NOVEMBER 2013 . VOL 87
AMA Queensland Membership Magazine
SURVEY FINDS DOCTORS BEYOND BLUE
DOCTORS’ WORKING RIGHTS THREATENED
DOCTORS IN TRAINING & STUDENT DOCTOR AWARDS 2013
WHY SHOULD DOCTORS CARE? FREE TO AMA QUEENSLAND MEMBERS
DoctorQ NOVEMBER 2013
CLIMATE CHANGE IS A PUBLIC HEALTH ISSUE FIND OUT WHY CLIMATE CHANGE COULD CONSTITUTE A HEALTH CRISIS AS DEVASTATING AS TOBACCO.
These draconian contracts will remove key protections such as fatigue provisions and rest breaks, limits on hours, access to unfair dismissal, dispute resolution, and grievance procedures.
FROM THE EDITOR’S DESK
28 LMA ROUND UP 38 MEMBER NEWS
people & events 10 JUNIOR DOCTOR AWARDS 12 MEDICO LEGAL CONFERENCE
34 EVENTS CALENDAR 36 CONFERENCE WRAP UP
39 OBITUARY: DR PETER TOD
14 WAY CLEARED FOR WORKCHOICES STYLE CONTRACTS
41 WHAT IF THE GREENEST BUILDING HAS ALREADY BEEN BUILT?
16 SURVEY FINDS DOCTORS BEYOND BLUE
42 BUSINESS SUPPORT TO THE RESCUE
18 WORKPLACE RELATIONS 22 WHY SHOULD WE CARE?
43 UNDERSTANDING THE ECONOMIC CYCLE
24 THE GREY’S ANATOMY EFFECT
44 EXECUTIVE RESIDENCE INSURANCE
26 FOUNDATION NEWS 30 HOSPITALS GO GREEN 32 REFUGEES GET A HEALTHY START
46 SUSTAINABILITY - MORE THAN JUST SAVING TREES
48 GREEN BUILDINGS 50 CASE STUDY: SCRIPTS FOR MATES 51 INVEST IN YOURSELF
52 TRAVEL 53 MOTORING 54 WINE 55 ALL ABOUT YOU
56 MOVIES 57 ON STAGE 58 IN PRINT
DoctorQ NOVEMBER 2013
FROM THE EDITOR’S DESK We encourage staff to scan and email rather than printing and faxing.
MICHELLE FORD RUSS Doctor Q Editor Since creating the Carbon Footprint Working Group last year, AMA Queensland staff have been making changes around the office to become carbon neutral, cost neutral. AMA Queensland now relies on more electronic media as part of our marketing mix to provide timely communications. You’re reading the only hard copy communication that goes out to all members, and even Doctor Q is available in soft copy if you prefer. We will continue to print Doctor Q, as we know many of you prefer to read about our work on your behalf in greater depth and not on screen. Our current Doctor Q printer is accredited with Endorsement of Forest Certification Systems (PEFC) and the Forest Stewardship Council (FSC), uses vegetable based inks, recycles 100 per cent of their surplus materials and use best environmental practice in their office and workshop.
When printing is necessary, we use double sided print options, reuse paper where possible and ensure we recycle all surplus paper in the office. We currently use 20 per cent recycled paper and aim to increase this to 100 per cent over the next few years. Computers, lights and appliances are turned off at night and over weekends. The airconditioner is on an automatic timer and is only used in the meeting rooms as needed. There are separate bins for recyclable waste, a composter for food scraps and a collection point for old batteries from home or work. We order staff amenities and stationery less frequently and encourage staff to car pool or ride to work, with showers on site. Meetings that utilise teleconferencing or video conferencing are encouraged. Do you have suggestions for our Carbon Footprint Working Group? Let us know on (07) 3872 2222. Q
The following AMA Queensland members have recently passed away: Dr Peter Alexander TOD Radiologist Late of Fig Tree Pocket Member for 70 years
Dr Shaun Rudd President-Elect
Dr Alex Markwell Elected Member
Dr Sharon Kelly Chairperson
Dr John Hall Elected Member
Dr Chris Zappala Treasurer
Dr Richard Kidd Elected Member
COUNCIL Dr Tom Arthur Gold Coast Area
Dr Kelly Macgroarty Specialist Craft Group
Dr Sharmila Biswas Far North Area
Dr Bav Manoharan Greater Brisbane Area
Dr Kimberley Bondeson Greater Brisbane Area
Dr Dilip Dhupelia Part-Time Medical Practitioner Craft Group
Dr Bill Boyd Capricorn Area Dr Ben Duke Greater Brisbane Area Dr Larry Gahan General Practitioner Craft Group Dr Noel Hayman Greater Brisbane Area Dr Sharon Kelly Specialist Craft Group Mr Nicholas Gattas Medical Student Group
Dr Wayne Herdy North Coast Area
Jane Schmitt Chief Executive Officer Filomena Ferlan General Manager Corporate Services
The office will be closed over the festive season from Friday 20 December at 1pm and will reopen on Monday 6 January 2014.
Disclaimer – All material in Doctor Q remains the copyright of AMA Queensland and may not be reproduced or transmitted in any form without permission. While every care is taken to provide accurate information in this publication, the material within Doctor Q is for general information and guidance only and is not intended as advice. Readers are advised to make their own enquiries and/or seek professional advice as to the accuracy of the content of such articles and/or their applicability to any particular circumstances. AMA Queensland, its servants and agents exclude, to the maximum extent permitted by law, any liability which may arise as a result of the use of the material in Doctor Q.
NOVEMBER 2013 DoctorQ
Dr David Alcorn Honorary Secretary
Dr John F. Murray Full -Time Salaried Medical Practitioner Craft Group Dr Carl O’Kane North Area Mr Callum Potts Medical Student Observer Dr Shaun Rudd General Practitioner Craft Group Dr Jonathon Shirley Greater Brisbane Area Dr Mason Stevenson General Practitioner Craft Group
AMA QUEENSLAND SECRETARIAT
Dr Ailcie Meredith FOXTON General Practitioner Late of Cleveland Member for 60 years
Dr Christian Rowan President
Dr Vanessa Grayson Residents and Registrars Craft Group
BOARD OF DIRECTORS
Colleen Harper Manager - AMA Queensland Foundation
Holly Bretherton General Manager Member Relations and Communications Andrew Turner Manager - Member Services
Editor: Michelle Ford Russ Graphic Designer: Erin Sticklen Journalist: Barbara Ferres Advertising: Louise Glynn Doctor Q is published by AMA Queensland Contact Phone: (07) 3872 2222 Postal Address: PO Box 123, Red Hill QLD 4059 Print Post Approved PP490927/00049 Email: email@example.com
A professional approach to insurance planning for Medical Professionals. Introducing the new MLIG website...
www.mlig.com.au Contact MLIG
07 3007 7800
Medico Legal Insurance Group Pty Ltd is an Authorised Representative of Millenium3 Financial Services Pty Ltd. Australian FInancial Services LIcence Number 244252
TOUGH TIMES AHEAD
AMA QUEENSLAND AND OUR PARTNER UNION ASMOFQ HAVE BEEN WORKING CLOSELY TO HIGHLIGHT OUR SHARED CONCERNS OVER QUEENSLAND HEALTH’S PROPOSED INDIVIDUAL CONTRACTS FOR SALARIED AND VISITING MEDICAL OFFICERS.
DR CHRISTIAN ROWAN President, AMA Queensland On 22 October, AMA Queensland and ASMOFQ issued a joint statement and letter to the Health Minister outlining the concerns of our members about the new employment contracts being considered for doctors in Queensland’s public health system. It is the position of both AMA Queensland and ASMOFQ that the proposed contracts are unacceptable and require major changes before they are presented to the medical workforce. Currently there appears to be no protection of safe work practices such as the provision of adequate rest and meal breaks and there is a genuine concern that these crucial conditions will be swept away as HHS budgets are cut back even further. We are also very concerned that the process is being ‘rushed’, despite the serious issues that remain unresolved, the Department proposes that all 3,000 SMOs and 1,000 VMOs sign individual contracts by April 2014 with a start date of 1 July 2014.
...the proposed contracts are unacceptable and require major changes before they are presented to the medical workforce. This deadline does not allow time for consultation to develop a contract that is fair and protects current employment terms and working conditions; you may remember that the Medical Officers Certified Agreement (MOCA 3) took 10 months of weekly negotiations. To date, Queensland Health has provided limited details on the forthcoming changes, generating uncertainty and distress among many doctors. We are demanding that any new contracts provide adequate safeguards to ensure the terms and conditions of employment cannot be changed, varied or reduced at any time.
public hospitals struggle to attract and retain medical talent as these industrial arrangements do not reflect the needs of a modern health system. AMA Queensland and ASMOFQ will continue to lobby the Health Minister and Government and encourage them to engage in meaningful consultation with clinicians. In the meantime, please ensure your membership is active as we need the support of all salaried doctors to send a clear message on behalf of the profession. Q
If the Government is successful in driving through this agenda without changes, Queensland patients will be affected as
Our key con
Working cond itions such as the right to fa consideratio ir n on rosterin g to be remov ed There will be no mandato ry rest breaks right of acce and no ss to rest brea ks No access to QIRC for disp utes over disc workplace in ipline or vestigations . No unfair dism issal claims permitted in the QIRC Loss of tenure and limitatio n on redund provisions ancy Po tential reduct ion of doctor s’ wages and to overtime no right payments Collective ne gotiation of wages and co prohibited nditions
NOVEMBER 2013 DoctorQ
e: No monitorin g of implem entation of contract No right to an
nual wage ri se No means of ensuring cons istent interp contract by retation of all 17 HHSs Individual co ntracts whe re DG can un change cont ilaterally racts “Take it or leav e it” employ ment condit ions Existing awar ds to be exti nguished Doctors will ha ve little righ t to negotiat conditions e working
IF YOUR PATIENT HAS ANY OF THESE RED FLAG PROBLEMS • • • •
Diabetes Heart failure High blood pressure Depression
• • • •
Cardiac dysrhythmias Obesity Arterial hypertension Tired during the day
CLINICS AUSTRALIA WIDE
CONSIDER A REFERRAL FOR BULK BILLED OR PRIVATE OVERNIGHT SLEEP STUDIES Dr Sean Tolhurst Credentialled Sleep & Thoracic Physician • Full ‘Level 1’ Sleep Studies (The highest International Standard) • Local and Video Specialist consultations available
PHONE 1800 0SNORE (1800 176 673) FAX REFERRAL TO (07) 5571 0682 Email: firstname.lastname@example.org Web: snoreaustralia.com.au
1800 776 412 SUPPORTING YOUR ASBESTOS DISEASE PATIENTS Asbestos disease is on the increase. Our notfor-profit support organisation provides asbestos disease patients with: • information about asbestos disease and Government assistance • financial assistance in cases of financial hardship as a result of asbestos disease • advocacy service • peer support 24/7 • telephone support
Contact us for free booklets to distribute to your patients Website: www.asbestos-disease.com.au Email: email@example.com
DoctorQ NOVEMBER 2013
A VIEW TO THE FUTURE
AS WE BATTLE ON A NUMBER OF ITEMS ON YOUR BEHALF, WE ALSO LOOK TO THE FUTURE TO DEVELOP AMA QUEENSLAND’S HEALTH VISION, AN ACTION PLAN OF KEY POLICY PLATFORMS AND PRIORITY AREAS.
JANE SCHMITT Chief Executive Officer, AMA Queensland PROPOSED INTRODUCTION OF INDIVIDUAL CONTRACTS FOR SMOS AND VMOS AMA Queensland and ASMOFQ have strongly expressed its deep concerns that the major changes planned to the terms and conditions of employment for SMOs and VMOs will have far reaching and adverse impacts on the Queensland Public Hospital system. At the time of writing this report, we have significant concerns about the lack of detailed information provided and numerous deficiencies in the contract. You can read about the specific issues we have raised on page 14. HEALTH OMBUDSMAN ACT 2013 On 20 August 2013, The Health Ombudsman Act (the Act) was passed into law in Queensland. In the lead up to the Act being passed, AMA Queensland clearly articulated our members concerns about the unprecedented power granted to the Health Minister under this legislation and ability of the Health Ombudsman to take Immediate Action in response to a Health Service Complaint without seeking clinical advice or submissions from the individual concerned and to ‘name and shame health practitioners’. Whilst a number of our concerns were addressed by changes to the draft legislation, these salient concerns were not.
The major changes planned to the terms and conditions of employment for SMOs and VMOs will have far reaching and adverse impacts on the Queensland Public Hospital system.
The office of Health Ombudsman will, in time, replace the Health Quality and Complaints Commission (HQCC). At this stage, the process for appointment of the Health Ombudsman has commenced and until that time the HQCC will continue to operate normally. We have developed a factsheet to answer some key questions doctors are asking about the new law which can be found under the ‘Advocacy’ section of our website at amaq.com.au. WORK CONTINUES ON THE AMA QUEENSLAND HEALTH VISION Following consultation with members via social media and a series of face-to-face events, we have developed an action plan of key policy platforms and priority areas to be launched in early 2014. If you haven’t already contributed to the development of AMA Queensland’s Health Vision, it is never
too late! Please visit our website for more information on how you can get involved. SAVE THE DATE - AMA QUEENSLAND ANNUAL BREAKFAST WITH THE HEALTH MINISTER We are pleased to confirm that the Health Minister, the Honourable Lawrence Springborg MP will be addressing attendees at our annual Breakfast with the Health Minister on 5 March 2014. This highly successful event was launched this year and proved extremely popular; we hope to welcome many of you again next year. As this is the final issue of Doctor Q for the year, I would like to take the opportunity to thank you for your ongoing support and wish you all a safe and well-earned Christmas break. I look forward to sharing another busy and challenging year with you in 2014. Q
PRACTICAL TURN KEY OFFICE WITH A VIEW • 179m2 Office tenancy • Boardroom, reception, training room and multiple offices • Great natural light with an exceptional view • Three exclusive use car parks • Walking distance to public transport
NOVEMBER 2013 DoctorQ
Lee Berry Phone: 0401 486 383 www.chasecommercial.com.au
People&&EVENTS EVENTS People
Doctors of all ages ditched the work attire for cocktail style to celebrate the bright future of medicine at the inaugural Doctors in Training and Student Awards at the Victoria Park Ballroom.
The Doctors in Training and Student Awards acknowledged the achievements of exemplary Students, Interns, Junior House Officers, Senior House Officers, Principal House Officers and Registrars.
Australia’s ‘superstar of science’ Dr Karl Kruszelnicki entertained the crowd as only a man with multiple degrees, a prestigious Ig Nobel prize and a collection of very loud shirts can.
Winners received a $1,000 cash prize as well as the distinction of being honoured by the peak association for their chosen profession. Q
Drs Lisa Byrom, Bav Manoharan and Vanessa Grayson
Dr Mark Weller with daughter Zoe
Sam Baker, Rachel Starkey and Peter Hodgson
Dr Harris Eyre, Michael Elliot and Vignesh Bandi
NOVEMBER 2013 DoctorQ
Brendan Kennedy, Dr Diana Kennedy, Dr Matt Young and Dr Agustina Frankel
and elnicki Krusz l r a K amera r h the c age, D fun wit Sue P e v a h ell Mitch Sarah
THANK YOU TO OUR KIND SPONSORS
People&&EVENTS EVENTS People
AWARD WINNERS MEDICAL STUDENT OF THE YEAR RUNNER UP: Janindu Goonawardena RUNNER UP: Benjamin Lazarus
ABOVE: Sandra Reed from MDA National, Drs Christian Rowan, Karl Kruszelnicki and Vanessa Grayson
WINNER: Hannah Bellwood Hannah is a sixth year medical student at James Cook University based at the Townsville Hospital. CAREER HIGHLIGHT: “Working at Mount Isa Emergency Department earlier this year during rodeo and mustering season - a steep learning curve in trauma management!”
multidisciplinary team and assist patients. Research-wise, it's great to be involved in developing diagnostic systems and treatments; the team-work is great too. Teaching-wise, it's always fulfilling and enjoyable to give back to the profession, and it's a good way of meeting new, interesting people.” REGISTRAR OF THE YEAR RUNNER UP: Dr Todd Goodwin RUNNER UP: Dr Rob Mitchell WINNER: Dr Adam Frankel
ABOVE: Jeff Miller from Investec, Drs Christian Rowan, Karl Kruszelnicki and Vanessa Grayson
JUNIOR MEDICAL OFFICER OF THE YEAR RUNNER UP: Dr Lisa Byrom RUNNER UP: Dr Luke Miller WINNER: Dr Harris Eyre Harris is currently based at the Townsville Hospital.
ABOVE: Dr Christian Rowan, Rob Williams from Lexus, Drs Karl Kruszelnicki and Vanessa Grayson
CAREER HIGHLIGHT: “The enduring highlight is the variety of professional roles I've been involved in. Clinically, it's great to work in a
Adam is currently working as a surgical registrar at Toowoomba Base Hospital. He is in the first year of his training program to be a general surgeon. CAREER HIGHLIGHT “I was really thrilled to be able to donate my time at the Base Hospital in Port Vila during my cricket team's (the mighty Ned Flanders Cricket Club) tour to Vanuatu in 2006. I was a med student at the time and thoroughly enjoyed the thrill of giving of myself and helping people.”
