Inside News takes a trip down memory lane, revisiting some milestone moments to commemorate the College's 90th anniversary
Also inside Balancing Act A clinician's guide to achieving work-life balance
eCDS in the Spotlight A case study from The Alfred CPD Changes What you need to know about 2025 requirements
4 Message from the President Prof John Slavotinek on the expedited IMG pathway.
Message from the CEO Duane Findley outlines some recent College changes.
What defines work-life balance, and
to successfully combine research with clinical careers in radiology.
EDITORIAL STAFF
Editor-In-Chief
Dr Allan Wycherley
In-House Editor Arizona Atkinson
Details of a new national workshop series for clinical radiologists ahead of the launch of the National Lung Cancer Screening Progam (NLCSP).
on a collaborative training course in Indonesia.
Inside News is published quarterly. For enquiries, feedback or to contribute to Inside News, email editor@ranzcr.edu.au
RANZCR acknowledges the Traditional Owners of Country throughout Australia. We recognise the continuing connection of Aboriginal and Torres Strait Islander people to the sky, lands, waters and culture and we pay our respect to their Elders past and present and emerging. RANZCR acknowledges Māori as tangata whenua and Treaty of Waitangi partners in Aotearoa New Zealand.
In my last Inside News article of December 2024 I reviewed sources of change in radiology and radiation oncology, and speculated about the medium-to-long-term future. In this article I return to more immediate considerations and continue my earlier conversation about rapid change in Australian and New Zealand healthcare, largely driven by ministers and senior healthcare administrators. By way of background I refer interested members to my Inside News article of September 2024 entitled ‘Evolution, Not Revolution—Politics, Regulation, Medical Colleges and IMGs’. The article discusses the coordinated strong push by state and federal governments to reform processes relating to both International Medical Graduates (IMGs) and accreditation of training. Such changes are outlined in the Kruk Review and the National Health Practitioner Ombudsman’s reports. These recommend major changes to the role of colleges. This may
affect all trainees and radiologists in New Zealand and Australia, in public and private sectors and in rural and metropolitan contexts.
Since that article several events have transpired:
The expedited pathway has been implemented for the first four colleges and in excess of 110 GPs have entered that pathway since late 2024.
A similar ‘expedited’ process has been implemented in New Zealand under the MCNZ.
On 7 January the College position was put forward in a Presidential communique, which was very well received by members.
Members, rightly concerned about the expedited pathway, have independently created and promulgated a petition registering their concerns with regulators and government.
RANZCR has been selected as one of the second group of colleges to participate in a similar ‘expedited’ process.
A federal election is imminent and may influence the rate of progress of this initiative.
Despite the above developments the College position and opposition remains unchanged. The Presidential communique of 7 January this year sets out the College position on the expedited IMG pathway and given the importance of the issue, key points are provided below.
By way of background, Federal and State Government Health Ministers, through the Health Workforce Taskforce (HWT), are pushing through a program of expedited IMG pathways for medical specialists.
The stated aim of this program is to deliver specialist care services to regional and rural areas. In summary, the expedited pathway process is as follows:
The HWT nominates priority specialties for expedited pathway approval and the relevant college is expected to work with the Medical Board of Australia (MBA) and Australian Medical Council (AMC) to identify other countries whose training programs are comparable to ours. These recognised programs are then placed on the MBA website.
Specialists from those countries are assessed by an independent panel (that precludes direct college involvement and may not include a representative from that specialty) and then granted automatic entry into Australia, with a 6-month supervision period to assess cultural competency.
Details of this supervision process (e.g. who, how) are unclear.
Following the 6-month period, the IMG is considered a fully qualified specialist by the regulators. Thus far four specialties/colleges (RACGP/ACRRM, RANZCOG, ANZCA and RANZCP) have been through this process with, from their perspective, unsatisfactory results.
As noted above, diagnostic radiology has now been placed on this priority list and RANZCR has started to engage with the MBA and AHPRA. RANZCR’s position on expedited IMG pathways is:
Labor and Coalition Governments, both state and federal, have underfunded
training for all medical specialists for decades.
RANZCR does not limit the number of trainees in the system. The number of trainees is determined by government funding for training places and RANZCR fills every available funded place. If the number of training places were increased, RANZCR would immediately move to fill these extra places.
The current Federal and State Health Ministers have decided that the ‘quick fix’ of significantly increasing the number of IMGs entering the country at short notice, is easier than investing in our own trainees.
RANZCR has traditionally worked closely with government to assess IMG applications and has a proud record of admitting IMGs, usually after a period of supervision and passing our comprehensive assessment program. IMGs form an essential part of our profession (34% of current RANZCR Fellows are IMGs) and in 2023, our College President and both Deans were IMGs. RANZCR recognises and embraces the value that appropriately qualified and assessed IMGs bring to the Australian and New Zealand health sectors. Given the above, there would appear to be little need to implement a new expedited IMG pathway for diagnostic radiology.
RANZCR and the Council of Presidents of Medical Colleges (CPMC) believes the expedited IMG program in its current form is poorly thought through, has not answered legitimate questions being asked by the colleges, seeks to transfer IMG approval risk from the government and regulators to Fellows of the College who participate in a flawed supervision process, will not address regional and rural shortages, and risks creating a two-tier health system, particularly impacting
women, children, and Indigenous populations in regional areas. RANZCR has made our position clear with politicians and regulators.
Specifically, the new expedited pathway provides no mechanism to encourage or ensure that incoming IMGs contribute to rural and regional health services.
RANZCR prides itself on the high quality of our training and examination processes; and thereby the high quality of radiology care provided to our communities. The new ‘twotier’ system (our current training program and the new ‘expedited pathway’) will substantially dilute the quality of care and may result in sub-optimal patient outcomes.
RANZCR has traditionally taken an approach of relatively quiet but consistent behind-thescenes advocacy, speaking directly and with authority to ministers and other stakeholders to achieve better outcomes for our members and improved patient outcomes. This approach has delivered some outstanding results, including in recent times the de-licensing of MRI machines, the MBS review for Radiation Oncology, and increased training positions in regional Australia and New Zealand. Using this approach to advocacy has not worked with government moves to implement the expedited IMG pathway.
RANZCR, as a College and through the CPMC, has been active in challenging this government position, with both behind the scenes advocacy and through public statements and press releases.
RANZCR has advocated for the creation of limited-scope and limited-place categories for existing and new IMGs from selected regions, that would achieve government aims, yet maintain clinical standards and patient safety in a way that the
current expedited IMG program cannot. The regulators have so far refused to engage with this option, or to explain why the expedited IMG pathway is a better option than the one proposed by RANZCR.
RANZCR has consulted our overseas sister colleges regarding the IMG expedited pathways and there is broad agreement that our programs are not substantially comparable. This is not to say that the other programs are better or worse than RANZCR’s; they are simply very different programs and not substantially comparable.
If an expedited pathway is developed for diagnostic radiology it remains unclear what supervision and assessment processes may follow. While provision of supervision and support for incoming SIMGs is an admirable objective, members are encouraged to ensure there is complete clarity around arrangements before they engage in any such ‘expedited’ supervisory process. Given current regulatory behaviour, if performance and patient safety issues arise after the period of supervision, accountability may, at least in part, return to the supervising radiologist. Members should therefore consider carefully before engaging in supervision of doctors on this pathway.
RANZCR will continue to engage with government and regulator stakeholders about the risks involved in pursuing expedited IMG pathways and we will continue to forcefully advocate on behalf of our members and work to optimise health outcomes for our patients and society. IN
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Winds of Change
With the President covering some of the huge changes facing the College, CEO Duane Findley focuses on some of the smaller but important changes happening internally at RANZCR. Plus, a call to think when you vote.
Duane Findley, CEO
In any healthy growing organisation, the underlying governance structures will change to support and embrace the organisation as it delivers against its purpose and strategy. So it is with RANZCR.
The Board and members recognised that the growing regulatory and governance environment in which RANZCR operated was imposing an increasingly onerous burden onto the RANZCR President. This recognition resulted in RANZCR members approving a change to the Board, introducing an independent Chair role as the ninth director position.
Late last year, Maryjane Crabtree was announced as RANZCR’s first independent Chair. With an impressive resume as a legal professional and then as a director and Chair, including in the health space, Maryjane has now joined the RANZCR Board for 2025 and is already making a difference.
Strategic Plan update
Since our 2025-2040 Strategic Plan was approved by the Board last year, RANZCR has allocated a key staff member as project leader against each Strategic Priority and
developed operational plans and projects to deliver these priorities.
There is a business management maxim that states “Structure follows Strategy”. Implementing the RANZCR 2040 Strategy has resulted in a realignment of the RANZCR structure, to enable our people to focus on delivering the strategy. This realignment has seen a merging of some business units and some changes in business line reporting, leading to a consequent reduction in the number of General Managers. During this change process two of our General Managers, Munish Verma and Shellye Hanson, announced that they would be leaving the College. I would like to thank Shellye and Munish for their significant achievements, enhancing the College standing in the sector and positioning it well for the future.
Removing member ‘pain points’
For the past 12 months, RANZCR has been working on a project to remove member ‘pain points’ in relation to the College. RANZCR staff nominated a number of College processes that, if changed, would create the greatest positive impact for the largest number of members.
The highest priority member pain point was the member fee renewal process, where the College was still asking members to pay via PayPal. This process was rebuilt to allow for card or direct payment and launched last year with positive feedback.
Another priority was the Conflict of Interest (COI) forms that our volunteer members are required to manually complete and email each year. For member volunteers on more than one committee, working group, Council or Board, the member often needed to complete more than one COI form and submit
them to different parts of RANZCR and committee Chairs.
RANZCR has now automated the process. Members can access the form via a link, complete the COI form once for all their committees, and access their online form to make updates at a future time.
Removing pain points is an ongoing process and not all changes are IT-led. Some changes have simply required a slight change of process to eliminate unnecessary steps sometimes the smallest change can offer a great improvement. If you are experiencing a pain point in a RANZCR process, please let staff know. If it can be improved, we will add it to our list!
Australian Federal election
RANZCR works equally with all sides of politics and focuses solely on the policies and actions that impact our members and the sector.
We know there will be a Federal election called by the end of May 2025 (possibly by the time you read this). Almost every poll suggests that neither major party will achieve a majority and will need the support of minor parties and independents.
