December 2023 - December 2024
President’s Message

President’s Message

Hello Colleagues,

A lot has happened since my last update in September. In the last few months I’ve attended Divisional events in Queensland and New Zealand, and represented the Society at the 56th Conference of the AAG on the Gold Coast, contributing to a session on frailty as part of the AAG President’s Symposium. 

The Queensland Division’s Weekend once again delivered a great balance of educational content with opportunities for networking in a relaxed and collegiate environment.  The New Zealand Division hosted an outstanding retreat over three days at the end of October in the beautiful city of Napier on Hawke’s Bay.  It was wonderful to meet members of the New Zealand Division and to speak with President of the British Geriatric Society Professor Adam Gordon; Professor Gordon’s keynote presentation on some of the current challenges facing the NHS and the effect this is having on older people in the UK was eye-opening.  I urge you to take the time to look at the rundown of the NZ Retreat in this newsletter.  Although I wasn’t able to attend the Victorian Division’s Peer Review Weekend this year, I heard very positive reports about it and hope to make it in 2024. 

It was a pleasure to meet recently with ANZSGM Council in Sydney, our first face-to-face meeting since the Annual Scientific Meeting in Brisbane in May.  The Council welcomed two new Advanced Trainee members, Hayley Chen and Alexandra La Hood – we look forward to their contributions on Council and thank Sok Shin Yap, the outgoing Advanced Trainee Representative. 

The in-person format of the meeting allowed us to run two important workshops in addition to the usual Council business agenda.  One was a governance workshop.  Now that the Society is legally registered as a Company Limited by Guarantee, the ANZSGM Council in effect becomes the Board of Directors, under the regulatory oversight of ASIC.  It is therefore critical that ANZSGM Councillors understand their duties and legal obligations, and are comfortable with contemporary standards of governance. While I know many members of the Society have some experience with governance of organisations, I think it’s fair to say that corporate governance is not our primary skillset as a profession.  In the past we’ve perhaps not given this aspect of the Society’s operations the emphasis it is due; in the interests of transparency and fairness we need to ensure that members who volunteer to take on roles representing the Society know what they are signing up for! Going forward we will use some of the materials from the workshop to build a repository of training resources for members of Council and other Society bodies.

The second workshop focused on advocacy priorities for the next 12 months.  For the first time ever we brought representatives of the six Division committees (including five of the six Division Presidents) together with Council for a discussion on the strategic direction of Society.  I suspect most members’ experience of the Society is defined in large part by the Division to which they belong, and much of health care and aged care delivery across our two nations is dominated by the local context; it is essential therefore that the Society’s advocacy agenda incorporates the voices of the Divisions.  It was a fruitful session with a lot of robust discussion, producing a shortlist of themes including dementia care, equity, healthy ageing and aged care funding.  We will undertake some further work on these areas to determine how we can best employ the Society’s resources to achieve better outcomes for older people and raise the profile of geriatric medicine. 

Speaking of dementia, you will no doubt be aware of the changing landscape of pharmacotherapy for Alzheimer’s Disease with the emergence of ‘amyloid-busting’ immunotherapies.  United States FDA approval of aducanumab and more recently lecanemab (with a third agent potentially on the way) has been met with controversy.  Proponents argue these novel therapies represent the first real hope for modifying the course of the disease; however, questions remain as to their safety and practicality, and many remain unconvinced about their efficacy.  Recently I was sent this webinar from the Alzheimer International Society, which presents a series of critical perspectives on the new anti-amyloid drugs.  If you have the time, it’s worth a watch – it certainly raises a number of interesting questions.  Dementia is such an important issue for older people and society at large.  Across Australia and New Zealand geriatricians provide most of the specialist medical care for dementia.  It’s critical we get dementia care right; our Dementia Care Special Interest Group aims to keep dementia at the front and centre of the Society’s work.

If you are thinking ahead about professional development opportunities in 2024, be aware that registrations have now opened for the ANZSGM ASM in Christchurch, 22 – 24 May.  Why not register now and take advantage of early bird rates? 

In closing I want to wish members a happy holiday season and a peaceful start to the New Year.  Thank you to everyone who’s contributed to the output of the Society over the last year, especially Council, Committee, SIG and Division members, and a big thank you to our staff, Alison King, Jo Dunlop, Jean Hannan and Lucinda Maloney.  For those taking leave over the next month or so, enjoy your down-time with family and friends – I hope it gives you the opportunity to reset and restore.  

