbidity. For years chewing gum was thought to benefit patients after abdominal surgery and help alleviate the symptoms of ileus.
Dr Hidde Kroon and a team of medical professionals in the Netherlands conducted a randomised clinical trial to determine whether chewing gum enhances recovery after surgery – by stimulating saliva and gastric juices – and thereby helps reduce the length of hospital stay.
Currently on a Fellowship to the Royal Adelaide Hospital, in this episode Dr Kroon discusses the methodology and the results of the trial.
A PDF copy of the published paper to which Dr Kroon – titled 'Multicentre randomized clinical trial of the effect of chewing gum after abdominal surgery' – can be accessed and downloaded here: https://www.bjs.co.uk/article/multicentre-randomized-clinical-trial-of-the-effect-of-chewing-gum-after-abdominal-surgery/
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Following a wide-spread consultation process, the Medical Board of Australia has released its final report on enhanced CPD for doctors. RACS Solicitor and medico-legal expert Michael Gorton highlights the key proposals in the report, which includes a more targeted approach to manage doctors most likely at risk of poor performance.
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While around 100 Australians are killed in road crashes every month, approximately 800 a week experience seriously and life-changing injury. All up it’s costing the Australian economy about $30 billion a year. What’s being done to arrest this escalating epidemic of deaths and injuries on our roads? Dr John Crozier discusses the latest multi-pronged line of attack.
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Sports hernia describes the chronic groin pain that many sports people fall victim to, especially if their sport involves kicking or sudden pivoting. Watchout soccer, AFL and rugby players! But while painful for players and hard to diagnose, a three year study has revealed success in a variety of surgical approaches categorised as “inguinal hernia repairs”. Hernia Institute of Australia researcher Dr Omar Rodrigues-Acevedo brings us up to date.
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Be careful of using old and tired wire barbecue brushes when cleaning your hot plate. A 39-year-old man from NSW Coffs Coast went to Coffs Harbour Hospital complaining of a vague pain in his abdomen. After a CT scan, General Surgery Trainee Dr Rafael Gaszynski operated on the man to discover a wire embedded in his duodenum. The patient had swallowed a dislodged bristle along with food that had been cooked on the barbecue. Also, a lesson for surgeons – expect the unexpected!
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