Volume 206 Issue 4

Encouraging medical students to pursue a career in general practice is a global problem with an Australian solution

David Townsend · Nicola Campbell · Claire Chandler

Redefining drug use as a health and social issue within a harm reduction framework will require progressive policy

Matthew Y Frei · Alex D Wodak

Transparency is key to achieve affordability of health care

David J Hillis · David AK Watters · Lawrie Malisano · Nick Bailey · David Rankin

Overcoming the barriers to chronic disease management in rural areas

John T Wenham · Malcolm Moore · Zachary Pancer

Safety standards need to be observed for an increasingly popular cosmetic treatment

Lawrence Oh · Stephanie Watson

Medical education over time – are we keeping up?

Zsuzsoka Kecskes · Imogen Mitchell

We describe a case of Henoch–Schönlein purpura (HSP) in a 19-year-old woman triggered by a diarrhoeal illness from Yersinia enterocolitica. The patient subsequently developed a widespread purpuric rash on the upper and lower limbs (Box), spasmodic abdominal pain, polyarthralgia and macroscopic haematuria. A skin biopsy confirmed leukocytoclastic vasculitis. Immunofluorescence testing on a percutaneous renal biopsy revealed strong mesangial staining for IgA. While post-infectious proliferative glomerulonephritis with Y. enterocolitica is described in several case series, the syndrome of HSP after this infection has rarely been reported.1,2 This case reinforces that any immune stimulus in IgA-producing tissue, including gastrointestinal infection, can trigger HSP. Box –

Kylie Ngu · Kate J Robson · David J Goodman

Oxford textbook of medical education

Victoria A Brazil

Improving mental care for people over 65 must be a priority

Malcolm J Hopwood

Greater transparency in setting charges may be the most efficient way to rein in excessive fees

Ian S McRae · Kees C van Gool

The risk of a fatal outcome is low when patients are treated in specialist toxicology units

Peter I Pillans · Colin B Page · Sivarajah Ilango · Anna Kashchuk · Geoffrey K Isbister

Targeted follow-up during the initial 14 days after discharge may reduce re-admission rates

Gillian E Caughey · Nicole L Pratt · John D Barratt · Sepehr Shakib · Anna R Kemp-Casey · Elizabeth E Roughead

Without data on quality of care, the justifiability of differences in fees cannot be determined

Gary L Freed · Amy R Allen

Is it really possible to prescribe a target caesarean section rate applicable to all 194 WHO member countries?

Stephen J Robson · Caroline M de Costa

To the Editor:The use of public access automated external defibrillators (AEDs) has rapidly increased from 2003 to 2013 — with an 11-fold growth in Victoria — and has shown improvement in survival rates for out-of-hospital cardiac arrest.1 Prompt deployment relies on lay people to recognise a cardiac arrest, operate the device and manage basic life support.2 Lay people’s use of these devices located in public locations, as opposed to specialised health care settings, is unparalleled among medical devices. However, lay people are not involved in the clinical handover of the patient with the AED and it often remains with the private owner, who may not appreciate the importance of retrieving critical AED data. Lack of handover postresuscitation of initial rhythm and AED data has been shown to underdiagnose ventricular fibrillation (VF), as well as miss other significant rhythms such as complete heart block.3,4 AEDs use arrhythmia algorithms to analyse heart rate and QRS duration from the triggered digital recording, and are designed to have a specificity of 99% and a sensitivity of > 90% for detection of VF and of > 75% for rapid ventricular tachycardia (VT), without a specific cut-off rate defined. Of four commercially available AEDs, one study indicated a large divergence in how they managed VT and supraventricular tachycardia (SVT), with some devices even delivering a shock for narrow complex SVT, therefore leading to difficulty for clinicians in interpreting the significance of an AED delivered shock.5 Specific equipment operated by trained personnel is required to download the rhythm data from the AED.2 Standardised data transmission software, either via smartphone or cellular networks, to a central server or at the hospital may fill this current critical data void. Systematic capture and documentation of the initial AED rhythm analysis may incorporate the AED as an essential diagnostic clinical tool and may reduce critical diagnostic errors and unnecessary use of implantable cardioverter defibrillators. Rhythm documentation of AED data has significant implications in determining underlying cardiac disease, dictating management and influencing preventive measures to reduce the risk of malignant arrhythmia recurrence. With the rapid expansion and increasing access of AEDs in the public domain, collaborative review of current protocols and coordination between health services, emergency management services and owners of public AEDs are required to avoid further loss of crucial data.

