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Annual Report 2008


Our Vision To boost medical education in Viêt Nam

Who we are Hoïc Mãi, the Australia Viêt Nam Medical Foundation, is a non-profit organisation which was established in 2001 to improve medical education in Viêt Nam. It is a foundation of the University of Sydney that brings together the collective health care knowledge and experience of Australia and Viêt Nam in an educational partnership. The Hoïc Mãi Foundation has a distinguished Patron, Her Excellency, Professor Marie Bashir, Governor of New South Wales.

Our mission We aim to foster healthcare education to improve health outcomes for the 85 million people living in Viêt Nam by: – Supporting a bilateral exchange of students and health professionals between Australia and Viêt Nam; – Assisting to develop an understanding of the methods of teaching doctors and nurses in Viêt Nam by the ‘Train the Trainer’ program and SCORPIO Technique; – Facilitating the development of knowledge of the Viêtnamese doctors, nurses and other healthcare workers to improve health care delivery to their people; – Developing a strong network of Australian medical, nursing, technical and allied health staff who will provide on-going assistance and training of Viêtnamese colleagues; – Providing practical assistance with preventative, diagnostic and management problems in hospitals in Viêt Nam; – Increasing medical research skills in Viêt Nam with the aim of using research to improve care

What we do We facilitate: – Education and ‘Train-the-Trainer’ programs in Viêtnamese hospitals and universities – Delegations travelling to Viêt Nam to teach clinical skills and knowledge within various specialities in a number of hospitals in Viêt Nam We offer scholarships and fellowships to: – Young health professionals from Viêt Nam to come to Australia for advanced training – Medical, nursing, and allied health students from Universities of Sydney, Melbourne and Tasmania to undertake clinical placements in Viêt Nam – Viêtnamese medical students to broaden their hospital experience in Australia – Students in the Masters of International Public Health from the University of Sydney to complete their project in Viêt Nam – Support medical research and training

How we work Hoïc Mãi relies on the goodwill of Australian health care professionals to host and train their Viêtnamese colleagues. We act as facilitators for Viêtnamese and Australian medical personnel to gain experience and understanding of problems in the developing world. We rely on grants and donations to support our program.

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Hoïc Mãi 2008 highlights AusAID Australian Leadership Awards Grant received allowing 30 Vietnamese Health Professionals to study and observe healthcare in Australia for 3 months between July and October. Myer Foundation Grant for medical student scholarships to visit Viêt Nam for clinical placements and to allow for the expansion of program to University of Melbourne and to increase number of scholarships to University of Tasmania. The Faculty of Nursing and Midwifery at University of Sydney, in association with the Hoïc Mãi Foundation undertook a United Nations Population Fund (UNFPA) supported consultancy to work with a team of Vietnamese experts to develop a new national curriculum for midwifery. Grant from International Program Development Fund from University of Sydney to support Maternal and Child Health education team lead by Professor Jonathan Morris. Scholarships awarded to two student within the Masters of International Public Health and 3 Allied Health Students from University of Sydney. Three Vietnamese Medical Students visit Australia for clinical placement at Royal North Shore Hospital within the Northern Clinical School. A/Professor Marcus Skinner and Dr Nguyen Huu Tu coordinated the Primary Trauma Care course in June 2008 for 52 participants at DaNang Hospital. Professor Kerry Goulston takes a Medical English Teaching team to HaNoi Signing of MoU between Tweed Heads and DaNang Hospitals and the Hoïc Mãi Foundation lead by Dr Ian McPhee Inaugural Hoïc Mãi conference in October at Viet Duc Hospital, HaNoi Ongoing maintainence of Hoïc Mãi Australia house

An n ua l R e p o r t 2008

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Foundation Governance Statement University Foundations are required to report to Senate. Summarised below is the Governance Statement Section to be reported upon as part of the Annual Report. The Annual Report prepared by a Foundation is to submitted via the Chief Accountant to Audit and Risk Management Committee of the Senate The Hoïc Mãi , the Australian Viêtnamese Foundation recognises the importance and benefit of reviewing its adoption and alignment with governance principles and provides the following report

Name: Mr Ross Gavin Qualifications and experience: Partner, PriceWaterhouseCoopers, Sydney Current Term of Appointment; 06/03/08 to 25/03/09 Special responsibilities: Treasurer Number of meetings attended 4; eligible to attend 4

Principle 1 – Lay solid foundations for management and oversight

Name: Emeritus Professor Kerry Goulston Qualifications and experience: Former Dean, Northern Clinical School, University of Sydney Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member (Deputy Chair) Number of meetings attended 3; eligible to attend 4

Nature of the entity The Hoïc Mãi , the Australian Viêtnamese Foundation is a part of the University of Sydney ABN 15211513464 and not separately incorporated under a state or commonwealth Act. The Foundation is required to gain prior approval for its fundraising activities from the DVC External Relations. The Foundation’s activities are not-for-profit and covered by the DGR status of the University of Sydney. The University is exempted from the requirement to hold an Authority to Fundraise and obligations upon holders of such an authority but is still required to comply with the balance of provisions of the Charitable Fundraising Act Roles of board / council and management The Foundation operates under the authority of the Senate of the University of Sydney, as approved on [ 200 ] and has no powers of delegation. The Foundation conducts its affairs pursuant to the Foundation Rules and the relevant policies of the University. The Foundation had its annual fundraising plan approved and was [able/not able] to meet its objectives. The Foundation is to be reviewed every three years from the date of its approval. [No] review was undertaken during 2008.

Principle 2 – Structure of the council to add value The Council of the Foundation in [2008] consisted of the following members: Name: Mr Alfred Attard Qualifications and experience: Director Elizact Current Term of Appointment: 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 4; eligible to attend 4 Name: The Hon Dr Meredith Burgmann Qualifications and experience: Former President of Legislative Council Current Term of Appointment: 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 4; eligible to attend 4 Name: Major General Bill Crews AO (retired) Qualifications and experience: National President, The Returned and Services League of Australia Current Term of Appointment: 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 2; eligible to attend 4

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Name: Mr Brad Hazzard Qualifications and experience: Member of New South Wales Legislative Assembly Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 2; eligible to attend 4 Name: Mr Ken Hopkins Qualifications and experience: Director Elliot House Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 3; eligible to attend 4 Name: The Hon Craig Knowles Qualifications and experience: Former Minister of Health NSW and Board Member of Investec Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 2; eligible to attend 4 Name: Mr Michael Mann (AM) Qualifications and experience: Managing Director (AsiaPacific) of Laureate Education Asia Inc and the Founding President of Royal Melbourne Institute of Technology’s university in Viêt Nam Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 0; eligible to attend 4 (resides in Viêt Nam in 2008) Name: Dr Thuy Mai -Viet Qualifications and experience: President and CEO University Preparation College Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 1; eligible to attend 4 Name: The Hon Mrs Janette McHugh Qualifications and experience: Former Member of Phillip Federal Parliament Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 4; eligible to attend 4 Name: Professor Jonathan Morris Qualifications and experience: Professor of Obstetrics and Gynaecology, University of Sydney and Head of Department of Obstetrics, Royal North Shore Hospital Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 3; eligible to attend 4 Name: Mr Tom Moult Qualifications and experience: Executive Chairman, Euro RSCG South Pacific Group Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member


Number of meetings attended 3; eligible to attend 4 Name: Professor Bruce Robinson Qualifications and experience: Dean of Medicine, University of Sydney Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Chairperson; Number of meetings attended 4; eligible to attend 4 Name: The Hon Mr Tom Uren AO Qualifications and experience: Former Member of the Federal Parliament Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Council Member Number of meetings attended 3; eligible to attend 4

Honorary: Name: Consul General Vu Hong Nam Qualifications and experience: Consul General Viêt Nam Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Honorary Member Number of meetings attended 0; eligible to attend 0 Name: Ambassador Nguyen Thanh Dan Qualifications and experience: Ambassador Viêt Nam Current Term of Appointment 06/03/08 to 25/03/09 Special responsibilities: Honorary Member Number of meetings attended 0; eligible to attend 0

Council members were elected at the Foundation’s AGM on 6 March 2008. There is not a separate nomination committee of Council. The full Council resolves on nominations for co-opting of members to fill vacancies outside of the process of election at the AGM. There was not a performance evaluation of the Council undertaken in the reporting period.

Principle 3 – Promote ethical and responsible decision-making Council members have been provided with the University of Sydney Foundation Governance Guide, Foundation Rules, Code of Conduct and Conflicts of Interest Policy. The Code of Conduct and Conflict of Interest Policy are also available on the University’s public website as are other relevant University policies regarding harassment, grievance procedures and related policies.

Principle 4 – Safeguard integrity in financial reporting The annual accounts of the Foundation are prepared by the financial staff of the University, signed off by the Finance Officer, Facilities of Health and included in this Annual Report to the Senate. The Foundation is part of the University and therefore does not have its own audit sub-committee; The University is audited by the Audit Office of NSW. The Foundation undertook the following fundraising appeals during 2008: two appeals via mail, Evening at Casula Powerhouse; Student scholarship fundraising at Bah Tinh Restaurant at Marrickville. And in conducting those appeals the Foundation took all reasonable steps to ensure that commissions paid or payable to any person as part of a fundraising appeal did not exceed one-third of the gross money obtained by that person in the appeal and appropriate particulars of all items of gross income received or receivable, all items of expenditure incurred, including

the application or disposition of any income obtained from the appeal and particulars of those transactions to which they related were recorded in the minutes of the Foundation.

Principle 5 – Make timely and balanced disclosure The Foundation complied with the reporting and disclosure requirements of the Senate. These include an annual budget and this Annual Report Members and Council have been made aware of the processes for disclosure pursuant to the Code of Conduct, Conflicts of Interest policy, which include protected disclosure to the ICAC, to the Ombudsman or the Auditor General. Principle 6 - Respect the rights of shareholders, members, staff, volunteers, clients, & other stakeholders The Foundation Council and/or membership consist of members of the community, industry bodies and the University whose input is invited via the Annual General Meeting and Council meetings of the Foundation. The following forums/mechanisms have been held during the year to involve stakeholders in election of the Council, activities of the foundation or other stakeholder participation at quarterly meetings, Annual Report and website. Under the Charitable Fundraising Act, the University may be questioned about any appeal on details of the purpose of the appeal such as the appeal target, objectives, distribution of proceeds, etc and the process to provide answers. During the year the Foundation published information [on its website/ other means] and outlines those activities in this annual report. Other enquiries may have been made to other parts of the University.

Principle 7 - Recognise and manage risk The Foundation recognises its activities within University premises or other premises require risks such as health and safety, environmental protection, privacy, trade practices, and compliance with the Charitable Fundraising Act to be considered and managed. The Foundation has managed these risks during the year by being aware of and implementing the University policies and procedures.

Principle 8 – Remunerate fairly and responsibly No member of a Council is entitled to receive any remuneration for acting in that capacity except reasonable remuneration on a basis which has first been approved in writing by the University Officer (Foundations) Members of the Foundation Council may be reimbursed for reasonable expenses after written approval of the University Officer (Foundations). Any such instances are recorded in the minutes of the Council.

