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Inside News is published quarterly. For enquiries, feedback or to contribute to Inside News, email editor@ranzcr.edu.au
EDITORIAL STAFF
Editor-In-Chief
Dr Allan Wycherley
In-House Editor Arizona Atkinson
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.
RANZCR President Prof John Slavotinek reflects on the current political and regulatory landscape in relation to medical colleges and IMGs.
Prof John Slavotinek
In recent years, health ministers and senior health administrators in Australia and New Zealand have come under increasing media pressure. Common themes include limited funding and limited access to healthcare services due to shortages of doctors, nurses and other healthcare professionals. On occasion, withdrawal of hospital accreditation by medical colleges has also led to damaging publicity for health administrators and parliamentarians. Importantly and deservedly so, media attention and issues around workforce shortages and access to healthcare have been particularly acute in regional and rural centres.
Pressure in the media and associated political pain has led to an appetite among ministers for rapid and sweeping change. Over the past 24 months, health ministers have initiated and received reviews, most notably the Kruk review about IMGs and the National Health Professional Ombudsman (NHPO) report in
relation to accreditation of medical specialist training sites. The Kruk review made 28 recommendations, 21 of which relate to medical colleges, and nearly all 23 NHPO recommendations had significant implications for college accreditation processes.
This political desire for rapid change is potentiated by several factors. For many years ‘politicisation’, or the direct influence of politicians and their advisors upon public services such as healthcare, has been increasing. At present, most state and federal governments are of one political persuasion and this alignment makes direct action easier.
Additionally, on several occasions, hospitals have delayed escalation of serious accreditation problems to senior health officials and ministers and have later claimed to have been given little or no notice prior to accreditation withdrawal.
The perception among senior health department representatives that medical colleges act precipitously, combined with their influence and control over the narrative ministers receive, has led to the widespread belief that medical colleges are largely responsible for accreditation and IMG supply issues.
In order to speed the introduction of IMGs and alleviate workforce pressures, new pathways to specialist registration bypassing the colleges have been developed by the Medical Board of Australia (MBA) and separately, the Medical Council of New Zealand (MCNZ). In their consultation that closed
last July, the MBA intends to establish a new ‘expedited’ specialist registration pathway as an alternative to existing pathways that involve assessment by the relevant college. The stated intent, as taken from the MBA website, includes: ‘The Board, with input from the Australian Medical Council and specialist medical colleges, will develop and publish a list of qualifications that it considers are substantially equivalent or based on similar competencies to an approved specialist qualification for the specialty. The expedited pathway will not require a college assessment of the individual.’
In short, the new pathway includes no individual assessment of training or capacity to practice safely. At this stage, four other colleges (RACGP, ANZCA, RANZCOG and RANZCP) have been approached to nominate qualifications that would be used in the expedited pathway without further college involvement. Simply recognising overseas qualifications in radiology poses risk because our training covers a broader spectrum than other major countries. For example, training in radiology in the UK and Ireland is of a high standard with the exception of imaging for women’s health, where such training is absent or very limited. Nominating these qualifications to the MBA expedited pathway would result in broad registration to practice that includes women’s imaging with no upskilling in this area. This faster, cheaper and less collegiate system for IMGs therefore has significant implications for the quality of
“This faster, cheaper and less collegiate system for IMGs therefore has significant implications for the quality of medical specialist services that the public receives.”
medical specialist services that the public receives.
Rather than bemoaning these negative developments, how can RANZCR be proactive and productive in the face of such challenges, yet maintain standards of specialty practice? In the example above where there has been little or no training in women’s imaging, there is the possibility that, if structured appropriately, conditional AHPRA registration for such individuals might be supported by the College. In this instance, practice across the breadth of radiology with the exception of women’s imaging could take place and subsequent upskilling pathways might also be provided.
More generally, consideration is being given to College support for AHPRA registration of IMGs with a defined and limited scope of practice that reflects their training and skills. Preliminary discussions have taken place with AHPRA about such an approach, which would ensure appropriate knowledge and skills of new IMG practitioners, retain College involvement, address some of the political and other pain around workforce, and most importantly, maintain patient
safety. Although much further work is required it may be possible to provide a form of associate membership, allowing inclusion in educational events, access to CPD, the chance to connect and learn from colleagues within our disciplines and avoid clinical and social isolation.
What about existing IMGs? It is important to recognise that under present processes we have benefitted from an influx of talented IMGs in both of our specialties over many years. In fact, in some instances, vital subspecialty services are being provided in regional areas by IMGs. These individuals are practising under jurisdictional restrictions and may not wish to stay in such circumstances. A similar process with appropriate scope or range of practice limitation and matching limited AHPRA registration may secure certainty and stability for the IMG and access to high-quality care for patients. I and other College office bearers will keep you posted as events unfold. IN
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Wellbeing in Focus
Introducing a new corporate health and wellbeing support program, and a recap of a recent healthcare funding inquiry.
With everything that is happening in this busy year, I wanted to share a vignette of important items with you
Mental Health Support Program
I’m pleased to announce that the RANZCR Board has approved a 12-month trial to offer a professional corporate health and wellbeing support program to RANZCR members, like the Employee Assistance Program (EAP) offered in many workplaces. This program will be delivered by an external corporate health and wellbeing organisation that specialises in providing this service to a range of organisations, including in the healthcare sector. We recognise that our members face significant challenges to their mental health and that it can be difficult to reach out for support. This service, when it becomes available in October, will help our members to access the help and support they may need. It will be provided at no charge to all RANZCR members in Australia,
New Zealand and Singapore. We understand that larger companies may already provide their own EAP, but we know that some members prefer to access this type of service outside of their employment structure. For smaller businesses and regional practitioners who may not have this type of support already available, the program is an important new resource.
Further details on how to access this service will be shared in upcoming RANZCR communications through our regular channels—please stay tuned.
Special Commission of Inquiry
In late July, RANZCR was asked to appear before a NSW parliamentary inquiry into healthcare funding. RANZCR was asked about our approach to accreditation, trainee wellbeing, and our relationship with NSW Health. The appearance followed inquiry requests for accreditation and training documentation and a witness statement from RANZCR.
The responses RANZCR offered at the inquiry hold relevance across Australia and New Zealand.
During questioning from the inquiry’s solicitors, RANZCR was able to confirm the sometimes difficult relationship we have with NSW Health when accreditation deficiencies were identified. We reinforced that the RANZCR accreditation program met the requirements of the Federal Government regulator and that RANZCR was operating to the mandated Commonwealth Government standards.
RANZCR told the inquiry that we rarely remove accreditation from a site. When this does occur, it is only after multiple issues have been identified at the site and left unresolved over an extended period of time; and after intensive RANZCR interventions with site leadership has failed to bring improvements. Even when accreditation is withdrawn, RANZCR continues to work with the site to address the identified issues so that the site might be re-accredited in the future.
We also affirmed that our overriding responsibility is to the physical and emotional wellbeing of our trainees; ensuring they receive the training and support they need.
RANZCR’s appearance at the inquiry also allowed us to rebuff some of the ‘urban myths’ surrounding colleges. RANZCR rejected that our College artificially restricted trainee or IMG numbers to maximise the earning potential of our Fellows, and demonstrated why this was not true. We also firmly rebuffed suggestions that members at some sites might use complaints about workplace behaviour to threaten accreditation in order to support industrial demands, demonstrating how RANZCR uses multiple data points and an extensive collaborative process with all stakeholders, to assess site accreditation compliance.
The inquiry will reconvene late in 2024 to examine potential solutions. IN
Duane Findley, CEO
Strength to Give Celebrates World Marrow Donor Day
In honour of Blood Cancer Awareness Month and World Marrow Donor Day, we shine a light on blood stem cell and bone marrow transplants, and the lives impacted.
This year, September 21 marked World Marrow Donor Day. The day celebrates bone marrow/ blood stem cell donors worldwide and highlights the need for more donors to sign up.
Since the first bone marrow transplant was performed in the 1950s, over a million patients have received a transplant of blood stem cells to treat blood cancers and other related disorders. Often, these transplants using healthy donor cells may be the patient’s only chance of cure. When patients cannot find a suitable donor within their family, an unrelated donor is needed. In many cases, these donors come from overseas. A strong network
of international organisations helps to ensure patients find their best match, wherever in the world they may be. This vital collaboration has helped hundreds of thousands of patients worldwide.
One link in this global network is Strength to Give, the Australian donor registry. Strength to Give facilitates blood stem cell and bone marrow transplants for blood cancer patients and people with blood disorders. The organisation manages the pool of available donors in Australia and searches this database to find matches for patients across Australia and the world. Finding a suitable match for each patient is crucial in providing them with the best chances of recovery post-transplant. This matching process relates to donor/patient genetics and is extremely complex.
This year, the registry celebrated World Marrow Donor Day by dispelling common myths around donation, emphasising the need for more donors to sign up to the registry.
The Need for Donors
Each year, about 1,000 Australian patients search for a match with the registry. Approximately 80 find a match within Australia, and a few hundred find a match from an overseas registry. Others may never find their potentially life-saving match due to the complexity of the matching process and the lack of diversity on the international register.
The matching process is heavily linked to a gene system, the Human Leukocyte Antigen (HLA). The HLA is one of the most variable gene systems in the human genome and an individual’s specific type relates strongly to their ancestry. As a result, patients will likely find their match with donors from a similar ethnic background. This causes issues when we factor in the lack of diversity on the Australian registry, and global registries in general. Patients from minority ethnic backgrounds are severely underrepresented on the registry, which means their chances of finding a match are reduced.
Many Australians have unique ancestries that are linked to this specific region of the world. Patients of Indigenous or Pasifika backgrounds, for example, rely heavily on the Australian donor pool to find their match. To provide all patients with the hope for a second chance, there is an urgent need to recruit more donors, especially ones from ethnically diverse backgrounds.
Patient Stories
A key recruitment avenue for the organisation involves elevating patient stories to showcase the human impact of blood stem cell donation.
Daniela (pictured) has been a nurse specialising in mental health care in Sydney for over 20 years. Her compassion, leadership and mentoring skills have helped to shape mental health nursing in Australia.
After serving her community selflessly and for so long, Daniela was diagnosed with Acute Lymphoblastic Leukaemia in May 2024. After a month of initial treatment, a rare chromosomal mutation has meant Daniela will be in and out of hospital until April 2025. Now, her most likely treatment path is a blood stem cell transplant. Her friends and family have come together to create an appeal promoting stem cell donation. By increasing the number of donors on the Australian registry, hundreds of thousands of patients like Daniela across the world are given hope that they will find their own potentially life-saving match.
