Higher office The new AMA(SA) leadership team - Australian Medical Association
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medicSA
JUNE 2021 VOLUME 34 NUMBER 3
Higher office
The new AMA(SA)
leadership team
COMMITMENT TO CLIMATE ACTION • 2020 STUDENT MEDAL WINNERS medicSA | 1
NEW VACCINE EFFICACY EVIDENCE • END OF LIFE ADVOCACY • DISPATCHES
Contents
Australian Medical Association 7 Role call – new members enhance AMA(SA)
(South Australia) Inc. Council expertise
Level 1, 175 Fullarton Road,
9 Best and fairest – colleagues remember Past President
Dulwich SA 5065
Dr Philip Harding
PO Box 134 North Adelaide SA 5006
Telephone: (08) 8361 0100 12 Committed to change – junior doctors front and centre of
Facsimile: (08) 8361 0199 climate action
Email: medicsa@amasa.org.au
14 Mounting evidence – AMA campaigns for
Website: https://sa.ama.com.au/ vaccination uptake
Executive contacts
President 16 Under lights – AMA(SA) Award winners at the Gala Dinner
Dr Michelle Atchison:
18 Standing tall – new AMA(SA) President
president@amasa.org.au Dr Michelle Atchison’s leadership vision
medicSA
Editorial 26 Culture wars – survey provides evidence to force change
Medical Editor: Dr Roger Sexton 30 Bright lights – in the spotlight at the Gala Dinner
Editor: Karen Phillips
Advertising 33 Tele-visions – innovations driving improvements in
health outcomes
medicSA@amasa.org.au
Production 38 Not so distant – the pandemic’s impacts on sexual health
Typeset and printed for the AMA(SA) by
42 All that glitters – the AMA(SA) 2020
Douglas Press Pty Ltd.
Student Medal winners
ISSN 1447-9255 (Print)
ISSN 2209-0096 (Digital) 55 On the road
Cover Blue Razoo.
58 Dispatches – AMA(SA) diary updates
Disclaimer
Neither the Australian Medical Association
(South Australia) Inc nor any of its servants
and agents will have any liability in any way
...we’re here for you
arising from information or advice that is
contained in medicSA. The statements
or opinions that are expressed in the
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and do not represent the official policy of
the Australian Medical Association (South
Australia) unless this is so stated.
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Earn 75,000 bonus Qantas Plus earn 1 Qantas Point per without written permission.
It was no surprise to anyone that outgoing President Dr Chris Moy
Points when you first insure eligible $1 paid to MIGA for your Images are reproduced with permission
wore a Crows scarf and brought a friend, Yoda, to assist in his farewell
with MIGA by 31 July 20211 medical indemnity insurance2 under limited license. speech as President at the AMA(SA) Gala Dinner on 22 May. What was
unexpected was the presence of a rainbow-hued feather duster, which
CEO Dr Samantha Mead presented to Dr Moy in response to his recent
Insurance policies available through MIGA are underwritten by Medical Insurance Australia Pty Ltd (AFSL 255906). Membership services are provided by Medical Defence Association of South Australia Ltd. Before you make any comments that he’d soon be as useful and valued as a feather duster.
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31 July 2021 or enter into a direct debit arrangement with MIGA by 31 July 2021, and have paid their first instalment and have not exercised their rights to cool off or had their insurance cancelled by MIGA, as per the terms of the Policy.
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1 Qantas Point for every eligible $1 spent (GST exclusive) on payments to MIGA for Eligible Products. Eligible Products are Insurance For Doctors: Medical Indemnity Insurance Policy, Eligible Midwives in Private Practice: Professional For more Gala Dinner news and photos, see pages 16-19.
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2 | medicSA medicSA | 3
REPORT
President’s
report
Dr Michelle Atchison
Dr Divya Sabharwal
General practitioner, SA
Leading support in your
A
s I write this, I have been in so many areas of health care that the as doctors, and AMA members,
in the AMA(SA) ‘hot seat’ AMA is ‘in the room’ for policy-making we really are privileged to be in a
times of need – it’s why
for exactly four weeks. As and other top-level discussions. I will position to do something about it. I’m
you know, I was elected certainly be continuing that approach extremely thankful to be assuming the
as President after two years as Vice in the regular meetings we have with AMA(SA) presidency at a time when
President of AMA(SA), and I have many Health and Wellbeing Minister Stephen the Council is engaged and willing to
more doctors choose Avant
years’ experience on Federal Council. Wade and his colleagues; earlier this give the time and energy to help ‘do
I knew what to expect. But if there is month, we had the first of these regular something’. I appreciate our junior
anything this month has taught me, it meetings since I became President, doctor Council members and medical
is that there is an enormous difference and – alongside new Vice President school representatives providing
between watching and doing – even Dr John Williams – discussed the their perspective on the issues we’ve
from the vantage points I was fortunate delayed vaccine rollout in rural areas, debated for years while illuminating the
to occupy. especially Kangaroo Island; public importance of emerging issues such as
For four years, I witnessed Associate health messaging about where to receive the impact of the health industry on the
Professor William Tam and (now) a vaccination and to overcome vaccine planet and health as a global climate
When the moment arrives, how confident are you in the quality of support Immediate Past President Dr Chris Moy hesitancy; the vaccination of aged-care emergency, and their willingness to
leading our members, and using their staff; and starting to develop a medium-
you’ll receive? Avant offers unrivalled protection. AMA(SA) platform to help members term plan for the health system coping
stand up for themselves and each other
and fight for safe working conditions
and colleagues secure better care and with an outbreak in South Australia.
and workplaces.
services for people and communities And planning for the Women’s and
I have had to reflect on this
Award-winning defence Industry-leading insights Expert advice and risk across the state. They were, and are, Children’s Hospital, and the ongoing
important position, in what is a strange,
management fantastic role models and mentors for issue of access to world-class care in our
A 270-strong team including
*
With half of Australian doctors as challenging and extremely important
a new President who wants to do the rural and remote communities. Not a
Australia’s largest health law firm members, we handle more calls Prevention is better than cure. time to be President of AMA(SA). Many
job well. bad agenda for a first meeting!