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Chair’s Hoïc Mãi Foundation Report for 2008 We have been privileged again in 2008 to have such strong support for the work of Hoïc Mãi - the Australia Viêt Nam Medical Foundation. The Australian Government through AusAID support of over 30 doctors, nurses and medical technicians has again provided the majority of our funding. The experiences of the Viêtnamese visitors and the keenness with which they translated their learning experiences into practical changes back in Viêt Nam is a great testimony to the AusAID support and the enormous contributions made by their supervisors in Australia. Many new friendships have been forged and new teams are planning visits to Viêt Nam in 2009. The support of the Myer Foundation has enabled us to maintain high level support to our medical student scholarships and has also enabled us to expand and offer elective scholarships to nursing, allied health and public health students. All of these students have returned full of enthusiasm and new insights which will enhance their future careers whether in Australia or globally. We acknowledge our deep gratitude to the teachers in Australia and Viêt Nam who have given so generously of their time and expertise to these students. This support multiplies many folds the financial support we receive from Government and private organizations and individuals. Additional support in 2008 has come from fundraising events arranged by 2007 Hoïc Mãi student scholarship recipients and by The Hon. Craig Knowles at the Casula Powerhouse. The students who have participated in our exchange program from our alumni network in Australia and Viêt Nam which has become a very valuable resource of supporters for the program in the future. We hold regular meetings with the Hoïc Mãi scholars in Viêt Nam and in 2008 held our first Hoïc Mãi Conference at which presenters from both countries highlighted the educational opportunities we have to offer one another. Projects in Midwifery Curriculum Development lead by Professor Jill White, Dean of Nursing and Midwifery and funded by UNFPA, and Medical Curriculum Development lead by Professors Kerry Goulston and Kim Oates, Medical Ethics lead by Professor Merrilyn Walton, Radiotherapy Training lead by Professor Graeme Morgan, and Emergency Medicine lead by Professor Marcus Skinner from the University of Tasmania have all been facilitated and supported by Hoïc Mãi, and the strong bonds of friendship which have developed between colleagues in our two countries. In 2008, Dr Ian McPhee has also lead the development of a special relationship between DaNang General Hospital and Tweed Heads Hospital. An MOU signed in June, cemented the relationship and recognizes the commitment of both Hospitals to furthering training opportunities. Dr McPhee has lead two teams of surgeons, anesthetists and nurses to DaNang for training in new techniques. Dr Charlie Teo has also been a key supporter of neurosurgical training here and in HaNoi and Hue. The Maternal and Child Health TuDu Project Team (Professor Jonathan Morris, Ms Cathy Adams, Dr Kirsty Foster, Ms Sandra Bredemeyer, Professor Heather Jeffery, Dr Girvan Malcolm, Dr Jane Hirst, Dr Peter Bland and Ms Jordan Spence) has returned to Viêt Nam supported by the International Program Development Fund (IPDF) from the University of Sydney to facilitate a education program based on the SCORPIO technique at TuDu Hospital in Ho Chi Minh City. The Dien Bien Phu Project team lead by Professor Elizabeth Elliott is planning a teaching trip in early 2009 to continue to build on the work that commenced some years ago. A final highlight of 2008 has been the development of new relationships with the Ho Chi Minh City University of Medicine and Pharmacy and the Pham Ngoc Thach University of Medicine. These relationships will complement the extraordinarily strong relationship we have now had for 10 years with the HaNoi Medical University. Throughout that time, we have enjoyed the strong support initially of Professor Ton That Bach, and subsequently Professor Dr Nguyen Lan Viet who has recently retired. We congratulate Professor Nguyen Duc Hinh on his recent appointment as Rector of HaNoi Medical University and look forward to working closely with him. Of course, our stalwart supporter over the 10 years has been the indefatigable, enthusiastic and ever cheerful Professor Dang Van Duong, our Hoïc Mãi Coordinator in Viêt Nam. I also record my personal thanks to Rhondda Glasson our Executive Officer for her support of every aspect of the program, from the Board Room to providing pastoral care to our students and visitors. Clinicians, Board Members and supporters have all been unfailingly generous – thank you all. 2009 will present new opportunities which we will grasp with enthusiasm.

Professor Bruce Robinson Chairperson Hoïc Mãi Foundation Dean, Faculty of Medicine, University of Sydney

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Executive Officer’s Report 2008 Rhondda Glasson The Hoïc Mãi Foundation has been extremely productive in 2008 with many successful projects being undertaken. I would like to take the opportunity identify them to you and many of the projects will be outlined more fully within the Annual Report. The Hoïc Mãi Foundation was privileged and honoured that our Patron, Her Excellency, Professor Marie Bashir, AC, Governor of New South Wales was able to attend our extremely successful fund raising evening at Casula Powerhouse. This was organised by The Hon. Craig Knowles with leadership and advice from Mr Kon Gouriotis. Through AusAID and the Australian Leadership awards (ALA), the Australian Government awarded the foundation of $526,350. This grant allowed expansion of the Viêtnamese Health Professional Fellowship Program from 24 participants in 2007 to 30 in 2008. The inaugural Hoïc Mãi Conference held at Viet Duc Hospital was a significant event in the 2008 calendar. During the conference proceedings, Ms Maggie Drummond, Professor Bruce Robinson and Emeritus Professor Kerry Goulston were awarded the Viêtnamese People’s Health Medal from Professor Ngyuen Thi Kim Tien (Vice Minister of Health) for services to Viêt Nam. Due to the generous funding from the Myer Foundation, the Student Scholarship program was extended this year. The Hoïc Mãi Foundation was able to offer scholarships not only to the medical students at the University of Sydney but also to students studying at the University of Melbourne and to increase the number of scholarships for the University of Tasmania; in total 17 medical students were able to experience the delivery of health care in Viêt Nam in 2008. The program was also extended to include Masters of International Public Health and Allied Health students and there are plans to offer two scholarships to nursing students in 2009. Three Viêtnamese medical students from HaNoi Medical University had the opportunity of experiencing the delivery health care in Australia for one month through the Northern Clinical School within the University of Sydney. A cohort of the 2007 medical student scholarship recipients organised a very successful fund raising event at the Bah Tinh Restaurant at Marrickville in order to fund a scholarship for the 2008 recipients. During the last six months of 2008, the Faculty of Nursing and Midwifery, in association with the Hoïc Mãi Foundation, undertook a United Nations Population Fund (UNFPA) supported consultancy to work with a team of Viêtnamese experts to develop a new national curriculum for midwifery. The team consisted of Professor Jill White, Professor Sally Tracey and Ms Margaret Martin. Thanks go to Professor Kerry Goulston (TL) Dr Ian McPhee, Professor Kim Oates, Dr Ron MacKinnon, Dr Owen Dent, Professor Richard Holloway, Professor Chris Tennant, Dr Philip Yuile and Dr Jonathan Page for continuing with the “Medical English teaching’ program at Bach Mai Hospital. The team went to HaNoi twice in 2008 and are planning to facilitate a similar program in 2009. Dr Ian McPhee has been instrumental in promoting a long term relationship with Tweeds Heads Hospital and DaNang Hospital. He led a surgical team (Dr Laurent Layani and Ms Raynor Cowdroy) to DaNang

hospital in September 2008 and also supervised 2 AusAID Fellows at Tweed Heads for the three month Viêtnamese Health Professional program. The Maternal and Child Health program participants remain committed to the mission of the Foundation. The Tu Du Hospital program led by Professor Jonathan Morris and partly funded by the International Program Development Fund (IPDF) visited Ho Chi Minh City in November 2008 and the Dien Bien Phu program led by Professor Elizabeth Elliott are planning the next teaching trip in early 2009. A/Professor Marcus Skinner and Dr Nguyen Huu Tu coordinated the Primary Trauma Care course in June 2008 for 52 participants at DaNang Hospital. This program was funded jointly by St Luke’s Health Tasmania and the Hoïc Mãi Foundation. TuDu Hospital requested assistance and educational opportunities for the staff within their IVF program. At the request of the Hoïc Mãi Foundation, Dr Ian Pike visited the Tu Du Hospital to assess the learning needs of the staff and made recommendations of the requirements to the foundation. Dr Hoang Thi Diem Tuyet, the Vice Director of the Family Planning Department at TuDu hospital was able to spend time at IVF Australia studying and observing techniques and operational methods. Ms Ha Thi Thanh Lieu, a past AusAID/Hoïc Mãi Fellow from 2007, requested that Dr Greg Gard, Ms Larraine Cobbing and Ms Jayne Maiden (her supervisiors) visit TuDu Hospital for an educational opportunity for all the staff within the Gynae-oncology Department. This delegation from Royal North Shore Hospital visited in November 2008. Dr Graeme Morgan has worked tirelessly and enthusiastically with the K Hospital in HaNoi, the Research Institute for Asia and Pacific (RIAP) and in association with the Hoïc Mãi Foundation in order to secure funding to develop and implement a train-thetrainer program in radiotherapy. Dr Nguyen Thanh Minh, a neurosurgeon from Hue Hospital, was sponsored by the Foundation to study, observe and learn from Dr Charlie Teo within the Neurosurgical Department at Prince of Wales Hospital at Randwick in Sydney. Dr Minh was an enthusiastic participant in the program and in now very keen to extend the Hoïc Mãi relationship within his hospital at Hue University Hospital. Ms Emily Tu (supervised by A/Professor Chris Semsarian) was funded to undertake part of her PhD project at Bach Mai Hospital – ‘Getting to the heart of sudden death in young Viêtnamese’. Dr Oanh T.H. Trinh (supervised by A/Professor Michael Dibley) was funded to enable her to complete her PhD in Public Health at the University of Sydney – ‘An assessment of physical activity, obesity and cardiovascular disease risk factors in a representative sample of adults living in Ho Chi Minh City’. Ms Anthea Broadbent was offered an financial opportunity by the Foundation to undertake her 3rd year medical student honours project in HaNoi with the supervision of A/Professor Sarah Hilmer .

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Hoïc Mãi Vietnamese Health Professionals Fellowship Program (AusAID ALA) One of the main goals of The Hoïc Mãi - Australia Viêt Nam Medical Foundation is to train potential health leaders from Viêt Nam. As such, the Hoïc Mãi Foundation has sponsored over 125 young Viêtnamese health professionals for short term training in Australia since 2001. training at the bedside, in the clinic, in the operating theatre or in the laboratory. Emphasis was placed on teaching them techniques and approaches to patient care which they are able to use on return to Viêt Nam. Also, each Fellow designed a project that would implement a change within their clinical workplace on return to Viêt Nam. In addition, the Fellows participated in a weekly education program. The aim of the education program was to focus on topic areas that would be of interest to all of the Fellows despite their varying backgrounds and expose them to different adult learning techniques. The initiative places young health workers (mainly doctors, nurses, midwives and pharmacists) in three month training programs with appropriate health care professionals in Australia. Initially, the program commenced at Royal North Shore Hospital but rapidly expanded to include other major teaching hospitals including The Royal Prince Alfred Hospital, Westmead Hospital, The Children’s Hospital at Westmead, the New South Wales College of Nursing, and recently the University of Tasmania Rural Clinical School, Royal Children’s Hospital in Melbourne and Tweed Heads Hospital. In 2008, the Hoïc Mãi Foundation was awarded funding (AU$526,350) through the AusAID Australian Leadership Award (ALA) Program. The funding enabled the Foundation to sponsor thirty health professionals from Viêt Nam to participate in a three month Fellowship program in Australia. These ALA Fellowships are an extension of the existing Hoïc Mãi Foundation Scholarship Program and are intended to expose a mixed group of Viêtnamese doctors, nurses, midwives and hospital technicians to aspects of the hospital system in Australia as well as learn new concepts and techniques. The Fellows were selected from an outstanding pool of candidates submitted by each of our partner organizations in Viêt Nam (HaNoi Medical University - incorporating Bach Mai and Viet Duc Teaching Hospitals; National Institute for Paediatrics, National Hospital of Obstetrics, HaNoi; Tu Du Hospital, Cho Ray Hospital, Hung Vuong Hospital, University of Medicine and Pharmacy, Ho Chi Minh City; and DaNang Hospital, DaNang). Each candidate was chosen because of their leadership potential and all are expected to impart their newfound knowledge to colleagues and students back in Viêt Nam. During their time in Australia, the Fellows were linked with specialist medical, nursing or laboratory teams who provided them with observational and practical 8

Overall, the Fellowship Program was positively received by everyone involved and the evaluation process has been valuable in assessing what worked well and what can be improved in the future. The Hoïc Mãi Foundation is extremely grateful to the many people for devoting their time and effort and assisting the Fellows during their stay: The primary supervisors for the Fellows were Professor Marcus Skinner, Professor Ian McPhee, Professor Ray Chaseling, Professor Elizabeth Elliott, A/Professor Sarah Hilmer, Dr Greg Gard, Dr Margaret Schnitzler, Dr Elizabeth Ward, Dr Steve Twigg, Dr Hugh Paterson, Dr Paul Bannon, Ms Margaret Martin, Dr Amanda Thomson, Dr David Neville, Dr Chris Dennis, Ms Jenny Crane, Dr Rory Clifton-Bligh, Dr Geoff Tofler, Dr Elizabeth Salisbury, Dr Peter Bland, Professor Jonathan Morris, Dr Jane Hirst, Professor Heather Jeffery, Cathy Adams; The many other health professionals involved in the Fellows learning who are too numerous to name; All the tutors involved in the education program; Royal North Shore Hospital, Royal Prince Alfred Hospital, Royal Women’s Randwich, Westmead Hospital, The Children’s Hospital at Westmead, the University of Tasmania Rural Clinical School, Royal Hobart Hospital, Bernie District Hospital, Royal Children’s Hospital in Melbourne, Tweed Heads Hospital, IVF Australia, University of Technology Sydney, the Northern Clinical School and the University of Sydney. The Foundation would also like to acknowledge and thank AusAID for its generous support which allowed us to expand and continue develops this program. Dilhani Bandaranayake Rhondda Glasson


Hoïc Mãi AusAid Fellows for 2008 Name of Fellow

Specialty Area

Australian Hospital

Viêtnamese Hospital

Nguyen Toan Thang

Doctor - Anaesthesiologist

Tasmania (Bernie and Hobart)

