AMA (WA) 125th anniversary
In 2023 the AMA (WA) celebrated it’s 125 Year Anniversary. Some of the items designed for this campaign included an anniversary logo, email signature, Medicus magazine cover, pull-up banner, and teardrop flag. The magazine timeline visually traces the organization’s impactful journey, collectively embodying a concise celebration of the AMA (WA)’s enduring commitment to healthcare excellence.
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Timeline
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Email Signature Banner
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Pullup Banner
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Teardrop Flag
CPR for CPD AMA members receive free CPR training for CPD purposes and free professional development seminars, such as our budgeting masterclasses, risk masterclasses and performance We are a registered training organisation offering accredited qualifications and short courses across health administration, mental health and community services. HLT57715 Diploma of Practice Management This is the flagship qualification for practice managers, aspiring practice managers and GPs who manage the operation of small to medium-sized health practices. Our unique assisted study program helps people work at their own pace. The program combines in-person seminars and networking events with weekly online classes. AMA members receive a significant discount for themselves or a staff member. AMA TRAINING SERVICES Learn. Train. Qualify. AMA Recruit offers extensive experience in professional recruitment and human resource services that are tailored to client requirements. Practice Administration Staff AMA Recruit offers our members access to highquality, discounted temporary and permanent placement services. This includes medical receptionists, medical secretaries and practice managers. We also offer discounted access to preinterviewed medical reception course graduates. Consulting Services AMA RECRUIT Hire. Recruit. Retain. For over 25 years, AMA Financial Services has worked as a dedicated broker and financial adviser to health and medical professionals around Australia. AMA FINANCIAL SERVICES Different. Dedicated. Experienced. We’re different from the rest because our mortgage brokers, insurance brokers, financial advisers and support staff are not remunerated through commission systems – they work for you – and all the profits get returned to benefit the medical profession. Our three financial divisions are: AMA Finance Brokers AMA Financial Planning AMA Insurance Brokers. AMA Finance Brokers If you are buying a house or taking out a loan, there are hundreds of loans to choose from and lots of lenders. Our mortgage and finance brokers will work closely with you to understand your individual goals and needs so you can choose the right loan for your AMA Financial Planning We offer a range of financial services to help you plan for your future, and to protect you and your family. Whatever your situation, whatever your needs, we have the services and skills to help you. Our services include: Wealth creation Retirement planning Wealth protection AMA Insurance Brokers We understand that time is a precious resource. We are here to help make your life easier. As part of the AMA, we understand your profession. We help you navigate the world of insurance, whether you’re looking for professional, personal or lifestyle insurance. Our services include insurance for business, medical indemnity, practice indemnity, public liability, management liability, cyber, legal expenses, boats, motor vehicles, home, landlords and more. We’ll make sure you’re covered appropriately. Superannuation Estate planning. ONE AMA SEVERAL SERVICES AND SOLUTIONS As the peak professional medical group, we provide several services specifically for our members, doctors and other medical professionals Australia-wide. We understand the challenges involved with being a doctor and the complexities around operating business within our industry. Our suite of business solutions includes: AMA Financial Services AMA Medical Products AMA Training Services AMA Recruit CPD Home. Whether you’re getting a mortgage or purchasing insurance, recruiting staff and organising training, or buying medical instruments, we will be there for you. Searching for CPD home? We are here to help. Subscribe to the AMA’s CPD Home to meet the Medical Board of Australia’s (MBA) new CPD requirements for doctors. THE LEADING AND TRUSTED VOICE FOR HEALTHCARE SINCE 1898 SOLUTIONS This brochure is of general nature only and not intended as personal or credit advice. does not take into account your individual needs and objectives. We recommend you consult professional financial adviser mortgage broker who will assist you. To the extent permitted by the Law, Consultum Financial Advisers, Australian Finance Group (AFG) & AMA (WA) officers and employees accept no liability for any person that relies upon the information contained herein. AMA Services Pty Ltd t/as AMA Financial Planning an Authorised Representative of Consultum Financial Advisers Pty Ltd. ABN 65 006 373 995 AFSL 230323. A.M.A. RECRUIT INTERNATIONAL PTY LTD ACN 113 446 861 t/as AMA Finance Brokers an authorised credit representative of Australian Finance Group Ltd ACN 066 385 822 Australian Credit Licence 389087. Amacis Pty Ltd T/As AMA Insurance Brokers AFSL 235312. Medical products We source only the highest-quality products and supplies. Choose from over 6,000 medical products in the following categories: medical equipment medical practice set-up medical consumables and disposables medical furniture vaccines instruments pharmaceuticals and medicines. Our online store delivers medical product solutions Australiawide. Our customer service and logistics team will make sure you get the right products at the right time. Services and solutions We provide the products and the technical support. If your needs are complex, we will provide tailored solution where we deliver the right equipment and supplies that best suit your needs or medical practice. Our specific product solutions cover areas including: physical assessment auscultation patient monitoring cardiopulmonary dermatology. We stock leading and trusted medical brands including 3M, Welch Allyn, Becton Dickinson, Sanofi and many more. We supply and distribute high-quality medical products to practitioners, medical practices and healthcare facilities, whether you are building a new practice or expanding and upgrading. AMA MEDICAL PRODUCTS Quality. Service. Choice. 1. Create your learning profile Getting started is easy complete your learning profile. 2. Write your CPD plan Identify your learning goals and tag your focus topics. 3. Engage in CPD learning Search our CPD catalogue for engaging, relevant and timely activities. 4. Track your learning Complete your 50 hours of CPD, including higher-level requirements for some specialities. 5. Reflect on your achievements At the end of the CPD Year, determine if you have achieved your learning goals. 6. Print Ahpra compliant CPD reports Save your Statement of Compliance and retrieve your archived annual CPD reports anytime. CPD Home has been approved for initial accreditation by the Australian Medical Council (AMC), to deliver a national CPD home service to all doctors. The CPD Home Program is mandatory for subscribers to the CPD Home service. CPD Home supports you to take control of your medical CPD, anywhere, anytime. This is how the CPD Home Program works for you: CPD HOME Learn. Manage. Report. 1800 262 346 amafinancialservices.com.au 1800 626 292 amamedicalproducts.com.au 1800 248 292 amatraining.edu.au 1800 273 466 cpdhome.org,au AMA FINANCIAL SERVICES AMA MEDICAL PRODUCTS AMA TRAINING SERVICES 08 9273 3000 amarecruit.com.au AMA RECRUIT CPD HOME Get CPD Home Ready Now! 8
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AMA College is the vocational training arm of the Australian Medical Association (WA) inc. Located in the heart of Joondalup, our state-of-the-art training facility, together with extensive partnerships with healthcare employers, offers prospective students exciting AMA College is in the final stages of accreditation for its Enrolled Nurse program, with a planned commencement for Semester 1, 2023. you would like to find out more about what a career in nursing could look like, discover how AMA College is proposing to deliver its Diploma of Nursing program and try your hand at some practical nursing skills come along to one of our upcoming free Career Exploration Sessions. Parents are welcome to attend also. Meet the team, explore our campus and discover what an education journey into nursing could look like for you. AMA College Registered Training Provider with over 25 qualifications on scope. The HLT54121 Diploma of Nursing not yet scope and cannot be added until the AMA College Nursing Program accredited the Nursing and Midwifery Board Australia (NMBA). The NMBA will make decision the AMA College program in late October 2022. Only expressions interest will be taken this stage, with formal enrolments possible only once the qualification added to the College’s scope by ASQA. AMA College, RTO Code 2010, CRICOS Provider Code: 03782G Career Exploration Sessions Could a career in nursing be calling you? Welcome address 1. Healthcare industry overview and career insights for nurses 2. Diploma of Nursing Overview 3. Practical skill demonstrations and try-outs 4. Light refreshments and mingle with staff October Dates Monday 24 @ 6pm-8.30pm Tuesday 25 @ 6pm-8.30pm Wednesday 26 @ 6pm-8.30pm Thursday 27 @ 6pm-8.30pm Friday 28 @ 6pm-8.30pm Saturday 29 @ 10am-12.30pm Saturday 29 @ 3pm-5.30pm Sunday 30 @ 1pm-3.30pm REGISTER To secure your spot register now! AMA College RTO Code: 2010 | CRICOS Provider Code: 03782G 20 CHC33015 Certificate III in Individual Support (Ageing) CRICOS Course Code 108759M The CHC33015 Certificate III in Individual Support is the primary qualification for the aged care, disability and home care industries. The Australian Medical Association (WA) has been helping to train new care workers for more than 20 years, finding meaningful employment for thousands of graduates. The aged care sector offers a unique platform from which to grow your career. Job opportunities are plentiful, as are pathways to grow into areas such as nursing, allied health, management and leadership. The aged care industry, just like healthcare is constantly evolving and not affected by economic cycles. It needs people who care deeply and are motivated to support the most vulnerable citizens of our society to age with dignity and respect. This 13-unit Certificate provides a comprehensive introduction to being a care worker in an Australian setting. The program runs for six months, with access to AMA College’s state-of-the-art simulation lab as well as 120 hours of work placement, organised by the AMA. Students will also be assisted with recruitment support while they are studying thanks to the AMA’s extensive relationships with the aged care sector in Western Australia. The Certificate III in Individual Support (Ageing) can be combined with the CHC43015 Certificate IV in Ageing Support to produce a dual-qualification 12-month training experience. The AMA works closely with the aged and disability sector, making a learning journey with AMA College one of the most rewarding experiences for students wishing to become care workers. What Will You Learn? The Certificate III in Individual Support (Ageing) introduces students to the core aspects of being a care worker, including: Workplace communication. Working with diversity. Legal and ethical considerations of care work. Work Health and Safety. Recognising healthy body systems. Infection control. Supporting those with Dementia. First-Aid. Empowering older people. AMA College RTO Code: 2010 CRICOS Provider Code: 03782G 21 Course Content Unit Code Unit Title Core /Elective CORE UNITS CHCCCS015 Provide individualised support C CHCCCS023 Support independence and well being C CHCCOM005 Communicate and work in health or community services C CHCDIV001 Work with diverse people C CHCLEG001 Work legally and ethically C HLTAAP001 Recognise healthy body systems C HLTWHS002 Follow safe work practices for direct client care C ELECTIVE UNITS AGING specialisation CHCAGE001 Facilitate the empowerment of older people E CHCAGE005 Provide support to people living with dementia E CHCCCS011 Meet personal support needs E HLTINF006 Apply basic principles and practices of infection prevention and control E CHCPAL001 Deliver care services using a palliative approach E ELECTIVE UNITS – Other named elective HLTAID011 Provide first aid E Total 13 units seven core and six electives CRICOS Provider Code: 03782G m +61 488 792 153 t +61 (8) 9273 3033 e Jan.Norberger@amacollege.edu.au Jan Norberger MBA General Manager t +61 (8) 9273 3033 e enrolments@amacollege.edu.au www.amacollege.edu.au RTO Code 2010 CRICOS Provider Code: 03782G WITH COMPLIMENTS +61 (8) 9273 3033 e enrolments@amacollege.edu.au www.amacollege.edu.au RTO Code 2010 CRICOS Provider Code: 03782G m +61 400 000 000 +61 (8) 9273 3033 name.surname@amacollege.edu.au Name Firstname Accreditation Job Title CRICOS Provider Code: 03782G AMA COLLEGE IS PART OF THE AUSTRALIAN MEDICAL ASSOCIATION (WA) GROUP OF COMPANIES Level 2, 57 Shenton Avenue, Joondalup (Shenton House) www.amacollege.edu.au Could a career in nursing be calling you? AMA College is the vocational training arm of the Australian Medical Association (WA) inc. Located in the heart of Joondalup, our state-of-the-art training facility, together with extensive partnerships with healthcare employers, offers prospective students exciting pathways into care-related and nursing careers. AMA College is in the final stages of accreditation for its Enrolled Nurse program with planned commencement for Semester 1, 2023 you would like to find out more about what career in nursin could look like, discover how AMA College is proposing to deliver its Diploma of Nursing program and try your hand at some practical nursing skills come along to one of our upcoming free Career Exploration Sessions Parents are welcome to attend also. Meet the team, explore our campus and discover what an education journey into nursing could look like for you. Career Exploration Sessions AMA College RTO Code: 2010 CRICOS Provider Code: 03782G 12 Why study nursing with us? Nursing by industry The Diploma of Nursing program leads to registration as an Enrolled Nurse upon completion. By studying the program at AMA College, not only will you benefit from the state-of-the-art facilities and the wealth of experience our teaching staff brings, but you will also be able to take advantage of AMA’s incomparable industry network in the form of Professional Experience Placements as well as potential employment opportunities. Full-Time Share Future Growth Weekly Earnings $1,442 (Enrolled) $1,937 (Registered) 13.9% 47% Acute Care Sector (Hospitals) Disability Care Residential Aged Care Home and Community Care GLOBAL Shortage Currently 300,000 employed in Australia. Global Nurse Shortage could reach 13 million by 2030. AMA College RTO Code: 2010 | CRICOS Provider Code: 03782G WHERE A CAREER IN CARE & SUPPORT CAN TAKE YOU Senior clinical or management Work as either a Clinical Nurse Manager or Facility Manager CHC33015 Certificate III in Individual Support Work as Support Worker in an Aged Care Facility CHC43015 Certificate IV in Aging Support Work as Senior Care Worker in an Aged Care Facility 10720NAT Diploma of Health Administration Take on additional administrative and management responsibility HTL54121 Diploma of Nursing Work as an Enrolled Nurse in either hospital or aged care facility Bachelor of Commerce Work toward middle and senior management roles Bachelor of Nursing Work as a Registered Nurse in either a hospital or aged care facility Non Clinical Clinical
2023 Study
tradition 9 Stationery Flyers Prospectus eDM Design
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at a College with more than 125 years of
Medicus is the AMA (WA)’s award-winning journal distributed bimonthly to more than 4,000 doctors and decision-makers throughout Western Australia. The content is a mix of health industry news, cover stories on key health issues, commentary from health leaders, clinical research updates and lifestyle offerings. I am the sole designer on this 60 page monthly magazine and am responsible for all publication layouts, cover designs, ad placements and print production.
