2009 Annual Report - Urological Society of Australia and New Zealand

2009 Annual Report - Urological Society of Australia and New Zealand 2009 Annual Report - Urological Society of Australia and New Zealand

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Each of them provided complimentary feedback regarding the programme and the hospitality extended to them by USANZ and the trainees. Education Programme • Education Programme Matrix – Section/ Trainee Week An educational matrix of topics based on the training programme and the current curriculum is under construction with emphasis on depth of topic knowledge to be covered at a hospital, sectional and trainee week level. • USANZ Online Educational Program The Board of Urology and Urology Executive, AstraZeneca representatives, educational online specialists and nominated members of USANZ and senior trainees reviewed the content and format of the on-line educational program at an intensive weekend workshop in August. Progress is being made with a planned re-launch of a more meaningful and useful product taking place in 2010. Finally I wish to thank Anita Clarke for her hard work with RACS, on our behalf. ■ ____________________________________ Continuing Professional Development Pat Bary The USANZ online project is advancing. It is nearing the finish of a gap analysis before continuing with expansion and inclusion of appropriate radiology to create an excellent tool for education of trainees and urologists in the Society. The RACS PDSB met on 27 October. This is a summary of the meeting: 1. A working party to establish guidelines for digital imaging methods has now completed its work, providing recommendations for the delivery, access and viewing of diagnostic quality images for providers and clinicians. 2. The correct patient, side, procedure, site document put up by the WHO has been adopted by RACS, has as yet only been mandated by the NZMC, but not any Australian body. 3. CPD reporting online has continued to grow, now 21% of Fellows. 4. Australian Day Surgery Council – made up representatives of many different groups – RACS; hospitals; private health insurance; nurses; anaesthetists, etc. There are now 280 Day Care hospitals in Australia. Questions were 34 Urological Society of Australia and New Zealand | Annual Report 2009 www.usanz.org.au asked why a separate entity needs to exist as it is a major part of surgery and should come under RACS aegis. Day Care hospitals should be seen as untapped teaching resource for trainee surgeons. 5. Policies for admission to and retirement from Fellowship were updated. 6. Policies for breaches of RACS code of conduct were tabled. 7. CPD policy for 2010-2012 to include compulsory participation in the Australian and NZ Audit of Mortality where an audit is available. Verification will increase from 2.5% to 3.5% of Fellows. 8. PDSB endorses use of Younger Fellows’ logo but discussion as to whether should be with RACS Coat of Arms. 9. Continue to improve % of supervisors and trainers who receive training in medical education (25% so far). 10. Ethnicity box in Fellows’ transcript to be to identify Maori or ATSI only – NZ section of RACS thought should be all ethnicities – not changed. 11. Vascular surgery audit developing well. Looks good but is expensive - >$100K. Not available for PDAs yet. 12. ASERNIP-S has undergone review with a recommendation that it be associated with the University of Adelaide to allow full funding (including ancillary benefits it does not at this time get) to pass to it, the university being happy to simply act as the conduit and therefore to have its books look better by the amount passed on. 13. NZOA joint registry now 10 yrs old. 98% of surgeons enter cases on registry. It enables NZOA to notify surgeons whose outcomes fall outside parameters. Anonymous to begin with, they have a number of steps that mean they first must present to their local M&M meeting, ie: identify themselves. If not helped by that, their name will be notified to the NZOA that can then dictate to them what they need to do. It looks robust and fair and could possibly be adapted by USANZ. ■ ____________________________________ Royal Australasian College of Surgeons Andrew Brooks Helen O’Connell took leave of absence from her position as Elected Councillor for Urology for the Royal Australasian College of Surgeons (RACS), from 1 February 2009 for a period of 12 months. As