Viet Duc Hospital, HaNoi

Ho Van Phuoc

Doctor - Cardiology, Cardiac intervention

Tweed Heads

DaNang Hospital

Nguyen Huu Quan

Doctor - Emergency

Tweed Heads

Bach Mai Hospital, HaNoi

Ninh Viet Khai

Doctor - Surgeon General, Colorectal Cancer

Royal North Shore Hospital

Viet Duc Hospital, HaNoi

Ho Viet Thang

Doctor - Obs/Gynae & Lecturer at Uni of Med&Pharm; Gynaecologic endoscopy

Royal North Shore Hospital

Hung Vuong Obstetrics – Gynaecology hospital HCMC

Trinh Nhut Thu Huong

Doctor - Obstetrician Delivery Suite

Royal North Shore Hospital

Tu Du Hospital HCMC

Nguyen Thi Phuong Anh

Nurse - Midwife Delivery Suite

Royal North Shore Hospital

Tu Du Hospital HCMC

Pham Ngoc Doan Trang

Doctor - Obstetrician Delivery Suite & resident at University hospital

Royal North Shore Hospital

University of Pharmacy & Medicine practicing at TuDu

Nguyen Thi Thuy

Doctor - obs/gynae

Royal North Shore Hospital

National Hospital of Obstetrics and Gynaecology, HaNoi

Pham Ha Tu Ngan

Doctor - Delivery Suite

Royal North Shore Hospital

Tu Du Hospital HCMC

Huynh Thi Ngoc Yen

Anaesthetic Technician

Royal North Shore Hospital

Tu Du Hospital HCMC

Nam to participate in a three

Hoang Giang

Technician Leader-Haematology and Blood Bank

Royal North Shore Hospital

Viet Duc Hospital, HaNoi

month Fellowship program in

Do Minh Hoang Trong

Doctor - Pathology

Royal North Shore Hospital

Tu Du Hospital HCMC

Nguyen Thanh Hoi

Doctor - Respiratory Dept

Royal North Shore Hospital

Bach Mai Hospital, HaNoi

Nguyen Thu Minh

Pharmacist

Royal North Shore Hospital

Bach Mai Hospital, HaNoi

Nguyen Huy Binh

Doctor - lecturer & researcher - human physiology; bone density

Royal North Shore Hospital

HaNoi Medical University

Pham Tran Linh

Doctor - Viêt Nam National Heart Institute; Cardiac Intervention

Royal North Shore Hospital

Bach Mai Hospital, HaNoi

Pham Thi Van Anh

Doctor/Lecturer -Department of Pharmacology

Royal North Shore Hospital

HaNoi Medical University

Vu Thi Thu Hao

Technician

Westmead Adults

Bach Mai Hospital, HaNoi

Tran Thi Sinh

Biomedical Technologist - Microbiology Department; Molecular Laboratory

Westmead Children’s Hospital

National Hospital of Paediatrics (NHP) HaNoi

Ho Anh Tuan

Doctor - Physician Infectious Diseases department

Westmead Children’s Hospital

National Hospital of Paediatrics (NHP) HaNoi

Nguyen Thi Ut

Doctor - Gastroenterology

Westmead Children’s Hospital

National Hospital of Paediatrics (NHP) HaNoi

Trinh Xuan Long

Doctor- Cardiac Resuscitation in Open Heart Surgery

Westmead Children’s Hospital

National Hospital of Paediatrics (NHP) HaNoi

Hoang Tung Lam

Doctor - Radiologist (MRI)

Westmead Children’s Hospital

National Hospital of Paediatrics (NHP) HaNoi

Chu Lan Huong

Doctor - Neonatology

Westmead Children’s Hospital

National Hospital of Paediatrics (NHP) HaNoi

Luong Dai Ly

Doctor - Endocrinologist

RPAH

Cho Ray Hospital, Ho Chi Minh City

Trinh Sinh Tien

Doctor/lecturer- IVF

IVF Australia

HaNoi Medical University; HaNoi Obs and Gyane Hospital

Vu Bich Thuy

Doctor - IVF Laboratory

IVF Australia

Tu Du Hospital HCMC

Le Van Nam

Doctor - Cardiovascular Surgeon;bypass surgery

Westmead Adults then RPAH

DaNang Hospital

Minh Luu Tuyet

Nursing lecturer/Doctor

UTS/Uni of Sydney Royal Women’s Randwick

HaNoi Medical University

In 2008, the Hoïc Mãi Foundation was awarded funding (AU$526,350) through the AusAID Australian Leadership Award (ALA) Program. The funding enabled the Foundation to sponsor thirty health professionals from Viêt

Australia.

An n ua l R e p o r t 2008 9


Australia Leadership Awards – Reflections from Dr Luong Dai Ly M.D., Endocrine Department, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Viêt Nam We arrived in Sydney in a rainy day. It’s so exciting to look around such a beautiful city! Chatswood with nice houses lying in lovely gardens soon became a familiar place for us during winter.

Dr Ly Dai Luong and Margaret McGill

My placement was at Diabetes Center and Metabolic Unit, Royal Prince Alfred Hospital, under the supervision of Professor Stephen M. Twigg. My study goals were met perfectly. Thanks Mrs Margaret McGill, Manager of Diabetes Center, who prepared the program schedule for me. I had opportunities to see how a typical diabetes clinic worked, as well as how endocrine dynamic tests were performed. Everyday, I saw patients with Professor Twigg and the staff. After that, we often had thorough reviews for clinical cases, as well as discussion about evidence – based strategies for such clinical situations. I also spent a lot of time with experienced podiatrists in High – Risk Foot Clinic, to view some techniques and prepare for my project at the end of the course. In addition, Mrs McGill had organized the schedule very well so that I was able to participate in other clinics, including Diabetes in Pregnancy Clinic, Diet Consultation, Complications Assessment and Bone Clinic.

I usually took notes everything I had learned, which is very beneficial when I come back Viêt Nam. Until now, I still review my notes and think about how to apply changes into my daily practice. The education program on each Friday was another interesting aspect of the course. We were trained in many health topics, including how the Australian medical system works basically, how to present effectively, role playing to lean communicating skill with patients, and especially, the evidence – based medicine (EBM). EBM course was certainly one of the most successful of the entire program. We left Sydney in the early spring, with colourful flowers blooming along Pacific Highway. We came home with luggage full of knowledge and joyful memories. The course was over, but surely the Hoïc Mãi’s spirit will be in our mind, the Flame of Change! Ever studying, ever changing and changing for better practice!

Australia Leadership Awards – Reflections from Ms Nguyen Thu Minh, Pharmacist, BachMai Hospital, HaNoi, Viêt Nam I am a pharmacist working at Pharmacy Department, Bach Mai hospital. I had three months to learn in Royal North Shore Hospital. My supervisor is Jenny Crane. She and other staff in Pharmacy Department of RNSH made very detailed timetable and friendly atmosphere for me to learn in my best. I have expected to learn clinical pharmacy and medicine information in Australia because we have done clinical pharmacy services since 2007 and Australia is one of the first countries to develop clinical pharmacy. And I was very surprised with the work of clinical pharmacists in RNSH. They ask patients for medication history and talk to patients about their medicine, check patient’s parameters, check dose of medicine and drug interaction, find medicine information by using the intranet, talk to doctors and other members in their teamwork about patient’s problem in medicines. They spend all day work-time in the wards while in our hospital we only give a few hours. About medicine information service, they do it in professional way. They developed software to store enquiries and answers. They have a list of websites provided by New South Wale State. They build some guidelines for the hospital. I learned many different things in Sydney. I hope I could bring the model of clinical pharmacy and medicine information back to our hospital to help my colleagues to understand about that to service patients better.

Nguyen Thu Minh

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I would like to thank the Hoïc Mãi Foundation and AusAID for giving me a great chance to learn in RNSH. And I would like to express my gratefulness to my supervisor Jenny, and Margaret Duguid and Sara Hilmer.


Australian Leadership Awards Comments from Dr PHAM TRAN LINH Cardiologist, Viêt Nam National Heart Institute, Bach Mai General Hospital I have been lucky to have the opportunity to visit and live in Sydney for 3 months. Royal North Shore Hospital has so far provided the best working environment for me. I’m able to mix full time clinical and Interventional Department work, providing variety in every day. Dr Pham Tran Linh

The support of the Hoïc Mãi Foundation and my peers is what allow this to happen. I think that the Course has been well organized. Everything is all in the good condition. This has been facilitated for Viêtnamese fellows to follow and learn from all the supervisors. After the Course, I’ve learnt much about the methods of studying a health project as well as knowledge of cardiac electrophysiology, especially atrial fibrillation. Through communication with many professors and doctors whose reputation has been widely known such as Prof. Robinson, Prof. Tofler, Dr. Walley, Dr. Kanagaratnam, I may be able to initially approach the way to make the health project and scientific researches. As a cardiologist, I find that this information and knowledge is extremely useful. This is the first time I have been in Sydney, Australia and it’s really an interesting experience. Once against, thank Hoïc Mãi Foundation and Hoïc Mãi Members for everything.

Thoughts from Dr Pham Ha Tu Ngan Laparoscopic Department of Tu Du Hospital, Ho Chi Minh City. Being O&G doctor of Tu Du hospital, I was very lucky to get Hoïc Mãi/AusAid scholarship. So I have a big chance to open my mind in Sydney for three months from July to September, 2008. I think it was the lovely time I can not forget… a peaceful country, lovely and enthusiastic persons of Hoïc Mãi Foundation…and the longest and coldest winter in the last fifty years in Sydney. I came to Sydney on a rainy and cloudy day and I was kept warm by the warm welcome of Mrs Rhondda and Ms Jane, her friend, an enthusiastic and kind woman not working for Hoïc Mãi Organization. I had 1 week to adapt the weather, English and Australian medical system by the talk with Prof Kerry Goulston and Professor Robinson. I studied much active teaching method, method of presentation to prepare for the project on the first week. From the second week, I studied in Royal North Shore Hospital as observer in Obstetric department. This is a big hospital of the University of Sydney. Thanks to the enthusiasm of doctors here especially Prof. Jonathan Morris and Dr. Jane Hirst, I had chance to study much and obviously I could see the differences in following up, diagnostic and treatment. I thought of each situation and compared to the same case in Viêt Nam

and at last I tried to find which approach is better and how to change my hospital for the better after going back. But I think that the most important success of this Fellowship is the change of each successful candidate. And you know, 2 weeks in Nepean Hospital with Dr. Murray, a kind man, I can not forget. He helped me much to study and collect many value documents for my hospital. He is a kind man coming my hospital every year for charity work. I can not forget the picnic and the travel together. We are a big family, Hoïc Mãi members, although we come from many areas of Viêt Nam and we have not known before. Overall it was a fantastic experience, and I am grateful for the chance to experience a very different medical system and a very exciting city. Probably the most valuable thing I learnt was to change myself. One more time, I would like to thank AusAID, thank Hoïc Mãi Foundation, thank Mrs Rhondda and obviously I have to thank Miss Dilhani for your enthusiasm. I hope I can get another chance to upgrade my knowledge and experience in Australia….

Dr Pham Ha Tu Ngan

An n ua l R e p o r t 2008 11


Study and Teaching delegation to Gynae-oncology Department at TuDu Hospital Jane Maiden, CNC – Gynae-oncology RNSH, Larraine Cobbing, Nursing Unit Manager- Ambulatory Care RNSH and Dr Greg Gard – RNSH In 2007, Nurse Lieu Thanh Thi Ha was the successful recipient of a scholarship from the Hoïc Mãi Foundation and spent three months observing nursing practice at Royal North Shore Hospital (RNSH). On her return to Viêt Nam, Nurse Lieu requested that a delegation from RNSH be invited to visit Tu Du Hospital in Ho Chi Minh City. Following an invitation from Dr Pham Viet Thanh, Director of Tu Du Hospital a delegation comprising Dr Greg Gard (Gynaecological Oncologist), Jayne Maidens (Clinical Nurse Consultant, Gynaecological Oncology) and Laraine Cobbing (Nursing Unit Manager, Outpatient Oncology/Haematology unit) arrived in Viêt Nam on 29th October 2008. On our arrival we were greeted by three recent recipients of Hoïc Mãi scholarships and were warmly welcomed to Viêt Nam. On the 30th and 31st October, we attended the 3rd Annual Gynaecologic Oncology Conference which attracted 720 delegates from across Viêt Nam. Dr Gard presented two papers at the conference on vulva cancer surgery and risk reducing surgery for women at high risk of ovarian cancer. Jayne Maidens presented a paper on the nursing aspects of the treatment of vulval cancer. During our stay we had the opportunity to visit two hospitals in Ho Chi Minh City, Tu Du Hospital and the Ho Chi Minh City Oncology Hospital. We were made to feel very welcome at both hospitals and had the opportunity to speak to some of the patients being treated. At the Oncology Hospital we were very proudly shown the newly opened Palliative Care Ward which caters for four patients. On our visit to Tu Du Hospital it was a rewarding experience to see the improvements that Nurse Lieu had made to nursing practice since her visit to RNSH in 2007. In particular Lieu had developed some wonderful patient education leaflets which she modelled on leaflets she observed in our ambulatory care unit. Ms Ha Thi Thanh Lieu, Jayne Maiden, Larraine Cobbing, Dr Greg Card at TuDu Hospital, Ho Chi Minh City

Lieu is also very aware of increasing patient education regarding their surgery and it currently developing patient information leaflets on this subject. During her visit to RNSH, Lieu commented on our communication and interaction with the patients and has made a concerted effort to improve this area of care for the women and to impart this practice to her colleagues. We provided some nursing books and educational material to the ward and Lieu has indicated that she will translate any relevant information and share this with her nursing colleagues. As part of our visit we were asked to provide some recommendations on how the nursing practice could be improved. We were very impressed with the nursing care given.Lieu stated her intention to commence some work around the education of staff giving cytotoxic agents, to promote an awareness of safe preparation and administration. We think it is important to continue to provide scholarships for enthusiastic Viêtnamese nurses to come to Australia, as it was clearly evident that so much had been learnt and improvements had been made. We think our trip was equally valuable and to be able to provide support, advice and education was extremely rewarding. We look forward to maintaining an ongoing relationship with the staff at Tu Du Hospital.