Andrew D Mulligan · Omar Al-Mukhtar · Michael Wong

To the Editor:Zhao and colleagues1 quantified the burden of indigenous health inequality in Australia’s Northern Territory. Any physician who has worked in the NT would agree, although the quantum calculated may shock readers. However, Zhao and colleagues appear to have left out an epidemiological principle in presenting their analysis: stratify appropriately, or risk unbeknown confounding. The authors have not taken into consideration the differences between the regions where Indigenous Australians live. The detrimental causes affecting Indigenous populations in the NT are more intense there than among Indigenous people on Australia’s eastern coast, for example, and increase as one moves away from Darwin to remote areas, across the whole spectrum of causes of inequality. Gray and colleagues,2 cited in the article, list many of the causes of Indigenous health inequality, including “lower levels of education, training and skill levels, … living in areas with fewer labour market opportunities, higher levels of … interactions with the criminal justice system, … and lower levels of job retention”. Employment, or lack of it, integrates and acts as a proxy measure of effect for many of these causes. If Zhao and colleagues had considered this variability of effect, they might have realised that the statement that “between 1994 and 2008, Indigenous employment in Australia increased by 55–70%” is misleading. If Australia is to close the gap between its Indigenous and non-Indigenous people, the government needs to recognise this spectrum of effect across the continent.

Richard X Davey

In reply

Yuejen Zhao

Toby Commerford has settled in to life in Adelaide as a geriatrician, father, and yes, a rock singer …

