September 2022 - September 2024
President’s Message

President’s Message

Hello Colleagues,

As we move into spring it seems that for many of us life and work is returning to a more normal pattern, following the demands and pressures placed on us by the COVID pandemic. I have been chuffed to receive  ’out-of-office’ email replies when I have tried to contact various colleagues in recent weeks, especially heads of departments. A good sign that people are finally taking a break.

Since my last message in July, a real highlight was attending the ANZSGM Queensland Division meeting in Brisbane in person. It was a real joy to be in a room with geriatricians, talking face-to-face and hearing about their impressive achievements in the last 10 years. Have a read of Shaun Pandy’s article in this newsletter about how the Queensland Division were able to increase the number of trainees in Geriatric Medicine within a short-time frame. Benny Katz and team did the same in Victoria a few years ago. Attending the meeting reminded me about the value of sharing ideas about the way we practice, on models of care and how we see things in the future. ANZSGM’s core activity is to help with this. After having some great chats with the next generation of leaders I returned from the meeting inspired and optimistic about the future. Mind you being the President was no protection from receiving a good old-fashioned roasting during the light-hearted debate – trust me we have geriatricians with great oratory skills!

In the next few weeks South Australia and New Zealand will hold their face-to-face meetings  – another good sign that things are returning to normal.

I attended the Australian and New Zealand Society for Sarcopenia and Frailty research meeting (virtually). I heard impressive and informative talks by geriatricians includeding Andrea Maier, Renuka Visvanathan, Sarah Hilmer, Sue  Kurrle, Maria Fiatarone Singh, Rob O’Sullivan and Benignus Logan.

We are delighted by the news that Professor Ruth Hubbard (University of Queensland) was successful in obtaining a NHMRC Centre of Research Excellence (CRE) Grant that will focus on improving hospital outcomes for frail patients across different disciplines. Professors of Geriatric Medicine, Sarah Hilmer (University of Sydney) and Christopher Etherton- Beer (University of Western Australia) are coinvestigators on the CRE. The previous frailty related CRE was also led by a geriatrician, Renuka Visvanathan (University of Adelaide) – have a look at the website. We also congratulate Professor Richard Lindley (Geriatrician at University of Sydney) who was successful in this CRE round and will establish A Centre of Research Excellence to Accelerate Stroke Trial Innovation and Translation. Read more about the CREs in this newsletter.

In more member news, we congratulate Renuka Visvanathan – Professor of Geriatric Medicine at the University of Adelaide – who has been recognised by the UN amongst fifty individuals from around the world as part of the first ever Healthy Ageing 50: leaders transforming the world to be a better place to grow older.

With the change of Federal Government in Australia and overhaul of the New Zealand Health structure, ANZSGM Council and subcommittees are building strategies around the best way to influence policy. The Out of Hospital Care Special Interest Group had their first meeting on 10 August. It is likely what the group will have four working groups focusing on models of care, education, minimum dataset and advocacy. We will be asking for people to put their hands up to lead these groups.

Finally, now that life is returning to ‘normal’ more frequent  face-to-face meetings will start to happen. Rob O’ Sullivan (President-Elect), Alison King (our Executive officer) and I look forward to seeing more of you in person and hearing your views on the society’s activities.

Vasi  Naganathan

ANZSGM Welcomes New Members

ANZSGM Welcomes New Members

The Society welcomes the following new members who were endorsed at the Council meeting on 15 August 2022:

NSW
Olivia Flynn (AT)
Jessica Young (AT)

Victoria
Vanisri Muniandy (Full)

Queensland
Navin Mathew
Sarah Wood (AT)
Kyle Wren (AT)

Western Australia
Jubin Bhatt (AT)

New Zealand
Alaranji Ghassan (AT)
John Davison (Full)
Kate Kerse (AT)

ANZSGM New Zealand Retreat

ANZSGM New Zealand Retreat

 

The Growth of Geriatric Medicine Advanced Training in Queensland

The Growth of Geriatric Medicine Advanced Training in Queensland

By Dr Shaun Pandy

The recent celebration of our 10th ANZSGM Queensland Branch Educational Weekend, attended by the ANZSGM President Professor Vasi Naganathan, was an opportunity to reflect on the growth of Geriatric Medicine Advanced Training in Queensland.