The Registration Process
To join the registry, visit www.strengthtogive.org.au and follow the enrolment process to sign up via mail-delivered cheek swab (currently the focus is on recruiting donors under 35 years of age due to improved patient outcomes). From these swabs, the registry will then test for HLA-type, ABO-group and the presence of Cytomegalovirus, which are all important in the donorpatient matching process. From there, recruits become available on the Australian registry and could become the life-saving match for patients across the world. IN
People aged 18–35 are encouraged to join the registry at www.strengthtogive.org.au. Reach out to info@strengthtogive.org.au to request posters, organise events, or otherwise get involved.
The New Zealand Bone Marrow Donor Registry is the equivalent body in New Zealand. Their registry holds over 13,000 registered donors who have also made the commitment to donate to any patient in the world. To learn more about NZBMDR visit: www.bonemarrow.org.nz
How to Beat Burnout
Healthcare professionals are increasingly at risk of burnout, and some research suggests radiologists may be particularly vulnerable. Discover why and what you can do to protect yourself and your colleagues.
According to recent research involving nearly 4,500 radiology physicians across seven countries, including Australia and New Zealand, industry burnout is not only common, it doesn’t discriminate1. While as many as 72 per cent of diagnostic and interventional radiologists involved in the study exhibited symptoms of burnout, the research showed that everyone, from trainees to department chairs, is at risk1
Causes of burnout range from excessive workloads to administrative obligations, competing time demands and lack of professional support, and some personality types may also be more at risk.
“It’s interesting to look at the type of people who commonly burnout,” said Sarah Vizer, the leadership and mindset coach behind Beyond Burnout, a consultancy dedicated to helping professionals and teams replace the cycle of burnout with sustainable performance.
“They’re usually high achievers and hard workers. They’re the people who put a lot of pressure on themselves to go above and beyond because they really care.”
Identifying Burnout
Vizer explains that there are three main signs to look out for, and they revolve around energy, involvement and self-efficacy.
“Energy is when you hit that physical and mental exhaustion. Everything feels difficult and emotions are heightened and often seesaw,” said Vizer, whose personal experience with burnout lead her to create Beyond Burnout’s programs.
“The involvement aspect is when you find yourself putting some mental distance between yourself and the things in your life that you’re usually interested in, whether it’s at work or away from it. Your will to do those things plummets, previously positive people can become really negative, and it can even feel like you just want to run away from your own life.
“It’s actually really common for people to hover on the edge of burnout for years and never quite reach full burnout but as I try to remind my clients, while you can push through to a certain point, if you don’t listen to your body and make some changes, it will eventually make the choice for you.”
“The final one is where the devastating effect of selfdoubt, which leads to internal judgements and negative self-talk about yourself, starts to take over.”
And while Vizer suggests that all three of these will be present in deep burnout, the leadup to it may involve experiencing those feelings in isolation, on rotation. “It’s actually really common for people to hover on the edge of burnout for years and never quite reach full burnout but as I try to remind my clients, while you can push through to a certain point, if you don’t listen to your body and make some changes, it will eventually make the choice for you.”
Strategies
While the causes of burnout can—and should—be addressed at a leadership or organisational level, there are strategies everyone can use to help protect against it on an individual level. In line with that a study currently being conducted by researchers at the Black Dog Institute, the University of New South Wales (UNSW) is exploring the efficacy of a new burnout program designed to tackle the condition in Australian doctors2
The following strategies can help:
Get serious about managing stress. Vizer explains that while burnout is often about more than unmanaged workplace stress, there’s no question that persistent and unrelenting stress is a key factor. “Worryingly, I think many people, and particularly in certain industries, simply see high levels of ongoing stress as normal or an expected part of the job—we need to shift away from that culture because stress is a literal killer.” An important step is learning the indicators that suggest you’re stressed. “And then when you see those signs, you know you need to take action, whether it’s breathing exercises, like box breathing, or practising mindfulness or just getting outside for a walk, which can act like a circuit breaker,” said Vizer. This Way Up, a not-for-profit initiative of St Vincent’s Hospital in Sydney and UNSW’s Faculty of Medicine, offers a practical, evidence-based online Stress Management Program. Over four lessons, it uses the principles of Cognitive Behavioural Therapy to help you work with your thoughts, emotions
and behaviours to reduce your stress levels. The organisation also offers a Mindfulness Program, which explains simple mindfulness strategies for managing stress and boosting wellbeing. Both are free to enrol and participate in. Visit www.thiswayup.org.au to learn more.
Prioritise your health and wellbeing. “When you’re in or are at risk of burnout, falling back on the basics of eating well, getting good sleep and exercising regularly is really important,” said Vizer. “They’re the things that make our bodies more resilient by supporting both our physical and our mental health.”
Connect with ‘your people’. “As humans, we’re a social species and who we have around us can be really influential in terms of how we feel,” said Vizer. “You may not have much control over who you spend time with at work, but you can influence who you surround yourself with in other areas of your life. Ensuring you get enough time with those you love and the people who really ‘get you’ can have a significant impact, in part because it can help you to achieve a better work-life balance and that, on its own, can be important in protecting against burnout.”
Resources and Support
To find a psychologist experienced in addressing work-related stress, use the Australian Psychological Society’s Find a Psychologist service. Visit www. psychology.org.au/find-a-psychologist to get started.
Contact Beyond Blue on 1300 22 46 36 or www.beyondblue.org.au to call or chat online to a counsellor.
Check out SANE’s online workplace mental health resources, available at www.sane.org/spotlight-on/ workplace-mental-health or call the organisation’s support line on 1800 187 263. IN
1. Fawzy NA, Tahir MJ, Saeed A, Ghosheh MJ, Alsheikh T, Ahmed A, Lee KY, Yousaf Z. Incidence and factors associated with burnout in radiologists: A systematic review. Eur J Radiol Open. 2023 Oct 23;11:100530.
From stand-up paddle boarding and wildflower walks to museum exhibitions and shopping, explore the best of Perth while you’re in town for the ASM.
Perth is a city that proudly wears the title of ‘Australia’s Sunniest Capital’. So while you’re in town for the 2024 ASM this October, you’d be remiss not to get out and explore some of the natural, gastronomic and cultural attractions on offer, all of which are set against a backdrop of cloudless skies and a sparkling river. Here are a few ideas.
Explore Elizabeth Quay
The slick Perth Convention and Exhibition Centre, the home base of the ASM, sits right alongside Elizabeth Quay, a dazzling precinct on the banks of the Swan River. Make time to walk along the spectacularly curved pedestrian and cycle bridge, an architectural feat that affords 360-degree river views. Like the rest of Elizabeth Quay, the
bridge is bordered by glowing LED lights that change colour with the weather—just one of many art installations on display. Download a free map to take yourself on a walking tour of other artworks, from mosaics to statues to sculptures.
Shop at the State Buildings
Just a 10-minute walk from your home base, the State Buildings—
Inside Boola Bardip, the new WA Museum. (RIGHT) Dining in Northbridge.
The lights of Elizabeth Quay.
formerly the Lands, Titles, and Treasury buildings—were once the pulse of Perth. Now, the impeccably restored 1890s buildings have been reborn as a thriving hub of food, boutique shopping, wellness and culture. The dining options are excellent, whether you opt for modern Australian (at Petition), bold and punchy Thai (care of Long Chim), or Indigenous-inspired fare inspired by the Noongar six seasons (at Wildflower). This is also the best place to pick up a souvenir: think artisan chef knives and accessories; carefully curated records and books; and made-to-measure suits.
See Wildflowers at Kings Park and Botanic Gardens
WA is a well-known wildflower hotspot, with rare species cropping up in every corner of the state. But you won’t have to trek to the bush to experience wildflower season in full bloom—just hop in a four-minute Uber or take a 15-minute stroll to Kings Park and Botanic Gardens. This is one of the largest inner-city parks in the world, besting even New York’s Central Park. Here you can join a free Wildflower and Bushland walk (1–3pm in October)
to see 3,000 species in their natural habitat. As you wander pristinely manicured paths, keep your eyes peeled for a stunning array of native orchids, including milkmaids, fairies, donkeys and spiders. Kings Park is culturally significant to the local Noongar people—learn more with an immersive Indigenous tour or the self-guided Boodja Gnarning Walk.
Visit the Perth Cultural Centre
From Elizabeth Quay, a two-minute train across the city brings you to the Perth Cultural Centre, a humming spot where Perth meets Northbridge. Well worth a look is the newly refurbished $400m Western Australian Museum. Known as Boola Bardip (translated to ‘many stories’ in the Noongar language), the museum is home to a veritable library of West Australian history, with everything from meteorites to Indigenous artwork to a giant blue whale skeleton suspended from the ceiling. Admission is free, but for $10, you can enjoy a guided tour that takes you right to the must-sees. The ASM coincides with the Lester Prize exhibition, which is WA’s answer to the Archibald. You can also make pitstops at the Perth Institute of Contemporary Arts (PICA) for cutting-edge contemporary art and the Art
(BELOW)
Wildflowers at Kings Park and Botanic Gardens.
(RIGHT) The South Perth Foreshore offers a range of watersports.
Gallery of WA (AGWA) to check out works by preeminent artists such as Sidney Nolan and Arthur Boyd. Make sure to head upstairs for an open-air sculpture walk in the state’s largest rooftop bar.
Wander around Northbridge
While on that side of town, it’s well worth exploring Northbridge. Regarded as Perth city’s hip little sister, it bursts with laneway bars, street art, quirky shops and atmospheric restaurants. Stop to rest at The Piazza, a lush grassy area featuring Perth’s first permanent LED screen, which showcases free films, sports and music 24 hours a day.
Take to the Swan River
Looking for an adventure? Take a short ferry from Elizabeth Quay to the South Perth Foreshore, where you can book a stand-up paddle board, kayak, or catamaran from watersports hire centre Funcats. Nothing beats being out on the water on a sun-drenched Perth day—perhaps spotting dolphins, pelicans and WA’s famous black swan along the way. IN
To register, view the 2024 program or book accommodation, visit www.ranzcrasm.com
Connect and Collaborate
The College’s ASM convenors share program highlights of the upcoming event in Perth, themed ‘A Gathering Under the Stars’.
From October 17–19, members of the College will converge on the sacred lands of the Whadjuk people of the Noongar nation in Boorloo (Perth) for RANZCR’s Annual Scientific Meeting. This event is a unique opportunity to collaborate, share and learn with the goal of enhancing patient outcomes.
The 2024 program will feature an array of multidisciplinary sessions in clinical radiology, radiation oncology and interventional radiology, emphasising the critical role of collaboration in our field. In addition, there will be sessions on diversity, inclusion, cultural safety and workplace wellbeing, ensuring a comprehensive approach to professional development. Here, our ASM convenors share a preview of the much-anticipated program.