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REPORT ON THE ACADEMIC VISIT TO THE UNIVERSITY OF SYDNEY (FROM 1ST TO 26TH, SEPTEMBER, 2008) Nguyen Tien Dung, Viêt Nam Introduction I am Nguyen Tien Dung, born in 1960, a medical doctor working for the United Nation Population Fund (UNFPA) in HaNoi, Viêt Nam. My background encompasses two main domains, (i) specialist in obstetric gynecology and (ii) master public health. During 24 years from 1984 to 2008, I have worked for several organizations in different positions including government staff, local non-government organizations (NGOs), international NGOs officer, and latterly UN staff. I have been working mainly in the field of Mother Child Health care. I want to improve my professional knowledge and skills and I am ambitious to obtain an occasion to study for a PhD in Australia. The Hoïc Mãi Foundation provided me with one month scholarship during September 2008 to facilitate my ambition of “for ever learning” at the University of Sydney. Purposes of the visit To discuss with my potential supervisors on the research proposal that I expect to study for PhD. I also benefice this occasion to investigate a possibility of studying and get acquaintance with the academic environment at the University of Sydney. The achievements During one month of the academic visit at the School of Public Health, Faculty of Medicine, I gain the main achievements as follows: – Propose ideas of study and develop an initial research proposal I proposed to study on the performance of the ethnic midwives working in rural areas of Viêt Nam, namely Hagiang province. The ethnic midwives have been trained by the Ministry of Health of Viêt Nam as piloted model with an expectation that they will assist the women of different ethnic groups in rural areas while they give birth at home. The objectives of the study are as follows: • To collect information from women of reproductive age in Hagiang province about: culture beliefs, practices, socio economic etc around pregnancy period. • To determine socio-economic and basic health indictors in above population, pertinent to pregnancy outcomes. • To observe newly trained ethnic midwives interaction with this group of women in providing health services in their community. • To prospectively analyze and appraise the educational materials and methods of the ethnic

midwives training in the provincial capital. The study is important because it supports to improve the situation of safe motherhood and newborn care that contribute to achievement of the millennium goals - reducing maternal mortality ratio in Viêt Nam. The qualitative and quantitative methodology will be used in order to address above research objectives. – Attending the seminars and lectures. I attended some lectures and seminars at the School of Public Health that relates to my research topic such as “ Primary health care in developing countries – history and practices”, “Millennium Villages Initiative in Rural Africa” etc. Through participating to these seminars and lectures, I had an opportunity to strengthen knowledge on the historical development of the Primary Health Care (PHC) concept and identify its strengths and weaknesses, the development and implication of the World Banks Health Sector Reform approach, the principles of working at the PHC level with communities. This knowledge will help me to identify the strength / weakness of the heath care system in the province where my research is expected to be conducted.

On our visit to Tu Du Hospital it was a rewarding experience to see the improvements that Nurse Lieu had made to nursing practice since her visit to RNSH in 2007.

– Visiting the library and learned searching documents I visited the library at the School of Public Health and learned how to search document via the website of the University. After visiting, I can practice to find science journals / articles published on several topics such as “safe motherhood”, “newborn care” etc. these documents were very useful to develop the initial research proposal as mentioned above. – Additionally, my potential supervisors, Professor Heather and Dr. Cynthia were with me to contact the International Development Manager of the University to find a possibility of application for a scholarship for my study. The supervisors also advised me to fill the application forms for obtaining an admission of the University of Sydney and an ALA scholarship from the AusAID. Conclusion During one month from 1st to 26th September, I with assistance of Professors Heather and Dr. Cynthia obtained all the objectives planed for my academic visit to the University of Sydney. I reached a consensus on this initial research proposal for PhD with my potential professors. I also learned on skills such as finding science publication of the USYD’s library, using Endnote software etc. I was satisfied with the visit and would like to express my sincere thanks to Hoïc Mãi Foundation, Professor Heather Jeffery and Dr. Cynthia Hunter

An n ua l R e p o r t 2008 13


Hoïc Mãi Foundation Second Year Student Report Susanna Lam and Renee Burton “They say you come to Viêt Nam and you understand a lot in a few minutes, but the rest has got to be lived….” Five fortunate second year medical students realised this was just as true for the hospitals of HaNoi as it was for Thomas Fowler’s Viêt Nam in the film The Quiet American. We spent four weeks in HaNoi as part of the Hoïc Mãi Scholarship program. This experience introduced us to an incredible culture, a dedicated and committed people and of course offered a unique insight into medicine in a developing world. The concept or cross cultural exchange in medicine was particularly pertinent for us. We came to understand the values behind Hoïc Mãi : ‘Forever learning’ during our time at the two largest hospitals in HaNoi; Viet Duc the major trauma and surgical hospital, and also Benh Vien Bach Mai, the major medical hospital. While our Viêtnamese was virtually non existent besides “Xin Chao” (hello) and ‘Tôi không biêt nôi Viêt” (I don’t speak Viêtnamese) we found the doctors to be extremely helpful and accommodating. During our time in the emergency department of Viet Duc, a place of organised chaos, we followed patients from admission to surgical management. Many of the cases were a result of motorcycle or work related accidents, which highlights the importance of good public health. We were able to participate in discussions regarding their presentation, diagnosis, management and also follow these patients to surgery. We were given the opportunity to observe and assist in trauma and orthopaedic surgery, spinal, gastrointestinal, hand and neuro surgery.

Top above Kate Larkin, Renee Burton, Chris Brunson, Dr Nguyen Huu Tu, Chloe Wilcox and Susanna Lam in HaNoi

Bach Mai offered us an insight into a number of areas in medicine. Guided by our attentive doctors, our knowledge of dermatology, obstetrics, infectious diseases, emergency medicine, poisons and cardiology in this cultural context improved. Their enthusiasm to teach not only medicine but also the culture of their nation enriched our experience. From visits to museums to tea houses and local restaurants (not to mention tasting all the delicious delicacies), the doctors made every effort to impart to us the cultural richness of Viêt Nam.

Bottom above Renee Burton, Susanna Lam, Chloe Wilcox and Dr Nguyen Huu Quan at Bach Mai Hospital, HaNoi

The Viêtnamese medical system is by no means archaic, in fact many specialists have spent time overseas as part of their training and subsequently strive to continually modernise the way medicine is delivered in Viêt Nam. We met many of the Viêtnamese Hoïc Mãi scholars who had just returned

Top right Kate Larkins and Renee Burton at Bach Mai Hospital

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from Sydney. Their experiences in Australia were very positive and valuable in the sense that they could make progressive changes to the way they practise medicine in Viêt Nam. It was encouraging to see these young doctors strive to change the status quo of Viêtnamese medical culture. The Viêtnamese medical system is intrinsically complex and operates on a user pay basis. We saw many diseases in Viêt Nam which are no longer exist in the western world. Diseases such as tetanus which is easily preventable by vaccine, is not an uncommon occurrence in Viêt Nam. While our role as medical students was somewhat limited, we felt we could contribute in other ways and developed some presentations for their English club, and regularly engaged with junior doctors and students to practise their English and even French. We were able to forge good relationships with the doctors, and hopefully inspire them to partake in the Hoïc Mãi program. We all learnt to value the public health system in Australia; the importance of research and innovation in the medical field in developing ‘best practise’ and evidence based medicine. One of the most important lessons gained from this program is that as medical students we have the opportunity to learn from different cultures, appreciate their needs and better understand how other medical systems work. Once we are fully trained medical professionals however, we will have acquired the skills to address these needs and hopefully give back to the people that have so little, yet share so much. At this early and impressionable time in our medical careers, observing the practice of medicine in a developing country has fostered a continuing desire to participate in international health. We thank Hoïc Mãi for this wonderful opportunity. On Behalf of the 2008 Hoïc Mãi Scholarship recipients


Viêt Nam a nation of delicious food, amazing people, breathtaking landscapes…and minimal pain relief. The Hoïc Mãi scholarships provided seven University of Sydney students with the opportunity to experience both the culture and the medical practices of a nation vastly different to Australia. On placements at hospitals in HaNoi, DaNang, and Ho Chi Minh City, we viewed first-hand the horror of motorcycle accidents, the joy of childbirth, and the effects of limited resources. At Viet Duc Surgical Hospital in HaNoi, we witnessed many families queuing every morning, waiting to visit their loved ones; case after case of mangled hands and severed limbs due to unsafe occupational practices; brain tumors left to grow in patients who cannot afford medical care; and major head and limb injuries due to motorcycle and car accidents. As one of the Hoïc Mãi scholars described it, “there was a mixture of emotion in the air; a sense of uncertainty in the eyes of family contrasted to one of pragmatic brashness of the doctors trying to help the overwhelming number of patients.”

At Tu Du Hospital in Ho Chi Minh City, we assisted with childbirth, took patient histories, and collected data for public health studies. Everyday we would learn something new, such as the differences in the relationships between patients and doctors, the impact of cultural beliefs on health care, and the difficulties faced in working in a developing country. Outside of medicine, the Hoïc Mãi scholarship provided us an opportunity to embrace a culture, make new friends, experience the excitement of Tet (Lunar New Year), and refine our palates in relation to the subtleties of regional beers and spring rolls. We are very grateful to the Hoïc Mãi Foundation for making this opportunity available. It has contributed invaluable experiences and memories, and allowed us to forge bonds with other medical professionals in a country vastly different to our own.

Above Linda Burnett, Douglas Falconer, Katie Nash at Emergency Department at DaNang Hospital Below Back Row: Douglas Falconer, Katie Nash, Bonnie Swan Melbourne Uni, Jonathan Pham. Front Row: Do Thi Thuy Hang and Tran Thi Chung,Viêtnamese medical students, Linda Burnett

However, despite their horrific injuries and illnesses, we were constantly amazed at the stoicism and resilience of the Viêtnamese people, whose pain appeared to be controlled with the most basic forms of pain relief, such as intra-venous paracetamol – even for major limb injuries, such as amputations. It was eye-opening to come from a medical system where syringes, sutures, and neck braces are expected as standard care to a country where these are limited. Limited resources notwithstanding, we observed excellent surgical and clinical skills, and felt privileged to be accepted into the Viêtnamese medical community. Despite the time constraints, these talented doctors still took the time to share their knowledge – and practice their English!

Hoïc Mãi Foundation Teaching Medical English, April 7–11 2008

This experience introduced us

Emeritus Professor Kerry Goulston, University of Sydney

to an incredible culture, a

This Program again was held in the Emergency Department, BachMai Hospital, HaNoi. The team was welcomed on the first day by the Hospital Director and the Head of the Emergency Department.

English Language skills. Some of the participants had attended last year’s program. Some were nurses and there were both senior (Department Heads) and junior (interns) doctors present.

dedicated and committed people

Teachers included: Owen Dent (Medical Statistician), Kerry Goulston (Gastroenterologist), Richard Holloway (Gastroenterologist), Ian McPhee (Intensivist), Jonathan Page (Oncologist), Chris Tennent (Psychiatrist), Phillip Yuille (Radiation Oncologist).

Owen Dent gave separate talks on: ‘the tense of verbs in English’, ‘contractions of verbs’, ‘definite and indefinite articles in English’, ‘colloquialisms’ as well as distributing papers on ‘preparing a paper for submission to a medical journal’ and ‘statistical guidelines’. All of these were very well received. Owen also carried out an evaluation at the end of the Program.

developing world.