www.amawa.com.au/news-events/medicus/
Journal of the Australian Medical Association WA May 2022 Volume 62 Issue 4 amawa.com.au INSIDE: ‘FLYING DOC’ FRANC HENZE + AUSSIE GRAND PRIX ACTION Climate change action must rise to the top of every health agenda Journal of the Australian Medical Association WA August 2022 Volume 62 Issue amawa.com.au DOCTORS ANSWER CONFERENCE CALL Medical community gets behind MEDCON22 and MEDBALL 22 Journal the Australian Medical Association WA June July 2022 Volume 62 Issue amawa.com.au INDUSTRIAL AGREEMENT: THE AMA (WA) STRIKES A HEALTHY DEAL FOR DOCS Journal of the Australian Medical Association WA September 2021 Volume 61 Issue 8 amawa.com.au Journal of the Australian Medical Association WA September 2021 Volume 61 Issue 8 amawa.com.au "It is a myth that public health service is a top priority for the government." "A service managed by non-clinical administrators is a clinical disaster." "…start looking after our staff before we have more tragic physician suicide." "We have never seen morale so low." "Serious culture reform is required STAT." "Moving to a state-wide EMR would help patient care and safety a thousand-fold." The results are in! Addressing the needs of Aboriginal people and culturally and linguistically diverse communities Journal the Australian Medical Association WA October – November 2022 Volume 62 Issue amawa.com.au member the policy. Nerminathan, Fund Member since 2018 WESTERN AUSTRALIA WESTERN AUSTRALIA Journal of the Australian Medical Association WA March 2021 Volume 61 Issue 2 amawa.com.au Journal the Australian Medical Association WA October 2021 Volume 61 Issue amawa.com.au Journal of the Australian Medical Association WA November-December 2021 Volume 61 Issue 10 amawa.com.au Gratitude for the year that s been and hope for the one to come Journal of the Australian Medical Association WA April 2022 Volume 62 Issue 3 amawa.com.au INSIDE: PUBLIC HOSPITAL REPORT CARD SUPPORTING IMGs SHOW US THE MONEY! Funding key to child mental health report The key to a healthier prison population lies in clinical engagement and GP-led primary healthcare UNLOCK THE POTENTIAL Journal of the Australian Medical Association WA August 2021 Volume 61 Issue 7 amawa.com.au 10
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Medicus
20 MEDICUS SEPTEMBER 2021 COVER STORY: M+E SURVEY HSP’s Proportion of M+E Responses ◼ SMHS NMHS ◼ EMHS ◼ WACHS ◼ CAHS ◼ Ramsay ◼ SJG ◼ PathWest WA Health HSP Response Rate (% of head count) 25% 15% 10% 0% NMHS SMHS EMHS WACHS CAHS Demographics Gender Breakdown Male Female I’d rather not say Over the past 12 months, how has the morale at your chosen work location changed? HSP Improved Unchanged Deteriorated Unsure CAHS 1.5% 23.5% 70.6% 4.4% WACHS 5.0% 28.8% 58.8% 7.5% NMHS 5.3% 39.1% 54.3% 1.3% EMHS 8.2% 44.5% 45.5% 1.8% SMHS 9.8% 48.1% 41.0% 1.1% WA Health Total 6.6% 39.8% 51.2% 2.5% 100% 80% 60% 40% Over the past 12 months, how has the morale at your chosen work location changed? PCH RPH AKMH SCGH KEMH FSH RGH SJG Mid. JHC WA Health Total % OF NEGATIVE RESPONSES How would you rate senior doctor ‘morale’ at your hospital? HSP Very Poor & Poor Fair Good & Excellent WACHS 61.3% 28.8% 10.0% CAHS 60.3% 25.0% 14.7% SMHS 52.5% 37.7% 9.8% NMHS 57.6% 29.8% 12.6% EMHS 40.0% 33.6% 26.4% WA Health Total 54.0% 32.2% 13.9% 100% 80% 60% 0% PCH RPH AKMH SCGH KEMH FSH RGH SJG Mid. JHC WA Health How would you rate senior doctor 'morale' at your hospital? % OF NEGATIVE RESPONSES PCH – Perth Children's Hospital RPH – Royal Perth Hospital AKMH Armadale Kelmscott Memorial Hospital SCGH Sir Charles Gairdner Hospital KEMH King Edward Memorial Hospital FSH Fiona Stanely Hospital RGH – Rockingham General Hospital SJG Mid. – SJG Midland JHC Joondalup Health Campus WA Health Total HSPs aggregrated (including PathWest and excluding JHC and SJG Midland). SEPTEMBER 2021 MEDICUS 21 Tables are ranked in order of poorest performing HSP to best, by weighted average of all responses excluding N/A or Unsure. Reported hospitals & HSPs only include those with 25 or more responses. Results for PathWest have not been published as they did not reach the reporting threshold. Percentages are rounded to one decimal place. COVER STORY: M+E SURVEY Do you fear victimisation as a result of raising concerns about decisions taken by Senior Executive? HSP Yes Neutral No N/A SMHS 39.9% 31.1% 25.7% 3.3% WACHS 40.0% 31.3% 26.3% 2.5% CAHS 39.7% 16.2% 38.2% 5.9% NMHS 35.1% 25.2% 38.4% 1.3% EMHS 33.6% 21.8% 41.8% 2.7% WA Health Total 37.6% 25.9% 33.5% 3.0% 100% 80% 60% 40% Do you fear victimisation as a result of raising concerns about decisions taken by Senior Executive? PCH RPH AKMH SCGH KEMH FSH RGH SJG Mid. JHC WA Health Total % OF YES RESPONSES Over the past 12 months, how has the culture at your chosen work location changed? HSP Improved Unchanged Deteriorated Unsure CAHS 2.9% 23.5% 69.1% 4.4% WACHS 7.5% 35.0% 51.3% 6.3% NMHS 11.3% 41.1% 45.0% 2.6% EMHS 10.9% 48.2% 37.3% 3.6% SMHS 13.1% 53.0% 31.7% 2.2% WA Health Total 10.4% 43.1% 43.1% 3.5% 100% 80% 60% 0% Over the past 12 months, how has the culture at your chosen work location changed? PCH RPH AKMH SCGH KEMH FSH RGH SJG Mid. JHC WA Health Total % OF NEGATIVE RESPONSES How would you rate culture at your hospital? HSP Very Poor & Poor Fair Good Excellent SMHS 53.0% 33.9% 13.1% WACHS 56.3% 26.3% 17.5% NMHS 45.7% 35.8% 18.5% CAHS 47.1% 32.4% 20.6% EMHS 28.2% 32.7% 39.1% WA Health Total 46.5% 32.7% 20.8% 80% 60% 40% 20% 0% How would you rate culture at your hospital? PCH RPH AKMH SCGH KEMH FSH RGH SJG Mid. JHC Total % OF NEGATIVE RESPONSES Refocus, reset, resolve The ED mental health crisis is not an “epidemic” but a fixable system issue, writes Dr Martin Chapman 36 MEDICUS JULY 2021 MENTAL HEALTH M ental health presentations in Western Australian emergency departments have increased significantly over the last decade, according to current AIHW data (May 2021). WA was previously the lowest amongst the states but has now risen. WA now has the highest annual increase (5.2 per cent) of any state (national total is 1.2%). Also, whilst others are "flattening the curve", our State still rising. Ultimately the data shows the direction of the WA MH system has not worked for consumers and supporters over the last decade. system viewpoint offers an insight into WA system function (see infographic on facing page). Not all mental health patients are the same. The WA Auditor General (2019) in a four-year patient journey study found that 10 per cent of patients account for 50 per cent of ED presentations and 90 per cent of acute bed use. small group, these patients rotate constantly in the acute system and often get trapped. This has created the impression of an "epidemic" but is the same group presenting repeatedly. key direction is to refocus state mental health services on the high-user group and those with Severe Mental Illness (SMI). Properly planned, designed and integrated 2004–05 2005–06 2006–07 2007–08 2008–09 2009–10 2010–11 2011–12 2012–13 2013–14 2014–15 2015–16 2016–17 2017–18 2018–19 Rates per 10,000 population 160 140 120 100 60.0 80 40.0 New South Wales Western Australia Australian Capital Territory Victoria South Australia Queensland Tasmania clinical, psychosocial and accomodation services for the 10 per cent high-user group has the potential to free up 50 per cent of ED capacity and 90 per cent of acute beds. It appears a suite of new Sustainable Health Review (SHR) inspired services are being designed to address these issues. This gives hope that the WA system will be able to help these patients, reduce ED pressure and open acute services for other consumers and supporters. ■ Mental health-related ED presentations in Australian public hospitals Source: Table ED1, AIHW May 2021 Dr Martin Chapman is Consultant Psychiatrist with a health planning background and is former AMA (WA) spokesperson. JULY 2021 MEDICUS 37 Community block with a revolving door This block in community services leaves SMI patients stuck and rotating in the acute WA MH system. The future WA may benefit from refocusing existing State community services to those with severe illness. There is a need for integrated services for the severe 10%. Services normally include inpatient (SECU and high-acuity CCU beds), sub tertiary (Step-Up Step-Down Service), residential beds (CCU) and community services (e.g. Crisis Resolution Teams and long-term Mobile Support and Treatment Teams). These services will stop the revolving door, reducing ED and relieving acute bed pressure. ED Mental Health Crisis – a revolving door with the same patients Data: Mental health services in Australia: Services provided public hospital emergency departments AIHW May 2021; Access to State Managed Adult Health Services, Western Australian Auditor General Report 2019 7 Community bed criteria When hospitals are full, there are community bed vacancies (~50 per day). In WA however, state services often focus on those with mild illness and exclude those with severe illness. This has caused major system issues. 8 Community bed numbers WA has decreased its community beds to only 30% of that in 2007. 