Queensland Geriatric Medicine Advanced Training (QGMAT), under the stewardship of myself, Dr Lucy Dakin and Margaret Morton (Medical Education Officer) has grown from just 8 Advanced Trainees at 2 training sites in 2010 to the projected 45 trainees at 14 sites across the length of the state for 2023. The flourishing of Advanced Training in Queensland is due to the great support of many associated organizations, colleagues and health professionals.  Our focus has been on both the clinical, research and professional development of our trainees as well as their wellbeing and building upon the already established, very collaborative, Queensland Geriatric Medicine Community.

In 2010, our training program began with a weekly educational video conference between the trainees at The Prince Charles Hospital and the Princess Alexandra Hospital.  With the advocacy and ongoing guidance of the then Chair of the Queensland Older Person’s network, Associate Professor Paul Varghese, Dr Elizabeth Whiting and Dr Catherine Yelland, funding was granted by Queensland Health for the establishment of the program.

Dr Lucy Dakin and I became committee members of ANZSGM’s Geriatric Medicine Education and Training committee. Lucy went on to join the RACP’s Geriatric Medicine Advanced Training Committee, where she has just completed her term as chair. We had great mentoring from Victorian Geriatric Medicine Training Program’s founder Assistant Professor Benny Katz, which included a couple of trips to visit the program in Melbourne.

We have benefitted from the collegiality and collaboration from the Directors of Geriatric Medicine across the Queensland Hospital and Health Services. Our well established annual calendar includes recruitment and placement planning meetings, recruitment and information seminars and selection.

As the QGMAT representatives, Dr Dakin and I have seats on the Queensland branch ANZSGM committee. We, along with Margaret Morton, are the conveners of the annual education weekend, which is one of the highlights on the calendar.

Our weekly education sessions have featured presenters from Geriatric Medicine across Australia, as well as subspecialty and multidisciplinary colleagues generously giving of their time and expertise.

The Advanced trainees have both metropolitan and regional representatives, who share seats on the Queensland branch ANZSGM committee and education week organizing committee. Margaret Morton, fosters a professional relationship with each trainee to discuss their training, career plans and assists in building their portfolios.

We are continuing to develop our research network, with the development of an ‘Academic Track’, established by Professor Ruth Hubbard ( the Princess Alexandra Hospital) and includes the support of Professor Eddy Strivens (Cairns Base Hospital) and Dr Eamonn Eeles. This culminates in the Queensland Advanced Training Research presentation prize which occurs in the weeks leading up to the ANZSGM ASM.

We are grateful to all the support that we have received and aim to continue to improve our program.

Image courtesy Alison King:  Attendees at the 10th ANZSGM Queensland Branch Educational Weekend 

Member profile: Krishna Kalpurath

Member profile: Krishna Kalpurath

Dr Krishna Kalpurath  left India during a period of long service leave to work for a year in Alice Springs Hospital. Twenty years later he has built a life in Launceston. 

What is your current role?
I am an Australian trained geriatric and general physician working as a staff specialist in North-West Tasmania. I also work in the private sector with Calvary St.Luke’s Launceston and I teach medical students as a senior clinical lecturer in UTAS. I am a PI for the AdNet registry and an active gut micro biome researcher.

When did you arrive in Australia and where did you first live and work?
We arrived in Australia in 2002. Before we left India I was working in the Public Health Service with the Government of India as a gazetted officer .I took long service leave for one year and was planning to work for one year as a registrar at Alice Springs Hospital . I fell in love with the lifestyle where you could switch off on the weekend when you are not on call and I never went back. I had moved with my wife and 10 year old son and was initially very apprehensive. This was a time when Australia was not a preferred destination for Indian doctors. I worked in many roles including ICU registrar and flew retrievals with the Royal Flying Doctor Service.