recognised for their expertise, and cases. This wealth of insights That’s why members have access The pandemic has obviously been people have asked what the new job
Chris could not have possibly foreseen
providing members with and experience helps us determine to our medico-legal experts, 24/7 that his presidency would be dominated a circuit-breaker in how we think, is like. I have decided that the best
on-the-ground support in the best approach for your matter, in emergencies, risk advisers and by a once-in-a-lifetime global pandemic. and what we think about, in both our description is that it is like juggling six
six states and territories. to achieve a positive outcome. high-quality educational resources. Similarly, with COVID-19 still the personal and professional lives. To eggs in the air – and not hardboiled
main topic in government, media and me, especially in this position, it has ones! With all AMA(SA) members
watercooler gatherings across Australia, reinforced that the delivery of health support behind me, let’s hope the
I cannot ease into the position as my care is and always must be a priority eggs stay in the air.
predecessors have done. South Australia – for us as doctors, but also as people: As I write this, AMA President
has a long way to go and much to do as parents, children, carers, siblings, Dr Omar Khorshid is releasing a ‘Vision
Experience the Avant difference. before we can return to whatever ‘the colleagues and friends. Even before for Australia’s Health’, which aims to
new normal’ looks like, and AMA(SA) the pandemic, was there a day that we make our country the healthiest in
Tim Hall – Head of Growth (SA/NT) can and must contribute significantly to didn’t talk or think about someone’s the world. I look forward to working
the decisions that get us there as soon health and wellbeing? A doctor’s with this state’s doctors, medical
0435 686 385 avant.org.au/practitioners
as possible. appointment, a parent’s medication, a colleagues and health decision-makers
It is because of our calm, objective, child’s vaccinations, a friend’s cancer to determine how best to achieve the
patient-focused and evidence-informed diagnosis? Health, and how we treat ultimate goal of Omar’s vision – safe,
approach throughout the pandemic and and care for it, is an everyday ‘event’; high-quality, patient-centred care for all.
IMPORTANT: Professional indemnity insurance products are issued by Avant Insurance Limited, ABN 82 003 707 471, AFSL 238 765. The information provided here is general advice only. You should consider the appropriateness of
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4 | the
and consider medicSA
policy wording and Product Disclosure Statement, which is available at avant.org.au or by contacting us on 1800 128 268. *Accurate as at 04/01/2021. MJN-595.1 05/21 (DT-1909) medicSA | 5
EDITORIAL
Medical
editor’s
letter
medico-legal articles. We also feature the recent celebration
Dr Roger Sexton of senior rural doctors and their ongoing contribution to
rural communities, and how crazy combinations of socks can
m
be good for your mental health.
Future editions will also include articles on the wellbeing
edicSA has been part of my professional life for a of the profession and sustainable doctors, and our many and AMA(SA) Council – back row (from left): Dr Andrew Russell, Mr Emerson Krstic, Dr Clair Pridmore, Dr Penny Need, Dr Ekta Paw, Dr Simon
long time, and I am delighted to be contributing to varied creative pursuits. Macklin, Dr Hannah Szewczyk, Dr Shriram Nath, Dr Rajaram Ramadoss, Dr Karen Koh, Dr Cathrin Parsch, Professor Ted Mah
it as the new medical editor. medicSA is your professional publication that will continue
This magazine will remain an important source of to inform, entertain, celebrate and inspire you and enrich Front row (from left): Associate Professor William Tam, Dr Bridget Sawyer, Immediate Past President Dr Chris Moy, President Dr Michelle
information for the profession and the broader community your life with articles of interest. Atchison, Vice President Dr John Williams, Chair Dr Peter Subramaniam, Dr Danny Byrne, Professor Tarun Bastiampillai
about the impact of the work and lives of doctors and I am most fortunate to be working with the dedicated
students. Each edition will explore the sources of this impact team of AMA(SA) staff who believe in us, the medical Absent: Dr Brian Peat, Dr Simon Lockwood, Ms Shehani Gunasekera, Dr Nimit Singhal, Dr Patrick Quinn, Dr Laureen Lawlor-Smith
and how, where and why doctors and students are making profession and the power of communication, information
a difference. and good journalism.
medicSA is local and relevant to all doctors. With each I also warmly thank my predecessor, Dr Phil Harding, for
edition, we will offer a forum for information and articles
that highlight the activities and impact of the wider
his creativity and guidance of medicSA towards national
recognition over the last 20 years. As our article on page 9 Leading by example
profession and the efforts and leadership of AMA(SA). demonstrates, his legacy has extended to his other roles as
It will also aim to broaden your understanding of a father and husband, a respected colleague, a mentor and Decisions are made by those who turn up – and the new AMA(SA)
professional matters of interest, new trends and discoveries, teacher, and an outstanding endocrinologist who truly cared Council is ready to consider, debate and act as required.
and alert you to special events. for his patients.
I invite all readers to consider contributions to medicSA, Finally, congratulations to the 11 South Australian
T
to broaden the readership and content of the magazine doctors - including AMA(SA) members Dr Patrick Coates
he Annual General Meeting the Central Australian Medical University and has been engaged
and provide a forum for the opinions of our present and AO, Dr Phillip Aylward AM, Dr Michael Schulz OAM, and Dr
brings with it a changing of Retrieval and Coordination Centre with the AMA since internship.
emerging leaders. Richard Willing PM OAM - who were among the recipients
the guard, including members in the Northern Territory. Dr Laureen Lawlor-Smith is
Change is the prerogative of a new editor and this June of Queen's Birthday Honours, and whose efforts will be
who have offered their expertise and Dr Brian Peat (obstetrics and a general practitioner at McLaren
edition introduces the first of a new series of interesting recognised in the August issue.
time to join AMA(SA) Council. gynaecology) has worked in a variety Vale. Dr Lawlor-Smith will bring her
As Dr Michelle Atchison said: of positions (including as a trainee experience in general practice, practice
‘As incoming President, it is very psychiatric nurse, construction and management and health governance in
AMA(SA) COUNCIL AND BOARD
pleasing to have a Council that even as a truck driver) before studying the Fleurieu region to the casual vacancy
is gender and culturally diverse, medicine at the University of Sydney and position she holds until the 2022 AGM.