9 11 Primary Care Community treatment Support and accommodation Severe mental illness (SMI) and long term Acute units Emergency In WA, a 10% patient group revolves, using 50% of ED and 90% of acute beds 10 11 9 8 7 2 3 4 5 6 X Typical system MH services should be delivered mainly by primary care and community services. MH gateway ED has become main gateway in WA with 50% of first contacts. 2 ED response WA waiting times and LOS are consistent with other states. 3 It’s the same patients It is not general epidemic of mental health issues the community. WA community services are not meeting the needs of those with severe illness. 6 Access block WA is often in Red or Black status: 31 pts (open) or 15 (closed) awaiting beds. 4 MENTAL HEALTH WA’s split MH system WA separates community clinical (treatment) from NGO (support) services. This has led to poor integration, limited capacity and difficult navigation for consumers and supporters. 10 Stranded patients From 2014 to 2017, WA couldn’t discharge 126 patients from acute beds, with stays of >1yr and State cost of $115m. 5 18 MEDICUS NOVEMBER-DECEMBER 2021 COVER STORY D ecorating the Christmas tree is a beloved tradition in millions of homes around the world. Some of us have treasured ornaments handed down through the generation; others have raggedy angels or lopsided stars made lovingly by the little hands in the family. The tree at the AMA (WA) office though would benefit from little more dramatic licence. After all, what year it’s been! Three lockdowns, a State Election, WA’s breakthrough Voluntary Assisted Dying Law coming into effect, the ups and downs of the COVID-19 vaccination rollercoaster and health system heaving under all sorts of systemic pressures. Through it all, the AMA (WA) has been present at the sidelines, and often right out there at the front. As the State’s peak medical body, we have watched keenly as Premier McGowan, his ministers and advisers have taken decisions that impact the overall health of our State. True to form, we have held the Government to account when needed, pushed for answers, and helped them to understand the fall-out from a particular stance they might have adopted. The AMA (WA) has also solidly backed the McGowan Government when decisions have been made in the best interests of the State – border controls and vaccination, anyone? Our advocacy for doctors and health will continue unabated into the new year but for now, we’ll take a step back and hand things over to a select group of health leaders and doctors, who we asked to reflect on the year that’s been and the one to come. Gratitude for the year that’ s been and hope for the one to come COVER STORY Hon. Roger Cook MLA Deputy Premier, Minister for Health, WA There are more than 50,000 people who work across our public health system. I’m grateful for the care they have given to all Western Australians this year, often under difficult circumstances. Their professionalism and compassion are not recognised nearly enough. My wish for 2022 to see safe transition to living with COVID-19. is not going to be easy. For many will be a challenging period. Most of all, want to ensure even more resources are made available to support our amazing health staff to continue delivering the highest-quality care to WA. Dr Lorraine Anderson Medical Director Kimberley Aboriginal Medical Service (KAMS) I’m grateful for the support and partnerships that have been forged through the COVID-19 response planning, prevention, vaccination and outbreak preparedness. This includes the monumental efforts of all the players in the Aboriginal Community Controlled Health Sector, from the health leaders and frontline staff to the community itself. My wish for 2022 that we reach stage where COVID-19 management not burden on services and are able to resume our core business of primary care and chronic disease management. To achieve this, we need vaccinated population, better housing and facilities for our remote Aboriginal communities and continued long-term funding to close the gap on inequities in health for our people. Dr Shane Kelly Chief Executive Officer St John of God Health Care Group In WA, we are fortunate that through strong leadership we have been afforded time to prepare to live with COVID-19. The health system has nonetheless been under significant pressure. am incredibly grateful for the tireless efforts of our staff and specialists, who have worked hard in challenging circumstances. My wish for 2022 is that everyone who can, gets COVID vaccinated and has boosters. This will help us keep those in our care, along with specialists and staff, safe, and reduce pressure on the healthcare system. also sincerely hope society consistently recognises the important and life-saving work undertaken by our clinicians. Dr Kim Farrington Sexual Assault Physician Sexual Assault Resource Centre (SARC) What am especially grateful for in 2021 is the AMA legal team of Josephine Auerbach and Liz Morris – for their expertise, their dedication to our case in the WA Industrial Relations Commission, as well as their sense of humour when got tough to keep going. What wish for in 2022 is for Clinical Forensic Medicine services to be expanded in WA to better serve our communities and to be consistent with other jurisdictions across the nation. If can have two wishes, then achieving specialty recognition for Clinical Forensic Medicine with the Australian Medical Council and AHPRA would be great too! HOSPITAL HEALTH CHECK 2022 AMA (WA) Doctors in Training Hospital Health Check 2022 Grading: A=80+, B=70-79, C=60-69, D=50-59, F<50 Fiona Stanley Hospital Joondalup Health Campus King Edward Memorial Hospital Perth Children’s Hospital Royal Perth Hospital Sir Charles Gairdner Hospital St John of God Midland Hospital Morale & Culture F C F F C C B Morale 37% 60% 11% 36% 66% 60% 74% Engagement with hospital leadership 33% 59% 5% 27% 60% 54% 69% Hospital supports wellbeing of DiTs 36% 60% 32% 43% 63% 58% 73% DiTs would recommend the hospital to other DiTs 53% 67% 32% 53% 79% 75% 88% Culture 42% 70% 24% 46% 75% 64% 85% Teaching & Training F D F D D D C Adequate formal teaching 47% 60% 58% 71% 60% 63% 77% Adequate teaching on the run 48% 65% 50% 59% 55% 55% 57% Support for exams 35% 59% 53% 50% 50% 60% 68% Support for research 34% 48% 22% 44% 51% 57% 56% Rosters, Overtime & Payslips F F F F F F F Receive rosters 21 or more days in advance 44% 28% 15% 19% 22% 26% 29% Rostered start time reflects expected hours 67% 76% 50% 72% 66% 72% 74% Rostered end time reflects expected hours 55% 64% 33% 57% 50% 62% 72% Average unrostered overtime hours/fortnight 7.16 6.74 11.05 5.93 8.45 6.07 4.67 % of unrostered overtime claimed by DiTs 27% 40% 5% 24% 20% 35% 19% Payslips are correct 9% 36% 5% 5% 21% 5% 15% Wellbeing D C F C D C C DiTs take sick leave when unwell 55% 65% 34% 63% 53% 66% 61% Access to any debriefing ('hot' or 'cold') 57% 73% 47% 68% 63% 59% 66% DiTs have experienced bullying at the hospital site 37% 33% 53% 34% 36% 27% 26% DiTs have witnessed bullying/sexual harassment at the site 56% 37% 89% 45% 44% 53% 31% Leave F F F F F F F Average annual leave approved per DiT (weeks) 1.91 2.02 2.39 1.52 1.51 1.52 1.54 % leave applications processed within weeks 31% 31% 11% 20% 33% 36% 33% Average PDL approved per DiT (weeks) 1.00 0.97 1.23 0.79 1.23 1.04 1.11 DiTs able to access exam leave 67% 44% 100% 77% 68% 69% 54% % DiTs report no difficulty accessing leave 26% 33% 24% 11% 27% 34% 22% Part Time & Family % DiTs fear for job security parental leave taken 26% 20% 29% 20% 24% 21% 17% *Inverse grading applies. Note: To be included in the analysis each hospital needed to have at least 10 responses to each question More than 700 doctors in training from across WA hospitals have answered our annual survey into education, wellbeing, morale and industrial issues. For feedback, comments and questions about this year’s HHC, contact us mail@amawa.com.au 18 MEDICUS SEPTEMBER 2022 WHO WE ARE JOB SAFETY 20-24 11.70% 25-29 45.03% 30-34 25.85% 35-39 11.02% >39 4.63% Rather not say 1.77% Female 60.14% Male 38.91% Other 0.95% Intern 22.97% Resident Medical Officer (non-trainee) 30.94% Resident Medical Officer (trainee) 7.66% Service Registrar 9.69% Registrar Basic Trainee 14.84% Registrar Advanced Trainee / Fellow 13.91% Emergency Medicine 11% Anaesthesiology 7% ICU 2% Physicians 30% Physicians (Adult Medicine) 23% Physicians (Paediatrics) 11% Surgery 1% Surgery 2% OBGYN 7% Psychiatry 3% Radiologists 1% Pathology 2% 60% 50% 40% 30% 20% 10% 0% Fiona Stanley Hospital Sir Charles Gairdner Hospital Perth Children’s Hospital Joondalup Health Campus King Edward Memorial Hospital St John of God Midland Hospital Royal Perth Hospital BURNOUT High burnout by hospital 97% believe part-time work should be available in their specialty 62% feel safety is a priority at work 8% experienced sexual harassment 64% reported workplace behaviour HOSPITAL HEALTH CHECK 2022 SEPTEMBER 2022 MEDICUS 19 11
Internship 101
Internship 101 is a booklet produced annually and given out to AMA (WA) interns to guide them through their first year becoming a doctor. It features a mix of commentary from young doctors as well as practical guides to subjects like salary rates, understanding your payslip and navigating difficult work relationships. It is targeted toward a younger demographic, so the look and feel is a lot friendlier. It features illustrations on the front cover, as well as custom illustrations on almost every page.