At what stage of your career were you at then?
I was a PGY8 when I moved to Australia. I was an early convert to AMC and cleared both exams in the first attempt and joined the BPT program. I was well settled back home and my son went to one of the best schools in my town .Both my wife and myself were offered registrar roles in Alice Springs Hospital and we planned to stay for a year, explore Australia and then leave. We were still visiting India annually until the COVID pandemic.

What kind of challenges did you first face?  and what were the biggest adjustments you had to make?
The culture shock was huge. Not having a car for transportation was a big challenge and moving away from family was another. My dad died in 2004 and it took me three days to get back home for his funeral. Alice Springs Hospital was an eye opener.

There were many adjustments that I had to make but minuscule in comparison to my wife’s sacrifices. We had two home helpers for babysitting and cooking back in India, an unheard-of possibility in Australia. Racism and the proverbial invisible glass ceiling was just as prevalent as it is today, but it was never overt and never an overwhelming issue at the workplace. Learning aboriginal culture and understanding their ethos and concepts of aboriginal health was a big challenge. 

What were your impressions of the hospital you first worked in and Australia’s health system?
The health system appeared well funded then but low in manpower. This meant frequent on calls, long 14 hour shifts every 3rd day .A brutal toll on health. Moreover I recall working with stellar paramedics and considerate consultants who were helpful. I applied and got a job at Flinders but my consultant would not let me go .Finally I applied to Hobart for a registrar position without telling my supervisor and moved to RHH Hobart, a cold country.

Tell me a bit about moving from Alice to Launceston- another brave move.
Moving to Hobart was equally brave but with it I first saw some structured basic physician training.

I had a daughter at this time and we could neither afford childcare, nor was it available . My wife who’s an anaesthetist wanted to return to work when Anjana my daughter was 2 but RHH would not offer her a job. Moving to Launceston was a no brainer as my wife was given a job the day after she applied. Now we are settled here in Launceston as a professional couple working in the public and private system.

How have you seen the role of geriatricians evolve since you arrived in Australia?
I was amazed with the role of geriatricians here in Australia. Many of our career choices are based on role models that we encounter and I was fortunate to meet couple of stellar geriatricians. I was equally amazed with the Victorian geriatric training programme easily the best in the country .As a proud product of this system, it has helped me become a more well-rounded and holistic physician , a legacy from this training and something I get reminded of daily by my  patients . 

I am also the principal investigator with the Alzheimer’s Dementia network registry for North Tasmania. I teach medical students as a senior clinical lecturer with University of Tasmania .

I am the president of the Indian Medical association of Tasmania a 110 member strong association of Australian Indian specialists and GPs .

How do you stay connected to the culture you left behind?
They say that you can take an Indian out of his country but you can never take India out of him . I remain connected with my culture by creating and maintaining a healthy relationship with members of my community and my country and we regularly host Indian, cultural events and festivals here in Launceston. Currently I hold the position of president of the Launceston Malayali association.

Every year we celebrate Diwali the Festival of Lights, Onam the harvest festival from Kerala, Navrathri a nine-day festival and Christmas.

The essence is harmony and yet a portal to provide our children a sense of their identity and ethnicity and also a unifying base for assimilation into the immigrant Australian culture ethos where they live and are a part of now.

Image Courtesy Krishna Kalpurath: Krishna and his family

Centres of Research Excellence awarded to ANZSGM members

Centres of Research Excellence awarded to ANZSGM members

ANZSGM congratulates two members  – Professor Ruth Hubbard and Professor Richard Lindley on being awarded Centres of Research Excellence (CRE) by the Australian Government National Health and Medical Research Council . The scheme supports research that aims to improve health outcomes and promote or improve translation of research outcomes into policy and/or practice. CREs awarded in 2022 will provide support for teams of researchers to pursue collaborative research and develop capacity in clinical, health services and public health research.