Office Bearers Regional Representatives represents so many specialties, completing his specialist training at King Mr Emerson Krstic is the new
President: Dr Michelle Atchison Northern: Dr Simon Lockwood and includes metropolitan and George V Hospital under the mentorship student representative from Flinders
Vice President: Dr John Williams Doctors in Training Representative rural doctors, senior and junior of Dr Andrew Child. He moved to University and has already contributed
Immediate Past President Dr Ekta Paw doctors, and medical students. Adelaide in 2001 and continues to be to Council debate. He has noted during
Dr Chris Moy
Student Representatives ‘If the first meeting of this new a champion of the local lifestyle. discussion of rural campuses that any
Ordinary Members Council (on 3 June) is any indication, Dr Karen Koh (dermatology) new programs must be established
University of Adelaide:
Dr Daniel Byrne, Dr Penny Need, Dr Rajaram Ramadoss, we can look forward to lively, engaged graduated from the University of and continue to be managed with
Dr Laureen Lawlor-Smith, Dr Nimit Singhal, Ms Shehani Gunasekera
Flinders University: Mr Emerson Krstic debate on matters of critical importance Adelaide School of Medicine in 1995 and the appropriate academic expertise
Assoc Prof William Tam, Dr Hannah Szewczyk to our members, our profession, and worked in general medicine, emergency and other support so that rural
Specialty Groups AMA(SA) Executive Board
the standard of health services in medicine and sexual health at the RAH students are not disadvantaged.
Anaesthetists: Dr Simon Macklin Dr Michelle Atchison, Mr Andrew Brown,
this state. I hope we will be contacted before specialising in dermatology. Ms Shehani Gunasekera is
General Practitioners: Dr Bridget Sawyer Dr Guy Christie-Taylor, Dr John Nelson (chair), about issues of concern, so Council She has also been involved in skin the student representative for the
Ophthalmologists: Casual vacancy A/Prof William Tam, Dr John Williams is in the best position to advocate on research projects at Flinders University. University of Adelaide. Hailing from
Orthopaedic Surgeons: Ms Megan Webster behalf of members and our patients.’ Dr Ekta Paw is Chair of the AMA(SA) Sydney, Ms Gunasekera has had many
Prof Edward (Ted) Mah Federal Councillors Dr Atchison and ongoing Doctors in Training Committee. engaging rotations in her final year,
Paediatricians: Dr Patrick Quinn
Dr Michelle Atchison members of Council welcomed ‘the She has a strong interest in surgery including obstetrics and gynaecology
Pathologists: Dr Shriram Nath
(Area Nominee SA/NT) recruits’ at the June meeting. and public health. She is currently with paediatric gynaecology. She has
Psychiatrists: Prof Tarun Bastiampillai
Dr Matthew McConnell Dr Cathrin Parsch (emergency studying dentistry, aiming to train in a keen interest in pursuing paediatric/
Public Hospital Doctors:
(Specialty Group Nominee: Physicians) medicine representative) is an oral and maxillofacial surgery and adult physician training or general
Dr Clair Pridmore
Dr Hannah Szewczyk emergency physician working as a has a Master’s Degree in public health practice in South Australia or New
Surgeons: Dr Peter Subramaniam
staff specialist at the Lyell McEwin from the Johns Hopkins Bloomberg South Wales. As well as working with
Radiologists: Casual vacancy (State Nominee – Proxy)
Hospital and SAAS MedSTAR. She School of Public Health. She is now the AMSS, she is a member of the
is also a visiting consultant with midway through a PhD at James Cook Adelaide University Paediatrics Society.
6 | medicSA medicSA | 7
???????????? VALE
For fellowship
Dr Philip Harding AM BMedSc, MBBS, FRACP
1941 – 2021
Patient who has been injured at work?
‘C
Work cover claim not yet approved? arpe diem’ (seize the day) regular forays into the South
Dr Philip Harding
was a leitmotif of the life Australian countryside with
of former medicSA editor, medicSA partner-in-crime, Dr
AMA(SA) president and Yet Dr Harding’s pathway to the
No problem. Our streamlined Return to Work and Insurance process We provide a comprehensive, Robert Menz, to test the latest and
endocrinologist Dr Philip Harding, who greatest vehicles in the Adelaide market Adelaide medical community was
allows for easy access to appointments and makes patient referrals no financial risk service not typical of the time. Born in 1941 in
died on 25 May. for readers.
as simple and as smooth as possible. for your Return to Work and Dr Harding remained enthusiastically This ability to see the world Bedfordshire, England, Dr Harding lived
Insurance patients. engaged with the South Australian through another’s eyes, and describe in London with his mother until 1951,
Our improved services include: medical community into his last weeks. it with a scholarly turn of phrase, after his father, a naval officer, died as
He had an inquiring mind and a rare also characterised his work as head the HMS Penelope was sunk in 1944.
ability to see both sides of an argument of the Endocrinology Unit at the His mother remarried and the family
– demonstrated by his approach to the Royal Adelaide Hospital (RAH) and at emigrated to Tasmania in 1951, where Dr
age-old debate between road users. AMA(SA), where he was a key player for Harding was a boarder at Virgil’s College
False dichotomies such as that between more than 30 years.
– an experience he found challenging
NO FINANCIAL Patients can call direct cyclists and motorists are a poor basis As he noted in the RAH’s Foundation
as a 10-year-old immigrant. He moved
Unrestricted No Prior RISK TO for policy, he explained as chair of the Day William Wyatt Oration in 2002:
Referring Criteria Claim Approval 1800 375 663 State Cycling Council to The Advertiser Whenever we are confronted with a to Hobart High School as a day boy
PATIENTS some years ago. new, foreign or unfamiliar group of fellow before moving to Adelaide – initially to
Refer for indications Book medical imaging Salisbury North where his parents were
A keen cyclist, Dr Harding was also human beings, the first step in developing
not available in the MBS. prior to claim approval.
enthusiastic about motoring, taking understanding is to find some common teachers, and later to Adelaide Boys
ground. Those of us who belong to High School.
international medical associations ... continued on page 11
take great joy in the bond of
fellowship which exists between
Subspecialised doctors and which transcends
Radiologist Team MRI Availability 24 Hour Booking ethnic and cultural boundaries.