Thank you also to the team from AMA Queensland Insurance Solutions, who were unable to attend.
Dr Karl Kruszelnicki, Student winner Hannah Bellwood, Dr Jeannette Young, Registrar winner Dr Adam Frankel, Dr Christian Rowan and Junior Medical Officer winner Dr Harris Eyre.
Da Huang and Emily Shao
President Dr Christian Rowan with James Cook University Dean Professor Richard Murray
Tammy Lo, Roly O’Regan, Dr Matt Young and Elizabeth Holmes
DoctorQ NOVEMBER 2013
People & EVENTS
SAVE THE DATE:
2nd AMA Queensland MedicoLegal Conference 8 Nov 2014
MORE THAN 70 DELEGATES AND SPEAKERS ATTENDED THE INAUGURAL AMA QUEENSLAND MEDICO-LEGAL CONFERENCE AT LAW SOCIETY HOUSE ON 26 OCTOBER. With content designed by the AMA Queensland Ethics and Medico-Legal Committee, the program provided for a timely discussion on the new health complaints management system in Queensland (as lead by opening presenter Dr Michael Cleary, Deputy DirectorGeneral, Queensland Health) an overview of what medical practitioners need to know about Coroner’s Investigations and Inquests (as presented by Brisbane Coroner John Lock), an update on the latest medico-legal cases (by Dr Donna
Callaghan of the Queensland Bar), a discussion of risk mitigation in practice (by Chris Mariani of AMA Queensland Insurance Solutions) and tips and traps on risk management specifically in relation to the management of social media and e-health in practice (as presented by Dr Sara Bird). A special thanks to our Conference Chair and TressCox Partner Katharine Philp, all of our presenters, attendees and our valued sponsors. Q
ABOVE: Coroner John Lock
Roderick Grant and Edward Gibson
AMA Queensland President Dr Christian Rowan, Donna O’Sullivan and Dr Mason Stevenson
Emma Thompson and Belinda Wiemers
DID YOU MISS OUT ON ATTENDING THE MEDICOLEGAL CONFERENCE? AMA Queensland are producing a Best of Medico-Legal Conference DVD, with accompanying papers that will be available for purchase in December at a cost of $200 inc GST per DVD set. To express your interest in reserving a copy, please email firstname.lastname@example.org
PROUDLY SPONSORED BY: NOVEMBER 2013 DoctorQ
ABOVE: Chris Mariani and James Warwick from AMA Queensland Insurance Solutions
Introducing QXRWeb Simple, convenient, secure access to all your radiology needs in one place with single sign-on QXRWeb Images Secure access to images and reports side by side via Inteleviewer or Inteleconnect QXRWeb Reports Secure access to radiology reports via Webster QXRWeb Appointments Real time confirmed appointments without picking up the phone
QXRWeb E-Education Online Continuing Medical Education (CME) materials tracked for verification with your professional body QXRWeb Profile Update your details or change your password
You can access QXRWeb today if you have an existing QXRWeb Images account â€“ simply use your existing username and password at www.qxrweb.com.au. Call Doctor Direct on 1800 77 99 77 to set up an account. DoctorQ NOVEMBER 2013
WAY CLEARED FOR WORKCHOICES STYLE CONTRACTS OVER THE PAST EIGHT WEEKS, THE AUSTRALIAN SALARIED MEDICAL OFFICERS FEDERAL OF QUEENSLAND (ASMOFQ) AND AMA QUEENSLAND HAVE MET WITH QUEENSLAND HEALTH TO UNDERSTAND THE IMPLICATIONS OF PROPOSED INDIVIDUAL CONTRACTS FOR 3,000 SENIOR MEDICAL OFFICERS (SMO) AND 1,000 VISITING MEDICAL OFFICERS (VMOS) THROUGHOUT QUEENSLAND.
ASMOFQ Industrial Relations Officer
On 17 October the Government introduced the major legislative changes through Industrial Relations (Fair Work Act Harmonisation No 2) and Other Legislation Amendment Bill 2013 (the Bill) which is envisioned will be law by the end of November. Throughout these meetings, we have strongly advocated keeping a Certified Agreement and Workplace Award in place. The key concerns are: The enforceability of individual contracts for Queensland doctors, during the life of the Medical Officers Certified Agreement, if the individual contract is intended to override MOCA. Current levels of remuneration must be maintained to prevent SMOs and VMOs resigning in favour of employment in the private sector or interstate. The provision of medical services would be greatly disrupted if mass resignations result as a consequence of the introduction of these new arrangements. Safeguard against privatisation by ensuring that Hospital and Health Services (HHS) cannot subcontract a private entity to manage or operate a facility or service. Currently the contract allows for the HHS to then have the SMO or VMO employed by the private entity on rates of pay as prescribed by the third party provided. Without the introduction of a â€˜no disadvantageâ€™ clause there is no certainty that the current rates cannot be undercut. Currently there is no oversight or review mechanism by either the Director General (or his or her delegated representative) or the bodies representing SMOs and VMOs. In both MOCA and the VMO Agreement there is a central committee established with the objective of reviewing the implementation of the respective Agreements. Our position is that these centralised committees remain, constituted with representatives from both groups and the AMA Queensland and ASMOFQ. 14
NOVEMBER 2013 DoctorQ
Safe medical practice and the ability to manage issues like fatigue to ensure availability of doctors will be severely curtailed, potentially leading to increase in medical malpractice claims. The proposed contracts must ensure that there are adequate fatigue management arrangements. Our proposal is that the 10 hours rest period be continued in individual contracts as per MOCA provisions. To do otherwise would be to display a reckless regard to doctors health and the safety of the public. Pay and conditions in the public service will deter medical graduates, and force an exodus into the private system. More overseas-trained doctors will be needed to fill the gaps. Accessibility to public health care will become limited due to shortage of doctors willing to work in the Queensland public system. Removing the ability of doctors to access the Queensland Industrial Relations Commission to manage disputes in the course of their employment. The contract must include a robust dispute resolution/grievance procedure. A standard clause in all employment contracts is a stipulated process to follow in the event of a grievance arising. This should clearly articulate the process for lodgement, who
can investigate the grievance and when an external mediator may be considered. All relevant policies and procedures must be explicitly incorporated into the contract of employment as they form important terms and conditions of employment. This is to ensure all medical officers are provided with the important components of their employment prior to signing and agreeing to be bound. Explicitly incorporating them into the contract will also stop the policies and procedures being unilaterally changed without the consent of the medical officer, without engagement or consultation. We are concerned about the lack of thoroughness and preparation of the proposed changes. These changes not only affect the working conditions of medical practitioners across the state but they have the potential to adversely affect patient safety throughout the health system. They must be considered carefully. As we go to press, concerns remain regarding the implementation and speed of this implementation. Considering the degree of change and the complexity of what is being proposed, we are concerned some elements will be neglected. For more up to date information please check back at the ASMOFQ website www.asmofq.org.au Q
Sensational Opportunity in Fingal Head This exceptional property is located just one street from Fingal beach and offers a unique investment opportunity for anyone thinking of redeveloping or building a beautiful new home for themselves in the Villages most sort after street. Sitting on 1,236 square meters of prime real estate, this is an opportunity not to be missed! • Current dwelling on the property is a three bedroom, one level brick home with tenant in place • Double block with dual street access • Beach, restaurants and shopping close by • 15 minutes to GC International Airport • Half an hour from Surfers Paradise and Byron Bay • Dimensions of land: 50.2m length x 25.1m width • Redevelop and reap the rewards
25-27 Queen Street, Fingal Head
AGENT Sophie Carter 0412 488 313 email@example.com OFFICE Ray White Coolangatta / Tweed Heads Phone: 07 5536 5844
Local Care ng regularly on the Sunshine Coast Brain & Spine ar Sunshine Coast and will soon be based in and oper ng out of the Sunshine Coast University Private Hospital Dr Janusz Bonkowski
Specialising in: • Degener ve Disorders of the Spine • Microsurgical Techniques in the Management of Spinal Pathology • Anterior Foramenotomy in Cervical Disc Disease
MBBS, FRCS, FRACS Neurosurgeon Sunshine Coast University Private Hospital Medical Suite 11 3 Doherty Street Birtinya QLD 4575 Referr
ed via our online referral form on our website www.scbrainandspine.com.au or by contac ng the oﬃce directly on the following numbers: Telephone: 07 5493 5100 Fax: 07 5493 6100
Surgeon: Dr Janusz Bonkowski ng Consultant: Dr Terry Coyne
Hospitals: Sunshine Coast University Private Hospital nya Sunshine Coast Private Hospital Buderim
ng Loca ons: nya Caloundra www.newrofounda on.com.au
DoctorQ NOVEMBER 2013
SURVEY FINDS DOCTORS BEYOND BLUE BEYONDBLUE HAVE COMPLETED THEIR NATIONAL MENTAL HEALTH SURVEY OF DOCTORS AND MEDICAL STUDENTS AND THEIR REPORT MAKES FOR SOBER READING. MANY OF THE FINDINGS REFLECT THE FINDINGS OF SIMILAR STUDIES IN CANADA, USA AND UK THAT FOCUS ON OUR PROFESSION’S MENTAL HEALTH. DR MARGARET KAY FROM DOCTORS HEALTH ADVISORY SERVICE QUEENSLAND REPORTS.
DR MARGARET KAY
Doctors Health Advisory Service Queensland
High rates of depression and burnout are regular findings with equally sobering high rates of distress in students and young doctors. It is now well over a century since William Ogle first reported to the Royal College of Physicians his findings that physicians had a higher risk of suicide than the general population. We appear to be faced with a dilemma that we have been unable to engage with adequately when it comes to caring for one of our own. It is essential that we begin to focus on a healthier future. On this point, the literature is remarkably quiet. While there is, of course, a litany of recommendations emerging from each study into physician health, there is a paucity of evidence focused on evaluating interventions. Studies reveal that students who learn mindfulness have reduced stress levels for their examinations. The benefits of Balint groups in which peer support is readily available for the difficult cases is well documented. These interventions are valuable for the individuals who participate but there is a need to recognise the complexity of the issues at hand. We need to approach our profession’s health as a whole. The beyondblue study highlights the impact of stigma that doctors experience when they become unwell, especially with a mental health problem. This is more than simply a perception of stigma; it is the very real experience of many of our peers. It is so embedded within the culture of our profession
that we often fail to recognise it. This study clearly suggests that doctors perceive their medical colleague who has a mental health problem as being less competent. It is also clear that, through the hidden curriculum of the medical program, we teach this to our medical students – in our discourse and our mannerisms, students quickly learn from their mentors and teachers that ‘doctors don’t get sick’. Many doctors do miss out on career opportunities and do experience bullying related to their health issue. The survey also tells us that physicians have a greater degree of resilience when it comes to managing their illness. Given how this was measured in this survey, it is quite possible that doctors may find it difficult to report that their mental health symptoms were affecting their work. Certainly it is clear from the narratives in the literature that even when a doctor is suicidal and does then go suicide, their medical colleagues are genuinely shocked and clearly unaware of difficulties that their colleague was experiencing. The solutions to enhancing the wellbeing of our profession are complex. Shanafelt outlined some overarching guidelines in The American Journal of Medicine in 2003. He began his articles noting Galen’s words a “physician will hardly be thought very careful of the health of his patients if he neglects his own”. Shanafelt goes on to recognise the need for solutions at multiple levels. These solutions lie beyond simply reducing work hours or ensuring doctors have the opportunity to engage in mindfulness training. These solutions
Did you know... One in five medical students and
one in 10 doctors had suicidal thoughts in the past year, compared with one in 45 people in the wider community
More than four in 10 students
and a quarter of doctors are highly likely to have a minor psychiatric disorder, like mild depression or mild anxiety
3.4% of doctors are experiencing
very high psychological distress, much greater than the wider community
4.5% list bullying and 1.7% list
racism as a cause of stress
recognise the importance of organisational change in the approach to our health. As a profession we need to engage honestly with the reasons we as a caring profession fail to effectively care for our own. AMA Queensland strongly encourages doctor’s requiring support to contact the Doctors’ Health Advisory Service Queensland for independent, confidential, colleague-to-colleague advice and support 24 hours per day on (07) 3833 4352, for more information please visit their website www. dhasq.org.au. beyondblue offers a comprehensive range of mental health resources, please visit www. beyondblue.org.au. Q
A HEALTHIER FUTURE
Recently the Health Professional Health Conference was held in Brisbane, with support from AMA Queensland, AMA and other organisations including beyondblue and Avant. This conference provided a forum for doctors and other health professionals to discuss the latest research and consider real options to enhance the wellbeing of our professions. Together researchers and organisations such as the Australasian Doctors’ Health Network are working NOVEMBER 2013 DoctorQ towards a healthier future.
As a profession we need to engage honestly with the reasons we as a caring profession fail to effectively care for our own.
BREAKFAST WITH THE HEALTH MINISTER Mark your diaries... AMA Queensland invites members to join the Hon Lawrence Springborg, Minister for Health, for the second annual AMA Queensland Breakfast with the Minister 2014. The Minister will discuss a year in review and outline priorities for Queensland Health in 2014. All guests will have an opportunity to contribute to an open Question & Answer session with the Minister following his presentation.
Wednesday 5 March 2014 Time: 7:00am for 7:30am â€“ 9:00am Venue: Moda Portside, Hamilton Cost: $70 inc GST To register your interest to attend, email firstname.lastname@example.org or call 3872 2222
QUEENSLAND WORKERS’ COMPENSATION CHANGES INTRODUCED RECENT CHANGES TO THE WORKERS’ COMPENSATION AND REHABILITATION AMENDMENT ACT 2013 HAVE IMPORTANT CONSEQUENCES FOR WORKERS AND EMPLOYERS.
Workplace Relations Manager, AMA Queensland
With the introduction of a five per cent minimum permanent impairment, an injured worker must meet a certain threshold in order to be able to commence a claim against their employer. This change will cap the total amount in which in individual can claim against work related injury or illness, by some estimates up to 60 per cent of claims will be rejected. Additionally, the method of assessing the injury will be amended from ‘work related impairment’ to a ‘degree of permanent impairment’. Furthermore, the regulatory authority will impose guidelines for the assessment of permanent impairment.
By some estimates up to 60 per cent of claims will be rejected. Where multiple injuries have been alleged, they will be assessed in their totality as a single injury, with the exception of psychological claims. Regarding psychological injury or workplace stress claims, the definition of injury has also been tightened so that work must be ‘the major significant contributing factor’ for psychological claims, reinforcing a stronger nexus between a psychological injury and the workplace. Employers can still defend a claim with the establishment of ‘reasonable management action’. The capacity for a worker to lodge a claim as a result of a journey to and from the workplace remains, although it was widely anticipated this would be removed. Another controversial element of the workers compensation scheme, which is indemnity for employees working from their residence, remains intact. Employers should ensure 18
NOVEMBER 2013 DoctorQ
they have policies and undertake a risk assessment for both places regarding journey claims (where risk exists with use of mobile telephone while driving) and working from home (appropriate footwear) to ensure their liability is minimised. Also, the ability for independent contractors to bring a claim has narrowed, with a new definition of worker being ‘a person who works under a contract and, in relation to the work, is an employee for the purposes of assessment for PAYG withholding under the Taxation Administration Act 1953 (Cth).’ Importantly, employers can seek preemployment disclosures from workers and obtain their claims history, so employers can identify both pre-existing injuries or trends in claims prior to hiring an employee, without breaching a candidate’s privacy. The implication here is that a prospective employee must provide an accurate and thorough disclosure statement and allows for the potential employer to obtain the candidate’s claim history. This may provide the employer with comprehensive information regarding the candidate’s claim, their medical history and other information which forms part of that claim.
Where a fraudulent claim can be established, the Act also increases the penalties to up to five years imprisonment. Regulation of the scheme will be undertaken by the Office of Fair and Safe Work Queensland (OFSWQ). AMA Queensland’s Workplace Relations Team is conducting training to assist you in understanding these legislative changes. If you wish to attend or would like to know more about the upcoming events you can find out more information by visiting the AMA Queensland website. Q
CHANGES INCLUDE: Merging the regulatory functions of Q-COMP into the Department Cracking down on fraudulent claims Allowing employers to have access to the claims history of applicants Changes to the common law threshold.
Your business earnt it today. So you get it today.
With Everyday Settlement for your business, the credit and EFTPOS sales you make will settle on the same day, every day*. Queensland For a limited time AMA QLD members can open a new Commonwealth Bank Business Transaction Account and link it to your existing or a new Commonwealth Bank merchant facility to receive: â€˘ 6 months free terminal rental# â€˘ Business Transaction Account $10 monthly account fee waiver^
Start better business banking today.
