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From the State Faculties Skin & Cancer Foundations Committee Reports Task Force Reports Treasurer's Report and Financial Report THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS i Australasian College of Dermatologists The Australasian College of Dematologists 136 Pittwater Road Gladesville NSW 2111 PO Box 2065 Boronia Park NSW 2111 Phone OF DERMATOLOGISTS THE AUSTRALASIAN COLLEGE 61 2 9879 6177 Fax 61 2 9816 1174 Email firstname.lastname@example.com Web www.dermcoll.asn.au Annual Report 2003/04 ii Index Message from the President 1 From the Honorary Secretary 4 Councillors 2004/05 7 From the State Faculties 8 Queensland 9 New South Wales 11 Victoria 12 South Australia 13 Western Australia 14 New Zealand Dermatological Society 15 Current Membership 17 New Fellows 2004/05 17 College Awards 17 In Memoriam 17 The Chief Executive Officer 18 Board of Censors 20 The Australasian Journal of Dermatology 24 Skin & Cancer Foundations 26 Skin and Cancer Foundation Queensland 27 Skin and Cancer Foundation Australia (New South Wales) 28 Skin and Cancer Foundation Victoria 30 Committee Reports 32 From the Research and Scientific Committee 33 Awards Committee 35 Constitution Committee 36 Ethics Committee 37 Information Technology Committee 38 Medical Practice 39 Professional Standards Committee 40 Public Affairs Committee 41 Rural, Regional and Indigenous Services Committee 43 Scientific Meetings Committee 44 Scientific Research Fund Committee 46 Subspecialty Committee 47 Undergraduate and GP Education Committee 48 Task Force Reports 52 AMC Accreditation Review Task Force 53 Task Force on College Governance 54 Task Force on SSRS 55 Task Force to Investigate the Possibility of Training in General Practice Dermatology 56 National Skin Cancer Steering Committee of Cancer Council Australia – College representatives 57 Report on the Northern Territory Healthy Skin Project 58 College Staff 60 Donations to the Australasian College of Dermatologists 61 Donations made by the Australasian College of Dermatologists 65 Treasurer's Report and Financial Report 66 1 Australasian College of Dermatologists Message from the President Preamble Throughout the last year, the Australasian College of Dermatologists (ACD) has been active in a large number of areas, including an ongoing review of its governance structure, reassessment of all aspects of its training and continuing professional development programs in preparation for the accreditation review by the Australian Medical Council (AMC) in 2007, and expansion of dermatological services to regional and rural Australia. It has also instigated a number of strategies to raise the awareness of government, government bodies, the media and the general public that dermatologists are the only true specialists in all aspects of skin health and disease. College Governance Following a report by academic lawyer, Kate Costello, which examined the current governance structure of the College and made recommendations regarding modernising the way the College is structured and administered, the College Council formed a task force under the chairmanship of Dr Anne Howard, President Elect, to examine the report and to develop specific proposals to bring back to the Council. An initial report was presented to the Interim Council Meeting in November 2004, and Council subsequently approved a draft set of recommendations which was circulated to all Fellows of the College for consideration and discussion. After consultation by Anne Howard and myself with all the State Faculties, the task force will consider the recommendations further and report back to the Third Council Meeting in May 2005. A report will then be prepared for discussion by Fellows at the Annual General Meeting in May 2005. Accreditation Review by the Australian Medical Council The AMC has been directed by the Federal Government to undertake accreditation reviews of all of the specialist medical colleges. This process has commenced with several colleges already accredited. The ACD is due to have its accreditation review in 2007. However, preliminary accreditation, based on written reports from the College, has already been granted. Over the last twelve months, the College has continued a review of all aspects of its educational and assessment activities, including assessment of overseas trained specialists (OTSs), in order to conform with the requirements of the AMC. Annual Report 2004/05 2 Training Program The Education Officer, Claudia Casson, in conjunction with the Board of Censors under the Censor- in-Chief, Warren Weightman, have been actively reviewing various aspects of the training program, particularly in view of the decision by the College in 2002 to expand its training program to five years from 2003. A new process of in-training assessment has been developed, based on modern educational theory, the practices of other Australian specialist medical colleges, and the requirements of the AMC. Separate processes of formative (i.e. continuous and developmental) and summative (i.e. judgemental) assessment have been introduced, with the overall aim of monitoring trainee progress, driving learning and providing feedback to trainees and supervisors. The program will be trialled during 2005 and evaluated to assess whether it has achieved its objectives. Continuing Professional Development (CPD) Program The Education Officer, in conjunction with the Professional Standards Committee, convened by Dr Kurt Gebauer, has been examining ways of expanding and updating the current CPD program, in order to conform with AMC expectations and requirements. A greater emphasis on self-directed educational activities, rather than simply attendance at didactic lectures, is planned. Practice audits and reviews are also under consideration. The College is mindful, not only of its responsibilities to the AMC and to the general public to develop an appropriate CPD program, but also that any program must be realistic and feasible for all Fellows to participate in, particularly those Fellows practising outside of major cities. National Trainee Selection Guide The Censor-in-Chief, together with the State Faculty Chairs, have continued an ongoing examination of the National Trainee Selection Guide and have developed procedures to ensure uniformity in the selection process in all States. It is recognised by all the State Faculties that strict adherence to the National Guide is essential to ensure consistency of practice and procedural fairness for applicants. In 2003, College Council appointed a task force, chaired by the President, to oversee the development of the various changes which the College needs to introduce to its educational activities, to prepare it for the AMC accreditation review. Overseas Trained Specialists (OTSs) In the last twelve months the College, through its OTS interviewing panel, chaired by the Censor-in-Chief, has interviewed a number of overseas trained doctors referred by the AMC for assessment of their specialist qualifications in dermatology. The process has been carried out in accordance with current AMC procedures. At this point in time there have not been any declared "Areas of Need" in dermatology, hence no Area of Need assessments have been necessary. This is primarily due to the fact that the College, through its State Faculties, has encouraged its Fellows to ensure that all major centres in each State have at least some dermatological coverage by specialist dermatologists. However, the College has procedures in place to carry out Area of Need assessments if required. Promotional Activities Throughout 2004/05, the College has increased promotion of itself and its Fellows to government, government bodies, the media and the general public to emphasise that Fellows of the College are the only true specialists in all aspects of skin health and disease. The College believes that it is the right of the public to receive the best and most accurate information and best practice management on all matters pertaining to the skin, including skin cancer prevention and management, and that dermatologists are the best equipped practitioners to deliver this advice and service. 3 Australasian College of Dermatologists Manpower Issues Since the report of the Australian Medical Workforce Advisory Committee (AMWAC) on manpower issues in specialist areas of medicine, the College has increased its training programs from 40 in 1995 to 60 this year. The College continues to look at ways of further increasing the number of training programs, but this is limited by the fact that funding for such positions is required, in most instances, from State Government sources. There are also limitations relating to adequate patient numbers and other facilities to train individual trainees. In addition, it should be emphasised that most of the training of dermatology trainees is done by Fellows of the College on a purely voluntary and pro bono basis. All State Faculties have been actively encouraging their members to expand dermatological services to rural and remote areas. This has seen increased numbers of dermatologists practicing full-time in regional centres, and also a significant number of dermatologists attending more remote country towns on a rotational basis, often accompanied by trainees. The College plans to actively pursue this strategy further in forthcoming years to ensure, as best it can, that all Australians have access to specialist dermatological services through Fellows of the College. Northern Territory Healthy Skin Program In September 2004, a number of Fellows of the College, headed by Dr Colin Parker, in conjunction with health professionals from other areas of medicine, took part in the Northern Territory Healthy Skin Project, the main aim of which is the eradication of scabies, and the long term serious medical problems which can result, from the indigenous people of the Northern Territory. Further visits to remote areas of Arnhem Land to continue the project are planned over the next two years. Conclusion The College recognises its responsibility to ensure a comprehensive training program for its trainees and a continuing professional development program for its Fellows that enables all Fellows to maintain excellent standards of practice in dermatology, whilst continuing to deliver expert dermatological services to all members of the Australian community. It also plans to continue its promotional activities to ensure that dermatologists are recognised as the only true experts in all aspects of skin health and disease, and to further expand its coverage of rural and remote areas. John Auld Annual Report 2004/05 4 From the Honorary Secretary It gives me great pleasure to provide this, my first, report as Honorary Secretary. I was elected to this position at the First Council Meeting 2004/05, after my eight years as the Honorary Treasurer of College. This has been an eventful year for College, with a number of important issues requiring consideration and action. The most important issue over the last twelve months has been the issue of College governance. This process, as mentioned in the President's report, was started at the Brisbane Annual Scientific Meeting some two years ago, when Kate Costello discussed the issue of governance for not-for-profit organisations. This prompted the establishment of a task force, chaired by Anne Howard, our President Elect, and consisting of State Faculty representatives, to look at this issue. A final report has been developed and this will be presented to the Third Council Meeting 2004/05 and discussed after our forthcoming Annual General Meeting in Perth. Having completed the Australian Institute of Company Directors' residential course in September 2004, I have become more aware of the urgent need for change to College's corporate governance structure. It is important that College's governance moves into the 21st century with regular meetings of the Board of Directors (Council) of College, so that adequate attention can be paid to all agenda items and decisions made with minimal delay. I am heartened by the positive responses throughout the College, to the suggested changes put forward by this task force. Hopefully these changes can be implemented within the next couple of years, and this will be a major advance in streamlining our governance structure and improving its processes. These proposed governance changes will also enable dealings with the federal government authorities, such as the AMC and ACCC, to be undertaken without undue delay and, thus, enable rapid implementation of, or responses to, issues of concern raised by these bodies. The College will be assessed by the AMC in 2007, as to whether its educational programs are accreditable. Preparation for this accreditation has already involved a great deal of work, particularly for Warren Weightman and the Board of Censors. Claudia Casson, our Education Officer, has also been 5 Australasian College of Dermatologists heavily involved in this process, which will hopefully culminate in our accreditation in 2007. This is an arduous and costly process, with our accreditation being by no means a forgone conclusion. All Fellows and, indeed, trainees of College will become increasingly involved in this whole process leading up to, and during, the accreditation process of 2007. The ACCC has also been asked by the government authorities to look at the various medical colleges. We have already had two face-to-face meetings with the ACCC over the last twelve months and have addressed the issues that they have raised. Fortunately, some of the issues raised previously with the Royal Australasian College of Surgeons are not applicable to our smaller college. Nevertheless, we need to be mindful of the requirements under the Trade Practices Act to enable us to continue with our ACCC exemption, particularly as it relates to our monopoly on training dermatologists within Australia. College finances have continued to improve with the able management of the Audit Committee, convened by John Coates, and the administration of College under the leadership of Rodney Sheaves. Our sound financial position has been aided by the successes of our Annual and Spring Meetings over the last twelve months, as well as our good relationship with the Government with regard to our receipt of a number of grants. An example is the grant supplied under the Support Scheme for Rural Specialists, where Ann-Maree Kurzydlo and, subsequently, Michael Lee, have been involved with the provision of CD-Roms