Best Wishes

Rob O’Sullivan

ANZSGM Welcome’s New Members

ANZSGM Welcome’s New Members

The Society welcomes the following new members who were endorsed at the Council meetings on 9 October and 4 December 2023:

New Zealand
Maria Kennestad (Full)
Anouk ter Heide (Full)
Kirsten Wadsworth (Associate)
Yuri Kim (Full)
Kiri Diack (AT)

Queensland
Nicholas Bieputra (AT)
Ranawaka Sandali De Alwis (AT)
Roshanne House (AT)
Mohammed Khateeb (Full)
Nishi Khetani (AT)
Aik Zuan Low (AT)
Mohamad Rhymie Bin Mohamed Yusoff (AT)
Kate Raine (AT)

South Australia 
Vijia Sivanasan (Full)
 
Victoria
Riana John (AT)
Deeksha Sangars (Full)
Gayathiri Wang (AT)
Aidan  Martinelli (AT)
Edward Adi Pranoto (AT)

Western Australia
Baldeep Badeshae (Full)
Laura Yoxon (AT)
Irwin Kashani (AT)

NSW
Fathima Youzra Mohamed Saleem (AT)
Thusitha Muhandiram (AT)

Dr John Ward named 2024 NSW Senior Australian of the Year

Dr John Ward named 2024 NSW Senior Australian of the Year

ANZSGM congratulates Dr John Ward, Geriatrician and co-founder, Hunter Ageing Alliance who has been named 2024 NSW Senior Australian  of the Year. 

John has devoted his life to providing outstanding medical care for disadvantaged people and ageing Australians – often at personal cost and with little recognition. 

As director of the Prison Medical Service, he provided care to inmates – despite few resources – and advocated for prison reform to protect this vulnerable group. 

Focusing on geriatric medicine and aged care since the mid-1980s, he advocates for older Australians and the importance of social determinants of health such as social connection, exercise and accessible environments. 

His integrated, collaborative approach to dementia care for patients and their carers has made the Hunter region a leader in this field. 

John also co-founded the Hunter Ageing Alliance, which calls for governments, businesses and organisations to better focus on older people’s needs. The organisation has eight programs in planning or implementation stage to create age-friendly communities, tackle elder abuse and end social isolation of older people. 

Image courtesy: Australian of the Year Awards

Study: the experiences and perspectives of Geriatricians on Advance Care Planning.

Study: the experiences and perspectives of Geriatricians on Advance Care Planning.

ANZSGM Members are invited to take part in a research study into looking at the experiences and perspectives of Geriatricians on Advance Care Planning.

The study is being conducted by Dr Cathy Zheng, Advanced Trainee in Geriatric Medicine, for her Advanced Trainee research project. She is supervised by Dr Andrew Emerson and Dr Daniel Simpkins, Geriatricians working in Sydney.

Advance Care Planning has been a topical subject in recent years, with a multitude of studies examining both physician participant perspectives, with emerging interest in patients with dementia and frailty. Geriatricians have a wealth of experience in addressing end of life issues, however, appear to be underrepresented in the literature. The aim of our study is to explore and encapsulate the experiences and opinions of Geriatricians about Advance Care Planning.

Learn more through this participant information sheet.

For more information contact Cathy Zheng on cathychufan.zheng@health.nsw.gov.au 

Image courtesy RACGP

ANZSGM Victorian Division Peer Review Weekend

ANZSGM Victorian Division Peer Review Weekend

Anjali Khushu

After four long years the much awaited Victorian Division Peer Review Weekend was held in the scenic surrounds of the Portsea Golf Resort on 21-22 October 2023.

By all measures, the event was a resounding success. Around 67 delegates attended (including interstate visitors- thank you Vasi and P’ouli), all speakers turned up, the program went according to plan and the weather held up!

The theme for the weekend – ‘Physician, Heal thyself’, was novel but very contextual. It resonated with all the delegates. We had four excellent speakers who addressed different aspects of well being- practicing mindfulness, looking out for our teams and higher level organisational approach to address physician well being.

The audience was left with much food for thought, but also actionable ideas to incorporate and implement in our daily work/life schedule. There was an acknowledgement of the fact that well being of health care workers is critical to a sustainable health care system and that it has to be the collective responsibility of the employers and the employees.

