Issues
Volume 201 Issue 9
In this issue
Editorials
Diabetes prevention and care: we know what to do, so why aren't we doing it?
Tackling the diabetes epidemic
Stephen Colagiuri MB BS, FRACP
Inequalities of access to bariatric surgery in Australia
Surgery for obesity complicated by severe comorbidity should be accessible to all
Michael Edye MB BS, FRACS, FACS · Michael L Talbot MB ChB, FRACS
In brief
A real-world, data-driven view of general practice prescribing
MedicineInsight aims to increase understanding of prescribing behaviour
Lynn M Weekes
News
n/a
Perspectives
Reducing dietary salt intake and preventing iodine deficiency: towards a common public health agenda
Public health advocates coordinate programs to reduce salt intake and prevent iodine deficiency
Jacqui Webster PhD · Mary-Anne Land MPH · Anthea Christoforou MIPH · Creswell J Eastman AM, MD, FRACP, FAFPHM · Michael Zimmerman · Norman R C Campbell MD · Bruce C Neal PhD, FAHA, FRCP
Peers or pariahs? The quest for fairer conditions for international medical graduates in Australia
Implementing recommendations of the parliamentary inquiry and international codes of practice on employment of IMGs
Carlos Zubaran MD, MHM, PhD · Susan Douglas MD, FACRRM, GradDipHE
Lessons learned in developing new postgraduate medical specialist training programs for Australia and New Zealand
Major education reform requires a narrative, time, investment and communication
Kevin D Forsyth MD, PhD, FRACP
Letters
Shared decision making: what do clinicians need to know and why should they bother?
The benefits and challenges of shared decision making
Debora Picone
Shared decision making: what do clinicians need to know and why should they bother?
The benefits and challenges of shared decision making
Michele Levinson
Shared decision making: what do clinicians need to know and why should they bother?
In reply: The benefits and challenges of shared decision making
Tammy C Hoffmann · Christopher B Del Mar
Self-regulation of autologous cell therapies
An effective code of practice must require medical treatment by specialist practitioners in the condition being treated
Graham Vesey
Self-regulation of autologous cell therapies
In reply: It is in the interest of all to limit the risks of this unregulated industry
Bernard E Tuch · Dominic Wall
The NSW Safe Sedation Project
Training for non-anaesthetists who care for sedated patients
Joanna R Sutherland · Ellen Rawstron · Christopher Ball
Do death certificates accurately record deaths due to bloodstream infection?
The contribution of bloodstream infections to deaths in Australia may be underestimated
Christopher S Heather · Hong Foo · Iain B Gosbell
Clinical focus
Rapid response systems
So far, so good — a strategy for improving outcomes, which could itself be improved
Kenneth M Hillman MD, FRCA, FCICM · Jack Chen MB BS, PhD, MBA · Daryl Jones MD, FRACP, FCICM,
Research
Colorectal cancer screening and subsequent incidence of colorectal cancer: results from the 45 and Up Study
Does screening reduce the risk of developing colorectal cancer?
Annika Steffen MSc(Epid), PhD · Marianne F Weber BA(Hons), PhD · David M Roder BDS, MPH, DDSc(Epid) · Emily Banks MB BS, PhD, FAFPHM
Incidents resulting from staff leaving normal duties to attend medical emergency team calls
MET calls are disruptive and inconvenient but cause no major harm to patients
The Concord Medical Emergency Team (MET) Incidents Study Investigators
Surfboard-related eye injuries in New South Wales: a 1-year prospective study
Surfing carries a small risk of eye trauma, which is sometimes severe
Juliette Howden MB BS, MMed, BMedSci · Jenny Danks MB BS, FRANZCO · Peter McCluskey MB BS, FRANZCO · Mark Gillett FACEM, FRACGP, MClinEd · Raf Ghabrial MB BS, FRANZCO
Workplace aggression in clinical medical practice: associations with job satisfaction, life satisfaction and self-rated health
The negative impact of workplace aggression on clinician wellbeing could harm patient care
Danny Hills BN, MN(Hons), PhD · Catherine M Joyce BA(Hons), MPsych, PhD
Case reports
Lithium-induced thyrotoxicosis in a patient with treatment-resistant bipolar type I affective disorder
Lithium has profound effects on thyroid physiology
Santhi Chalasani MB BS(Hons) · Katherine A Benson MB BS(Hons), FRACP
Lung transplant recipients receiving voriconazole and skin squamous cell carcinoma risk in Australia
Skin reviews, sun protection advice and caution in patients with previous SCC are recommended
Chin Fen Neoh BPharm, MPharm(ClinPharm), PhD · Gregory I Snell MB BS, FRACP, MD · Bronwyn Levvey RN, BEdStu, GradDipClinEpi · Tom Kotsimbos MD, FRACP · Orla Morrissey MB BCh, FRACP, PhD · Monica A Slavin MB BS, FRACP, MD · Kay Stewart BPharm, PhD · David C M Kong BPharm, MPharm, PhD
Pseudoxanthoma elasticum
Skin lesions turn out to be pseudoxanthoma elasticum
Zhenying Zhang · Xiaoming Liu
Ethics and law
Withholding and withdrawing life-sustaining treatment in a patient's best interests: Australian judicial deliberations
Withholding and withdrawing life-sustaining treatment in a patient’s best interests: Australian judicial deliberations
Lindy Willmott LLB(Hons), LLM, PhD · Ben White LLB, DPhil · Malcolm K Smith LLB(Hons), LLM, PhD · Dominic J C Wilkinson MB BS, DPhil, FRACP
Reflections
Tossing a Snowball at the tip of the iceberg
Too many licensing authorities, not enough accountability or power to enforce standards
John B Best AO, MD BS, PhD, DSc(Hon)
A simple, novel and accurate method to estimate track record: a new “P” value
How much should past performance contribute to picking winners in grant competitions?