I would urge every member to think about what the major parties have delivered for the issues you're passionate about and what they are promising if they secure a majority. If a candidate is from a smaller party, what are their policies and where are they directing their preferences? Which local candidate and which party will offer the best vision for the future of our profession, the health sector, and the country? IN
Diving into the Archives
To mark the 90th anniversary of the College, we look back at some key milestones, and revisit the history of Inside News itself.
1935
Articles of Association are signed, and The Australian and New Zealand Association of Radiology (ANZAR) is formed on 6 February 1935. Dr Tom Nisbet (pictured) is sworn in as President, and meetings are held in his consulting rooms in Sydney.
1939
War is declared and the Defence Department requires the Association to co-ordinate chest X-rays for all departing troops. Rising to the challenge, nearly 7,000 X-rays are processed within a week. A number of Association members see active service including Majors Burnett Clarke and Clive Uhr who, from the fall of Singapore until the end of the war, are interned in Changi Prison. Here, displaying extraordinary resilience and ingenuity, they provide life-saving medical care to fellow prisoners.
1946
In a climate of post-war challenges and opportunities, the Association continues to thrive. Working towards the foundation goal of formalising training standards, an Education Committee is formed under Dr E R Crisp (pictured), who holds the position of Education Chairman from 1946 to 1950, and later becomes President (1962–63).
In 2025 we mark a significant milestone 90 years since the founding of what is now the Royal Australian and New Zealand College of Radiologists. Throughout the decades, our College has played a vital role in shaping the fields of radiology and radiation oncology, developing medical practice, education and patient care across Australia and New Zealand. To celebrate this rich history, Inside News will feature a special four-part series throughout the year, exploring key moments, achievements and milestones from the 1930s to today. Each edition will highlight
different eras, showcasing how the College has evolved to meet the needs of our profession and our patients.
In March, we begin by revisiting the formative years of the 1930s and 1940s, a time of pioneering vision, wartime resilience and the foundation of our professional community. Stay tuned as we journey through the decades, reflecting on our proud history and the contributions of those who have shaped RANZCR into the institution it is today. We hope you enjoy this trip down memory lane and invite you to share your own reflections and memories.
1948
The long-apparent need for office space and secretarial assistance is satisfied when rooms at 135 Macquarie Street become the Association’s registered office. The College remains in Macquarie Street (pictured) until 1977, when it moves to Lower Fort St, The Rocks.
1949
On 6 October 1949, his Excellency the Governor of New South Wales signs the document formally transforming the Association into the College of Radiologists (Australia and New Zealand). The inaugural meeting is held in Sydney that November, followed by the inaugural General Meeting and Session in December.
Stay tuned for the next instalment of RANZCR history in the June issue!
Scan the QR code to learn more about RANZCR’s 90th anniversary. If you have a story to tell or a photo to share from the past 90 years, please email editor@ranzcr.edu.au
The History of Inside News
Dr Allan Wycherley, Editor-in-Chief
Communicating effectively with our membership has been a key priority throughout the history of the College, and this newsletter has played a pivotal role in that communication.
In 1951, a brief roneoed foolscap newsletter was produced. As well as providing information about Council matters, annual general meetings and other issues, this aided in developing a sense of union and solidarity among the membership.
This publication ceased in 1959 when the forerunner to the College Journal (‘Proceedings’) was published. The newsletter was resurrected in the early 1970s with the aim of providing general College news, while the Journal concentrated on scientific publications.
Single newsletters were published in 1972, 1974, 1977 and 1979, with two in 1975. These consisted of four typed pages without any images.
A third series of the newsletter, in A5 format, was introduced in 1981 under the editorship of James Hart and subsequently Barry Moore. In August 1997, after 16 years with Barry Moore in the editor’s chair, Liz Kenny joined as co-editor and the newsletter was published in A4. Along with the format change, this newsletter featured a RANZCR-crested cover, members’ photographs and a broader scope of information.
When Barry Moore assumed the Presidency in 2000, Ross Keenan joined Liz Kenny to continue the detailed quarterly publication.
The launch of the new College website in 2004 led to the current newsletter format. At the instigation of the Secretariat, and in particular Head Administration and Executive Officer Ms Pamela Spoors, Inside News emerged full of colour and style in November 2004.
Subsidised by the inclusion of advertisements, this
new-look publication provided complete coverage of College activities and highlighted individual and group achievements among the membership.
The success of the newsletter has been due to numerous staff over the years, supported by the contributions and advice from members. It is not possible to list all those involved but their attention to detail and adherence to the current publishing guidelines have kept the quarterly editions innovative and refreshing—leading to the current format introduced in December 2023.
The original purpose of this newsletter, set out in the first edition, was “a means of keeping you informed of your Council, Executive and Membership Board”. Many decades later, this publication continues to serve that function, along with a few others. Our editorial strategy is to inform members about important College changes and news, to highlight the work of our members and celebrate their achievements, to shine a light on the policy and advocacy work of the College, to promote events and networking opportunities, and to offer relevant lifestyle content to promote the general health and wellbeing of our members. As always, we rely on our membership to help us deliver this communication, and we welcome all submissions and feedback on content. Please email editor@ranzcr.edu.au if you would like to be involved in the bright future of Inside News. IN
The evolution of Inside News from 1985 to 2024.
Balancing Act
If finding work-life balance has been on your to-do list for a while, the beginning of a new calendar year is the perfect time to make some changes. But what does work-life balance look like in reality? And importantly how can you achieve it?
Radiation Oncology trainee Dr Riche Mohan weighs in.
Officially speaking, having good work-life balance means you feel happy and productive at work, as well as having time for yourself and your family. Without it, it can feel like you’re always rushing to manage the different commitments in your life, while at the same time feeling like you’re not doing any of them particularly well. In real, working terms, Radiation Oncology trainee Dr Riche Mohan believes finding balance is about knowing your values and being able to spend your time in a way that reflects them, something which requires having supportive environments around you. “For me, identifying my core values and staying true to them is key when trying to achieve balance,” says Dr Mohan. “The values I speak of broadly are the things that ‘fill your cup’.
For me, at this moment in time, this includes spending quality time with my wife and children, learning how to be a great radiation oncologist and having a positive impact on patients. When all three of those boxes are being ticked, I feel at my best.” Dr Mohan also shares that his values can, and do, change from time to time. “I don’t think the ‘values mix’ is static,” he says. “It changes regularly, particularly during training.
“For example, when my youngest daughter was born, my priorities shifted heavily towards family. However, a few months later, passing exams became the priority.
“Each phase required its own new ‘set point’ and key to achieving the right balance was having a home and a work environment that could adjust with me to facilitate the required balance of time.
“Having a supportive working environment was key to this and I’ve been very fortunate to work in two excellent units. Needless to say, my wife is pretty awesome too.”
How to find a better balance
Research shows that in addition to protecting against burnout and improving productivity and happiness, work-life balance can also lead to higher job and life satisfaction, improved mental health and resilience so it’s certainly something worth striving for.
As Dr Mohan says, part of the equation is having supportive environments, both at work and at home, but there are also steps you can take personally to help achieve a healthy work-life balance, including:
1. Identify your values
Being able to put your finger on what’s important to you in life, across both your work life and your personal one, is not only a key first step, it’s something you should review regularly. This will allow you to understand the values
you’re passionate about balancing, as well as potentially shining a spotlight on those values which, while important to some people, aren’t a genuine priority for you or at least aren’t a priority right now. “I suspect everyone has their own mix of values,” says Dr Mohan. “Maybe it’s running their dog or teaching students or undertaking research. “Regardless, for me, identifying my core values and sticking to them, particularly when there are multiple competing priorities around, ensures I’m able to carve out enough time for the important things.”
2. Set some boundaries
This may help you to set limits around your ‘work time’ if you need to, while actively finding and setting aside time for those other things you value in life. Boundary setting strategies that can help include letting people know when you’ll be offline and consciously stepping away during those times, leaving work at work whenever that’s possible, and leaning on your support system, both at work and at home, so you can share the load and even delegate tasks where it’s appropriate and helpful.
3. Fine-tune your time management Taking the opportunity to track and review exactly how you spend your time over a typical week or month can help you to identify tasks and areas where you might be able to start saving or using your time more efficiently and effectively. Time tracking apps, like TrackingTime and Toggl Track, can help you see exactly what you’re spending your time on and where you might be able to implement some timesaving changes.
4. Nurture your health and your relationships
Another aspect of feeling like you’re winning in the work-life balance stakes is doing what you
can to manage your stress levels. Looking after your health, by eating well, getting enough sleep and exercising regularly may help to reduce stress. Likewise, having positive, supportive relationships in your life can build your resilience and foster more adaptive and helpful ways to cope with stress.
5. Schedule some down time
Recharging regularly is important for being able to enjoy and succeed in those values, both personal- and work-related ones, that you’ve identified as being important to you. This makes it vital, in the pursuit of good work-life balance, to schedule time off to rest and relax, whatever that means or looks like to you.
Resources and support
If you’re feeling overwhelmed either at work or at home, or persistently stressed, so that achieving good work-life balance remains consistently elusive, help and support is available.
This Way Up offers a practical, evidence-based online Stress Management Program, which uses the principles of cognitive behavioural therapy to help you work with your thoughts, emotions and behaviours to reduce your stress levels. Visit www.thiswayup.org.au to enrol and participate for free.
SANE provides a range of online resources and information for better mental health at work. Find them at www.sane.org/ spotlight-on/workplace-mentalhealth or call the organisation’s support line on 1800 187 263.
Contact Beyond Blue on 1300 22 46 36 or visit www.beyondblue. org.au to chat to a counsellor. IN
References: L L, Muhammad R. The Association Between Work-life Balance and Employee Mental Health: A systemic review. APJHM;18(3). https://journal.achsm.org.au/index.php/ achsm/article/view/2565 www.healthdirect.gov.au/work-life-balance
Enhancing Radiology with eCDS
This article describes the journey to implement electronic Clinical Decision Support (eCDS) at The Alfred hospital. It showcases its impact on improving patient care, streamlining workflows and reducing unnecessary imaging.
Electronic Clinical Decision Support (eCDS) can transform the landscape of radiology by providing a structured approach to imaging utilisation, and The Alfred's recent experience underscores its potential to enhance patient care. As part of the broader shift towards digital health integration, eCDS helps clinicians select the most appropriate imaging while contributing to cost-effective and sustainable healthcare practices.