ADV 13062 120412
Important information: Offer only available to referrals made via the Australian Medical Association QLD between 1/10/2012 and 31/12/2013. #To maintain the fee waiver you must retain the required products. Otherwise the offer may be withdrawn. ^Offer includes the Business Transaction Account Base Maintenance Fee of currently $10 only on the Business Transaction Account linked to the merchant facility. Transaction fees may apply if monthly transaction limits are exceeded. Other fees may apply. To maintain the fee waiver you must retain the required products. Otherwise the offer may be withdrawn. *Everyday Settlement is available on transactions made before 10pm AEST for customers with a Commonwealth Bank business transaction account and a linked Commonwealth Bank merchant facility. Third party products not included. Australian Medical Association QLD may receive a fee from the Commonwealth Bank of Australia for each successful referral. This has been prepared without considering your objectives, financial situation or needs, so you should consider its appropriateness to your circumstances before you act on it. Terms and conditions are available from commbank.com.au Commonwealth Bank of Australia ABN 48 123 123 124. CLA1646
WHY IS CLIMATE CHANGE A HEALTH ISSUE?
WHY HAVE WE DECIDED TO DEVOTE A WHOLE ISSUE OF DOCTOR Q TO ENVIRONMENTAL ISSUES? POLICY OFFICER LEIF BREMERMANN EXPLAINS WHY ‘BEING GREEN’ FITS WITH AMA QUEENSLAND’S GUIDING PRINICIPLES.
When Hippocrates wrote his oath sometime in the fifth century BC, he could hardly have envisioned the challenges the planet and its environment would face in the twentyfirst century. Had he known, he would almost certainly have agreed the principle of doing no harm is just as applicable to the environment as it is to your patients while treating them. Human health is ultimately dependent on the health of the planet and its ecosystem yet climate change is rarely spoken of as a public health issue. The AMA believes climate change is a real and pressing public health issue and any measures which help to mitigate it will benefit public health1. It has strongly argued doctors and other health professionals should support policies and practices compatible with a healthy and sustainable future, promote the community’s awareness of the impacts of climate change on health and encourage the sustainable reduction of carbon emissions from health care facilities and organisations. To help draw awareness to climate change as a public health issue, AMA Queensland has decided to devote an issue of Doctor Q to environmental issues. In doing so, we hope to provide inspiration to our readers on how they, as leaders in their community, can help make a difference. This
NOVEMBER 2013 DoctorQ JULY 2013 DoctorQ
issue of Doctor Q will showcase the many ways in which doctors and other health care professionals are already making a difference. These range from the little, such as recycling or turning off the lights, to the large, like converting a hospital’s generators to run on methane sourced from a local landfill or building cycling facilities. Every little bit helps.
The CSIRO has warned dengue fever, which in Australia normally occurs only in northern Queensland, could spread to Brisbane and even as far south as Sydney by 2100 with a rise in temperature between two and four degrees celsius.3 People suffering from asthma, hay fever, lung cancer and heart disease are at greater risk from air pollution and increased allergens in the air.
An article published in the Public Library of Science Medicine journal explains the dangers inaction can mean to the medical community, writing that in the medium and long term “climate change could constitute a health crisis at least as wide-ranging as tobacco.”2 This stands to reason. Summer heatwaves usually see many elderly patients falling victim to heart attacks and strokes. As climate change makes the world warmer, this increased danger will no longer be confined to only the summer months.
Climate change experts predict extreme weather events such as cyclones and bushfires will become bigger and more frequent over time as the planet warms. As the planet faces a greater threat from these sorts of events, people in low socioeconomic areas and coastal areas – people who could potentially become your patients – face dangers such as floods, less access to nutritious food, contaminated water and heat related illnesses. All of these climate change effects can put an incredible amount of pressure on hospitals and health care providers.
Climate change could constitute a health crisis as significant as tobacco.
Our ability to come together to stop or limit damage to the world’s environment will be perhaps the greatest test of how far we can act as a world community. For its part, AMA Queensland is developing a Health Vision which will examine a range of factors affecting Queensland’s health system and guide its advocacy on five key areas into the future. The Health Vision will examine issues relating to public health and how to reverse generational disadvantage. For example, it is widely accepted that obesity is a public health concern and that one of the best ways of tackling obesity is to ensure that children have a healthy start in life and that healthy, nutritious food is available to everyone. Yet while this is the ideal, it is not happening now and a growing body of evidence shows that families in lower socio-economic areas are being hardest hit by the obesity epidemic. As climate change becomes a bigger problem, tackling obesity will become all that much harder. For instance, Cyclone Larry, an extreme Category five cyclone that hit Queensland in 2006, wiped out 80 to 90 per cent of Australia’s banana crop. The resulting shortage of bananas saw prices increase by 400 to 500 per cent. This was repeated a few years later with Cyclone Yasi, another Category five cyclone. Extreme weather events like Cyclones Larry and Yasi have the potential to destroy entire harvests of nutritious food, making it all the more difficult for people in lower socio economic areas to obtain healthy food. And apart from their obvious potential to cause injury and take human life, they also have a clear impact on other health issues, such as psychological stress, vector-borne diseases, lapsed chronic disease management and poor water and air quality.
perhaps the greatest test of how far we can act as a world community. No-one should under-estimate the imagination that will be required, nor the scientific effort, nor the unprecedented cooperation we shall have to show. We shall need statesmanship of a rare order.”4 As a former scientist who had become a leader of her country, Thatcher recognised the importance of strong leadership in reducing global warming. Since that time, an increasingly large number of voices have come to acknowledged climate change as a serious issue. In the United States, a number of prominent Republicans are advocating for programs to help reduce the impact of global warming.5 Some of Australia’s politicians are also joining the chorus, most notably Minister for Communications Malcolm Turnbull.6 All of which brings us back to Hippocrates and his oath. As leaders in both the medical community and the community at large, doctors and other health care professionals are in a unique position to help lead change and prevent the worst impacts on the public and those who would otherwise become your patients.
As George Herbert in his poem on Man wrote, “Man is all symmetry; full of proportions, one limb to another, and all to all the world besides.” We are in symmetry with nature and everyone must work together to protect it. Q
1 https://ama.com.au/position-statement/climate-change-andhuman-health-2004-revised-2008 2 http://ahha.asn.au/sites/default/files/ publication/15361/120726_greening_hospitals_and_healthcare_ services_-_policy_brief.pdf 3 http://www.csiro.au/Outcomes/Health-and-Wellbeing/ Prevention/Environmental-health.aspx 4 http://www.margaretthatcher.org/document/108237 5 http://www.mnn.com/earth-matters/climate-weather/ photos/7-republicans-who-really-get-climate-change 6 http://www.smh.com.au/federal-politics/political-opinion/ abbotts-climate-change-policy-is-bullshit-20091207-kdmb. html
At the Second World Climate Conference held in 1990, UK Prime Minister Margaret Thatcher delivered a speech where she said “Our ability to come together to stop or limit damage to the world’s environment will be
DoctorQ NOVEMBER DoctorQ JULY 2013 2013
WHY SHOULD WE CARE? CARBON FOOTPRINT WORKING GROUP CHAIR DR DEBORAH MILLS GIVES THREE REASONS WHY DOCTORS SHOULD CARE ABOUT SUSTAINABILITY AND POLLUTION CONTROL.
DR DEBORAH MILLS
Carbon Footprint Working Group Chair
WE HAVE A SCIENTIFIC BACKGROUND Our scientific background and commitment to evidence-based medicine gives us better insight into understanding the evidence about global warming, climate science, and the hazards of pollution. Doctors have the privilege of influence, as we are highly respected members of the community. Our leadership should include advocating long term, evidence based policies on environmental stewardship.
OUR BRIEF IS HEALTH
WE ARE HUMAN
Our brief is not just treating ill health, but preventing it. The long term consequences of planetary overconsumption, addiction to fossil fuels, and lack of sustainability are consequences that our patients may not truly believe. We are in a unique position to highlight and explain this.
To state the obvious, we are members of the human community on this planet who are currently creating a mess. It is everyoneâ€™s job to clean up after themselves. Leaving a mess for our grandchildren to deal with is not fair.
Just as our patients need our understanding of human systems, our planetary environment sorely needs our appreciation of the importance of early intervention to prevent substantial problems later. Most the consequences of climate change, carbon pollution, and environmental degradation will be adverse health consequences; killing, injuring, sickening and depressing our patients.
Doctors have the priviledge of influence... our leadership should include advocating long term, evidence based policies on environmental stewardship.
For more information on how to reduce the carbon footprint of small businesses, the Queensland Government has a helpful guide found at www. business.qld.gov.au
NOVEMBER 2013 DoctorQ
Most people on this planet are so busy with day-to-day concerns, they take the health of the ecosystem and nature for granted. Clean air, water, soil and biodiversity are essential for both environmental health and human health. It is a luxury to be able to take these things for granted. SO WHAT CAN WE DO? Every medical professional has moments in their day where they can make a difference â€“ mention the long term view, highlight the medical importance of our natural environment, support the science of climate change, act as a role model in the care of the environment, choose recycled paper, join organisations and take your role in saving the planet. Q
For objective financial advice, trust QInvest. If youâ€™re looking to gain quality financial advice, talk to us. Our qualified Financial Advisers offer tailored, objective advice and life stage solutions to help QSuper members get more from their money. And because all our Financial Advisers are salaried and not influenced by third parties, you can be sure the advice you receive is always in your best interests. Book an appointment with a QInvest Financial Adviser today.
qinvest.com.au 1800 643 893
QInvest Limited (ABN 35 063 511 580, AFSL and Australian Credit Licence number 238274) (QInvest) is ultimately owned by the QSuper Board (ABN 32 125 059 006) as trustee for the QSuper Fund (ABN 60 905 115 063), and is a separate legal entity which is responsible for the financial services and credit services it provides. 6742 09/13
HERTZ OFFERS GREAT DEALS FOR AMA MEMBERS Rent a car from Hertz between now and 20th December 2013 and you'll receive a FREE car seat with your rental. Simply quote the promotional code (PC) 190842 at the time of booking to redeem this great offer.
*Promotional Code (PC) 190842 must be quoted at time of reservation to redeem the upgrade offer. Offer is available at participating locations in Australia, until 20th December 2013. For full terms and conditions, please visit the Hertz section on your intranet.
DoctorQ NOVEMBER 2013
CURRENT memberISSUES view
THE GREY’S ANATOMY EFFECT: WHY ARE MEDICAL STUDENTS REJECTING SURGERY? ARE SURGEONS GETTING A BAD RAP IN TELEVISION LAND? STUDENT MEMBER STEFAN TANJUNG FROM THE SURGICAL INTEREST ASSOCIATION, SURGIA, SUGGESTS THAT BAD PR MIGHT BE CAUSING LESS MEDICAL STUDENTS TO TAKE ON SURGERY.
STEFAN TANJUNG Student member
During orientation day this year, amongst the excitement of the first day of medical school, conversations predictably turned to what specialty each student was interested in. Confident answers of surgery were not too uncommon, however as I near the end of my first year I realise that some of the most confident students have already turned their back on a career in surgery. So what can make a student so keen for surgery, only for them to abandon the idea so early in their studies? In my discussions I have found the unrealistic media portrayal of surgeons and surgery to be a common factor. Recently a new wave of surgeons in shows like Grey’s Anatomy and House MD have flooded the television; these early thirties, part-time models generally appear well-rested and have healthy amounts of spare time. Between dramatic life saving
To find out what Surgia is doing to educate medical students and promote the field of surgery go to www. surgia.org and follow us on facebook at Griffith University’s Tiny Surgeon (GUTS).
operations and even more dramatic office politics, these surgeons have become the modern day cowboys of the screen. While depictions of surgeons are nothing new, previous incarnations were more accurate to their real life counterparts. For example the cast of popular 70s comedy MASH featured dishevelled middle-aged men and women. Today’s Hollywood surgeons, however, set impossible expectations for medical students. While I am not saying that the average medical student gets all their information from television, I do believe that the sense of exaltation derived from watching these shows makes them believe that they are willing to accept any sacrifices necessary to pursue a surgical career. Obviously there are many factors students take into consideration when choosing a specialty, with most students alternating between a few options over their time in medical school. Rather than reconsideration,
SURGIA Surgia is a team of medical students with the goals fostering interest in the field of surgery, improving the communication between surgeons and medical students, and relevant eduction beyond what medical schools can provide.
I believe I have instead observed a complete rejection of surgery. When a first year student finds out that the average age of the Australian surgeon is 52, dreams of feeling the wind in their hair as they drive a new convertible are crushed. When they realise how far removed their ideas are from reality, there is a strong disheartened rejection as opposed to reconsideration. This issue highlights the importance of education beyond the medical student curriculum. The Surgical Interest Association, Surgia, has identified that there is a lack of accurate and informative information on surgery in undergraduate medical education. Operating in South-East Queensland, this not-for-profit student-run organisation aims to cultivate interest in surgery and educate its members on entry requirements and lifestyle. Founded in late 2012, in its first year of operation Surgia has been able to provide medical students in the Gold Coast area with unique opportunities to meet with active surgeons. By hosting seminars, workshops and launching a mentoring program, Surgia has placed itself firmly at the forefront of tackling the issue of developing and sustaining student interest in surgery. The modern representation of surgeons has perhaps done more to hurt rather than promote the field of surgery. With medical students turning their backs on a surgical career, Surgia’s aim is to adjust student perception, cultivate an interest in surgery and prevent students from discounting this immensely rewarding career. Q
NOVEMBER 2013 DoctorQ
How the MBAQ can help you The Association provides financial assistance to help medical practitioners through crises. If you find yourself in a financial crisis, then make contact with the MBAQ to receive the application forms for assistance.
How you can help the MBAQ You may contribute to the Medical Benevolent Association of Queensland in several ways: • By becoming a member of the Association: Subscriptions - Ordinary Annual membership $30 p/a - Life membership $50 one sum • By making a tax-deductible donation to the Association. • By making a bequest in your Will. • By naming the Association as the beneficiary where there is a surplus following functions such as Year Reunions or LMA Dinners.
Tragedy is unpredictable and may strike at any age in the life of a medical practitioner... More Information Further information can be found on the MBAQ website at www.MBAQ.org.au. All donations are tax deductible.
Business Support Services
Professional, highly experienced,
with excellent written and verbal skills and attention to detail. Ms Sue Tremlett CEO, PCPA (Private Cancer Physicians of Australia)
Donate or subscribe today!
Medical Benevolent Association
AMA Queensland Business Support Services has been providing quality professional service to associations, members, colleges, foundations and trusts since 1996. Our team can provide a wide range of services: ADMINISTRATION – including database management, all meeting preparation and post meeting support and report preparation. BOOKKEEPING – Accounts receivable and payable, payroll (including superannuation and payroll tax), Business Activity Statements, monthly financial reporting and budgeting. EVENT MANAGEMENT – scheduling appointments and meetings, venue preparation, workshops, conferences, catering and travel. MARKETING – promotional materials, website updates, newsletters and publications. Why should you use AMA Queensland Business Support Services? Increase your resources without employing extra staff Improve your productivity, efficiency and client services We are professional, friendly and flexible!
Contact us for a quote and to discuss how we can help you
(07) 3872 2218
Fax: (07) 3856 4727
Email: email@example.com PO Box 123, Red Hill Qld 4059 88 L’Estrange Terrace, Kelvin Grove, Queensland 4059
DoctorQ NOVEMBER 2013
OUT THERE KOWANYAMA
DR LARA WIELAND LIVES AND BREATHES AMA QUEENSLAND FOUNDATION’S CHARTER ‘DOCTORS DOING GOOD’. LONG TIME AMA QUEENSLAND MEMBER AND MEMBER OF THE AMA INDIGENOUS HEALTH TASKFORCE, LARA HAS DEDICATED THE PAST 13 YEARS TO EDUCATING AND EMPOWERING THE CHILDREN OF A REMOTE INDIGENOUS COMMUNITY IN FAR NORTH QUEENSLAND.
For the children of Kowanyama, life can be a patchwork of challenges. Many of them come from difficult backgrounds and there are high levels of social dysfunction within the community. Lara’s holiday and leadership camps program, Out There Kowanyama, allows the children the freedom to learn and have fun in an environment where they feel valued and safe. “The time we spend with the kids gives them happy memories they can draw on later in life to help them get through the tough times, and to inspire and motivate them when faced with the obstacles they will inevitably come up against as they go through life”, Lara says. Kowanyama is very remote and the surrounding terrain is harsh. This means transport is a huge issue and with no funds available for car hire and no money to purchase a four wheel drive, Lara’s gravely concerned the camps will stop. AMA Queensland Foundation, through this year’s Christmas Appeal, is hoping to raise a massive $40,000 for Lara to purchase a second-hand four wheel drive to transport the children to and from the camps. “These camps are vital for educating the children about hygiene, healthy food choices, budgeting, shopping and behaviour in preparation for [necessary due to the remoteness] boarding school and life outside the community, but they get so much more out of it than that,” Lara points out. “It goes beyond the learning, health promotion and sports activities. The program instils confidence, resilience and self belief in these kids.” Q BELOW: Dr Lara Wieland and her husband Ron Gillespie with the children on camp.
NOVEMBER 2013 DoctorQ
To help Lara, visit the website and donate now.