to our rural Fellows, to enable them to partake of the CPDP points attainable at annual clinical meetings of the various hospitals in New South Wales and also, more recently, in Queensland. Grant applications require a considerable amount of work and, in this regard, we are fortunate in having such able people in our administration. Australian dermatology is grateful for the position that Professor Robin Marks holds as President of the International League of Dermatological Societies. This position significantly raises the profile of Australian dermatology, which was placed on the map with our hosting of the World Congress of Dermatology in 1997. College welcomes the appointment of Rod Sinclair as Professor of Dermatology at the University of Melbourne, succeeding Robin Marks. We are encouraged by developments in Queensland towards the establishment of a new chair there. The Faculty must be congratulated on its untiring efforts to raise support for this project. College has commissioned S2i Communications as our public relations company to aid our Public Affairs Committee in increasing the profile of dermatology amongst the general community. As you will read from the report of the Public Affairs Committee, there have been a number of positive outcomes from this association with S2i since their involvement began in September 2004. Positive publicity is the best publicity, and I ask all Fellows to contact the College secretariat if they have any particular stories they would like to raise, as these can be worked up through the Public Affairs Committee and our public relations consultants, for public release. Our College is a collection of individuals and I thank all of those College Fellows who have assisted in the running of the College over the past twelve months. In particular, I want to thank all members of Council and the State Faculty Chairs, as their help has proved invaluable to myself, and the College administration, over that time. Annual Report 2004/05 6 Finally, I want to thank particularly Rodney Sheaves, our CEO, without whom our College would not be able to function as efficiently and as well as it does at present. He and the administrative team at College (Rosie, Ros, Roopan, Caroline and Claudia) are a superb team who are a pleasure with whom to work. They are also an extremely dedicated group of individuals, who are committed to the smooth-running and efficiency of our College. They all have my heartfelt thanks for their dedication to this task. I look forward to the next twelve months, as I believe there will be a number of issues which will need to be attended to over that time. These include: the relocation of College to more appropriate premises; consideration as to the implementation of governance change to College; and the processes towards our AMC accreditation review in 2007. Stephen Shumack 7 Australasian College of Dermatologists Councillors 2004/05 Executive President John Auld President Elect Anne Howard Honorary Secretary Stephen Shumack Honorary Treasurer John Coates Chairman, Board of Censors Warren Weightman Queensland Brian De'Ambrosis James Muir New South Wales Richard Armati Pamela Brown Robert Paver Robert Salmon Victoria Robert Kelly Adrian Mar Mei Mui Tam South Australia Anne Lewis Jeffrey Wayte Western Australia Alan Donnelly Hock Cheng Chua QUEENSLAND NEW SOUTH WALES VICTORIA SOUTH AUSTRALIA WESTERN AUSTRALIA Queensland WalesVictoria New South Wales South Australia Western Australia Annual Report 2004/05 8 9 Australasian College of Dermatologists Queensland Chairman Dr Brian De'Ambrosis Honorary Secretary Dr Michael Freeman Honorary Treasurer Dr Michael Freeman There is a core group of Faculty members who consistently give a great deal of their time and energy to College-related activities, for the benefit of all Faculty members. The AMA Queensland Health Expo in July 2004, held at the Brisbane Convention Centre, was just one of the public relations events to which these members gave their valuable time in manning the booth. Participating members included Megan Andrews, Godfrey Wagner, Ian McColl, Michael Sharkey, Michael Freeman, Brian De'Ambrosis, and registrars Jason Wu and Jack Shannon. Attendance at the AMAQ Health Expo assists in emphasising the College's pre-eminent position in the specialty of dermatology. In preparation for the 2005 AMAQ Health Expo in July, Selim Ozluer is organising a roster including all members. Even in retirement, Michael Donoghue has offered to be on the booth at the forthcoming Expo. This is from a dermatologist who has provided many years in training registrars at the Princess Alexandra Hospital, as well as being involved in the registrar examination process as a censor. After retiring from PAH, he still continued to teach at the registrar training sessions on Wednesday evenings. Michael's commitment to dermatology and our College is exemplary. The contributions of Jenny Byth and our SunSmart Liaison Committee – Megan Andrews, Margaret Oziemski and Peter Sinclair – are to be applauded. Jenny and the Committee have put a great deal of time and effort into creating a lecture on SunSmart, aimed at educating teachers, parents and students. This lecture is available on CD for all members to use. Jenny has also sent the lecture to the Honorary Secretary, Stephen Shumack, so that this valuable educational resource can be available for use by all College members. Annual Report 2004/05 10 The Queensland Faculty warmly congratulated John Coates on his appointment to the position of Honorary Treasurer of the Australasian College of Dermatologists in May 2004. Unfortunately, the Darwin registrar training position finished at the end of 2004. The Faculty thanks Dr Bert Pruim for his efforts and commitment to registrar training during 2004. On a positive note, the twelfth registrar training position for Queensland was replaced with Tony Egan's position in Drogheda, Ireland. The Queensland Faculty acknowledges and greatly appreciates Tony's organisation and supervision of this position. The South East Dermatology position has received further funding for a twelve month period in 2005. I have been advised though that there will definitely be no further funds available from the present funding source at any time beyond 2005. The Australian and Queensland Executive and Queensland Members will approach both Federal and State Government sources for funding after 2005. The Faculty was able to secure, for twelve months only, a thirteenth Queensland registrar training post in Gosport, UK. The position returns to the NSW Faculty in 2006. The Australasian College of Dermatologists' Biennial Spring Meeting is to be held in Cairns in September 2005. The meeting is being capably convened by Leith Banney and Neville Collins, together with College's CEO, Rodney Sheaves. There are particular members of our Faculty who have contributed greatly to the 2004 year: ∑ John Auld – President ∑ Jim Muir – Censor, Faculty promotion work, media interviews, and organisation of clinical meetings ∑ Caroline Mercer – Chief Censor-elect ∑ Godfrey Wagner – Director of Training, registrar selection committee. The contributions of the members of the registrar selection committee – John Auld, Ivan Robertson, Lynda Spelman, Cathy Faulkner, Jim Muir, Brian De'Ambrosis, Judy Greaves (Medical Administration representative) and Michael Hawkins (lay representative) – are also acknowledged. The Faculty acknowledges the contribution of Mark Saywell in organising the Brisbane Hospitals Dermatology Group's Wednesday evening training sessions for the registrars, and also other Faculty members who participate in these training evenings. We also thank those members involved in rural visits: Jim Muir, Rob Miller, Troy Darben, Simon Yong-Gee and David Leslie. Thanks are also extended to Lynda Spelman for organising an excellent Queensland Faculty dinner in 2004. Michael Freeman is to be thanked for his remarkable work as Secretary/Treasurer. Faculty members understand the large volume of work that Michael handles in this position and we greatly appreciate his efforts. I would also like to thank all members who have been involved with any College activity over the last twelve months. We are only a small Faculty and it is important that all members become actively involved in continuing the advancement of Faculty initiatives. Finally, I congratulate Peter Sinclair on being elected to the position of Chairman for 2005, and wish him all the very best for his term. 11 Australasian College of Dermatologists New South Wales Chair Dr Pamela Brown Honorary Secretary Dr Phillip Dwyer Honorary Treasurer Dr Andrea Jopp-McKay New South Wales hosted the Annual Scientific Meeting in May 2004 at Darling Harbour. Dr John Sullivan convened the meeting. Professor Hywel Williams, Professor of Dermato-Epidemiology at the University of Nottingham, made evidence-based medicine pertinent and understandable. Dr Frank Powell from University College, Dublin, Ireland, presented insights into mechanisms and management of some of the medical dermatological problems. Professor Alan Menter, Dr Colin Morton and Professor Olle Larko were sponsored speakers who shared their expertise with us. We welcome Kate Dunlop, Adrian Lim, Li-Chuen Wong and Martin Wade as Fellows, and wish them well in their future endeavours. Our congratulations to Li-Chuen Wong, who was awarded the President's Medal for Clinical Pharmacology, and Hannah Kuchel, who was awarded the Novartis Travelling Scholarship. We have been saddened by the death of two of our Fellows, Dr Emery Kocsard, a foundation Fellow of College, and Dr Jean Lark and extend our sympathies to their families. 2005 has seen the first shared registrar position established at Liverpool. Ritu Gupta and Alexandra Varol are job sharing. We were pleased to obtain continued funding by the Commonwealth to support the registrar going to Griffith two days per week, particularly as we had lost funding for one registrar position due to financial travails of SCFA. We hope that this position will be re-established in 2006. NSW manpower needs are not being met by the current numbers of training positions, and we need to create more to cope with the projected demand. As part of the push by College to make our College more recognisable to the public and our medical colleagues, we plan to participate in the Careers Day of the Australian Medical Students' Association, and will also be a part of the Cancer Council's SunSmart program later this year. Federally we have participated in discussions regarding the necessity for and the structure of the five-year training program, proposed changes to College governance, and the preparations for AMC accreditation. There have been no changes to the NSW Executive or Councillors for 2005. Annual Report 2004/05 12 Victoria Chairman Dr Robert I. Kelly Honorary Secretary Dr Adrian Mar Honorary Treasurer Dr Mei Mui Tam The Government has given a commitment to the continuation of MSOAP funding, which has enabled the Faculty to maintain rural services to Leongatha and Burnie in Tasmania. All other rural services are running well, thanks to the efforts of Mei Tam, who has taken on the role as the overall coordinator of the country rotations. Richard Denisenko has retired recently and the Faculty is currently exploring options of maintaining dermatological services to the Albury/Wodonga and Wangarrata areas. Robin Marks has retired as Professor of Dermatology at St Vincent's Hospital. Robin's achievements are enormous. He has created a very active, dynamic and productive department and has finished his term with the department in a strong position. He plans to remain very active within dermatology which, amongst many other things, includes his continuing work as the President of the International League of Dermatological Societies. Rod Sinclair has been appointed as the new Professor. Rod has enormous energy and enthusiasm and the department will, no doubt, prosper under his leadership. Adriene Lee, Alex Chamberlain and Antoinette Ciconte deserve our congratulations on passing their Fellowship examinations. Adriene Lee was awarded the Australasian College of Dermatologists' Travelling Fellowship for her performance in the examinations. The Faculty has a new registrar position based at Box Hill, thanks to the efforts of John Su. This registrar will also work with Rosemary Nixon at the Occupational Dermatology Research and Education Centre. Robert Kelly, Chairman The Faculty is continuing to have discussions with Medical Defence Association of Victoria, to ensure that they are aware of issues that confront our craft group. These discussions have proved to be useful and have provided an avenue for ongoing dialogue to continually review our medical defence cover. Adrian Mar has announced that he is retiring as the Faculty Honorary Secretary and will be passing on the job to Matheen Mohamed. Adrian has done a remarkable job over the past four years. He has worked Adrian Mar, Honorary Secretary tirelessly and has devoted countless hours to the task. The quality of his work is of the highest standard. Martin Haskett has been continuing to work hard as the Director Of Training. This has been a busy job and we have all greatly benefited from his efforts. Mei Tam is continuing to do a great job as Honorary Treasurer. We are fortunate that Con Meehan has agreed to take up the Chairmanship for the next two years. Mei Mui Tam, Honorary Treasurer 13 Australasian College of Dermatologists South Australia Chairman Dr Dudley Hill Honorary Secretary Dr Jeffrey Wayte Honorary Treasurer Dr Anne Lewis 2004 was a year of consolidation for the SA Faculty. We were pleased to welcome three new Fellows – Leah Wilson, Stuart Murray and Shireen Sidhu – and look forward to the return in 2005 of Adam Sheridan, after he has completed his training in Mohs' surgery in Perth. The Faculty has now established a regular rotation of clinical meetings at the three major teaching hospitals: three are held at Royal Adelaide Hospital; and one each at Flinders Medical Centre and Queen Elizabeth Hospital. In addition, we have established an annual Therapeutic Update Session at Flinders. Guest speakers at our meetings in 2004 included a psychiatrist, Randall Long, mycologist, David Ellis and Immunologist, David Gillis, and we enjoyed a visit from our President, John Auld. A special meeting was held in August to consider the proposed governance changes for College, a summary of which was sent to Anne Howard and her Committee. Adelaide hosted the annual Australian Dermatopathology