There were 45 participants and so we used 4 separate Tutorial Rooms with whiteboards. The sessions ran from 1:30 to 5:00 p.m. for five days. The attendance was good and due to their work commitments, we arranged 30-35 participants at each session. Each pair of teachers used different teaching styles – ranging from PowerPoint case scenarios to role playing. Only English was spoken and there was diversity in

and of course offered a unique insight into medicine in a

The participants took us out to lunch, the Emergency Department for dinner, and there was a large gathering for the Hoïc Mãi Alumni Dinner. All in all, the week was deemed worthwhile by students and teachers! An n ua l R e p o r t 2008 15


Hoïc Mãi Foundation Medical Student Scholarship Australia to Viêt Nam 2009 In January 2009, with three other students, I had the privilege to be one of the first students from the University of Melbourne to undertake the Hoïc Mãi scholarship of a 4 week clinical placement in HaNoi, Viêt Nam. This was a unique experience that will stay with me for the rest of my life. As we were able to undertake a placement in any area of medicine, I chose to spend two weeks in the Viet Duc Hospital plastics department and 2 weeks in the Bach Mai dermatology department. At both of these hospitals, I was touched by the friendliness and generosity of the staff. I formed many bonds with doctors, nurses and Viêtnamese medical students that I hope to continue into the future. Apart from numerous medical, cultural and personal discussions, I was able to help the hospital staff practice their English while they spent time helping me to grasp the basics of Viêtnamese. I particularly enjoyed lunch times when all the staff in the department including doctors and nurses would come together to sit around a table or in a circle on the floor to share a meal. This was followed by an obligatory nap!

Above Viet Duc Plastics Department with Doctors, Nurses and Bonnie Swan Right Viet Duc Plastics Department building

I gained a vast amount of valuable knowledge and practical skills during my placements as I had the opportunity to assist and suture in surgery, attend ward rounds, outpatient clinics, review radiology scans and engage in discussions with the doctors on diagnosis and treatment practices in Viêt Nam. Due to poverty and rural isolation, many patients presented to these city hospitals with signs and symptoms of advanced disease of which I had only previously read about in textbooks. I also encountered diseases that are not seen in Australia such as Leprosy. I was also able to experience the Viêtnamese culture, history and traditions including celebrating the lunar new year in HaNoi with the Viêtnamese people, which was a special time of family gatherings, gifts and fireworks. I found that the friendliness of the Viêtnamese people extended beyond the hospital with random people on the street shaking my hand and wishing me Happy New Year. I even received gifts of red New Year envelopes of money from hospital staff, who’s generosity deeply touched me. I was kindly invited out to lunch on a number of occasions and was invited to join in a doctor’s annual family ceremony for his grandfather who was killed in the Viêt Nam War. On another occasion I was invited to a doctor’s traditional wedding which was great fun consisting of many toasts of rice wine and karaoke. At the weekends I also had the opportunity to travel around Viêt Nam to learn more about the culture and history by visiting museums, pagodas, temples, imperial city, tombs, nature reserves and the mountain tribal people of the north. I thank the Hoïc Mãi Foundation and Myer Foundation for giving me this incredible opportunity. I look forward to continuing the relationship with your Foundations, other Hoïc Mãi scholars and hospital colleagues in Viêt Nam. Thank you Bonnie Swan 6th year medical student University of Melbourne

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Hoïc Mãi Foundation Medical Student Scholarship 2008 Linny Kimly Phuong, University of Melbourne In January 2009, I undertook my medical elective at the National Paediatric Hospital (NHP) in HaNoi, Viêt Nam. I spent my time across three main departments- Emergency Medicine, Intensive Care and Surgery. I attended general hospital grand rounds, daily ward rounds in my assigned department, attended clinics and scrubbed in on many operations. At NHP, I felt very much a part of the medical team. I received warm welcomings throughout-and always felt included in clinical decision making processes. I was also assigned an English speaking doctor with each rotation who not only acted as my translator, but was always looking after me. Most of the doctors were eager to learn more about the Australian medical system and our medical schooling, asking me many questions. I held an English class at least three times a week where I taught medical English to a group of doctors and nurses (what a fantastic way for me to learn Viêtnamese medical vocabulary, and give back from my own medical studies); and provided a presentation to over 200 doctors on observed differences between Paediatrics in Viêt Nam and Australia.

Linny Kimly Phuong

The experience I had was eye-opening, challenging on so many levels and fun. I would recommend my elective to any medical student- no matter what their medical career aspirations were. By experiencing the Viêtnamese health care system, I was able to compare and contrast it with our own. I saw paediatric illnesses which I wouldn’t have seen in Australia- many cases of tuberculosis, HIV in newborn infants and other tropical illnesses. I also learnt a lot about natural history of several paediatric illnesses having seen some of the unfortunate late referrals coming from the poorer rural provincial hospitals.

The relationships Hoïc Mãi has developed with local doctors ensured that we were accepted as students, and awarded opportunities rarely available to access the Viêtnamese healthcare system.

Through the support of a Hoïc Mãi Scholarship, I was able to go into an elective with greater reassurance on many levels. The financial aid of the scholarship helped me manage the logistics of planning an international trip (flights and accommodation). The relationships Hoïc Mãi has developed with local doctors ensured that we were accepted as students, and awarded opportunities rarely available to access the Viêtnamese healthcare system. In addition to this, through Hoïc Mãi I had the support of fellow students from Melbourne and Sydney who were awarded the scholarship. We shared some fun experiences and shared daily stories from our various placements. As part of my elective, I also made many amazing friends at the hospital, who I hope to work with again one day either in Viêt Nam or Australia. Thank you Hoïc Mãi for this wonderful and memorable scholarship opportunity.

An n ua l R e p o r t 2008 17


Allied Health Report

Xin Chao!

Lydia Yeap, Tanya Sakharov, Megan Haas, Allied Health Students, University of Sydney Upon joining the Hoïc Mãi team as the first allied health student scholarship recipients, we were excited yet apprehensive towards beginning our upcoming placement in Viêt Nam. As two physio students and one speech pathology student, it was a great opportunity to further develop skills in inter-professional teamwork. This could not have been possible without the Hoïc Mãi Foundation’s dedication to international learning. We arrived in HaNoi with an open mind and were greeted with generosity. The staff at Bac Mai Hospital showed genuine interest in facilitating shared learning and long-term partnership between Viêt Nam and Australia. From teaching us how to order Viêtnamese food to translating for us on ward rounds, the staff and students were always willing to lend a helping hand. Almost immediately we felt welcomed into the family at Viêt Nam’s largest rehabilitation centre. The doctors and supervisors fostered any interest that we expressed in areas related to our field. In shadowing the gracious doctors, we were given a glimpse into the respiratory, ENT, cleft palate, orthopaedics, and surgical departments. At the conclusion of our exchange we were incredibly sad to leave. Words are unable to express how grateful we are for the care and kindness that was shown to us from everyone we met in Viêt Nam. Over the course of four weeks, we had the privilege of working in various departments at Bach Mai. We worked closely with rehabilitation staff to provide treatment for patients with spinal cord injury, traumatic brain injury, stroke and developmental disabilities. In the respiratory department we were exposed to health issues uncommon in Australia such as Tuberculosis. At Viet Duc hospital and Viêt Nam-Cuba Friendship hospital, surgeons welcomed us into their theatres. These educational encounters went above and beyond our expectations. Our time in Viêt Nam did not come without challenges. These challenges enabled us to not only grow in our respective professions but as partners in international health. Although the language barrier was a constant challenge we quickly became creative in developing other forms of communication. To immerse ourselves in Viêtnamese culture we spent invaluable time during lunch breaks and tea time learning basic words necessary for everyday interaction with patients and other professionals. Our observation of alternative therapy practices generated discussion and exchange of ideas regarding best practice strategies. Viêt Nam opened our eyes to healthcare in a contrasting environment. The Hoïc Mãi Foundation gave us the opportunity to forge relationships that we hope will continue long into the future. We left Viêt Nam with knowledge and inspiration that we could never have discovered in Australia. We like to thank the Hoïc Mãi Foundation for beginning this journey with allied health students. Thank you to the staff, students and Hoïc Mãi family in Viêt Nam for their hospitality. We look forward to giving back to Hoïc Mãi and contributing to the education of future students.

Middle Lyndia Yeap, Dr Duong, Megan Haas, Tanya Sakharov

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Masters of Public Health and Hoïc Mãi Dr Carolyn Sein, MIPH, University of Sydney The Hoïc Mãi scholarship provided an immeasurably valuable opportunity to immerse myself in the Viêtnamese health system, to meet many inspirational people involved in women’s health in Viêt Nam, and to see and face first hand the rewards and the challenges provided by working in a health system that is so different to one that I am familiar with. My project focused on the significantly high rates of abortion in Viêt Nam. Having no research experience or Viêtnamese background, I truly appreciated that Hoïc Mãi was able to provide the framework and opportunity to be able to conduct research on abortion in Viêt Nam. This amazing experience would not otherwise have been possible and I am incredibly grateful. The hospitality as well as the generosity of people both in Sydney and in Viêt Nam was incredibly humbling: Heather Jeffery whilst in Viêt Nam was able to liaise with Professor Loi at TuDu Hospital to get the project up and running is a powerhouse of support and a mentor; the MIPH team Mu Li and Giselle Manolo have also been great advocates for their students and are incredibly caring and supportive. Viêt Nam consistently has one of the highest officially recorded rates of abortion in the world. In 1995 there were 1.5 million abortions officially recorded (the highest in the world). Today’s exact numbers are unknown but still consistently high (800 000 to 1.4 million per year in a population of 78 million). I was based in Ho Chi Minh from the 1/12/2008 – 26/12/2008 at the Family Planning Clinic at TuDu Hospital, the one of largest public hospital in South Viêt Nam for women. They conduct over 27000 outpatient abortions annually.

The most poignant highlight

My aim was to conduct a simple survey of women undergoing abortion in Viêt Nam to explore the demographics of and the reasons for abortion. The survey was perused by anthropologist Cynthia Hunter and translated into Viêtnamese prior to leaving for Viêt Nam.

are incredibly hard working,

Before leaving Australia, I also interviewed 2 people from FPA (Family Planning Australia) and spent time at 2 abortion clinics in Sydney to observe abortions and to interview the healthcare providers.

lives was at times very humbling

however was being able to meet the women of Viêt Nam. They stoic and enterprising and the glimpse into their day to day and confronting.

In Viêt Nam, I had the opportunity to interview 2 key people in HaNoi: from UNICEF and UNFPA and also a doctor from Ipas. I visited 2 Marie Stopes to interview their healthcare providers and embarked on a trip to a clinic ~100km from Ho Chi Minh where I was able to interview a factory worker engaged in their education program. I was also able to visit a province 384km from Ho Chi Minh City to observe reproductive health education sessions for ethnic minority Raglay people. This involved a 2 night/3 day field trip accompanying a Family Planning doctor from Tu Du hospital. The halls were packed with hundreds of teachers and students. The response was truly humbling. At TuDu Hospital, I was also able to observe abortion procedures as well as formal surgery for gynaecological conditions. In relation to my project, one highlight was being able to meet and work with the Viêtnamese people who were incredibly helpful and informative. The most poignant highlight however was being able to meet the women of Viêt Nam. They are incredibly hard working, stoic and enterprising and the glimpse into their day to day lives was at times very humbling and confronting. Observing the abortion procedure and contrasting it to how it is conducted in Australia was also very sobering. The project has given me a broader outlook and perspective to different health systems and beliefs. It has provided incredible personal and professional experiences on so many levels and through Hoïc Mãi, I have made some lifelong incredible friends and contacts!

Top Marie Stopes HCM Upper middle Carolyn Stein and TuDu Clinic Lower middle Carolyn Stein and Professor Loi Bottom Village ladies Ninh Tuan

An n ua l R e p o r t 2008 19


Hoïc Mãi Foundation Maternal and Child Health Project Elizabeth Elliott and Heather Jeffery Dien Bien Province, in remote, mountainous north-west Viêt Nam, has one of the highest rates of maternal and infant mortality in the world. Home to 21 ethnic minority groups with low literacy levels and poor access to health care, its health professionals have few educational opportunities and limited access to essential equipment. The Hoïc Mãi Maternal and Child Health Project initiated by the Governor of NSW, Professor Marie Bashir and the Viêt Nam Women’s’ Union in 2004 and now in its 6th year, has been highly successful. We aim to improve health outcomes for mothers and babies, particularly in Dien Bien Province, through collaborative education programs for health professionals in Dien Bien Phu and Ho Chi Minh City. For this purpose we have developed and delivered tailored, interactive, skill-based, small group education programs to doctors and nurses using the SCORPIO (Structured, Clinical, ObjectiveReferenced, Problem-oriented, Integrated, Organised) method. Diagnosis and management of conditions most commonly responsible for disease and death in mothers and babies in Viêt Nam (including infection, post-partum haemorrhage, anaemia, and inadequate or inappropriate resuscitation) are targeted by this program. Train-the trainer programs have also been run for clinician leaders in HaNoi and Dien Bien Phu; a program of student and clinician exchange between Australia and Viêt Nam has been supported; and the project has also provided medical equipment to provincial health services.