A Call to Radiate Brilliance Together
A/Prof Suki Gill, Radiation Oncology Convenor
As members of the College, we share a collective responsibility to provide the highest standard of care for our patients. Now, you may be asking, “Why should I attend the Perth ASM?” Well, let me tell you. As Benjamin Franklin once said, “Empty the coins of your purse into your mind and your mind will fill your purse with coins.” This wisdom resonates deeply with our mission and the mission of the College. Investing in our knowledge and skills is not just an investment in ourselves, but an investment in the countless lives we touch.
The Perth ASM is not just another meeting; it is a gathering of the brightest minds in radiation oncology. We have an unprecedented line-up of international speakers who have crossed the oceans to share their expertise with us.
These sessions will cover a wide range of topics, including breast radiotherapy with Prof Charlotte Coles and Prof Sushil Berriwal; lung cancer radiotherapy with Prof Joost Nuyttens; brain radiotherapy and urological radiotherapy with Prof Piet Ost; liver radiotherapy with Prof Laura Dawson; flash radiotherapy with Prof Billy Loo; and SABR with Prof Mathias Guckenberger. Each session is an opportunity to expand our horizons and elevate our practice to new heights.
But this meeting is about more than just education; it is about community. Our theme, ‘A Gathering Under the Stars’, embodies the spirit of RANZCR and the values collaboration, excellence and compassion that guide us every day. The future of cancer treatment is in our hands, and it is up to us to shape it.
Let us come together in Perth to discuss, learn and inspire one another as we shape the future of our field, gathering not just as colleagues but as a family dedicated to excellence in radiation oncology.
In closing, there is something magical about radiotherapy magic made real through science.
As we face the challenges of tomorrow, remember this tip: whisper “lumen afferimus morbis” as you press that red button. These words remind us of our noble mission— to bring light to those in darkness.
A/Prof Gill with her family.
AI, Leadership and New Frontiers
Dr Susanne Guy and Dr Lisa Sorger, Clinical Radiology Convenors
The Clinical Radiology program promises to be an exciting line up of world-renowned leaders in AI, leadership and new frontiers in imaging. Prof Geraldine McGinty and Prof Mathias Prokop will kick off the program after an astrological burst of starlight from our Nisbet Orator, Dr Natasha Hurley-Walker.
Dr Hurley-Walker is an award-winning radio astronomer and Future Fellow of the ARC from the International Centre for Radio Astronomy Research based here in WA. She has led the field in detecting and mapping the stars and she hopes to inspire us as we push the frontiers of radiological detection.
From there we will move into our concurrent themes of Women’s Imaging with Dr Nishat Bharwani, MSK with Dr Philip Robinson and General Radiology. All the streams will be interactive with panel-based discussions, MDTs and a focus on diversity, economics, value and leadership. This ASM promises to be an interactive and exciting adventure as we dive into the nitty gritty of implementation of an AI platform into your practice, the psychology of the human-AI interaction, and medicolegal concerns. We have a dedicated session on the new Lung Cancer Screening Program and Occupational Health Imaging. This ASM is one you cannot miss!
Exploring the Future of IR
Dr Jonathan Tibballs, Interventional Radiology Convenor
Join us to explore the future of Interventional Radiology (IR) as RANZCR pursues specialty recognition for IR/INR. The IR stream will feature a series of clinical symposia focused on the latest advancements in managing various clinical conditions.
Our impressive line-up includes renowned international faculty and local clinicians, with keynote speaker Prof Mark Little from the UK, a leading expert in GAE, PAE and UAE and the lead author of the GENESIS I and II trials.
Joining him is SIR past-President Alda Tam, who will share her expertise in treating lung and bone metastases and discuss the journey of IR toward a primary specialty, highlighting the importance of encouraging women and underrepresented minorities to join the field.
Prof Fakir Elmasri from the Lakeland Vascular Institute in Florida will bring his expertise in PE and iliofemoral DVT management and insights into building a successful IR practice. Prof Tetsyua Fukuda from the Japan Radiological Society will present his work on CTEPH and type 2 endoleak management.
Clinical topics to be covered include benign prostatic hyperplasia, uterine fibroids, knee OA and post TKR haemarthrosis, T1 RCC, portal hypertension and HCC, and type 2 endoleaks.
In addition, there will be sessions on INR and Paediatric IR, along with an IRC update on specialty recognition, abstract presentations, and hands-on workshops on PE and iliofemoral DVT management.
Don’t miss this opportunity to learn from the best in the field and stay at the forefront of interventional radiology. IN
“The IR stream will feature a series of clinical symposia focused on the latest advancements in managing various clinical conditions... Don't miss this opportunity to learn from the best...”
Harry Perkins Institute of Medical Research, Nedlands, WA
Details Coming Soon
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
World Tour
In 2023 Dr Emmeline Lee was awarded the RANZCR Bill Hare Fellowship, which allowed her to spend three weeks at Memorial Sloan Kettering Cancer Center in New York and then four weeks at Class Ultrasound, Gemelli Hospital in Rome. She also managed to fit in an in-person attendance at the European Congress of Radiology in Vienna, and two short trips to London. Here’s her reflection on the experience.
Dr Emmeline Lee has been a RANZCR Fellow since 2003, and has served within the College as Chair of the Obstetrics and Gynaecology Special Interest Group, and member of the Clinical Radiology Examination Review Panel, the CR OSCER Examination Review Panel, and the Diversity, Equity and Inclusion Committee. Outside the College, she works as a clinical radiologist in WA, and among her many professional roles she serves on the Editorial Panel for the Diagnostic Imaging Pathway project. Of her Fellowship experience, Dr Lee said: “It has been a privilege and an honour to be a Bill Hare Fellow. This has been a life-changing few months for me, both professionally and personally ” The following are excerpts from her Fellowship report.
Dr Emmeline Lee
MSKCC, New York
Memorial Sloan Kettering Cancer Center (MSKCC) is renowned as being one of the best cancer hospitals in the United States and accepts patients from all over the country and indeed, the world. I spent three weeks as an observer here, where I was mostly stationed reviewing gynaecological MRIs. In doing so, we also reviewed the accompanying CT and ultrasound scans, and I was able to see the progression of disease across time. Interestingly, about a third of the workload of gynaecological MRI reporting involved giving a second opinion on scans performed outside the hospital; so I was able to see how scans were performed in different institutions from all over the US.
I attended the multidisciplinary team meetings, which were held at 7am every Thursday. There was input from Radiology, Pathology, Gynaecological Oncology, Radiation Oncology and Nurses. Items included Interesting Cases, presentations by Fellows and Attendings—both radiological as well as gynaecological— giving me good insight into cutting-edge clinical practice of gynaecological oncology.
I also attended the Journal Club presentations by radiology Fellows and Attendings at lunchtimes on Tuesdays. These were wide in scope; and I heard presentations about breast cancers (including the male breast), prostate cancers and rare cancers, as well as a new way of reporting Oncological Response.
It was interesting to see how radiology was practised in the US. I am now a big fan of template reporting; I could see how this made it faster for radiologists to report, and easier for referrers to digest. I also liked the standardised language that was used across MSKCC, with lexicons for certainty, numbering and change used by everyone.
When I was not at work, I made sure I got to know New York City on a deeper level than when I had last visited (which was as a tourist). A highlight for me was doing the Central Park Midnight Run which began at 11:59pm on New Year’s Eve, so we were running under fireworks for most of it. Overall, my time in MSKCC and in New York was so positive—I loved every moment.
Gemelli Hospital, Rome
The second part of my Fellowship involved going to Rome to observe at Class Ultrasound, which is an academic gynaecological ultrasound unit headed by Prof Antonia Carla Testa. It is affiliated with the Universita Cattolica del Sacro Cuore, and is based in Gemelli Hospital, which is consistently named in the Top Ten Hospitals in the World lists. It is a quaternary gynaecological cancer referral centre for Italy. It is also known as “The Pope’s Hospital” as Pope John Paul II was treated here—after the assassination attempt in 1981, and then later when his health began to fail.
The sheer volume of pathology I was able to see during
Bill Hare Fellowship
The Bill Hare Fellowship supports a Fellow more than five years post-Fellowship for a period of intensive or overseas study, or for attendance at an international short course, with a grant of AU$30,000.
If you would like to apply for the Bill Hare Fellowship, the College will next accept applications in January 2025. Visit www.ranzcr.com/college/grants-andawards/educational-fellowships
my time in the unit was incredible. Appointments were made from 8am to 8pm daily. The morning lists were diagnostic scans, and often, were scans for second opinion or follow-up. In the afternoons, the cases were all pre-surgical—so the lists were always filled with pathology. Emergency and ward patients were always “add-ons”, usually occurring in the late afternoon or early evening.
Ultrasound-guided procedures were performed in the Day Hospital Unit and I was able to observe transvaginal ultrasound-guided core biopsies of peritoneal carcinomatosis and cervical cancers, as well as ascites drainages when they related to gynaecological and breast cancers.
I was impressed with the degree of supervision—each patient was seen by at least three doctors. There are four ultrasound rooms in the unit, and each room is staffed by two junior doctors who were O&G residents. One would scan and the other would produce the report. After they were done, a senior doctor would come in and re-scan the patient, both transabdominally as well as the endocavity scans. We scanned lots of staff from the Vatican, and also many nuns. As such, we could not perform transvaginal scanning in women who were virgo intacta instead, the transrectal approach was used. This is culturally completely acceptable, but it is one technique I don’t think I can bring back home.
While I was in Rome, I took the opportunity to meet lots of local doctors. I contacted the Radiology Department of Gemelli Hospital and was given a tour of the very impressive Radiology Department by the lead genitourinary radiologist, Dr Benedetta Gui. Through Dr Fabio Macori, a radiologist that I had met at the ECR, I also arranged to visit the Ospedale Santo Spirito in Sassia, which is Europe’s oldest hospital—established on the grounds of a monastery by Pope Innocent XI in 727 AD. I was also lucky enough to be shown the workings of the radiation oncology department of Gemelli Hospital by A/ Prof Francesco Cellini, who was a friend of a friend. He really looked after me, and I gifted him a RANZCR tote!
I really enjoyed the experience of living in Rome not as a tourist, but as a local in Monte Mario, where I perfected my caffe and gelato orders, and practised my fledgling Italiano. IN
Spotlight on Research
RANZCR is currently undertaking studies on how to improve the research outputs of our members, and has recently conducted a survey on member publications. We received substantial lists of journal articles from many members, including Dr Katrina Glazebrook. Here, we quiz her about her research habits and advice for fellow members.