At its core, eCDS integrates real-time, evidence-based guidelines directly within the electronic medical record (EMR) workflow. This setup provides clinicians with immediate recommendations at the point of care, helping them optimise imaging requests. This is particularly beneficial in high-pressure environments such as emergency departments (ED), where the demand for CT scans is notably high.
In the first 180 days following eCDS implementation at The Alfred, close to 19,000 imaging requests were processed. Of these, approximately one in six were adjusted based on eCDS recommendations, contributing to a nine per cent reduction in CT scans per 100 ED presentations. This shift illustrates how eCDS positively influences clinical decision-making by guiding clinicians toward appropriate alternatives, such as radiography or ultrasound, when suitable. Additionally, the majority of all imaging requests (68 per cent) received high or moderate appropriateness scores.
For radiology departments considering eCDS, it is essential to acknowledge both the operational benefits and broader impact on patient care. Our experience demonstrates
“Unlike passive digital health solutions, eCDS demands continuous refinement, clinician training, and institutional commitment to remain effective.”
Dr Bruno Di Muzio, member of The Alfred CDS implementation team and the RANZCR CDS Governance Committee
that, beyond simply reducing low-value imaging, eCDS has the potential to streamline workflows, improve turnaround times, and support sustainable healthcare practices. The hospital observed a 40 per cent reduction in first-report turnaround times during after-hours operations, suggesting a notable improvement in workflow efficiency. Minimising unnecessary tests lessens the burden on radiology staff and reduces patient exposure to ionising radiation.
However, like with any practice change, the journey to implementation can be challenging. Resistance from clinicians, largely due to concerns about added complexity and potential delays in workflows, was a barrier to overcome. Time constraints in high-pressure settings such as The Alfred's busy emergency and trauma centre often discourages the adoption of new tools, particularly those requiring additional clicks or manual inputs. To address these concerns, stakeholder engagement was prioritised from the outset, fostering collaboration and iterative system improvements to ensure an intuitive and minimally disruptive interface. Institutional roadshows and training sessions focused on demonstrating real-world benefits, such as improved patient outcomes and operational efficiency, also played a pivotal role in fostering clinician support.
Another key challenge was ensuring data quality and maintaining clinical relevance. For eCDS to remain reliable, it must continuously align with the latest evidencebased guidelines. As medical knowledge evolves, regular updates and seamless integration of new standards are essential. Additionally, adapting the system to local protocols and resource availability introduced further
complexity, requiring close collaboration between IT, radiology, and clinical governance teams. To address these challenges, a multidisciplinary oversight team was established, tasked with managing updates and ensuring alignment with both local and national standards.
While eCDS is a promising tool, its implementation requires active engagement and sustained effort. Unlike passive digital health solutions, it demands continuous refinement, clinician training, and institutional commitment to remain effective. Without ongoing oversight, it risks becoming underutilised or outdated, limiting its impact on clinical decision-making.
Recognising challenges at The Alfred, efforts to refine the system and expand its capabilities are underway.
Looking ahead, continuous improvements to the system are planned to enhance usability and appropriateness scoring. A key focus is integrating artificial intelligence (AI) to analyse prior imaging history and provide even more precise, context-aware recommendations. These advancements could further strengthen eCDS as a vital tool in modern radiology.
The Alfred's experience affirms eCDS’s transformative potential in radiology. By optimising imaging practices, improving workflow efficiency, and enhancing patientcentred care, eCDS proves it can provide value as a strategic tool in modern healthcare. While its success depends on active engagement and refinement, its role in evidence-based decision-making and sustainable resource use makes it a compelling solution. As digital health evolves, AI-driven advancements could further enhance its impact and shape the future of radiology referrals. IN
RANZCR Workshops, Courses and Events 2025
3 MAY 2025
NSW TRAINEE DAY
Crowne Plaza, Darling Harbour 58 Bathurst St, Sydney NSW 2000
Tākina Wellington 50 Cable Street, Te Aro, Wellington 6011 www.ranzcr2025.co.nz
Find details on these events and many more on our website: www.ranzcr.com/whats-on/ events. For regular updates, in addition to the website listing, please “like” and “follow” our RANZCR social media accounts:
If you have any questions relating to any College events, please contact the Events team at events@ranzcr.edu.au
RANZCR ASM
Melbourne Convention and Exhibition Centre 1 Convention Centre Pl, South Wharf VIC 3006
www.ranzcrasm.com
RANZCR Research Grants 2025
RANZCR research grants provide financial support for Fellows, Educational Affiliates and student members in clinical radiology and radiation oncology to conduct research and foster a culture of research at the College. Grants are awarded for sums between AU$5,000 and AU$30,000. APPLICATIONS CLOSE ON 9 JUNE 2025.
Clinical Radiology
RANZCR Research Grants provide financial support for Fellows, Educational Affiliates and trainees. Applicants who are trainees must be supervised by a Fellow of the College. Grants are awarded for sums between AU$5,000 and AU$30,000.
Clinical Radiology Early Career Researchers Prize
This prize recognises a clinical radiology trainee or junior Fellow (up to five years post-Fellowship) who is the first author of a paper accepted for publication by the Journal of Medical Imaging and Radiation Oncology (JMIRO) or another Medline Indexed peer-reviewed journal. The value of the prize is AU$1,500.
FCR Indigenous Health Research Prize
This AU$2,000 prize is for Fellows, Educational Affiliates and trainees
and will be awarded in the case of high-quality clinical radiology research in Indigenous Health being published in a peer-reviewed journal.
Radiation Oncology
RANZCR Research Grants provide financial support for Fellows, Educational Affiliates and trainees. Applicants who are trainees must be supervised by a Fellow of the College. Grants are awarded for sums between AU$5,000 and AU$25,000.
Withers and Peters Grant
This AU$25,000 grant supports Fellows up to five years postFellowship and trainees post-Phase 2 exams to carry out significant research projects.
FRO Indigenous Health Research Prize
FRO Quality Improvement Project Prize
This AU$2,000 prize is for Fellows, Educational Affiliates and trainees and will be awarded in the case of highquality RO research in Indigenous health being published in a peerreviewed journal.
Bourne and Langlands Prize
This AU$1,500 prize is awarded to a trainee who has written an exceptional trainee research requirement manuscript.
For more information, and to download application forms and guidelines, visit www.ranzcr.com/college/awards-andprizes/research-awards-and-grants or email gaps@ranzcr.edu.au
This AU$2,000 prize is for Fellows, Educational Affiliates and trainees and will be awarded in the case of high-quality RO research in Indigenous Health being published in a peerreviewed journal.
Awards and Fellowships 2025
Nominations and applications for the College’s range of awards, honours and Fellowships are now open. These are available to recognise outstanding service by members to their professions, and to support members to further their knowledge and expertise by travelling overseas. APPLICATIONS CLOSE 7 APRIL 2025.
College Honours
Gold Medal
The Gold Medal honours a Fellow who has rendered outstanding service or benefactions to the development, teaching or practice of clinical radiology or radiation oncology in Australia, New Zealand or Singapore.
Roentgen Medal
The Roentgen Medal is awarded to Fellows who have made a very valuable contribution to the College over a significant period of time.
Life Membership
Life Membership is awarded to Fellows over the age of 65 who have made an unusually significant contribution to their field or the College.
Denise Lonergan Educational Service Award
This award recognises members who have demonstrated outstanding longterm commitment, participation and leadership in training and education in radiation oncology.
Clinical Radiology Educational Service Award
This award recognises members who have demonstrated outstanding long-term commitment, participation and leadership in training and education in clinical radiology.
Sally Crossing Award for Consumer Advocacy
The Sally Crossing Award for Consumer Advocacy acknowledges outstanding commitment of consumers involved in health care advocacy. The award honours the memory of the late Sally Crossing AM, in recognition of her exceptional contributions to advocating for cancer patients.
RANZCR Community Services Award
The RANZCR Community Services Award acknowledges individuals whose contributions have had a significant positive impact on their community and/or society more broadly, either within or outside the fields of clinical radiology or radiation oncology.
Educational Fellowships and Scholarships
Thomas Baker Fellowship
This Fellowship enables a clinical radiology or radiation oncology member up to six years postFellowship to further their knowledge by studying abroad for between three and 12 months. It is supported by a grant of AU$20,000 from The Baker Foundation.
Bill Hare Fellowship
This Fellowship supports a Fellow more than five years post-Fellowship for a period of intensive or overseas study (three to 12 months) or for attendance at an international short course (two weeks to one month) with a grant of AU$30,000.
Rouse Travelling Fellowship
In 2025, a clinical radiology or radiation oncology Fellow from New Zealand is sought to travel to Australia to attend the RANZCR Australian Annual Scientific Meeting. The Fellow is also expected to visit and present in their field of interest in three training centres in Australia, with the support of an AU$8,000 grant.
Indigenous Scholarship
This scholarship is available to support trainees who identify as Aboriginal, Torres Strait Islander or Māori during their studies. Six individual annual scholarships of up to AU$5,000 each are available, to be used towards expenses for educational activities.
Windeyer Fellowship
For more information, to nominate someone or to apply, visit www.ranzcr. com/college/grants-and-awards or email gaps@ranzcr.edu.au
This is a 12-month position for Fellows up to two years postFellowship or trainees post-Phase 2 exams that provides clinical research opportunities at the Mount Vernon Cancer Centre in the United Kingdom. The position is under the broad supervision of Prof Peter Hoskin.
MENTAL HEALTH SERVICES
CU Health psychologists provide a broad range of services from counselling through to long-term therapies. Whether it has simply been a tough week or something doesn’t feel quite right, their team are ready to support you.
Many of us struggle to prioritise our physical and mental health, whilst managing work pressures, engaging in family life, or pursuing personal wellness goals. These pressures may all influence psychological health.
CU Health Psychologists are certified to help you with managing a crisis and treatment for depression, anxiety and burnout using the most up-to-date evidence and resources. They understand the challenges of maintaining your health while managing demanding work schedules and responsibilities.
Complimentary Vouchers for Psychology Sessions
As part of our service to members, RANZCR is pleased to offer 4 complimentary vouchers for psychology sessions via CU Health, an entity that offers a variety of healthcare services. All other services offered by CU Health are at the cost of members.