Internship
Finding your way as a new intern 2022 RrP $21.95 AustralianMedicalAssociationWA As doctors, we are constantly required to develop robust and respectful working relationships within our team, with other doctors, nursing staff and across the allied health disciplines. From time to time, we may encounter difficult working relationships, which can result from differing opinions about patient management, misunderstandings about each other’s role, or from an external frustration that has affected our day. fundamental that we remember that the common goal in our vocation as health professionals the optimal management of our patients. Furthermore, this inherently stressful field, when difficulties in working relationships arise, it is important to reflect on why our colleagues may NA v IGATING difficult working relationships DR TODD DENNIS Resident Medical Officer Royal Perth Hospital think it’s also fair to say that patient interactions become progressively more difficult with fatigue and burnout. On your 10 day on the ward or your third hour of overtime, the patient with viral infection demanding antibiotics is all that much harder to reason with. However, no matter it’s the 30 patient you’ve seen on 14.5-hour shift or the first of the morning, treat each patient as you would want your loved one treated. They may be your 30 patient but you are perhaps the first medical professional they’ve seen today. It is how you treat such patients in your tired, hungry hour that speaks more to your character and integrity as doctor than any exam mark, research paper or intern assessment. Check in with yourself and your colleagues. Remember to take breaks and share the workload. This your responsibility – to your patients just as much as yourself. Finally, the most difficult patient interactions I’ve been involved with thus far are doubtlessly the losses. Some hit harder than others. One particular patient sticks out in my mind. Having checked on her prior to leaving the night before, had a chance to have long chat with her family. They talked of how much they loved her and how grateful they were for her care. She was doing well, by all accounts. The next day, however, the dreaded local response alarm went off, beckoning us to her room. Unfortunately, she died after an unexpected cardiac arrest; the first patient I’d had to perform CPR on. During my time in medical school believed, as I’m sure many do, that much of my role as an intern would revolve around the diagnosis and management of patients’ various medical conditions. Although your ability as diagnostician not to be underplayed, you will find that, in reality, the function of an intern within most hospital teams one of logistician. There’s organising and chasing investigations, ensuring patients are booked for clinic follow-up, retrieving long lost notes from St Elsewhere, liaising with nursing and allied health staff to allow patients to be discharged safely home with appropriate support in place, and myriad other things you never learnt how to do in medical school that you will have to learn on the fly. There is, however, definite privilege that comes with this role. By virtue of the fact that you will spend more time than any other member of your team physically on the ward and interacting with patients, you will be afforded unique insight into each patient’s journey. You will meet their families and friends, listen to them talk about their lives whilst you attempt to take yet more bloods tests, and be tasked with delivering updates about their care and treatment, some of which may be devastating. Through this increased interaction, you will inevitably encounter some tricky situations too. The obvious example is the disgruntled patient. Here, something that was told in medical school continues to ring Managing difficult DR BREANNA HOLLOW Intern, Fiona Stanley Hospital true an apology not the same as an admission of responsibility or culpability. Patients are often disgruntled because they are suffering. They may be exhausted, pain, nauseous, feel forgotten, miss their family, and most often are simply scared and want to know what going on. Too often we are so focused on physical suffering as the most obvious and often treatable form, that we neglect the other forms of suffering we may also be able help ameliorate. A “sorry” to my mind, is an acknowledgement of this suffering. Sometimes we, or the system we work more broadly, may have truly failed the patient. However sometimes, patients may just need someone to acknowledge the fact that the situation that has befallen them is unfair and challenging. we can provide some solace this hour of need, believe our role as humans, more so than our role as interns, to do so. INTERNSHIP 101 FINDING YOUR WAY AS NEW INTERN Doing the Rounds DR DHANUSHKE FERNANDO Resident Medical Officer, St John of God Subiaco Hospital Whether you are surgically inclined or not, your term General Surgery one savour. General Surgery is specialty that highlights the aspects of medicine enjoy the most teamwork, delivering under pressure and fixing problems you can often see and feel. My humble suggestions to help you thrive in your intern year are: Work hard be organised, print ample patient lists, come up with your own system for noting bloods, jobs etc. Also, don’t forget to caffeinate appropriately. Go to theatre theatre etiquette, sharps handling and closing skin are applicable across many specialties. Having knowledge of common surgical procedures can help you with post-op care and identifying problems in the emergency department or the community. Be proactive you may think you’re an annoyance at times, but let your seniors know about issues early. They would rather know than walk out of theatre at 6pm to chaos on the wards. Have fun this job busy, stressful and often with high patient acuity. The team really works together, and the camaraderie second to none. Remember to smile and take the opportunities General surgery Making the most of your medical rotations DR JAZMIN O’REILLY-HAWES Basic Physician Trainee Registrar Sir Charles Gairdner Hospital Co-Chair, JMO Forum, Postgraduate Medical Council of Western Australia term in General Medicine will expose you to a diverse and interesting area of medicine. Try to get handover on logistics before starting your rotation. Your registrar and/ or consultant should discuss their expectations with you the first week. Usually most tasks can be done while on a medical round, so you should coordinate the jobs between your team. Starting your day right on Gen Med: Print off your list. Carry on clipboard in book to avoid losing it. If you work somewhere with an EMR, try and secure workplace on wheels for your ward round. Find and carry the correct pager. Make sure everything is prepared for the planned discharges. Set out your list reproducible system. Use colour coding, highlighting, separate areas of the page or various types of boxes to represent different things. If your hospital still uses paper forms to request things, make sure you carry stash somewhere! Pockets, handbags and clipboards are handy. Make sure you have pen and backup pen! Download UpToDate and/or eTG on your phone and create quick shortcuts to the PBS website and AMH. General medicine Rural MEDICINE DR JESSICA RYALL Intern, Fiona Stanley Hospital rural rotation one of the best ways to make your intern year an even more varied and enjoyable experience. Working in both a rural and tertiary metropolitan hospital setting equips you with an abundance of skills, exposure to different team structures and varied responsibility all of which are invaluable. My terms Albany General Practice and General Medicine were the perfect start to the year. The opportunity to explore new place, meet new people and embrace life in new community was certainly one the best aspects. Exploring the beautiful Great Southern, with its pristine beaches, lush forests and amazing hiking trails was real highlight! As junior doctor rural setting, you have the perfect combination of greater responsibility and closer senior supervision. Often, you may be the only junior on your team and find yourself applying your clinical knowledge and skills more, recognising deterioration, and performing new procedural skills. You will miss the internal referrals, which are much less scary than referring at tertiary sites, because you will have known the registrar from hospital teaching and social events. You also have greater access to education courses and activities, which are only accessible by rural doctors. On your return to the metro setting, you have a much deeper understanding of the challenges facing rural patients away from home. You are more adaptable, and the more hands-on patient involvement you’ve had leaves you with a wider range of knowledge to build on. Intern year can be whirlwind of overwhelming, challenging and rewarding moments. Breaking up the year with rural term, with different pace and team dynamic is an ideal addition! DR NIC MATTOCK Resident Medical Officer, St John of God Midland Public and Private Hospitals As an intern at St John of God Midland Public and Private Hospitals, greatly enjoyed my rotation in the busy emergency department (ED). Even ED ‘not for you’, it is great opportunity to see acute medical and surgical presentations, as well as the ‘ED specials’, like toxicology, acute mental health, and trauma. In peripheral ED, you might also experience acute paediatrics and even potentially obstetric emergencies have seen two cord prolapses in ED now!). ED can also be one of your most confronting rotations few, any, weeks in the ED go by without opportunities to get well outside your comfort zone. Here are some tips for a good rotation: Shift work can be hard and self-care is important. Fortunately, ED highly structured unrostered overtime limited by formal team handovers and consistent staffing around-the-clock. Aim to complete your notes contemporaneously or shortly thereafter, acuity permitting. The only time have seen colleagues doing overtime in ED is staying back to write notes. Support the team and the team will support you. Always be willing to take complex or ‘in-progress’ patient at handover, and your colleagues will reciprocate you will learn more the process. Importantly, you will feel supported in an ED. have never heard of colleagues from any ED in Perth complain of being unsupported ED registrars and consultants are almost uniformly wonderful people and excellent clinicians, and are always willing to lend hand to manage difficult patient, procedure, or even just tough IV. Emergency Medicine INTERNSHIP 101 FINDING YOUR WAY AS NEW INTERN Psychiatry 6% Average unrostered overtime per fortnight: 7 hours. Unclaimed 6 hours 40% 30% 20% 10% 0% 40% fear for their job security if they access parental leave 70% of female doctors fear for their job security if they report bullying or harassment 96% believe part-time work should be available in their specialty Stanley Joondalup Health King Edward Hospital Children’s Royal Perth Charles Hospital of God Hospital High Burnout by Hospital BURNOUT JOB SAFETY WHO WE ARE Age 20-24 6% 25-29 44% 30-34 30% 35-39 10% >39 8% Rather not say 2% Female 60% Male 39% Other 1% Gender Intern 22% Reg-Adv Trainee/Fellow 16% Reg-Basic Trainee 18% RMO (Non-Trainee) 24% RMO (Trainee) Service Registrar Training Level 50% 60% Colleges Emergency Medicine 10% Anaesthesiology 8% ICU 3% Other 9% Physicians 51% Surgery OBGYN 6% Pathology 3% WELLBEING WARNING Reduce your risk! As an intern, you’re in high-risk group for burnout, psychological stress, anxiety and depression. You’re now an essential part of the health system and it’s professional obligation to manage your wellbeing for yourselves, hospital colleagues and patients. Your personal health It’s crucial for all involved that you don’t work while unwell. Be prepared for situations like COVID-19 by knowing how to use personal protective equipment and have plan for staying at home you become unwell. Prioritise eating, sleeping and exercise in your routine. Have your own GP and see them yearly for preventive check. Your self-care plan Envisage ‘wellbeing’ bucket with a hole in the bottom (medical practice) you need to be constantly filling it up to avoid burnout. Your self-care requires planning and prioritisation to be effective and sustainable. You’re not expected to know everything so you don’t know, just ask. Don’t work for free, as this undermines your Self-monitoring Insight key you need to monitor yourself for ‘early warning signs’ of wellbeing challenges. Burnout is classically manifested in three ways feelings of exhaustion, empathy drain and low professional output. Anxiety and depression can also have subtle features. Monitor yourself (and colleagues), connect with your internal resources and reach out for support early. Having difficulties? We advocate your GP as the first port of call. Talking with colleagues can be useful, and several hospitals have formalised peer-support programs. Most hospitals have visible welfare officers and offer independent Employee Assist Programs for DR SARAH NEWMAN Assistant Director, Doctors’ Health Advisory Service Western Australia Dr Sarah Newman MEDICAL CRITICAL CARE OTHER SPECIALTIES JMO Referral Guide BEFORE YOU CALL Have the patient’s information available BOSSnet entries/ observation chart with vital signs and most recent investigations including relevant imaging/ biochemistry/ haematology. Double check the reason for the referral and urgency with your lead clinician – consult/ admit/phone advice/ take over care. This guide was created assist with over-thephone referrals Fiona Stanley Hospital only. Introduce yourself, your role, and the reason for your phone call. Use ISOBAR style of presentation − begin with the patient’s name, age and gender before stating diagnosis/top differential first. WHEN YOU CALL MENTAL HEALTH Gastroenterology Presenting history if PR bleeding, malaena or frank blood? Past medical history Medications –anticoagulation/ antiplatelets Examination findings including per rectal Hb/coagulation profile/LFTs/UEC group and save/blood products Abdominal imaging/endoscopy Respiratory