Including a dedicated State-of-the-art MRI Guarantee And that is how Dr Harding
Interventional scanning across metro Patients offered same came to advocate for Villawood
and MSK team. and regional sites. or next day appointment. detainee Dr Aamer Sultan, an
Iraqi doctor seeking asylum in
Australia, as enthusiastically
as for improvements to rural
medicine or public awareness
of diabetes.
Those who knew him best
agree that Dr Harding was not
an easy person to categorise. As
a venerated physician, member
of the Australian Health Ethics
Committee, and ex-serviceman
with the Royal Australian
Air Force, he presented
as a pillar of the Adelaide Dr Harding with then-AMA(SA) President
drjones.com.au/mri-locations Dr Harding and Mrs Margie Harding medical establishment. Dr Chris Moy
8 | medicSA medicSA | 9
Doctor Led • Patient Focused • Quality Driven drjones.com.au
???????????? VALE
was no reflection on the conversation
prevailing at the time.
Ever busy – working, making
things from wood, playing music,
reading, playing golf (moderately
he claimed), and advocating for the
medical profession – he remained
deeply embedded in the medical
community throughout his professional
life. A keen social organiser and
traveller, Dr Harding rallied the troops
for a regular medical fraternity ski
trip, combined with professional
development and established the
AMA(SA) golf day.
As president of the AMA(SA)
between 1990 and 1992, Dr Harding
was particularly keen to expand
Dr Harding with fellow Past Presidents Assoc Prof William Tam and Dr Janice Fletcher at membership and to campaign for
the gathering for Dr Moy’s election as Federal AMA Vice President in August 2020 improved health services in rural areas
– and as medical editor of medicSA,
... continued from page 9 patient, complete with catheter bag) of he continued to work to bring the
The Impossible Stream. profession together.
Clever at making things with his He later contributed to the RAH
hands, a great singer and a talented Dr Harding lost his wife, Rosemary,
diabetes centre, eventually becoming to her third bout of cancer in 2017 but
pianist, Dr Harding may have taken an emeritus consultant. He moved to
a different path had he not been remarried in 2018 after a four-month
private practice in 1997, becoming an romance with Margie, a former Director
captivated at the age of 15 by the epic external consultant to the Therapeutic
struggles of medicine as described of Nursing at the Memorial Hospital,
Goods Administration on regulation whom he met at the closing day of the
by author Frank G. Slaughter in
of new medicines. He also retained old RAH.
East Side General. After securing a
an enduring relationship with the Both having recently lost a loved
number of scholarships, he went on
RAAF as a civilian consultant for partner to cancer, the pair bonded over
to study medicine at the University of
clinical problems and on medical tea, conversation and a cheeky sense
Adelaide from 1958, joining the RAAF
reclassification issues in the services. of humour. They travelled extensively
Undergraduate Scheme.
Like Winston Churchill, whose until COVID clipped their wings and
He met his future wife Rosemary
prodigious body of work was based on they entertained a lively passing parade
McGrady, a member of the prominent
an ability to survive on just four hours of friends and colleagues - even during
Northern Territory pastoralist family,
of sleep a night, Dr Harding preferred to the last few weeks in hospital.
during a vacation in Alice Springs in
1960 and they married in 1964. Their use the wee hours of the morning to get Dr Harding is remembered as
union continued for more than 50 things done. And also like Mr Churchill, a thoughtful, lively, caring, clever
years, and included four children and he was prone to catching up on the person and a champion of the medical
eight grandchildren. zzzs in odd downtimes – including at profession, of which he was proud to
The pair moved to Malaysia with the dinner table – which, he protested, be a member.
the RAAF before a series of ‘medical
misadventures’ beset their young
family and caused Dr Harding to return
to South Australia. He completed his
physician studies at the RAH in 1970
and the family de-camped to London
and Pittsburgh after Dr Harding won a
OUR LOCATIONS Commonwealth Medical Fellowship for
specialty training in endocrinology.
They returned when Dr Harding
was appointed as a consultant
endocrinologist at the RAH, becoming
Head of Department and chairman
of medical staff, developing a highly
regarded unit with an outstanding
record of external grants and engaging
teaching. During this period, he also
took great delight in performing in
the RAH revues, including a highly
acclaimed performance (dressed as a Dr Harding and Mrs Harding at their Kent Town home
10 | medicSA medicSA | 11
ADVOCATE
Climate code black
South Australia’s junior doctors are demanding change
in response to the growing evidence of climate change
impacts on health, writes AMA(SA) Doctors in Training
Committee Chair Dr Ekta Paw.
W
hen I studied my Master AMA(SA) Doctors in Training Committee
• increases in temperature and weather-
of Public Health in 2019, Chair Dr Ekta Paw
related disasters associated likely with
I expected to be discussing increased mortality (burns, suffocation,
disease treatment and inhalational injury from bushfires) changes and carbon offsetting of travel
health delivery. Instead, there was a • increased vectorial capacity activities; and the Royal Australasian
theme I found repeated in every class: of infectious diseases College of Physicians’ (RACP) pre-budget
climate change. It seemed to have an (focus on A. aegypti in dengue) submissions to government calling for
impact on everything we discussed: how • increased food insecurity, the divestment of funds from fossil fuel
threatening malnutrition companies and its support for ‘Doctors for
we live, the development of industry,
Climate Action’.
Discover the benefits of
how economies grow, the type of disease • Mental health impacts.