Dr Katrina Glazebrook studied medicine at the University of Auckland, and received her FRANZCR in 1992. Dr Glazebrook has an impressive publication record, with over 100 journal articles (since 1985) and a high h-index. She is Professor of Radiology at Mayo Clinic Medical School in the US and Fellow of the Society of Breast Imaging. Recently retired from Mayo Clinic Rochester, but still conducting research among her professional duties, her career features research on musculoskeletal and breast imaging.
Dr Katrina Glazebrook
How did research within your career begin? What advice can you give fellow members to increase their research outputs?
It’s really helpful to have a mentor for guidance to get started on your research, as it can seem a very daunting task—some tips on where to begin are always good.
Find a niche that you can become expert on and preferably recognised by multidisciplinary groups such as surgeons and oncologists, or clinicians such as rheumatologists or neurosurgeons. Keep abreast of international trends in imaging of your area so can introduce new techniques early and get early adoption by clinicians.
Find a colleague or group of colleagues that you can work well with, and are who willing to help in a timely fashion. Include all on the papers who have contributed with rotating first authorship and ownership of individual papers to increase number of papers produced. I found a breast pathology colleague whom I worked really well with. We bounced ideas off each other; and she was very quick about getting back with her part of the paper and reviewing the manuscript. I also had a group of willing radiologists who were great at reviewing cases, but some were not so keen on being first author.
I always included as many people as possible on papers, including surgeons, pathologists and oncologists if they had contributed, as that often led to reciprocal papers where I was included. That also strengthened the paper, as they had clinical input, and they were great at reviewing manuscripts with excellent suggestions for improvement. It’s also good to work with medical physicists to improve imaging or introduce innovations to help with niche imaging—for instance dual energy CT and nerve US imaging.
I found submitting manuscripts to good journals was helpful, as the reviewers were very thorough and
had useful suggestions for me, even if the paper was ultimately rejected. I would then revise as suggested and submit to another journal, often with success.
Become a mentor for residents and Fellows to find case series and do exhibits for national or international meetings. Mayo has a very large surgical pathology database for the entire enterprise, so I can find many cases of rare pathology. Its database also has word search functions for radiology reports to find specific types of cases, for instance pseudoaneurysm of breast or fascial herniation of extremities. You can then find enough cases, preferably with multimodality imaging, to make a good exhibit. This, I find, provides a good incentive for residents and Fellows to attend the meeting if presenting. These can then lead on to papers.
How do you make the time?
I’ve very rarely taken research work home—it’s important to separate work from family life. Having a twohour block to devote to concentrated work without interruptions on a project can help immensely to get a draft done. Then it’s time to send it out to other primary authors for comments. Working over lunchtime and before work to dedicate to a research project can also help.
What are your best supports?
I find that the best supports are colleagues who are also interested in research and can get things done in a timely fashion. It’s always hard to work with someone who takes a long time to do their part. Having someone to do the formatting for a particular journal for text and images will make anyone’s research life smoother. I would advise anyone to try and find a niche area, working with basic scientists, PhD students or medical physicists if available, to improve imaging in your area. For example, I worked closely with the
CT innovation centres to develop DECT techniques for MSK gout, marrow edema and also findings applications on the new Photon counting CT. I’ve also worked with PhD scientists in the US innovation centre for microvascular imaging in MSK and breast applications.
What awards have you won?
My professional awards are for exhibits which then were published. I have had two Bronze Medals and several merit awards for exhibits at ARRS meetings, and six Certificate of Merit Awards from the RSNA, for exhibits with residents.
What are you working on now?
I am now retired, but I am working supplemental at Mayo Clinic Rochester. Ongoing projects that I’m helping with are on photon counting CT with contrast compared to MR in patients with breast cancer. I am involved with DECT for MSK applications and for evaluation of silicone implants, and recently, photon counting CT for breast and MSK applications at the CT Innovation Center. And I’m still finding cases suitable for resident or Fellow projects such as Paget’s disease of the nipple and mineralisation of axillary nodes.
How can RANZCR continue to support research?
RANZCR could support research by somehow allowing protected money for research such as statistical help or data analysis, with publications being the ultimate benchmark of success. The College could also consider providing funds for publications fees in reputable journals. Helping with the mentoring process—such as meet and greet sessions—could be another area of support. IN
For more information about RANZCR research, visit www.ranzcr.com/ourwork/research
Dual Energy CT occult Pelvic fractures
Microwave
New Heads at JMIRO
There’s been a changing of the guard at the JMIRO editorial board recently, with the top three roles filled by new volunteers. Here, we introduce the latest Editor-in-Chief, as well as two new Deputy Editors.
Dr Gabriel ‘Gabes’ Lau is the new Editor-in-Chief for JMIRO, following in the footsteps of Prof Michael Barton. Dr Lau is a partner at Pacific Radiology Group/RHC in New Zealand, and he received his FRANZCR in 2002 and EBIR in 2013. His current clinical and research interests include abdominal, vascular and oncologic radiology.
He has been previously involved with JMIRO as a reviewer, Associate Editor and Deputy Editor over the past 18 years. Dr Lau is also a reviewer and a member of the Editorial Board for the CardioVascular and Interventional Radiology (CVIR) medical journal. He has extensive experience on the RANZCR Board and as the NZ Branch Committee Chair, as well as a large number of RANZCR committees.
Of his new role, Dr Lau said, “It’s a privilege to be involved with JMIRO, and I am looking forward to building on the high standards set by my predecessors, with the continuing indefatigable support of Reviewers, Associate Editors and the new Deputy Editors.”
The recent success of JMIRO, including expanding its readership, increasing its impact factor and introducing very popular Special Issues, pave the way for a positive future for the journal.
Prof Jeremy Millar is the research director for radiation oncology at Alfred Health, where he works clinically, and he is the clinical lead for the Prostate Cancer RegistryVictoria. He is Chair of the Board of Cancer Council Victoria, and has a record of service to RANZCR as Councillor of the Faculty of Radiation Oncology and the Chair of the FRO Quality Improvement Committee.
Prof Millar trained in Medicine at Otago University, with a simultaneous research degree in biochemistry, studying gene regulation. He is an active contributor to JMIRO as an author and reviewer, has published over 200 peer reviewed papers, and has an h-index of 41.
His research interests are mostly around aspects of prostate cancer spanning the range from basic biology, through aspects of clinical care and comparative trials, to quality of care, epidemiology and health service research. In recent years the focus has been on clinical aspects of prostate brachytherapy, and on cancer quality outcomes registries, especially in prostate cancer.
Prof Millar noted, “I hope I come up to the example and standards of my predecessors; and with the able assistance of the whole editorial team, build on the reputation of JMIRO as a premier source.”
Prof Warren Clements is an interventional radiologist at The Alfred Hospital, and Adjunct Professor with Monash University. He has published over 125 manuscripts in internationally recognised medical journals and was awarded the CVIR Endovascular Young Investigator Award in 2023 Prof Clements is accredited with the European Board of Interventional Radiology and holds positions within RANZCR including within the Interventional Radiology Committee. He is also an executive committee member of the Interventional Radiology Society of Australasia (IRSA) and a Fellow of the Cardiovascular and Interventional Radiology Society of Europe (CIRSE).
Prof Clements has roles in education and training, supervising research students in the Monash University MD program and The University of Melbourne Master of Medicine (Radiology). His interests include uterine artery embolisation, tumour ablation, trauma intervention and management of inferior vena cava filters.
When asked about his new role at JMIRO, Prof Clements noted that, “[It’s a] fantastic time to expand my role in the team with a new impact factor of 2.2 and now a dedicated IR section in the journal.” IN
Dr Gabes Lau, Editor-in-Chief
Prof Jeremy Millar, Deputy Editor Radiation Oncology
Prof Warren Clements, Deputy Editor Diagnostic and Interventional Radiology
Campaign Examines Sarcoma
Shining a spotlight on a rare cancer type, and the effectiveness of radiation therapy as a treatment.
The Targeting Cancer campaign has been taking a closer look at sarcoma and the effectiveness of radiation therapy in treating this rare group of cancers.
July marked Sarcoma Awareness Month and organisers asked the public to become more familiar with this type of cancer, which can affect bone or soft tissues. Sarcoma is rare, making up one per cent of all types of cancer. Sarcoma unfortunately often presents at an advanced stage.
Sydney-based Prof Sandra Turner is the founding Chair of Targeting Cancer and has 30 years of experience treating patients with sarcoma as a consultant radiation oncologist. “Sarcomas can occur in any part of the body from arms and legs to the pelvis, abdomen, chest, or head and neck region,” she said. “They can appear as an unusual lump or bump that seems to be growing or was found by accident when a scan is done for another reason.
“Radiation therapy is an important part of sarcoma treatment and can be given before surgery to kill cells at the edge of the tumour, allowing the surgeon to remove it more easily, or after surgery to mop up cells that may have been left behind. Both approaches help cure the cancer.
“The advances in radiation therapy for treating patients with sarcoma have been groundbreaking. In the past, many suffering from sarcomas would only have been cured by amputating the limb or other major disfiguring surgery.”
Sarcoma can occur at all ages but is relatively more common in children and young adults. “I have treated many young people with sarcoma, and the diagnosis is a shock and can really throw them off how they are expecting their life to progress,” said Prof Turner. “All of my younger patients have shown the utmost bravery as they undertake the process of radiation therapy and chemotherapy.
“Ben Ley is one patient who comes to mind, and who was only
“The advances in radiation therapy for treating patients with sarcoma have been groundbreaking. In the past, many suffering from sarcomas would only have been cured by amputating the limb or other major disfiguring surgery.”
30 when he discovered a lump on his right thigh which turned out to be sarcoma. He has since made a full recovery after undergoing a five-week course of radiation therapy followed by surgery. I am really pleased that Ben has now taken it upon himself to raise money for cancer research by cycling throughout New South Wales and Victoria, raising $12,000 so far.”
“It was a shock when I discovered that I had sarcoma—I was otherwise completely unaware that this lump could be anything potentially serious," said Ley. "I was very grateful to the specialist team, including Prof Turner, who helped me beat sarcoma, and I wanted to give something back to say thank you.
“Taking on these cycling challenges allowed me to test my limits and overcome some of the mental hurdles of my diagnosis.
“The money raised from the challenges has been donated to further cancer research to help more people overcome sarcoma and other cancers.” IN
Ben Ley, with his dad Martin.
INTERNATIONAL SPEAKERS
Prof Christine (Cooky) Menias, MD Professor of Radiology Mayo Clinic College of Medicine and Science.