Medicine General Known/underlying respiratory history Oxygen saturation including on room air infective duration/type antimicrobial, any previous microbiology? Call as early the day as possible Respiratory failure ABG Machine settings PEEP/EPAP, pressure support, FiO2 Psychiatric Liaison Nurse – General Psychiatry Referral question Current symptoms Past psychiatric history/ comorbidities Psychotropic medications Substance use/withdrawal Cognitive status/delirium? Patient aware/agree with referral Psychiatric Liaison Nurse Eating Disorders Current BMI Postural BP/HR Investigations bloods/ ECG Recent food intake Abuse laxatives Suicide/self-harm risk Dietetics involvement Anaesthesia Procedure including indication/ urgency Weight Fasting status Comorbidities, especially cardiovascular/respiratory Anaesthetic history Consent issue languages other than English Acute Pain Service Reason for pain Underlying disease Acute/chronic pain 24-hour PRN usage if inpatient Regular medications in community Adverse drug reactions Medical Imaging Image modality Level urgency Can be done inpatient outpatient? Previous imaging Prior work-up including relevant test results Past medical history Investigations renal function and coagulation profile State Rehabilitation Service Diagnosis and treatment date Current impairments physical/ functional/cognitive Ward-based Allied Health input/ participation and barriers to care Medical stability and any follow-up required Social situation Discharge destination Palliative Care Purpose of referral symptoms/ discharge planning/end-of-life Current symptom issues physical and psychosocial Urgency does patient need be seen today? Call early in the day as possible please Pleural effusion Evidence of effusion and level CXR (blunting, % hemithorax) Previous procedure thoracocentesis, ICC, biopsy Sleep consult Epworth Sleepiness Score 6am ABG Previous sleep study Government of Western Australia South Metropolitan Health Service Fiona Stanley Fremantle Hospitals Group Reprinted with permission from Fiona Stanley Fremantle Hospitals Group. SURGICAL Medical Oncology Staging and cancer-specific history Histopathology/molecular results Cancer MDT discussion and outcome Previous oncology treatment and specialists Current antineoplastic treatment +/- radiotherapy ECOG performance status Tumour markers and/or recent imaging Urgency inpatient vs outpatient Neurology Major neurological problem Onset/tempo/ progression Past medical history Examination findings Relevant tests scans, EEGs Other relevant correspondence Endocrinology Thyroid Recent TFT TSH receptor antibody status Lactation status postpartum Recent contrast scans/ iodine supplementation Current thyroid medications and any recent changes in dose Cardiology Urgency referral? the patient well/unwell? smoking, T2DM, family history, HTN, lipids Previous cardiac investigations echo, stress test, angiogram ECG findings Major bloods Hb/trop/ renal function Fluid status Endocrinology Diabetes Type1/2/pancreatic? Current medications HbA1c Recent BSL and trend for hypo/hyperglycaemia Renal function Consider admission undervascular surgery ischaemic foot Infectious Diseases Who is referring? Home team initiating advised another team to call ID? Current antimicrobial treatment and adverse drug reactions Patient’s vitals Microbiology results Current plasma creatinine/eGFR CRP/WCC with trend Patient diagnosis NOTE: Subsequent phone calls be made by registrar/consultant, especially disagreeing with initial advice. Urology Urological history previous treatment Urology-specific medications including anticoagulation UEC/Hb/PSA Urinalysis Imaging results Catheter residuals/post void bladder scan Endocrinology –Electrolyte Chronicity of abnormality What has been tried already? Hyponatraemia screen Hypercalcaemia screen including PTH/Vitamin D/ renal function Symptomatic/asymptomatic AMU/General Medicine Working diagnosis Relevant medical history systems relating suspected diagnosis Active/inactive problem list Treatment so far and response Ongoing subspecialty management plans Social history and baseline function living situation and limits of care Allied Health recommendations Discharge destination Obstetrics Gestational age Obstetric history including high risks bleeding/ contractions Maternal medical/surgical history Any previous complications pregnancy Bookings at FSH or elsewhere Investigation results Orthopaedics Past medical history Date of injury? Open/closed? Imaging/post reduction films Medications including anticoagulation, antibiotics and tetanus status Gynaecology Age Pregnancy status Last menstrual period pregnant how many weeks? Pain and bleeding history History of miscarriage/ectopic Stable/resuscitation required? Pelvic pain Investigation results ENT Surgery Airway assessment stridor/ work of breathing Aerodigestive medical history – dysphagia/dysphonia Neck lumps Smoking/alcohol history Mouth and nose examination Head/neck cancer history/ previous treatment Imaging CT neck/barium swallow Plastic Surgery Age/dominant hand/occupation Problem and urgency Mechanism injury Examination size/direction, deficits, neurovascular status Investigations including doppler studies ASU/General Surgery Urgency bleeding/ischaemia/ haemodynamically unstable Previous abdominal surgery and any post-operative complications Fasting status Last opened bowels/flatus/ vomiting? Investigations including scopes Medications including anticoagulation 12
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Front page telephone orders. Use this on your ward cover shift when you can’t get to a patient straight away. Don’t forget to ask about allergies. Inside pages variable dose medications (most commonly gentamicin) and the patient’s regular medications. Back page PRN medications. Include an indication in the space provided. Do your colleagues a favour and put some pain relief, antiemetics and aperients for all patients on admission. Anticoagulation chart DVT prophylaxis – should be considered in every hospitalised patient. Common reasons NOT to give prophylaxis include bleeding, or anticoagulation for another cause. Front of chart – single-dose drugs, prophylaxis orders and therapeutic anticoagulation orders. Middle sheets – heparin infusion including dosing strategies for VTE and ACS. Back sheet – LMWH recommendations for dosing, Warfarin recommendations for dosing AND reversal. Legal order This is necessary for medication to be given safely in hospital and will save you precious time done correctly. A legal order consists of the following: Patient check the label (and if you start new chart, place sticker on it). Route – IV/PO/inh. Will depend on whether the drug is bioavailable for the given route, e.g. naloxone is not bioavailable via oral route. Some drugs come in multiple oral formulations, e.g. Oxycodone TABS vs CAPS (S8 prescriptions need to be specific!). Drug – use generic names (it helps everyone out). Prescribing checklist Allergie What are they? Could it be side-effect? Will other drugs in that class affect the patient? Admission – Why have they been admitted? admitted with syncope from postural hypotension, then withholding their antihypertensive may be necessary. Bloods – Do they have any renal or liver dysfunction? iatrogenic? E.g. Flucloxacillin causing liver dysfunction and worsening renal function due to Vancomycin. So you need to adjust the dose due to impaired renal function. Check obs This may prompt you to withhold or commence new medication. DVT – Do they need prophylaxis or do they need anticoagulants withheld? Most surgeons have their own preferred anticoagulant regime ask the registrar. Drug boffins When stuck unsure, ask the pharmacist. They are very approachable and know more about medications than the doctors (unless pharmacy was your undergrad so, everyone will ask you instead). Extra tests Some drugs will require the IMPORTANT TIP: All prescriptions should be written in legible manner. REGULAR MEDICATIONS VARIABLE DOSE MEDICATION 2020 Venous Thromboembolism (VTE) risk assessment Warfarin/Anticoagulant use Prophylaxis: Prophylaxis: completed (name): Stockings; IPC Intermittent Pumps Bleeding Dose 8/10 1800 240mg JZ 8/10 IV once daily GENTAMICIN JZ sepsis KING REGULAR MEDICATIONS YEAR 20…… DOCTORS MUST ENTER administration times Prescriber’s your Medication generic times DATE AND MONTH 20 7/10 PO Pain MC Hammer 1g QID Paracetamol Prescriber Indication: PROPHYLAXIS Route Dose Pharmacy Medication (Print MONTH REGULAR DOSE PROPHYLACTIC DOSES (Subcutaneous and fixed dose oral anticoagulants) 9/11 JT 6192 ENOXAPARIN subcut 40mg SC DAILY 10:00 9/9 100 General tips Check your patient’s med charts every day on the ward round. Sounds silly, but it’s hard remember everything on busy ward. Stop things no longer required and rewrite changes clearly with the new date. Check on Friday afternoons that your patients’ charts have enough room for the weekend. Ward call should not have to do your rewrites. ill in variable dose medication amounts before going home (ward call also hates doing this). Let the nurse know when you start new medication. Their daily nursing plan is done before rounds, so they won’t know you’ve started something new. Therapeutic Guidelines rock. If unsure about the dosing or drug, look up. The PBS website will become your friend organising discharge scripts. Look out for streamline codes to save you time on the phone and prevent the pharmacist having to hound you. Do your discharge scripts on Friday the patient going home on the weekend (ward call hates doing this too). Don’t forget IV fluids! While not medical prescription per se, they are still ongoing therapy, requiring review. Day Suggested dose This dosing regimen takes about days achieve therapeutic INR, longer those under years. Consider smaller starting doses when patient elderly, has body weight abnormal liver funcation, or, high bleeding risk. drugs. INR testing recommended morning blood rounds. when therapeutic (>2) for two consecutive days. <_1.8 (daily drug interaction high bleeding risk) (ADULT) INITIATION DOSING FOR WARFARIN TARGET INR 2-3 For Guidance Only INTERNSHIP 101 FINDING YOUR WAY AS NEW INTERN 2023 Internship 101 Finding your way as a new intern RrP $21.95 AustralianMedicalAssociationWA Experiencing internship Congratulations on entering your first year as paid medical professional! wish you all the best in your future careers. Internship can be both daunting and exciting, and you may continue to experience these mixed emotions for few years yet. Having grown up in the country, always planned to enter medicine to become rural generalist. As result, I’ve sought to broaden my exposure the hospital setting as much as possible, which meant working in general and geriatric medicine, emergency medicine, obstetrics, orthopaedics, and upper gastrointestinal surgery. In your first year rotating through different disciplines, you may find that you develop real love for certain field of medicine. Alternatively, you may also develop sense dread or anxiety prior to the start of your shift on another rotation. It’s important to recognise this and consider why may be occurring. I’ve recently started rotation as service registrar in spinal rehabilitation. Initially, felt out of my comfort zone. All wanted was to go back to former palliative care role. This because recognised that my knowledge about spinal cord injuries was minimal, and the patients were complex. So, did what I’ve been doing since internship asked for help. You can’t know everything, and you won’t be able to improve your knowledge without asking. you’re unsure ask. Although this may be challenging at first, will avoid miscommunication or delays in treatment and, even better, will broaden your knowledge. As long as you demonstrate that you’re willing to learn and have the patient’s priorities first, your comfort levels should improve. Working across different fields of medicine on various hospital wards inevitably means working with different personalities. This includes other doctors, nurses, allied health and admin staff, and the patients. Our capacity to work well as team essential for positive patient outcomes and job satisfaction. We often talk about how important communication is these instances. However, two key components often overlooked are leadership and the ability to collaborate effectively. Unfortunately, leadership and collaboration are not taught medical school, and we often learn from our own experiences. As junior doctor, you may not be actively leading team, but will regularly be collaborating within your team and with patients. Leadership and collaboration skills, just like auscultation or suturing, can be learnt and developed. framework I’ve found useful is the SCARF model. When we feel threatened, can impair cognitive performance. The SCARF model helps to identify self-awareness and awareness of others through five domains (status, certainty, autonomy, relatedness and fairness) to help remove perceived threats and enhance reward. It has helped me better understand myself and other people, enabling me to work more effectively in team environment. If you’re looking to expand your clinical skill set, recommend reading the article: Rock D, Cox C. SCARF 2012: Updating the social neuroscience of collaborating with others NeuroLeadership. 