Outside of the formal sessions delegates enjoyed yoga and meditation sessions, wine tasting at a local boutique winery, leisurely walks and an afternoon at the Alba hot springs.

Jonathan Mariott’s Trivia Quiz accompanying the Saturday night dinner is always a much awaited feature of the peer review weekends – and as always, it was a highlight of the weekend. There was a broad range of questions-ranging from expose’s to questions on film and sports celebrities, travel, cartoon characters etc. It needs to be documented that the table that won the quiz had two young boys on it and I am given to believe that they were instrumental in their teams victory. Well done young men!

All delegates left rejuvenated, having refreshed old connections and forged new ones. There was a unique sense of bonding after our collective burnout and trauma through the pandemic.

There were also some very tangible outcomes- suggestions have been put forward that all divisions of the ANZSGM dedicate one session to well being at their respective division meetings and there  were also suggestions for consideration of a position statement by the ANZSGM on physician well being. We hope that the weekend marks the start of an important conversation that needs to be had.

Lastly, I would like to acknowledge the efforts of many people who contributed to the success weekend- the team at Peninsula Health, the Victorian and Federal division of the ANZSGM and  administrative assistance from Lucinda and Paula.

Image Courtesy Anjali Khusha

ANZSGM New Zealand Retreat

ANZSGM New Zealand Retreat

By Victoria Gibson

October brought the annual ANZSGM retreat to sunny Hawkes Bay, New Zealand. The weather really delivered, treating delegates to warm 25 degree sunshine throughout the three days. Over 120 delegates from Australia and New Zealand convened to hear an array of excellent talks on a variety of topics, including updates in renal medicine and dermatology in the older person, perioperative care, movement disorders, the MANA tool, and equity challenges in Maori.

A particular highlight was bringing together our keynote speakers from the UK, Australia and New Zealand, to explore the challenges facing healthcare of older person’s across the globe. Whilst it was reassuring that similar challenges were faced universally, it was also uplifting to share new ideas, and ways of working to overcome these challenges.

Heartfelt talks by the Clinical Nurse Specialists in Hawkes Bay on the devastating impact of the cyclone, and Professor Adam Gordon’s talk on the catastrophic impact of COVID on the UK, had a profound effect on the room, leading to discussions for days to come.

The organising committee wish to thank all our speakers, particularly our keynote speakers Professor Adam Gordon, Professor Vasi Naganthan, and Professor Ruth Hubbard for travelling great distances, and for their invaluable perspectives.

We also wish to thank the incredible delegates. It was uplifting to see so many compassionate people in one room, all striving to improve the care of older people. Your engagement with the speakers and each other throughout was exceptional, and really made the retreat what it was – thank you.

10 Questions to Ask

10 Questions to Ask

10 Questions to Ask is a series of leaflets written by nurses, doctors and experts with experience in aged care. Each leaflet focuses on an individual aspect of care to increase consumer knowledge and make the journey into residential aged care easier.

The project brings resources together in easily accessible leaflets that are endorsed by a number of credible professional and advocacy organisations including ANZSGM. 

The leaflets are useful when looking for a residential aged care facility, reviewing the quality of an aged care facility or making a decision between two similar facilities. They cover a wide range of topic areas such as  staffing, palliative care, contracts and fees, cultural needs and dementia care. 

The 10 Questions website is an excellent resource for your patients and their families to learn about residential aged care. Visit the website to find out more.

Welcome to the Healthy Ageing Toolkit

Welcome to the Healthy Ageing Toolkit

Healthy Ageing Toolkit (cepar.edu.au) is a website operated by the ARC Centre of Excellence in Population Ageing Research (CEPAR) and the University of New South Wales (UNSW Sydney) (collectively CEPAR). 

A searchable cohort information repositor that includes information about ageing cohort studies across the globe (n=287), the Healthy Ageing Toolkit is designed to support the study of healthy ageing and its trajectories, as well as inequities in healthy ageing.

 

The Healthy Ageing Toolkit is a free public resource and designed to:

  • help researchers quickly and easily find key information on cohort studies that include their measurements of interest, with the goal of facilitating multi-cohort research and promoting the use of available data; and
  • provide guidance on data collection gaps that can underpin efforts, including policies, concrete actions and planning, and funding to increase data collection in geographical regions with no or limited population-based longitudinal cohort studies.

Finding longitudinal cohort studies with relevant sets of measurements on intrinsic capacity and physical, social, and environmental factors related to ageing is a challenging and time-consuming step for any Public Health and Epidemiological research, which the Toolkit can facilitate. 