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Project highlights in 2008 include the following: – Dr Dzung, one of our interpreters in 2006-7, was supported by the Hoïc Mãi Foundation to visit Sydney for 1 month to prepare an application for an AusAid scholarship to perform a PhD in the Department of Public Health under the supervision of Prof Heather Jeffery and Dr Cynthia Hunter. – Dr Kirsty Foster presented a paper on the project, International collaboration to improve maternal and child health in Viêt Nam, at the 13th Ottawa International Conference on Clinical Competence in March 2008. – Heather Jeffery was appointed Professor of International Child Public Health, University of Sydney. – Dr Jane Hirst was awarded the Shan S Ratnam Young Gynaecologist Award” for Australia by the Asia Ocaenia Federation of Obstetrics and Gynaeoclogy for presentation of the Maternal and Child Health Project. – Dr Hirst also received the ‘Taylor-Hammond Research Scholarship’ from the RANZCOG Research Foundation to carry out a project ‘Classification of stillbirth in Viêt Nam and identification of antecendant factors’ at TuDu hospital in Dec.2008-Jan 2009 for her Masters in Public Health (Honours) project (see separate report). – A report on the maternal and child health project was published in an international peer-reviewed journal (Hirst JE, Jeffery HE, Morris J, Foster K, Elliott EJ. Application of evidence-based teaching in maternal and child health in remote Viêt Nam. Int J Gynaecol Obstet. 2009 Feb;104(2):152-5.) – A team under the direction of Prof Jonathan Morris conducted an education workshop for clinicians in maternal-neonatal care in Tu Du Hospital in November 2008 (see separate report). – Caroline Sein ( Masters International Public Health student, University Sydney) conducted a research project on Abortion Practices in Viêt Nam in Dec 2008 under the supervision of Prof Jeffery (see separate report) – Maternal and Child Health Team members mentored some of the medical elective students from the University of Sydney during their time in Viêt Nam and supervised 13 Viêtnamese doctors on AusAid/ Hoïc Mãi Scholarships in maternal and child health during their 3 month visit to the Children’s Hospital Westmead and Royal North Shore Hospital.


Evaluation of the program by participants and tutors has been excellent. In 2009, we will respond to invitations from the Directors of Dien Bien Provincial Health and the Dien Bien Phu Provincial Hospital to run courses in emergency paediatrics, obstetrics and neonatology in District and Commune health facilities and to expand teaching in Dien Bien Phu on the assessment and management of trauma.

Team members: Prof Elizabeth Elliott, Prof Heather Jeffery, Prof Jonathan Morris, Dr Kirsty Foster, Dr David Hill, Dr Jane Hirst, Dr Girvan Malcolm, Dr David Osborn, Dr Dilhani Bandaranayake, Ms Cathy Adams, Ms Louise Corcoran, Ms Janice Sim, Ms Jan Polverino, Dr Sandie Bredemeyer, Ms Jordan Spence, Dr Peter Bland, Dr Monica Lahra

We aim to improve health outcomes for mothers and babies, particularly in Dien Bien Province, through collaborative

The project relies on a multi-disciplinary group of volunteer health professionals from Sydney and clinician tutors and interpreters from HaNoi, to whom we are very grateful. It is endorsed by the Ministry of Health of Viêt Nam and the HaNoi Medical University and supported by the Dien Bien Provincial Health Department, Dien Bien Phu Provincial Hospital, National Institute of Pediatrics HaNoi, National OBGYN Hospital HaNoi, and the Consulate General of Viêt Nam in Australia. The project is financed by the International Development Program of the University of Sydney, the UNFPA and the Hoïc Mãi Foundation. In kind support provided by the Faculty of Medicine and the Disciplines of Paediatrics and Child Health, Obstetrics and Gynaecology, and Perinatology (University of Sydney) and The Children’s Hospital at Westmead, Sydney; Royal North Shore Hospital Sydney; and Royal Prince Alfred Hospital Sydney. Equipment was donated by Welsch Allen and Laerdal.

education programs for health professionals in Dien Bien Phu and Ho Chi Minh City.

Maternal and Child Health TuDu Hospital Project Team Professor Jonathan Morris In November 2008, a multidisciplinary team visited Tu Du Hospital to conduct a workshop in maternal and the newborn care. The structure of the workshop was based on small group interactive teaching using the SCORPIO model. Over the three days expert tutors facilitated sessions addressing preterm labour, hypertension in pregnancy and newborn resuscitation. Thirty-six Midwives, Obstetricians and Neonatologists from Ho Chi Minh City and HaNoi attended the course. The teaching was held at Tu Du Hospital and facilitated with the assistance of local interpreters. The Director of the Hospital Dr Pham Viet Thanh and also Dr Nguyen Khac Han Hoan ensured that an environment for teaching was provided that was comfortable and highly conducive to learning. They went to extraordinary lengths including the hiring of multiple air-conditioning units as well as partitioning of a larger teaching room to allow small group interactive teaching areas. Evaluation of the participants and the tutors confirmed that the course was a great success. The trip was funded by a grant from the University of Sydney International Project Development Fund in association with the Hoïc Mãi Foundation. It was particularly satisfying to meet some of the recent Hoïc Mãi fellows again at Tu Du Hospital and strengthen the link with both them and Tu Du Hospital The workshop ran on Monday Tuesday and Wednesday between November 11 – 13. On Friday 15th the team ran education day at a conference

centre located in District 3 Ho Chi Minh city. The teaching day was attended by 300 midwives, nurses and doctors. The group used interactive teaching methods including a audience response system which allowed participation by members of the larger audience. The team used a variety of initiative methods to engage the audience including role playing and an electronic audience responder system which allowed an assessment of the background, knowledge and management preferences of those in the audience. The day was hosted by Tu Du Hospital, Hung Vuong Hospital and the Obstetrical Society of Ho Chi Minh City. The overarching aim of the day was to promote a evidence based families centred approach to the management of women and their babies. Members of the team were Jonathan Morris, Heather Jeffery, Kirsty Foster, Peter Bland, Girvan Malcolm, Sandy Bredemeyer, Cathy Adams, Jane Hirst, Jordan Spence. An n ua l R e p o r t 2008 21


Tweed-DaNang Clinical Services Project Dr Ian McPhee After hosting their first Hoïc Mãi AusAid Fellows in 2007, staff of The Tweed Hospital in Northern NSW resolved to broaden involvement with Hoïc Mãi in 2008 by formalising links with the DaNang Hospital - workplace of Hoïc Mãi Fellow and surgeon, Dr Hoang Duong Vuong, and the setting for many Hoïc Mãi student scholarships. The resulting Tweed-DaNang Clinical Services Project has received the full support of local and Area Health Service executive and has been warmly embraced by staff of the DaNang Hospital. Signing of a Statement of Intent by Dr Tran Ngoc Thanh, Director of the DaNang Hospital, in September 2008 saw the project formally launched. In addition to continuing to support visiting Hoïc Mãi AusAid Fellows at the Tweed Hospital, clinicians from Tweed are working to assist their Viêtnamese colleagues through a programme of on-site visits. The first such visit took place in September 2008 when Laparoscopic Surgeon, Dr Laurent Layani, Anaesthetist, Dr Ian McPhee, and Theatre Nurse, Raynor Cowdroy introduced skills in surgery and anaesthesia for laparoscopic hernia repair. Supervised procedures were undertaken during their week long visit, setting the framework for DaNang Surgeons and Anaesthetists to continue to undertake laparoscopic hernia repair on into the future.

Top DaNang Hospital Facade Middle Dr Thanh signs off Bottom Dr Layani demonstrates

As an integral component of the September visit a course in the understanding and use of Medical English was also conducted for DaNang Hospital personnel by members of the Tweed Team. Clinical scenarios were used to encourage participants to build their skills in spoken English as well as consider the depth of resources that are available to them in the English language literature – especially via the Internet. The course was enthusiastically received, and attended by clinicians from throughout the Hospital, including a number of Department Heads. 2009 will see the first Hoïc Mãi Senior Visiting Fellow come to Tweed as part of a programme to foster the work of established clinicians in leadership roles at the DaNang Hospital. This project will incorporate exposure to aspects of clinical care, administration and teaching in Tweed, and when appropriate, centres beyond. Of course there will also this year be new Hoïc Mãi AusAid Fellows to welcome to Tweed as well as a further visit by Tweed Clinicians to the DaNang Hospital, where there will be a focus on issues of Infection-control – an area identified by DaNang Clinicians as one for special attention.

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Reflections Candice Hanson, University of Tasmania My name is Candice Hanson and I am a 6th year student from the University of Tasmania who received a bursary through the Hoïc Mãi Foundation to undertake an elective period with the wonderful staff and students of the Viet Duc Hospital in December 2008 and January 2009. My elective time was mostly spent attached to the paediatric surgical team at the hospital. My mentor was Professor Bich, who spoke very good English and was kind enough to translate the department’s daily activities for my benefit. I was invited to participate in a wide range of departmental activities, including grand rounds, clinics, staff meetings, ward rounds and of course, theatre. I was exposed to a wide range of presentations and congenital malformations that I had not previously seen. Some patients had very advanced disease because they had been unable to afford or access treatment earlier.

and understanding of access to medical care and treatment in this country. It has given me a greater appreciation of our own hospital system here in Australia and the role I have within it. I am truly grateful to the Hoïc Mãi Foundation, to the Rural Clinical School at the University of Tasmania, to Associate Professor Marcus Skinner, and to the paediatric surgical team of the Viet Duc Hospital for giving me such a wonderful opportunity to study in Viêt Nam. I have learned so much that I will carry with me for the rest of my career.

They were very brave children and I feel privileged to have been involved in their care.

The 30 bed paediatric ward – which was usually full to capacity, sometimes with more than one patient to a bed – was quite simple. Between 4 and 12 patients would share a room and would be cared for around the clock by a parent or relative. There is limited privacy for patients and examinations are performed in full view of all the other people in the room. This took some time for me to get used to! Students from the HaNoi Medical University would attend morning ward rounds and often there would be more than 50 people squeezed into a single room to view a patient and their pathology. I was adopted by some 4th year Viêtnamese medical students undertaking their paediatric rotation at the hospital. They took me to the HaNoi Medical University where I got to sit in on some of their classes. Students live on campus, with up to 12 students sharing a dorm room, one computer and one-bathroom. They work incredibly hard and are very committed to their studies. I am grateful to them for taking me in just before their exams and I wish them the best for their future careers. Back at the hospital, surgeries were performed throughout the day, mostly elective cases, but occasionally emergency cases would present. Prof. Bich is a leader in reconstruction of uro-genital malformations and I observed many fascinating plastic techniques I had not seen previously. I also assisted in numerous neonatal surgeries that were ultimately life saving for these babies. Theatre was a lot of fun, and would often become very crowded due to the number of interested on-lookers from other departments. The children I met at the hospital were great. I always got a friendly wave in the morning and I never saw a single child complain about being in hospital. Many had to spend up to 10 days in hospital post-surgery because of the high risk of infection. They were very brave children and I feel privileged to have been involved in their care.

