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therounds Residents & Registr ars

What is MOCA? T he medical officers certified agreement (MOCA) is the

orverarching employment contract that

What is CoRR? T

he Council of Residents and Registrars is the peak advocacy group for junior doctors in Queensland. CoRR is a subcommittee of AMA

Queensland, and meets on a bi-monthly basis to discuss issues relevant to doctors in training.

exists between Queensland health and all of their medical officers. It regulates

Representatives on Council come from individual hospitals, medical

your terms and conditions of employment.

schools, training organisations, and other key stakeholder groups.

Every three years the document is re-

All doctors-in-training members of AMA Queensland are welcome to

negotiated and in the coming year leading

attend meetings in person or via Skype.

up to a new MOCA coming into force,

CoRR hosts regular social and professional development events for

Jen Williams and CORR will be travelling

junior doctors. Our next event is a DiTs & Drinks function at Herston on

across the state to find out if you’re being

23 June, where outgoing AMA Queensland President, Dr Gino Pecoraro,

paid correctly, if all working conditions as

will speak on AMA Queensland’s key strategies relating to junior

prescribed by MOCA are being adhered to, and whether there are other aspects you

doctors.

would like included in a new agreement.

During the coming months, AMA will be touring many Queensland

It is after all, your agreement with your

hospitals to liaise with junior doctors regarding the impending

employer, so it is fundamental that you

enterprise bargaining negotiations. We are keen to hear your thoughts

have a say in what goes into it.

on the current agreement, and suggestions for inclusions in our log of claims for the new agreement with Queensland Health.

Contact us Occupation: Medical education registrar, RBWH Star sign: Taurus Secret obsession: Good spelling Transport: VW Golf (with AMA Queensland discount, of course) Despite spending as much time learning French as medicine whilst at medical school, Jen graduated from the University of Queensland in 2006. She worked at Flinders Medical Centre in Adelaide before returning to Brisbane to pursue her training in emergency medicine.

Dr Jen Williams Chair Council of Residents and Registrars EMAIL: jennifer.williams@uq.edu.au

Medical education is Jen’s area of interest, and she intends to enter academic medicine after the completion of her fellowship.

Dr Alex Markwell President-Elect AMA Queensland EMAIL: a.markwell@amaq.com.au


therounds AHPRA:

One year on Mandatory Reporting under the spotlight: Registration process labelled chaotic by Senate Enquiry

O

n Friday, 3 June a Senate Enquiry into the national roll-out

4

of the Australia-wide registration body was found to be

a debacle. The nationwide amalgamation of the Australian

5

the joining together of 85 different state boards with varying effect, but instead, a gradual transition would have eliminated

6

The Senate Enquiry said that even if the objective of AHPRA is to protect the public by providing a nationwide coordinated

7

approach to registering all medical practitioners, then by that singular criteria they have failed, “The mistakes, omissions

8

and poor processes that were clearly evident from the evidence AHPRA to carry out its primary purpose”.

more accurate reporting of notifications and to minimise Improve accountability mechanisms and oversight of AHPRA by the Federal and State Parliaments; AHPRA to establish consultative committees with professional organisations and providers; Amend the legislation to allow APHRA to make discretion to provide a grace period for a practitioner

who faces deregistration as a result of an administrative error;

9

The Enquiry determined that there were 10 recommendations for AHRPA to consider:

1

Complaints regarding AHPRA be reviewed to ensure

the impact of vexatious complaints on practitioners;

the problems that doctors everywhere are experiencing.

received during the inquiry ... calls into question the ability of

trained practitioners and provide evidence in each

annual report;

Health Practitioner Regulation Agency (AHPRA) which required authority, should not have been attempted with immediate

Develop performance indicators regarding overseas

10

Issue a letter of apology to all Practitioners accidently

Amend classifications to insert category for academic practitioners; and Review of Mandatory Reporting.

deregistered, and where a lapse or delay in registration

took place, they should be reimbursed for any loss of any direct

Mandatory Reporting has been a serious issue which the AMA

Medicare Payments;

has campaigned against. It is now up to the Government to

2

AHPRA should retrospectively rectify any situation where a Practitioner’s is legally exposed due to their

determine whether these recommendations will be taken up, and if so, what timeframe for introducing any amendments.