Meeting in August 2004, convened by Cathy Reid and Craig James. Several local dermatologists provided a clinical flavour to what was a very successful conference. Jeff Wayte and Lachlan Warren have been given the task as co-convenors of the College ASM to be held in Adelaide in 2007. They have already begun planning for what I am sure will be another successful Adelaide meeting. Planning is also underway for a Biennial Surgical Meeting, to be held in Adelaide from 29 September to 1 October 2006. This meeting will be aimed at updating surgical, laser and cosmetic surgery knowledge and treatment for dermatologists, and we are fortunate to have Hugh Greenway from the Scripps Clinic in San Diego as our guest speaker. Jeff Wayte retires after three years as our Faculty Secretary and Councillor. My grateful thanks to him for his contribution and work during that time. His place will be taken by Cathy Reid. My term as Faculty Chairman also has come to an end, and we welcome Marshall Hanna to that role for the next two years. L-R Anne Lewis, Honorary Secretary, Dudley Hill, Chairman, Jeff Wayte, Honorary Treasurer Annual Report 2004/05 14 Western Australia Chair Dr Judith Cole Honorary Secretary Dr Alan Donnelly Honorary Treasurer Dr Ernest Tan With the re-election of the Gallop Labor Government in Western Australia earlier this month, comes the promise of increased spending on health, with an additional $30 million dedicated to cancer care. The aim is to improve cancer coordination and standards of care for cancer patients, with a particular focus on improving cancer expertise and care to rural communities. Of interest to dermatologists, $1.2 million has been allocated to expand the State-wide Skin Cancer Prevention Program run by the Cancer Council (WA). It is important that our Faculty works closely with the Cancer Council (WA) to ensure that dermatologists are promoted as the experts in all aspects of skin cancer prevention and treatment. There is still uncertainty as to the fate of our major teaching hospitals, with continued talks of amalgamation, closure, and relocation. This has had an adverse effect on staff morale within the public hospital sector. It is hoped that with the recent appointment of a new Director General of Health, a sensible plan for the future will be forthcoming. As a Faculty, the last twelve months has been a very busy period. The College Fellowship exams were held at Sir Charles Gairdner Hospital in early August 2004. Just prior to the exams, our training programs were inspected by the Board of Censors and received accreditation for a further four years. Dr Ernest Tan and his committee have worked very hard over the past couple of years to prepare an excellent scientific and social program for the ASM 2005 to be held in Perth this May. We are looking forward to entertaining our interstate colleagues and international visitors. Funding for the Medical Specialist Outreach Assistance Program (MSOAP) has been confirmed, and this will allow us to continue to provide dermatology services in a number of rural areas which were previously unserviced. Most dermatologists who visit country regions are now taking dermatology registrars with them as part of the RASTS initiative. Our registrars find this a very valuable experience – not only is the case mix often very different to that in a teaching hospital outpatient clinic, but the visits also give them some valuable insight into private practice and life as a consultant dermatologist. Changes in our Faculty include the recent retirement of Dr Bruce Connor. Bruce has been the only dermatologist providing superficial radiotherapy for our patients over recent years and his expertise in this area will be greatly missed. We wish Bruce well in his retirement and thank him for his many years of excellent service to the field of dermatology in Western Australia. At the same time, it is with pleasure that we welcome Dr Jamie von Nida, the 2004 winner of the Founders' Medal for Procedural Dermatology, to our Faculty. L-R Ernest Tan, Honorary Treasurer, Judith Cole, Chair, Alan Donnelly, Honorary Secretary. 15 Australasian College of Dermatologists The New Zealand Dermatological Society Executive President Nicholas Birchall President Elect Kevin McKerrow Secretary Louise Reiche Treasurer Elizabeth Baird Immediate Past President Ken McDonald Paul Salmon Amanda Oakley Specialist Advisory Committee Chairperson Fergus Oliver Paul Salmon Marius Rademaker The New Zealand Dermatology Society is small, with approximately 45 active members. While remaining small has certain intrinsic benefits, there is an increasing potential for us to become marginalised and dictated to as the external political forces for change in the medical profession gather momentum. These changes, which are occurring internationally as well as locally, may be perceived as having no intrinsic merit. However, unless we adapt, they have the potential to create long-term detrimental effects on our ability to provide high quality specialist dermatology service. The Executive are committed to determine the best path on which to align ourselves with the body that the Society at large regards as the most appropriate to enable us to best represent our short and long- term goals and, in particular, to best serve our patients. The growing relationship with the Australasian College of Dermatologists is very important to us in this regard. We have significant challenges ahead of us. Manpower issues are paramount and similar to those experienced by many other medical specialities, with inadequate numbers of trainee positions available and currently a low level of New Zealand trainees returning to work in New Zealand. Training requirements are currently in the stage of being redrafted and are very generally similar to those in Australia. The potential for some registrar training to be performed in a private practice setting is being explored. The establishment of formalised overseas training positions still needs to be established. Our use of the broad range of pharmaceuticals has been narrowed considerably since the introduction of Pharmac, the New Zealand drug buying agency. Whilst they have obtained some rationalisation in the industry, we have moved from one of the first countries to adopt new medications, to one where we often go without. This situation is pertinent to many of the new dermatological drugs becoming available, for instance topical tacrolimus and especially the biologics, to which it seems we may never have access to due to their costs. We have had to define our Scope of Practice for the New Zealand Medical Council. This was drafted Annual Report 2004/05 16 carefully and provided a very comprehensive definition of dermatology practice. Our scopes, however, have been challenged, in particular by the cosmetic plastic surgeons. We propose to stand firm and defend our position, appreciating that dermatology surgical and cosmetic skills have broadened significantly over the last ten to twenty years. The challenge remains to grow our speciality. We need to lift the profile of dermatologists and the field of dermatology in general. This needs to be not only in collaboration with our colleagues but, more importantly, by direct education of the public of our value. These initiatives are currently underway. I am sure many of the challenges we face are similar to those of the ACD. Thus, I believe it imperative that we maintain a close dialogue on all of these issues in order to better enhance the development of dermatology in this part of the world. We look forward to seeing many of you at our next conference to be held at Waiheke Island, Auckland, in February 2006. The theme of this conference will be on the interface of dermatology and other medical/ surgical specialities. 17 Australasian College of Dermatologists Current Membership Queensland 60 New South Wales 158 Victoria 84 South Australia 31 Western Australia 30 New Zealand 10 College Awards Total 373 Silver Medal Associate Members 29 Dr Maureen Rogers Corresponding Members 17 Awards from 2004 Examinations New Fellows 2004/05 Australasian College of Dermatologists' Dr Alexander John Chamberlain Travelling Fellowship for 2004 Dr Antoinette Carla Ciconte Dr Adriene Yoke Lian Lee Dr Catherine Jean Drummond Dr Amanda Mary Godbolt Founders' Medal for Procedural Dermatology for 2004 Dr Adriene Yoke Lian Lee Dr Jamie Andrew von Nida Dr Adrian Lim Dr Stuart Conrad Murray President's Medal for Clinical Pharmacology Dr Shireen Kaur Sidhu for 2004 Dr Li-Chuen Francesca Wong Dr Jamie Andrew von Nida Dr Martin Sutherland Wade Dr Leah Monique Wilson Dr Li-Chuen Francesca Wong In Memoriam Dr Robert Clarke-Jones – 30 November 2004 Dr Jean Lark – 17 January 2005 Dr Emery Kocsard – 19 February 2005 Newly inducted Fellows with Dr Stephen Lee, the then Honorary Secretary, Dr John Auld, President, and Dr Warren Weightman, Chief Censor Annual Report 2004/05 18 The Chief Executive Officer's Report The major developments in 2004/05, reported elsewhere by the President and Honorary Secretary, have had their administrative and logistical impact on the College office. Staff have been involved in supporting the task forces on governance and GP education, as well as the development and implementation of the five-year training program. We have also been actively involved in the implementation of the public affairs strategy, working closely with College's PR consultant. If changes to College governance are approved by the membership, it will be possible to implement the strategic plan adopted for College some three years ago. An annual business plan was prepared to prioritise College objectives for the twelve months and to allocate resources accordingly. This is in accordance with good corporate governance. However, it has not been possible to implement the business plan, pending the review of governance. Another issue which has taken up considerable time of College in the past, but which is negatively impacting on effective management, is the College premises. College has outgrown the existing building. There is insufficient space for staff and storage of material. Thanks to government grants, we have been able to increase the College staff at little or no cost to members, in order to meet the increased demands for service, resulting from a more activist approach to issues by the Council. The best professional advice to College confirms that the premises is a poor investment and that College could do better with its funds, as well as providing a more appropriate work environment and resources for its staff. It is timely, both physically and metaphorically, to get our house in order. The AMC review of the College's training programs is only two years away and the initial phases of the review will, in fact, commence in August 2005. At the same time, the Australian Competition and Consumer Commission (ACCC) is enquiring into the College's processes, in order to determine whether, in terms of the Trade Practices Act, College's monopoly on dermatological training is in the public interest. Our processes are under intense scrutiny, to ensure that they are equitable and transparent. Preparation for such reviews as the ACCC take time. 19 Australasian College of Dermatologists On another level, our relations with the Federal Government are better than ever: in the year 2004/05, we have received three substantial grants from the Department of Health and Ageing. One was for the Northern Territory Healthy Skin Project; another for further extension in 2005 of funding for the two private practice training positions in Queensland and New South Wales; and a grant under the Support Scheme for Rural Specialists to provide access to clinical meetings for rural-based Fellows. The Department is also offering funding to support the development of a skin cancer training module for overseas trained dermatologists who otherwise meet the assessment requirements of the College and who are being considered for Area of Need positions. The presence of Tony Abbott MP, as the guest of honour who opened our Annual Scientific Meeting in Sydney in 2004, attests to the higher profile we now have in Canberra. We have been able to develop a good relationship with middle and upper level management in the Department of Health, which has facilitated positive responses to our requests for funding. I am pleased to report that the Annual Scientific Meeting held in Sydney was a great success. It attracted a record number of exhibitors and sponsors, with an outstanding financial result. This, of course, enables College to subsidise the cost of these meetings to delegates and to support its other community education activities. Council has decided that College should hold a Biennial Surgical Meeting, to alternate with the Biennial Spring Conference. This means that from 2005 there will be two scientific meetings a year, plus the Biennial Training Conference in alternate years. This will undoubtedly put considerable pressure on College resources in terms of organising and managing two meetings per year. Nevertheless, recent Spring Conferences have shown that this concept is popular with members and I have no doubt that the Cairns meeting, being organised by Leith Banney and Neville Collins in September 2005, will be as successful as Ayers Rock was in 2003. It is clear that members appreciate a smaller, more informal and family-friendly meeting held in the spring school holidays at a desirable location, as a counterpart to the more formal and intense May conference. The first Biennial Surgical Meeting will be held in Adelaide in September 2006. Consistent with a higher profile to the Government, we have implemented a public relations strategy to promote dermatologists to the wider community. College staff have been working closely with our PR consultants to implement the strategy. The College's financial position continues to be extremely healthy. Our resources have grown considerably as a result of successful scientific meetings, careful investment of surplus funds and prudent management of expenditure. The College management team are well known to most members. We are here to serve you and look forward to being of assistance. Rodney Sheaves Annual Report 2004/05 20 The Board of Censors Reports Chief Censor Dr Warren Weightman Censors Dr Gillian Marshman Dr Chris Baker Dr Shawn Richards Dr Judy Cole Dr Gayle Fischer Dr James Muir The main roles of the Board of Censors are to develop a contemporary curriculum with ongoing review and evaluation, to oversee the trainee appraisal process which includes formative and summative assessments, to be responsible for the summative assessment in the form of the Clinical Sciences and Fellowship examinations, and to periodically carry out inspections of the training programs in each State to determine if they meet the requirements of the curriculum. 