Top Candice Hanson and Professor Bich in the paediatric theatre Bottom Some Medical students Christmas Day in HaNoi

I was fortunate in that I was also able to enjoy a small holiday in Viêt Nam. This increased my perspective An n ua l R e p o r t 2008 23


4 Weeks in Urology Surgery Le Nguyet Minh (Viêtnamese medical student – HaNoi Medical University)

Phaïm Hoàng Ngoïc Hoa, Pham Minh Giang, Lê Nguyêït Minh

I was involved in urology surgery Department, Royal North Shore Hospital, from 7th July to 1st of August 2008 as an elective medical student. The main objectives of this elective were to observe and find out the most effective methods to learn medicine, and how to work in hospital as well. The very first thing I had to do was to get acquainted with my team work, included two supervisors – Dr. Ken Vaux, Dr. Rasiah, a registrar - Dr. Said Jaboubs, and an intern – Amanda Tan. At the first time, it was quite difficult for me to meet them, but it turned to be easy when I discovered how to take their schedules. Everyone has the own timetable for each day, each hour, and they were all available on the intranet of the RNS hospital. I myself had the schedule for my 4-week-election. I spent three days per week in theatre, besides Wednesday at urodynamics department and Thursday at out-patient department (OPD). Secondly, I could see how effectively the hospital system works. They follow patients from birth till the death. Whenever they have complaints, they present their local doctor or general practitioner (GP), and then they will have an appointment with a specialist if it’s necessary. All information needed was sent to the specialist with a letter from GP that shortens the interview between doctors and patients, to save time so much. I had seen those appointments in OPD with my registrar. He showed me the way to present to patients, he always smiled, answered all their questions,

and explained their problems carefully, he treated as if he was their brother or their son (such a surprising thing that almost patients are over 60). I could see their pleasure faces when they left OPD. That is an essential skill I could learn from him and all staff there. He emphasized that being a good surgeon is very hard, because a good surgeon must have a lion’s heart, precise as an eagle but soft hands and gentle as mothers, those are always kept in my mind. He encouraged my love with surgery so much. Thirdly, I also joined all the examinations and tests were used in Urology such as bladder scan, urodynamic, cystoscopy for urinary tract investigation and treatment as well… I could follow a patient to do pre-operation, included examination and taking note, I was extremely happy about that. Furthermore, I was welcome in most tutorials for student and intern there, especially presentations every Wednesday of researching club … I would like to thank the Hoïc Mãi Foundation for giving me a good chance to study in Royal North Shore hospital, a very essential opportunity to change my view about behavior in medicine. So I do hope that the Hoïc Mãi Foundation could bring more and more opportunities for Viêtnamese students and young doctors as well. Thank you for everything!

Unforgettable souvenirs of my training trip in Sydney Pham Hoàng Ngoc Hoa, HaNoi Medical University

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I went to Sydney with a bit of worry and fear because it’s the first time I have to go alone to a new country for studying. However, the new environment and the style of working and studying here touched me with interest very quickly. Within 4 weeks, I have learned a lot of things, not only the knowledge of medicine, but also the skill to approach patients. The medical officers made a deep impression for me when they always smiled with patients, and often suggested them to ask whatever they want to know about their diseases. As an observer, every morning I followed my team work to go to wards to visit patients, I could see how doctor made questions, examined and let patients do the test, so I have learned many new ways of testing, estimating patient’s condition. One thing which is interesting in clinic here is that medical student can follow patient from the beginning to the end of the treatment process. He can ask patient about his disease, he can enter the investigation laboratory such as the X-ray room, pathology area… and can be explained clearly by the doctors there. Then, the student has to report on his patient’s situation to the doctors and other students. It’s different from Viêt Nam that we can only ask patient and see the results of investigation on the paper. I think that’s the best way for student to understand the disease of patient easily and exactly. Most of doctors and medical students here are friendly, enthusiastic,enthusiastic; they explained me clearly

whatever I didn’t understand and always showed me the troubles and abnormal signs of patient when they found that. Furthermore, I prefer to join the meetings where I was welcomed so I can learn more about medicine and everything concerning medicine in the life as well. One more thing I want to say is that I was surprised with the medical system here when I saw that there are various medical officers besides the doctors, the nurses, such as physiotherapists, social workers… to help patient to reintegrate in the life after leaving hospital. The health care quality in Australia is really good and it’s what I dream to realize in my country. I love Sydney’s environment, people and landscape very much. The fresh air makes me feel better in health. The green, luxuriant trees and many flowers blooming on streets even in winter created a beautiful and peaceful scene. Everywhere I could receive the helps of the Australian friends, they are all very friendly and enthusiastic. Whenever I had free time I went to see famous places such as Sydney Opera House, Bondi Beach, Darling Harbour…, they are magnificent and attractive. I felt satisfied when I was in Sydney. The trip gave me an opportunity to discover many great things and enriched my knowledge about medicine, culture and the kindness of the people. I will keep all the souvenirs deeply in my heart, and I really hope to come back to Sydney again in the near future.


Preventing Stillbirth in Viêt Nam Dr Jane Hirst Worldwide stillbirth or fetal death is a major public health problem, and limited investigation in to the causes or preventative health strategies have been undertaken. Viêt Nam is no exception to this, with stillbirth rates estimated at 24/1000 births by the WHO1. In Australia, stillbirths, although fewer than Viêt Nam, are also a major public health issue with a rate of 3 per 1000 in 2006 (in babies greater than 28 weeks gestation). Currently in Viêt Nam there is no systematic audit of these deaths, nor systematic investigations performed to determine cause of death. From a pilot study I carried out in the large Tu Du maternity hospital (over 50 000 deliveries per year and referral hospital for south Viêt Nam) in 2007, the unexplained stillbirth rate was 50%. The aim of my project, supervised by Prof Heather Jeffery, is to evaluate whether application of a perinatal death classification system2 developed in Australia could reduce this unexplained rate thereby assisting in where to target prevention A recruitment and data collection trip was carried out over December 2008- January 2009. With the help of Tu Du midwives Ha Thi Thanh Lieu and Phan Thi Phuong Trinh (previous Hoïc Mãi scholars to Australia), Viêtnamese Univeristy of Sydney Medical Students Theresa Ly and Khanh Nguyen (elective term Hoïc Mãi scholars) and the support of the Director of Tu Du hospital, Dr. Pham Viet Thanh, we were able to successfully identify 108 cases of stillbirth in five weeks. After consent we interviewed all mothers, examined their babies and obtained for the first time placental histopathology. This was aided by the Pathologist at Tu Du, Dr. Do Minh Hoan Trong, who was also a Hoïc Mãi scholar at RNS Hospital in 2008. It was incredibly demanding work, and I thank

the team and all the staff at Tu Du who helped with the project. The project was at times extremely distressing, and gave a rare insight into the attitudes surrounding stillbirth in Viêt Nam as well as the universal nature of parental grief. Most patients had very low levels of education and were from poor provinces outside the city. The barriers they faced in obtaining quality antenatal care were often considerable and provoked much discussion and reflection on delivery of health care in a developing country. This research is generously supported by the ‘TaylorHammond RANZCOG Research Foundation Scholarship’, however without the strong ongoing relationship between the Hoïc Mãi Medical Foundation, University of Sydney and Tu Du Hospital the project would not have been possible. I look forward to analysing the study findings and anticipate the information will be helpful in developing a classification system for stillbirth appropriate for Viêt Nam. Hopefully this will help direct further research to reduce the rate of stillbirth in Viêt Nam in the future. WHO 2005. The World Health report 2005: Making every mother and child count.

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Perinatal Society of Australia and New Zealand. Clinical Practice Guideline for Perinatal Mortality Audit. http://psanz. org.au April 2008

2

Top Dr Jane Hirst and Dr Do Minh Hoang Trong Middle Dr Jane Hirst and staff from delivery suite at TuDu Hospital in Ho Chi Minh City Bottom Dr Jane Hirst, Theresa Ly at TuDu Hospital

This research is generously supported by the ‘TaylorHammond RANZCOG

A Silent Crisis: Cancer Treatment in Developing Countries Radiotherapy in HaNoi Dr Graeme Morgan, Royal North Shore Hospital WHO data shows the number of new cancer patients diagnosed each year worldwide will increase from 10 million in 2000 to nearly 15 million in 2020. In Industrialised countries the increase will be from 4.5 to 5.5 million and in Developing countries from 5.5 to 9 million with 50% of the increase being in SE Asia. In 2003 Cancer deaths were more than deaths from TB, HIV & Malaria combined. Although all cause of deaths should be ‘defeated’ the latter three are UN Millennium Development Goals, but Cancer was not included. The International Atomic Energy Agency (IAEA) has undertaken a PACT program with Viêt Nam being a model demonstration county. PACT – Program for Action for Cancer Treatment involves each country developing a Cancer Control Program to embrace methods for Prevention, Education, Treatment (surgery, radiotherapy and medical oncology), Palliative care and Cancer Registry.

Research Foundation Scholarship’, however without the strong ongoing relationship between the Hoïc Mãi Medical Foundation, University of Sydney and Tu Du Hospital the project would not have been possible.

In Viêt Nam there are only 21 treatment machines for 85 million people – far less than the WHO minimum of one per million of population. In Australia we aim to provide 8 machines per million new patients diagnosed per year. The Viêtnamese Health Department has approved the building of a new 1,000 bed National Cancer Hospital with 6 linear accelerators to replace the old, inadequate K Hospital. This will require significant skills upgrading in the transition from the fairly basic treatments given with Cobalt to the more complex treatment using linear accelerators. The Hoïc Mãi Foundation in association with K Hospital has approached AusAID for support to develop a ‘Train the Trainer’ program for senior Radiation Therapy Technologists (RTTS) currently working in HaNoi to ensure that they are suitably trained for linear accelerator treatment. A syllabus will be developed and these senior RTTs will then be expected to train additional Viêtnamese RTTs. Future areas of training are for the Medical Physicists and Radiation Oncologists.

An n ua l R e p o r t 2008 25


Reflection Dr Nguyen Toan Thang I am an anesthetist from HaNoi Medical University and Viet Duc hospital. I have just finished three-month Hoïc Mãi scholarship in Tasmania- a very lovely and natural state in Australia. During my staying in Tassie, I have met and made friends with a lot good people in general, doctors, students and nurses inside hospital, especially. My concerns (pain management and trauma patient rescucitation) have basically achieved.

Top Dr Nguyen Toan Thang Bottom Dr Nguyen Toan Thang experiencing healthcare delivery in Tasmania

I think that Hoïc Mãi scholarship is very useful, suitable for Viêtnamese doctors. I am hoping that more and more doctors and students (from Viêt Nam and Australia) can get it in the future. I would like to express my deepest appreciation to Hoïc Mãi Foundation, North West Regional Hospital in Burnie – Tasmania, especially Prof. Bruce Robinson, Mrs. Rhondda Glasson (in Sydney), my supervisor- Ass Prof. Marcus Skinner, Dr. John Henshaw (in Burnie), and Dr. Haydn Perndt (in Hobart) for their help and supporting me whilst I was in Australia

Reflection Pham Ngoc Doan Trang “My name is PHAM NGOC DOAN TRANG, an Obs & Gyn resident of the University of Medicine and Pharmacy, Ho Chi Minh City. I received a three-month visiting study scholarship from the AusAIDALA/ Hoïc Mãi Foundation from July to September 2008 at the Royal North Shore Hospital, Nepean Hospital and University of Sydney. This is the great chance to gain experience from the teaching hospital in a developed and beautiful country like Australia.

Dr Pham Ngoc Doan Trang

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I was under the supervision of Professor Jonathan Morris, Dr. Peter Bland and Dr. Jane Hirst. I had a clear timetable for what I had requested to observe during my placement. As an O&G resident in Viêt Nam, I enjoy in both Obstetrics and Gynaecology so I was put to the Obstetrics ward round every morning and then present in the Operating Theatre later in the day, where I had seen some new techniques that I just had read in the journals. Even I had not allowed to “touch” the patient but what I saw give me lots of impression and experience such as the communication between the healthcare providers and the patients, the proper way to reduce incidence in practicing and the supportive but happy team work environment. Thanks for sending me to two different hospitals (one in the North Shore and the other is in the West of Sydney), I had an opportunity to see the thorough and similar healthcare system in both “wealthy” and “indigent” places of Sydney.

Another experience is living together in a different culture. Because all of the fellows come from many places of Viêt Nam, we did not know every one another much before. After coming back from Australia, I had a “ Hoïc Mãi” family with Rhondda Glasson as our “Big Mom” and the Viêtnamese brothers and sisters. Thanks to Rhondda, we had everything well-organised and things ran smoothly. Beside that, my English, especially my medical English, improved much after spending a short English course at the University of Sydney. I had some new Australian friends from this trip. My supervisors were so hospitable to be the tour-guide and show me lots of attractions of Sydney. When getting back home, I really fell in love with Australia, a beautiful, peaceful and different country. Thank you to Professor Bruce Robinson, AusAIDALA/ Hoïc Mãi for giving me this precious time. I gained lots not only from the specialty aspect but also from the people.