Queries and Support
If you have any questions or concerns about using CU Health, please contact CU Health directly by calling 1300 284 325 or visiting their website at www.cuhealth.com.au.
Disclaimer
Please note that RANZCR does not provide medical or mental health advice, nor does it endorse the advice or treatment recommendations provided by CU Health or its clinical professionals. Members should act at their own discretion and seek independent advice if necessary. RANZCR will provide supplementary information about this service as part of your membership but does not influence or have responsibility for clinical decisions made by CU Health practitioners.
Starting with ‘Why’
In the first of a new series focused on integrating research into clinical careers, we hear from A/Prof Helen Frazer, State Clinical Director for BreastScreen Victoria, Clinical Director for St Vincent’s BreastScreen and Associate Professor at the University of Melbourne.
In this new series, Inside News will shine a light on people who have succeeded in combining research with their clinical practice in radiology. Clinical radiologists in Australia and New Zealand face particular challenges in pursuing academic careers, and these profiles will showcase the highly varied ways that this has been overcome. In our first profile, we hear from A/Prof Helen Frazer, a radiologist, breast cancer clinician and AI researcher with over 25 years’ experience leading breast cancer screening services. Helen has been leading research on the use of AI in screening and authored publications on AI datasets, AI model development and integration in screening, AI breast cancer risk prediction and the ethical, legal and social implications of AI in healthcare.
“Like many people in medicine, I love science and harbour a deep curiosity about ways to improve healthcare. I see research as an expression of optimism, and a path to address the challenges in healthcare rather than accept the constraints. This passion has led to 25 years in research and clinical practice in women’s health, breast cancer screening and technology.
“There are many moments that have built my career so far. I was fortunate to learn from exceptional mentors, including Mary Rickard and Jenny Cawson, who have shaped my
technical skills and underscored the value of research in radiology.
“Twenty years ago, during an imaging fellowship in the United States, I was involved in trials of computer-assisted detection systems and observed the first major clinical trial of digital mammography in screening. These early experiences sparked my curiosity with the technology revolution that was dawning at that time and is now in full flight with AI.
“Early on, I presented many posters at conferences, hoping to engage others with our teams’ local research and innovations (and facing fears of rejection!). I have found the radiology research community very supportive. One such encounter with a biotech representative led to our first research grant for early AI model developments—250 hours of data science expertise.
“This opened doors to larger grants, including from RANZCR and the MRFF. Presentations at RSNA led to the opportunity to be a visiting scholar at Stanford University’s Centre for AI in Medicine and Imaging. Along the way, to equip myself for the AI revolution, I undertook a Masters in Biostatistics and Epidemiology at the University of Melbourne. Currently, I focus on integrating AI into breast cancer screening. Our goal is to ensure AI enhances accuracy, efficiency, and the overall patient experience in a safe and equitable way.
“Balancing clinical practice with research is challenging. Dedicated clinician-researcher roles in radiology are not widespread, requiring radiologists to build networks, pitch proposals, carve out time for writing manuscripts and grant applications, in their own time.
“Despite the demands, engaging in research is incredibly fulfilling. Radiologists are very good at articulating the problems that need solving, and the opportunities to improve outcomes for patients. And research provides opportunities to join multi-disciplinary teams in my work this includes consumers, data scientists, AI engineers, epidemiologists, and ethicists to make a real impact.
“For those starting their careers in research, I would simply encourage curiosity, collaboration and optimism. With some of the largest and highest quality datasets in health, radiologists can be the data clinicians at the forefront of the revolution in medicine with AI. Far from being disrupted, it has never been a more exciting time to be a radiologist and researcher using AI." IN
A Year of Change for CPD
Here we detail the changing medical board requirements for CPD in 2025.
Simon Clarke, Manager Professional Practice
In 2025, two significant changes to CPD and College processes, mandated by the MBA and MCNZ, will take effect. The RANZCR CPD team has diligently updated processes and resources to support members, while the CPD Taskforce has implemented key enhancements to the ePortfolio based on member feedback.
Program Level Requirements (PACE)
From 2025, to meet Program Level Requirements, an activity should be completed in each of the PACE areas annually within the 50 CPD hours. RANZCR has not set a minimum time for each activity, which can be completed alongside other CPD and claimed simultaneously. These activities, mandated by the MBA and MCNZ, reflect evolving healthcare needs and aim to improve patient outcomes.
50 Hours of CPD within defined categories
While the 50 hours of CPD in the three domains listed has not been changed by the MBA and MCNZ, the CPD taskforce has carefully reviewed all the CPD activities within each domain to make it clearer and easier for members. The updated activities can be found on page 26 of the CPD handbook. The ePortfolio has also been updated to reflect these changes.
Non-Compliance
By June 2025, the College is mandated to provide AHPRA with the CPD status of all its registered medical practitioners i.e. compliant or non-compliant. This is a requirement of AHPRA, and the College as a CPD Home must comply. This reporting also includes all trainees on the training program and trainees on a break in training. At each yearly renewal of registration, you are respectfully reminded to correctly declare your CPD status, as an incorrect declaration could result in action by AHPRA.
Improved ePortfolio
Based on member feedback, the CPD taskforce reviewed the ePortfolio with College staff. This has resulted in significant changes, making completion and uploading of supporting documentation much easier, with a clearer dashboard and visual information to track progress towards compliance.
Removal of MRI and Mammography CPD Requirements
The College continues to listen to member feedback and has worked closely with the Federal Government to remove the CPD requirements for MRI and mammography. If you report either or both of these, it is no longer necessary to record CPD hours in 2025.
CPD Handbook
This year sees the introduction of a new, joint-faculty interactive CPD Handbook. It contains everything you need to know about CPD: the specific requirements, calculations for pro-rata submissions (where applicable), how to meet requirements when on a break from practice, and more. This is your go-to document, and can be found on the College website at www.ranzcr.com/ college/document-library/ranzcr-cpd-handbook-2024
Quick CPD Reminders: 1. Don’t forget your 2025 PDP
A Professional Development Plan (PDP) provides a framework for clinicians to set and achieve their career goals through reflection, planning and ongoing evaluation. It provides an opportunity for identifying strengths, areas for improvement, and specific learning objectives. Clinicians can tailor their learning experiences to align with their career trajectories and areas of interest, serving as a valuable tool for self-assessment and reflection. The CPD ePortfolio platform provides an easy-to-complete online PDP template. Alternatively, a PDP that has been developed with an employer can be uploaded into the ePortfolio. RANZCR strongly recommends that the PDP is completed within the first three months of each year.
2. Additional CPD Requirements for New Zealand
The MCNZ requires that all New Zealand Fellows, Educational Affiliates, IMGs and CPD participants also complete:
Annual Conversation A structured annual conversation with a peer, colleague or employer. A self-declaration that the conversation has been completed should be uploaded to CPD Home via the ePortfolio Annual Conversation form.
Cultural Safety Cultural safety and a focus on health equity must be embedded within CPD activities.
3. Anaphylaxis Training (Clinical Radiologists only)
Those participating in the clinical radiology CPD program must complete anaphylaxis training once every 3 years. 2025 is the third year in this cycle. Any clinical radiologists who have not already completed anaphylaxis training and uploaded evidence into the ePortfolio must do so by the end of this year. The College does not mandate a specific course or module. A course can be completed in person or online or may already be included in an employer’s Life Support or CPR training. Confirmation of completion of this training can be recorded using the Anaphylaxis Training form in the CPD ePortfolio. The College offers free anaphylaxis training at the RANZCR Annual Scientific Meeting (ASM) each October. IN
CPD at a glance
50 hours across three domains
Inclusion of Program Level Requirements where possible
Personal Development Plan
Anaphylaxis Training (Clinical Radiologists only)
Annual Conversation (NZ only)
Cultural Safety (NZ only)
Cultural Safety in Aotearoa New Zealand
MATEC reflects on the concept of cultural safety and the journey towards creating culturally safe medical practitioners in Aotearoa, including the impact of mandating cultural safety training.
Pillar One of the updated RANZCR Action Plan for Māori, Aboriginal and Torres Strait Islander Health (the Action Plan) is focused on education and training, while Pillar Two focuses on professional practice for current Fellows. In 2019, the Medical Council of New Zealand (MCNZ) released a defining statement on cultural safety and its importance in medical education. RANZCR and the Māori, Aboriginal and Torres Strait Islander Empowerment Committee (MATEC) embrace the concept of cultural safety, recognising its crucial role in improving the health outcomes for Indigenous populations.
In this article I want to highlight the concept of cultural safety and discuss its origins and the journey towards creating culturally safe medical practitioners in Aotearoa, including the impact of mandating cultural safety training.
Origins of Cultural Safety
The concept of cultural safety was first introduced in New Zealand in the early 1990s, primarily by Māori nurse and academic Dr Irihāpeti Ramsden. Her pioneering work on cultural safety stemmed
from the recognition that cultural competence the ability to understand, communicate with, and effectively interact with people across cultures was insufficient on its own. Instead, cultural safety was developed as a way to ensure that healthcare professionals not only understood cultural differences, but were also aware of the power imbalances and historical factors that shaped the relationship between Māori and the health system. Crucially it allows clinicians to explore their own attitudes and bias towards Indigenous populations rotating the lens onto themselves.
In the context of healthcare, cultural safety involves creating an environment where patients feel respected, understood and safe, especially when interacting with medical professionals from different cultural backgrounds.
For Māori, whose history with the healthcare system has been marred by colonialism, racism and systemic inequality, this approach was seen as crucial to addressing long-standing health inequities.
The Integration into Medical Education
Initially, cultural safety training was
Dr Jash Agraval, MATEC Member , Chair NZ Branch
mainly offered to nurses and allied health professionals. However, the need for such training in the medical profession was quickly recognised. Māori health outcomes have consistently been poorer than those of non-Māori, with higher rates of chronic conditions, lower life expectancy, and disparities in access to care.
The two medical schools in New Zealand gradually incorporated cultural safety as part of their curricula. The aim was to foster a generation of doctors who were not only clinically competent but also culturally sensitive and aware.
MATEC and RANZCR are aware that our trainees and new Fellows are likely better equipped and educated in this space because of these training changes.
The mandating of cultural safety training in New Zealand for all doctors was a significant step towards embedding cultural competency into medical practice and ensuring that it was not simply an optional add-on, but a fundamental aspect of medical education and professional conduct.