THANK YOU DOCTOR As Christmas approaches, many well-meaning patients will try to give you a present, perhaps a bottle of wine or box of chocolates, to show their gratitude and appreciation for the high level of care and support they have received. As we know, it is unethical to accept gifts; however there are many worthwhile causes you would love your patients to support. Here is the answer, simply give them an AMA Queensland Foundation Thank YOU Doctor brochure or suggest they make a donation online at www. amaq.com.au
Want to say
to YOUR doctor?
TRESSCOX LAWYERS SUPPORTS FOUNDATION TressCox Lawyers are committed to pro bono and corporate social responsibility and consider the advantage of belonging to the legal profession bear a complementary responsibility to assist the disadvantaged and marginalised. TressCox is committed to assisting those in the community who are unfairly restricted or do not have adequate access to justice or legal assistance.
integral part of the firmâ€™s philosophy and role as a responsible corporate citizen.
The AMA Queensland Foundation Thank YOU Doctor Program offers patients the opportunity to express their appreciation in a tangible, tax efficient way and all funds are directed to projects driven by AMA Queensland members. Contact the AMA Queensland Foundation to request a Thank YOU Doctor poster and brochure pack. Q
DOCTORS DOING GOOD
Do you have a project which needs financial assistance? Contact Colleen Harper, Foundation Manager: Phone: (07) 3872 2204 Email: firstname.lastname@example.org Website: www.amaqfoundation.com.au
The AMA Queensland Foundation is honoured to have the invaluable support of TressCox which has recently advised on the Foundationâ€™s governance and structure. Q
The TressCox Pro Bono Practice has a particular commitment to organisations with a health or disabilities focus. This commitment to pro bono work is an DoctorQ NOVEMBER 2013
AROUND THE REGIONS
LOCAL MEDICAL ASSOCIATION ROUND UP
JOIN YOUR LMA
STAY CONNECTED WITH COLLEAGUES AND UP TO DATE WITH THE LATEST HEALTH NEWS AND ISSUES AFFECTING YOUR LOCAL AREA. DON’T STAND ON THE SIDELINES —JOIN YOUR LOCAL MEDICAL ASSOCIATION TODAY AND MAKE A DIFFERENCE.
Monthly dinner meetings are generally held on the fourth Thursday of each month.
Next meeting: 10 December
Next meeting: 28 November
For information on meeting dates and membership contact Cairns LMA President Dr Sharmila Biswas.
Venue: Maroochydore Surf Club
Phone: (07) 4036 4333
Convenor: Jo Bourke Phone: (07) 5479 3979 Fax: (07) 5479 3995
For information on meeting dates and membership contact Townsville LMA President Dr Carl O’Kane.
For further information or to join visit www.sclma.com.au
GOLD COAST For information on meeting dates go to www. gcma.org.au or email email@example.com A membership form can be downloaded from our site. Phone: (07) 5575 7054 Fax: (07) 5575 7551
Phone: (07) 4433 1111
For information on meeting dates and how to join, contact Fraser Coast LMA President, Dr Shaun Rudd. Phone: (07) 4128 3644 Fax: (07) 4124 0660
September 2013 DoctorQ
For further information or to join, visit www. northsidelocalmedical.wordpress.com
REDCLIFFE & DISTRICT Next meeting: 29 November Venue: Golden Ox Restaurant, Redcliffe Convenor: Margaret MacPherson
CENTRAL QUEENSLAND For information on meeting dates and membership contact Central Queensland LMA Secretariat Dr Harley Wilson. Phone: 0419 277 611
Phone: (07) 3121 4043
TOOWOOMBA & DARLING DOWNS
For further information, go to www.tddlma. org.au or email firstname.lastname@example.org
Membership to the Toowoomba and Darling Downs LMA is just $50. To join, download an application form at www.tddlma.org. au/membership.html
For information on meeting dates and how to join, contact Bundaberg LMA President, Dr Daud Yunus. Phone: (07) 4152 2888 Fax: (07) 4153 3245 Email: email@example.com
CAN’T FIND YOUR LOCAL AREA?
Phone: (07) 3265 3111
Time: 7pm for 7.30pm
Convenor: Dr Graham McNally
If your Local Medical Association does not appear above or your details are incorrect, please email firstname.lastname@example.org with corrections, contact details, how to join, web address, dates for upcoming meetings and who to contact for further information.
AROUND THE REGIONS
PRESIDENT ON TOUR AMA Queensland President Dr Christian Rowan and Manager of Workplace Relations, Andrew Turner, undertook an extensive tour of Central Queensland from 22 - 25 October 2013. The pair visited Rockhampton, Gladstone, Biloela and Emerald, hosting hospital lunches, practice visits, dinners and stakeholder meetings with the Central Queensland Hospital and Health Service Board and Central Queensland Medicare Local over the three-day tour. A highlight included the Rockhampton dinner at the Edge Restaurant, with over 40 local members in attendance, including the newly elected Central Queensland Local Medical Association Executive, local
members and non-members. Dr Christian Rowan remarked that “the tour provided us with a timely opportunity to update SMOs and VMOs on the current state of play with proposed industrial relations changes and canvass our member’s key concerns on the ground.”
Visiting Dr Richard Tan in Biloela
Andrew Turner said that the tour provided an opportunity to deliver “essential faceto-face advice to some of our IMG members on 457 visa issues, discuss concerns around job security and training places with our student and junior doctor members and talk with some of our smaller regional and rural practices on the unique workforce challenges posed in regional recruitment and retention.” Q
LEFT TO RIGHT: Drs Helen James, Sally Barkla, Dr Christine Ross, Diana Luong (seated) Kimberley Chung (seated), Dr David Cooper, Dr Christian Rowan, Dr Damien Nevin, Dr Natalice Chicheuw, Dr David Morgan
With Dr David Morgan at the Emerald Hospital
up with m embers a t the Gladston e dinner
With Dr Lola and Dr John Bird, Gladstone
ald the Emer Elliott at s le r a h C With Dr Centre Medical
THE EMERALD HOSPITAL DoctorQ MARCH 2013 DoctorQ NOVEMBER
QUEENSLAND HOSPITALS GO GREEN ‘GREEN’ ARCHITECTURE IS NO LONGER THE BASTION OF ECCENTRICS AND HIPPIES AS ENVIRONMENTAL CONSERVATION AND SUSTAINABILITY TAKES CENTRE STAGE IN MAJOR PUBLIC INFRASTRUCTURE DEVELOPMENTS.
Media and Communications Advisor
One such example is the new Queensland Children’s Hospital (QCH) which is due to open in Brisbane’s Southbank at the end of 2014. Despite the ongoing controversy over the ideology and location of this $1.2B capital works project, there is no denying its success as an iconic and environmentallythoughtful piece of architecture. In fact, the architects behind the Queensland Children’s Hospital recently received the prestigious Future Health Project Award in the 2013 Design and Health International Academy Awards. The award acknowledges that the hospital’s design ‘embraces the changing role of hospitals within the wider health system and local community, and demonstrates a vision for healthy environments’. The project was commended by a panel of international judges for its design concept based on a living tree with trunks and branches that punctuate the building, and the inclusion of its many outdoor gardens and terraces. It beat entries from Vienna and Abu Dhabi to take out top honours.
health services increases, so too does the size of our hospitals and health facilities. The bigger the hospital, the higher its requirements for energy and the more landfill and bio-hazardous waste it creates.
opened Gold Coast University Hospital has employed similar designs aspects and principles and provided a model of sustainability that will be replicated at the new Sunshine Coast University Hospital.
In the case of the QCH, we’re told more than 90 per cent of materials removed from the construction site have been recycled or reused and general waste is sent to a landfill that creates renewable electricity, and tool wash is treated and reused as recycled water for industry.
Brisbane’s existing health monoliths, the Mater and Royal Brisbane and Women’s Hospitals, have also taken pro-active steps, investing in bicycle parking facilities and expanded public transport options to help reduce carbon emissions generated by vehicular traffic and congestion.
Throughout construction of the QCH, low volatile organic compound products such as paints, adhesives and tiles are being used, as well as insulation material with zero ozone depletion potential as well as efforts to reduce the use of PVC where practical.
Queensland Health’s 2011-12 Annual Report recognises the importance of hospitals ‘going green’, calling for all capital infrastructure planning to include ‘building principles which ensure environmentally sustainable designs and energy conservation obligations are considered.’
An independent energy plant adjacent to the hospital is designed to reduce the carbon footprint. The QCH Energy Plant (QCHEP), also under construction, will generate the hospital’s power, heating and cooling during daylight hours, Monday to Friday.
The building’s green space and design connects the inside with the outside promoting natural light, views and ventilation which combine to create an environment that supports wellness.
It is estimated that the QCHEP will save the local electricity grid the equivalent amount of power consumed by between 3,000 and 4,000 domestic households. It will also use natural gas to generate most of the hospital’s power, heating and cooling during peak consumption periods - minimising the hospital’s use of coal-fired electricity from the grid.
A hospital’s potential contribution to climate change is significant. As demand for
The QCH is not alone it is quest for environmental sustainability; the newly
Queensland Health estimates its carbon management projects have generated utility savings of over 35,000 tonnes of CO2, 92,000 gigajoules of gas and over 38 million kilowatt hours of electricity. No matter what side of the climate change fence you sit on, when it comes to carbon pollution and energy waste – less is definitely more. Q
Some of the other key environmentally sustainable features of the QCH include: Rain water harvesting for use in irrigation systems High efficiency water and lighting fittings and fixtures Chilled beams for cooling in ward areas Façade that optimises light and reduces heat and glare Waste minimisation and recycling initiatives Secure bicycle facilities for staff and visitors access to natural light, fresh air and green space.
NOVEMBER 2013 DoctorQ
LEXUS CORPORATE PROGRAMME Offering vehicles that combine luxury and performance with a programme that includes a range of unique privileges. It is with pleasure the Lexus of Brisbane Group offers the Lexus Corporate Programme to AMA Queensland members. The Lexus of Brisbane Group and AMA Queensland partnership allows AMA Queensland members access to the Lexus Corporate Programme beneﬁts as Tier 1 status; normally reserved for BRW Top 50 companies in Australia on new vehicles across the entire Lexus range.
Beneﬁts of the Lexus Corporate Programme include: • Three year / 60,000km complimentary scheduled servicing* • Four year / 100,000km warranty# • Reduced dealer pre-delivery fee • Priority production if built to order • Factory corporate rebates in conjunction with Tier 1 status†
The Lexus of Brisbane Group looks forward to our partnership with AMA Queensland and their members. For any queries please contact Peter Thomas, Lexus Concierge, on (07) 3327 1777.
The Lexus Corporate Programme also incorporates Encore Privileges: • Complimentary service loan cars and pick-up and drop off during servicing • Lexus DriveCare providing 24 hour roadside assistance • Lexus Exclusive Events • Lexus Magazine Exclusive to AMA Queensland Members: • Priority invitations to Lexus of Brisbane Group corporate events • Dedicated Lexus/AMA Queensland contact person for all enquiries
LEXUS OF BRISBANE Cnr Moggill Rd & Rennies Rd, Indooroopilly www.lexusofbrisbane.com.au
LEXUS OF BRISBANE Cnr Ann & James St, Fortitude Valley www.lexusofbrisbane.com.au
LEXUS OF MAROOCHYDORE 63 Maroochy Boulevard, Maroochydore www.lexusofmaroochydore.com.au
LEXUS OF SOUTHPORT 161 Ferry Road, Southport www.lexusofsouthport.com.au /LexusofBrisbaneGroup
*Complimentary scheduled servicing expires at 3 years or 60,000km from the date of ﬁrst registration, whichever occurs ﬁrst. Conditions apply. See your Lexus dealer for further details. # Whichever occurs ﬁrst. † Conditions apply. Factory corporate rebates excludes IS 250, IS 300h, IS 350, ES 300h and ES 350. See your Lexus dealer to discuss your speciﬁc eligibility.
REFUGEES GET A HEALTHY START STUDENTS FROM GRIFFITH, BOND, UQ AND JCU HAVE TEAMED UP TO PROVIDE PREVENTATIVE HEALTH EDUCATION TO NEWLY ARRIVED REFUGEES IN AUSTRALIA. MARRILLO JAYASURIYA, A FOURTH YEAR STUDENT FROM GRIFFITH, TELLS US MORE ABOUT THE HEALTHY START PROGRAM.
Founder and Director of Healthy Start
Healthy Start is run as a collaborative effort by medical students from Griffith (HOPE4HEALTH), Bond (MAD), UQ (TIME) and JCU (SANTÉ). Students also work directly with local refugee settlement organisations, cultural support workers and interpreters. The idea was first born in 2010 after an inspirational lecture given by Dr Margaret Kay (Director of the Refugee Primary Health Care Research Centre in Brisbane). Dr Kay continues to be actively involved in Healthy Start to this day. We came up with a simple concept based on a premise that is tried and proven – prevention is better than the cure! The best way to address the health issues faced by refugee communities here in Australia is to give them the knowledge and skills for disease prevention. Rallying the support of experts in a number of different organisations including the Multicultural Development Association (MDA), Greater Metro South Brisbane Medicare Local (GMSBML), Refugee Health Queensland (RHQ) and Griffith University, the students created a program that was well researched and focussed. By addressing inadequacies in general health knowledge and health literacy, Healthy Start creates the foundations for better health in a group that all too often slips through the cracks. Before students can participate they must first attend a training workshop, where they are provided with the skills and understanding necessary to deliver the program in a safe and culturally appropriate way. All training information is delivered by experts in the field including caseworkers from settlement organisations, doctors with refugee health specialities and lecturers with adult education skills. After this workshop the students can then participate in a Healthy Start session.
NOVEMBER 2013 DoctorQ
Typically there will be 20 students working in separate health modules to educate as many as 70 refugees. Students at each module then run through the program in an interactive manner, encouraging questions and discussion. Various props and learning tools are used to aid understanding, and all content is delivered with the help of interpreters. At the end of 30 minutes the refugees rotate to the next health module and the process continues. Modules cover a variety of topic including men and women’s health, medications, accessing the Australian healthcare system including GP and hospital services, and more. Feedback from students, refugees, interpreters and settlement staff has been positive beyond expectations. The program has been so successful that Healthy Start
was given over $10,000 sponsorship from GMSBML, so that sessions could be run at full scale throughout 2013. Data is now being collected which shows empirical evidence that both students and refugees gain so much from the program. Even with all these achievements the most amazing part has been watching the human connections that are made. Refugees often walk in meek and afraid, but leave with an air of hope and acceptance. This is the type of energy that drives change, one that will grant this vulnerable community the opportunity to make their new lives in Australia happier and healthier. If you would like to volunteer with the Healthy Start program, visit www. healthystart.org.au Q
Refugees often walk in meek and afraid, but leave with an air of hope and acceptance. This is the type of energy that drives change...
It’s Lexus’ premier retail event of the year, L’Exhibition. For a limited time, desire and ability come together with highly impressive models and an equally impressive ﬁnance rate. Better still, there’s also the reassurance of Guaranteed Future Value^ if you buy through Ownership Solutions. Don’t delay, contact Peter Thomas Lexus of Brisbane Group Concierge, on 07 3327 1777 as L’Exhibition must end November 30. CT 200h now comes with 3 years / 60,000km complimentary scheduled servicing.†
LEXUS OF BRISBANE Cnr Moggill Rd & Rennies Rd, Indooroopilly www.lexusofbrisbane.com.au
LEXUS OF BRISBANE Cnr Ann & James St, Fortitude Valley ww.lexusofbrisbane.com.au
LEXUS OF MAROOCHYDORE 63 Maroochy Boulevard, Maroochydore www.lexusofmaroochydore.com.au
LEXUS OF SOUTHPORT 161 Ferry Road, Southport www.lexusofsouthport.com.au /LexusofBrisbaneGroup
* 1.8% comparison rate available to approved Personal Applicants and a 1.8% annual percentage rate is available to approved Business Applicants of Lexus Financial Services for the ﬁnancing of a CT 200h, RX and GS models while stocks last. **Excludes demos and post August 2013 GS production models. Finance applications must be received and approved between 1/11/2013 and 30/11/2013 and vehicles registered and delivered by 05/12/2013. Maximum ﬁnance term of 36 months applies. A balloon ﬁnal payment option is available up to a maximum of 40%. Additional interest charges accrue whenever a balloon ﬁnal payment option is selected. Conditions, fees and charges apply. Comparison rate based on a 5 year secured consumer ﬁxed rate loan of $30,000. WARNING: This comparison rate is true only for the examples given and may not include all fees and charges. Different terms, fees or other loan amounts might result in a different comparison rate. Lexus Financial Services is a division of Toyota Finance Australia Limited ABN 48 002 435 181, Australian Credit Licence 392536. Lexus reserves the right to extend any offer. ^Guaranteed Future Value (GFV) is the minimum value of your new Lexus at the end of your ﬁnance contract, as determined by Lexus Financial Services (LFS). If you decide to return your car to Lexus at the end of your term, LFS will pay you the agreed GFV amount which will be put against your ﬁnal payment, subject to fair wear and tear conditions and agreed kilometres being met. The information provided is general in nature. You should seek your own ﬁnancial advice to determine whether Lexus Ownership Solutions is appropriate for your individual circumstances. †Complimentary for standard scheduled logbook servicing (normal operating conditions) expires at 3 years or 60,000km from the date of ﬁrst registration up to the ﬁrst 4 services.