2012; (4):1-6. DR FLEUR SPRONK Service Medical Registrar, Fiona Stanley Hospital Dr Fleur Spronk 28 INTERNSHIP 101 FINDING YOUR WAY AS NEW INTERN “I’m Monica, a junior doctor from Sir Charles Gairdner Hospital.” It’s line I’m still getting used to, but I’m also realising there’s so much more to it. Internship has enlightened me about things could not have foreseen. I’m one of the increasing number of female doctors commencing their medical careers at mature age, and I’m often reminded that my training will coincide with, and be interrupted by, having family. Along with few friends in similar position, had intended to make my intern year as ‘productive’ as possible. As an aspiring surgeon, I’d made list of all the courses, workshops and exams would need to complete in my first few postgraduate years, with the priority being the General Surgical Sciences Exam in October. We hear so often of what we can’t do, that we start to believe it, until we see what we can do. It’s well researched in literature that the largest deterrents to pursuing career in surgery are the perception that training is incompatible with having family, and the lack of female surgeons as role models. The highlight of my internship experience has been the opportunity to be part of two surgical teams with female registrars at different stages of their training and family lives. see their passion for, and dedication to, their craft, and their compassion towards patients in specialty stereotypically perceived as being tough and unfeeling. hear stories about their families, their hobbies, and of life outside of surgery, as well as how they navigate (and overcome) racism and gender bias throughout their careers. seems absurd to want to be a part of that, but it’s because of them that believe can. With my list surgical prerequisites, was fixated on completing them as soon as feasibly possible. Despite many people encouraging me just to enjoy internship, was stubborn, insisting wanted to minimise the time took for me to enter training program. Five weeks into my first term, the Plastic Surgery registrar was giving me feedback for my mid-term assessment. “Monica, this is the first time you haven’t studied and worked at the same time. Allow yourself to enjoy the time that you don’t have to work.” Why did take her advice and unburden myself of my academic expectations for this year? saw woman with two children and supportive husband studying for her final exams; woman 20 weeks pregnant with her second child; and women of Asian heritage, my heritage. All surgical trainees. They faced difficulties for various reasons, but they were all doing it. They were all at different stages of their lives, but surgical training had somehow fitted in. Time wasn’t as important as had thought it to be. What’s important is the life that surgical training and a career will hopefully fit into. As my first year of internship rolls on, the most valuable lesson I’m learning is to accept who am and where am in my life: “I’m Monica. reformer Pilates and spin class enthusiast; a passionate supporter of the West Coast Eagles, Perth Scorchers and Australian Cricket; an enthusiastic traveller with taste for food, red wine and gin, and an eye for culture, architecture and fashion. am daughter, sister, girlfriend and friend. Hopefully, a future mother. Hopefully, an orthopaedic surgeon the future, maybe something else. Whatever is, doesn’t matter when.” Dr Monica Zheng DR MONICA ZHENG Intern, Sir Charles Gairdner Hospital More than just a junior doctor INTERNSHIP 101 FINDING YOUR WAY AS NEW INTERN DR ASHWITA SIRI VANGA Resident Medical Officer, King Edward Memorial Hospital Junior Doctor Award, AMA (WA) Awards 2022 1. MEDICAL RECORDS Every department and hospital will have different system to maintain medical records, access patient results, and document progress. But one thing remains common, and that is maintaining medical record of patient presentations to hospital. It’s completely fine to feel a little lost navigating the different systems on your first exposure to department or hospital. It’s definitely easier if you have attended rotations as medical student in the same hospital. not, that’s fine too. You have climbed the mountainous medical school system to reach here, so figuring out bunch of computer systems would be small hurdle for you to overcome. 2. COMmUNICATION SYSTEMS Again, every department or hospital has its own modes of communication between junior doctors and nursing staff, or within the department itself. For example, in the Emergency Department you may hear your name called on the Tannoy fear not, might be consultant wanting discuss plans with you or someone trying to reach you regarding phone call from Pathology. Other departments might provide you with DECT phone where nurses from the ward can call you incessantly during ward rounds. While some places might have pagers offer, the ever so hard to read text on there can get pretty confusing sometimes. Most times, communication from the department received via email. 3. OVERWHELMING, PERIOD! It’s very normal to feel overwhelmed or feel out of your depth certain situations, which can range from your first ward round, your first MET call on the wards, first CAT in ED, first medical patient handover to admitting team, or your first interaction with your supervisor. 4. UNDERWHELMING EXPERIENCE? Once you get into the routine roster and the fresh internship starts to faze where things aren’t new anymore, can feel bit… well, underwhelming. We don’t talk about certain mundaneness associated with routine medicine often. It’s unanimously known that we don’t live in the worlds of House The Good Doctor. Regular ward jobs can seem pretty ordinary, and you might question your role in the bigger scheme things. As an international medical graduate (IMG), had to complete one year of mandatory rotations to obtain my general registration with Ahpra. This consisted of General Medicine, General Surgery, Emergency Medicine, and an elective clinical rotation, which is very similar to the intern program. I’m sharing below some challenging experiences from my first year in new healthcare system, along with tips to deal with them, that hope will be useful to you as incoming interns. A Whole New World Dr Ashwita Siri Vanga WHEN IN DOUBT, ASK No one will judge you for asking twice or twenty times you don’t know how something done, or you didn’t understand part of the plan dictated to you on the rounds. If you’re not being helped, escalate to your supervisor or Post Graduate Medical Education (PGME) team. Asking for help is not frowned upon. What is frowned upon is proceeding without having full information, and not asking for help when you need patient outcomes and safety should be priority along with ensuring safety of the staff including yourself. For example, if you’re unsure of how to take blood cultures, ask your team’s resident or registrar learnt the best way to take cultures from the phlebotomist on their AM round! 3. PROPER DOCUMENTATION 4. HELP IS AVAILABLE 2. TAKE ADVICE FROM AL TEAMS ON BOARD Nursing or midwifery staff would most likely be the only people on the floor who’ve worked certain department the longest. Your shift coordinator the best person to know the current situation on the ward and where certain equipment is located. they’re busy, they will direct you to the help you need. So listen to the nursing or midwifery staff they spend more time with the patients than medical staff, and their concerns most times are valid. Even you feel their concerns are not valid, having an open demeanour and active listening helps build trust in the workplace. Input from allied health teams also important. Of course, any time when facing issues, escalate to your team registrar, supervisor or PGME team. LA SOLUTION Handy tips that found useful in my first year of work in WA Working hours As doctor in training (DiT), your full-time ordinary hours are an average of 40 per week. Rostered work shall not exceed 75 hours in seven consecutive days, and not more than 140 hours in any 14-day period. You shall be rostered for minimum period of three hours and can be rostered for maximum of 15 hours for day shift. However, you start work after 12 noon, you shall not be rostered for more than 12 consecutive hours. You cannot be rostered to work split shifts. Notice period for rosters Minimum 14 days’ notice and, where possible, published 21 days prior to commencement. Except in cases of emergency, or you agree, rosters will not be amended during their currency. Rest breaks A paid rest break of 30 minutes within each rostered period of duty – and a roster period exceeds 10 hours, you’re entitled to a second paid rest break of 30 minutes. Overtime Rate of pay in any two-week pay cycle: More than 80 hours 150% More than 120 hours 200% Penalty rates Weekdays 6pm to 12 midnight 20% Weekdays 12 midnight to 8am 25% aturdays 50% aturday midnight to 8am Monday 75% ublic holidays midnight to 8am the following day 150% (or mutually agreed, 50% penalty and time off in lieu to use on another day) If you’re entitled to more than one of the monetary penalties payable (i.e. overtime, public holidays, on-call and recall, shift and weekend work), then only the highest of any such penalty will be payable. The exception to this is the eight-hour break roster breach penalty. you return to work with less than eight consecutive hours where you were free from all duty, 50% penalty paid until you’re released from duty for eight consecutive hours. Public holiday work A penalty rate of 150% will be paid in this case. Alternatively, you and your employer agree, a penalty of 50% and day off lieu of the day worked can be arranged. If rostered off duty on public holiday, you shall be paid for an ordinary working day or, your employer agrees, be allowed to take day off lieu at mutually agreed time. Know Your Working Entitlements Based on the WA Health System Medical Practitioners – AMA Industrial Agreement 2022 On-call you are rostered to remain readily contactable and available to return to work outside of your normal hours, you shall be paid an on-call allowance of $11.86 per hour. You will not be required to be on call more frequently than one day three. Recall you are instructed to return to duty when you are not otherwise on duty (although you may be on call), you will be paid minimum of three hours as follows: am to midnight 150% Sundays 6am to midnight 175% Midnight to 6am 200% the recall period exceeds hours, you shall be paid 200% for each additional hour. Meal allowance you work more than 10 hours (excluding breaks) or are required to work overtime where you take meal away from your usual place of residence, you will be entitled to meal allowance of $10.80 for breakfast, $13.30 for lunch, $15.95 for dinner and $10.80 for supper. 14 Employment contracts Interns will be appointed on three-year year contract and includes progression into your RMO term, subject to successful completion of your internship. Salary As an intern WA, you will commence at Level with minimum base salary of $80,479 per annum, plus professional development allowance of $5,810 per annum. Salaries will be paid pro rata fortnightly. Notice provisions 12 months or less four weeks’ notice More than 12 months but equal to or less than two years – six weeks’ notice More than two years but equal to or less than three years eight weeks’ notice More than three years 12 weeks’ notice Differences between being employed by WACHS or seconded to WACHS There are differences with arrangements involving WA Country Health Service. We recommend that you contact the AMA (WA) to discuss this further. If you’re employed by St John of God Health Care (SJOG) Generally, employment conditions for SJOG interns are similar to WA Health. Be aware that you will have a two-year contract instead of three years. Please refer to the St John of God Health Care AMA WA Medical Practitioners Enterprise Agreement 2021 for further information. If you’re employed at Ramsay Health Care’s Joondalup Health Campus Generally, while your employment conditions are not covered by the AMA Agreement, they will be similar to WA Health. Like WA Health, you will have three-year contract. LEAVE CONTRACTS This document is general guide only and must NOT be taken to be definitive statement of the Agreement. Whilst every attempt has been made to ensure the contents of this summary are accurate, the AMA (WA) and its officers expressly disclaim liability for any act or omission done in reliance on the information provided or for any consequences whether direct or indirect of any such act or omission. Please contact the AMA (WA) Workplace Relations Team via industrial@amawa.com.au to discuss your specific queries. Annual leave A full-time practitioner is entitled to minimum 160 hours of annual leave per annum, accrued pro rata on weekly basis. You may also accrue maximum of 40 hours of additional leave per year associated with performance of on-call or working ordinary on Sundays/public holidays. Annual leave may also, by agreement between the employer and practitioner, be taken in advance of having accrued. Sick leave A full-time practitioner is entitled to maximum of 80 hours paid sick leave per annum, accrued pro rata on a weekly basis. This includes family leave to care for an ill family member or for an unexpected emergency affecting a member of your family or household. In your first year of service, you may take sick leave in advance of the entitlement having accrued. Sick leave of more than two consecutive days requires a medical certificate or reasonable evidence of the illness or injury. Parental leave You can access 52 weeks of unpaid parental leave from day one of employment, which may include: 14 weeks’ paid leave for the primary caregiver (if you have completed 12 months’ continuous service) ei ht weeks’ concurrent leave (both parents allowed to be on leave at the same time) You must provide 10 weeks’ notice seeking to take leave. Unpaid parental leave and concurrent leave cannot be refused by your employer you’ve met all necessary notice and evidentiary requirements. Long-service leave You are entitled to 13 weeks of long-service leave after 10 years of continuous service, with further 13 weeks after each completed seven years of service thereafter. Professional development leave (PDL) As a DiT, you are entitled to three weeks of PDL: one week accruing carries over each year if not taken. two weeks non-accruing lost not taken; but you apply for the leave and it’s not granted by your employer, it converts to accruing leave. Hence, it’s important that you apply for your leave. 13
MEDCON21 is a annual medical conference that was originally developed in 2021 while WA’s borders were closed off from the rest of Australia. It was a way for WA based doctors who couldn’t travel interstate, to continue their professional development. It has since opened up to the rest of Australia. I was tasked with creating the logo, branding, website layout, as well as marketing and printed collateral.