Frailty ADD: Improving Hospital Outcomes for Frail Patients Across Different Disciplines
Chief Investigator Professor Ruth Hubbard

Frailty is prevalent in acute care settings, yet our hospitals are designed for younger, fitter patients with acute, single system problems. The vision of the Frailty ADD CRE is to improve hospital outcomes for patients who are frail. This CRE will evaluate frailty at scale, in hospitals, quantifying the prevalence of frailty and establishing frailty-related outcomes and frailty-related costs. We will investigate the relationship between frailty, medication utilisation and global health outcomes and partner with consumers to develop a core outcome set of patient-important outcomes that can be used for future research in any discipline.

The CRE will create an infrastructure of collaboration that would otherwise not be possible to achieve given the geographical spread and the multidisciplinary nature of the team. It unites four “nodes” where academic geriatricians have partnered with discipline experts to build clinical and research programs: pharmaco-epidemiology in Sydney (Sarah Hilmer and Danijela Gnjidic); anaesthesia in Melbourne (Kwang Lim and David Story); oncology in Perth (Chris Etherton-Beer and Anna Nowak) and psychiatry in Brisbane (me and Dan Siskind).

We have a strong focus on education and training and will be creating online learning platforms to increase health care professionals’ knowledge and understanding of frailty. Another key goal is to develop a new cohort of Early Career Academics with the methodological skills to design, implement and evaluate frailty-focused models of care. Emily Gordon and Heather Lane were integral to the programs of work outlined in our proposal and we have capacity for many others to become involved, providing start-up grants for ECAs from 2024.

Similar to Richard’s CRE, this program is the culmination of years of work and its success is a reflection of the calibre of the assembled team and the clarity of our shared vision. I undertook my Post Doctoral Fellowship (2007 – 2009) with Prof Rockwood and his inclusion as a Chief Investigator definitely went down well with reviewers. Sarah Hilmer has been my academic BFF and sounding board since we were Level Ds hitting the dance floor together at ANZSGM ASMs in the mid 2010s. I stepped out of research from 2016 – 2020 to become Head of a Clinical Unit for the UQ MD program and although that was not a strategic move at the time, leading a large team gave me the confidence to reach out to national and international colleagues to collaborate on this proposal.

The NHMRC Centre of Research Excellence to Accelerate Stroke Trial Innovation and Translation has been announced recently. This $2.5M five-year grant will support a national collaboration that includes 12 Universities and Medical Research Institutes based in 5 States. It’s a fantastic achievement to obtain this funding as we’ve been developing the ideas behind the application for over a decade, with development support from the Stroke Society of Australasia and the Stroke Foundation during the co-funded Australian Stroke Research Network pilot work. 

A Centre of Research Excellence to Accelerate Stroke Trial Innovation and Translation 
Chief Investigator Professor Richard Lindley

This Centre for Research Excellence will establish a whole-of-system approach to transform Australian stroke research capacity and implementation. By doing this we aim to achieve critical improvements to health services, thereby reducing the high burden of death and dependency from stroke. Our program of work will:

  1. Generate a rich pipeline of randomised controlled trials to test new stroke interventions, each tailored to the best trial design as guided by our consumer co-design and trial methodology group.
  2. Provide swift effective translation of this new knowledge into clinical practice with a ‘whole of system’ approach building on our links between academia, health services, non-government organisations (NGOs) and state and federal governments, by developing a national stroke learning health system.
  3. Develop the stroke clinical trial health and medical research workforce to ensure that a new generation of clinical academics, regardless of where they are located, are identified, trained, supported and gain experience working on our CRE demonstration trials.

Our two cross cutting programs of (1) Consumer Co-Design and (2) Technology will ensure our CRE is directly addressing consumer needs, provides equitable access to trials and interventions regardless of location and is COVID-19 ‘safe’ during the current pandemic.