1. Examinations The new Clinical Sciences and Pharmacology examinations were sat for the first time in 2004, with all three candidates passing the Clinical Sciences and all seven passing the Pharmacology exam. Trainees who started in the new five-year training program in 2003, who were unable to sit the Pharmacology exam in their first year, and trainees who started before 2003 who have taken one or more years off, have been allowed to sit the Pharmacology exam this year before they sit their Fellowship exam next year. The Fellowship examination consists of written papers in dermatological medicine and multiple choice question papers in dermatological medicine, procedural dermatology and clinical pharmacology. The clinical examinations are in procedural dermatology, dermatopathology, laboratory dermatology and clinical dermatology. The Board will continue the same format for the Fellowship exams, with the exception of not using microscopes for the Laboratory Dermatology part of the OSCE. They will be replaced with photographs. For the last few years there have been technical difficulties with the microscopes and problems with the slides clearing, as they needed to be prepared a few days before. All twelve candidates passed the written papers and twelve out of fourteen candidates passed the OSCE/Vivas, giving an overall pass rate of 86%. At the completion of the examination, the Chief Censor prepares detailed reports from submissions from all examiners. A general examination report is prepared and sent to trainees, Supervisors of Training, Directors of Training and Head of Departments. Detailed reports are prepared on failed trainees, which can be used in discussion with their local Censor and Director of Training. A report on the Examination Process has been prepared, which commented on the strengths and weaknesses of the OSCE stations and Vivas. This will be used to improve the clinical exams for 2005. 21 Australasian College of Dermatologists The Board is assessing the examinations to show they are valid and reliable. This is a requirement of the AMC accreditation process. It has continued to refine its examinations with the aim of making them more clinically orientated. This will demonstrate that we have face validity or that the exams test more closely what occurs in clinical practice. Blueprints, which record what topics are covered in each aspect of the exam, were started in 2004 and will demonstrate that the exams have content validity. Blueprints will direct what topics are chosen for each exam and that topics are not missed from one exam or from one year to another. Statistical analyses have been done for the Fellowship Vivas and OSCE for 2002, 2003 and 2004 to assess the reliability of these exams. This has shown that overall there is good reliability, although further sub-analysis on various components needs to be done. In 2004, the Board trialled the Ebel method to determine a fair pass mark for the Dermatology Medicine MCQ one best answer paper. This method assesses the difficulty and relevance of each question, combined with assessment of pass rates for borderline candidates. It has been showed to be a valid and reliable way of setting pass marks. For this paper, the old pass mark was very close to the mark determined by the Ebel method. It will be trialled again this year for the Dermatology Medicine MCQ and Procedural Dermatology one best answer exams. If it proves to be fair and reliable, it may be adopted as the primary method for setting pass marks for these exams. The Board of Censors ensure that the exams are fair and meet in February each year for an intensive two-day meeting, where drafts of potential questions for the forthcoming examination are discussed in detail, with unsatisfactory or ambiguous questions rewritten or deleted. A similar one-day meeting is held before the OSCE. The Board reviews the comments from the exit surveys which lead to further refinements in the written exams each year. It believes that its ongoing review and analysis of the examinations has led to examinations that are relevant, comprehensive and fair. 2. Training Program From 2003, the training program was increased to five years and the Basic Sciences examination was abolished. The Basic Sciences examination will remain permanently valid and holders will not be required to sit the Clinical Sciences paper in their first two years. The first two years are 'basic training' and the trainees must pass the Clinical Sciences and Pharmacology examinations within this time. Basic trainees who fail to pass these examinations, and/or have unsatisfactory trainee appraisal reports, will not be eligible to continue in the training program. Years 3 and 4 are 'advanced training' and, upon satisfactory completion of the requirements of the curriculum, they will be able to sit the Fellowship examination in their fourth year. If the examination is passed in the fourth year, then the fifth year will be a senior registrar year, with the ability to arrange specialised programs, pursue a special interest, either in Australia or overseas, work in private practice or to do research. If the examination is failed in the fourth year, then they will be able to do another year of hospital training and sit the examination in their fifth year. Further options and criteria for the fifth year are currently being prepared and will be presented to the Third Council Meeting 2004/05, to be held in May 2005. A task force has been established to identify positions in both private and hospital practice in each State, that trainees can choose from to create a fifth year. These positions will be a combination of work in private practice, public and private hospitals, and Skin and Cancer Foundations. It will allow trainees to gain valuable experience in private practice and pursue a special interest to enhance their training. Annual Report 2004/05 22 3. Accreditation The College's training program will be accredited by the Australian Medical Council (AMC) in August 2007, although the process will start in August 2005. The Board, in conjunction with our Education Officer, Claudia Casson, is making the required changes to our training program. In 2004, the focus was on assessment, both summative and formative, new methods for demonstrating the reliability and validity of the examinations, and a comprehensive review of the trainee appraisal process, leading to a new model being trialled in 2005. There was increasing trainee input in decision-making, with a trainee survey and a trainee representative committee formed. The position of Supervisor of Training was created, position descriptions developed for all roles in the training program, and support for the Supervisors of Training with the development of a comprehensive information manual and introduction of a one-day training workshop on essential teaching skills. The focus for 2005 is reviewing the goals and objectives of the training program and the curriculum, which will need to become more educationally-based. There will need to be more emphasis on the training and assessment of generic skills. A task force has been formed to review these issues. There will need to be workshops and widespread stakeholder consultation to develop these changes to the training program. 4. Feedback The Board is endeavouring to increase communication and feedback to trainees which previously was done through the Directors of Training. Last year a trainee survey was sent out to all current trainees and to those new Fellows who graduated in the last two-four years. The recommendations are being finalised and will be available shortly. In November, the Council approved a trainee representative group which is in the process of being formed. One representative will be able to attend the relevant parts of the Council and Board meetings and the group can give feedback to the Board of Censors at other times regarding issues that concern them. Trainees are sent the General Examination Report and have been provided with two sample essay questions to better understand what is required in the exam. Orientation manuals have been prepared for the Supervisors of Training, Directors of Training, and the Board of Censors. In the Supervisors of Training manual, updated descriptions for Supervisors of Training, Directors of Training, and the Heads of Departments have been prepared. 5. Trainee appraisal Process A process was started last year to review the trainee appraisal process and it has now been divided into formative and summative assessments which will be trialled this year. Previously these were combined, which led to problems with effective and worthwhile formative assessments. The aim of formative assessment is to enable trainees to become aware of their strengths and weaknesses, identify their learning needs, and with the assistance of their Supervisors, to take steps to address those needs. Confidential and non-threatening feedback is a crucial element of formative assessment. Supervisors of Training have now been appointed at each of the hospitals and training institutions and will provide on-the-job teaching and feedback to the trainees. These Supervisors of Training will need to undergo training. Workshops were held last May before the Annual Scientific Meeting and will be held yearly in the future. 23 Australasian College of Dermatologists 6. Accreditation of State Training Programs A health representative accompanied the inspection team that accredited the Western Australian training schemes in August last year. This will satisfy concerns from both the AMC and ACCC. Both the inspection team and the health representative felt that his involvement was beneficial, and several of the suggestions in his report were adopted for future accreditations. 7. National Trainee Selection Process National Trainee Selection guidelines were agreed to by all States. Application is online to the College for all candidates. The local State Faculties conduct the selection of candidates for the interview and provide detailed minutes of these meetings to College. The selection and interview committees consist of the State Faculty Chair, Heads of Departments, Director of Training, an independent representative from another medical specialty or training institution, a layperson and a representative of the local health jurisdiction. A human resources consultant was employed by the Victorian Faculty last year to contact referees and ask competency-based questions in the interview, with good results. It is planned to use a human resources consultant for all States' trainee selection in 2005. Summary The Board of Censors continues to review all aspects of the training program and make the necessary changes that will not only satisfy the AMC accreditation, but will improve the quality and standard of our training and make it fair and educationally sound. My term as Chief Censor is coming to a close in May this year and I would like to thank all those who have helped and supported me during the last three years. In particular, I would like to thank all the Censors who I have worked with. They have put in a tremendous amount of unpaid time and should be applauded for their effort. Claudia Casson, College's Education Officer, has been invaluable in her advice and work in changing our training program. Caroline Mercer succeeds me as Chief Censor and I am sure will continue the important work of the Board. I have been honoured to be able to serve as Chief Censor and am confident that the changes under my stewardship have led to a better training program. Warren Weightman Annual Report 2004/05 24 Report of the Australasian Journal of Dermatology Editor Dr Delwyn Dyall-Smith Assistant Editors Dr Annette Callan Dr Peter Foley Board Members Dr Hock Chua Dr John Coates Dr Diona Damian Dr Steven Kossard Dr Marius Rademaker Dr Harvey Rotstein Dr Priya Selva-Nayagam Dr Lynda Spelman The Australasian Journal of Dermatology is the official journal of the Australasian College of Dermatologists and the New Zealand Dermatology Society and provides a forum for members of the Australasian Dermatopathology Society to publish. It is in its 55th year of continuous publication. This year we plan to change from hard copy submission of manuscripts to web-based electronic submission and reviewing. The system is called Manuscript Central and is being created for the Journal to our specifications. It is anticipated this will be ready to trial from 1 June 2005 and to change over to this system on 1 July 2005. This will reduce the risks associated with the postal system for authors and reviewers within Australia and overseas. Authors will find it harder to overlook essential requirements for submission and will receive an automatic acknowledgment of receipt when correctly submitted. As this is a web-based system, we anticipate figures will be of high standard. Problems with reading handwritten 25 Australasian College of Dermatologists reviewer comments will be eliminated. We will be contacting our reviewers to invite them to continue on the panel if they have Internet access. As Manuscript Central will be user-friendly and will simplify the process of submitting reviewer reports, it is hoped that more Fellows will volunteer their services for the extremely rewarding, CPDP-point generating and, now, greatly simplified job of reviewing manuscripts for the Journal. Overall, the system should be faster and more efficient for authors and reviewers. It is hoped that a working model will be available at the Annual Scientific Meeting to demonstrate the new system to authors and reviewers. We welcome Dr John Coates onto the Editorial Board as the College Treasurer, and thank Dr Stephen Shumack for his years of service to the Board. The number of manuscripts submitted in 2004 has continued to fall overall, with only 84 received, but with an increased number (58) from Australia. Three were from New Zealand. Europe (including the UK, Ireland and Turkey) continues to provide a steady stream of manuscripts (14). Seven originated from Asia and India. The reduced number of submissions resulted in a page shortfall for the year of 70 pages (volume 45 - 250 pages). The page extent has been maintained however at 320 pages for volume 46. We were pleased to