Challenges and Developments
Despite its growing prominence, the implementation of cultural safety training for doctors has not been without challenges. One significant hurdle has been resistance from parts of the medical community, with critics arguing that such training could be seen as an imposition on doctors or even an unnecessary bureaucratic burden.
Many colleges, including RANZCR, have embraced cultural safety training and, as a result, a number of resources are now available to assist doctors in training. While didactic in some parts, many allow clinicians self-reflection opportunities.
RANZCR evaluated many resources for training and, led by the Curriculum Assessment Committee (CRCAC), mandated the RACP cultural safety module for all trainees
(in an Australian and New Zealand context). There has also been the addition of a curated cultural safety landing page which includes definitions, relevant articles and podcasts that can assist in further education. Rather than provide an exhaustive list, the site is constantly updated with relevant material.
In a more personal context, I would like to quote one of my own senior clinical radiologists, Dr Kirsty Pearce, regarding her own journey towards cultural competency and safety training.
“As a Pākehā New Zealander who grew up in the 70s and 80s, went to medical school in the 1990s with only a smattering of Te Reo Māori and an hour or so teaching on ‘Māori Health’ at medical school, the resurgence of the language and Te Ao Māori in our day-to-day life and greater acknowledgement of the inequities experienced by Māori in our health system spurred me to find a path to achieve my own goals in this area. While I forged my own path, it’s heartening to see RANZCR and MCNZ recognise how crucial this work is.”
The Road Ahead
As New Zealand continues to grapple with the challenge of health inequities, the journey towards cultural safety training for doctors is far from complete. The healthcare system must remain responsive to the evolving needs of its diverse population. For Māori, this means ensuring that healthcare professionals are not only aware of cultural differences but also actively work to dismantle the power dynamics that have historically marginalised them.
While not mandated, it is likely the Australian Medical Council will follow the NZ example with regards to mandatory training, and RANZCR aims to stay ahead of this by embedding cultural safety training into CPD requirements. Watch this space! IN
“The healthcare system must remain responsive to the evolving needs of its diverse population. For Māori, this means ensuring that healthcare professionals are not only aware of cultural differences but also actively work to dismantle the power dynamics that have historically marginalised them.”
A new national workshop series for clinical radiologists aims to support the launch of the National Lung Cancer Screening Program (NLCSP).
Following the success of its recent webinar series, RANZCR will host a series of hands-on workshops for clinical radiologists across Australia starting in March 2025. These workshops aim to support the launch of the National Lung Cancer Screening Program (NLCSP), an Australian Government initiative in partnership with Cancer Australia and the National Aboriginal Community Controlled Health Organisation (NACCHO). Designed to save lives through early detection, the program is a significant step forward in tackling one of the nation’s leading causes of cancerrelated deaths.
The interactive workshops will provide workstation-based learning, allowing participants to apply the Nodule Management Protocol to real-life cases using curated CT studies. Attendees will benefit from the expertise of speakers from the Lung Cancer Screening Steering Committee: Dr Miranda Siemienowicz, Prof Catherine Jones, Dr Mark McCusker, Dr Diane Pascoe, Dr Stephen Melsom, Dr Samantha Ellis, and Radiology Education
Writing Lead Dr Sally Ayesa. These subspecialty radiologists will share insights on approaches to managing lung cancer screening outcomes. Clinical radiologists play a vital role in this landmark screening program, contributing to its design and implementation over the past 18 months, in collaboration with the Department of Health and Aged Care, RANZCR, ANZSTR, and other clinical groups. CPD points are available for attending these events.
To suceed in preventing lung
cancer dealths, screening must be widely available. All radiologists are encouraged to take advantage of the webinars and workshops and contribute to this initiave.
Early Detection
Evidence demonstrates that lowdose CT (LDCT) scans can detect 70 per cent of lung cancers in their early stages and reduce lung cancer mortality by 20 per cent. With a focus on equity, cultural safety and accessibility, the NLCSP facilitates and encourages participation by Aboriginal and Torres Strait Islander communities and other high-risk groups to address disparities in lung cancer outcomes. Supported by the National Cancer Screening Register, the program ensures participants and healthcare providers receive timely reminders for screenings and follow-ups, streamlining the screening process. By equipping attendees with hands-on experience and the latest guidelines, we aim to enhance the program’s implementation and ultimately save lives.
Shaping the Future
Launching in July 2025, the NLCSP is projected to prevent over 500 lung cancer deaths annually. The University of Melbourne is coordinating the NLCSP Guidelines, which outlines the participant journey, and the roles of healthcare workers involved in the screening process. These NLCSP Guidelines integrate Australian and New Zealand Society of Thoracic Radiology (ANZSTR) special interest group materials into a broader
framework. The draft guidelines have undergone consultation, and updates will be shared soon.
Additionally, the LDCT Acquisition Guidelines, created by ANZSTR, are now available on the RANZCR NLCSP website. These guidelines aim to standardise imaging practices to ensure the highest quality and safety standards for participants.
Get Involved
RANZCR encourages its members to stay informed about the development and implementation of the NLCSP by joining the ANZSTR special interest group. Open to clinical radiologists of all training backgrounds who report thoracic imaging, ANZSTR provides a platform for collaboration and professional growth. Membership enquiries can be directed to anzstr@ranzcr.edu.au or via the RANZCR contact page under Special Interest Groups.
Workshop registrations are open and radiologists are encouraged to mark their calendars. More event details, including workshop locations and schedules, can be found on the RANZCR website. Don’t miss this opportunity to contribute to a groundbreaking initiative that will shape the future of lung cancer care IN
Scan the QR code to register for a workshop or find out more about the NLCSP.
Palliative Radiotherapy in the Asia-Pacific Region
APROSIG Executive
member A/Prof Mei Ling Yap reflects on a collaborative training course in Jakarta and invites others to get involved.
From 2–6 December 2024, I had the privilege of being part of the invited international faculty for an International Atomic Energy Agency (IAEA) Regional Training Course on ‘Optimising Access to Palliative Radiotherapy within a Multidisciplinary Framework’ (RAS6098) in Jakarta, Indonesia. The training course was organised as part of the Regional Cooperative Agreement (RCA), a formal intergovernmental agreement among Asia-Pacific member states which promotes and coordinates cooperative research, development, and training projects in nuclear science and technology. The Regional Training Course was attended by radiation oncologists and medical physicists from across the Asia-Pacific region. The course was hosted locally by the Indonesian Radiation Oncology Society (IROS), with the Indonesian hospitality second to none.
This was the third in a series of training courses on palliative
radiotherapy. The objectives of the course were to increase understanding of the role of palliative radiotherapy, determining the optimal radiotherapy techniques and dose fractionation, and understanding the issues and needs regarding access to palliative radiation therapy as part of comprehensive cancer care.
During the week, I delivered teaching on palliative radiotherapy for thoracic cancers and increasing access to high-quality palliative radiotherapy. I also participated in MDT case discussion panels. It was a good chance to reflect on my own practice and a reminder of how fortunate we are to work in wellresourced settings. The MDT case discussions were all complex and challenging. One of the eye-opening cases discussed during the meeting was that of a young woman with fungating loco-regionally recurrent HER2-positive breast cancer, who has never been able to access anti-HER2 targeted therapies due to costs and lacking insurance. I also had the chance to learn from the impressive faculty members (from Indonesia, India, Japan and Myanmar), and from participants who shared their experiences with
delivering radiotherapy in resourceconstrained settings, as well as unique cultural approaches to death and dying. The final day of the course involved a visit to a hospice in Bogor.
To finish off my week, I was also invited to meet Indonesia's Minister of Health, His Excellency Budi Gunadi Sadikin, to discuss the importance of health services modelling to improve access to cancer care within Indonesia. I was impressed by his knowledge about cancer control including the importance of radiation therapy and the critical need for improved access.
The IAEA is always looking for volunteer experts to teach at RCA training courses and lead RCA projects across the region. The College’s Asia-Pacific Radiation Oncology Special Interest group (APROSIG) is also currently leading an RCA project on harmonising data collection in oncology information systems (RAS6108). IN
If you are interested in being involved in RCA/APROSIG activities, please contact meiling.yap@health.nsw.gov.au or andrew.oar@icon.team
A/Prof Mei Ling Yap
(From top) Mei and the Indonesian Minister of Health; course participants from the Asia-Pacific region.
Fostering Health
How RANZCR is prioritising the wellbeing of members, patients and the planet.
At the core of our profession lies the promotion of human health, alongside a commitment to inclusive and equitable access to essential medical imaging services, particularly for under-served communities.
As a Specialty College, we also acknowledge our collective responsibility to foster health across multiple domains, recognising that a healthy planet is fundamental to the flourishing of humankind, and a sustainable health system depends on the wellbeing of clinicians.
RANZCR's dedication to environmental sustainability, member health and wellbeing, and efforts to tackle online safety, cybersecurity, and workforce shortages reflect these priorities.
Member Wellbeing
RANZCR is acutely aware of the daily pressures faced by its members and has recently launched a 12-month trial of a comprehensive virtual health and wellbeing service. CU Health covers a wide range of healthcare needs, from managing chronic conditions to optimising mental health, sleep and nutrition.
This initiative complements
RANZCR’s Employee Assistance Program (EAP), available in Australia and New Zealand, which offers free, confidential advice to hospital and private practice employees.
Global Considerations
Radiology contributes significantly to the carbon footprint of healthcare. The advent of AI and DML further accentuates the issue.
On a global scale, climate change and environmental sustainability remain significant challenges, prompting RANZCR to establish the Environmental Social Governance Working Group (ESGWG).
This bi-national body, reporting jointly to the Faculties of Clinical Radiology and Radiation Oncology Councils, provides advice on matters relating to Environmental, Social, and Governance (ESG).
ESG is a framework that encourages organisations to operate transparently and responsibly, and practice good governance while evaluating sustainability, ethical impact, and organisational risks.
The ESGWG will also offer practical
guidance to members on integrating ESG strategies into their practices.
Additionally, RANZCR continues to advocate for viable solutions to a world-wide radiologist workforce shortage, addressing the impacts on patient health and the additional pressures on members.
These concerns were discussed at the recent Asian Oceanian Congress of Radiology (AOCR) conference with a number of our sister organisations, where valuable insights on increasing training positions, global collaborations, AI and teleradiology were shared.