Editor-in-Chief, Radiographics Arizona, USA
Young ARGANZ Trainee Day
ARGANZ is pleased to introduce the first-ever Young ARGANZ Trainee Day on March 7th, 2025. This event, in collaboration with the O&G Special Interest Group (OGSIG), offers registrars a full day of plenary lectures, case reviews, and exam tips and cases sessions from the School of ARGANZ and the School of OGSIG.
Prof Clare Tempany, MB BAO BCh
Ferenc A. Jolesz MD Professor of Radiology, Harvard Medical School. Vice Chair of Radiology Research and Medical Director Boston, USA
Prof Yves Menu Professor of Radiology at the Hôpital Saint-Antoine Immediate Past.
Editor-in-Chief, European Radiology Paris, France
ARGANZ Workshop
Held on March 7th, 2025, the ARGANZ Workshop is a full day, practical workstation case-based learning experience with two delegates per workstation. Sessions will cover rectal and prostate MRI. Limited places available.
Indigenous Health Perspectives
Updates on the progress of the RANZCR Action Plan for Māori, Aboriginal and Torres Strait Islander Health.
Dr Keen-Hun Tai, Interim Chair MATEC (2024)
The RANZCR Action Plan for Māori, Aboriginal and Torres Strait Islander Health (the Action Plan) was approved by the Board in August 2021. It came about through the formation and work of the Māori, Aboriginal and Torres Strait Islander Executive Committee (MATEC), a Board Committee, chaired by a Board member. Some three years since the implementation of that Action Plan, much has changed in what we have achieved, as well as the goal posts continuously being shifted due to increasing recognition of the evident gaps that exist in clinical safety, the specialist medical education sector and the health services, as much as within governments. Following the second meeting of MATEC in May 2024, it is pertinent to report on the work ahead of us.
In 2024, MATEC itself has been revised; necessitated by new goals and the need for an approach that incorporates Indigenous world views in what we do, not only in specialist medical education but also in continuing professional development. MATEC has new Terms of Reference, now reporting jointly to the Deans of the Faculty
of Clinical Radiology and Faculty of Radiation Oncology. There is an operational overlay to the work MATEC does and the guidance it provides to the many committees of the College to ensure that the Action Plan continues to be in the workplans of these committees.
MATEC members are currently Dr Keen Hun Tai (interim Chair for 2024, immediate past Dean FRO), Dr Gerry Adams (Dean FRO), Dr Rajiv Rattan (Dean FCR), Dr Karen Nicholls (Torres Strait Islander Representative, FRACGP), Dr Dana Tipene-Hook (Māori Representative, FRANZCR), Dr Portia D’Anverrs (Aboriginal Representative, FRANZCR), Dr Doug Anderson (Aboriginal Representative, FRANZCR) and Dr Jash Agraval (Deputy Chief Censor, FCR Representative).
MATEC has worked to update the Action Plan to reflect the changes necessary after three years of its implementation, and the ongoing work from 2024 and beyond to become more outcomes focused. This and a revised Statement of Intent were submitted to the Joint Faculty Councils for consideration in August 2024.
One of the important Indigenous health and cultural awareness events for the College will be held at the Perth ASM, scheduled for the morning of Friday 18 October 2024. MATEC proposes to hold a session that will highlight some of the work completed within the Action Plan, as well as much more that lies ahead.
In addition, there should be time dedicated to sharing of views and acknowledgement of the bi-national
approach to the improvement of Indigenous health. We look forward to your attendance and participation at this yarning session.
At the time of writing, RANZCR’s Strategic Plan 2025 to 2040 is currently open for member consideration and comments. It has broad strokes that encompass many aspects of our College life and where we want to be in the future. Cultural safety features in all of the three key strategic priorities:
Member fulfillment
How else can we fulfil ourselves of being safe practising clinicians unless we are also culturally safe? Excellence in training and lifelong development
Should we not include cultural competence within our training and lifelong development?
Voice of the sector
Our voice in health-related matters of First Nation Peoples must be part of our philosophy and approach to continuous improvement.
MATEC looks forward to your involvement in all of this. IN
For more information about RANZCR’s commitment to Indigenous health, visit www.ranzcr. com/our-work/ indigenous-healthand-engagement
Progress Report
Here we share the latest developments regarding RANZCR’s advocacy of IR and INR, and the ongoing efforts to promote the recognition and advancement of these specialties.
Interventional radiology and interventional neuroradiology are radiological specialties, distinct from diagnostic radiology, with specialised clinical skill and advanced technical capabilities. IR and INR are dynamic areas of modern medicine, offering precise, targeted treatments and management of complex diseases and conditions across the body. Specialist IRs and INRs provide high-quality clinical care through advanced, minimally invasive image-guided techniques with numerous benefits to patients and the healthcare system. These include shorter procedure times, faster recovery times, fewer complications, and often at a lower cost compared to traditional surgical and medical approaches. Here’s a summary of the initiatives being undertaken within the College.
Specialty Recognition
The Interventional Radiology Committee (IRC), under the guidance of the Faculty of Clinical Radiology, is actively seeking specialty recognition for IR and INR within the specialty of Clinical Radiology. This recognition is crucial for defining the unique knowledge, clinical expertise and procedural skill of IR and INR specialists.
Training Programs
Contemporary and best-practice training programs for IR and INR have been developed for member consultation and, ultimately, AMC accreditation. These programs will create a clear pathway to careers in IR and INR and ensure that future generations of specialists receive consistent and high-quality training to meet the evolving needs of patients and healthcare systems.
Standards of Practice
In 2022, RANZCR launched the Standards of Practice for Interventional Radiology and Interventional Neuroradiology. These standards provide a framework for ensuring high-quality patient care and outcomes across IR and INR services in Australia and New Zealand.
Advocacy
The IRC actively advocates for IR and INR through various channels, including feedback on government consultations, policies and position statements, and actively contributes to policies that impact IR and INR services. A recent example of this is
the creation of a new interventional radiology subsection within the College’s official journal, JMIRO, for the publication of articles of excellence in the specialties of IR and INR. We encourage all members to engage with the IRC and contribute to the ongoing efforts to advance IR and INR. There are regular Expressions of Interest opportunities relating to the work of the IRC. Your input and support are invaluable as we work towards enhancing the recognition, training and quality of care in these vital specialties. IN
For more information or to get involved, please email interventional@ranzcr.edu.au
Dr Justin Whitley.
Coming Soon
An update on the National Lung Cancer Screening Program from ANZSTR’s working group.
In May 2023, the Federal Minister for Health and Aged Care, Mark Butler, announced a $260 million investment in the National Lung Cancer Screening Program (NLCSP), set to begin in July 2025. This program will be the first new national cancer screening initiative in nearly 20 years and will feature an MBS item number and a rebate for low-dose CT chest as part of the screening process.
The first half of 2024 has marked significant progress for the ANZSTR/ RANZCR Lung Cancer Screening Working Group, supported by a steering committee consisting of Dr Miranda Siemienowicz (Chair, ANZSTR), Prof Samantha Ellis, Prof Catherine Jones, Dr Mark McCusker, Dr Stephen Melsom and Dr Diane Pascoe. This committee has convened more than 25 times since February to coordinate the development of the NLCSP, with stakeholder collaboration including College staff, Cancer Australia, the Department of Health and Aged Care, Telstra Health, the National Cancer Screening Register, the Australian Diagnostic Imaging Association and the Thoracic Society of Australia and New Zealand.
Radiologists are playing a critical role in designing the program. The ANZSTR/RANZCR Lung Cancer Screening Working Group comprises 59 radiologists across six subcommittees and has achieved significant progress in recent months. Central to this is the lung nodule reporting protocol;
the Medicare Services Advisory Committee requires the program to incorporate the PanCan nodule malignancy risk calculator in baseline CT interpretation and the LungRADS framework for follow-up studies. Very low-risk and normal cases are rescreened at 24 months. These elements aim to maximise cancer detection sensitivity and specificity while minimising false positives. A nodule reporting protocol has been developed specifically for this program. In early June, the steering committee presented an initial draft of this protocol to Cancer Australia and the Department of Health and Aged Care, with positive feedback.
Another key issue is how the radiology report will interface with the National Cancer Screening Register (NCSR), which will also manage data for the bowel and cervical cancer programs. Radiologist routine workflow must be protected in the context of this data provision, and the steering committee is advocating to ensure radiologists’ needs are understood by other stakeholders.
The education and training subcommittee is developing materials to upskill the workforce ahead of the program’s start in July 2025. According to the RANZCR 2020 Workforce Census, only five per
cent of post-FRANZCR members have specialised training in thoracic imaging. With projections of up to 500,000 additional CT studies in the program’s first year, it is clear that these studies will be reported by general radiologists. It is crucial that educational materials are appropriate, adequate and accessible.
The Incidental Findings Subcommittee has drafted guidelines for additional findings, adapting from international sources and consulting with general practice and specialist clinician groups. The technical sub-committee is preparing the guideline for performing low-dose CT for lung cancer screening. Ongoing subcommittee work addresses public health perspectives, standardised reporting templates, and the use and implementation of artificial intelligence in the program.
RANZCR members are encouraged to stay informed about the development and implementation of the NLCSP by joining ANZSTR, which is open to radiologists of all training backgrounds who report thoracic imaging. Membership inquiries can be directed to anzstr@ranzcr.edu.au or through the RANZCR website under Special Interest Groups. IN
APROSIG in Mongolia
APROSIG aims to support oncology professionals in the Asia-Pacific to develop safe and sustainable cancer services. Here’s an insight into some of its recent work in Mongolia.
In November 2023, Glen Newman and I, both radiation therapists from Australia, were sent by the Asia-Pacific Radiation Oncology Special Interest Group (APROSIG) to the National Cancer Centre of Mongolia in Ulaanbaatar.
This is Mongolia’s sole radiation oncology department and the purpose of our three-week tenure (which was supported by the Crestani Foundation) was to enhance collaboration and contribute to skill development within the facility.
The National Cancer Centre of Mongolia serves a population of 3.4 million people. Their objective was to introduce intensity modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) for simulation, planning and treatment across various anatomical sites. The recent acquisition of a Varian TrueBeam system has expanded the team’s capabilities with a range of advanced treatment modalities.
During our visit, the team conducted lectures to address critical knowledge gaps identified by the staff. The topics included IGRT principles in pretreatment imaging, dynamic planning,
stabilisation techniques and the newly available breath hold technique on the TrueBeam system. Since then, ongoing online planning support has facilitated the continued development of planning and treatment protocols.