publish the Abstracts from scientific meetings held by College, the Australasian Dermatopathology Society and the newly formed multidisciplinary Australian and New Zealand Vulvovaginal Society. In 2005, there was also a supplement resulting from the sessions on photodynamic therapy held at the 2004 Sydney College Annual Scientific Meeting. This was sponsored by Galderma. It is important for Fellows to be kept up to date with new techniques in dermatology and this supplement provides a hard copy of the presentations. The Journal had an excellent year financially, mainly from increased advertising revenue as well as maintaining paper and Synergy subscriptions. The advertising and marketing divisions of Blackwell Publishing Asia work hard to achieve these targets. The Editor acknowledges with thanks the support of the College Executive and Council and the contributions of Board members, reviewers and authors. SKIN AND CANCER FOUNDATION QUEENSLAND SKIN AND CANCER FOUNDATION AUSTRALIA Skin and Cancer Foundation Queensland X Skin and Cancer Foundation Australia (New South Wales) X Skin and Cancer Foundation Victoria Annual Report 2004/05 26 27 Australasian College of Dermatologists Queensland Skin and Cancer Foundation Over the last year, the Queensland Skin and Cancer Foundation (QSCF) has continued its core activity of providing dermatological services to veterans at the Greenslopes Private Hospital (GPH), under an arrangement with the Federal Government. The Foundation continues to work closely and actively with the University of Queensland (UQ) to raise sufficient funds to establish a Professorial Chair in Dermatology in Queensland. This position will be an appointment of UQ based on the campus of Princess Alexandra Hospital (PAH) but also, it is anticipated, at GPH in association with the QSCF. The Foundation has committed a large sum of money towards supporting this proposal for a minimum period of five years, as has UQ. A search committee to identify possible candidates for the position of Professor of Dermatology has been formed. It is planned to seek out an appropriately qualified dermatologist, whose main interests are in clinical-based research, particularly in skin cancer, and teaching. The establishment of the Chair is part of a wider plan to establish a centre of excellence in dermatology in Queensland, provisionally named the Queensland Institute of Dermatology (QID). This institute will encompass the Department of Dermatology at PAH, the QSCF and the professorial unit with the eventual plan of co-locating the three entities in the one location on the campus of PAH. The three entities will operate separately but their co-location will enable a great interaction of patients which will have a number of benefits including: ∑ An increase in services for both public and private patients through the QSCF, particularly in the areas of advanced dermatological surgery and laser surgery, but also in sub-specialty areas of dermatology; ∑ The establishment of a large pool of patients who will be available for clinical trials through the professorial unit and the QSCF; ∑ An opportunity for the Foundation to greatly expand its development of subspecialty clinics in all aspects of dermatology and in advanced dermatological surgery and laser surgery; and ∑ An increase in registrar training positions in dermatology as part of the training program of the Australasian College of Dermatologists. The establishment of the Chair of Dermatology in Queensland in 2005/06 is anticipated, whilst the establishment of the QID, which will require the support and funding from the State Government, is less certain, although negotiations are continuing to try and progress the matter. The Foundation remains hopeful that this will eventuate in the next year, which would be a tremendous boost to dermatology in Queensland. I would like to acknowledge in this report the tremendous amount of work done by our secretary, Dr Lynda Spelman, who has been active in the Foundation since its inception in 1995. Others who have been involved in recent negotiations for the Foundation include Dr Robert Sinclair, Dr Greg Siller, and Dr Brian De'Ambrosis. The establishment of a Professorial Chair in Dermatology in Queensland has been a long-held dream of Clinical Professor Graeme Beardmore, who first floated this idea at least 20 years ago. Considering Queensland has the highest incidence of skin cancer of anywhere in the world, it would seem long overdue to establish a Chair of Dermatology in Queensland, and the Queensland Skin and Cancer Foundation is extremely pleased to be able to be actively involved in this initiative. Annual Report 2004/05 28 Skin and Cancer Foundation Australia (New South Wales) The Skin and Cancer Foundation Australia has had a turbulent year, with the resignation of a number of key staff members, including Sue Purves, CFO, followed by Dr Margaret Stewart in July 2004. This is, of itself, de-stabilising, but when combined with the recognition by the Board that there were urgent financial issues that needed to be addressed to ensure continued functioning of the institution, this created significant instability and stress. These pressures have resulted in the curtailment of some of the Foundation's benevolent activities in the area of research support, and the loss of funding for one registrar position. We hope that these are short-term measures only, as under the guidance of the Board of Directors, the efforts of Mr Rob Wilson our new CFO, with the good will and continuing hard work of the dermatologists and nursing staff at the Foundation, we are making progress in addressing these problems. We were delighted when Her Excellency Professor Marie Bashir AC, Governor of New South Wales agreed to be the Patron of the Skin and Cancer Foundation. Notwithstanding our inability to support as many projects this year as we have in the past, we do continue to support and be involved in the Scabies Eradication Project on Groote Eylandt. This project has been co-ordinated by Dr Nellie Jang. Dr Sally de Zwaan continues with her PhD project and is hopeful of completing it by the end of the year. The Foundation still supports four of the twenty registrar positions in NSW and we have obtained a further twelve months funding to support a registrar position where training occurs in the context of private practice. This registrar spends two days a week with Dr Irene Grigoris in Griffith, in addition to working at the Foundation. At both Westmead and Darlinghurst facilities, there is a continued close association with Westmead Hospital and St Vincent's Hospital. The Foundation's clinical and dermatopathological activities continue to grow. We continue to provide general dermatology clinics, Mohs' surgery, non-Mohs' surgery, laser surgery, patch testing and other specialised assessment of contact dermatitis, phototherapy, oral medicine and psychodermatology. In 2004, Karyn Lun completed her Mohs' Fellowship at Westmead. Mohs' surgery is offered at both Westmead and Darlinghurst. Dr Kerry Crotty, who has both dermatological and pathology specialist qualifications, has joined A/Professor Steve Kossard's team at the Foundation. Martin Wade passed his final exams and is welcomed as a Fellow of College. 29 Australasian College of Dermatologists Executive Chairman Mr Roger Gibson Dermatologist Dr Joseph Krivanek Company Director Mr David Paddon Dermatologist representing Australasian College of Dermatologists Dr Robert Rosen Dermatologist Dr David Wong Dermatologist Dr Ian Hamann Dermatologist Dr John Doyle Dermatologist Dr Stephen Shumack Senior Managementr Pam Brown Honorary Medical Director, Westmead Dr Robert Paver Honorary Medical Director, Westmead Dr Pam Brown Honorary Medical Director, Westmead A/Prof Steven Kossard Director of Dermatopaathology Mr Rob Wilson Chief Financial Officer, Company Secretary Ms Geri McLaren Director of Nursing, Darlinghurst Ms Suellen Fulton Director of Nursing Westmead Consultants There are 39 consultants who work at one or both of the facilities. All of the above, including the administrative and nursing staff who contribute to the workings of the Foundation, contribute to achieving the Foundation's goals of achieving excellence in teaching, training, education, research and clinical practice. Annual Report 2004/05 30 Skin and Cancer Foundation Victoria Committee of Management President Dr James Butler Dr Christopher Baker Dr Peter Foley Dr Gregory Goodman Mr Martin Goodrich Dr Philip Lane Dr Chris McCormack Prof. Robin Marks Mr David Payes Dr Michael Rich Business Manager Mr Joe Mercuri Now in its seventeenth year, the Skin and Cancer Foundation Inc (Victoria) has established a history of strong growth and continued diversity. The past year has seen the Foundation consolidate its position as Victoria's leading provider of skin cancer and other dermatological treatment services. We now provide a wide spectrum of services in skin cancer treatment that encompasses diagnostic as well as surgical and therapeutic treatments. Considerable advances in the new therapeutic modalities means that patients at the Foundation, while having access to traditional dermatological surgery and plastic surgery procedures, may also be given less invasive therapeutic treatments, including photodynamic therapy (PDT), radiotherapy and immune stimulator creams. An exciting development has been the introduction of a clinic for organ transplant patients, who have a higher propensity to develop multiple skin cancers due to immuno-suppressed medications. This clinic commenced under the auspices of Dr Alvin Chong in early 2004, and has the advantage of running in tandem on Wednesday mornings with Professor Robin Marks' Skin Cancer Assessment Clinic. At the same time, we were pleased to realise the establishment of a male genital dermatology clinic, which will be referred to as the "D.G. Clinic" so as not to appear to be a sexual health facility and to ensure discretion and confidentiality. Dr Tony Hall oversees this clinic. The Foundation has continued its considerable involvement in the training of dermatology trainees and other medical practitioners. Victoria will have 16 dermatology trainees going into 2005, all of whom rely in varying degrees on the Foundation for provision of clinics and other training infrastructure for the completion of their course of training. We've also been delighted to host a number of visiting experts who have presented at conferences and, as in the case of A/Professor Alexandra Geusau from the Medical University of Vienna, have run clinics at the Foundation and shared their expertise. In conjunction with Dr Douglas Gin and the Department of Dermatology at the Alfred Hospital, a combined conference for general practitioners was held in March, which attracted a record number of attendees. A 31 Australasian College of Dermatologists key supplement to this conference was the provision of a number of "hands on" procedures workshops, coordinated by Dr Adrian Mar. The weekend's success underpinned a significant and growing demand from the medical community to tap into the high quality of skill training that can be accessed through dermatologists. In a matter not unrelated to this, the Foundation is observing, with some concern, the proliferation of centres in Victoria and interstate which are providing skin treatment services with varying levels of competence and appropriateness. The Foundation is exploring ways in which it can augment its own training services and provide additional guidance to medical students and general practitioners as a way of setting a "gold standard" of diagnosis and treatment of skin cancer and other skin conditions. The Foundation continues to raise its profile and the community's awareness of skin care issues through a range of events such as the Friends of the Foundation breakfast. It was held this year at the Sofitel Hotel, and was attended by almost 300 guests. We owe a debt of gratitude to our guest speaker and Foundation patient, Mr John Bertrand, AO, who gave of his time so generously and who, with Dr Rosemary Nixon, did such a commendable job in both entertaining our guests as well as espousing the important work being carried out by our staff and member dermatologists. We acknowledge two very important contributions to the Foundation as the year ends: Professor Robin Marks will retire as Professor of Dermatology after 10 years of exemplary service; and, similarly, Peter Garamszegi has left his position as CEO early in the new year after 12 years of service. These two people have played critical roles in the development and advancement of the Foundation. Professor Marks will remain heavily involved in the Foundation. We also congratulate Professor Rodney Sinclair on his election to the role of Chair of Dermatology and look forward to his important contribution. The Foundation welcomes Mr Joe Mercuri, who was appointed as Business Manager in February 2005. Our members continue to give strong support in many different ways and we are delighted at the number of new dermatology graduates who have taken up membership and added to the support base over the past year. The Foundation continues to address the need for new accommodation as the range and breadth of activities grows rapidly. These are indeed exciting times, and our plans for 2005 will be both challenging and rewarding. Finally, we have received significant support from patients, philanthropic trusts, corporate supporters and the general community. I trust that this is in recognition of the important work carried out at the Foundation, and on behalf of our member dermatologists and staff, pledge to continue our efforts in promoting excellence in all aspects of our dermatological involvements. FROM THE RESEARCH & SCIENTIFIC COMMITTEE AWARDS COMMITTEE CONSTITUTION From the Research & Scientific Committee X Awards Committee X Constitution Committee X Ethics Committee X Annual Report 2004/05 32 33 Australasian College of Dermatologists From the Research and Scientific Committee Convenor Dr Alan Watson Members Dr Megan Andrews Dr Judy Cole Dr Peter Foley Dr Todd Wiadrowski This Committee provides advice to Council on matters that cover all aspects of dermatology. Requests for comment and advice are from the media, general public, pharmaceutical companies, individual members of College, other specialist medical bodies and government institutions. This may involve assistance with position statements, advice regarding safety issues, usage and availability of certain drugs, assistance with public education