such I was asked to stand in Helen’s place and was duly appointed as a co-opted member of the Council, with limited voting rights. In the term of 2010, a number of issues of relevance to urologists have come before the Council of RACS. RACS has decided to form an Academy of Surgical Educators. The purpose of this is to act as an educational resource within RACS to support both the training and continuing professional development (CPD) programs. The terms of reference have been set and applications for appointment to the Academy have been requested from the membership. There will be limited representation from the specialist societies. USANZ offered some objection to the constituency of the Academy, though not to the formation of the Academy in principle. The major objection was the lack of adequate representation for those bodies which actually deliver RACS’ educational program. The Academy has yet to start functioning and it will be in the fullness of time that we will see how it interacts with our own urological training programs. RACS has developed a Code of Conduct with respect to its membership’s association with the medical industry. It is a little stricter than that developed by USANZ and I would urge all members to visit the RACS website: www.surgeons.org and appraise themselves of the Code of Conduct. National registration is pending and the legislation governing national registration is currently before Federal Parliament. It would appear that while there will be national registration, the disciplinary arms of the current state registration committees will remain state-based, but will interact with the federal body. There will also be a requirement for documentation of CPD to retain national registrations. RACS has supported the World Health Organisation (WHO’s) protocol in regards to operative procedures. This is meant as a template to be customised and added to as each individual jurisdiction applies the protocol to its relevant practice. The protocol is available on the RACS website. ■ Annual Scientific Meetings Gold Coast 2009 Mark Frydenberg The 2009 USANZ ASM was well attended with 437 USANZ delegates, 178 ANZUNS delegates and 176 Trade, but only 25 accompanying partners - many of whom were partners of the organising committee and guests. This trend may need investigating, as if it continues it may not be viable to have accompanying partner activities as part of the ASM program. We were fortunate to listen to a truly memorable Harry Harris Oration from Julian Burnside QC, on the very topical issue of human rights and refugee status in Australia. The delegates were also fortunate to have heard many excellent presentations from the invited guests Urs Studer, Michael Blute, Joel Sheinfeld, Dean Knoll, Phillippe Zimmern and Richard Gaston as well as from several local experts, both urological and non-urological. I would want to extend my sincere thanks to the Trade for all their sponsorship of the meeting. I also thank Daniel Moon - Scientific Convenor for his enormous efforts; the unit from Southern Health (Monash) for their support in organising the meeting; to my wife Barb for her assistance with all the social activities; Michael Nugara and Alex Malley for providing financial guidance for the project, and lastly to Kelly Logan and her team from Events Planners who helped arrange the meeting in a most professional fashion. It was a wonderful experience being the ASM convenor and I would encourage any urologist to volunteer for this task in the future as it is enormously rewarding to successfully contribute to USANZ and to your colleagues. ■ Western Australia 2010 Andrew Tan The organising committee of the 2010 USANZ ASM is looking forward to warmly welcoming delegates to Perth from 21-24 February 2010. An exciting and educational scientific program has been put together including topics such as prostate and renal cancer, reconstructive and plastic surgery in urology, paediatric urology, incontinence and BPH. The scientific meeting will conclude with a session on Urological Society of Australia and New Zealand | Annual Report 2009 www.usanz.org.au 35

Each <strong>of</strong> them provided complimentary feedback<br />

regarding the programme <strong>and</strong> the hospitality<br />

extended to them by USANZ <strong>and</strong> the trainees.<br />

Education Programme<br />

• Education Programme Matrix – Section/<br />

Trainee Week<br />

An educational matrix <strong>of</strong> topics based on the<br />

training programme <strong>and</strong> the current curriculum is<br />

under construction with emphasis on depth <strong>of</strong> topic<br />

knowledge to be covered at a hospital, sectional <strong>and</strong><br />

trainee week level.<br />

• USANZ Online Educational Program<br />

The Board <strong>of</strong> Urology <strong>and</strong> Urology Executive,<br />

AstraZeneca representatives, educational online<br />

specialists <strong>and</strong> nominated members <strong>of</strong> USANZ <strong>and</strong><br />

senior trainees reviewed the content <strong>and</strong> format<br />

<strong>of</strong> the on-line educational program at an intensive<br />

weekend workshop in August. Progress is being<br />

made with a planned re-launch <strong>of</strong> a more meaningful<br />

<strong>and</strong> useful product taking place in 2010.<br />

Finally I wish to thank Anita Clarke for her hard work<br />

with RACS, on our behalf. ■<br />

____________________________________<br />

Continuing Pr<strong>of</strong>essional Development<br />

Pat Bary<br />

The USANZ online project is advancing. It<br />

is nearing the finish <strong>of</strong> a gap analysis before<br />

continuing with expansion <strong>and</strong> inclusion <strong>of</strong><br />

appropriate radiology to create an excellent tool for<br />

education <strong>of</strong> trainees <strong>and</strong> urologists in the <strong>Society</strong>.<br />