The team is very multidisciplinary, and being led by a geriatrician, will ensure the older person with stroke and frailty is not ignored. It’s certainly an exciting time for geriatric medicine for two CREs to be obtained by academic geriatricians and illustrates our strengths in clinical research that makes a difference.

For those wanting more information, or how they might become involved, please contact:
Professor Richard Lindley – Richard.lindley@sydney.edu.au or
Professor Ruth Hubbard – r.hubbard1@uq.edu.au

Image Courtesy Ruth Hubbard: Chief Investigator Prof. Ruth Hubbard and her team Frailty ADD: Improving Hospital Outcomes for Frail Patients Across Different Disciplines.

Renuka Visvanathan recognised amongst the ‘Healthy Ageing 50: leaders transforming the world to be a better place to grow older’

Renuka Visvanathan recognised amongst the ‘Healthy Ageing 50: leaders transforming the world to be a better place to grow older’

We congratulate Renuka Visvanathan – Professor of Geriatric Medicine at the University of Adelaide – who has been recognised amongst fifty individuals from around the world as part of the first ever Healthy Ageing 50: leaders transforming the world to be a better place to grow older.

The individuals were evaluated by an expert panel of reviewers from across international organizations with over 500 nominations received across all Sustainable Development Goal regions.

“The UN Decade of Healthy Ageing offers us an unprecedented opportunity to put in place the right policies and services, so that more people experience later life in good health and can continue to do the things they value,” said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “I have the pleasure of recognising these world-changing leaders who, often with limited resources, show what can be done – and how – to improve health and wellbeing for older persons.”

Renuka leads the National Health and Medical Research Council Centre of Research Excellence in Frailty and Healthy Ageing (CRE) where a recent research output has pioneered the development of a socio-environmental index that predicts admission to long-term care. She is also the Head of Unit of the Aged and Extended Care Services of the Queen Elizabeth Hospital in South Australia since 2005.

But Renuka is most proud of her contributions to the development of clinical services for older people in Malaysia (her country of birth), for example through the training of multi-disciplinary teams of clinicians, funded by the Ministry of Health or Education of Malaysia since 2007.

Renuka Visvanathan has also collaborated with Malaysian research physicians to evaluate and implement new screening tools such as the pictorial fit frail scale (PFFS), whose benefit for low- and middle-income countries where patients had low literacy was immediately apparent. She has also contributed to the opening of publicly-funded Community Geriatrics clinics in the Sarawak area of Malaysia, where patients screened to be frail have access to personalised social, exercise and nutrition interventions as well as clinical review from family physicians with interest in care for older people. 

Read more about the Healthy Ageing 50 here.

ANZCA Diploma of Perioperative Medicine

ANZCA Diploma of Perioperative Medicine

Experienced perioperative medicine specialists can now apply to receive ANZCA’s Diploma of Perioperative Medicine (DipPOM) under a recognition process overseen by the Recognition Pathways Working Group chaired by ANZCA Immediate Past President, Dr Vanessa Beavis.  

This initial cohort of recognised DipPOM recipients will form an essential resource to support, guide and assess DipPOM participants in clinical practice. 

INTEGERATE Study

INTEGERATE Study

The INTEGERATE study was conducted through Eastern Health and Monash University’s Eastern Health Clinical School. This study found that a comprehensive assessment by a geriatrician for older people receiving cancer treatment led to improvements in patients’ quality of life, fewer unplanned hospital admissions, and more patients completing their cancer treatment. Lead author of the study, Dr Wee-Kheng Soo, is a dual-trained geriatrician and oncologist who completed this work as part of his PhD project. The results were published in the Lancet Healthy Longevity Journal in August 2022. “The INTEGERATE study sets a bold new example for the successful design and implementation of pragmatic clinical trials with quality of life as a primary endpoint,” according to the accompanying editorial.

“INTEGERATE brings together multiple health care disciplines to help older people manage the challenges of cancer and its treatment, giving better outcomes for their quality of life and overall experience. Our study demonstrates the power of comprehensive geriatric assessment in cancer patients and reaffirms the positive work that geriatricians do daily,” said Dr Soo. Eastern Health has since implemented the Ageing Resiliency in Cancer clinics to provide comprehensive geriatric assessment to people with cancer to assist with treatment planning and provide supportive interventions.