RANZCR has challenged the government’s proposed expedited IMG pathway program a ‘quickfix’ for the shortage of medical specialists by offering an alternative that maintains clinical standards and ensures patient safety.
The digital footprint of radiology is immense, so online safety, cybersecurity and data privacy remain high on our agenda. Collectively all of us need to be vigilant in protecting sensitive patient records and personal and professional data. IN
Dr Rajiv Rattan, Dean (FCR)
The Australian and New Zealand contingent at the AOCR, with Prof John Slavotinek, Prof Sanjay Jeganathan, Dr Rajiv Rattan, CEO Duane Findley and Prof Dinesh Varma.
Building on a Strong Foundation
Welcoming new committee members and looking ahead to plans for 2025.
Welcome to 2025! I hope everyone had a welldeserved break over the holiday season and is feeling refreshed for the year ahead. A special welcome to our new trainees commencing their journey this year—I look forward to working with you and supporting you throughout your clinical radiology training.
I am honoured that my peers have entrusted me with a second term as Chief Censor. Over the next term, I plan to build on the progress we’ve made together, focusing on further embedding and refining the 2022 curriculum. A continuous improvement mindset remains at the core of CRETC and the Specialty Training Unit, ensuring our programs remain innovative, adaptable and effective in meeting the needs of trainees and the healthcare system.
I am also delighted to extend a warm welcome to Dr Lip Koon Ng, our newly appointed Deputy Chief Censor and Chair of the Curriculum and Assessment Committee.
Dr Ng’s extensive frontline training experience brings a wealth of knowledge and a fresh perspective to the role. I am confident his leadership will be instrumental in driving further success for the broader training program.
This year marks the implementation of the new accreditation standards, effective from January 2025. These updated
standards represent a significant leap forward, offering a more streamlined process with simplified documentation and reduced duplication. Faster turnaround times and an emphasis on providing greater support aim to empower training sites to deliver high-quality education in a more efficient and encouraging way.
The oversight of the assessment of International Medical Graduates (IMGs) remains an integral part of CRETC’s remit. In light of the President’s recent communique highlighting public safety concerns surrounding AHPRA’s new expedited pathway for IMGs, CRETC will closely monitor the situation. We are committed to working collaboratively with the Board and CEO to ensure the highest standards of safety and quality in this critical area.
We will also maintain our focus on trainee engagement, a cornerstone of our program’s success. Over the past year, the input of trainees into decision-making and program development has been invaluable, shaping key initiatives and driving meaningful change. As we move forward, their insights will continue to guide improvements in the training experience and outcomes.
Supporting Directors of Training (DoTs) remains another critical priority for 2025. Building on the success of last year’s workshops, we plan to expand resources and
initiatives that equip DoTs and clinical supervisors with the tools they need to effectively mentor and guide trainees.
Additionally, a warm welcome to the new Trainee Committee which includes many fresh faces this year. I look forward to seeing their energy and insights contribute to shaping the future of our training program and enhancing the trainee experience.
Finally, I would like to acknowledge and thank our trainees, supervisors, and committee members for their dedication and hard work. Your contributions form the foundation of our success, and I am continually inspired by your passion and commitment.
Looking ahead, 2025 is set to be a year of innovation, collaboration, and growth. From refining the curriculum to implementing new accreditation standards and embracing advancements in medical education, we are poised to build on the strong foundation laid in previous years.
Here’s to a productive and inspiring year ahead—let’s work together to make 2025 a year of continued progress and shared success. IN
Dr Barry Soans, Chief Censor (FCR)
CPD and a Safe, Supportive Work Environment
Discussing the evolving requirements for Continuing Professional Development (CPD) and the College’s commitment to tackle bullying and harassment.
Dear members, it is with great enthusiasm that I step into the role of Chief of Professional Practice for Clinical Radiology. I would like to extend my heartfelt appreciation to my predecessor, Prof Dinesh Varma, for his exceptional leadership and contributions to the profession. His dedication has paved the way for continued excellence, and I am eager to build on this strong foundation to further support and advocate for our members.
As we move further into 2025, many of you will have received updates regarding the additional requirements for CPD. It is important to clarify that these changes are not unique to RANZCR; rather, they have been mandated by the medical boards governing all medical colleges across Australia and New Zealand. While we understand that regulatory adjustments can be challenging, please rest assured that the College is committed to making this transition as seamless as possible for our members.
To that end, we have provided comprehensive information about these new requirements in this issue, as well as in the updated CPD Handbook. This resource has been significantly revised in response to member feedback to ensure clarity, ease of use and accessibility. We strongly encourage you to explore the Handbook, as it serves as a valuable guide to help navigate your
CPD obligations effectively.
A key positive change that came into effect from January was the removal of additional CPD submission requirements for mammography and MRI. We recognise that this adjustment will come as welcome news to many, reducing administrative burden and allowing you to focus more on meaningful professional development activities.
Furthermore, our CPD Home ePortfolio platform has undergone substantial enhancements, also driven by member feedback. The platform now features an improved user interface, making it more intuitive and efficient for tracking CPD hours. A new visual dashboard provides a clear overview of your progress, showing both the percentage of recorded hours and the remaining hours needed to fulfill your requirements. These improvements aim to make CPD management less time-consuming, ensuring that you can meet your obligations with greater ease. As always, our dedicated CPD support team is available via phone or email to assist with any questions or concerns.
While many of us are already familiar with the three established CPD activity categories, 2025 also introduces Program Level Requirements (PLR). These new requirements are designed to broaden the scope of CPD
activities, encouraging deeper engagement with key areas such as professionalism, healthcare inequities, and cultural safety. We believe these additions will enrich your professional growth and contribute to a more inclusive and reflective practice environment.
In alignment with the College’s commitment to cultural safety, we are proud to have established the Culture of Medicine Working Group at the end of last year. This initiative was developed to address and challenge unprofessional behaviours, including bullying and harassment, within radiology workplaces. Every individual—whether patient or staff— deserves to be treated with dignity and respect. I am deeply grateful to the dedicated colleagues who have stepped forward to join this initiative, and I look forward to collaborating with them to foster a supportive, inclusive and respectful professional environment.
As we navigate these changes together, I want to assure you that the College remains steadfast in its mission to advocate for and support our members. Your feedback is invaluable, and we are committed to continuously refining our resources and initiatives to better serve you. I look forward to working with you all in this new capacity and welcome any thoughts or insights you may have. Thank you for your continued dedication to our profession. IN
Dr Pramod Phadke, CHoPP (FCR)
Meet the New Dean
In his first letter as Dean, Dr Tuan Ha explores why member unity, cohesion and determined advocacy is vital in an increasingly complex environment.
Iam honoured to serve as the new Dean of the Faculty of Radiation Oncology (FRO) for 2025–2026 and build upon the excellent work and leadership of Dr Gerry Adams, who stepped down from the role at the end of last year.
By way of introduction, I have been involved in the College for many years, since my days as a trainee, taking on various roles in committees that have included the RO Trainee Committee, Economics and Workforce Committee, the Targeting Cancer Management Committee and more recently helping to organise the 2023 Brisbane ASM. All of which have given me a wide-ranging understanding and appreciation of the many factors that are involved in representing our members, advancing our profession (on a local and global front) and delivering the world-class training that our members, patients, and community deserve.
As an RO, I have a specific interest in the treatment of breast,
gynaecological, genitourinary and brain cancers, and in improving access to radiation oncology services within rural and regional areas.
Priorities
Individually and collectively, our profession is contending with numerous and, at times, competing pressures from multiple regulators and funding bodies, further complicated by political imperatives and expectations. This complex terrain poses both considerable challenges and opportunities and demands concerted advocacy and engagement by the College.
A strong and united voice is critical in enabling RANZCR to progress our shared agenda for the long-term viability of the sector, and it is therefore vital that all members of the College work together as a cohesive whole, whether as Fellows, trainees or Educational Affiliates.
This is reflected in the focus on member engagement and member fulfilment in the RANZCR 2025-2040 Strategic Plan’s first planning horizon, recognising that our future rests upon our collective engagement, action and support.
From a cancer care perspective, it means reinforcing the pivotal role that RANZCR members play in the delivery of holistic cancer care where quality patient care and outcomes are dependent upon collaboration between radiation oncologists, clinical radiologists and other cancer care professionals.
Theranostics, a combination of diagnostics and therapeutics, is a great example of how holistic radiology for cancer care works
in practice. This collaborative approach currently comprises investigation and diagnosis of disease, treatment selection, targeted radiation therapy and follow-up scanning post therapy.
We envision that theranostics will become the fifth pillar of oncology alongside surgery, radiation therapy, interventional oncology, and systemic therapy or drugs (chemotherapy and targeted therapies biologicals and immunotherapy). Improving equitable access to brachytherapy remains a high priority for the College. It is a high-value, low-cost treatment that is particularly critical for the treatment of gynaecological cancers. However, recent RANZCR surveys have revealed a concerning decline in the number of patients accessing this life-saving treatment, where women, particularly Indigenous women and those living in regional and rural areas, are predominantly impacted by this decline.
When brachytherapy is difficult to access, patients still require treatment, which will often be with more complex external beam radiation therapy techniques.
This has the double negative impact of increasing costs and poorer clinical outcomes. While we are making progress in this space, including advocating for the reinstatement of the Radiation Oncology Health Program Grants (ROHPG) scheme to support capital costs and fund Advanced Training Fellowships in delivering brachytherapy, there is considerable work to do.
Dr Tuan Ha, Dean (FRO)
Cohesion and Unity
We need to be proactive and take the lead on these and other issues that may negatively impact patient safety and access, compromise member safety, have the potential to threaten the viability of the sector or undermine training quality and clinical competency.
This includes the program of expedited IMG pathways for
be easier than investing in our own trainees. RANZCR recognises and embraces the value that appropriately qualified and assessed IMGs bring to the Australian and New Zealand health sectors. Indeed, IMGs form an essential part of our profession (34 per cent of current RANZCR Fellows are IMGs). The College has traditionally worked closely with government
“Member unity, cohesion and determined advocacy have never been more crucial. We each have a role to play, and I look forward to working with all members to make a positive difference.”
medical specialists proposed by state and federal governments with the stated aim of delivering specialist care services to regional and rural areas.