Cate Swannell

The Royal Australasian College of Physicians has awarded the Neil Hamilton Fairley Medal, 2017 to University of Sydney cancer researcher, Professor Roger Reddel. The Medal acknowledges his contribution to the study of cancer in a 30-year career that has seen him break new ground in understanding the disease. Professor Reddel is a medical oncologist, molecular geneticist and an internationally regarded expert on cancer cell immortalisation. He is also Director of Children’s Medical Research Institute (CMRI), Westmead, and a Fellow of the Australian Academy of Science. Professor Reddel's research focuses on how cancer cells can divide unlimited times. His goal is to understand the process in enough detail to develop treatments that can limit the growth of cancer cells. He has also discovered a mechanism called Alternative Lengthening of Telomeres (ALT) necessary for the continued growth of some aggressive cancers, including osteosarcoma, glioblastoma and pancreatic neuroendocrine tumours. He has also overseen the continued growth and success of the CMRI since becoming Director in 2007. Under his leadership, CMRI has established several new research units and has opened the state-of-the-art Vector and Genome Engineering Facility. He also established Cell Bank Australia, a one-of-a-kind national cell line repository to ensure the integrity of cell lines used in research. Professor Reddel is also the Sir Lorimer Dods Professor, Sydney Medical School, University of Sydney. He gained his medical degrees at the University of Sydney (1977), trained in medical oncology at Royal Prince Alfred Hospital and completed a PhD in cancer cell biology in 1985. He has also received multiple fellowships to undertake postdoctoral research at the National Cancer Institute, Bethesda, Maryland, USA. The RACP awards the Neil Hamilton Fairley Medal every 5 years to an individual who has made outstanding contributions to the field of medicine. http://sydney.edu.au/news-opinion/news/2017/01/25/roger-reddel-wins-neil-hamilton-fairley-medal.html Murdoch Childrens Research Institute’s Professor Melissa Little has been named the new head of Stem Cells Australia (SCA) by the University of Melbourne. SCA is a national alliance of more than 120 experts from Australian universities and research institutes seeking to develop innovative ways to harness the potential of stem cells. University of Melbourne’s Deputy Vice-Chancellor (Research) Professor James McCluskey said Professor Little will bring a wealth of experience to the role, with a strong vision to advance Australian science in this important area of medical research. “As an internationally-recognised leader in stem cell science across more than 25 years for her work in developmental biology, Professor Little is an excellent choice to help build on the achievements of Australian scientists in this area and facilitate research to enable the next phase of stem cell medicine.” Professor Little has sought to understand kidney development and disease. Her team’s breakthrough research growing mini-kidneys in a dish from stem cells won the 2016 Eureka Prize for Scientific Research. The discovery could lead to new treatments for kidney disease, a better way to test new drugs or even bioengineer kidneys for transplant. These are very long term projects that will take many years of additional work. https://www.mcri.edu.au/news/melissa-little-takes-lead-stem-cell-research Three Telethon Kids Institute researchers have been awarded funding from the Raine Medical Research Foundation. Dr Melissa O’Donnell was awarded a Raine Priming Grant supported by the Jon and Caro Stewart Family Foundation for her project entitled “Alcohol-related harm in young people: developing a longitudinal evidence base”, and named the Stewart/BrightSpark/Raine Project as it was ranked “outstanding” in the area of child health research. Dr O’Donnell received funding of $187 128. Dr Ashleigh Lin received $150 000 in funding for her project: GENTLE: The GENder identiTy Longitudinal Experience Project. She also received the 2017 Strachan Memorial Prize for her publication, “Outcomes of non-transitioned cases in a sample at ultra-high risk for psychosis: a medium to long-term follow-up study”, published in the American Journal of Psychiatry. Dr Lin will receive a $5000 travel grant. Dr Laurence Cheung was awarded a 2017 BrightSpark Research Collaboration Award for his project, “Identification of novel drug combinations to cure high-risk infant leukaemia”, and received $8988. https://www.telethonkids.org.au/news–events/news-and-events-nav/2016/december/telethon-kids-researchers-awarded-raine-medical-research-foundation-funding/ Professor Kate Loveland is the new Head of the Centre for Reproductive Health at Hudson Institute of Medical Research. An accomplished male reproductive health researcher, Professor Loveland holds an NHMRC Senior Research Fellowship and leads the Testis Development and Male Germ Cell Biology Research Group in the Centre. Professor Loveland is also Head of Postgraduate Studies for the School of Clinical Sciences at Monash University, a role she will continue. Professor Loveland is a leading researcher in testes development. She is interested in understanding how in utero and early life events have an impact on the fertility of men, including as a pathway to understanding why the rates of testicular cancer continue to rise internationally and why IVF is needed for conception of 1 in 30 children born in Australia. Professor Loveland received her undergraduate and PhD degrees at Duke University in the United States, studying the molecular basis of mammalian fertilisation. http://hudson.org.au/professor-kate-loveland-appointed-head-of-the-centre-for-reproductive-health/ Black Dog Institute researcher Dr Aliza Werner-Seidler has won a prestigious NSW Health Early Career Research Fellowship to investigate how e-mental health interventions can be used in schools to prevent mental illness. In earlier research, Dr Werner-Seidler identified that school-based mental health programs can prevent or delay the onset of depression and anxiety in young people. In the first phase of this Fellowship, Dr Werner-Seidler aims to identify the barriers and facilitators to the school-based delivery of an e-health depression prevention program. These findings will then be used to develop a “best practice” implementation plan that is both effective and acceptable to students and the education system. Work on this project will begin in 2017. http://www.blackdoginstitute.org.au/newsmedia/newsdesk/index.cfm