Reports reveal fall in opioids and antipsychotics dispensing

Reports reveal fall in opioids and antipsychotics dispensing

Two new reports from the Australian Commission on Safety and Quality in Health Care reveal a decline in dispensing of high-risk medicines over five years but continuing variation across the country.

The Atlas Time Series Reports from 201617 to 202021 released today show trend data on opioid medicines dispensing, all ages, and antipsychotic medicines dispensing, 65 years and over.

Using PBS data*, the reports examine opioid and antipsychotic medicines dispensing across Australia at national, state and territory, Primary Health Network (PHN) and local levels.

Both reports build on findings in the Third Australian Atlas of Healthcare Variation.

Downward trend in prescribing
Dispensing rates fell nationally and in all states and territories. In the five years to 2020–21, there was an 18% reduction nationally in opioids dispensing rates and an 11% reduction in antipsychotics dispensing.

However, the reports indicate continuing variation and potential misuse of opioids and antipsychotics in some geographical areas with consistently high dispensing rates.

Find out how your area compares
Health services, PHNs, general practitioners and other clinicians can use data from the interactive reports to review rates of medicines dispensing in their local area and compare with rates for similar areas.

The reports will help identify areas that may benefit from further investigation and targeted strategies to improve appropriate prescribing of these high-risk medicines.

Please share with anyone in your network who has an interest in medicines dispensing.

For more information, visit the Healthcare Variation web page or email atlas@safetyandquality.gov.au.

Access the Atlas Time Series Reports: 2016–17 to 2020–21reports here

Australian and New Zealand Hip Fracture Registry 2022 Annual Report

Australian and New Zealand Hip Fracture Registry 2022 Annual Report

The Australian and New Zealand Hip Fracture Registry (ANZHFR) has recently released its seventh patient level report, detailing hospital performance against key markers of high-quality hip fracture care. In this report, 93 hospitals (71 Australian hospitals and 22 New Zealand hospitals) contributed data on 15,331 patient care episodes.

There has been ongoing progress in clinical indicators such as assessment of cognition prior to surgery and assessment of delirium (year-on-year improvements in both countries in both domains); the use of nerve blocks to manage pain; and the increase in the proportion of hospitals that have a weekend therapy service.

In New Zealand, 85% of hip fracture patients saw a geriatrician during their acute hospital stay, representing an increase over time. In Australia, 88% of patients were seen by a geriatrician, which is unchanged from 2020 but represents a decrease over the last five years. The tenth facility level audit, which included 117 ANZ hospitals and is also reported on, explored the impact of COVID-19. In some hospitals, staff deployments and changes to the way hip fracture patients were cared for throughout the pandemic reduced the availability of orthogeriatric services.

The report also highlights a number of areas that require improvement:

  • Average time to surgery remains unchanged. Difficulty accessing theatre is reported as the reason for delay in nearly 30% of cases where surgery occurred beyond 48 hours. This remains a system level problem requiring collaboration between clinicians and executives within our facilities.
  • First day walking occurred in 49% of patients on average, with huge variation in both countries.
  • There has been some progress in the proportion of people on bone protection medication at discharge, with an increase from 24% in 2017 to 29% in 2021 in Australia. However, the data continues to highlight substantial variation between hospitals and represents a significant missed opportunity to contribute towards preventing another fracture

The printed report again focuses on performance against the Hip Fracture Care Clinical Care Standard (HFCCCS). A full e-report covers additional domains not included in the printed report. The Australian State report is included in both the printed and the e-reports. The full e-report and an electronic copy of this report can be read here.

In other news, the ANZHFR is also looking forward to the upcoming binational Hip Festival in Melbourne on Wednesday 19th October, 2022. The event is being held in partnership with the Fragility Fracture Network Global Congress (20-22 October). The Hip Fest will offer a forum to explore multidisciplinary teamwork in hip fracture care and highlight examples of best practice.