Clearly, climate change is not simply Currently, AMA Federal and Doctors for
we treat, the way we deliver healthcare.
the Environment Australia (DEA) have
Many doctors in training now seem to an environmental issue: its impact
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notice the same theme. After numerous on the health and wellbeing of people
for emission reduction of 80 per cent
conversations with colleagues, I felt it in our society is undeniable. The UK’s
by 2030, and demands a National
was important to ask AMA(SA) Council to National Health Service (NHS) has
Sustainability Unit for Healthcare
clearly articulate an advocacy plan. recognised this, and created a Sustainable
to procure medical equipment,
Junior doctors frequently reflect upon Development Unit aiming for a ‘Net Zero’ Introducing Mercedes-Benz Corporate Rewards, the exciting new addition to the Mercedes-Benz
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electric vehicle fleets; and prioritise
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some of the most recent evidence
system-wide, formally coordinated,
provide a consistent and structured features an array of handpicked offerings across many categories, including wine and dining,
published in this area before proposing a approach. Within AMA(SA), we
motion for AMA(SA) Council to vote on at
efforts to achieve sustainability. recommend implementing a technology, beauty products and more.
One example is the Princess Alexandra sustainability policy, including carbon-
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response to the growing evidence that
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• Australia’s climate has warmed on
average by 1.44 ± 0.24 °C since national
single-use plastic consumables sector including public hospitals, • Preferential pricing.2
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records began in 1910, leading to an • combined recycling – 637,481 kg • Access to the Corporate Rewards Portal.3
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advocacy and to establish a working group
• there has been an increase in extreme rather than relying on gas. of diverse AMA South Australia members to Unley, 363 Unley Road Malvern.
fire weather, and in the length of The AMA officially recognised climate advocate for change within:
the fire season, across large parts of change as a global health emergency a) AMA South Australia Corporate programme is available to approved corporations who meet the eligibility criteria and is
1
Australia since the 1950s, especially in in September 2019. Other medical b) the healthcare sector, including the available on selected new passenger cars only. The programme requires a minimum commitment over
southern Australia. organisations have also implemented establishment of a state sustainable 24 months. 2Purchase of a Compact vehicle will attract a discount of $1500.00 off the Manufacturer’s
The health impacts of climate change actions to promote sustainability, development unit List Price. Purchase of a Non-Compact Vehicle will attract a discount of $2000.00 off the
are wide and varied, as discussed in the including the Australian and New c) public policy. Manufacturer’s List Price. Refer to the Terms and Conditions of the Mercedes-Benz Corporate
© Blue Razoo
2018 MJA–Lancet 'Countdown on health Zealand College of Anaesthetists’ Thanks to AMA(SA)DiT Committee Programme and Fleet Support for further details regarding which vehicles are considered to be
and climate change: Australian policy (ANZCA) sustainable waste management colleague Dr Georgia Smithson-Tomas for ‘Compact Vehicles’ and ‘Non-Compact Vehicles.’ 3Available to customers who purchase a vehicle
under the Corporate Programme on or after 1 January 2020. Access (including ongoing access) to
inaction threatens lives': initiatives, energy consumption her assistance in drafting this motion.
Corporate Rewards is contingent on the customer holding a valid membership with the Mercedes-Benz
Corporate Programme. Member Benefits is not a representative or agent of Mercedes-Benz and
12 | medicSA Mercedes-Benz accepts no legal responsibility for the Member Benefits website, any information medicSA | 13
supplied or any goods or services provided by Member Benefits. 4Not applicable to all models.
COMBATTING CORONA COMBATTING CORONA
GPs’ counsel
AstraZeneca were needed to protect ‘This announcement is particularly announcement today will allow doctors
people against COVID-19 variants, timely given the ATAGI decision to to spend the extra time needed with
including the Delta strain, and confirmed change its guidance and lift the age for a patient to have a more in-depth
essential to rollout
that the risk of blood clotting on second the AstraZeneca vaccine to 60 years discussion about getting vaccinated,
doses was very low: one-tenth the already and over. instead of putting a decision on hold
extremely small risk of the first dose. It is an investment in the vaccination or deciding not to get a second dose of
‘We commend the Minister for Health program roll-out, which is so important AstraZeneca.’
Australia’s doctors should continue to use on this announcement because it is a big for Australia in getting on top of the Dr Khorshid said the AMA will
the trust their patients have in their advice step in allowing doctors to take the time pandemic and plugging gaps in the continue to work closely with the Federal
to encourage them to be vaccinated against to sit down and discuss fully with their vaccination rollout.’ Government to progressively roll out the
COVID-19, says AMA Vice President and general patients, some of whom are nervous, ‘Some patients are understandably Pfizer vaccine in general practice in July.
Advertising at the Brittania Roundabout promotes
the benefits and incredibly low risks concerned following ATAGI’s decision
practitioner Dr Chris Moy. South Australia’s vaccination rates as at 20 June 2021
associated with vaccination. and the Federal Government’s
D
r Moy says uncertainty in the discussion of and commentary on news, with low case numbers. Each of us can be
community about the risk of evidence, and advice,’ he says. exposed and infect others. Vaccination Advocacy leads to aged visit funding ‘It will now also be easier for patients
to get vaccinated when they cannot get
T
vaccination against COVID-19 ‘While advocating firmly for doctors, mitigates the effect on us as individuals, He says the new funding to their local GP. This will help those
he AMA has also welcomed the
has increased markedly since patients and the long-term future of as family members and colleagues, and, announced by Minister Hunt for GPs with mobility problems unable to leave
Government’s announcement
the announcement on 17 June that our health system in behind-the-scenes as has been seen in countries like the UK to vaccinate Australians in residential their homes easily and support more
of new Medicare funding for GPs to
the recommended minimum age for negotiations with decision-makers at and US, will increase Australia’s capacity aged care and at home provides a people in disability accommodation
vaccinate patients against COVID-19
receiving AstraZeneca in Australia be national and state levels, we’ve ensured to cope with another wave.’ mechanism to vaccinate residents access vaccination via a GP.’
during home visits and visits to aged
lifted to 60. public commentary has urged people to Dr Moy says that despite the challenges and workers who missed out in the Dr Khorshid says the new Medicare
care facilities.