www.medcon.edu.au
Conference Signage Conference Program
Logo Design
INTER-COLLEGE MEDICAL CONFERENCE MAJOR SUPPORTING PARTNERS WA Health Service Providers Your health’s best friend DIAMOND PLATINUM GOLD BRONZE It is with pleasure that welcome delegates, speakers, sponsors and exhibitors to MEDCON21. This conference was developed at a time of unprecedented travel restrictions, with the aim of doctors being able to experience world-class multi-disciplinary medical conference without leaving the State. MEDCON21 provides a unique opportunity for doctors to acquire much-needed CPD points from their own college or society, see what other specialties think is important right now, learn new skills and gain knowledge. Significantly, it gives medical professionals an opportunity to reconnect and be refreshed, whilst enjoying one another’s company. Whether you are attending a day session or the full conference, my hope is that the program developed will challenge you, inspire you and assist you in providing the highest standard of medical practice in your field. This conference program has been developed by your fellow doctors, with the assistance of many medical colleges and societies and over the next few days, you will have access to more than 80 sessions with over 150 speakers. also want to acknowledge all of our conference sponsors and exhibitors. Thank you for supporting this event and for bringing your expertise to MEDCON21. encourage all delegates to take the time to engage with each of the organisations involved. Finally, I’d like to thank each of you for attending this inaugural conference and for bringing your experience to this event. As medical professional, your work is incredibly valuable and as medical profession, the difference we make together has never been more important. We have continued to meet the challenges in health and to excel despite setbacks and for that we can all be incredibly proud and optimistic about where we are headed in the future. look forward to meeting with you and hearing from you at MEDCON21. This will be the first of many such opportunities the AMA (WA) can provide in cooperation with the full spectrum of our great profession. DR ANDREW MILLER President Australian Medical Association (WA) WELCOME IOS ANDROID CONFERENCE APP Download the Conference App by scanning the QR codes below or head to the app store and download The Event App by Events Air. Enter the Event Code: medcon21 and press submit. 1300 12 40 60 hello@hif.com.au hif.com.au CONFERENCE PROGRAM 18–20 JUNE 2021 Perth Convention and Exhibition Centre 14 MEDCON21 ____
GET INSPIRED. GAIN NEW KNOWLEDGE. EARN CPD POINTS. participating colleges inspiring keynote speakers Glenn Mitchell Daniel Cabe Dr Amandeep Hansra Prof. Julie Quinlivan Gihan Perera Rabia Siddique THE AMA (WA) PRESENTS OVER 40% OFF FOR ALL AMA (WA) MEMBERS major sponsors Diamond Sponsor EARLY BIRD CLOSES 31 MAY. Register Now! www.medcon.edu.au email info@medcon.edu.au 18–20 JUNE 2021 PERTH CONVENTION AND EXHIBITION CENTRE Check medcon.edu.au/sponsors for all our sponsors aaron.frederiks@health.wa.gov.au INTER-COLLEGE MEDICAL CONFERENCE Dr Mark Duncan-Smith AMA (WA) President CERTIFICATE OF ATTENDANCE Date 19th June, 2021 recognizing your speaking contribution at MEDCON21 Dr Aaron Frederiks PROUDLY PRESENTED TO sessions Sirolimus in dermatology, the western australian story - potentials of botanicals in treatment of dermatophyte infections 18–20 JUNE 2021 Perth Convention and Exhibition Centre Register Now. EARLY BIRD CLOSES 14 MAY! www.medcon.edu.au | email enquires to info@medcon.edu.au The AMA (WA) is hosting a unique INTER-COLLEGE MEDICAL CONFERENCE CURRENT program highlights DAY 1 FRIday 18 JUNE Leading in a crisis AHPRA/Medical Board of Australia Voluntary assisted dying implementation Climate change and sustainability Mental health and wellness College clinical sessions Media training DAY 2 SATurday 19 JUNE Inter-college plenary session Commonwealth Dept. of Health/ Medicare Professional Services Review College clinical sessions Inter-college sessions DAY 3 SUNday 20 JUNE The future of medicine in an AI world Creative careers in medicine College clinical sessions Digital health and electronic medical records College career presentations Inter-college sessions keynote speakers Glenn Mitchell Daniel M Cabe Dr Amandeep Hansra Prof. Julie Quinlivan Gihan Perera Rabia Siddique Posters 15 eDM Banners Certificates Magazine Ad Social Media Advertising
16 MEDCON22 ____ MEDCON22 will have a line-up of amazing keynote speakers and expert presenters, headlining a range of inspiring and informative sessions, including discussions about CPD Homes and the new changes that will affect every doctor from 2023. Plus you can attend a range of collaborative clinical sessions presented by participating medical colleges. DR DANIEL NOUR MICHAEL CROSSLAND DR ANNE TONKIN DR VIJAY ROACH PROF ROBYN LANGHAM DR OMAR KHORSHID PHIL BRITTEN JOIN US AT AUSTRALIA’S LARGEST INTER-COLLEGE MEDICAL CONFERENCE DIAMOND SPONSORS Register now at www.medcon.edu.au 22-23 JULY 2022 CROWN PERTH EARLY BIRD PRICES AVAILABLE TO AIMA MEMBERS Apply code AIMA when registering. CONFERENCE PROGRAM 22-23 JULY 2022 Crown Perth Program is subject to change. For the most up to date version please view the Conference APP or our website www.medcon.edu.au 8 MEDCON INTER-COLLEGE MEDICAL CONFERENCE Conference Program DAY 2 SATURDAY 23 JULY 2022 Grand Ballroom Crown Ballroom Crown Astral 1 8.00am 8.30am Exhibition (Closes at 3.30pm) Conference Registration 8.30am 8.40am Welcome to MEDCON22 8.40am 9.30am Undefeated 9.30am 10.30am CPD Homes: How will the new changes affect you next year? 10.30am – 11.00am Morning Tea 11.00am – 11.45am The Future is Now Disrupting Status Quo 11.50am – 12.30pm Faster Treatment, Medically Guided Recovery, 24 hour Payments and Better Outcomes in Personal Injury Patient Complaints and Challenging Behaviour: What can we learn and when is it time to say goodbye? 12.30pm – 1.30pm Lunch 1.30pm 2.10pm Perioperative Outcomes and Beyond – The Last Leg 2.20pm 3.00pm 3.00pm 3.30pm Afternoon Tea 3.30pm 4.35pm 2022 Young Australian of the Year Street Side Medics 6.45pm 12.00am MEDBALL Conference Program MEDCON INTER-COLLEGE MEDICAL CONFERENCE 9 Astral & Botanical 1 Botanical 2 Botanical 3 Botanical MedVault The Acutely Suicidal Patient Updates in Melanoma Assure Workshop Mental Health and the Interface with Bariatric Surgery – Mitigating risks that we didn’t previously know ICU Environmental Factors Program is subject to change. For the most up to date version please view the Conference APP or our website www.medcon.edu.au
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Logo Design Conference Program
17 Exhibition Signage Double Page Ad Social Tile JOIN US AT AUSTRALIA’S LARGEST INTER-COLLEGE MEDICAL CONFERENCE CROWN PERTH 22-23 JULY 2022 MEDCON22 will have a line-up of amazing keynote speakers and expert presenters, headlining a range of inspiring and informative sessions, including discussions about CPD Homes and the new changes that will affect every doctor from 2023. Plus you can attend a range of collaborative clinical sessions presented by participating medical colleges. DIAMOND SPONSORS DR DANIEL NOUR 2022 Young Australian the Year Street Side Medics MICHAEL CROSSLAND Motivational Speaker PROF ANNE TONKIN Chair, Medical Board Australia DR VIJAY ROACH Chair, Council of Presidents of Medical Colleges PROF ROBYN LANGHAM Chair, Specalist Education Accreditation Committee, Australian Medical Council DR OMAR KHORSHID Federal AMA President PHIL BRITTEN Bali Bombing Survivor/Entrepreneur Register now at www.medcon.edu.au
18 MEDCON23 ____ Coffee Cart Coffee Cart 2 3 4 2 2 2 1 0 9 2 3 3 6 6 36 35 58 59 8 9 0 7 6 4 5 6 3 2 F&B F&B F&B F&B 2 3 3 Registration 37 Speaker Prep College Marketplace 16 MEDCON23 BRINGING DOCTORS TOGETHER Conference Program EXHIBITORS Conference Program MEDCON23 BRINGING DOCTORS TOGETHER 17 STAND NAME 1 Allure South Sea Pearls 38 43 AMA (WA) 21 ANZ 48 Australia Health Products Central 18 Australian College of Rural and Remote Medicine 54 & 57 Avant Insurance 51 BGI Health (AU) Company 33 Black Swan Health 65 Brecken Health 14 Capital Radiology 64 CC Medical 52 CFEP Surveys 27 City of Cockburn 4 Colin Passmore Art 35 Commonwealth Bank 37 CPD Home 60 Defence Force Recruiting 47 Department of Health 26 Department of Home Affairs 45 DHASWA 12 Enrich Property Investors- Buyers Advocacy 19 Fleet 1st 63 GenesisCare STAND NAME 44 49 HIF Australia 36 Insurance Commission of Western Australia 15 KP International Translators 58 61 MDA National Insurance 56 Medrecruit 46 MIGA 32 Mount Hospital Healthscope Oscar Hunt 62 Perfect Practice Plantagenet Wines 17 Postgraduate Medical Council of WA Wellness Hub Private Healthcare Australia 34 RACMA 28 Ramsay Health Care 29 Rural Health West 30 Shaw and Partners 55 Silverchain 59 Sonic Healthcare 31 St John of God Health Care 20 The Screening Lab 13 Vanguard Press 50 53 WA HSP's 16 WA Ostomy Association Please also visit our marketplace to speak with the colleges 23-24 JUNE 2023 Crown Perth CONFERENCE PROGRAM AUSTRALIA’S PREMIER MEDICAL CONFERENCE PROUDLY SPONSORED BY Website Logo Design Conference Program
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19 Advocating for doctors since 1898 AMA MEDICAL PRODUCTS Qualit Se vice. Choice. AMA (WA) MEMBERSHIP Advocacy. Support. Advice. AMA TRAINING SERVICES Learn. Train. Qualify. Option B MedCon Crown Perth 23-24 June 2023 Booth 38-43 9 6 x 54sqm Elevation drawn 20 19 Apri 23 1:30 A3 @ 100% greg@hoad.co 0438 099 336 4400 2200 2000 1300 eDM Banner
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DPL Learning / CPD Home
CPD Home (formerly dPL Learning) is a learning platform where doctors can earn professional development points by engaging in learning activities. I was tasked with creating the branding, website and marketing collateral.
cpdhome.org.au
Logo Design
Website
Web Design
CPD Tracking Made Simple
CPD Tracking Made Simple
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Learn, manage and report in one location. The free AMA CPD Tracker, available on doctorportal Learning, provides you with a streamlined and easy way to keep tabs on your learning and meet your Medical Board of Australia (MBA) reporting obligations. dplearning.com.au/cpd-tracking visit
Learn, manage and report in one location. dplearning.com.au/cpd-tracking visit The free AMA CPD Tracker, available on doctorportal Learning, provides you with a streamlined and easy way to keep tabs on your learning and meet your Medical Board of Australia (MBA) reporting obligations. Home Doctors CPD Providers About Contact Sign up Log in CPD Made Simple Take control of your medical CPD, anywhere, anytime. Sign up Featured Learning Get started with our popular modules. Lorem ipsum dolor sit amet, consectetuer ONLINE LEARNING LEARN MORE Lorem ipsum dolor sit amet, consectetuer WEBINAR Certified Learning Providers and Sponsors CPD providers play an important role in ensuring you can access timely, accurate, reliable, high-quality, evidence-based CPD activities. "A nice structure with easy flow and very helpful in primary care, particularly in rural and remote regions." Specialist Join the Journey How it works Create your learning profile Getting started easy complete your learning profile. 01 02 03 Write your CPD plan Identify your learning goals and tag your focus topics. Engage in CPD learning Search our CPD catalogue for engaging, relevant and timely activities. 05 06 Reflect on your achievements At the end of the CPD Year, determine you have achieved your learning goals. Print Ahpra compliant CPD reports Save your Statement of Compliance, and retrieve your archived annual CPD reports anytime. Get started Join our CPD Home today CPD Made Simple Take control of your medical CPD, anywhere, anytime. including higher-level requirements for some specialities. At the end of the CPD Year, determine if you have achieved your learning goals. Save your Statement of Compliance, and retrieve your archived annual CPD reports anytime. Home Doctors CPD Providers About Contact Sign up Log in CPD Made Simple Take control of your medical CPD, anywhere, anytime. Sign up Featured Learning How it works Create your learning profile Getting started is easy - complete your learning profile. 01 02 03 Write your CPD plan Identify your learning goals and tag your focus topics. Engage in CPD learning Search our CPD catalogue for engaging, relevant and timely activities. 04 05 06 Track your learning Complete your 50 hours of CPD, including higher-level requirements for some specialities. Reflect on your achievements At the end of the CPD Year, determine if you have achieved your learning goals. Print Ahpra compliant CPD reports Save your Statement of Compliance, and retrieve your archived annual CPD reports anytime.