The 2022 Australian Golden Hip Awards will also be presented on the day, recognising top performing and most improved hospitals in Australia against the quality indicators in the HFCCCS. The New Zealand Golden Hip Awards have recently been announced, with North Shore Hospital winning best overall performance and Hutt Hospital winning most improved. The ANZHFR congratulates all the finalists for their achievements providing high-quality care. 

Accessing the Fragility Fracture Network Global Congress virtually and on demand

Accessing the Fragility Fracture Network Global Congress virtually and on demand

The Fragility Fracture Network (FFN) invites you to its Global Congress in Melbourne on 20-22 October 2022. The program contains keynote speakers from across the globe speaking on topics relevant to the care of the older person. The meeting will be face to face and offers the opportunity to meet, network and socialise together as a multidisciplinary community. 

2022 FFN Congress Virtual Elements
For those unable to travel, a virtual option will be available. Click here to find out more about how you can access the virtual elements of the congress including live streaming, digital posters, virtual networking and on-demand content.

More  information can be found on the FFN website here.

Register online here

Invitation to the Delirium Journal Club

Invitation to the Delirium Journal Club

The Australasian Delirium Association has been invited to participate in an exciting international initiative for Worldwide Delirium Day 2023

The Worldwide Delirium 1-Day Point Prevalence Study is a unique international survey that will examine delirium prevalence on the same day in multiple institutions around the world.

It will be a low intensity survey as you wont have to look at individual patient’s records, but will need to contact different wards or areas in your hospital or care facility to find out how many patients have been assessed for delirium and how many were positive.  The idea is to check twice, in the morning and evening on WDAD 2023.

If you are interested in participating in this fabulous delirium awareness raising activity, please contact me – Gideon Caplan, g.caplan@unsw.edu.au

Residential Aged Care Communique

Residential Aged Care Communique

By Joe Ibrahim

The Residential Aged Care (RAC) Communiqué is an electronic publication containing narrative case reports about lessons learned from Coroners’ investigations into preventable deaths in aged care homes. The RAC Communiqué addresses the entire socio-technical system of health care from policy to the bedside. Each edition focuses on a theme relevant to the clinicians, managers, educators, and care staff, it provides case summaries and commentaries from recognised experts. The RAC Communiqué is published free, distributed electronically every quarter to obtain a copy subscribe at: https://www.thecommuniques.com/subscribe

Read the latest issue (Volume 17, Issue 3) here

AJA Latest Issue – Volume 41, Issue 2

AJA Latest Issue – Volume 41, Issue 2

The September Issue of the Australasian Journal on Ageing for 2022 gathers together articles that provide a comprehensive snapshot of research being conducted in the fields of gerontology and geriatric medicine. An increasing number of these papers are being published Open Access, thanks to innovations such as the Council of Australian University Librarians (CAUL) agreement with the Publishers.

There are three reviews, including one addressing delirium prevention and its role in reducing falls risk. Kennedy and colleagues report on the development of a clinical pathway for managing BPSD symptoms in aged care residents. Gubhaju, Turner and colleagues explore understandings of dementia and lived experiences from carers among community-dwelling Aboriginal people in Western Australia (WA).

The complete Table of Contents and all articles can be accessed (subject to membership) at
Australasian Journal on Ageing – Wiley Online Library

Associate Editor
We are seeking expressions of interest from Australian and New Zealand gerontologists and geriatricians who would like to join our vibrant multidisciplinary team as an Associate Editor. 

Selection Criteria

  • An Associate Editor is expected to take editorial responsibility for approximately ten to fifteen percent of all manuscripts submitted to AJA, and to attend eight meetings annually via Zoom.
  • The Associate Editor should have a strong profile in ageing research or practice, and a commitment to quality and ethical publishing. Applicants with indigenous or culturally diversity research expertise would be particularly welcome.
  • A history of both reviewing and submitting manuscripts to the AJA is an expectation. Editors must be a member, or join, one of the partner organizations.