The enduring partnership between APROSIG and the National Cancer Centre of Mongolia has thrived since 2018. Future collaboration aims to strengthen ties between the two organisations, advancing treatment techniques within the department using the newly commissioned TrueBeam linear accelerator. This technology will enable the team to offer stereotactic ablative body radiotherapy (SABR) and stereotactic radiosurgery (SRS) for various tumour types, including lung cancers, kidney and adrenal gland cancers, liver cancers, bone metastases and spinal metastases.
We extend our gratitude to the Crestani Foundation and the broader APROSIG group for their continuous support. A heartfelt thank you goes to the National Cancer Centre of Mongolia for warmly welcoming us into their department at the onset of a chilly Mongolian winter. IN
Toby Lowe, Radiation Therapist, Northern Sydney Cancer Centre
However, this very capability means that it is imperative that clinicians exercise caution and maintain oversight when using these systems in clinical practice, as even a small error rate could affect a large number of patients.
The paper strongly asserts that AI tools should not be permitted to operate autonomously if it cannot be ensured that they will function safely and effectively. I encourage members to look out for both papers for more detail and authoritative guidance on the use of AI. Meanwhile, the multisociety paper referenced here is an excellent resource, offering a thoughtful appraisal and global perspective of this transformative technology.
It is clear that AI in medicine has the potential to streamline routine mundane tasks, minimise clinician workload, automate quality improvement, replace less precise computer algorithms that are already in practice, perform administrative tasks, and assist with teaching and research.
AI is here to stay. It is therefore essential that we inform ourselves about these technologies to ensure that we are in the best possible position to utilise the many benefits they can deliver. IN
1. Brady, A P, Allen, B, Chong, J, Kotter, E, Kottler, N, Mongan, J, Oakden-Rayner, L, Pinto dos Santos, D, Tang, A, Wald, C and Slavotinek, J. Developing, purchasing, implementing and monitoring AI tools in radiology: Practical considerations. A multi-society statement from the ACR, CAR, ESR, RANZCR & RSNA. J Med Imaging Radiat Oncol, 2024.
New Accreditation Standards Launching Soon
Updates on key projects underway within the Specialty Training Unit.
AMC Accreditation
Our program improvement work continues, and in doing so we will meet the relatively few remaining outstanding AMC accreditation conditions. We are confident that we remain on track to meet the 2025 conditions.
Regional and Rural Training Pathway (RRTP)
In June 2024, RANZCR secured funding for two Indigenous trainee positions, from unexpended funds under STP Program. The College is currently working with various jurisdictions, training sites and eligible candidates to fill these positions, with funding available for the 2025 clinical year.
Support
Supporting all our trainees, DoTs and clinical supervisors is a key focus. To assist with providing support, I would like to welcome Dr Portia D’Anverrs as RANZCR’s First Nations Medical Educationalist.
Consultations
The College has recently provided feedback to consultations from both the Medical Board of Australia (MBA) and Medical Council of New Zealand (MCNZ) regarding proposed changes to IMG assessment pathways. These proposed changes include a pathway to medical registration for IMGs who have a specific overseas
qualification without requiring an assessment conducted by the College. The College will continue to work with key stakeholders and College members in this area and our current processes may need to be updated to align to the changes at the MBA and MCNZ level.
Examinations
The 2024 examinations continue to build on the implementation of the new examination formats from 2023. A new examination schedule has been approved for 2026 to support trainees in the timing of examinations. From 2025, Phase 1 examinations will be held no earlier than April. From 2026, the Series 1 Phase 2 written examination will be held in the last week of January. All other Phase 2 examinations will remain at approximately the same time. RANZCR examinations continue to be generously supported by Fellows who have volunteered.
New Accreditation Standards
The revised Accreditation Standards and processes are intended to be encouraging and supportive, to help training sites deliver highquality training. They are simpler and clearer, so it is easier for training sites to know exactly what is expected to meet the requirements. They will also be more comprehensive, to include elements that are frequently identified as
Dr Barry Soans, Chief Censor (FCR)
key determinants of whether good training is occurring. They will be flexible enough to acknowledge that training sites have different ways of achieving the same end point. They are also designed to be more streamlined for all parties, so everyone can be more efficient and timelier with decision-making and the completion of the necessary documents.
The new Accreditation Standards will assess across three domains and 10 standards (currently 12 standards and 32 criteria); training sites will be assessed as “met” or “not met” on each of the standards; and the outcomes will be Fully or Conditionally accredited (not given a grading of A-D).
The official launch of the new Accreditation Standards will be on 17 October 2024 at the Perth ASM.
DoT Workshops
The Curriculum and Assessment Committee (CAC) runs three DoT workshops each year (Sydney, New Zealand and at the ASM). The DoT workshops this year focus on making the most of WBA feedback and tips for providing greater support for trainees. As I write this, the New Zealand ASM in Queenstown is fast approaching and I am looking forward to engaging with our trainees and our clinical supervisors (who are crucial to delivering good training) at the ASM and the preceding DoT Workshop. IN
ePortfolio Taskforce Update
An overview of proposed changes to the CPD ePortfolio platform, based on member feedback.
Dear members, I wanted to take a moment to share some updates from the ePortfolio Taskforce and the feedback we’ve gathered over the past year. Last year marked a significant milestone as we implemented our new mandatory CPD requirements. It was very important for us to hear from our members about your experiences, particularly on the ePortfolio/ CPD platform. To facilitate this, we developed a survey that helped us gauge which aspects of the CPD program are working well and where we can improve. Thank you to all who participated!
Here are some key themes that emerged from your feedback:
A notable 81% of respondents found the CPD ePortfolio platform challenging to navigate. We understand that many of you have faced difficulties, and we are committed to making this tool more user-friendly.
There was some dissatisfaction surrounding the new requirements from the Medical Board of Australia (MBA) and the Medical Council of New Zealand (MCNZ). We recognise that certain radiologists have found it difficult to meet all the necessary criteria, particularly the newly introduced mandatory requirements.
A significant 83% shared that they struggle to find the right CPD
category or activity type. We’ve noted the confusion regarding the new structure and are working on clarifying it.
In addition, your comments highlighted a few crucial areas for improvement:
The system is not as intuitive as we would like it to be—many of you asked, “Where do I enter this information?”
Complexity remains a major concern for our members, as well as the number of required activities to be entered.
It became clear to the Taskforce that significant improvements needed to be made to the dashboard as the current format was not tenable. The Taskforce has proposed the following changes:
1. Simplified CPD homepage with clear tabs to navigate members to go to specific tasks.
2. Simplified activity categories.
3. Clarity on members’ progress in their CPD Program.
4. Improved visibility on outstanding categories to be completed.
5. Review your previous CPD activity submissions.
6. Generate reports, letters, certificates and statements related to your CPD activities and progress.
The IT department is working on this and we hope that this will come into effect from January 2025. Moving forward, we will also ensure
that Help and Contact Details, along with an Overview of Goals and Progress Graph, are prominently displayed on the Dashboard for your convenience.
We’re committed to creating a CPD ePortfolio that is user friendly and truly serves your needs to maintain your professional development requirements. We appreciate your involvement and the invaluable feedback you’ve provided. Together, we can enhance our ePortfolio experience and ensure it meets the expectations of all our members.
We look forward to seeing you all at the Perth ASM. A CPD specific session will be held that will provide members an opportunity to discuss their queries in more detail. IN
“It became clear to the Taskforce that significant improvements needed to be made to the dashboard as the current format was not tenable. We’ re committed to creating a CPD ePortolio that is user friendly and truly serves your needs... ”
Prof Dinesh Varma, CHoPP (FCR)
Join Us
At Lumus Imaging, we are passionate about caring for our patient’s health and wellbeing. We are seeking Radiologists committed to advancing their career to join our network. Our Radiologists are supported by our advanced technology, collegiality, case mix, commitment to flexibility and our dedication to education.
We offer:
n Dedicated to offering best in class technology
n Varied flexible work arrangements to support your priorities
n Education and development opportunities
n Sub specialty reporting available
n Clinical excellence and collegiality
n Market leading remuneration
Engagement and Support
Reflecting on MTS Survey results, and details of new TLO staff available to support our trainees.
The year has gone by in a blink of an eye and it’s hard to fathom that we’re already in the latter part of 2024. From a Clinical Radiology Trainee Committee (CRTC) perspective, we’ve managed to achieve some wins that improve a trainee’s experience. There are many more advocacy points that we are still working on and it reminds me that even though a year feels like a long time, when put in perspective, it goes by fairly quickly and sometimes large changes can take a longer period of time to go through the system. RANZCR has a robust committee structure where members, through their representatives, can raise issues and they are thoroughly discussed before implementation. In my time as CRTC Chair, I’ve come to be more familiar with this structure and appreciate the various checks and balances that are in place before changes are made.
The Medical Training Survey (MTS) is a survey that is run by AHPRA
every year and delivered to doctorsin-training (DiT) when they complete registration. The 2023 MTS survey results are available and the data provides a good insight into how radiology trainees find our training program, as well as being able to benchmark ourselves against our other specialist trainee colleagues. RANZCR trainees find their overall satisfaction with training slightly higher than the average of other specialties, with 86% recommending their current training position to other doctors. This is great to see and is a reflection of the robust nature of radiology training and its delivery by excellent Directors of Training and Clinical Supervisors.
There are opportunities for improvement though. Two key areas that the CRTC is working with the College to improve are engagement, where trainees find access to support services lacking, and communication, especially communicating changes to the training program.
The College has expanded its Trainee Liaison Officer (TLO) workforce. Joining the Australian and New Zealand TLOs is the International Medical Graduate Education Support Officer (IMG ESO). These roles should continue to improve engagement with trainees from the College and hopefully this is reflected in MTS 2024 results.
I encourage all trainees who have concerns and/or issues to reach out to our TLOs/IMG ESO, who can provide invaluable support and point you in the direction of further support services. Contact details are as follows:
Lisa Grayson (TLO Australia and Singapore): +61 437 893 913; tlo@ranzcr.edu.au
As always please feel free to reach out to CRTC at clinicalradtc@gmail. com and also feel free to contact me at sanjay.hettige@gmail.com. IN
“RANZCR trainees find their overall satisfaction with training slightly higher than the average of other specialties, with 86% recommending their current training position to other doctors.”
Dr Sanjay Hettige, CRTC Chair
Refreshes and Restructures
Reporting on recent changes to the Targeting Cancer website and the latest NZ Health restructure.
Iam pleased to report on the excellent work that has been undertaken over the past 12 months to refresh and enhance the Targeting Cancer website, a project that has been a key priority for the Faculty of Radiation Oncology.
The website is one of the most important assets of the Targeting Cancer campaign, which aims to improve access to cancer treatment so that patients receive the radiation therapy they need.
Currently, while one in two people with cancer could benefit from radiation therapy, only one in three patients receive this treatment in Australia and New Zealand.