The Australian Technical Advisory follow health advice, comply with state presented by the changes in advice first round or who have entered a items will ensure new residents
‘It is critical we complete the job of
Group on Immunisation (ATAGI) and regional quarantine restrictions, and, from ATAGI, GPs will continue to put facility recently. entering aged care can access
vaccinating the most vulnerable in
changed its guidance and increased the most recently, get vaccinated as quickly patients first and support them in making the community as soon as possible. ‘Residential aged care homes have vaccination through their usual GP,
age for the AstraZeneca vaccine to 60 as possible. informed decisions about vaccination to This measure will help plug the seen significant COVID outbreaks, or a GP organised by the facility,
years and over based on a slight uptick ‘As doctors, our advice can make the protect them against COVID-19. current gaps in COVID vaccination and it is important vaccination rates ensuring the ongoing protection of
of the extremely rare thrombosis with difference in persuading patients to be in aged care facilities,’ President Dr remain very high in these facilities to all vulnerable Australians living in
vaccinated with the appropriate vaccine
EXTRA FUNDING FOR
thrombocytopenia syndrome picked up CONSULTATIONS Omar Khorshid says. keep residents safe,’ Dr Khorshid says. aged care.
in the 50-59 years age group in Australia, for their age group and health conditions.
Dr Moy says the announcement by
and remaining consistent in recalibrating We can help them understand that it
the Federal Government, based on
the advice based on risk benefit in the
as-yet low COVID environment currently
is vital for Australia’s progress towards
opening our borders to the world and that AMA advice, of extra funding for longer ATAGI decision considered risks and benefits
T
every person vaccinated is not only one GP consultations related to COVID-19
existing in Australia. vaccination will be vital in supporting he Australian Technical Advisory Group on • minimising harms to people due to adverse events
Dr Moy says the change came as more person protected, but also one step closer
GPs and their colleagues. Immunisation (ATAGI) on 17 June 2021 recommended following immunisation
Australians, and particularly those to a normalisation of our world.
‘I know from my own practice that the COVID-19 Pfizer vaccine (Comirnaty) as the preferred • Australian data on the age-specific risks and severity of
‘The willingness of Australians to
in the 50s and 60s age brackets, were any change in advice leads to people vaccine for those aged 16 to under 60 years in Australia.1 TTS following AstraZeneca vaccination
comply with evidence-based guidance
overcoming hesitancy – especially in the cancelling bookings and urgently seeking The advice updated the previous preferential • the expected vaccine supply over the months ahead
and restrictions has been absolutely vital
light of virus outbreaks in Victoria and advice, so that we all have had to spend recommendation for Pfizer over AstraZeneca in those aged • the impacts of any change in recommendation on the
in this country achieving the status we
Sydney from mid-June. much more time talking to patients 16 to under 50 years. The recommendation is revised due COVID-19 vaccine rollout.
are now enjoying,’ Dr Moy says. ‘But as
He says the announcement has led with concerns. We are in the best place to a higher risk and observed severity of thrombosis and
pressure increases for borders to open – The advice noted that there is ‘an ever-present risk of
to ‘confusion’ among Australians in the to do this, but we need the appropriate thrombocytopenia syndrome (TTS) related to the use of
for both personal and economic reasons COVID-19’ in Australia while the population remains largely
relevant age groups, and led to many support.’ AstraZeneca COVID-19 vaccine observed in Australia in the
– so does the need for individual and susceptible to infection. ‘Recent events in Victoria have
people contacting their GPs about what He reinforced comments by AMA 50-59 years age group than reported internationally and
collective immunity increase. As doctors, demonstrated how rapidly outbreaks can spread despite
to do. Many of those seeking advice are we have unique relationships with our President Dr Omar Khorshid on Friday, initially estimated in Australia.
intensive contact tracing and public health action. As at 16
those aged between 50 and 60 who have patients, and we can capitalise on these 18 June, that the announcement by the For those aged 60 years and above, the individual benefits
June 2021, 63 per cent of Australians aged 70 years and older
received their first AstraZeneca, and relationships to answer questions and Minister for Health, Greg Hunt, would of receiving a COVID-19 vaccine are greater than in younger
who want to know if they should receive and 25 per cent of those aged 18 years and older had received
allay fears. allow GPs to spend more time with people. The risks of severe outcomes with COVID-19 increase
the second. at least one dose of a COVID-19 vaccine.’
‘In the coming months, discussions patients to ensure that they were aware of with age and are particularly high in older unvaccinated
Dr Moy says the impact on general all the benefits of a COVID-19 vaccination, individuals. The benefit of vaccination in preventing
about vaccine passports or certificates Risk of TTS from AstraZeneca dose2
practitioners (GPs) and their practice will become more common, for leaving and boost confidence in the vaccine. COVID-19 with COVID-19 Vaccine AstraZeneca outweighs the
staff has been ‘immense’. But he says the Australia for particular countries, for Dr Khorshid said he had been raising risk of TTS in this age group and underpins its ongoing use in Estimated risk of TTS per 100,000
Age
change has reinforced the role of GPs booking flights in and out, and for the need for doctors to spend more time this age group. AstraZeneca vaccine doses (first dose)
in supporting patients throughout the determining necessary quarantine with patients with the Prime Minister ATAGI advice recommends that people of any age without
ACCOLADES
PRESIDENT’S MEDICAL
LEADER AWARD
In the spotlight – DR HANNAH SZEWCZYK
“ Our next award – the President’s
Medical Leader Award – is for
demonstrating leadership among their
The 2021 AMA(SA) Gala Dinner was medical peers.
a different, but no less memorable, This year, it goes to a person who has
‘night of nights’. really stood up to support her peers
at a point in her career when many
simply keep their head down. She has
been a voice for those with limited
influence in the hospital system and,
in a calm, committed way, has spoken
T
truth to power and effected significant
he COVID-19 pandemic triggered outward looking
transformation in the treatment of
a dramatic change in format and modern, but AMA(SA) CEO Dr Samantha Mead, President Dr Michelle Atchison and Executive Assistant
AMA(SA) award winners Dr Danny Byrne, Assoc Prof Rosalie doctors in training.
for the AMA(SA) Gala Dinner. in a way that was Mrs Claudia Baccanello, with Deputy Premier Vickie Chapman and Health and Wellbeing
Grivell, Dr Hannah Szewczyk and Mrs Claudia Baccanello Though only in the early stages of her
But with ABC 7.30 presenter inclusive, welcoming Minister Stephen Wade
medical career, the recipient has served
Leigh Sales as guest speaker, and the and approachable, in a range of key leadership roles for
handing over of the presidency from that would respect the achievements the AMA(SA), rebuilding the almost She is a consultant obstetrician
Dr Chris Moy to Dr Michelle Atchison, of our past, but also connect this with inactive Doctors in Training Committee and maternal fetal medicine
as highlights, the sold-out event at the the energy and spirit of our future: to become an engaged group that subspecialist at Flinders Medical
Adelaide Town Hall on 22 May was as our younger upcoming doctors and Centre and Matthew Flinders Fellow
continues to grow and exert its influence
successful as any Broadway-like song- medical students. in Maternal Fetal Medicine at
within the health system and the AMA,
and-dance production. ‘I got to realise that being calculating Flinders University.
in this state and federally.