The current Federal and State Health Ministers have decided that the ‘quick fix’ of significantly increasing the number of IMGs into the country at short notice, would
to assess IMG applications and has a proud record of admitting IMGs, usually after a period of supervision and passing our comprehensive examination program. RANZCR has actively challenged this government position and has advocated for the creation of defined-scope and defined-place categories for IMGs from selected regions, that
would achieve government aims yet maintain clinical standards and patient safety in a way that the current expedited IMG program cannot. The regulators have so far refused to engage with this option, or to explain why the expedited IMG pathway is a better option than the one proposed by RANZCR.
The issues I’ve highlighted are just some of the challenges we face, and reinforce the fact that member unity, cohesion and determined advocacy have never been more crucial. We each have a role to play, and I look forward to working with all members to make a positive difference.
Finally, we recently received the sad news of Dr Sean Brennan’s passing. I would like to extend my condolences to all those who knew him. Sean was Chief Censor when I was training and I vividly remember his energy, enthusiasm in teaching and mentorship. Sean was a great man who made a significant impact on our profession. His great work in the rural and regional space and his time as Chief Censor are some notable examples that spring to mind. He will be greatly missed. IN
lungscreen
Welcome to 2025
A snapshot of priorities and key projects for the year ahead.
Communication and Culture
Looking back on 2024, one of my key goals was to enhance communication between trainees, Fellows and College staff. I’m proud of the progress we’ve made— streamlining feedback mechanisms, improving access to resources and responding more quickly to queries. I hope these efforts have made the College feel more open and accessible to everyone.
Happy New Year and welcome to our new trainees joining the radiation oncology program. You’re about to embark on an exciting and challenging journey. You’ve joined a community of passionate professionals who are committed to supporting you every step of the way. We are here to guide you, champion you and help you grow into the next generation of leaders in our field.
Accreditation Standards
This year brings with it exciting developments, including the implementation of the new Radiation Oncology Accreditation Standards. These standards, the result of years of collaboration and consultation, are designed to improve the quality of training at every site while also allowing flexibility to meet individual needs. This milestone is a big step forward, and I encourage everyone to familiarise themselves with the new processes as we implement them.
In 2025, the training team and I remain committed to continuing this work, ensuring every voice within our College is heard and valued. The success of our memberled organisation depends on building these strong connections and fostering a culture of inclusivity and belonging. I invite you to be part of this journey together, we can create an environment where everyone feels engaged and supported.
Directors of Training
Our Directors of Training (DoTs) and Clinical Supervisors remain at the heart of our training program and we are deeply grateful for their dedication. This year, I’m excited to announce that we will be expanding resources and training opportunities for DoTs.
By strengthening the support for those who guide our trainees, we aim to create a space where everyone feels equipped, more confident in their roles and motivated to succeed.
IMGs
The oversight of International Medical Graduates (IMGs) is a cornerstone of the College’s mission. IMGs are an integral part of our profession and we are committed to maintaining the highest standards in their assessment, while also ensuring they are adequately supervised throughout their training and well-supported as an Australian specialist. In light of the President’s recent communique raising concerns about public safety related to AHPRA’s expedited pathway for IMGs, we will work closely with the Board and CEO to uphold the highest public safety and the quality of care in radiation oncology. Our priority is to ensure that IMGs feel empowered and supported in their professional development, while always placing patient care at the forefront, ensuring that the working environment allows all radiation oncologists to thrive without compromising the safety and wellbeing of those we treat.
Onwards and Upwards
Thank you for your unwavering dedication to our trainees, patients, and the field of radiation oncology. Together, I’m confident we can make 2025 a year that strengthens our community, and drives positive, meaningful change for our trainees, who are the future leaders of our field. Let’s make it an extraordinary year. IN
Dr Lisa Sullivan, Chief Censor (FRO)
A New Dawn Breaks
An introduction to the new Chief of Professional Practice (CHoPP) for the Faculty of Radiation Oncology, Dr Ziad Thotathil.
Dr Ziad Thotathil, CHoPP (FRO)
Although we are no longer welcoming the New Year (in March!), this is my first piece in my role as the Chief of Professional Practice. It is indeed an honour and a privilege to be given this responsibility by the Faculty. Dr Carol Johnson, my predecessor, did a great job shepherding the Faculty through a period of change in our obligations for CPD, and I thank her and the team at the College for having set the stage for a bright dawn rather than stormy skies.
We agree with the principles of CPD. Registered medical practitioners who are engaged in any form of practice are required to
participate regularly in CPD that is relevant to their scope of practice to maintain professional currency, and support them to maintain, improve and broaden their knowledge, expertise and competence, and develop the personal and professional qualities required throughout their professional lives. The regulators have recommended that practitioners engage in a variety of CPD activities that update not just their knowledge base but also enhance their professional behaviour. They asked us to move to an annual cycle with mandatory minimum requirements in various categories. The College responded with an upgraded platform to enable easier recording of activities and helpful guides. Judging by the CPD returns submitted, I am happy to see that the vast majority of you understood what you needed to do.
However, the CPD program is not in ‘set and forget’ mode. The regulatory authorities in both Australia and NZ are continually responding to the changing environment for the delivery of medical care. The Professional Practice Committee (PPC), as your representative, is continually assessing and responding to
proposals from the regulators to make sure that we set standards for our members that are practical and achieve the stated aims of CPD. We may not always get it right for everyone, and that is why I welcome any feedback from you on specific or general matters through cpd@ ranzcr.edu.au, or even directly.
The updated CPD Handbook has details of the changes to the program for 2025, and I urge you to have a read now, rather than at the end of the year, so that you can tailor your Professional Development Program (PDP) as required. Please keep in mind the new Program Level Requirements (PLRs) for 2025 that require activities that help you understand health inequities, cultural safety and ethical standards for your practice. Additional information is available in the accompanying articles by the CPD team in this edition of Inside News.
Let me sign off with one of my favourite quotes, which I think reflects on the work we do everyday. IN
“Quality is not an act, it is a habit.” - Aristotle
Standards for a Rapidly Evolving Era
Dr Reza Rahbari details of the Faculty of Radiation Oncology’s new framework for integrating artificial intelligence into clinical practice.
Artificial intelligence (AI) is revolutionising radiation oncology, offering opportunities to enhance precision, streamline workflows, and improve patient outcomes. Recognising its transformative potential, the Faculty of Radiation Oncology (FRO) has introduced the Standards of Practice for Artificial Intelligence in Radiation Oncology. This comprehensive framework ensures the safe, ethical, and effective integration of AI into clinical practice, with a strong emphasis on governance, transparency, and professional accountability.
Why AI Standards Matter
From automated contouring to treatment planning and quality assurance, AI has already begun reshaping aspects of radiation oncology. However, its integration comes with inherent challenges, such as the risk of algorithmic bias, ethical dilemmas, and the critical need for secure and responsible data management. The newly published standards address these complexities, providing a clear structure to help practices harness AI’s potential responsibly. Central to the standards is the principle that AI should assist, not replace, the expertise of radiation oncologists. By establishing robust governance frameworks, clarifying roles, and requiring proper training, these guidelines prioritise patient safety and uphold the integrity of clinical decision-making. They align with our collective goal of delivering evidence-based, patient-centred care.
Key Elements of the Standards
1. Governance and Oversight:
The establishment of governance bodies, such as an Artificial Intelligence Committee (AIC), is critical for overseeing the selection, deployment, and monitoring of AI tools. These committees address issues like ethical use, automation bias, and conflicts of interest.
2. Professional Accountability: Radiation oncologists remain responsible for interpreting AIgenerated outputs within the broader clinical context, ensuring all decisions are patient-focused and evidence-based. Comprehensive training in AI and machine learning is essential for all users.
3. Algorithm Validation and Deployment: Before deployment, AI tools must undergo rigorous validation for their intended clinical settings and patient populations. Routine audits and monitoring ensure that the tools meet performance expectations.
4. Data Privacy and Security: The highest standards of data security and patient confidentiality must be maintained. This includes proper consent processes, anonymisation, and strict control over data sharing.
5. Ongoing Monitoring and Audit:
Regular audits and feedback loops are vital for assessing AI tools’ effectiveness, addressing potential shortcomings and maintaining alignment with evolving clinical requirements.
A Rapidly Evolving Landscape
AI is advancing at an extraordinary pace, presenting both opportunities and challenges for radiation oncology. As practitioners, we must embrace this evolution while remaining mindful of its limitations. The standards provide a practical framework for navigating this complexity, ensuring innovation is balanced with safety, ethics, and professionalism.
A Call to Action
Adhering to the Standards of Practice for Artificial Intelligence in Radiation Oncology is not merely a procedural necessity—it is a professional commitment. By following these guidelines, we ensure that AI augments, rather than detracts from, our expertise, enabling us to provide the highest standard of care. Together, we can set the benchmark for AI integration in healthcare and continue to lead the way in advancing patient outcomes. IN
Member Rewards Program
As a member of the College, you can access a specially selected, member-only rewards program to deliver maximum value from your membership subscription fee. The program caters to a variety of needs with a range of financial, insurance, legal, travel and lifestyle products and services included.
THE ACCOMMODATION BROKERS
They say “memories last forever” and some of the best memories for us all are holiday memories. Our partner The Accommodation Brokers has been delivering holiday discounts to our members for more than three years and the ongoing feedback has been very positive.
“I am a RANZCR member and have used The Accommodation Brokers on six occasions, I just submit the best price I can find, and The Accommodation Brokers have always been able to secure a better deal,” said a College member from South Australia. Time to start planning your next break?
To discover your travel discounts, visit The Accommodation Brokers website, www.theaccommodationbrokers.com. au and register to become a member or email your request to bookings@ theaccommodationbrokers.com.au
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• Access to a dedicated national KPMG Enterprise team to support your members, across all service areas.
This offer is available to the following services provided by KPMG Enterprise Australia, New Zealand and Asia: Audit and Assurance; Tax, Transactions, and Accounting; Advisory; Accelerating Business Growth. To access the offer, please complete the online form. You will then be connected with the appropriate contact. ranzcr.com/contact-kpmg
See all Member Rewards offers in:
New Zealand Australia
HILTON HOTELS AUSTRALASIA
Hilton Hotels are offering RANZCR members and staff a discounted rate at their properties in Australasia until 31 December 2025 (for travel within this timeframe).