Paul M Pilowsky BM BS, PhD, FAHA
A personal reflection on staff experiences after critical incidents
Patients and families are not the only ones who need support after adverse iatrogenic events
Cameron I Knott MB BS(Hons), FRACP, FCICM
Anthony J McMichael AO, MB BS, PhD
A generous, groundbreaking epidemiologist with a global view
Cate Swannell
Creating agency in Aboriginal health
PAT ANDERSON, chair of the Lowitja Institute, Australia's National Institute for Aboriginal and Torres Strait Islander Health Research, provides generous praise to the authors of this work for their valuable contribution to research and practice of empowerment in Aboriginal health (http://www.lowitja.org.au/promoting-aboriginal-health-family-wellbeing-empowerment-approach). When you read this text you will find that the praise is well deserved. However, it would have been handy if it had also ...
Dameyon Bonson
Guns, bombs and stethoscopes
It is tempting, human beings that we are, to settle for the broad brushstrokes of history. In neglectful ignorance we can easily forget individual sacrifices made in our name and allow the past to become a distant stranger. To do so in relation to our medical forebears who served, and of whom many were wounded and died in World War I, would demean them and ...
Brendan J Nelson
Careers
Full and joyous life
Dr Michael Crampton, GP of the Year, has taken an active role in clinical computerisation, integrated care, vaccination safety and medical education, as well as continuing to care for families he's known for 30 years
Cate Swannell
RACGP honours the best and brightest
Dr Michael Crampton (page C1) wasn’t the only general practitioner from Sydney’s west honoured at the recent Royal Australian College of General Practitioners’ annual conference in Adelaide. General Practice of the Year was awarded to the Riverstone Family Medical Practice in the north-west of the city. The award recognised the contribution of the practice and its staff, led by practice principal Dr Michelle Crockett, to improving patient care, and their participation in programs such as eHealth and Health Pathways that improve the quality and accessibility of services. Dr Crockett also works as a clinical head for Western Sydney Health Pathways, a joint project between WentWest and the Western Sydney Local Health District to improve patient care and management across the region. “This is a wonderful recognition of the hard work and dedication of the team at Riverstone Family Medical Practice”, Dr Crockett says. Also honoured was Aboriginal Medical Services Western Sydney, which won the Aboriginal and Torres Strait Islander Team award for their innovative program for managing chronic disease. GP Supervisor of the Year was awarded to Dr Linda Mann (profiled in MJA Careers 2014; 200: C4), from Sydney’s inner west. Dr Sarah Beck was named the GP Registrar of the Year, Dr Sam Gubiac was awarded the Rural Registrar of the Year, and Michelle Seckingham was given the Student Bursary award. Four academic awards were also given at the conference. The most prestigious, the Rose-Hunt Award, is given to a College Fellow or Member who “has rendered outstanding service in the promotion of the objects of the College, either by individual patient care, organisation, education, research or any other means”. This year it was awarded to Professor Michael Kidd, executive dean of the Faculty of Medicine, Nursing and Health Sciences at Flinders University in Adelaide. Professor Kidd is a GP and President of the World Organization of Family Doctors (WONCA). The Brian Williams Award, given to “medical practitioners whose guidance and support enables rural GPs to safely dedicate themselves to their patients, their families and their communities”, went to Dr Barbara Jones, a GP in Townsville, Queensland. The Alan Chancellor Award, presented each year to “the GP or GP registrar considered to be the best first time presenter of a research paper at the RACGP annual conference”, was given to Dr Pam Douglas, who focuses on babies in their first year and their mothers. The Peter Mudge Medal, awarded to a presenter at the conference who has “advanced the discipline of general practice and the goals of the College and whose original research has the most potential to significantly influence daily general practice”, was given to Dr Alan Leeb from the Illawarra Medical Centre in New South Wales.
Cate Swannell
Calendar of events
This calendar will be updated each month. If you have an event you would like to add, please include relevant details in an email to cswannell@mja.com.au
Cate Swannell
Safety and effectiveness of influenza vaccines
Heath A Kelly MB BS, MPH
The health of “emerging adults” in Australia: freedom, risk and rites of passage
Melissa S-L Kang MB BS, MCH
A bowel cancer screening plan at last
Paul B Grogan · Ian N Olver MB BS, MD, PhD
Feeding a hungry microbiome: large bowel fermentation and human health
David Topping · Michael A Conlon