Cate Swannell

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. The full version of the calendar is available online at www.mja.com.au March 6-9 Trans-Tasman Radiation Oncology Group 29th ASM, Auckland, NZ 7 19th Annual Meeting on Clinical Trials in Intensive Care, Noosa, QLD 8 Peri-Arrest, Transthoracic Echocardiography, Melbourne, VIC 8-10 Effective Management of Anaesthetic Crises (EMAC) Course, Wellington, NZ 8-10 Australian Healthcare Week 2017, Sydney, NSW 10 International Medical Symposium, Melbourne, VIC 11 2017 SPANZA PANNZ Update Meeting, Wellington, NZ 14 The Australian Breastfeeding Association’s 2017 Seminar Series for Health Professionals: Breastfeeding: positioning for better outcomes plus online webinar and special Australian Showcase options, Brisbane, QLD 15 The Australian Breastfeeding Association’s 2017 Seminar Series for Health Professionals: Breastfeeding: positioning for better outcomes plus online webinar and special Australian Showcase options, Sydney, NSW 15-17 Sydney International Endoscopy Symposium 2017, incorporating the Westmead Endoscopy Symposium Nurses’ Workshop, Sydney, NSW 16 The Australian Breastfeeding Association’s 2017 Seminar Series for Health Professionals: Breastfeeding: positioning for better outcomes plus online webinar and special Australian Showcase options, Melbourne, VIC 16-18 EMAC (Effective Management of Anaesthetic Crises) Course, Melbourne, VIC 18 RACP Rise to the Challenge – Australasian Chapter of Sexual Health Medicine Annual Scientific Meeting, Sydney, NSW 18 The Australian Breastfeeding Association’s 2017 Seminar Series for Health Professionals: Breastfeeding: positioning for better outcomes plus online webinar and special Australian Showcase options, Perth, WA 18-19 iHeartScan, Melbourne, VIC 20 Focused Cardiac Ultrasound TTE, Melbourne, VIC 20-21 Airway Management Beyond BASIC, Frankston, VIC 20-21 New Zealand Simulation Instructors Course (NZSIC), Wellington, NZ 22 Focused Cardiac Ultrasound TOE, Melbourne, VIC 23-26 Australian Society of Otolaryngology Head and Neck Surgery 67th ASM: Ingenuity at work, Adelaide, SA 24 Crisis Management in Obstetric Anaesthesia and Neonatal Resuscitation, Sunshine, VIC 24 Perioperative Ultrasound for all Anaesthetists: The Future becomes the Present, Melbourne, VIC 24 QRME Ltd Advanced lift support: build participants’ knowledge, skills and confidence when responding to rural general practice emergencies, Toowoomba, QLD 24-26 2nd International Conference on Chest, Melbourne, VIC 24-26 International Medicine in Addiction Conference 2017, Sydney, NSW 24-28 International Society of Ocular Oncology Biennial Conference and the RANZCO-NSW ASM, Sydney, NSW 24-28 Australia and New Zealand Society of Respiratory Science and the Thoracic Society of Australia and New Zealand Annual Meetings 2017, Canberra, ACT 25 QRME Ltd Cultural Safety Training: Developing positive, respectful relationships with Aboriginal and Torres Strait Islander people, create a culturally safe practice, administer the PIP – Indigenous Health Incentive, Toowoomba, QLD 25 Trauma Tasmania 2017, University of Tasmania, Hobart, TAS 25-26 Neuroradiology-Brain and Spine Interpretation 2017, Camperdown, NSW 25-26 New Zealand Association of General Surgeons 2017, Palmerston North, NZ 26 QRME Ltd Mental Health Skills Training: equip participants with the knowledge and skills to effectively assess and manage patients presenting with mental health concerns, Toowoomba, QLD 26 Obstetrics and Gynaecology