Hilton Hotels ensures a luxury experience for guests and is available for either business or leisure travel. Bookings can be
made using your 7% Discount off Best Available Rate for both corporate and leisure stays at all Australasian Hotels. Your special discount offers flexibility of 24 hour cancellation, LRA (Last Room Availability) and includes complimentary WIFI. Subject to availability.
Booking details:
Account Name: RANZCR – Royal Australian & New Zealand College of Radiologists
BMW Corporate offers Australian College members and their spouses the following benefits:
• A free Service inclusive for three years or 60,000kms*
• Benefits extended to your spouse or de-facto partner
• Reduced dealer delivery of $1,850 excluding taxes
• Access to a dedicated Corporate Sales Manager
This offer currently excludes electric cars.
*Complimentary basic scheduled servicing, including Vehicle Check, is valid from date of first registration for whichever comes first of 3 years/60,000kms, and is based on BMW Condition Based Servicing or Service Interval Indicator, as appropriate. Normal wear and tear items and other exclusions apply. Servicing must be conducted by an authorised BMW dealer. Consult your preferred BMW dealer for further terms and conditions.
To find out more: Visit www.bmw.com.au/corporate or www.mini.com.au/corporate
Phone: Call 1800 635 750
Email: Write to corporate@bmw.com.au
When you’re ready to make a purchase, you will require an authorisation letter from the College to access the corporate benefits. Email the College to request this letter.
Remembering Nobby
Prof Michael Poulsen pays tribute to RANZCR past-President Prof Robert (Nobby) Bourne, who passed away in October 2024.
Prof Robert (Nobby) Bourne passed away in October 2024 at the age of 92. He passed peacefully with his family by his side in the Mater Hospital, where he worked for most of his career.
Nobby grew up in Toowoomba and attended the Church of England Grammar School as a boarder. His career in medicine and radiation oncology was influenced by Dr Bruce Kynaston, and Nob in turn influenced others such as Syd Roberts, Rod Withers and Lester Peters to pursue careers in radiation oncology. He was enormously proud of his profession. I first met Nob in 1981 when I was a second-year resident at the Royal Brisbane and Women's Hospital, rotating through the Queensland Radiotherapy Institute (QRI). I vividly remember Nob, always in a crisp white coat, leading ward rounds with a calm, professional demeanour, focusing entirely on the patients. He was methodical, a great clinician, and eager to share his knowledge, making a lasting impression on me.
IN MEMORIAM
Prof Robert Bourne, Fellow, QLD
Dr Sean Brennan, Fellow, QLD
Dr Ramon Lun, Fellow, QLD
the career for me. I loved the experience and patient care so much that I decided to join the training program the following year, a decision influenced by Nob’s mentorship. Nob was the Director of the Mater QRI and this rotation was much sought-after by the trainees. As Chief Examiner of RANZCR at the time, he provided an excellent environment to prepare for exams. At the Mater, Nob created a dynamic, engaging work environment, fostering strong relationships with the heads of radiation therapy, nursing, and physics. Together, they built one of Australia’s busiest departments, treating over 160 patients daily with four linear accelerators across six shifts. Nob’s leadership also extended to creating a strong multidisciplinary team with surgeons, radiologists, pathologists, allied health professionals and medical oncologists.
“I vividly remember Nob, always in a crisp white coat, leading ward rounds with a calm, professional demeanour... ”
Nob was also deeply involved in the broader field, taking on leadership roles within the College. As President of RANZCR, he helped secure office space in Sydney and initiated structural changes within the College. His leadership in these areas, as well as his appointment as a WHO consultant in Papua New Guinea and his role on the Dougherty Committee, demonstrated his commitment to advancing the field. Nob was also a tireless educator, serving as an examiner for radiation oncology for 20 years, including five as Chief Examiner. His love of research and his inquisitive mind resulted in many peer-reviewed publications and he encouraged those around him to participate in research. His contribution was recognised by receiving the title of Clinical Professor in 1992. His service to the College continued into retirement as a Trustee for the JP Trainor Trust, ensuring the preservation of the College’s archival materials. He was recognised with the Rouse Travelling Fellowship in 1979 and the Roentgen Medal in 2021.
Despite the busy environment at QRI, where we cared for 20-30 very ill patients, Nob was patient with us. Radiation oncologists at that time were also responsible for chemotherapy and palliative care, adding to the workload. It didn’t take long for me to realise that this was
In retirement, Nob remained engaged, staying in touch with old patients and continuing to read the College newsletter. He was a wonderful mentor, an exceptional radiation oncologist, and a loving husband, father and grandfather. My sincere condolences go to Marg, Katie, Judy, David, their partners, his grandchildren and great grandchildren, of whom he was so proud. IN
In Our Hearts
Esteemed radiation oncologist Dr Sean Brennan passed away on 23 December 2024. Here, Dr Gerry Adams reflects on his work and commitment to the College, as well as his kindness and dedication to his family.
We were all shocked by the news of Sean's passing just prior to Christmas. For those fortunate enough to know Sean, his absence is felt deeply, as he embodied a rare combination of passion for his profession and unwavering dedication to his family.
Sean’s commitment to radiation oncology was unparalleled. In modern medicine, being an excellent clinician is no longer sufficient; one must also be empathetic and supportive to patients and colleagues alike. Sean exemplified this belief, demonstrating that the human connection in healthcare is as vital as technical expertise. His colleagues frequently remarked on the profound impact he had on their lives, inspiring both personal and professional growth.
After arriving in Australia, Sean quickly established himself in the medical community by taking a staff position at Townsville Hospital.
His enthusiasm for teaching was infectious, and it wasn’t long before he assumed the role of Director of Training. His ability to inspire and engage those around him propelled him through the ranks, leading to positions as Phase 2 Examiner, Chief of Examinations, and Chief Censor.
Each of these senior roles came during a challenging period for the College, marked by significant reform and the unprecedented challenges posed by the initial COVID-19 outbreak. It is with great gratitude that we acknowledge Sean’s unwavering dedication, which helped the College navigate through these turbulent times.
While Sean humbly insisted that the credit belonged to others, we knew that his tireless efforts were instrumental in ensuring the College emerged from this period in a strong position.
In recognition of his exceptional service and commitment, Sean was awarded the prestigious 2023 Roentgen Medal. This accolade
“His colleagues frequently remarked on the profound impact he had on their lives, inspiring both personal and professional growth.”
stands as a testament to the high regard in which he was held by his peers and the lasting impact he made on the field of radiation oncology.
Beyond his professional achievements, Sean was a devoted family man. He cherished his loved ones, and his dedication to them was evident in everything he did.
For those who were privileged to work alongside him, it is this deep commitment to family, colleagues, and trainees that resonates most powerfully. Sean was not just a mentor; he was a friend, a guide, and a source of unwavering support.
As we reflect on Sean’s life and legacy, we remember not only his remarkable contributions to medicine but also the kindness and compassion he extended to every person he encountered. Vale, Sean. You will be missed but never forgotten. Your spirit will continue to inspire us all, and your legacy will live on in the hearts of those you touched. IN
New Horizons
Our new NZ Branch Chair, Dr Jash Agraval, discusses the changing health landscape and priorities for the year ahead.
Kia ora tātou, happy new year to all! I am excited to take on the role of Chair for the New Zealand Branch, having first been exposed to Branch work as a trainee member in 2012. This will be a pivot for me from my previous roles in the training space, most recently Chair of the Curriculum Assessment Committee and Deputy Chief Censor. I would like to thank Dr Gabes Lau for all the work he put into the Branch over his term. With an extensive history of College involvement, he’s never one to ‘hang up his hat’ for long, and I wish Gabes the best in his new role as the Editor in Chief of JMIRO.
I welcome the new members of the committee Dr Joel Dunn, Dr Al Junaid and Dr Lotte Steffens, as well as those members staying on the committee. Congratulations to Dr Ziad Thotathil, Chief of Professional Practice, who joins us as a new member of the NZ Radiation Oncology Executive. I would also like to congratulate Dr Dushi Rasanathan, who commences her
second term as radiation oncology trainee representative, and introduce Dr Hannah Scowcroft, our clinical radiology trainee representative. Our registrars are the future of the College and share a valuable perspective.
With busy clinical schedules in the face of extreme health system pressures, I commend all Fellows who take part in volunteer College roles. The College cannot function without the valuable clinical input from working Fellows, and there is no better way to enact system change than being part of the process. With many EOIs out for various College committees, I challenge my colleagues to get involved.
Coming to terms with the changing health landscape in New Zealand with Health New Zealand —Te Whatu Ora (HNZ) has been a difficult journey, particularly in the current fiscally constrained environment. Recently, the Prime Minister Rt Hon Christopher Luxon, announced that Hon Simeon Brown will take over from Hon Dr Shane Reti as Minister of Health. The Prime Minister signalled that health is a priority area and I hope that 2025 brings stability to the system with more certainty around clinical roles and funding allocations.
The focus of the NZ Branch's work this year will be on workforce retention, increasing the profile of the disciplines, and advocacy. We will continue to liaise with our health colleagues across the government, public and private sectors to present and align our priorities, and highlight areas such as investment in data and technology infrastructure.
We will also advocate by engaging in relevant consultations, such as the upcoming review of the Health Practitioners Competence Assurance Act 2003 (HPCAA).
We will continue to partner with and assist the National Radiology Clinical Network (Radiology Network) led by Dr Sharyn MacDonald and Dr Charlotte York. Radiology has been prioritised for the national network as we are recognised as a well functioning speciality, but also recognised for how pivotal we are in the patient journey. Dr Chris Jackson and Dr Myra Ruka have been appointed as the co-leads for the newly established Cancer National Clinical Network (Cancer Network).
Alongside work with the Cancer Network, the Executive will advocate on the value of investment in radiation oncology and the radiation oncology workforce, as well as focusing on stakeholder engagement.
Both the Branch and the Executive will also focus on raising the profile to support the recruitment and training program. We will also be investigating ways to maximise Aotearoa’s capacity for training and retaining clinical radiologists and radiation oncologists.
This year, the NZ ASM, ‘What we do in the Shadows’, heads back to Te Whanganui a Tara, Wellington (from 15–17 August). Registrations and abstract submissions open 15 April, further information can be found on the ASM website. Please keep these dates in your diaries. The NZ ASM is a great way to connect with and learn from our national colleagues. IN
Dr Jash Agraval, NZ Branch Chair
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