EXITING PRIVATE PRACTICE
UNTIL 15 NOVEMBER NEW LEGISLATIVE CHANGES
This training session will explain how the introduction of a Health Ombudsman will change the complaints-handling process. This session will offer a practical step-bystep guide to assessing, understanding and mitigating risk in your practice.
CHRISTMAS COCKTAILS Reef HQ Aquarium, Townsville
Let us help toast your graduation and welcome you to the medical profession! This will be an exciting end of year event, providing you with the last chance to party with past, present and future colleagues. Free for graduating students.
TO VIEW THE FULL EVENTS CALENDAR 34
NOVEMBER 2013 DoctorQ
Hunstanton, AMA Queensland An informative evening seminar that will outline key issues and considerations including: understanding the sales process and potential purchasers, valuation considerations and different exit strategies and tax considerations.
NOVEMBER & DECEMBER INTERN WORKSHOPS
20 Nov Gold Coast, 17 Dec Townsville
Learn the tips and tricks of the trade at this practical workshop presented by your future colleagues and industry experts. Get prepared for internship and feel confident as you transition from student to medical practitioner.
Or to register for an event, visit amaq.com.au or contact the AMA Queensland Membership team on (07) 3872 2222 or email email@example.com
events calendar EARLYB IR SPECIA D L ENDS 2 4 JAN 20 14
2014 PRESIDENTIAL INAUGURATION
28 -29 JUNE
INAUGURAL DOCTOR IN TRAINING CONFERENCE
18 - 19 JULY
ANNUAL PRIVATE PRACTICE CONFERENCE
21 - 28 SEPTEMBER
AMA QUEENSLAND STATE CONFERENCE
Capetown, South Africa
The AMA Queensland Annual Conference is tailored for medical practitioners, practice managers, registered nurses and industry professionals. As a conference delegate you will learn from world renowned Australian and International speakers and develop a better understanding of the medical issues that will affect you and your patients. The 2014 Conference theme is: Health has a Postcode (Social Determinants of Health). Set in South Africa, this country boasts world-class infrastructure, accommodation and meeting facilities combined with the excitement, passion and cultural variety of Africa. Offering cosmopolitan city life alongside the African bush, relaxing beach resorts, opportunities for adventure enthusiasts, breathtaking scenery and world class shopping. South Africa is an exhilarating destination with Cape Town the quintessential melting pot: it is a city alive with creativity, colour, sounds and mouth-watering tastes.
CONFIRM DETAILS CLOSER TO DATES
WOMEN IN MEDICINE BREAKFAST
2ND ANNUAL MEDICO-LEGAL CONFERENCE
PLEASE NOTE: 2014 dates and venues may be subject to change but are provided as a guide. DoctorQ NOVEMBER 2013
THE THIRTEENTH ANNUAL AMA QUEENSLAND CONFERENCE WAS STAGED IN THE MAGNIFICENT CITY OF SANTIAGO IN LATE SEPTEMBER. WITH A MIXTURE OF OLD WORLD AND NEW, SANTIAGO IS MODERN, RELAXED, FRIENDLY, COMPLETELY SAFE AND A PERFECT SETTING FOR DELEGATES TO LEARN AND ENJOY EACH OTHER’S COMPANY. CONFERENCE COORDINATOR NEIL MACKINTOSH GIVES US A WRAP UP OF THE FIRST CONFERENCE HELD IN SOUTH AMERICA.
ABOVE: The Conference Team: Neil Mackintosh (AMA Queensland), Andrea Reeves and Ros Bulat (World Travel Professionals), Jane Schmitt and Dr Christian Rowan.
The event kicked off with a pleasant cocktail reception in the hotel hosted by AMA Queensland President Dr Christian Rowan. In the conference room our delegates were educated and entertained by a line-up of speakers of world renown under the conference theme Health worldwide – Challenges and future directions. Every session was packed with enlightening presentations and generated enthusiastic discussion and debate. Australian Ambassador to Chile Tim Kane officially opened the conference and addressed the delegates on a wide range of bi-lateral issues including diplomacy and commerce. He was quickly followed by keynote speaker Dr Jillann Farmer, Director, Medical Services Division, UN HQ, New York who delivered sessions on healthcare for a global workforce and the UN Humanitarian Program. Our second keynote speaker, Dr Victoria Brazil, spoke on medical education and patient care and participated in a hilarious and engaging debate with Dr Farmer, “Patients would be healthier without doctors”. It was all good fun.
SPONSORS 36 NOVEMBER 2013
Our local guest speakers from Santiago included Bernardo Naschelski, who gave a wonderful presentation on local history, customs and culture. We were privileged to have two senior medicos from Santiago address the delegates: Professor Ignacio Sanchez, Rector, Catholic University of Chile gave a presentation on Regional Health Challenges and Dr Paulo Egenau Perez, Director, Fundacion Parentesis, Chile, spoke of the social and health dimensions of the homeless, with a focus on poverty, drugs and alcohol. They were both very well received.
LEFT TO RIGHT: Dr Peter and Donna Kent with Dr David Whish and Annette Devilee
The final conference session was an Issues Open Forum chaired by Dr Rowan. Issues significant to the future of medicine were addressed and hotly debated. So that was Conference 2013, a wonderful experience for all concerned and a visit to a country so friendly and enjoyable that it will stay in our minds for a very long time. It certainly exceeded many expectations.
acio Sanchez, Guest Speaker, Prof Ign University of Chile MD, Rector, Catholic
Finally, a big thank you to AMA Travel Queensland, Ros and Andrea, for yet another successful and cooperative operation. Visit the AMA Queensland web site at www. amaq.com.au for a more comprehensive picture gallery. Q
LEFT TO RIGHT: Dr Bern ard Tamba-Lebbi, with keyn ote speakers, Dr Jillann Farm er and Dr Victoria Brazil
al sors received a speci Our wonderful spon st mo re we dinner. We vote of thanks at the y an mp co d support an fortunate to have the e nc ura Ins l edico-Lega of Anthony Brown (M rie ua acq (M ndy Noye Group), Ross and Ma nna Tait (Family Care Joa d an Bank), Stuart tharine Philp (Tress Medical Services), Ka f Miller (Investec) as Cox Lawyers) and Jef s from AAPM. well as representative
Delegates in session
EXPLORING SANTIAGO AND BEYOND Outside the conference sessions delegates had opportunities to explore this wonderful city and regions beyond. Some particular highlights within Santiago were the Plaza de Armas, the Cerro San Christobal and magnificent Parque Metropolitano Santiago, as well as the many cobbled streets, cosy bars and cafes. Outside Santiago a true highlight of the conference was our trip to the Hacienda Puro Caballo, a working ranch where we experienced a wonderful display by the Chilean horses, a rodeo and traditional ranch-style BBQ lunch. Conference week concluded with a farewell dinner and what a way to wrap up a great week. The venue was the stunning and historic Club Hipico Santiago. Steeped in history, this iconic site is the main turf club in Santiago and a wonderful venue for the conference dinner, where delegates celebrated a wonderful week in style, enjoying dinner of local produce and classic South American entertainment.
KATHARINE PHILP TRESSCOX LAWYERS
Katharine Philp of TressCox Lawyers gave a history of the development of the law of negligence from its beginnings with the House of Lords decision of  AC 562 to the recent decisions of the NSW Court of Appeal in Varipatis v Almario  NSWCA 76.and the High Court of Australia in Wallace v Kam (2013) 297 ALR 383. 81 years ago in 1932 Lord Atkin of the House of Lords relied on the parable of the Good Samaritan to determine that: “The rule that you are to love your neighbour becomes in law, you must not injure your neighbour... You must take reasonable care to avoid acts or omissions which you can reasonably foresee would be likely to injure your neighbour. Who, then in law, is my neighbour? The answer seems to be – persons who are so closely and directly affected by my act that I ought reasonably to have them in contemplation as being so affected when I am directing my mind to the acts or omissions which are called in question”  AC 562 at 580 HL. The NSW Court of Appeal in Varipatis v Almario, held that a GP may be obliged to discuss weight loss and various means how that can be achieved but no more. The GP’s duty of care stopped short of requiring an exercise in futility.
LEFT TO RIGHT: Immediate Past President Dr Alex Markwell, CEO Jane Schmitt, Australian Ambassador to Chile Tim Kane, President Dr Christian Rowan and Jane Rowan
On 8 May 2013, the High Court of Australia considered the issue of causation in warning cases in Wallace v Kam, and held that even if a doctor who is required to provide a warning negligently fails to do so, he/she is not generally regarded as responsible for all the consequences of that course of action, but only for the consequences of the information being wrong. TressCox Lawyers represented both Dr Varipatis and Dr Kam in the successful defence of the claims made against them. Delegates were reminded that the best way to avoid a claim was to have good relationships with their patients and the best way to defend a claim was to maintain good contemporaneous records. Q
Dr Caroline and Dr And
Guest S peaker D Directo r, Funda r Paulo Egenau , cion Pa rentesis, Chile
DoctorQ NOVEMBER 2013
CONGRATULATIONS to the following doctors who are now elected members of AMA Queensland.
DOCTORS IN TRAINING
DOCTORS IN TRAINING
Dr Sean Dwyer Dr Shayne Jonsson Dr Matthew Oates Dr Mark Adsett Dr Paul O’Neill Dr Matthew Cockburn Dr Samduni Wijeyewickrema Dr Tristan Anderson Dr Shanmugam Balaji Dr SamuelAh Kit
Dr Matthew Pavicic Mr Nicholas Sowden Dr John Goddard Dr Jessica Phillips Dr David Hateley Dr Dean Adit Dr Debraj Mukherjee Dr James Walker Dr Emma Maguire Dr Adam Frankel Dr Arjuna Somasundaram Dr Zeshan Ali Dr Manoj Chore Dr Patrick Asgarimehr Dr Anna Brookes Dr Christine Smith
GENERAL PRACTITIONERS Dr Ajilesh Chacko Dr Shahriar Boorboor Dr Richard Jiang Dr Aju Philip Dr Rosemary C Caird Dr Mohammed Alam Dr Shahid Ali
PRIVATE SPECIALISTS Dr Andrew C Shield Dr Xinyi Zhou Dr Jason Restall
PART-TIME PRACTITIONERS Dr Kate Rodwell Dr Subhapiya Sreedharan Dr Stephen Elgey Dr Deepali Shirkhedkar
SALARIED PRACTITIONERS Dr Chamara Appuhamilage Dr David Douglas Dr Saul Shires Dr Jennifer Shires Dr Stefan Ziege Dr Anthony Padowitz Dr Paul Varghese Dr Shailender Mehta
GENERAL PRACTITIONERS Dr Guy Fielding Dr Michael Thorpe Dr Subrata Aditya Dr Chengyuan Zhao
MEMBERSHIP RENEWALS Your ongoing membership is vital in ensuring a robust, collective voice for the profession, regardless of your specialty, career stage or location. Soon you will receive your renewals pack for 2014, which highlights our key wins in member representation and advocacy over the last 12 months along with our comprehensive range of member benefits and new events.
There are 5 x $500 Coles Myer Vouchers up for grabs for members who renew online (in monthly instalments) by 31 December 2013. Our generous sponsors Lexus are offering a Spicers Gourmet Getaway Package, which comprises of one night’s luxury accommodation for one couple, a three course lunch or gourmet picnic hamper, seven course degustation dinner with wines to match and two course gourmet breakfast. You’ll also
PRIVATE SPECIALISTS Dr Matthew Broadhurst Dr John McAulay Dr Robert JS Purssey D Ashar Khan Dr David Deller Dr Mark Chiang
PART-TIME PRACTITIONERS Dr Juliet Clayton Dr Nathanael Sheehan Dr Colin J Campey Dr Jane Nikles
SALARIED PRACTITIONERS Dr Amira Mahboub Dr Trevor Watkins
SECOND AMA QUEENSLAND
SAVE THE DATE!
BREAKFAST WITH THE HEALTH MINISTER
We are streamlining the renewals process this year with the option to renew online by Visa, MasterCard or American Express and pay by the month, quarterly or annually. Look out for your renewals pack and notice and to renew over the phone now call (07) 3872 2222. Q
WIN! get to drive to Spicers Peak Lodge in a Lexus SUV. This early-bird prize is also available for any members that renew by 1 December 2013. AMA Travel are also offering a Ski NZ holiday as an earlybird prize. It includes return economy flights from Brisbane to Queenstown, six nights at Crowne Plaza including breakfast and a three-day ski pass. Terms and conditions apply*. *Please see the terms and conditions included in your renewals pack
AMA QUEENSLAND’S ANNUAL EVENT SURVEY We recently surveyed members ahead of developing our 2014 events calendar. Following the results of our 2012 events survey, we delivered some fantastic new member events in 2013, including the inaugural Health Minister’s Breakfast, our free Health Vision forums in Brisbane and Townsville and our recent Medico-Legal Conference. We have also filmed our keynote events including the Minister’s Breakfast and the recent Bancroft Oration and have made these available free of charge in the Member’s Only section of the website.
This is what we are working on for next year: More free member events and costeffective conferences and seminars offering accreditation (including RACGP and RACS accreditation) Forums to discuss and debate timely health policy and health reform issues including medico-legal Programs updates and discussions on end of life care, capacity, ethics and leadership Seminars to help you get the competitive edge in your career including presentation skills and how to get involved in research Programs and webinars that are available out of hours. Q
WEDNESDAY 5 MARCH 2014 MODA PORTSIDE
R E N N I W 38
NOVEMBER 2013 DoctorQ
Thank you to all members who completed the survey. The lucky winner of our Event Survey draw is:
Dr Andrew Bryant of Spring Hill Dr Bryant won the iPad mini prize. Congratulations!
DR PETER ALEXANDER TOD MBBS DDR FRACR Dr Peter Tod was an environmental pioneer who published a ground-breaking work after retiring from a distinguished medical career. Peter, the sixth of eight children to Scottish immigrant father Theodore Tod and Darling Downs mother Annie Gogarth, was raised in the beautiful Goomburra valley. He had fond memories of barefoot days at the local school and riding his horse bareback several miles each way. In his later years, he would reminisce about the abundance of fish in Dalrymple Creek, which bordered the family property, and the wonderful fertility of the soil ploughed by his father with a team of oxen. Peter boarded at Brisbane’s “Churchie” and studied medicine at Sydney University. After graduating in 1942, he joined the air force and was based in Townsville and Rathmines in NSW, flying retrieval missions over the Coral Sea and to New Guinea.
Dr Peter Tod was a member of AMA Queensland for 70 years. 11 September 1918 – 5 August 2013
Upon discharge Peter and youngest brother used their back pay to buy farming land at Norwin on the Darling Downs. Despite living in Brisbane for most of his adult life this helped maintain a connection to his rural roots.
He always believed the medical profession, grounded as it is in science, should take the lead in advocacy for sustainability, as a natural extension of its commitment to human wellbeing.
He joined the Queensland chapter of the British Medical Association in 1943 and was a member for 70 years.
In 1996 Peter published Stop Thieving from our Children, a remarkably comprehensive, coherent, intelligent and compassionate work, well ahead of its time.
He finished radiology training in Sydney in the early 1950s and entered private practice in Brisbane. The radiology practice expanded and became and became Southern X Radiology. Retirement in his early 70s gave Peter time to further his passion for environmental causes. He was a strong advocate for sustainability and was especially concerned about population growth combined with rapid consumption of finite resources. Long before others were active on the issue, he formed an organisation called Doctors for a Sustainable Population.
He avidly read all the new books on limits to growth, climate change, peak oil, food security and natural resources.
He wrote with humility, yet his vision was clearer than most, and his advice more practical. Far from dated, it seems increasingly pertinent. Peter never tired from his quest to protect future generations. Despite increasing frailty, he attended seminars and discussions to engage with other sustainability types. His stooped figure and penetrating eye were familiar sights at the monthly meetings of Doctors and Scientists for Sustainability and Social Justice in Taringa. He avidly read all the new books on limits to growth, climate change, peak oil, food security and natural resources. He always had several books on him, keen to discuss the issues they raised and the actions that could best be taken to get their message out. Peter is survived by his wife Judith and five children. Q DoctorQ NOVEMBER 2013
WHAT IF THE GREENEST BUILDING HAS ALREADY BEEN BUILT? THE ELITE FITOUT SOLUTIONS TEAM RECENTLY ATTENDED THE RETROFIT AND REFURB CONFERENCE IN SYDNEY WITH THE OBJECTIVE OF MEETING LIKE-MINDED PROFESSIONALS THAT CLEARLY KNOW THE VALUE OF RETROFITTING EXISTING COMMERCIAL BUILDINGS. IT’S A STRATEGY THE TEAM KNOWS ALL TOO WELL, SAYS IAN SHAPLAND, AS THEY’VE BEEN ADVOCATING IT TO LANDLORDS THROUGHOUT THE COURSE OF THE PAST 12 MONTHS.