Ms Sales gave a thought-provoking about achievement is a hollow path. As Director of the Medical
Her role in supporting and driving
picture of the heart-wrenching There is no fun in just notching up wins. Program for the College of Medicine
change in the experience of doctors
interviews undertaken for her best- The real satisfaction and joy was in the and Public Health at Flinders, she
in training was pivotal – especially
selling book Any Ordinary Day, and journey, and in having the good fortune provides academic leadership in
in managing the Doctors in Training
the resilience required of people such to cross paths and work with the good inspiring and innovative teaching
Hospital Health Check Survey (that)
as Stuart Diver to overcome personal people that I was privileged to meet along and her research interests focus
contributed to the important changes
tragedy. MC Neil Cross of the ABC then the way.’ on clinical research in high-risk
achieved from that Summit.
quizzed Ms Sales about what she has A major feature of the evening was pregnancy, systematic reviews
She has served on Federal Council
learned, and whether she would do the presentation of the 2020 AMA(SA) and meta-analysis and the use of
this year and she is an active member
her job differently, now she has more Awards, with recipients chosen in the clinical data to improve health
understanding of the people thrust into final weeks of Dr Moy’s presidency.
of the AMA Equity Inclusion and
outcomes. She was instrumental in AMA(SA) Outstanding
Diversity Committee.
the media’s glare. Dr Moy’s citations included the positively bringing together teaching Achievement Award –
She has been outstanding in her
Outgoing President Dr Chris Moy following remarks. at Flinders Medical School after a
contributions and leadership and she Mrs Claudia Baccanello
offered some thoughts for his audience very difficult period, and guided the
AMA(SA) MEDICAL EDUCATOR South Australia’s Chief Public Health has done this with genuine humility
“
as he reflected on a term of unpredictable program as the pandemic brought so
AWARD – DR DANNY BYRNE Officer Prof Nicola Spurrier and in a manner that always has been The AMA(SA) Outstanding Achievement
challenges and health-related headlines. many changes.
“ ”
inclusive and approachable. Award is presented to an individual for an
‘Two years ago, some of you may The 2020 recipient of the AMA(SA) It’s also symbolic of his passion She has received a number of
remember that I stood here admitting Medical Educator Award has had a AMA(SA) AWARD FOR professional awards and outstanding contribution to AMA(SA) and, as
for supporting GPs. He is a skilled
that I’d been reluctant in taking up this life-long professional commitment communicator, teaching across a OUTSTANDING CONTRIBUTION scholarships but her role in the such, is not presented every year.
”
job,’ Dr Moy said. ‘But, if I was going to do to teaching undergraduate and range of topics from digital health TO MEDICINE – ASSOCIATE abortion debate was a test of mettle. However, the committee was unanimous in
it, I was going to do my best to focus on post-graduate medical students, GP to dermatology. PROFESSOR ROSALIE GRIVELL deciding on a recipient of this award.
“
moving the organisation to become more colleagues and international Medical He’s recognised as a fabulous The winner of the 2021 award for her This individual has been not only the face
Graduates, and has hosted students in team player – in his own practice outstanding contribution to medicine is of the AMA(SA) for over 15 years, but also
GP placements since 1995. and in the various collaborative someone (who took on) a role previously displayed the genuine loyalty, commitment,
This springs from a passion for iterations of Commonwealth-funded unknown to her as she presented decency and humility to which we all aspire.
general practice and a desire to share its GP organisations. evidence-based reason about the For my part, and I suspect every other
secrets and delights – particularly the He’s also very involved in supporting plight of women to advocate calmly yet
president in recent times, this individual
longitudinal relationship with patients international graduates to obtain GP powerfully for the long overdue overhaul
and their families – to new generations has been the one who has held us together
Fellowship, helping them safely practice of South Australia’s abortion laws.
of doctors. Her capacity to present her through our official exploits, and also the one
medicine in rural and remote areas and
Nearly every GP who has come navigate the even stranger cultural and knowledge and experience in her field to gently remind us of the little courtesies
through the GP training program in bureaucratic terrain of the Australian in the face of passionately held views that make the difference in maintaining
SA knows him. Perhaps that’s because health system. helped move South Australian policy good relationships.
humor and humility is a trademark of Most importantly, he is the most from the realm of criminal law to health More importantly, this much-loved person
his teaching. Certainly, those who saw recognised GP in SA in being the Chair policy. She responded to calls for advice embodies the values of the AMA and has,
him appear as Iron Man at the RACGP of the SA/NT Faculty of the RACGP for at all hours of the day and night as the for all the time that I can remember, been its
”
Conference to present on iron infusions many years. And, on a personal level, Termination of Pregnancy Bill 2020 memory and its heart and soul.
”
Gala Dinner guest speaker Leigh Sales AM will never forget it. he’s been an inspiring colleague. was debated. MC Neil Cross
16 | medicSA medicSA | 17
???????????? LEADERSHIP
It is shocking that we still have to have
conversations about gender diversity in
our profession – but it is clear from the
representation in this room, and in AMA
committees, that the times are changing.
Developing leadership in our new
career doctors is a particular passion of
mine, and I am looking forward to using
this platform to help the next generation
of doctors consider opportunities to lead
in the many different spheres that exist
within health workplaces and networks.