Radiology 2017, Camperdown, NSW 26-28 2017 Queensland AOA ASM, Noosa, QLD 26-29 12th International Congress on Systemic Lupus Erythematosus (LUPUS 2017) and the 7th Asian Congress on Autoimmunity (ACA 2017), Melbourne, VIC 29 A day with Dan Siegel: the new frontiers of interpersonal neurobiology, Newcastle, NSW 29 Mar-1 Apr Australasian Society for Infectious Diseases ASM 2017, Leura, NSW 31 Mar-1 Apr UroGynaecological Society of Australasia ASM 2017, Melbourne, VIC April 2-5 Perinatal Society of Australia and New Zealand 20th Annual Congress 2017, Canberra, ACT 3 Paediatric Anaesthesia Crisis Management Course (PACMaC), Wellington, NZ 3-7 15th World Congress on Public Health: Voices, Vision, Action, Melbourne, VIC 4 CICM Fellow Education workshop, WA 4-7 LIME Connection VII: The future of Indigenous Health Education: Leadership, Collaboration, Curriculum, Melbourne, VIC 7 Nursing Emergency External Trauma Program, Melbourne, VIC 7-8 2nd International Lymphoma Radiation Oncology Group Educational Conference: Radiotherapy in Modern Lymphoma Management, Melbourne, VIC 7-9 Spine Society of Australia 28th ASM 2017, Hobart, TAS 8-9 Neuromodulation Society of Australia and New Zealand 12th Annual Scientific Meeting, Adelaide, SA 8-9 Rural Health West Annual Conference: Embracing the unexpected – the unpredictable world of rural health care, Perth, WA 8-10 11th Annual Update in Paediatric Emergencies 2017, Noosa, QLD 9-12 2017 Australian Pain Society 37th ASM, Adelaide, SA 21-23 Trauma 2017 Conference: Bridging the Gaps in Trauma Care, Melbourne, VIC 21-23 Australian and New Zealand Society of Nuclear Medicine 47th ASM 2017, Hobart, TAS 22-23 Focused Cardiac Ultrasound/ECHO Workshop, Melbourne, VIC 26 ANZCA Approved Anaphylaxis & CICO Emergency Response Workshop, Frankston, VIC 28 Anaesthetic Emergency Responses Workshop (ALS/CICO), Sunshine, VIC 29-30 iHeartScan, Melbourne, VIC 29 Apr-2 May 14th World Rural Health Conference 2017, Cairns, QLD 30 Apr-4 May Royal Australian and New Zealand College of Psychiatrists Conference 2017, Adelaide, SA May 2-5 New Zealand Society for the Study of Diabetes AGM 2017, Dunedin, NZ 5 Vitiligo Master Class, Sydney, NSW 5-7 QRME Ltd OSCE Intensive Examination & Communication Workshop: helps candidates focus on their communication skill, Toowoomba, QLD 6-7 21st ASM of the Australasian Musculoskeletal Imaging Group, Melbourne, VIC 6-9 Australasian College of Dermatologists ASM, Sydney, NSW 7-9 Transplantation Society of Australia and New Zealand 35th ASM 2017, Brisbane, QLD 8 Focused Cardiac Ultrasound TTE, Melbourne, VIC 8 CICM Fellow Education workshop, VIC 9 CICM Fellow Education workshop, SA 8-10 RACP Congress 2017: Bringing specialists together, sharing knowledge, building skills, Melbourne, VIC 8-12 Royal Australasian College of Surgeons 86th Annual Scientific Congress 2017, Adelaide, SA 9-12 Australian and New Zealand Association of Neurologists 2017, Gold Coast, QLD 10-12 Airway Management SIG Meeting 2017, Brisbane, QLD 10-12 Australian and New Zealand Society for Geriatric Medicine ASM 2017, Rotorua, NZ 12-13 Royal Australian and New Zealand Collage of Ophthalmologists New Zealand Branch ASM 2017, Waitangi, NZ 12-16 Australian and New Zealand College of Anaesthetists ASM 2017, Brisbane, QLD 15-17 Australian and New Zealand Addiction Conference, Gold Coast, QLD 19-20 Australian Symposium organised by the Falk Foundation: Mucosal Microbiome and Mucosal or Systemic Dysfunction: Mechanisms, Clinical Manifestations