Ian Shapland Elite Fitout Solutions 0429 585 075
Although we encountered the many very clearly articulated, documented messages, all with a common and harmonious theme, overwhelmingly there were two key messages that came across ‘loud and clear’. Firstly, there is going to be an increasing oversupply of commercial ‘B’ grade buildings in most CBDs not only here in Australia but in most westernised cities around the globe. Secondly, there is a clear case for landlords to retrofit their properties to better suit the changing demands of the tenant marketplace. But we think that there may be more to it. Empirically the growing oversupply of the ‘B’ grade stock is undisputed. What is not as clear to many stakeholders is the solution to the problem. And this creates the building owner and prospective leaser at the frontline decisions to be made. Confronted by the prospect of both a dearth of tenants or being a tenant well into the foreseeable future and likely marginal capital appreciation at best, what should an innovative, proactive landlord or tenant consider as a course of action? Given the premise ‘the greenest building has already been built’ (report by Preservation Green Lab) and given that there is overwhelming evidence that retrofitting a ‘B’ grade commercial building with energy efficient lighting, HVAC and hydraulics the strategy should be clear; engage with the building tenants or prospective tenants on a collaborative level for a radical rethink.
Elite Fitout Solutions clearly advocates the retrofitting of ‘B’ grade commercial buildings and moreover, advocates that serious consideration should be given to a radical rethink of building use.
firstname.lastname@example.org Elite is a national leader in the delivery of complete fitout solutions for the medical industry.
Elite Fitout Solutions has a vast experience of refurbishing and retrofitting buildings. From the client perspective much importance must be put on fully understanding your business model and what you are looking to achieve. With this established finding the appropriate retrofit-able property requirements are created and a clear pathway is established. The medical industry has, through necessity, a number of building practices, infection control and practice accreditation standards to adhere too. These may at times appear daunting however they do not prohibit good sustainable building and design ideas, they may challenge some of them. Elite’s experience in this field offer innovative options of sustainability in line with your business plan outcomes together with the advice to achieve the best outcome. Q
Elite’s experience in this field offer innovative options of sustainability in line with your business plan outcomes together with the advice to achieve the best outcome.
DoctorQ NOVEMBER 2013
BUSINESS SUPPORT TO THE RESCUE TRYING TO JUGGLE TOO MANY BALLS IN THE AIR? SPENDING TOO MUCH TIME WITH THE DETAIL AND NOT THE BIG PICTURE? HAVE A LOOK AT THE CASE STUDIES BELOW AND SEE IF AMA BUSINESS SUPPORT SERVICES COULD HELP SIMPLIFY YOUR LIFE. Business Support Services Team
(07) 3872 2218 email@example.com AMA Queensland Business Support Services can provide professional and confidential administrative and financial services for your organisation.
CASE STUDY 1
CASE STUDY 2
Dr X-ray was the Treasurer on a small committee that met four times during the year. She was a respected specialist practising in both the public and private system. Unfortunately she did not have the time to pay invoices for the committee, submit business activity statements and GST reports, or provide the committee with financial reporting for their meetings. Dr X-ray was sometimes late submitting her Business Activity Statement and had to pay interest as well as a fine. So Dr X-ray called AMA Queensland Business Support Services who took over all the financial/treasury needs for the committee so that the Treasurer could give financial reports to her committee with confidence. This saved Doctor X-ray time and ensured accuracy and that other reporting deadlines of the committee were met and late penalties avoided.
Dr Yep was a GP and also the Secretary for a high level committee, was required to attend four board meetings and several time-consuming workshops throughout the year. Dr Yep had his own private practice and struggled to find the time to maintain the administrative requirements of his role, such as meeting agendas, minute taking, follow-up actions and the event management aspects of the workshops. By outsourcing these tasks to AMA Queensland Business Support Services, he was able to service both his practice and committee commitments in a less stressful and more efficient way. AMA Queensland Business Support Services was able to coordinate meeting rooms and venues, catering and technical/audio-visual support on-site.
CASE STUDY 3 Dr Zip was the Director of a Medical Faculty and also the President of a membership organisation. She required ongoing assistance with meeting coordination, membership database updates and renewals, networking events and conferences, in addition to website updates and communication to their organisationâ€™s members.
AMA Business Support Services was able to offer expert assistance in all of these areas in a professional, friendly and flexible manner. Drawing from AMA Queenslandâ€™s extensive experience, Business Support Services handled all needs both from a finance and marketing perspective. Business Support Services also assisted these clients by coordinating graphic design services and providing marketing assistance with website copy, social media and newsletters. Q
NOVEMBER 2013 DoctorQ
TINKERING WITH TAPERING THE SUSTAINABILITY OF US ECONOMIC GROWTH IS THE KEY CONSIDERATION FOR INVESTORS WITH A MEDIUM TO LONG-TERM FOCUS. DISCUSSIONS ABOUT TAPERING, GOVERNMENT SHUTDOWNS AND DEBT CEILINGS ARE IMPORTANT ONLY TO THE EXTENT THAT THEY MATERIALLY CHANGE YOUR VIEW OF THE GROWTH TRAJECTORY.
September saw possible changes to the US Federal Reserve Bank’s (the Fed) quantitative easing policy, or ‘tapering’, dominate the financial headlines. More recently, the US government shutdown and debt ceiling negotiations have been the focus. These events are often presented as exceptional, but the historical record shows otherwise. There have been 17 US government shutdowns since 1977 of varying impact and duration (from one day to 21 days). The debt ceiling has been increased 91 times in the last 40 years. The major short-term impact of these events is to increase uncertainty and therefore delay investment decisions. However, the longer-term impact on the economy and financial markets appears to have been minor, unless there have been additional contributing factors at work. For example, there was a government shutdown in October 1990 that lasted three days. The US sharemarket fell sharply in the months preceding
DEBT CEILING AHEAD
the shutdown, with a smaller fall in October. This period also coincided with an economic recession, so the specific impact of the government shutdown is difficult to quantify, if in fact there was any.
Ross Noye Macquarie Private Wealth (07) 3233 5805 0438 779 955 firstname.lastname@example.org
The previous US government shutdown occurred in late 1995 and lasted 26 days - although this was split into two separate shutdowns. While some impact on the sharemarket is observable in the daily data, the positive uptrend established in the early part of 2005 continued through 2006. Undoubtedly, the most recent government shutdown and the debt ceiling negotiations had the capacity to derail the economy, but we did not believe that this was the most likely outcome. In the end, a resolution was reached between the Democrats and Republicans at the eleventh hour, which reopened government services and increased the debt ceiling. However, the fiscal impasse has not been fully resolved – the government only has funding until 15 January 2014 and another debt ceiling increase will be required in early February. While these political discussions occupied the attention of investors, global economic conditions continued to improve. US indicators of manufacturing confidence remain at elevated levels, European economic measures continue to improve and Chinese data has been stable, where expectations had been for further deterioration. Confidence in the sustainability of the US recovery and the ability of the Federal Reserve to navigate the current uncertainties facing the US economy are more important than the tapering or debt ceiling debate. Both are likely to cause increased short-term uncertainty when they are revisited in early 2014. The debt ceiling, in particular, will again engender a heightened level of concern – but history tells us that a compromise will be found. If you are interested in further information or if you require tailored financial advice, please call or text Ross Noye on 0438 779 955. Q
Ross Noye is a stockbroker and financial advisor at Macquarie who specialises in investment and retirement planning.
The debt ceiling has been increased 91 times in the last 40 years.
DISCLAIMER: This information has been prepared by Macquarie Equities Limited ABN 41 002 574 923 (“MEL”) participant of Australian Securities Exchange Group, Australian financial services licence No. 237504, No 1, Shelley St, Sydney NSW 2000, and does not take into account your objectives, financial situation or needs. Before acting on this information, you should consider whether it is appropriate to your situation. We recommend that you obtain financial, legal and taxation advice before making any financial investment decision. Members of the Macquarie Group or their associates, officers or employees (“Macquarie”) may have interests in the financial products referred to in this advice by acting in various roles including as investment banker, underwriter or dealer, holder of principal positions, broker, lender or adviser. MEL is not an authorised deposit-taking institution for the purposes of the Banking Act 1959 (Cth), and MEL’s obligations do not represent deposits or other liabilities of Macquarie Bank Limited ABN 46 008 583 542. Macquarie Bank Limited does not guarantee or otherwise provide assurance in respect of the obligations of MEL.
DoctorQ NOVEMBER 2013
EXECUTIVE RESIDENCE INSURANCE Chris Mariani AMA Queensland Insurance Solutions 1300 883 059 email@example.com Chris Mariani is a medical indemnity specialist at AMA Queensland Insurance Solutions.
OUR TELEVISION SCREENS ARE FILLED WITH ADVERTISEMENTS FROM INSURERS PROMISING THE ‘BEST VALUE’ HOME AND CONTENTS INSURANCE. BUT THE REALITY FOR THOSE WITH AN EXECUTIVE RESIDENCE IS THE BEST INSURERS DON’T ADVERTISE AND INSTEAD DISTRIBUTE THEIR PRODUCE THROUGH BROKERS. AS A RESULT MANY PEOPLE ARE UNAWARE THERE IS BETTER COVER OUT THERE. CHRIS MARIANI FROM AMA QUEENSLAND INSURANCE SOLUTIONS EXPLAINS. Even the best get it wrong - recently, a financial planner who specialises in providing advice to medical practitioners on their life insurance and income protection needs asked us to review his home insurance. His current policy was due and insured via his bank. He was confident the building value declared of $880,000 was sufficient in the event of a total loss, and he had been diligent in specifying all jewellery on the policy - as the policy only covered unspecified items to a maximum limit of $1,000 per item (the standard limit in most policies).
We obtained a quotation from Chubb and they conducted a home appraisal using one of their experienced appraisers. The client was a little surprised when the appraisal determined the replacement cost of the premises to be $1.1 million – some 20 per cent underinsured. He was also pleasantly surprised that the Chubb premium (for more cover and higher limits) was actually slightly cheaper than his current policy.
WHAT ARE SOME OF THE KEY BENEFITS OF THE CHUBB MASTERPIECE POLICY?
Chubb has a long history of corporate responsibility. Since the early 1980s, their Energy Resources Group has focused on alternative energy technologies including wind turbines, solar, ethanol and other emerging segments. Their PaperFree policy initiatives from 2007-2011 saved some 1,628 tons of paper, or an equivalent reduction of 3,256 tons of trees or over 26.3 million gallons of water saved.
HOME BUILDING APPRAISAL
A complimentary home appraisal for most residences, with an accurate replacement cost valuation of the home, a comprehensive written and photographic report on the property as well as practical suggestions on loss prevention and protecting your contents.
EXTENDED REPLACEMENT COST COVERAGE
Building coverage is not limited to the sum insured. Chubb will paythe cost to rebuild even if more than the value determined by the appraisal. This provides an important safeguard against underinsurance.
Receive cash up to the sum insured if you decide to not rebuild, and on contents cash settlement is also at your option
GENEROUS LIMITS ON JEWELLERY
$25,000 per item and $50,000 per claim in total (with option to specify jewellery if higher limits are needed)
All your contents (including jewellery) covered worldwide
Up to $30 million worldwide cover Identity fraud expenses up to $75,000 Personal tax audit expenses up to $10,000
DOES MY RESIDENCE QUALIFY FOR A MASTERPIECE POLICY? Chubb are selective about the properties they insure (which is one of the reasons they are often price competitive). Some of the basic criteria to qualify for a policy includes:
DISCLAIMER: AMA Queensland Insurance Solutions is a trading name of KSLR Pty Ltd, a Corporate Authorised Representative of Insurance Advisernet Australia Pty Limited, AFSL 240549. Corporate Authorised Representative No: 366807. The information provided in this article is of a general nature and does not take into account your objectives, financial situation or needs. Please refer to the relevant Product Disclosure Statement before purchasing any insurance product.
NOVEMBER 2013 DoctorQ
Minimum building value of $600,000 and contents value of $200,000 The property is not in a flood prone area Deadlocks must be fitted and higher value contents may also require additional security The property must be in good condition (age or heritage home can be covered and often benefit most due to the appraisal service and extended replacement value cover)
Kidnap expenses up to $100,000 Credit card forgery expenses up to $30,000
ABOUT CHUBB The Chubb Group of Companies has been providing unique insurance solutions for individuals and businesses worldwide for over 130 years. Chubb has more than 100 offices around the world and over $50 billion in assets. At AMA Queensland Insurance Solutions we can attest to the fact Chubb consistently live up to their philosophy - We pride ourselves on our worldwide reputation for delivering an outstanding claim service and strive to treat every customer the way we would like to be treated if we experienced the same loss. Q
Complimentary insurance health check with your Associationâ€™s Insurance Advisors
Make sure you are fully covered at the right price We know doctors have a busy schedule, and while it may be easy to renew your insurance each year without proper revision, changes may have occurred for which you may not be fully covered and premiums need competitive comparison.
For peace of mind and an insurance healthy practice, contact AMA Queensland Insurance Solutions on 1300 883 059.
All insurance needs covered for all members through AMA Queensland Insurance Solutions.
SUSTAINABILITY – MORE THAN JUST SAVING THE TREES JULIE SMITH FROM WILLIAM BUCK SHOWS US HOW MERGING ENVIRONMENTAL SUSTAINABILITY WITH FINANCIAL REPORTING CAN QUANTIFY AND MONETISE YOUR SUSTAINABILITY EFFORTS AND AN ENVIRONMENTAL IMPACT, WHICH MEANS YOU CAN SAVE THE ENVIRONMENT IN A PRACTICAL MANNER. Julie Smith William Buck (07) 3229 5100 firstname.lastname@example.org
Julie Smith is Tax Services Director at William Buck Chartered Accountants and Advisors.
Embracing sustainability used to be a simple way for businesses to enhance their branding by ticking the environmental box. Today sustainability is much higher up on the corporate agenda but for those in the medical profession it can be a difficult area to navigate. Sustainability is no longer regarded as being separate to an organisation’s strategy. There has been a very real increase in the level of interest and engagement surrounding this topic. This has been driven by accountability and proactive sustainable practices being implemented by businesses all around the world. Within the medical profession we are seeing changes in trends, with an increase in the number of practices choosing to purchase biodegradable medical consumables. The reaction in Australia and New Zealand to sustainability has been mixed. Large companies were forced to adopt the Australian Carbon Tax legislation thereby making sustainability a compulsory business practice, but for smaller companies, sustainability is still a voluntary exercise. If
you’re thinking about implementing environmentally friendly sustainability measures you need ensure that it won’t have a detrimental impact on your business. The best way to do this is to ensure your own practice is sustainable so we’re sharing three key factors that will make implementing sustainable practices more viable.
STRATEGIC PLAN AND LEADERSHIP If you don’t know where you’re going, then how are you going to get there? You need a strategic plan, one that gives your practice direction and an end game. This will ensure that everybody is going in the same direction. A great way to devise a strategic plan is to hold a discussion with all of the practitioners and come up with
NOVEMBER 2013 DoctorQ
some shared principles, values and a set of rules by which you manage your practice by. This will ensure that you are all on the same page. In order to guarantee that the plan is being followed make sure you have strong leadership from your advisory board or key personnel, such as a practice manager or a medical director. This will drive the practice and ensure that it runs efficiently and cost effectively.
BUDGETING AND MONITORING PERFORMANCE To understand how your practice is performing you need to determine and monitor a key set of indicators. An easy way to do this is to set monthly budgets and monitor those budgets against the actual performance of your practice. This needs to be done regularly so timely adjustments can be made when necessary, rather than waiting until it is too late. At the bare minimum you should outline a three year budget. Effective tax planning and budgeting will ensure that you are aware of your expected income and expenses. That way you can plan for additional payments when they arise. If your practice isn’t performing the way you want it to, then perhaps it’s due for a financial health check. Taking the time now to run your practice through its paces will ensure it delivers you the results you want in the future.
SUCCESSION PLANNING Succession planning involves developing a tailored plan for the future of your practice to ensure that you maximise the value you have spent a lifetime building. Planning for these changes is a critical step to maximise the sustainability of your medical practice. Ideally this process needs to occur before any big decisions or changes happen. This will give you a better opportunity to attract younger doctors to eventually take over and continue running the practice. Q
GREEN BUILDINGS OVER THE PAST FIVE YEARS, THE STATE AND FEDERAL GOVERNMENTS HAVE IMPLEMENTED VARIOUS INITIATIVES TO REDUCE THE ENVIRONMENTAL IMPACT OF COMMERCIAL BUILDINGS. TRESSCOX PARTNER ROBIN LONERGAN EXPLAINS HOW SOME OF THESE INITIATIVES HAVE BEEN CHANGED OR REPEALED AND OTHERS CONTINUE.
Robin Lonergan Partner (07) 3004 3530 Robin_Lonergan@tresscox.com.au Robin Lonergan specialises in advising companies and joint venture partners on the most effective contractual and commercial arrangements whilst minimising risk.