Through the Toolkit dashboard, researchers will easily be able to find a list of cohort studies from different geographical regions with relevant healthy ageing measures for their research question of interest. The Toolkit can help to power research to promote healthy ageing and reduce healthy ageing inequities.

 

WHO releases special journal issue on measuring healthy ageing

WHO releases special journal issue on measuring healthy ageing

WHO, in collaboration with Age and Ageing, the journal of the British Geriatrics Society, has released a Special Issue on Measurements of Healthy Ageing. This Special Issue brings together the work of international professionals and experts from over 40 academic institutions to identify the best available tools to measure what truly matters to older people – their intrinsic capacity and functional ability.

Read the article here.

Image courtesy WHO

ANZCA Perioperative Medicine Update

ANZCA Perioperative Medicine Update

By ANZCA

Read ANZCA’s latest perioperative medicine update on the ANZCA website, which includes a link to the most recent Perioperative Medicine Communique

A new Chapter of Perioperative Medicine is being formed within ANZCA, and 2024 enrolments are now open for the ANZCA Course in Perioperative Medicine (formerly referred to as the Diploma of Perioperative Medicine). 

ANZCA’s Standards for Perioperative Medicine have been released for a six-month pilot period ending in June 2024. These standards are intended to apply to all medical practitioners whose practice falls within the scope of perioperative medicine.  

AHPRA News for Medical Practitioners

AHPRA News for Medical Practitioners

By AHPRA

Read the latest news from the Medical Board of Australia in the AHPRA December Newsletter

Private Geriatric Medical Practice For Sale – Central Coast NSW Australia

Private Geriatric Medical Practice For Sale – Central Coast NSW Australia

Established over 14 years ago this Private Practice operates in an ultra modern private hospital facility/high tech rooms and generates an exceptional income from inpatients, outpatients rooms consults, and home visits.

Systems have been very well established allowing the owner to have a great work-life balance and take seven weeks holiday per annum. Very low overheads. The opportunity will suit one or two geriatricians and produce an excellent income for one or both. The lifestyle the vendor has opted for has left plenty of scope for further revenue generation.

Location

  • Located close to the best Central Coast Beaches
  • Significantly lower house prices than the major cities
  • Beaches, waterways and secluded acreages abound 1 hour from Sydney’s Northern Beaches
  • 1 hour from the stunning wineries of the Hunter Valley
  • Relaxed lifestyle
  • Fantastic Income (from a 5 day working week) Demonstrable opportunities for additional income Multiple referral streams Opportunity to continue to use current ‘brand’ name.

Excellent IT setup and security with local support with new File Server purchased FY2023.

Terms of settlement

  • This practice is so well setup that a buyer(s) can literally walk in and start admitting patients.
  • Full admin and nursing support is already in place.
  • It is unlikely that a better opportunity exists in Private Practice in this field in Australia.
  • The owner is considering retirement and will retire if the right buyer(s) can be found. The successful buyer(s) will be able to demonstrate an empathetic nature and a genuine interest in the care of aged patients. All current and future patient details will be made available along with introductions to the wide range of referrers who direct patients to the practice.

Closing Statement
This really is a brilliant opportunity for a number of different people, available for less than one years income to working owner. You may be working under the pressure and restrictions of the Public Hospital system and on the lookout for a brighter future. Alternatively you may already be working in Private Practice and not be earning to your full potential as a result of the costs of running your practice. A very detailed information memorandum will be provided to qualified prospective buyers. Buyers will have over 6 months to complete purchase if required.

Asking Price
The goodwill and assets of the business are available for sale for $595,000 

Contact Nick Wolski nick@xcllusive.com.au, Phone 0402460078

Job Alert

Job Alert

Consultant Geriatrician
Part time
Maribyrnong and St Albans, Victoria
Application: Via email with cover letter and cv
Closing date: ongoing
Position description
Website
Contact: Trung Quach via 0423 702 887 or tquach78@gmail.com
Listed:12/12/2023

General Medicine Physician
Permanent Full time
Hawkes Bay, New Zealand
Application: Via website
Closing date: 20/12/23
Position description
Position Reference number: HAW07109
Contact: Rachel Leigh, Head of Department, Acute Medicine via email at Rachel.Leigh@hbdhb.govt.nz
Listed: 23/11/2023