and Interventions, Brisbane, QLD 19-21 General Practice Conference and Exhibition, Sydney, NSW 20-21 Focused Cardiac Ultrasound/ECHO Workshop, Sydney, NSW 20-21 Neurorad 2017, Melbourne, VIC 20-23 Australasian Rheumatology Association and New Zealand Rheumatology Association Joint Scientific Meeting 2017, Auckland, NZ 22-23 Australian and New Zealand Disaster and Emergency Management Conference 2017, Gold Coast, QLD 24 FUSE Vascular, Melbourne, VIC 26-28 College of Intensive Care Medicine of Australia and New Zealand, 2017 ASM: A gut reaction: ICU gastroenterology from beginning to end, Sydney, NSW 26-28 Australian Medical Association National Conference, Melbourne, VIC 28-31 Speech Pathology Australia National Conference 2017, Sydney, NSW 29-30 New Anaesthetic Registrars Crisis Management (NARCM) Course, Wellington, NZ June 1-2 NSW branch of Australian Resuscitation Council and Take Heart: Resus @ the Park, Sydney, NSW 2-4 41st ASM of the Australasian Division of the International Academy of Pathology, Darling Harbour, NSW 3 Epworth Healthcare Cancer Services Clinical Institute Symposium: Recent advances in cancer therapies and cancer survivorship, Melbourne, VIC 3-4 Focused Cardiac Ultrasound/ECHO Workshop, Melbourne, VIC 3-4 EMCORE 2017, Melbourne, VIC 4-8 19th International Symposium on Recent Advances in Ottis Media, Gold Coast, QLD 7 Lung Ultrasound, Melbourne, VIC 12-13 International summit on vaccines and immunology, Brisbane, QLD 15-17 Cancer Nurses Society of Australia Annual Congress, Adelaide, SA 16 Epworth Healthcare Second Musculoskeletal Clinical Institute Symposium: the shoulder, Melbourne, VIC 19-21 Renal Society of Australasia Annual Conference 2017, Sydney, NSW 20-22 Tinnitus 2017, Melbourne 2017 21 ANZCA Approved Anaphylaxis & CICO Emergency Response Workshop, Frankston, VIC 22-25 Australian Society of Aesthetic Plastic Surgery Non-surgical Symposium 2017, Gold Coast, QLD 23 Crisis Management in Obstetric Anaesthesia and Neonatal Resuscitation, Sunshine, VIC 24-25 Focused Cardiac Ultrasound/ECHO Workshop, Surfers Paradise, QLD 26-27 2017 No More Harm National Conference, Brisbane, QLD 28-30 CSANZ New Zealand ASM 2017, Hamilton, NZ July 1-2 iHeartScan, Melbourne, VIC 6-9 Australia and New Zealand Society of Neuroradiology ASM 2017, Darwin, NT 7-8 2017 Rural SIG Meeting, Broome, WA 11-13 Interventional Radiology Society of Australasia ASM 2017, Port Douglas, QLD 13-15 RANZCO Paediatric Special Interest Group Scientific Meeting, Sydney, NSW 17-19 12th Asian Obesity Specialists and Endocrinologists Annual Meeting, Melbourne, VIC 17-19 9th World Congress on BA/BE Studies and Biowaivers, Melbourne, VIC 20 CICM Fellow Education workshop, NSW 20-22 Effective Management of Anaesthetic Crises (EMAC), Melbourne, VIC 20-22 Diabetes Asia Pacific 2017: 12th Asia Pacific Diabetes Conference and Expo, Melbourne, VIC 22-23 Emergency Skills Ultrasound, Melbourne, VIC 22-23 General Practice Conference and Exhibition, Perth, WA 23-26 Cardiac Thoracic Vascular and Perfusion SIG Meeting, Queenstown, NZ 23 Focused Cardiac Ultrasound TOE, Queenstown, NZ 23 Focused Cardiac Ultrasound TTE, Queenstown, NZ 23 Lung Ultrasound, Queenstown, NZ 24-25 17th International Conference and Exhibition on Nanomedicine and Nanotechnology in Health Care, Brisbane, QLD 24-26 8th World Conference on Pharmacology and Toxicology, 10th Asia-Pacific Pharma Congressm, Melbourne, VIC 24-26 World Congress on Nursing Care 2017, Melbourne, VIC 24-28 Missioncraft 2017: Leadership