An understanding of superior standards of written English expression is preferred.

  • Editorial team members are invited to serve initially for a three-year term with the possibility of an extension.

Additional information can be obtained by contacting Debra Waters: debra.waters@otago.ac.nz

Applications should include a statement addressing the selection criteria with a covering letter and curriculum vitae, and be sent to debra.waters@otago.ac.nz

Job Alerts

Job Alerts

Geriatrician
Full Time
Whangārei Hospital, Northland New Zealand
Application: Via website
Closing date: 05/10/2022
Further information
Position Reference number: KHJ/MD22-037
Contact: Dr Juanita Pascual, Clinical Director via juanita.pascual@northlanddhb.org.nz
or Belinda Beehre Service Manager via belinda.beehre@northlanddhb.org.nz
Listed: 12/09/2022

MLHD – Staff Specialist – Geriatrician
Permanent Full Time / 40 hours per week
Wagga Wagga, NSW
Application: Please apply via eCredential
Closing date: 9/10/2022
Further information
Position Description
Website
Position Reference number: REQ329946
Contact: Dr Mathew Thompson (02) 5943 1000 matthew.thompson2@health.nsw.gov.au
Listed: 12/09/2022

Consultant Geriatrician
Full Time
Invercargill, New Zealand
Application: Via website
Closing date: 21/10/2022
Further information
Website
Position Reference number: CA3JBR
Contact: Agatha Chen, Recruitment Advisor. Phone: +64 3 470 9604 or email: agatha.chen@southerndhb.govt.nz
Listed: 20/09/2022

Geriatrician
Permanent Part Time and Fixed Term Part Time
Werribee Mercy Hospital, Melbourne, VIC
Application: Via website
Closing date: n/a
Further information
Position Reference number: 18085
Contact: A/Prof Peter Lange plange@mercy.com.au or 0409218055
Listed: 09/09/2022

Geriatrician
Part-time; Availability can be as little as a regular one session per month to full-time equivalent.
Melbourne especially Moorabbin and surrounding areas, VIC
Application: Email interest to kelly@ageright.com.au
Closing date: n/a
Expressions of Interest are open for Geriatricians to join a developing private practice group. Our practice has multidisciplinary support to enhance our patient’s care
Contact: For more information and to register interest: Kelly Wright, on kelly@ageright.com.au or 0428940626
Listed: 11/07/2022

Work From Home Geriatrician Opportunity – Telehealth – $330ph or $1k per session
Telehealth – remote work opportunity
Australia Wide

Application: Via website
Closing date: Ongoing
Further information
Contact: Mel Houston, Senior Recruitment Partner mel@prescript.com.au 0414 716 132
Listed: 22/04/2022

Community based Geriatrician
Salary and fee-for-service positions
Full-time and Part-time available
Sydney, Brisbane, and Adelaide

Application: Via email
Closing date: Ongoing
Further information
Overview of the organisation
Contact: Dr Desmond Graham – email desmond.graham@geriatriccareaustralia.com.au or phone 0488 288 470
Listed: 18/07/2022

Specialist Physician – Healthy Ageing and Rehabilitation
Full Time
Timaru, New Zealand

Application: Via website
Closing date: Open
Further information
Contact: Ross Yarrall, ryarrall@scdhb.health.nz
Listed: 15/03/2022

Geriatrician
Full Time
Redlands Specialist Centre – Cleveland , QLD
Application: Via email 
Closing date: n/a
Further information
Contact: Dr Miriam Vassallo –  phone 0410 239 664 or email lewisvassallo@optusnet.com.au
Listed: 1/08/2021

Telehealth Geriatrician
Full or Part Time (flexible working hours supported throughout employment)
Work remotely from anywhere in Australia
Application: Via email
Closing date: n/a
Further information
Contact: Brendan Murphy – phone: 0433 131 209
Listed: 21/04/2021