The RACS PDSB met on 27 October. This is a<br />

summary <strong>of</strong> the meeting:<br />

1. A working party to establish guidelines for digital<br />

imaging methods has now completed its work,<br />

providing recommendations for the delivery,<br />

access <strong>and</strong> viewing <strong>of</strong> diagnostic quality images<br />

for providers <strong>and</strong> clinicians.<br />

2. The correct patient, side, procedure, site<br />

document put up by the WHO has been adopted<br />

by RACS, has as yet only been m<strong>and</strong>ated by the<br />

NZMC, but not any <strong>Australia</strong>n body.<br />

3. CPD reporting online has continued to grow,<br />

now 21% <strong>of</strong> Fellows.<br />

4. <strong>Australia</strong>n Day Surgery Council – made up<br />

representatives <strong>of</strong> many different groups<br />

– RACS; hospitals; private health insurance;<br />

nurses; anaesthetists, etc. There are now 280<br />

Day Care hospitals in <strong>Australia</strong>. Questions were<br />

34 <strong>Urological</strong> <strong>Society</strong> <strong>of</strong> <strong>Australia</strong> <strong>and</strong> <strong>New</strong> Zeal<strong>and</strong> | <strong>Annual</strong> <strong>Report</strong> <strong>2009</strong> www.usanz.org.au<br />

asked why a separate entity needs to exist as<br />

it is a major part <strong>of</strong> surgery <strong>and</strong> should come<br />

under RACS aegis. Day Care hospitals should<br />

be seen as untapped teaching resource for<br />

trainee surgeons.<br />

5. Policies for admission to <strong>and</strong> retirement from<br />

Fellowship were updated.<br />

6. Policies for breaches <strong>of</strong> RACS code <strong>of</strong> conduct<br />

were tabled.<br />

7. CPD policy for 2010-2012 to include compulsory<br />

participation in the <strong>Australia</strong>n <strong>and</strong> NZ Audit <strong>of</strong><br />

Mortality where an audit is available. Verification<br />

will increase from 2.5% to 3.5% <strong>of</strong> Fellows.<br />

8. PDSB endorses use <strong>of</strong> Younger Fellows’ logo<br />

but discussion as to whether should be with<br />

RACS Coat <strong>of</strong> Arms.<br />

9. Continue to improve % <strong>of</strong> supervisors <strong>and</strong><br />

trainers who receive training in medical<br />

education (25% so far).<br />

10. Ethnicity box in Fellows’ transcript to be to<br />

identify Maori or ATSI only – NZ section <strong>of</strong><br />

RACS thought should be all ethnicities – not<br />

changed.<br />

11. Vascular surgery audit developing well. Looks<br />

good but is expensive - >$100K. Not available<br />

for PDAs yet.<br />

12. ASERNIP-S has undergone review with a<br />

recommendation that it be associated with<br />

the University <strong>of</strong> Adelaide to allow full funding<br />

(including ancillary benefits it does not at this<br />

time get) to pass to it, the university being happy<br />

to simply act as the conduit <strong>and</strong> therefore to<br />

have its books look better by the amount passed<br />

on.<br />

13. NZOA joint registry now 10 yrs old. 98% <strong>of</strong><br />

surgeons enter cases on registry. It enables<br />

NZOA to notify surgeons whose outcomes fall<br />

outside parameters. Anonymous to begin with,<br />

they have a number <strong>of</strong> steps that mean they<br />

first must present to their local M&M meeting, ie:<br />

identify themselves. If not helped by that, their<br />

name will be notified to the NZOA that can then<br />

dictate to them what they need to do. It looks<br />

robust <strong>and</strong> fair <strong>and</strong> could possibly be adapted by<br />

USANZ. ■<br />

____________________________________<br />

Royal Australasian College <strong>of</strong> Surgeons<br />

Andrew Brooks<br />

Helen O’Connell took leave <strong>of</strong> absence from her<br />

position as Elected Councillor for Urology for the<br />

Royal Australasian College <strong>of</strong> Surgeons (RACS),<br />

from 1 February <strong>2009</strong> for a period <strong>of</strong> 12 months. As

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