in Disaster Relief, Melbourne, VIC 26-28 Effective Management of Anaesthetic Crises (EMAC) Course, Wellington, NZ 26-29 Australasian College for Emergency Medicine Winter Symposium, Rowland Flat, SA 27-30 RNZCGP Conference for General Practice and Quality Symposium, Dunedin, NZ 28 QRME Ltd Mental Health Skills Training: equip participants with the knowledge and skills to effectively assess and manage patients presenting with mental health concerns, Toowoomba, QLD 28-29 Lancet Summit: COPD and lung cancer, Perth, WA 31 Jul-2 Aug World Congress on Microbiology and Infectious Diseases, Melbourne, VIC 31 Jul-2 Aug International Meeting on Nursing Research and Evidence-based Practice, Melbourne, VIC August 4 Anaesthetic Emergency Responses Workshop (ALS + CICO), Sunshine, VIC 9 Peri-Arrest, Melbourne, VIC 11-13 ACD Rural Dermatology Meeting, Broome, WA 16 ANZCA Approved Anaphylaxis & CICO Emergency Response Workshop, Frankston, VIC 16 FUSE Vascular, Melbourne, VIC 16-19 NZDSI Annual Conference, Queenstown, NZ 19-20 iHeartScan Advanced, Melbourne, VIC 21-25 CT-Acute Medical and Surgical Interpretation 2017, Queenstown, NZ 21-27 Be Medicinewise Week 24 Paediatric Anaesthesia Crisis Management Course (PACMaC), Wellington, NZ 26-27 Focused Cardiac Ultrasound/ECHO Workshop, Melbourne, VIC September 1 Epworth HealthCare Eighth Obstetrics & Gynaecology Clinical Institute Symposium, Melbourne, VIC 1 QRME Ltd Cultural Safety Training: Developing positive, respectful relationships with Aboriginal and Torres Strait Islander people, create a culturally safe practice, administer the PIP – Indigenous Health Incentive, Toowoomba, QLD 1-2 Australia and New Zealand Academy for Eating Disorders, Darling Harbour, NSW 1-3 Managing Obstetric Emergencies & Trauma (MOET) Course, Wellington, NZ 1-3 General Practice Conference and Exhibition, Brisbane, QLD 2-3 QRME Ltd Advanced Lift Support: build participants’ knowledge, skills and confidence when responding to rural general practice emergencies, Toowoomba, QLD 6-7 6th Annual International Emergency Care Conference, Melbourne, VIC 6-8 Effective Management of Anaesthetic Crises (EMAC) Course, Wellington, NZ 6-8 2017 Australian Palliative Care Conference: Connection with community, Adelaide, SA 8 The Alfred Emergency and Trauma Centre Resuscitation Update, Melbourne, VIC 8-10 Joint Neuroanaesthesia and Trauma SIG Meeting, Byron Bay, NSW 9-10 ANZCA/ASA SA NT Burnell Jose Visiting Professionals ASM, Rowland Flat, SA 13-14 Big Data and Analytics Innovation Summit: Maximise the Potential of Your Big Data Initiatives, Sydney, NSW 14 RUOK? Day 14 CICM Fellow Education workshop, TAS 14-16 Australasian Doctors’ Health Conference, Sydney, NSW 14-17 Neuro-Ophthalmology Society of Australia 33rd Clinical and Scientific Meeting and NeuroVision Training Weekend, Sydney, NSW 15 Crisis Management in Obstetric Anaesthesia and Neonatal Resuscitation, Sunshine, VIC 16 Epworth Healthcare Perioperative Medicine Symposium, Melbourne, VIC 16-17 ANZAAG Symposium, Auckland, NZ 20-22 6th APAC Forum: Lead the change you want to see, Gold Coast, QLD 27-29 Joint 2017 ACHSM/ACHS Asia-Pacific Congress, Sydney, NSW October 2-4 16th Global Pathologists Annual Meeting, Melbourne, VIC 4 FUSE Vascular, Melbourne, VIC 4-6 Global Alcohol Policy Conference, Melbourne, VIC 7-10 ASA National Scientific Congress 2017, Perth, WA 8-12 AOA 77th ASM and AGM, Adelaide, SA 11-13 42nd Australian and New Zealand ASM in Intensive Care and the 23rd Annual Paediatric and Neonatal