brochures and information on the College website. Some issues considered in the past twelve months have included: 1. Media Issues There is a constant stream of requests for assistance from print media, radio and television, for comment on various issues or assistance in preparation of articles on skin conditions. Common requests handled by the Committee, most often by the Convenor, have included a number of aspects of acne causation, frequency and treatment, moisturisers, anti-ageing preparations and general skin care. 2. Isotretinoin As usual, this drug has occupied the attention of the Committee on a number of fronts. Firstly, from the pregnancy prevention point of view, the current guidelines are being reviewed by the RANZCOG and, as there has been a compulsory tightening of guidelines and restrictions in the US recently, further developments are likely here. Secondly, the issue of depression with isotretinoin was kept under regular review, and the issue was further brought to a head by a finding in the New South Wales Coroner's Report on the death of a young girl from suicide after previously taking isotretinoin. The Committee advised Council on issues in the report that seem to be impracticable, but the assistance of the Royal Australian and New Zealand College of Psychiatrists will also have to be taken into account. At this stage, the position statement of 2003 put out by the College, is adequate. Thirdly, in response to a College member, the Committee looked at the frequency of lipid testing during a course of isotretinoin for acne. Product information, which was registered some twenty years ago, still suggests monthly lipid testing. It was felt that this was not necessary and that following initial follow-up lipid testing, testing thereafter should be as deemed appropriate for each individual. Annual Report 2004/05 34 3. New Biologic Agents For Psoriasis With the registration of alefacept and efalizumab, the need to gain access to these expensive medications for severe psoriatics became necessary. The Committee therefore assisted in the production of guidelines for determining a patient population and response rate that would justify the use of these agents as a pharmaceutical benefit. 4. Cancer Council of Australia Position Statements on Vitamin D and Sun Protection Strategies There has been continued input throughout the year on the position that Cancer Council Australia and the College should adopt with regard to sun protection and the risk of vitamin D deficiency. This has led to a number of draft statements, including the most recent one, which acknowledges the possible risk to certain elements of the Australian population with regard to vitamin D deficiency, e.g. institutionalised elderly, babies of vitamin D deficient mothers, dark skinned people who cover their skin for religious or cultural reasons, particularly when people from these groups are living in the southern most parts of Australia. It is recommended that the overall message is still one of sun protection, minimisation of exposure and, where necessary, replacement with oral vitamin D supplements. 5. RANZCR Draft Paper on Record Storage for Previous Recipients of Radiotherapy Dr Peter Foley kindly provided useful input here. This may affect the requirements for storage by any dermatologist who previously administered radiotherapy, i.e. records of dosimetry, site, frequency and outcome of radiotherapy should be retained for up to 15 years. 6. Queensland SunSmart Campaign The Committee was given the opportunity to review an excellent PowerPoint presentation created by the Queensland Faculty for College members' use in talks to schools for either teachers or parent bodies. Although this was designed for use in Queensland, it was felt that relatively little modification would be required for use in other States. 7. Miscellaneous The Committee commented on a number of other issues at the request of the College's Honorary Secretary, e.g. leadership and learning programs (a drug company initiative for GP education), advisability of nominating a member for the PBAC, and advice regarding non-PBAC listed anti-acne hormonal preparations. 35 Australasian College of Dermatologists The Awards Committee Reports Convenor Dr William Land Members Dr John Brenan Dr Sandra Congdon Dr Nicholas Downes Dr James Rohr Dr Ivan Simmons The function of this Committee is to consider and assess proposals made to it for recognition of Fellows for their services to the Australasian College of Dermatologists, dermatology in general, and to the wider Australian community. Following appraisal by the Committee, recommendations are made to Council for the appropriate recognition. Proposals for awards that are sought from Fellows should be accompanied by a short curriculum vitae, as well as an indication of why the award is thought to be merited. Such proposals should be marked "In Confidence" and directed to the Convenor of the Committee by the Honorary Secretary of College. Annual Report 2004/05 36 A Report from the Constitution Committee Convenor Dr James Rohr Members Dr Richard Armati Dr Gregory Crosland Dr Nicholas Downs Dr David Francis Dr Dudley Hill Dr William Land, AM Dr Stephen Lee Dr William Regan, AM Dr David Wong This Committee acts in an advisory capacity to Council in relation to the Memorandum and Articles of Association. The Committee had a full meeting during the Annual Scientific Meeting held in Sydney in 2004. The Committee has continued to update Regulations of Council. Perhaps the most important of these new Regulations is that of Regulation 25(e), where at least one month before the First Council Meeting, Council in writing to all Fellows shall call for nominations of Committees. A list of current Committees and their membership will be included with the letter. The Committee has given advice to Council on other matters, including the annual subscription and the possibility of life membership as a new category in College membership. The Committee has devoted considerable time to formulate its views concerning governance structural review. The Committee is in agreement with Council that we should proceed very slowly in this direction, and that all Fellows should be fully informed about these issues as has happened. The Committee is in agreement the size of College Council needs to be reduced. It stresses that any new Council formation must maintain our existing strengths, which include the wonderful esprit de corp, quality training, broad representation around Australia, and very good management. The Committee could not reach agreement on a reasonable mechanism for the election of the President Elect. Eventually, these issues will be decided by an Annual General Meeting and all Fellows can be fully involved. It is particularly important that all Fellows have up-to-date copies of the Memorandum and Articles of Association and Regulations of Council, in view of these proposed structural changes. I would like to thank all Fellows of the Committee for their help throughout the year. 37 Australasian College of Dermatologists From the Ethics Committee Convenor Associate Professor Christopher Commens Members Dr Jennifer Byth Dr Hock Cheng Chua Dr Andrea Jopp-MacKay Dr Josephine Yeatman Dr Lachlan Warren For another year this Committee has not received any formal complaints about Fellows. Nor have we received any informal information regarding complaints of Fellows' behaviour. The Committee has reviewed the Medical Industry Association Codes of Practice and has made a number of suggestions in an attempt to make this document more accountable and specific. We have deliberated on the Declarations of Interest from the Councillors and Executive members. Members of the Ethics Committee do have concerns about the competing interests of some Councillors and Executive members. However, we also recognise that it is very difficult in a small College to not have some association with industry. It is the belief of the majority on the Ethics Committee that members of the Executive should cut all ties with industry prior to and during their Executive duties. Annual Report 2004/05 38 The Information Technology Committee Reports Convenor Dr Christopher Clay Members Dr Jennifer Byth Dr Ian Hamann Dr Ian McColl Dr Christopher Tyson Dr George Varigos Dr Anthony White Information technology has become a routine aspect of College operations. The College website is now an information hub for College Fellows and a source of information for the public, other medical and health practitioners, trainees, and intending trainees. These functions are likely to increase in the coming years. Continuing professional development can now be entered online and many Fellows will have registered their points using the website. Applications for training positions are also exclusively online. The New South Wales, Queensland, and Western Australian Faculties now have separate areas on the site. Much of the ongoing assessment of trainees is done online. This facilitates administrative activities and reduces the cost of administration. A major activity for the Committee this year was consideration of a report on HealthConnect Business Architecture and creating a College response. There are a number of initiatives that have considerable potential impact on the daily lives of office dermatologists. It is important that we continue to point out to Government departments the cost of implementing initiatives such as online centralised health records for all Australians. The proposed system would require that all health care providers are online and using electronic records, or at least have the capacity to produce electronic summaries of patient interactions. This is the way of the future, but the Government will need to resource dermatologists adequately to undertake these functions. As information technology becomes more routine in the medical world, the function of the IT Committee is changing. For the foreseeable future, the bulk of the work will be commenting on proposals from Government and various other bodies such as the AMC. There is likely to be a period of fairly intense activity in the near future as Health Online is realised. Attention to the detail of moving the administrative activities of College online is likely to be increasingly managed by the secretariat. I would like to thank members of the committee for their assistance over the year, and Rodney Sheaves for a considerable amount of work on the website. 39 Australasian College of Dermatologists Report of the Medical Practice Committee Convenor Dr James Butler Members Dr Greg Crosland Dr Zoran Gaspar Dr Martin Haskett Dr Anne Lewis Dr Peter Sinclair During 2004, representatives of the Medical Practice Committee participated in negotiations via the Australian Medical Association (AMA) Skin Group. The issues raised with the Medical Benefits Consultative Committee were as follows: 1. Laser Item Numbers The item numbers for photocoagulation laser were revamped for the November 2004 Medicare Benefits Schedule, to make them useable. We are indebted to Dr Philip Bekhor for his support in this area. 2. Excision item numbers for non-melanoma skin cancer The item numbers have been rewritten and expanded to allow for re-excision of residual skin cancer. The re-excision item carries a different number and includes whether it is re-excision by the same or different practitioner. 3. Item number for body map imaging for high risk patients for melanoma Discussion continues on this issue and hopefully an item number will be created in the near future. 4. Flap Item Numbers An extensive review is being undertaken of the usage of various groups of flap item numbers. Some revision of item numbers can possibly be expected in November 2005. Annual Report 2004/05 40 From the Professional Standards Committee Convenor Dr Kurt Gebauer Members Dr Pam Brown Dr Greg Crosland Dr Lloyd Hale Dr Jennifer Menz Dr Godfrey Wagner Dr David Young (NZ) Over the past few years there have been many changes to our College's continuing professional development program. The last six to twelve months have been of consolidation of previous changes. Additionally, Committee members as well as the Education Officer have been reviewing other College programs. We have been most mindful of the Australian Medical Council's ongoing accreditation of other colleges and their programs. It is expected that some time towards the end of this year, there will be a raft of suggested additions to our program which will expand the options that will be available to College members participating in CPD. Some of these additional units will be required directly as a result of the forthcoming AMC review. 