An unforgettable experience at the University of Sydney Dr. Trinh Thi Hoang Oanh, Faculty of Public Health, University of Medicine and Pharmacy of Ho Chi Minh City. My name is Trinh Thi Hoang Oanh, a lecturer of the University of Medicine and Pharmacy, Ho Chi Minh City, Viêt Nam. My study focuses on “Physical activity patterns and correlates of physical inactivity among adults in Ho Chi Minh City”. Physical inactivity is considered as a modifiable behaviour contributing to noncommunicable diseases burden, and is an emerging issue in a developing country such as Viêt Nam. A key instrument which would be used in the surveillance of non-communicable diseases in Viêt Nam was also validated in this study. My times at the University of Sydney were definitely the most formative of my life. I learned so much from spending time with people from different cultures and disciplines. I am excited and grateful to have the opportunity to learn and grow in such a stimulating research environment. I am most impressed by the professional skills and the excellent collaboration offered by staff of the Preventive Research Collaboration group (School of Public Health) where I spent all my time working. I engaged in lively debates, I shared opinions and knowledge with my colleagues, experts in physical activity and health promotion research. I learned about the Australian work and research ethics from my supervisors and colleagues. I also had the bitter sweet experience of working with large population data sets, writing scientific papers and receiving critical comments; I recalled the exciting moments I shared with my colleagues when my first paper was accepted for publication. These experiences will be helpful to me in my future role as a researcher and they would stay with me in my life time. I would like to express my great thank to The Hoïc Mãi Foundation, my supervisors who gave me such wonderful opportunities to study in the Faculty of Medicine at the University of Sydney. This precious scholarship helped me not only to have a peace of mind but it had also encouraged and motivated me to complete my PhD studies. Time passed by so fast. I spent four springs in Australia and I am writing the last lines of my thesis for a PhD degree. I know I will never forget the beautiful time of my student life at the University of Sydney.

Dr Trinh Thi Hoang Oanh

I would like to express my great thank to The Hoïc Mãi Foundation, my supervisors who gave me such wonderful opportunities to study in the

Primary Trauma Care Program DaNang Hospital, Viêt Nam 2008

Faculty of Medicine at the University of Sydney.

A/Professor Marcus Skinner (www.primarytraumacare.org) There has been Primary Trauma Care (PTC) courses conducted in Viêt Nam for 5 years with approximately 750 doctors attended the program. The PTC – Viêt Nam strategic plan, outlined in 2004, was to undertake initial courses in HaNoi and then to conduct provincial courses with Viêtnamese Instructors. To this end, the course in DaNang reflects attainment of this goal by the provision of the PTC Course in DaNang hospital.

The need and desire by the trauma clinicians in Viêt Nam to improve trauma teaching and management, particularly in the provincial areas, is clearly evident. This PTC Teaching team conducted one course from 2 June to 6 June 2008 with 52 participants. The personnel involved in facilitating this course were: – A/Professor Marcus Skinner – Anaesthetist Intensivist, Bernie, Tasmania (PTC Co-Founder) & PTC Course Coordinator; – Dr Nguyen Huu Tu - Anaesthetist Intensivist, Viet Duc and HaNoi Medical University (HMU) & PTC Course Coordinator; – Dr Chris Kruk – Emergency Specialist, Western Australia – Dr Minh Tran – Anaesthetist, Sydney; – Dr Nguyen Duc Chinh – General Surgeon, Deputy Chief of Planning, Viet Duc Hospital HaNoi; – Dr Nguyen Toan Thang – Anaesthetist, Viet Duc Hospital and Lecturer, HMU, HaNoi This course was well received and evaluated. The Director of DaNang Hospital, Dr Tran Ngoc Than, invited the team to return in 2008/9. We thank St Luke’s Health, Tasmania and the Hoïc Mãi Foundation for the funds that ensured that this program could be conducted.

An n ua l R e p o r t 2008 27


Hoïc Mãi Foundation Inaugural Conference The inaugural Hoïc Mãi Foundation conference ‘Changing Patterns in Viêtnamese Healthcare’ was held on Friday 24 October 2009 at Viet Duc Hospital in HaNoi; a one day event focusing on key issues facing Viêtnamese healthcare. The themes of the conference were ‘scientific research, education and training’.

Above Mr Allaster Cox Right Dr Nguyen Van Buy Below right Dr Dang Van Duong Far right Professor Bruce Robinson and Emeritus Professor Kerry Goulston receive Viêtnamese People’s Health Medal from Professor Ngyuen Thi Kim Tien (Vice Minister of Health)

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The conference was opened by Mr Allaster Cox, Australian Ambassador to Viêt Nam and Prof. Dr. Nguyen Kim Tien, Vice-Minister of Health.The Foundation was privileged to have many distinguish guests and presenters at the conference from Viêt Nam and Australia. The presenters included Professor Kerry Goulston, Dr Nguyen Van Bay and Dr Ngyuen Van He who addressed the topic of Medical Student Education; for the topic of Post Graduate Specialist Education - Professor Kim Oates and Dr Nguyen Huu Tu; A/Professor Merrilyn Walton and Dr Tran Thuy Hanh shared the information about a project - “Bach Mai Hospital initiative in improving communication with patients, families and the healthcare team’; Professor Jill White and Dr Luu Tuyet Minh gave presentations regarding Nursing and Midwifery Education in Viêt Nam; and lastly Professor Jonathan Morris, Professor Peter McMinn, Dr Dindy Benn and Professor Heather Jeffery addressed the topics of ‘Research, Education and Training’. The conference smooth running was assured by Dr Dang Van Duong. The conference was an excellent opportunity to showcase the past and ongoing collaboration between colleagues from Viêt Nam and Australia through the Hoïc Mãi Foundation. The Hoïc Mãi Foundation sincerely thanks the many people from Viet Duc Hospital and the Hoïc Mãi Alumni that were involved in the organisation of this conference and the colleagues and friends from Australia who came to support the Hoïc Mãi Foundation. The conference would not have been able to occur without the support and organisational skill of Dr Dang Van Duong, the National Hoïc Mãi Coordinator – Viêt Nam


Viêt Nam Midwifery consultancy Professor Jill White Dean of Faculty, Professor of Nursing, University of Sydney The Faculty of Nursing and Midwifery, in association with the Hoïc Mãi Foundation undertook a United Nations Population Fund (UNFPA) supported consultancy to work with a team of Viêtnamese experts to develop a new national curriculum for midwifery. This was to be a three year college based curriculum with the intention of enhancing the skill, leadership and professional development of the midwife in Viêt Nam.

The Faculty of Nursing and

The time line was extremely ambitious, commencing in July with a completion date of December 31st. The University of Sydney consultants were Professor Jill White, Dean, Professor Sally Tracy, clinical professor at the Royal Hospital for Women and Ms Margaret Martin, Education Manager, Royal Hospital for Women. The curriculum was developed following a needs assessment visit to all levels of birthing services, tertiary hospitals, district hospitals and commune level health clinic, and including two four day workshops in Viêt Nam, and a writing workshop in Australia. Its development was followed by a train-the-trainer workshop in Viêt Nam to attempt to broaden the skills of the teachers to incorporate more student centered learning and clinically oriented learning, as the norm in Viêt Nam is very traditional teaching methods with little interaction between the clinical environment and the college or university. Two members of the curriculum development team then came to Australia for a five day orientation to teaching methods which focus on the clinical learning in particular

Population Fund (UNFPA)

Midwifery, in association with the Hoïc Mãi Foundation undertook a United Nations supported consultancy to work with a team of Viêtnamese experts to develop a new national curriculum for midwifery.

Dr Dang Van Duong, multi-talented multi-faceted Hoïc Mãi leader assisted this project through his links with UNFPA and the Ministry of Health and also acted as a superb translator and friend. We are greatly in his debt. It is hoped that this project will be expanded into a second phase to assist in the staff development of those who will teach in the two pilot programmes which are planned to commence in September 2009.

Getting to the heart of sudden death in young Viêtnamese Professor Chris Semsarian, University of Sydney, Centenary Institute With support from the Hoïc Mãi Foundation, an important new collaborative effort will be launched in 2008 to investigate the causes of sudden cardiac death in young people in Viêt Nam. In a joint initiative between researchers at the University of Sydney and collaborators in HaNoi, a review of the causes of sudden death in Viêt Nam will be performed in an attempt to identify potential genetic (inherited) factors responsible for these tragic and often unexplained deaths. The research team from the Faculty of Medicine at University of Sydney, which includes Professor Chris Semsarian and PhD student Ms Emily Tu, visited Dr Dang Van Duong, Head of Pathology at Bac Mai Hospital in HaNoi, in December 2008. The outline of the collaborative research study was discussed, and a 3-year research plan will be developed in which all cases of young sudden cardiac death in Viêt Nam will be investigated, and appropriate clinical, pathological, and genetic/forensic investigation performed. This study will be conducted with the assistance of the Viêt Nam National Heart Institute, and the recently

established National Institute of Forensic Medicine in HaNoi, ensuring that our study is a truly national one. The goal of this research is to identify and understand the causes of sudden death in young Viêtnamese people. Understanding the inherited causes of sudden death in Viêt Nam will provide a platform for developing clinical and genetic screening programs in Viêtnamese families where a sudden death has occurred, with the ultimate goal to identify disease early in relatives, initiate appropriate treatment and prevention strategies, and to reduce the incidence of sudden death in the communities of Viêt Nam. Above A/Professor Chris Semsarian and Emily Tu Right National Heart Institute

An n ua l R e p o r t 2008 29


Treasurer’s Report for the Year ended 31 December 2008 I am pleased to report on the financial affairs of the Foundation for the year ended 31 December 2008. The accounting records of the Foundation are maintained by the University of Sydney, and its accounts are drawn up annually in accordance with the University’s accounting policies. The results of the Foundation for the year are set out in the Income Statement while the financial position at 31 December is summarised in the Balance Sheet, both of which are included in this Annual Report. The accounts disclose a deficit of some $69,000, based on revenues of almost $614,000. This compares with a budgeted deficit of $45,000 for 2008 and a deficit of $7,000 from activities in 2007. The principal sources of revenue were grants and donations, of which the most significant item was AusAid funding approximating $400,000.This allowed the Hoïc Mãi Foundation to continue to increase the number of Viêtnamese scholars that could be hosted in Australia. Other grants and donations enabled a larger number of Australian medical students to spend time in Viêt Nam on scholarship programs. We are grateful for the generous support of our donors who have continued to provide financial assistance over a number of years. At year-end, the Foundation had accumulated funds of almost $130,000, which together with the revenue to be derived during 2009, will provide the resources to allow the Foundation to finance its activities for the forthcoming year and beyond. Ross Gavin

Treasurer

30


The Ho誰c M達i Foundation acknowledges the generous support of the following sponsors and donors: Aus AID (ALA Fellowship Program) Auscham (HaNoi) Elizabeth Hawker Euro RSCG Worldwide International Development Fund (University of Sydney) Laerdal Myer Foundation Northside Travel Pathfinders Returned and Services League of Australia Tonkin Travel United Nations Population Fund (UNFPA) Welch Allyn 10 group

An n ua l R e p o r t 2008 31


Our Board of Council Members Patron

Honarary Council Members

Her Excellency, Professor Marie Bashir AC, CVO

Ambassador Nguyen Thanh Dan Former Member of Parliament

Governor of New South Wales

Chair Professor Bruce Robinson

Chair Hoïc Mãi Foundation and Dean of Medicine, University of Sydney

Council Members Mr Alfred Attard

Consul General Vu Hong Nam Consul General of Viêt Nam, Sydney

Hoïc Mãi Foundation Staff Rhondda Glasson

Executive Officer

Associate Staff Member Dilhani Bandaranayake MPH, PhD

Director Ellzact The Hon Dr Meredith Burgmann Former President of the Legislative Council Major General Bill Crews AO (ret’d)

National President The Returned and Services League of Australia Mr Ross Gavin

Partner PricewaterhouseCoopers, Sydney (Treasurer of Hoïc Mãi Foundation) Emeritus Professor Kerry Goulston AO

Former Associate Dean Northern Clinical School, University of Sydney (Deputy Chair of Hoïc Mãi Foundation) Mr Brad Hazzard

MP (Legislative Assembly) Member for Wakehurst Shadow Minister for Planning and Infrastructure Mr Ken Hopkins

Director Elliot House The Hon Mr Craig Knowles Former Senior Minister of NSW Parliament Mr Michael Mann AM

Managing Director (Asia-Pacific) Laureate Education Asia Inc Former Australian Ambassador to Viêt Nam Dr Thuy Mai-Viet

President and CEO University Preparation College The Hon Mrs Janette McHugh

Former Member of Phillip Federal Parliament Professor Jonathan Morris Professor of Obstetrics and Gynaecology University of Sydney and Head of Department Obstetrics, Royal North Shore Hospital Mr Tom Moult

Executive Chairman Euro RSCG South Pacific Group The Hon Mr Tom Uren AO Former Member of Parliament

Hoïc Mãi The Australia Viêt Nam Medical Foundation Edward Ford Building (A27) University of Sydney Camperdown NSW 2006 Australia


2008 Học Mãi Foundation Annual Report  

Học Mãi, the Australia Vietnam Medical Foundation, is a non-profit organisation which was established in 1998 to improve medical education i...

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