Established in 2013, the Targeting Cancer website has been integral in raising the profile of radiation therapy as a safe and effective treatment and cure for cancer. It provides highly credible and comprehensive information for cancer patients, their families and carers, and healthcare professionals. This includes informative videos, personal stories, FAQs, information
organised by type of cancer, and explanations of the different treatments available in addition to radiation therapy.
The refreshed website has a new and modern look, clearer messaging and much easier navigation on computer desktops and mobile devices, enabled by intuitive functionality, features and content.
Much work has been done to update the extensive resources, and the website is now disability accessible, thereby creating a more inclusive online experience.
My sincere thanks to the Targeting Cancer Website Revamp Project Group led by Dr Lucinda Morris along with Dr Kathy Pope, Dr Vincent Pow and Rosanna Martinello and to RANZCR staff (Roza Sage, Irine Lui and members of the Communications team) for their excellent work on this project.
NZ Health Restructure
In other news, the New Zealand government has announced more changes to New Zealand Health with a major restructure.
The Board of Health New Zealand will be replaced with a commissioner who, according to the Minister for Health, will be tasked with achieving cost efficiencies and strengthening governance and management.
This follows attempts to reform the New Zealand health system in the past few years by the previous government, with the aim of creating one centralised national health system.
Designed to save costs, establish national health targets and
ultimately provide improved patient care, this strategy proved largely unsuccessful and resulted in a significant budget overspend.
Prof Lester Levy, Chair of Health NZ, has been appointed to the role of Commissioner for a 12-month term, to implement a turnaround plan and achieve savings of approximately NZ$1.4 billion.
Further detail about the extent of the restructuring is yet to be made available but is likely to include the establishment of four regional deputy chief executives who will be accountable for delivering cost savings in the provision of regional hospital and health services.
The College will continue to work constructively with whomever holds responsibility for the delivery of health services, and to advocate for radiation oncologists and registrars in this space.
In the midst of this changing and challenging environment, I encourage members to prioritise self-care and to reach out to colleagues and the College if needed. My thanks for your continued dedication. IN
“Currently, while one in two people with cancer could benefit from radiation therapy, only one in three patients receive this treatment in Australia and New Zealand.”
Dr Gerry Adams, Dean (FRO)
Enhanced Support
Introducing the new First Nations Medical Educationalist and the IMG Trainee Liaison Officer, as well as other key updates.
It was great to see so many new and “old” faces at the recent DoT workshop in Sydney. This was one of the largest attended and I particularly enjoyed the sessions run by Dr Ruth Sutherland, our Medical Educationalist, who has a wealth of experience. For those who missed out in Sydney, please consider attending the DoT workshop at the Perth ASM, where the content will be similar.
Appointments
I would like to extend a warm welcome to our First Nations Medical Educationalist, Dr Portia D’Anverrs, a recent Fellow and member of MAETC. This role focuses on integrating cultural competence and safety into RANZCR curricula and addressing barriers for Indigenous trainees to participate and progress in specialty training programs.
Medical Board and IMGs
The College has recently provided feedback to both the Medical Board
of Australia (MBA) and Medical Council of New Zealand (MCNZ) regarding proposed changes to IMG assessment pathways. These proposed regulatory changes include a pathway to medical registration for IMGs who have specific overseas qualification(s) without requiring an assessment conducted by the College. This is a big change and the College will continue to work with key stakeholders in this area. RANZCR has also appointed Gabby Hewet-Le Forestier as the IMG Trainee Liaison Officer. This role is dedicated to supporting IMGs, assisting in resolving challenges, and linking them with College services to optimise their training experience.
Accreditation
The new Radiation Oncology Training Site Accreditation Standards have now been formally approved. This has been the result of a significant amount of work over the past two years. A reminder that the revised standards are intended to be:
Encouraging and supportive, to help training sites deliver highquality training
Simpler and clearer, so it is easier for training sites to know exactly what is expected to meet the requirements
More comprehensive, to include elements that are frequently identified as key determinants of whether good training is occurring
Flexible enough to acknowledge that training sites have different
ways of achieving the same end point
More streamlined for all parties, so everyone can be more efficient and timely with decision-making and the completion of the necessary documents.
The new Radiation Oncology Training Site Accreditation Standards will be officially launched at the upcoming ASM in Perth WA. An update will be held on Thursday 17 October at 4pm. If you are due for accreditation in the next one or two years, this is a great opportunity to learn about the new standards and how this will look for your training site. If you have any questions, please contact the team via accreditation@ranzcr.edu.au.
Examinations
I would like to congratulate all trainees who sat the first series of examinations this year. The Phase 2 examinations had an overall pass rate of 74% and the Phase 1 examinations had an 84% pass rate. A big congratulations to all successful candidates. For those who were unsuccessful, please remember that many incredible and inspiring radiation oncologists have required more than one attempt at an examination during their careers. Good luck with your ongoing preparation. The Phase 2 examination changes have now come into effect, and my best wishes to those candidates who are currently preparing for the Phase 2 viva component and those preparing for the next Phase 1 examination sitting. Good luck to all! IN
Dr Lisa Sullivan, Chief Censor (FRO)
Cardiac CT Training 2024
We go beyond simply meeting training requirements:
l Participants eligible to claim 40.75 RANZCR
CPD hours for the Masters and 23.75 RANZCR
CPD hours for the Recertification course.
l Maximum allowable course based live and library cases for ANZ credentialing.
l Clinician led teaching by high volume operators.
l State of the art low dose, High Definition imaging.
l Unrivalled venue and catering.
Empowering Change
Update on the new Culture of Medicine Working Group and upcoming changes to the CPD ePortfolio for 2025.
Dr Carol Johnson, CHoPP (FRO)
Hello members, I’m excited to share some news about a new initiative. We’re launching the Culture of Medicine Working Group, which is about creating a workplace where integrity, respect and safety are at the forefront. We know that everyone deserves to feel safe and valued at work, and we’re committed to tackling issues like harassment, bullying and discrimination. Here’s what we believe: when we prioritise the wellbeing of our patients and each other, we strengthen the integrity of RANZCR. That’s what this group is all about.
Guiding Principles
The Culture of Medicine Working Group will be guided by a few key principles as we move forward:
Acting in the best interests of our patients and fellow members
Keeping high-quality healthcare delivery as our top priority
Maintaining the integrity of our profession; embracing the RANZCR Code of Ethics.
What We’ll Be Working On:
Policy Review and benchmarking with other Colleges and world expectations
Updating our policies; developing additional policies if required
Promoting Standards of Practice
Identifying useful/relevant resources
CPD Resource Development and interaction with the ePortfolio
Identify, promote or deliver other activities that would cover this area of concern
Addressing other concerns that become apparent
The working group is about fostering a supportive and thriving environment in our profession. We also need to know how to respond to poor or unacceptable behaviour. I consider this to be a very important role of the College and I invite each of you to get involved. Your thoughts and participation will make a real difference as we strive to build a culture that is respectful, inclusive and prioritises the safety of everyone.
If you're interested in joining us, please submit your CV and return the Expression of Interest form with a 300-word statement outlining your interest and fit for the position to Shannon McConnell, Program Officer, Standards, at professionalpractice@ranzcr.edu.au by COB 27 September 2024.
CPD UPDATE
As a further note, the College has been responding to member feedback, leading to changes within the ePortfolio. There are now four mandatory CPD program level requirements from 2025.
Culturally Safe Practice
Addressing Health Inequities
Professionalism
Ethics
There will be no designated minimal hours for each activity. Changes will be made to the ePortfolio to identify the completion of these mandated activities. We will suggest some options for you to assist in meeting these requirements.
For New Zealand Fellows we also have to meet the Medical Council of New Zealand (MCNZ) additional requirement of an annual conversation.
The Medical Board of Australia now requires all CPD Homes to report to them by the 30 June each year on the compliance of all Australian CPD Participants for the previous CPD year, including Fellows, Fellows on a break-inpractice, IMGs, Associates, trainees and trainees on a break-in-training.
The MCNZ only requires to be notified of all non-compliant New Zealand members.
These changes reflect a positive step forward. With four new mandatory requirements the College shows its commitment to fostering a culturally competent and ethical healthcare environment. Aligning and strengthening our guidelines promotes high standards for medical professionals and safeguards the reputation of our College. These changes have been identified to help practitioners effectively address the challenges in today’s landscape. IN
Scan the QR code to download an Expression of Interest form
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
PETALS FLOWERS
Petals Network is one of Australia and New Zealand’s premier flower delivery services, proudly connecting customers with the world’s best local florists for almost 30 years. All of Petals’ flower arrangements are artistically arranged and hand-delivered
See all Member Rewards offers in:
New Zealand Australia
using only the freshest flowers available through its network of talented local florists.
College members receive 20 per cent off the value of flowers purchased. This discount applies to the flower value only. An additional delivery fee will apply.
Please register your details by scanning the QR code to access the online catalogue and discount.
KPMG BMW & MINI CORPORATE
KPMG Enterprise is a specialist division of KPMG Australia, dedicated to advising the emerging, private and mid-market. KPMG works with established and emerging entrepreneurs, family business, private clients, not-for-profit and fastgrowing companies to build successful organisations. College members can access the following benefits:
• An initial meeting with a Partner or Director free of charge;
• A minimum 40 per cent discount on KPMG standard rates for the engagement period with all College members;
• 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
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.
Honour Roll
The King’s Birthday Honours, announced in June, saw two RANZCR members from Australia and New Zealand recognised for their outstanding professional contributions—here’s a celebration of their achievements.
Dr Barbara Hochstein
Distinguished member Dr Barbara Hochstein was appointed a Member of the New Zealand Order of Merit for her exceptional contributions to radiology and education.
With a career spanning several decades, Dr Hochstein has significantly advanced the field of radiology in New Zealand. Her pioneering work in integrating practices among surgeons, pathologists, oncologists, chemotherapy nurses and other practitioners has greatly enhanced cancer treatment services in Rotorua. One of Dr Hochstein’s notable achievements is the establishment of mobile breast screening services in rural areas, which began in 1999. She also founded the Aratika Cancer Trust retreats in 2010, providing vital support to cancer patients.
Her recent efforts include setting up conferences for NZ sonographers to detect signs of family violence during pregnancy scans, showcasing her dedication to addressing critical social issues through medical practice. Dr Hochstein’s commitment to education is evident in her focus on training doctors in their final years, emphasising the importance of communication in patient care. She believes in the mantra: “You don’t treat a picture, you treat a patient.”