41 Australasian College of Dermatologists The Public Affairs Committee Reports Convenor Dr Christopher Quirk Members Dr Pam Brown Dr Judy Cole Dr Alan Cooper Dr Brian De'Ambrosis A/Professor John Kelly Dr Robert I. Kelly Dr James Muir Dr Rosemary Nixon Dr David Wong Dr Stephen Shumack (ex officio) At the First Council Meeting 2004/05, held on 19 May 2004, Council resolved that the Executive, in association with the Public Affairs Committee and the Chief Executive Officer, should consult media companies to develop a strategy which would raise College's public profile. Subsequently, Council approved by postal vote, the appointment of S2i Communications as College's PR consultant. S2i Communications is a company based in Sydney with skills in public affairs, advertising, corporate affairs and research. It has undertaken work for a number of major corporations and also is the media consultant for the Royal College of Pathologists of Australasia. The Public Affairs Committee has refined a strategy in consultation with S2i, which is now being implemented. College's objective is to promote awareness of the scope of dermatologists' expertise in the provision of skin health care, especially skin cancer, to consumers, other health professionals and to the Government. This is being pursued through a communications strategy which has three components: 1. Scientific leadership – research – expert commentary 2. Community education – all media 3. Professional protection – reactive media relations and crisis management The key messages of the campaign are: ∑ Dermatology – the science of skin, hair and nails ∑ Skin health is of concern to all ages and groups ∑ The dermatologist brand – a dermatologist is the peak trained professional in skin health care. Since the appointment of S2i communications in September 2004, the following initiatives have been undertaken: Annual Report 2004/05 42 ACD logo design ∑ Television coverage The ACD media logo was designed, as a more Channel Ten news – "First at Five", 20 accessible alternative to the official crest. January 2005 Channel Nine news – Late news, 20 January ACD Media Kit / CVs 2005 CV template designed, and assistance with media Other councils are being approached with regards kit development. to a continued program for November 2005. ACD Advertising and Fact Files Media Releases ACD advertorials and fact files were reviewed and ∑ Cottesloe Cares re-written to serve as a resource available to all ∑ The Skin Cancer Crisis Fellows who wish to undertake direct advertising ∑ Anna's Story – Solarium release in conjunction or provide fact files for their patients. The fact files with Cancer Council have also been placed on the College website. ∑ The Dread of the Sunbed – Supporting WHO advisory Northern Territory / Arnhem Land Scabies Eradication Program Andrew Ettinghausen "Escape with ET" Media luncheon held in October 2004, which proposal – currently under negotiation. resulted in immediate radio coverage in WA, and the agreement for Impaja coverage April 2005 to Ambassadors Proposal encourage Aboriginal support for the project. Approaches to Bec Cartwright, Ken Sutcliffe, Scott Cam, Jennifer Hawkins, Brett Lee, reality TV show PathWay stars, etc. to be "Healthy Skin Ambassadors". "A dangerous place in the sun" – the Skin Cancer Crisis report in the summer 2004 edition of PathWay Response to "Sixty Minutes" magazine. Letter to the Editor following Skin Cancer expose 20 February 2005. World Psoriasis Day Letter to Sixty Minutes/Channel Nine regarding the Liaised with representatives regarding World rights to replay the segment during SunSmart / Psoriasis Day to ascertain ACD involvement. ACD dermatologists visits to schools. involvement was deemed to be inappropriate as the Joint proposal with Cancer Council regarding day was sponsored by a specific pharmaceutical usage of footage. company. Cancer Council UV Index Beach Sign Initiative Ongoing liaison with the Cancer Councils Australia The conception of the idea, proposals to Councils, regarding ACD input into media releases. Most execution of the beach sign initiative at Cottesloe recent release with ACD input – Solaria (Anna's Beach, 20 January 2005. Media coverage story). included: ∑ Press "Healthy Skin" Proposal The Australian, Saturday 22 January 2005 Regular dermatologist column, featuring Dr Sunday Times, Sunday 23 January 2005 Natasha Cook, assessing common dermatological Post Newspaper (distributed free to 91,000 problems. Being proposed to "Sun Herald" and homes across Perth), 29 January 2005 syndicate. ∑ Radio interviews 100.9 FM – Lisa Herbert Media Training Nova – Lucy Media training is currently being arranged for ACD- 6 PR – Harvey Deegan interview selected Fellows. 43 Australasian College of Dermatologists A Report from the Rural, Regional and Indigenous Services Committee Convenor Dr Ian Hamann Members Dr Christopher Clay Dr Lloyd Hale Dr James Muir Dr Vincent O'Brien Dr Colin Parker This Committee has a representative from each State Faculty, as rural dermatology has varying needs based on the size of the State and the number of dermatologists available to service rural communities. Dr Colin Parker provides our Committee, and College, with invaluable advice and commitment to indigenous skin disease. This has culminated most recently in College's participation in the Northern Territory Healthy Skin Project. This last year, Drs Deborah Holt and Robert Salmon have resigned from the Committee, and we thank them for their participation and input. The main aim of this Committee is to see a more equitable distribution of dermatological services to rural communities. The Committee acts to liaise between College and the State Faculties, particularly in its supervision of the Federal Government-funded Medical Specialists Outreach Assistance Program (MSOAP) and the RASTS project, which provides some funding for rural visits by registrars. Whilst providing valuable funding for increased dermatological services, these projects have had their problems. Most recently, MSOAP funding has been downgraded to services already running in the Riverland, SA and Griffith and the Mid-North Coast of NSW. College and this Committee have been involved in negotiations to try and salvage these projects. Visits to Alice Springs have ceased for the time being, but the South Australian Faculty is now servicing Darwin. Victoria, Queensland and Western Australia have all successfully established new services to rural areas. These include services to Leongatha, Bendigo and Portland in Victoria. It is especially pleasing to see Bendigo attracting some recent graduates. Shepparton remains as a major centre without dermatological services. Both the Victorian and NSW Faculties are concerned about the lack of dermatological services in Albury, since the retirement of Dr Richard Denisenko. Initial approaches for funding by the Victorian Faculty have been unsuccessful, but the area is listed as a priority for funding with the Rural Doctors Network in NSW, and MSOAP funding should soon be forthcoming. Dr Jim Muir's telederm website has now gone 'national' and we congratulate him on his efforts to see this project through. The website is a valuable resource for rural doctors and a great promotional tool for the speciality of dermatology. In NSW, we remain short of dermatologists in virtually all rural areas, despite new visiting services to Wagga, Cooma, Armidale, Taree and Port Macquarie. Orange now has its own resident dermatologist. The Committee has proposed preparing a list of all available rural opportunities for new, and established, dermatologists. We remain committed to promoting rural dermatology. Annual Report 2004/05 44 From the Scientific Meetings Committee Convenor Dr Anne Howard Members Dr Leith Banney Dr Neville Collins Dr Peter Foley Dr Kurt Gebauer Dr Shyamala Huilgol Dr Rosemary Nixon Dr Lynda Spelman Dr John Sullivan Dr Ernest Tan Dr Lachlan Warren Dr Jeffrey Wayte 2004/05 has been a busy year for this Committee, which helps to plan and co-ordinate all aspects of our scientific meetings. Manual for Convenors Our CEO, Rodney Sheaves, has prepared a manual for convenors, which was approved by the Committee and will be given to all new meeting convenors. It sets out a timetable of what happens when, and should be very useful. Curriculum Issues Dr Rosemary Nixon, with College's assistance, has produced a list of topics for discussion at meetings, based on past meetings from 1990-2004. This has been passed on to the Professional Standards Committee for comment; we would like to see that important topics are covered at regular intervals. Sydney ASM 2004 Dr John Sullivan and team are to be congratulated on a very successful meeting. Feedback was discussed by the Committee. Convenors need to make sure sessions run on time! Future meetings Dr Ernest Tan and colleagues have the Perth ASM well in hand, including the social program. Dr Leith Banney and Dr Neville Collins have been working hard on an exciting program for Cairns in September 2005, and Dr Peter Foley is in charge of the Melbourne 2006 ASM. Dr Dudley Hill has offered to run an inaugural Spring Surgical Meeting in Adelaide in 2006, with emphasis on hands-on skills, with Dr Hugh Greenway as the visiting speaker. Thus, there will probably be two meetings each year from now on! 45 Australasian College of Dermatologists Eligibility to attend meetings Those enrolled in the College CPD program may attend meetings, and the opening for this has been extended by Council recently. Visiting speakers These need to be booked quite early and approved by Council. A request has gone out via e-bulletin for 'good' speakers and we've had a number of replies; more are always welcome! Federal Minister for Health Tony Abbott opened College's Annual Scientific Meeting held in Sydney, May 2004 Annual Report 2004/05 46 From the Scientific Research Fund Committee Convenor Dr Alan Watson Members Dr Graeme Beardmore Dr Delwyn Dyall-Smith Dr Noel Grieve Dr Peter Hersey Dr John McNeill Dr David Weedon This Committee oversees applications for funding from the College's main tax deductible Research Fund. Funding is provided by direct donations from the general public and College Fellows, as well as payment for clinical research carried out by College members. The Committee consists of both practising dermatologists, drawn from College membership, and non- dermatologists working in the research community. The Committee has dealt with a variety of varied research grants in the previous twelve months including: 1. Grants following the presentation of papers at the Annual Scientific Meeting in Sydney 2004 for papers on "Urticarial Dermatitis" and "Computational Dermatology". 2. Recommendations for the Fred Bauer Research Grant which included research on isolated dermal melanoma metastasis. 3. Granting of funds to assist research on the bacterial flora of patients with rosacea. 4. Funding from the Fred Bauer Research Fund for colour photography for articles on "Congenital haemangiomata", Blue rubber bleb naevus syndrome" and "Fixed drug eruption with Interferon Beta 1B". 5. Support for a clinical study on vulval itch. Thanks are particularly due to the non-College members of this Committee who provide valuable assistance and advice. 47 Australasian College of Dermatologists The Subspecialty Committee Reports Convenor Dr Philip Bekhor Members Dr Brian De'Ambrosis Dr Timothy Elliott Dr Anne Halbert Dr Rosemary Nixon Dr Robert Sinclair The Subspecialty Committee representing surgery, laser, Mohs', contact dermatitis and paediatric dermatology, has not been requested to undertake any formal tasks since the last report. Media inquiries referred by the national College office have been dealt with and an opinion was also provided to the Victorian Faculty in response to a medico-legal inquiry. Annual Report 2004/05 48 Undergraduate and GP Education Committee Convenor Professor Rodney Sinclair Members Dr Kurt Gebauer Dr Andrew Jevtic A/Professor John Kelly Dr Adrian Mar Professor Robin Marks Dr Gillian Marshman Dr Graham Stephenson Dr Jeffrey Wayte In my role as Convenor of the Undergraduate and GP Education Committee, I attended the Medical Education Conference 2005 in Canberra, in March of this year. This was a meeting co-sponsored by the Committee of Deans of Australian Medical Schools, the Australian Medical Council and the Commonwealth Department of Health and Ageing. Attendance at the conference was by invitation only, and the Australasian College of Dermatologists was invited to send one delegate. Other attending delegates were representing medical schools, specialist medical colleges and a bewildering array of state and commonwealth government organisations and statutory bodies. Much of the impetus for this meeting derives from the anticipated critical medical workforce shortage and the Doherty Report published in 1988. Crisis in Health Workforce In the 1990s, the Government believed that the MBS budget was spiralling out of control due to an oversupply of doctors and practitioner over-servicing. Medical school intakes in the late 1980s were cut from approximately 1,200 nationally to 800. Subsequently, the modelling upon which these assumptions were based has been shown to be flawed, as it was based on absolute doctor numbers rather than full- time equivalent doctors. Whilst this is one of the factors contributing to the perceived crisis in the medical workforce, it is not the only one. Postgraduate training takes longer. Recent legislation to restrict provider number availability, means there is now a minimum of 10 years from entry into medical school until a graduate is ready to see patients independently. Doctors are working fewer hours and retire earlier. Over 50% of graduates from Australian medical schools are female, and many take time out from the workforce for family reasons. On re-entry into the workforce, a proportion will continue to work part-time. The workforce shortage is also compounded by a mismatch between the disciplines in which doctors specialise and community requirements. There is a tendency for 'super sub-specialisation'. There are relatively few general physician and general surgeon graduates. We seem to have a preponderance of cardiologists. This reflects the mismatch between requirements within public hospitals, where most of the 49 Australasian College of Dermatologists acute medical services are provided, and the broader community, where private medicine is practiced and chronic illness dominates. As an illustration, the Commonwealth Chief Medical Officer, Professor John Horvath, pointed out that 96% of all dermatology is practiced in a private practice setting. While the medical manpower shortage threatens to affect all sectors of health care, it is most pronounced in rural Australia, and this has been the key driver for political reform. Amongst the strategies to redress the shortage of doctors and, in particular, rural doctors, a number of rural medical schools have been created and this year 1,700 students will enter medical students around the country. Twenty percent of all Australian medical students are bonded to work in country areas for a number of years following graduation. As these students won't reach active clinical service for at least 10 years, other strategies are also being investigated. These include: reducing the training time; importing doctors from overseas; reversing the "brain drain" of Australian graduates overseas; increasing productivity of the existing medical workforce with reductions in red-tape; and increasing participation in the workforce by encouraging doctors to work more hours, or for doctors who have left the workforce to re-enter the workforce through up-skilling and retraining. Whilst modifying consumer behaviour to reduce the demand for doctors was discussed, it was not felt that an effective strategy could be developed around this goal. One message that was repeated by many speakers, was that if the desire is to reduce the length of training, then there is a need to develop a radically different model of training. The Doherty Report 1988 In the late 1980s, there was an increase in recognition that medical education was dominated by the teaching hospital environment, yet teaching hospitals were, in the main, tertiary referral centres and, as a result, had become overly-specialised and did not match community medicine and training needs. The Doherty Report articulated this and