21 01 02 03 ENGAGEMENT Engage your learners through credible, high-quality educational activities that doctors will value and remember REACH Increase your reach with bespoke multi-channel campaigns To maximise engagement with your audience, we ensure medical learning is delivered in a credible and high-quality context that provides value and creates endless possibilities for our learning providers and subscribers. doctorportal Learning is supported by brands that medical professionals trust to provide accredited education, information and resources throughout their careers. ENDLESS POSSIBILITIES We make it possible for you with our four-stage integrated process doctorportal Learning can help you connect with your audience via: Lead Generation: Through delivering learning content directly into your audience’s inbox, you will demonstrate the immediate impact of your advertising. Our electronic newsletter is delivered to AMA members and non-AMA member medical practitioners and other healthcare professionals. Broad Distribution: Multiple channels via print and online to reach your target audience. Targeted Positioning: Our team works hard to strategically position your advertisement to achieve greater awareness and conversion impact through special sections or editorial content most relevant to your product category. Custom Marketing Success: We have proven track record of expanding audience reach and increasing engagement through unique and innovative solutions that capture the attention of your audience. Return on Investment: We have tools to measure your campaign success and provide results that will support your ROI. Insight: With our insight driven approach we provide a deeper analysis of your target audience, which can initiate behavioural change and record latest trends that help achieve your goals. Audience Overview: With doctorportal Learning you can potentially reach all medical and healthcare professionals Australia-wide through multiple channels across desktop, mobile, tablet and print each month. Audience Profile: Demographic: Gender: REACHING YOUR dedicated audience More results, more insights, more analysis, more passion ‘ Male 62% Female 38% Number of Members Age Group 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0-30 31-40 41-50 51-60 61-70 70+ doctorportal Learning –Independent, expert, accredited medical education ‘ 629 X 297 6PP A4 ROLL FOLD INNER BACK COVER
11 Pricing inclusions The following scenarios illustrate indicative options for sponsored learning CPD Home Prices vary depending on required inclusions. Each sponsored learning opportunity is supported by meetings with our expert team to better understand your needs, and written proposal clearly defining inclusions, process and itemised pricing. SCENARIO 1 One self-paced online module $20,000 (exc GST) Quarterly de-identified user engagement reports Standard marketing and promotion of the module (additional marketing available upon request) Company name and logo listed as sponsor on the Home page, Contributor page and module information page SCENARIO 01 Sponsorship of medical education that is currently listed in the CPD Learning catalogue until 31 December 2023 5 Engaging online learning Online learning is a convenient way for time poor medical professionals to maintain their mandatory CPD requirements. CPD Home delivers high quality, CPD activities 24/7, accessible on any device in a userfriendly format. CPD Home provides medical professionals with a onestop-shop for registering, completing and managing professional learning and ongoing CPD compliance through their own personalised portal. Education attracting CPD relevant to their registered scope of practice can be tracked and reported, against their CPD requirements. Our stateof-the-art platform accepts accredited medical education content to engage with wide audience of medical professionals across Australia. Each accredited module can be delivered via our CPD Learning catalogue, maximising exposure to one or multiple target audiences. 8 Learning services – add extra value Medical professionals are incentivised to participate in accredited learning to maintain their mandatory continuing professional development, supporting their registration with the Medical Board of Australia. CPD Home directly supports doctors to track against these requirements. The curated collection of high-quality, relevant learning opportunities in our CPD Learning catalogue aligns with varied scopes of practice. Compliance with your company and industry codes, and accreditation requirements for your target audience when delivering education can be difficult. Rest assured that our team includes accredited learning experts who can advise you on how to remain compliant should you wish to sponsor the development and/or delivery of medical education. We are dedicated to maintaining our valued and high-quality learning environment that provides trusted content that doctors will engage with. *SME subject matter experts are required to acquire accreditation from specialist medical colleges REPORTING Reporting on uptake, completions, participation and feedback CAMPAIGNS Promotion of the learning through bespoke marketing campaigns TESTING Testing and deployment in the CPD Home LMS ACCREDITATION Accreditation with RACGPand/or ACRRM that supports most specialty colleges to recognise the education (includes SME*) PROJECT MANAGEMENT Project management of the content development with third-party e-learning specialist The CPD Home team can assist you with supplementary services to support your education 01 02 03 04 05 10 CPD Home snapshot PAGEVIEWS Over 145,000 page views annually and growing LEARNING CATALOGUE Set yourself apart from your competitors and showcase accredited learning in our catalogue DOCTORS Over 10,000 subscribers across Australia SUBSCRIPTION Our CPD Tracker is free for all doctors, irrespective of specialty or AMA membership LARGEST DATABASE The portal sits on top of the AMA’s national database 2 Your solution for engaging, online medical education ENGAGEMENT Engage your clients through credible, high-quality educational activities that doctors will value and remember REACH Increase your reach with bespoke multichannel campaigns INSIGHT Learn from the reporting insights and understand your ROI EXPERTISE Work with our expert team to get the most from your learning investment 4 Our Process 03 STEP ENHANCE 04 STEP REACH 05 STEP ROI 02 STEP DELIVER 01 STEP ENGAGE Create engaging content for your target audience Measure your ROI through insightful reports Deliver accredited medical education via our credible and trusted portal Add extra value through learning services Drive your target audience to your learning ENGAGEMENT KIT 2022 Training: publication of the National Doctors in keeping members up to date on affecting Doctors in Training (DITs). Circulation: 9,600 JPG/GIF horizontal Channels Advertising Policy) Business Development 704 fiona@dplearning.com.au OUTER FRONT COVER COVER 210mm INSTRUCTIONS: Prospectus Brochure
Sponsorship Prospectus 2022
Doctor Foster & associates
Dr Foster & Associates is a well established medical practice with practices in the South Bunbury and Usher.
Their original brand was dated and inconsistent. I was tasked with creating a fresh look for the practice that was vibrant, modern and family friendly.
Along with the updated logo, I also created a stationery suite, internal office templates, a new responsive website, advertising, building signage for both practices, a presentation folder and an 8pg newsletter.
www.fostersmed.com.au
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Practice Newsletter Winter 2016 Edition
APIL Group
APIL is a property investment firm based in West Perth. I was tasked with reinvigorating the existing brand which was based on a gold egg. The challenge was to use the original concept to create an updated logo that is both modern and professional.
I created the new logo, stationery, website, product disclosure statements, annual reports as well as designing the interior and exterior building signage.
www.apilgroup.com.au
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Schlager Group
Schlager Group is a construction company with offices in Perth and Albany.
I created the main group logo, as well as individual logos for their three divisions. I also designed stationery, a Powerpoint presentation template, brochures for each division, presentation folder, website as well as vehicle and building signage for both offices.
www.schlager.com.au
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SCEE
SCEE (formerly known as Southern Cross Electrical Engineering) started out as a single man working from a van in 1978, to a leading national provider of electrical and communication services that is listed on the ASX.
I was originally tasked to create a Capability Statement/Presentation Folder. This project eventually grew to a include a 40th Anniversary logo, stationery suite, annual report, safety calendars, corporate anniversary book as well as a separate anniversary book commemorating past employees commissioned by the now retired founder of the company.
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APT Water
APT Water is a pump supply and distribution company specialising in the design and supply of domestic through to industrial-grade pump systems.
I was commissioned to develop and new brand and name as well as stationery suite, capability statement, new responsive website as well as vehicle and building signage.
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Mizco
Mizco is a Perth based company specialising in electrical, mechanical, system integration and switchboard manufacture for local and international markets. I worked with them to refresh their outdated brand, as well as redesign their new dual language website and printed collateral including Corporate Profile and five individual specialised brochures. www.mizco.com.au
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Wave International
Wave International is a engineering and resource development consultant with offices around Australia as well as South Africa and Mongolia.
I have worked on various items for them including stationery, presentation templates, video presentation, brochures, presentation folders, a new responsive website as well as building signage.
www.waveinternational.com.au
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Swan Valley & BOUTIQUE
L avender Bist ro
L a Boutique
SWAN VALLEY
Lavender Bistro & Boutique
Lavender Bistro & Boutique is a lavender themed restaurant and gift store in Swan Valley. I was tasked to create a new brand for the restaurant that was both minimal and elegant.
Also created was a brand for their lavender products called La Boutique, restaurant and directional signage, uniforms as well as packaging for their wide range of lavender products.
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Avanti Glass & Aluminium
Avanti Glass & Aluminium is a family owned and operated company that supplies high end windows and doors to luxury builders across Perth.
Although their products and quality of service was high end, their brand and website was not. I was tasked with designing a new brand that modern and minimal.
Also created was a stationery suite, a new responsive website, uniforms as well a logo and product brochure for their new premium seamless window product called Altus.
www.avanti.com.au
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Baked Provisions
Baked Provisions is an award winning commercial bakery operating out of Malaga. I was tasked with revitalising their original brand which was outdated and inconsistent.
I created a new logo, as well as packaging for various types of products, a presentation folder, various product brochures, a new responsive website as well as building and vehicle signage.
With their brand refreshed and new marketing material, they have since expanded their business into Sydney and Melbourne market.
www.bakedprovisions.com.au
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Churchill consulting
Churchill Consulting is a business consulting firm that works with leading companies to optimise their performance.
With an already established brand, I worked with their existing design to create a new responsive website as well as a company profile, electronic direct mail and presentation templates.
www.churchill.com.au
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CTS
CTS (originally called Crane Tecnical Services) specialises in the design and supply of systems featuring industrial radio remote control, magnetic crane handling and sensor technology for position detection, collision avoidance.
I created a new logo/name, as well as a new stationery suite, Capability Statement, building signage and a new responsive website.
www.ctscts.com.au
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Bonisimmo
This design was a wall mural created for coffee distribution company Bonissimo. The client brought in many books of vintage coffee machines which were scanned. The design combines the historical images into a cohesive design that shows the rich heritage and history of the company.
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Perth woman
Various magazines spreads of different subject matters. Concepts and layout.
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Welsh real estate
This was a vehicle wrap. i was given free reign to create a vehicle wrap that is both eyecatching and unique. The design flows from the passenger side, to the rear and then to the drivers side in one continuous image. I created the concept and then took the panoramic photo to suit.
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IGA Mt Pleasant
This was a complete redesign of an existing IGA. The store was given a facelift, with fresh modern look.
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beetroot brothers
This building signage was designed based on the brief of hand drawn fruits and vegetables to fit the organic theme which was then signwritten onto the building.
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Wellington & Barber ____
Logo Design, Stationery Suite, Vehicle signage, Building Signage, Real Estate signage
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____ 8pp Corproate Profile
DG Corp
Boots & All wine label
Whicher Ridge Wines are a family owned winery based in Margaret River. I was tasked with creating a brand for a new range of wines called Boots & All to be sold online on nakedwines.com.
The brief was to create a vibrant and playful vortex of tools associated with the creation of their wine swirling into a bottle while their Border Collie looks on in amazement.
The concept was created initially with hand drawn sketches. The final artwork is composed of photo references and digital painting.
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Swan
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Valley & BOUTIQUE L avender Bist ro
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46 BRANDING / IDENTITIES |
47 | BRANDING / IDENTITIES
48 Unit 14/250 Hampton Road, Beaconsfield, WA 6162 P 9433 5544 F 9433 4985 E info@gographics.com.au Cleaners Date 03/04/13 Phone 0419 988 661 Email brian@stannardsdrycleaning.com.au Contact Brian Client New Image Drycleaners Spell Check Approval Please CHECK all details CAREFULLY before giving approval! It is the responsibility of the proprietor to ensure that all information is correct before approving commencement of work(s). Photo illustrated layouts may not be a true indication of scale. Written dimensions take precedence over scaled dimensions.
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Thank you for taking the time to go through my portfolio.
I hope it gave you a good insight into the work I can do.
If you think I can help you, let’s have a chat.
ZEE TAN
SENIOR GRAPHIC DESIGNER
0433 093 911
ronin47design@gmail.com
38 Sittella Gardens East Cannington