Dr Hochstein continues to
contribute to the field by addressing resource issues in sonography through her temporary post in London, which supports hospitals in Australia and New Zealand after hours. In addition to her professional achievements, Dr Hochstein has been an integral part of RANZCR, serving as an examiner since 2015 and holding the position of Director of Training for over nine years. Her dedication and expertise have made her a brilliant advocate for the College. Beyond her professional commitments, Dr Hochstein is a cancer survivor and finds solace in painting, using her art as a therapeutic outlet.
We are incredibly proud of Dr Hochstein’s achievements and her dedication to improving healthcare. Her recognition in the King’s Birthday Honours is well-deserved, and we celebrate her as a shining example of excellence in our community.
Dr Lynette Masters
In Australia, Dr Lynette Masters was awarded the Order of Austraia Medal (OAM) for her exceptional service to medicine as a neuroradiologist.
Dr Masters has been a dedicated member of the I-Med Radiology Network since 2009, where her expertise and commitment have made a significant impact. In addition to her role at I-Med, Dr Masters
juggles multiple positions at the Brain and Mind Centre at the University of Sydney. She serves as the Clinical Director of MRI and is an integral part of the Computational Neuroscience Team as a researcher.
Her areas of expertise include spine imaging, functional MRI and the application of artificial intelligence in neuroradiology research. Her contributions to these fields are paving the way for advancements in medical imaging and patient care. For Dr Masters, the journey to becoming a renowned neuroradiologist began with obtaining her Fellowship of the Royal Australasian College of Physicians (FRACP) in neurology. She then pursued training in radiology, followed by two fellowships in the United States. Dr Masters completed a two-year diagnostic neuroradiology fellowship at New York Hospital/ Cornell Medical Centre and the Memorial Sloan Kettering Cancer Center. She further honed her skills with a two-year interventional neuroradiology fellowship at NYU Medical Centre.
After her fellowships, Dr Masters remained in New York for another four years, working as a consultant neuroradiologist. Her time there allowed her to gain invaluable experience and expertise, which she brought back to Australia, continuing her contributions to the field of neuroradiology. Dr Masters’ dedication and ongoing contributions to medical research and clinical practice make her a deserving recipient of the OAM. Her work exemplifies the values and excellence that RANZCR stands for.
Meet a Staff Member
This issue, we meet Michael Watkinson, Senior Media and Communications Officer.
Tell us about your role and experience. I promote the work of the College and its members through securing coverage in the media. For example, arranging an in-depth interview for our President on ABC Radio National earlier this year discussing the future of AI in radiology. I arrived from the UK just over a year ago. I spent 12 years back in England working in public relations and communications, including for a political party and in local government. It’s a lot sunnier in Sydney, though.
What are you currently working on? I’ve just finished promoting our radiation oncology facilities report for New Zealand, where we secured three radio interviews with local
College members on our call for the Kiwi government to make more training places available
Name one College highlight from the past year. Attending our 2023 ASM in Brisbane, which came only a few weeks after starting at RANZCR. It was a great opportunity to learn more about the College, examine up-close how our two faculties worked and meets lots of our members face-to-face.
What are you most looking forward to in the year ahead? I’ve really enjoyed working with the Targeting Cancer Management Committee promoting the work our excellent radiation oncologists do in eradicating cancer and I’m
looking forward to continuing this.
What’s something that members might be surprised to know? On the way to Australia from the UK I decided to see a bit of the world and was lucky enough to spend three weeks in India and then another three weeks in New Zealand. The countries were very different, but equally fascinating. My highlights were Rajasthan in India and New Zealand’s Aoraki/ Mount Cook. IN
Changes to Pro-rata Invoice/Credit Calculations
There are many circumstances in which a member may require a pro-rata invoice adjustment. These include:
1. Member (including Fellow, Educational Affiliate, Student, SR Pathway, CPD SR Pathway) changes FTE status from full-time to part-time;
2. Student member (trainee) becomes Fellow; 3. New trainee joins training program mid-year; 4. New Fellow starts mid-year;
5. New CPD Associate joins mid-year; 6. New SR Pathway and CPD SR Pathway individual joins mid-year;
Student member (trainee) enters BIT;
Fellow/Educational Affiliate enters BIP;
SR Pathway and CPD SR Pathway individuals enter BIP;
Member’s relocation.
Based on member feedback, we have adjusted the finance process so that pro-rata adjustments are calculated using days, not quarters, ensuring member charges are fair and consistent.
CPD Reminder
Have you made headway into completing your CPD requirements for 2024?
Ashould aim to do this as soon as possible, ensuring you have CPD activities in all three categories.
CPD Categories
Educational Activities
This category is usually the straightforward category to complete—it includes conference attendance, supervision, publications and presentations, web-based learning, journal reading, teaching and the like. The other two categories more often cause strife for some of our members. Here’s a reminder of what those categories include (note that the below two categories require a total of 25 CPD hours with a minimum of five hours in each).
Reviewing Performance and Reflecting on Practice
Activities you can claim include:
Review of Cases—peer review activities
Reflective Diary
Professional Development Plan—you can claim up to two hours for completing this
Cultural Competence Activities—please refer to the Cultural Safety page on the College website for suggestions
Professional Practice Management—e.g. staff appraisal meetings, staff training, operational planning, equipment compliance, workplace health and safety
Participation in RANZCR Governance—College activities e.g. sitting on Committees.
Measuring and Improving Outcomes
Activities you may claim include:
Multidisciplinary Team Meetings
Quality Improvement Projects
Audit (of your own cases)
Patient Experience Survey
M & M meetings
Clinical outcome related research.
Professional Development Plan
By this stage you should have already completed your Professional Development Plan (PDP) for 2024. All that you require are some goals you would like to achieve this year and to enter these into the PDP template in ePortfolio.
ASM Anaphylaxis Training Session
It’s great to see that a lot of our clinical radiologists have already met their anaphylaxis training requirement for 2023–2025. We will be running anaphylaxis training sessions at the RANZCR ASM in Perth. This was a great success at the Brisbane ASM last year so anyone who hasn’t completed this training yet, please take advantage of these sessions if you are attending the ASM.
Who to Contact
College staff are on hand to assist with entering your CPD activities. Please contact Freya or Leanne on + 61 2 9268 9777 and select CPD. If your call cannot be answered, please leave a message when prompted and a team member will be in touch. Alternatively, you can email cpd@ranzcr.edu.au. IN
A Time to Gather
Highlights from the Queenstown ASM, and a message of thanks to departing committee members.
Thank you to everyone who attended our New Zealand ASM in August. The event was a wonderful opportunity to foster creativity, collaborate and catch up with long-lost friends and colleagues. I would especially like to thank our 2024 convenors— Dr Sharon Ngu, Dr Luke Wheeler, Dr Jerusha Padayachee and Dr Giuseppe Sasso—for creating a great program. The range of topics from the international speakers kept the attendees engaged. A special thank you for travelling Down Under and sharing your knowledge, Dr Richard Do, Dr Giles Maskell, Dr Wendy DiMartini and A/Prof Farshad Foroudi. Congratulations to Dr Richard Kelly for his oral presentation on “Utility of PET CT in CT Stage IA Non-Small Cell Lung Cancer: The New Zealand Te Whatu Ora Northern Region Experience”, and Dr Mina Ibrahim who won best poster prize for “Using ChatGPT to change free text reports into structured reports for staging CT scans”.
Congratulations to Dr Carol Johnson and Prof Anthony Butler, recipients of the Pikimairawea award. Carol’s exceptional contributions to both teaching and the radiation oncology profession have made a significant impact, enriching the lives of both trainees and patients. Anthony’s contributions to the radiology research environment are a testament to his relentless pursuit of innovation and excellence, and his success bridging the fields of engineering and medicine. He has advanced radiology, and improved both patient care and access to cutting-edge medical technology. I would also like to thank Dr Carol Johnson, who completes her term as Chief of Professional Practice and her work on the NZ Radiation Oncology Executive. Dr Verity Wood and Dr Missa Amin have also completed their terms on the NZ Branch Committee. I would also like to acknowledge the dedication of Dr Ian Best and Dr Mark Coates, who have also stepped down from the ACC/MSK working group—they have been present since its inception.
Selection/workforce
We have just completed another year of registrar recruitment. Thank you to our Directors of Training, Network Training Directors and Training Network Director for all the work involved. It’s imperative that we continue to build our training capacity throughout NZ to ensure we train as many clinical radiologists and radiation oncologists as possible. We look forward to the new registrar cohort beginning their training in 2025.
“The range of topics from the international speakers kept the attendees engaged. A special thank you for travelling Down Under and sharing your knowledge.”
While we grow and train our own, NZ is thankful to our International Medical Graduates (IMGs) who choose NZ to be their home. The process is arduous and long; both the governments in NZ and Australia are looking at ways to speed up the process to ensure that IMGs are able to efficiently enter the health system. MCNZ is considering an expedited pathway for some specialties, of which diagnostic and interventional radiologists is one. We did reiterate that there is a shortage of radiation oncologists. MCNZ has just completed consultation with the medical Colleges; you can view more on the MCNZ website.
New Zealand Radiology Education Trust (NZRET) Funding
Members (including registrars) who have any research or education initiatives planned for 2024, please consider applying for funding from NZRET. The last funding round for the year is open until 3 October 2024. NZRET has funds for grants; information is available on the NZ Branch website or you can email trust@ranzcr.org.nz. IN
Dr Gabes Lau, NZ Branch Chair
Event Recap
July saw the Victorian Branch host its second Annual Branch Meeting at Melbourne’s RACV City Club, themed ‘Hot Or Not’! With a focus on bringing Victorian clinical radiologists together, the event saw Fellows and trainees convene for a full day of presentations across a variety of subspecialities.
President John Slavotinek and CEO Duane Findley spoke about the future direction of the College and the recently unveiled draft RANZCR Strategic Plan 2025–2040, as well as perspectives on the future of
Inside this year’s VIC Branch ASM.
radiology across Australia and New Zealand.
The academic sessions encompassed ‘hot’ topics in nuclear medicine, chest, abdomen, gynaecology, breast, paediatrics as well as an update on the proposed National Lung Cancer Screening Program.
There were also non-academic presentations, including on ‘Music and Radiology’, and a panel discussion with RACS, RACP and RACGP representatives on “What Referrers Want from Radiologists”. The event concluded with the Branch Annual
General Meeting and postconference networking drinks.
Attendee feedback highlighted this event, along with the inaugural 2023 event, was a fantastic opportunity to network with colleagues and gain enlightening pearls of wisdom from the subspecialty presenters.
Many thanks to all who attended, as well as our presenters, sponsors (including Capital Radiology, Everlight Radiology and Performance Property), and to the Victorian Branch Committee for bringing this enjoyable and informative event together! IN