In this green issue of Doctor Q I will provide some background on the green tape impacting on commercial buildings and explain some of the jargon used in the industry.
BUILDING ENERGY EFFICIENCY DISCLOSURE ACT
The Building Energy Efficiency Disclosure Act 2010 came into effect on 1 November 2010 to “create a legal requirement for owners of large commercial office buildings to obtain energy efficiency information for their building and then to disclose it to prospective purchasers and lessees. It will also require head tenants who are subletting office space to disclose this information”. The Act requires disclosure but it does not impose any requirements on levels of energy efficiency achieved and does not penalise the owners or tenants in buildings which are not energy efficient. The improvement in energy efficiency should come from prospective purchasers and prospective tenants being aware of the energy implications of a particular building and therefore being in a position to negotiate a lower price/rent or to choose to buy/lease a more energy efficient building. The disclosure should assist market forces to prefer a more energy efficient building. The Act applies when the owner of an office building having an area of in excess of 2,0002m wants to sell the building or to lease areas in excess of 2,0002m or where a major tenant wants to sublet an area in excess of 2,0002m.
The disclosure should assist market forces to prefer a more energy efficient building. DISCLAIMER: The information contained in this summary is general in nature and should not be applied or relied upon without seeking additional professional advice. William Buck has a dedicated team of superannuation and taxation experts who are happy to speak with you regarding yourself managed super fund or any other issues regarding superannuation you may have.
NOVEMBER 2013 DoctorQ
From 1 November 2010, the seller/lessor must disclose the Building Energy Efficiency Certificate (BEEC) which is valid for 12 months and is publicly accessible on the Building Energy Efficiency Register. The register sets out the NABERS Energy Star Rating for the building. The NABERS Energy Star Rating (exclusive of any green power acquired) must also be included in any advertisement for the sale, lease or sub-lease of the office space. The register currently lists buildings which have a rating. The cbd.gov.au website links to the register which can be publicly searched. This lists the building, its address and its NABERS rating.
GREEN STAR AND NABERS
The means of measuring the energy efficiency of the building is reflected in the ratings protocols either Green Star or NABERS (National Australian Built Environment Rating System).
Green Star or NABERS POOR Poor energy management or outdated systems GOOD Average building performance VERY GOOD Current market best practice EXCELLENT Strong performance EXCEPTIONAL Best building performance
The NABERS energy scheme benchmarks operational energy use of existing commercial office building measuring energy use per square metre of net lettable area. The energy efficiency measure is given a greenhouse conversion factor considering regional variations in greenhouse intensity. The benchmark requires 12 consecutive months of a building’s energy efficiency and greenhouse performance which is compared against the benchmarks. The building is then awarded a star rating from one to five. It is important to clarify exactly which rating system is being used and how the measurements are being used. The Green Star rating is available for design and is based on the prospective energy efficiency of that design either of the building or the tenancy. The NABERS rating relates to the actual energy efficiency so it can only be assessed after the building has been operating. It is also important to clarify whether the rating is over the base building or the tenancy. The star rating required under the Building Energy Efficiency Disclosure related to the NABERS rating of the base building. A particular tenancy may not reach the same level of energy efficiency depending on the nature of the fitout. The Building Energy Efficiency Disclosure Act is one part of a series of initiatives from the Commonwealth government to encourage energy efficiency in buildings. These initiatives attempt to change the environmental impact of buildings by disclosure of information so that market forces will cause the change. The main economic impact has been from government tenants and it will be interesting to see if there is a significant change demanded by private tenants. Q
We are well connected to the health industry, so we offer a deep understanding of the issues
twitt e r.c om/ Tre s s C o x
www.tresscox.com.au Phone: 07 3004 3500 • • • • • • • • •
Asset Protection Trusts Property transfers to related parties Conveyancing Leasing Employment arrangements Acquisition of medical practices Property syndicates Succession planning, wills and estates Structuring of medical practices
This case study has been published with the permission of MDA National
SCRIPTS FOR MATES
DOCTORS ARE COMMONLY ASKED BY FAMILY MEMBERS AND FRIENDS TO WRITE SCRIPTS FOR SIMPLE MEDICATIONS SUCH AS ANTIBIOTICS OR A CONTRACEPTIVE PILL REPEAT. MDA NATIONAL MEDICO-LEGAL AND ADVISORY SERVICES MANAGER DR SARA BIRD EXPLAINS WHY PRESCRIBING DRUGS FOR FRIENDS AND FAMILY IS A BAD IDEA.
MEDICO-LEGAL ISSUES In short, the answer is that in the vast majority of situations prescribing for family and friends is not considered to be good medical practice. In SA, the legislation specifically prohibits the prescription of drugs of dependence to family members, unless it is a “verifiable emergency”. While the legislation in other states and territories does not specifically prohibit medical practitioners prescribing for family members or friends, this would generally be considered inappropriate especially where drugs of dependence (Schedule 8 drugs) are involved. Indeed, a general practitioner was recently found guilty of professional misconduct for prescribing Schedule 8 drugs for her partner for treatment of cluster headaches. The partner ultimately died from an overdose. 1 It is also important to be aware that self-prescribing is inappropriate and any self-prescribing is specifically prohibited by legislation in the ACT (interns) and Victoria. There is also legislation in each state and territory which prohibits the selfprescription and/or administration of drugs of dependence or addiction. The Medical Board of Australia strongly discourages all medical practitioners from providing medical care to family and friends (this would include prescribing), and there is the possibility of disciplinary action arising from this practice.
Section 3.14 of the Medical Board of Australia’s Good Medical Practice: A Code of Conduct for Doctors in Australia states: “Whenever possible, avoid providing medical care to anyone with whom you have a close personal relationship. In most cases, providing care to close friends, those you work with and family members is inappropriate because of the lack of objectivity, possible discontinuity of care, and risks to the doctor and patient. In some cases, providing care to those close to you is unavoidable. Whenever this is the case, good medical practice requires recognition and careful management of these issues”. There may also be issues in terms of medico-legal assistance or indemnity in the event of an adverse outcome, claim or an investigation arising out of prescribing for family and friends.
failure to obtain an adequate history by relying on existing knowledge about the person failure to keep a proper record of the consultation. A survey of US physicians found that 75 per cent had been asked to provide a prescription for a first or second degree relative, and 51 per cent had been asked by their spouse. 86 per cent had refused to write a prescription on at least one occasion for a friend or family member. The following reasons “strongly influenced” their decision to refuse a prescription request: outside of practitioner’s expertise (88 per cent) patient’s need for his or her own physician (70 per cent)
DISCUSSION The issue of prescribing for family and friends is complex and potentially fraught with difficulty. While only legally prohibited in SA, there are ethical and professional issues that need to be considered in this situation. In particular, providing medical treatment to someone with whom you have a close relationship can affect your ability to provide good quality care. Concerns include:
not medically indicated (69 per cent) need for a physical examination (65 per cent).2
RISK MANAGEMENT STRATEGIES
Say “no” to requests from family and friends for prescriptions – it’s only considered ethically and professionally appropriate to prescribe in exceptional circumstances.
failure of the person to communicate openly and honestly, especially sensitive information or facts which might necessitate a physical examination
Consider in advance how you might refuse a request to provide a prescription e.g. “Professional guidelines mean that I am not able to prescribe for family and friends.”
compromised quality of care to increased informality of “consultation”
Think very carefully before you prescribe for family and friends – there are potential risks to both you and your family member/friend if you proceed. Q
1 Health Care Complaints Commission v Dr Annette Dao Quynh Do  NSWMT 7.
2 Walter JK, Lang CW, Ross LF. When physicians forego the doctor-patient relationship, should they elect to self-prescribe or curbside? An empirical and ethical analysis. Journal of Medical Ethics 2010; 36(1)19-23. NOVEMBER 2013 DoctorQ
DISCLAIMER: This article is provided by MDA National. They recommend that you contact your indemnity provider if you have specific questions about your indemnity cover.
INVEST IN YOURSELF SIGNING A LONG LEASE FOR YOUR BUSINESS MAY SEEM DAUNTING, BUT THERE CAN BE A FLIPSIDE: THE DIFFICULTIES OF MOVING ON IF A LEASE ENDS AND ISN’T RENEWED AFTER YEARS OF BUILDING A BUSINESS IN THAT LOCATION. INVESTEC’S JEFF MILLER EXPLAINS.
Earlier this year I read an article about that very topic. The article described the risks of long leases and the difficulty and expense of moving and the loss of patient goodwill attached to the location when the lease comes to an end. It can often be out of your control, for example the premises may be sold or the whole building may be going through a refurbishment. It reinforced our thinking around the benefits of purchasing the property instead. The key benefit stems from the ability to end up at retirement with an asset—not just the asset of the physical property, but also the associated goodwill to sell to someone else. However the benefits don’t end with security of tenure and control of goodwill—owning your own property also presents the potential for capital growth and provides the option of introducing a doctor to tenant the property as part of your retirement plan. To help doctors make the most of this opportunity, Investec offers finance products specifically targeted to the medical profession including a 100 per cent financing option when buying their practice property compared to most financial institutions that only offer between 60-70 per cent for the purchase of commercial property. The reason that we’re able to offer 100 per cent finance with no deposit is that we realise that the security is not necessarily just the property but the doctors themselves. Investec is a lender to the profession not just the asset. We understand this sector and we’ll do extraordinary things to look after doctors.
This trust also stems from the longevity inherent in the medical industry, with practitioners very likely to stay on the same premises for the duration of their career. Investec’s service extends to leases for equipment and cars, everyday bank accounts, goodwill funding for purchasing practices and exceptional 24/7 service replacing inconvenient ‘office hours only’ banking. The process of securing property finance begins with the doctor calling and requesting an appointment. This can happen at any stage, but it’s often before they have found a property. Investec’s financial specialists then go and visit the clients and discuss their needs.
Jeff Miller Investec 1300 131 141 www.investec.com.au/medical Investec offer a range of financial products and services specifically tailored to the medical sector.
When you actually do the numbers often the cost of borrowing 100 per cent versus your rent is not significantly different. More often than not it is entirely within your reach and it allows you, with very little contribution, to take control of your property. Plus, whilst your rent will usually increase every year, as an owner your loan balance will most likely decrease every year. Of course, as with any major investment, there are a number of factors to consider when selecting a suitable property. Apart from calculating the cash flow of the business, it is also important to select a property that will accommodate your future growth plans. The area and position of the property will be vital to its ongoing success, and the purchase should be carefully structured to maximise tax benefits. I think that from an investment point of view, it becomes difficult for a doctor to have the time to look for good investments. What better way than to invest in your own practice and your own freehold. Instead of paying off somebody else’s loan, why not pay off your own? Q
What better way than to invest in your own practice and your own freehold. Instead of paying off somebody else’s loan, why not pay off your own?
DISCLAIMER: Investec Bank (Australia) Limited ABN 55 071 292 594, AFSL and, Australian Credit Licence 234975 (Investec Bank). All finance is subject to our credit assessment criteria. Terms and conditions, fees and charges may apply. We reserve the right to cease offering these products at any time without notice. The information contained in this article (“Information”) is general in nature and has been provided in good faith, without taking into account your personal circumstances. While all reasonable care has been taken to ensure that the information is accurate and opinions fair and reasonable, no warranties in this regard are provided. We recommend that you obtain independent financial and tax advice before making any decisions.
DoctorQ NOVEMBER 2013
ECO-FRIENDLY HOLIDAYS INVOLVE VISITING NATURAL AREAS WITH THE OBJECTIVES OF LEARNING, STUDYING OR PARTICIPATING IN ACTIVITIES THAT DO NOT BRING NEGATIVE EFFECTS TO THE LOCAL ENVIRONMENT WHILST PROTECTING AND EMPOWERING THE LOCAL COMMUNITY. AMA TRAVEL’S ROS BULAT HAS SOME IDEAS FOR YOUR NEXT GREEN HOLIDAY OVERSEAS OR ON YOUR BACK DOOR STEP.
LUXURY CAMPING IN JERVIS BAY
Architect designed with both the environment and guest in mind, Paperbark Camp luxury camping is ecotourism at its best, managing to provide a beautiful and comfortable base from which to explore the local area and to enjoy the tranquility of this natural Australian bushland setting. Located on the banks of the Currambene Creek, Jervis Bay, Paperbark Camp is ideal for those who love being close to nature, but appreciate life’s little luxuries, not to mention wonderful food prepared daily by the camps chefs using local produce.
There’s no such thing as a free lunch, but thanks to WWOOF (World Wide Opportunities on Organic Farms) there is such a thing as a free stay while you help grow other people’s lunch. WWOOF is an international organisation that puts you in touch with organic farms and smallholdings looking for a helping hand in return for board and lodging.
STRATTONS HOTEL, NORFOLK
The market town of Swaffham in Norfolk is hardly cutting-edge, yet its most celebrated hotel, Strattons, sets a worldwide standard for green accommodation. Equally surprising is that this family-run hotel is not your usual socks-and-sandals eco-retreat. It’s a smart country house.
TITANIC SPA, YORKSHIRE
Is it really possible to indulge in a luxury wellness treatment while doing the planet a favour. They call their health-and-wellbeing retreat in the heart of Yorkshire – complete with steam and ice rooms, a sauna, mudchamber and foot-bath – “the UK’s first eco-spa”.
ECO RANCH IN BIESZCZADY NATIONAL PARK, POLAND
The view from the 12km long ridge at Polonina Wetlinska in the Bieszczady National Park is an unbroken panorama of ancient forests of pine, beech and oak stretching across lush valleys and hills. The world here looks wild; untouched by man. Some sensitive development has been permitted here though, including the construction of the Eco-Frontiers Ranch, a great place to stay while exploring the area.
SPEND A WEEK AT ECOCABIN, SHROPSHIRE
Nowhere is 100 per cent green, but Ecocabin – in the South Shropshire Hills, 25km from Ludlow – comes close. This single-storey lodge is a model of sustainability, from its design and construction to the way it is run. The timber frame is made from local Douglas fir and larch, the flooring is finished with native ash and eco-friendly paints, there’s sheep’s wool for insulation, solar power for hot water and electricity, and wood pellets for the stove. Most of the furnishings are from a community recycling scheme, the 1950s kitchen cabinet was plucked from a junk shop and the kitchen work surface is made from recycled yogurt pots. Q
GLAMPING IN OUTBACK AUSTRALIA
Bamarru Plains is the ultimate outback Australian Safari Experience. The focus of your stay is in the environment around you and the wildlife, and birdlife for whom it is home. Each individual safari suite is designed to blend with the surrounding bush and as such exposes you to the sights and sounds of the bush around you.
ail call or em formation For more in d. an sl en el Que AMA Trav 5 1800 262 88 PHONE: 56 7200 55 7) (0 FAX: EMAIL: aq.com.au travel@am el.com.au WEB: .worldtrav www.amaq
NOVEMBER 2013 DoctorQ
THE POWER OF FROM SMALL BEGINNINGS, WITH THE INTRODUCTION OF THE RX 400H AS LEXUS AUSTRALIA’S FIRST HYBRID POWERED VEHICLE, TO THE UNVEILING OF THE LF-NX COMPACT SUV CONCEPT, LEXUS CONTINUES IN THE PURSUIT OF PERFECTION OF DELIVERING LUXURY PERFORMANCE HYBRIDS.
Today, more than 30 per cent of Lexus vehicles sold in Australia are hybrid and it is expected by 2015, hybrids will make up half of all sales. The Lexus hybrid line up consists of six models; the CT 200h, the world’s first luxury hybrid hatch, the newly introduced IS 300h, the captivating GS 450h, the RX 450h SUV, the flagship and the luxurious LS 600h and the newest to our marquee, the elegant ES 300h. In early 2014, the GS 300h will be introduced to the range. Whilst Lexus Hybrid Drive achieves emission reductions and fuel savings, power is not compromised. The all-new IS 300h sits atop of its rivals with the highest Green Vehicle Guide rating^ and the lowest CO2 emissions of all its luxury sedan rivals, including diesels. The first ever hybrid in the IS range, IS 300h will produce just 113 grams of CO2 per kilometre and consume just 4.9 litres of fuel per 100km*, however there is a combined power output of 164kW from its petrol-electric drivetrain. These figures are unmatched by all rival petrol, diesel or forthcoming hybrid vehicles in the segment.
Today over 30 per cent of Lexus customers in Australia choose to drive a hybrid.
These peerless figures are produced by the innovative regenerative braking system in Lexus hybrids that captures and stores kinetic energy that would normally be lost. When you coast or brake, this energy is captured and used to charge the battery that powers the electric motor. Then, this intelligent system continuously optimises petrol and electric power to deliver performance and fuel efficiency at any speed, through any condition, in any circumstance. When the electric motor operates alone, Lexus Hybrid Drive provides a silent environment inside and outside the Lexus. It outputs zero CO2 emissions, and even in concert with the gasoline engine, delivers a clean-running operation to complete the four pillars of the Lexus Hybrid Drive experience.
The GS 300h will launch in Australia in early 2014, boosting the Australian GS range to four vehicles including the GS 250, GS 300h, GS 350 and GS 450h.