Intensive Care Conference: ICU: Thinking outside the flags, Gold Coast, QLD 12-14 EMAC (Effective Management of Anaesthetic Crises) Course, Melbourne, VIC 16 Focused Cardiac Ultrasound TTE, Melbourne, VIC 16-18 3rd International Conference on Antimicrobial Agents and Chemotherapy, Melbourne, VIC 18-21 9th World Congress of Melanoma and 14th International Congress of the Society for Melanoma Research, Brisbane, QLD 20 Crisis Management in Obstetric Anaesthesia and Neonatal Resuscitation, Sunshine, VIC 20-22 QRME Ltd OSCE Intensive Examination & Communication Workshop: helps candidates focus on their communication skill, Toowoomba, QLD 21-22 Focused Cardiac Ultrasound/ECHO Workshop, Sydney, NSW 24-27 Australian Association of Practice Managers National Conference, Perth, WA 26-28 GP17 RACGP Annual conference, Sydney, NSW 26-28 SPANZA 2017 Conference, Perth, WA 28 Epworth HealthCare Seventh Cardiac Sciences Clinical Institute Symposium, Melbourne, VIC 28 Oct-1 Nov 49th RANZCO Annual Scientific Congress, Perth, WA November 1-3 10th Health Services and Policy Research Conference, Gold Coast, QLD 1-3 Effective Management of Anaesthetic Crises (EMAC) Course, Wellington, NZ 2-4 Perioperative Medicine SIG Congress 2017 8-11 NZ Anaesthesia ASM 2017, Rotorua, NZ 10 Anaesthetic Emergency Responses Workshop (ALS + CICO), Sunshine, VIC 10-12 General Practice Conference and Exhibition, Melbourne, VIC 13-19 Antibiotic Awareness Week 15 Focused Cardiac Ultrasound TOE, Melbourne, VIC 15-17 Hospital in the Home Society of Australasia ASM, Melbourne, VIC 16-18 EMAC (Effective Management of Anaesthetic Crises) course, Melbourne, VIC 17-19 National Histology Conference, Hobart, TAS 18-19 iHeartScan, Melbourne, VIC 19-23 Australasian College for Emergency Medicine, 34th ASM, Sydney, NSW (provisional dates) 20-22 9th International Conference on Immunopharmacology and Immunotoxicology, Melbourne, VIC 20-22 Psychiatry and Mental Health 2017, Melbourne, VIC 20-24 Psychiatry Update 2017, Christchurch, NZ 21-23 Effective Management of Anaesthetic Crises (EMAC), Melbourne, VIC 23-26 Asian Pacific Society of Respirology Congress 2017, Sydney, NSW 26-29 APCCN 2017 – Asia Pacific Conference on Clinical Nutrition, Adelaide, SA 27-28 New Anaesthetic Registrars Crisis Management (NARCM) Course, Wellington, NZ 29-30 Innovate Alzheimers – Alzheimers and Dementia, Brisbane, QLD 29-30 International summit on medical, pharma and drug studies, Brisbane, QLD December 1-2 International summit on infectious diseases and antibiotics, Brisbane, QLD 2-3 Focused Cardiac Ultrasound/ECHO Workshop, Melbourne, VIC February 2018 9-10 4th International 4 Corners of Cardiology Meeting, Melbourne, VIC 23-24 PICET Obstetric Intensive Care Symposium, Adelaide, SA March 2-4 Pathology Update 2018, Sydney, NSW 8-11 APSCVIR 2018, Auckland, NZ April 11-13 2nd International Selection in the Health Professions Conference, Melbourne, VIC May 7-11 Royal Australasian College of Surgeons Annual Scientific Congress 2018 with the ANZ College of Anaesthetists, Sydney, NSW 18-22 Australasian College of Dermatologists ASM, Gold Coast, QLD October 6-9 ASA National Scientific Congress 2018, Adelaide, SA November 7-10 New Zealand Anaesthesia Annual Scientific Meeting 2018, Auckland, NZ 18-22 Australasian College for Emergency Medicine, 35th ASM, Perth, WA November 2021 10-13 XIII International Congress of Dermatology, Melbourne, VIC December TBA FIGO World Congress of Gynaecology and Obstetrics, Sydney, NSW

Cate Swannell