I am pleased and proud to be President
of the AMA in South Australia. This is an
organisation that in the past 18 months
alone has:
• hosted a Culture and Bullying Summit
that has directly led to legislative
reform, placing responsibility for the
safety of health workers with Local
Health Network Boards
• had a direct impact on conversations,
debate and legislative proposals
AMA(SA) President Dr Michelle Atchison addressing the AMA(SA) Gala Dinner audience Outgoing President Dr Chris Moy presents Dr Atchison with the President’s Medal that have to the long-overdue
decriminalisation of termination of
I love travel (sigh), reading and This means working with government
Stepping up, speaking out
pregnancy in this state
watching science fiction, playing bridge to ensure clinicians’ knowledge and • had a direct impact on the wording of
and I have a second degree in shopping, as experience are included in planning an amendment to proposed Voluntary
my husband may attend to! processes, and that our predictions for Assisted Dying legislation that
I am, like Chris, a passionate supporter future demand are addressed.
As Chair of the AMA(SA) Council, Dr Michelle Atchison insisted on acknowledging Country in provides additional – and possibly
of the Adelaide Crows. And I have an I will advocate for the issues facing unique – protections for doctors and
the Kaurna language. In repeating the acknowledgement to begin her first public speech as abiding love of the visual arts; if I had my members and healthcare across South patients, and
President, Dr Atchison set the scene for a sensitive, inclusive and insightful presidency. career again, I would be buying art for Australia including in both the public • has argued and campaigned for and
medical rooms or travelling the galleries and private systems – and with the
I
ultimately directly led to many of the
“
of the world. understanding that while each has its
t makes me very happy to be able and the public, and reinforced the good Growing up in the Adelaide Hills, and policies and conditions to help us as
I’ve never regretted my career choice. issues, the problems of one have direct and
to stand here – in person! – to greet relationships with government and other going to the local high school (when my doctors to help our patients throughout
But I have had reason to despair at a indirect ramifications for the other, and
you and thank you for the support organisations that built on the excellent father taught art at Pembroke), has given one of the most difficult, prolonged
society that continues to stigmatise for our whole health system.
I’ve received coming into this work of our previous President, Associate me a great life experience across friends periods of health distress in our
and dehumanise people with mental I will be the voice and face of an
important position. Professor William Tam. who left in Year 10 to work on farms, to health issues in a way that people nation’s history.
It is especially important that I have AMA(SA) that – in being the only I could not be prouder of this
I can only promise to do my best to fill fellow students who went on to medicine. with other health issues are not
this opportunity to publicly thank his very big shoes. organisation for all South Australian organisation and its members, who
I think this has helped me in psychiatry to discriminated against.
outgoing President Dr Chris Moy for all he Many of you know me through our doctors – must be involved in, must have worked so hard for patients and
understand people from all walks of life. I have seen the impacts of a health
has done for the AMA, for our members professional dealings or through my monitor and must respond to the many communities,and in doing so have
I studied medicine at Flinders, where I system that cannot manage the number
and for all South Australians, as President position as Vice President and in other decisions that are yet to be made, as we engendered, renewed and reinforced the
took advantage of its innovative program and needs of mental health patients.
of the AMA in South Australia. AMA and College of Psychiatrists’ roles. remain in, and then emerge from, the community trust in our profession.
structure at the time and included studies I have attempted to help people who feel
It’s rare – perhaps unknown – to have For those who don’t, though, a little pandemic. These are decisions that affect I will continue the legacy of Chris and
in visual arts and Spanish alongside overwhelmed by their illness when there
an AMA President in this state who has about myself. each of us as doctors, business owners, those before him, and be an independent
genetics and cell structure. has often been an apparent unwillingness
literally become a household name; whose I am a psychiatrist who has worked of others to understand and help. patients and carers. voice of reason in advocating for better
After graduation, I interned at the
voice and face are recognised and known. in private practice in the inner suburbs I have already stepped into the On a drier note, I look forward to healthcare, better services, and better
RAH – and quickly gained a very different
That profile has come because of Chris’s for nearly 25 years. I specialise in the discussion on our fracturing mental continuing the work that is underway outcomes for our patients and for those
picture of the health system than the one I
willingness to speak clearly, openly and treatment of psychological trauma, health services, and you will see and with our CEO Dr Samantha Mead and our who need our voice.
was exposed to during my student years.
often about the health issues that have including the trauma of veterans of hear me speaking on these issues, as Board to change our constitution, so the I will be accessible – to government, to
been so prevalent – in fact, all-consuming armed conflicts. WHY PSYCHIATRY? your president. AMA in this state has a foundation from media, to members who, when asking who
– during his presidency. I am married, and share a practice with, Psychiatry gave me my ‘ah ha’ moment But improving outcomes for South which to make strong, evidence-informed can answer a medical question or clarify a
Policymakers, the media, the public my husband Barry, and have a grown-up in medical training with great mentors Australians with mental health issues decisions about the issues that confront health policy, thinks first of the AMA.
who call into his regular session on ABC daughter (both of whom I’ll thank now for at Flinders Medical Centre. It has been is only one of my priorities. I will be us today and will confront us tomorrow. I will be asking you to help me – to
radio every Saturday morning – they all past and future patience and support!). a great career for work-life balance, and leading AMA(SA) efforts to guarantee And so our Council and our AMA is inform me, or other Councillors or the
know that they will receive information I grew up in a very non-medical family I have never felt discriminated against that clinicians have appropriate input reconfigured to encourage junior doctors Secretariat, of the problems that reduce
from the voice of the AMA that they can of artists. My father was well known as for being a woman in medicine in into planning for the new Women’s – male and female, recent students and access to care, or affect the quality of care.
understand and trust. the editorial cartoonist for The Advertiser this profession. and Children’s Hospital – and that the those with years of experience – to be My profession has taught me to listen
Thank you, Chris, for leaving AMA(SA) for nearly 40 years. It was always a great But my husband is also a psychiatrist, health needs of some of our state’s most involved in our advocacy and hopefully carefully, but it has also taught me when
in such good shape. You have raised the surprise to my parents that they ended up so our poor daughter has had to grow up vulnerable people are met while we wait look at representing their peers at a it is time to stand up and act.
”
profile of our organisation with doctors with a doctor and a lawyer (my sister). with a life of ‘don’t analyse me!’. for that hospital to open. leadership level. Thank you.
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