Professional Indemnity Insurance was lapsed or voided as a

If you’re encountering any issues with AHPRA please contact

result of AHPRA’s administrative failings;

AMA Queensland.

3

Regarding excessive delays for overseas trained practitioners, a review should be carried out with the

Australian Health Workforce Ministerial Council;

The Perfect Fit on Price. Reduced pricing for your first four years in private practice. We Listen to Our Members. Call us today on 1800 011 255 Insurance products are underwritten by MDA National Insurance Pty Ltd ABN 56 058 271 417 AFS Licence No. 238073. Please consider whether MDA National Insurance products are appropriate for your personal circumstances, and read the Product Disclosure Statement and Policy wording available at www.mdanational.com.au. Conditions Apply. DIT112

www.mdanational.com.au


therounds Reducing fatigue and patient outcomes

A

s anyone who has experienced an ongoing bout of sleeplessness can attest, sleep deprivation is analogous to torture: a person without the recommended eight hours of sleep a night will have impaired judgment and capacity. Public policy campaigns to reduce working hours of doctors is based on the assumption that the more fatigued the doctor the more likelihood the risk of an accident occurring. However this thinking is increasingly seen as false. A recent study was undertaken by SR Moonesinghe into whether reducing working hours in medical training has an objective correlation in clinic outcomes. The study by the University College Hospital London assessed whether there is a relationship between a decrease in working hours and increase in patient safety; on the assumption that if the doctor is working fewer hours, they will experience less fatigue, which means that fewer accidents will occur. Across the developed world there has been a policy towards reducing working hours, however there is no evidence that doing so reduces clinical outcomes. Of the 41 previous studies undertaken on this topic the majority, 27 concluded that

reducing working hours made no difference to patients’ outcomes. One of the studies that determined that there was no change to the outcome examined hospital mortality rates over a three year period. Paradoxically, in some cases reduced working hours can have a detrimental effect on patient outcomes. What factors then are crucial to determining patient outcomes? What matters is the number and quality of clinic handovers; the level of supervision of junior doctors; and continuity of care by the entire multidisciplinary team. The impacts of this study on campaigns to reduce working hours should not be abandoned altogether, however there are obviously other implications which mandate that the issues are factored into assessment of working hours and conditions. Doctors have said that they’re willing to endure arduous working conditions if the quality of work is present. Consequently, focusing on reducing working hours may be the wrong approach to take; there may be other factors that need to be assessed when looking at junior doctors’ working conditions.

We’ll make sure your numbers add up. williambuck.com


therounds Drinks&DITs CAIRNS • Thursday 9 June

We Need You: Hospital Representatives

C

oRR is looking for enthusiastic representatives from all Queensland hospitals, to attend meetings (in person or by Skype) and provide up-to-date information on local issues including payroll, rostering, training, supervision, and education. If you are interested in becoming involved, please contact Andrew Turner (a.turner@amaq.com.au) by 5pm Friday 24 June.

Drs Megan Newman, Grant Menegon and Jen Williams

FACEBOOK Coming soon...

SKYPE

Our CoRR meetings are going to be conducted using Skype. If you wish to participate please email Andrew Turner at the address below.

Upcoming events Wally Lewis

Men In Medicine - The Importance Of Mens’ Health Tuesday 12 July 2011, 7am Victoria Park Golf Course, Herston To register contact Rebecca Byrnes on (07) 3872 2269 or r.byrnes@amaq.com.au

Drs Tom Arthur and Randall Pittelli

Your CoRR HOW TO CONTACT US: Andrew Turner

Jen Williams

Manager, Workplace Relations AMA Queensland

Chair Council of Residents and Registrars

EMAIL: a.turner@amaq.com.au

EMAIL: jennifer.williams@uq.edu.au

Who else is on CORR and how you can contact them: Matthew Palmer Education matthewpalmer@hotmail.com Vanessa Palmer Communication vanessapalmer@live.com.au Saul Felber Industrial saulfelber@me.com Drs Connor Dowdall, Jen Williams and Clint Scott

Alex Kippin Rural and regional kippina@gamil.com

The Rounds June 2011 Edition  

A newsletter produced by AMA Queensland especially for Resident's and Registrars

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