The newest hybrid to the Lexus model lineup is the ES 300h, and is another example of how unsurpassed efficiency figures can be matched to the highest level of luxury appointments and craftsmanship. This level of craftsmanship extends to the entire ES production process - which is overseen by 19 ‘Takumi’, or master craftsmen, who train, recruit and evaluate the results of the entire 7,700 ES production facility staff. From component construction, assembly and paint to final testing, the watchful gaze of the Takumi is ever-present.
AMA Queensland members have been upgraded to Tier 1 in the new Lexus Corporate Programme due to the support of the Lexus brand from AMA Queensland. Tier 1 is usually reserved for the BRW Top 50 companies in Australia.
The addition of the GS 300h will bring the total number of Lexus hybrid models in Australia to seven. After its unveiling at the 2013 Shanghai International Auto Show, it was revealed the GS 300h will be a rear-wheel drive and feature the all-new 2.5 litre Atkinson cycle petrol engine hybrid. The all-new drivetrain offers an exhilarating maximum combined power output of 164kW along with D-4S direct injection technology which boosts power delivery and aids fuel economy. Q
This includes reduced dealer delivery fees, three years complimentary servicing, invitations to Lexus events and the Lexus Encore Programme. The Lexus of Brisbane Group are also pleased to offer our exclusive valet service from Brisbane Domestic Airport. Further information can be found at lexusofbrisbane.com.au
^ Rating based on figures as from www.greenvehcileguide.gov.au as at 4 March 2013 * Figures based on ADR81/02 combined cycle. Fuel consumption and emissions will vary depending on driving conditions/style, vehicle conditions and options/accessories.
DoctorQ NOVEMBER 2013
A FEW LITTLE
AS THE 2014 VINTAGE ARE STARTING TO EMERGE ON BUDDING VINES WAKING FROM THEIR WINTER REST, THE FIRST OF THE 2013 WHITES AND ROSÉS ARE UP FOR TASTING. PHIL MANSER FROM WINE DIRECT SAYS THEY’RE IMPRESSED WITH WHAT’S ON OFFER SO FAR.
In an article penned earlier this year we canvassed enthusiasm for 2013 vintage from winemakers from a variety of wine growing areas and there was unanimous agreement that despite being one of the shortest seasons on record we’re going to see some excellent wines. That said, quantities will be small, so grab them when they are released. The whites and roses we’ve been submitted thus far look excellent generally, with minimal adjustment and plenty of varietal character. Below are a few highlights to date. Q
For special AMA Queensland pricing on these wines contact Phil Manser to have a chat about these and many other 2013 releases.
Phil Manser Wine Direct 1800 649 463 email@example.com
2013 Paxton Pinot Gris This is a great example of this variety, subtle pear and tropical fruit appears over a delicate palate finishing cleaner than a lot of its contemporaries. This is bio-dynamically produced and a beautiful example of minimalist wine making… Just like crunching into a fresh, crisp and cold pear.
NOVEMBER 2013 DoctorQ
2013 Dandelion Adelaide Hills Sauvignon Blanc This is produced from an ex Shaw and Smith vineyard and debuted in the 2009 vintage with 96 points from James Halliday. There’s a lot of intensity of flavour here, gooseberry, cut grass abound with tempering tropical notes. One of our panel described the length as ‘relentless’ and I’d have to agree.
2013 Turkey Flat Barossa Rose Yet again this wine shows us why it’s one of the best young roses you’ll ever drink. This year’s version brings together Grenache, Shiraz, Cabernet and Dolcetto in a beautiful fruit salad of ripe red fruits supported by a medium to full bodied palate with just a lick of residual sweetness. Beautifully balanced.
all about you
CLUB LOOKING FOR A NEW BOOK TO READ? Join us in reading a variety of books for the chance to win a copy of next edition’s book club book. Send your feedback to firstname.lastname@example.org. Q
Receive daily green tips, including a solar, wind, water, and lighting calculator and conduct home energy audits on your phone. My Green Tool Box helps you identify your potential savings and system requirements for solar, water, and wind systems by automatically determining sunny days, wind speed, and inches of rain fall based on your current location.
APP SNAP One Stop Green
Find ways to save and stay green by shopping eco-friendly products online or by contacting a Green Genius. Q
THE WEATHER MAKERS: THE HISTORY AND FUTURE IMPACT OF CLIMATE CHANGE TIM FLANNERY What does climate change mean? How will global warming affect our lives? Is it the cause of wilder storms and more frequent droughts? Are these events inevitable? Tim Flannery makes this urgent issue completely accessible. He tells the fascinating story of climate change over millions of years to help us understand the predicament we face. We are now the weather makers, and the new climate we are creating threatens the future of our civilisation.
“I was so tired at work, the other nurses had to revive me with C.P.R. - Coffee, Pepsi and Redbull!”
DR SEUSS Before going green was mainstream, Dr. Seuss warned against the dangers of not treating the environment with care and respect in his story, The Lorax. With the release of the blockbuster film version, the Lorax and his classic tale have educated a new generation of young readers about the importance of not only seeing the beauty in the world around us, but also about our responsibility to protect it.
FIRST FLOOR OFFICE – P.A. CENTRAL – FOR LEASE • Attractive incentives on offer • Major carpark adjoining • Opposite Centro Buranda and the PA Hospital with direct overpass access • 125 to 200m2 available • Adjoining Southern X Radiology
• Ideal for medical suites and other related services • Disabled access and amenities
CONTACT: George Koukides: 0412 872 786
DoctorQ NOVEMBER 2013
COMING FILMS ORE FOR M ISIT INFO V U .COM.A DENDY
14 November Enough Said The Counsellor 21 November Hunger Games – Catching Fire (Opening night event) Filth 28 November One Chance
HAMLET 1 December at 1pm and 4 December at 10am Following his celebrated performances at the National Theatre in Burnt by the Sun, The Revenger’s Tragedy, Philistines and The Man of Mode, Olivier Award-winning actor Rory Kinnear plays Hamlet in a dynamic new production of Shakespeare’s complex and profound play about the human condition, directed by Nicholas Hytner. He is joined by Clare Higgins (Gertrude), Patrick Malahide (Claudius), David Calder (Polonius), James Laurenson (Ghost/Player King) and Ruth Negga (Ophelia).
Philomena Secret Life of Walter Mitty The Hobbit – The Desolation of Smaug Frozen
CLASSIC FILMS 4 November
The Godfather II
* Classic Films tickets are $6.50 for Club Seniors, $7.50 for Club Adults and $9 for all other tickets. Showing times: 10am and 7pm
NATIONAL THEATRE LIVE See the best of British Productions on the big screen
3 November, 1pm and 6 November, 10am
17 November, 1pm and 21 November, 10am
15 December, 1pm and 19 December, 10am
William Kentridge stormed the Met with his inventive production of Shostakovich’s opera, which dazzled opera and art lovers alike in its inaugural run in 2010. Now Paulo Szot reprises his acclaimed performance of a bureaucrat, whose satirical misadventures in search of his missing nose are based on Gogol’s comic story. Valery Gergiev conducts.
Puccini’s timeless Verismo score is well served by an exceptional cast, led by Patricia Racette in the title role of the jealous diva, opposite ENJOY Roberto Alagna as her FREE lover, Cavaradossi. UNDERCOVER George Gagnidze is PARKING AT DENDY! the villainous Scarpia.
WHY NOT HOLD YOUR CHRISTMAS STAFF OR CORPORATE CHRISTMAS PARTY AT DENDY CINEMAS? We love hosting corporate film nights and group bookings at Dendy. It is a great way to thank clients or staff – or perhaps you have a favourite charity that you would like to raise some money for? We have a functions pack and cinema package to suit all requirements – plus a specially tailored Christmas Canapes menu! Please contact Events & Publicity Manager Jenny Sonter on email@example.com for a free quote.
Manchester International Festival’s electrifying production with Kenneth Branagh as the Scottish king and Alex Kingston as Lady Macbeth.
A HABIT OF ART
10 November, 1pm and 13 November, 10am Benjamin Britten, sailing uncomfortably close to the wind with his new opera, seeks advice from his former collaborator and friend. During this imagined meeting they are observed and interrupted by, their future biographer.
Version 1: 23 Nov, 1pm and 27 Nov, 10am Version 2: 24 Nov, 1pm and 28 Nov, 10am Benedict Cumberbatch and Elementary’s Jonny Lee Miller play the monster and his creator in the classic gothic tale, directed by Danny Boyle.
WIN MOVIE TICKETS FOR TWO Name:
Postal address: Portside Wharf, Remora Road, Hamilton Ph: (07) 3137 6000 www.dendy.com.au 56
NOVEMBER 2013 DoctorQ
FAX BACK TO (07) 3856 4727 or email firstname.lastname@example.org by 29 November
BERNADETTE ROBINSON IN CONCERT 8 November Concert Hall, QPAC
Experience an unforgettable evening of songs made famous by Edith Piaf, Judy Garland, Patsy Cline, Billy Holiday and Maria Callas when Australian stage superstar Bernadette Robinson will mesmerise audiences with a concert of songs by her favourite performers and song-writers
CHITTY CHITTY BANG BANG
Tickets from $99*
From 19 November Lyric Theatre, QPAC
Sensational sets, stunning special effects, Ian Fleming’s irresistible story, and an unforgettable score by the Sherman Brothers (Mary Poppins) all add up to a blockbuster musical that everyone will love. Boasting a stellar Australian cast of over 70 headed by David Hobson and Rachael Beck.
ROYAL CONCERTGEBOUW ORCHESTRA AMSTERDAM 24 and 25 November, Concert Hall, QPAC Direct from Europe, hailed as the world’s greatest, the Royal Concertgebouw Orchestra visits Australia for the first time this November. Chief Conductor Mariss Jansons leads the 120 strong orchestra in two unforgettable concerts, performing music including Beethoven’s sublime Third Piano Concerto with Grammy award-winner Yefim Bronfman, the epic masterpiece A Hero’s Life, a work dedicated to the RCO and the ravishing Fifth Symphony of Tchaikovsky. A tour 125 years in the making, don’t miss what is guaranteed to be the classical music event of the year.
E MOR FOR ATION RM INFO COM.AU . C QPA 36 246 R O 1
QPOPS 30TH NEW YEAR’S EVE GALA 31 December Concert hall, QPAC
FAST FACTS: ‘Concertgebouw’ (pronounced ‘Con-sert-ge-bough’) means ‘Concert Hall’ in Dutch The RCO is currently undertaking the largest world tour ever undertaken by an orchestra in one year: 6 continents, 30 countries with 48 concerts Chief Conductor Mariss Jansons won this year’s ‘Nobel Prize for Music’, the Ernst von Siemens Music Prize In 2008, a group of international critics invited by the prestigious Gramophone Magazine declared the RCO to be ‘the world’s greatest orchestra’
WIN DOUBLE PASSES TO CHITTY CHITTY BANG BANG
Artists include, Tenor - Rosario La Spina, Soprano Emily Burke, Mezzo - Soprano Elizabeth Lewis and Baritone - Jason Barry-Smith. This year there will be two concerts. The 6pm performance will finish in time for the first fireworks display. The 9.30pm performance will finish in time for fireworks at midnight.
FAX BACK TO (07) 3856 4727 or email email@example.com by 29 November DoctorQ NOVEMBER 2013
AN INTRODUCTION TO COMMUNITY AND PRIMARY HEALTH CARE This book offers an engaging introduction to the theory, skills and application of community and primary health care.
book and encourages students to consider how various roles address issues of social justice, equality and access.
Based on the Social Model of Health, An Introduction to Community and Primary Health Care explores how social and environmental factors impact healthcare in Australian communities.
Readable and highly practical, An Introduction to Community and Primary Health Care equips students with the theory, skills and understanding they will need as community and primary healthcare professionals working across Australia.
It discusses the principles of health and mental health promotion, the importance of cultural competence and the practice of community needs assessment.
Doctor Q has a copy of An Introduction to Community and Primary Health Care to give away. Simply fill out your details in block letters on the form and fax it to (07) 3856 4727 or email firstname.lastname@example.org.
CHECK FOR YOUR NAME!
NOVEMBER 2013 DoctorQ
Entries close 29 November
An Introduction to Community and Primary Health Care is published by Cambridge University Press and retails for $89.95. Q
The book is divided into three parts theory, skills and health professionals in practice. This latter section is unique to this
WIN THIS BOOK! Name: Postal Address: Telephone: Member No:
DOUBLE PASS WINNERS
Dr Book Kua and Dr John O’Sullivan won double passes to Expressions Dance Company’s When Time Stops.
Dr Annabel Abrahams won a copy of Clinical Cases in Obstetrics, Gynaecology and Women’s Health 2e
1. Dr Ken Bowes 2. Anna Vanderstaay 3. Dr Peta Margrie 4. Dr Tim Briggs 5. Dr Chanelle Simpson 6. Dr Paul de Jong 7. Dr Sue Colen 8. Dr Alison McColl 9. Dr Allan Tham 10. Dr John Matson
CLASSIFIEDS • Leading Skin Cancer Clinic in Canberra • $200,000 (part-time) to $400,000 (full-time) • Part of new, fully accredited private hospital facility
• Not a bulk-billing practice • Surgical upskilling provided • Complete administration support
GP REQUIRED FOR SKIN CANCER UNIT 360UV Skin Cancer Clinic is looking for a dedicated general practicioner qualified, or willing to undertake further training, in skin cancer diagnostics and treatment.
The successful applicant will work with Dr Taylor & the CEO to oversee the unit & coordinate a professional team to ensure best practices are maintained and developed.
For more information call Cheryl Taylor (02) 6282 1177
Unique services for adolescents to adults in a premier facility. St Vincent’s Private Hospital Brisbane specialises in pain management (adolescents & adults), neurosciences, rehabilitation, general medicine, palliative and geriatric care.
T (07) 3240 1111 F (07) 3391 8902 www.svphb.org.au 411 Main Street Kangaroo Point Qld 4169
Our new purpose-built pain management centre includes a dedicated operating theatre where complex pain management procedures take place using the latest technologies. Compassion
Unique Medical Rooms “On the Terrace” in Brisbane CBD are now available LOCATION: 79 Wickham Terrace, Brisbane QLD 4000
AVAILABILITY: A range of Heritage Rooms in various combinations are available to suit the needs of a modern medical practice. Varying in size and up to two or three rooms that adjoin if you require.
Leanne Winter P: (07) 3270 4551 or 0402 822 924
FIRST CLASS PATHOLOGY LABORATORY ONLY METRES FROM ROYAL BRISBANE HOSPITAL - Fitout includes offices and exceptional Pathology Laboratory facility spread over 2 levels
- Dedicated facilities on each level
- Easy access to main arterial roads and tunnel network
- Warehouse with loading dock
- Onsite car parking available Tracy James: 0448 124 330 James Byrne: 0418 758 416
1st Floor, 6/296 Oxley Road (Corner Long Street) P O Box 2159 GRACEVILLE QLD 4075
OPEN 7 DAYS Consult room in new premises available for sessional hire.
Please contact the Practice Manager
PROFESSOR ROGER ALLEN Professor Roger Allen is a highly regarded and widely published respiratory and sleep physician practicing sleep medicine for 30 years. His clinical interests include sleep apnoea, narcolepsy, periodic leg movement disorder, parasomnias and insomnia. He has his own modern lung function laboratory onsite and also a resident CPAP specialist
P: 3379 1831 | F: 3379 8166 E: email@example.com
To make a referral or for further information on Prof. Allen’s medical services visit: www.sarcoidosis.com.au or www.sleephealth.com.au
AFTER HOURS: 3831 9999 (Or call surgery for further options)
For appointments please call: 07 3719 5577 Fax 07 3719 5177 or email firstname.lastname@example.org
DoctorQ NOVEMBER 2013
Pain Trauma Paralysis And that’s just trying to buy a car
Traditional banks look at numbers alone – they’ll only lend you money if you can prove that you don’t need it. At Investec, we know better. We know that your qualifications are worth gold, we see your potential. Investec is a leading Australian specialist bank offering a full range of financial services to the medical sector – our team understands the industry inside out, so you won’t have to explain yourself to someone who doesn’t get it. And you won’t have to wait until you’re wealthy, we’ll support you early on in your career, when you most need support.
Take a look at investec.com.au/medical or call one of our financial specialists on 1300 131 141 to find out how we can help.
O u t o f t h e O r d i n a r y™
Home loans | Car finance | Transactional banking and overdrafts | Savings and deposits | Credit cards | Foreign exchange | Goodwill and practice purchase loans Commercial and industrial property finance | Equipment and fit-out finance | SMSF lending and deposits | Income protection and life insurance Issued by Investec Bank (Australia) Limited ABN 55 071 292 594, AFSL 234975, Australian Credit Licence 234975. The information contained in this document is general in nature and does not take into account your personal financial or investment needs or circumstances. Terms and conditions, fees and charges apply. Insurance products are offered by Experien Insurance Services (Representative No. 320626), the preferred supplier of insurance products to Investec Bank.
Published on Oct 31, 2013