led to a changing paradigm for medical education, with a shift in focus to community-based learning. Around that time, the Newcastle Medical School published the outcomes of their "radical" curriculum, and all the medical schools in the country have now changed their approach to medical education, incorporating new educational principles and focus into their curriculum. Some of these new educational principles include active learning, lifelong learning, postgraduate entry into medical schools, increased indigenous and rural entrants to medical schools, more time for the medical students in community health centres, private consulting suites, private hospitals, GP practices and consequently less time spent in the dissecting room. New basic sciences, such as molecular biology, evidence-based medicine, and safety and quality, have also been introduced into the medical curriculum. With the recognition that more than 50% of medical graduates specialise and only around 30% become general practitioners, the goal of undergraduate education was no longer to produce a general practitioner, but to produce someone with the competency to perform the duties required of an intern. Legislation introduced by Michael Wooldridge to restrict provider numbers to new graduates, negated the main function of the intern year as a pre-registration year. The intern year is now linked together with the postgraduate year 2, in what is termed pre-vocational training. This is considered an integral part of medical education and also provides new graduates with an opportunity to explore a variety of disciplines, some of which they may not have been exposed to during the undergraduate years, and to choose a career path. Annual Report 2004/05 50 While medical schools have the sole responsibility for educating medical students and to promote the university goals of scholarship and research, it is now recognised there are other stakeholders invested in medical student education. These stakeholders include: policy makers trying to plan the medical workforce; health managers trying to manage the medical workforce; the community who are consumers of health services; the academic institutions; and the health professionals themselves. Other vested interest groups, such as indigenous people, also want a say. There is now a desire driven by Government for broad engagement amongst the various stakeholders in re-jigging the educational process, so that it is responsive to the needs of the community. The medical schools, and to some degree the medical colleges, are being encouraged by Government to allow this. One consequence of this is that the Royal Australasian College of Surgeons (RACS) has recently been challenged as the sole provider of postgraduate surgical training. Various universities investigated whether they could take over this role and perhaps shorten the duration of training. Implicit in this is that RACS may not be the sole arbitrator of minimum standards of expertise required by the community. It has been suggested that improved community access to surgical services may be more important than achieving the highest possible standards in training. One aspect that was very reassuring for dermatology was that Professor John Horvath, the Commonwealth Chief Medical Officer, highlighted the fact that dermatologists were the only group that funded additional registrar training positions in private practice in two cities in Australia. He indicated that he was aware of dermatologists' endeavours to increase the number of dermatology graduates and their endeavours to expose trainees to a private practice environment. Another encouraging aspect of this conference was the desire by State Governments to engage in the process of ensuring there is adequate medical manpower, not only in the public hospital system, but also in the broader community. They are aware that currently available trainee positions are determined, in the main, by the requirements of servicing public hospital patient populations, rather than the needs of the broader community, and that this leads to skill excesses in certain areas and deficits in others. Of course, whether this will translate into increased funding allocations for the training of dermatology registrars is yet to be seen. Agreed Outcomes There was a general recognition by conference participants that medical education and medical practice are continuum. There are a lot of stakeholders that would like input into medical education at all levels. It is impossible to separate medical education and medical workforce issues. There is a lack of alignment between education and service delivery. Governments are not yet good at predicting medical workforce needs due to the dynamic nature of medicine. There have been unanticipated effects of both planned and also knee-jerk changes to the health system (such as provider number legislation and graduate entry) that have been detrimental to workforce needs. Changes to the medical education system will require investment, time, infrastructure, and for new innovations to be piloted before they are implemented. There are a finite number of core skills required of doctors: • Communication • Clinical competence • Flexibility • Teaching • Team work • Self regulation • Social responsibility. 51 Australasian College of Dermatologists Medical education faces a number of key challenges: 1. To link the changes in health and illness in the community to changes in the medical curriculum. 2. To re-evaluate the need for generalists versus sub-specialists. 3. To link the various stages of medical education so that there is recognition of prior training, common entry criteria and common continuing professional development programs. 4. To understand the education vocabulary and rationale so that we can incorporate education innovations into medical education delivery. Common Goals It was decided at the conference to progress the establishment of a National Health Care Education Council. This council would be established and funded by the Australian Medical Deans Council and report to the Australian Health Ministers' Council. It would be independently incorporated and its membership would include all the stakeholders such as universities, consumers, medical colleges, teachers, government, students, regulators, unions, etc. The goals of the National Health Care Education Council would be to develop a policy framework, to gather information, to promote collaboration, to develop an implementation strategy and source funding for implementation, and to link back to the various government agencies already involved in health care education. The National Health Care Education Council could also be involved in helping to further define desired competencies and curriculum content required for different stages within the training progress. Implicit in that would be an analysis of the appropriate integration of basic sciences into the curriculum at appropriate depth and timing. The National Health Care Education Council would also be involved in linking the university and specialist colleges, so that there was better communication of educational outcomes and better fluency between the various programs and transition from undergraduate to postgraduate education. The National Health Care Education Council could also review the utilisation of potential teaching environments. Currently there are a wide range of teaching sites that are currently underutilised, that could be easily incorporated to enhance medical education. The National Health Care Education Council would also play a role in marrying medical education with health workforce needs. This would involve: a review of admission policies into medical schools, reviewing the role of the prevocational periods; looking at various models of specialty training; and developing special models of education and service delivery for areas of need, such as indigenous health, mental health and aged care. The National Health Care Education Council would also ensure that the wider health care sector recognises that education and research are intrinsic components of health service planning and delivery, and may also engage in defining good medical practice. Dermatology intersects with aspects of medical education at a variety of nodes. They also have the potential to make a contribution to developing health education strategies and ensuring that outcomes meet the needs of the multitude of stakeholders. It appears there will be a new body that dermatologists will be required to interact with and a new jargon we will need to master. AMC ACCREDITATION REVIEW TASK FORCE TASK FORCE ON COLLEGE GOVERNANCE AMC Accreditation Review Task Force Task Force on College Governance Task Force on SSRS Task Force to Investigate the Possibility of Training in General Practice Dermatology Annual Report 2004/05 52 53 Australasian College of Dermatologists AMC Accreditation Review Task Force The Australian Medical Council (AMC) has been given a brief by the Federal Government to accredit the educational programs and other activities of all of the specialist medical colleges. The Australasian College of Dermatologists (ACD) is due to be reviewed for accreditation in 2007. The review will include, not only an examination of the training program, but also examination of the continuing professional development (CPD) program, procedures for the selection of trainees for training programs, and the processes by which the College deals with overseas trained specialists wishing to practice in Australia as dermatologists. In 2003, the College Council appointed a task force to oversee preparation for this review. The task force comprises: Chair Dr John Auld Members Dr Anne Howard Dr Warren Weightman Dr Caroline Mercer Dr Kurt Gebauer Mr Rodney Sheaves Ms Claudia Casson The task force has had several teleconferences since its inception, during which plans and current developments have been discussed. The role of the task force is not in any way to take over or interfere with the work of the Board of Censors or the Professional Standards Committee in the development of their individual programs, but rather to act as an overseeing body to review and critically evaluate the work of all the parties involved, in order to ensure that the College is ready for its accreditation review in 2007. The College has already received provisional accreditation of its various educational activities from the AMC based on written reports, but recognises that a significant number of further changes are needed to satisfy AMC requirements. It is also recognised that the accreditation review will be extremely detailed and rigorous, and the aim of the task force is to ensure that the College is fully and adequately prepared for this, with the aim of receiving no less than full accreditation. I would like to acknowledge in this report the tremendous work of our Education Officer, Claudia Casson. Her expertise has already proven to be invaluable in rewriting the Training Program Handbook and will be essential in the preparatory work for our accreditation review. I would also like to acknowledge the dedication and hard work of all members of the Board of Censors and Dr Kurt Gebauer. Annual Report 2004/05 54 Task Force on College Governance Chair Dr Anne Howard Members Dr Pam Brown Dr Judy Cole Dr Brian De'Ambrosis Dr Robert I. Kelly Dr Cathy Reid The task force was formed to examine the report on College governance, produced by Kate Costello on request of Council. The report was scrutinised by members, including founding Fellows, the Constitution Committee, former Honorary Secretaries, and our task force canvassed views in all States. There is an overall feeling that our Council as it is, is too large and unwieldy to conform with modern governance requirements. The task force came up with our recommendations which were presented to Council in November 2004, then set out for general members in the summer 2004 issue of The Mole. The main recommendation is that of replacing the Executive and Council with a Board of eight to ten members, with probably one from each State, plus a President, President-Elect and Chief Censor. One of the Board members will be the Honorary Secretary and one the Honorary Treasurer (and chair of the Audit Committee). The Board members (directors) will each have a portfolio of tasks. The Board will meet monthly, mostly with teleconferences, but with around four face-to-face meetings rotated so that they are held in each State at least every two years. Prompt feedback to members will be emphasised. The exact make-up of the Board is still to be debated, as well as the method of election of the President- Elect. Members are referred to issue 63 of The Mole or the College website for a more detailed report of the task force's recommendations. The issue will be up for discussion at the next AGM in May 2005, then possible voting at a later date. Thanks go to the hard-working members of the task force. 55 Australasian College of Dermatologists Task Force on the Support Scheme for Rural Specialists (SSRS) Chair Dr Kurt Gebauer Members Dr Christopher Clay Dr Lloyd Hale Dr Ian Hamann Dr Stephen Shumack A significant proportion of this Committee have been participating in the LEAP Project (Learning Education and Professionalism). LEAP is a federally-funded project to help nationally standardise aspects of continual professional development. This program is being co-ordinated through the Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Presently, roughly 200 participants from eight medical Colleges have registered in this program. Of these, 21 are from our College. This program is particularly mindful of rural specialist practitioners. Activities are being developed using evidenced-based medicine, as well as adult learning concepts, to create a framework for CPD that is uniformly acceptable across many colleges, as well as to rural specialists. A number of workshops have been run in rural areas, particularly on the east coast. Assistance is provided to attendees and registrants. As well, a number of computer-based programs are being developed. The LEAP concept is in its first year and is very much a work in evolution. I will keep you informed as to how the program evolves. Annual Report 2004/05 56 Task Force to investigate the possibility of training in General Practice Dermatology Chair Dr Robert Paver Members Professor Ross Barnetson Dr Adrian Mar Dr James Muir Dr Robert Salmon At the First Council Meeting 2004/05 in May 2004, Council established a task force to consider possible ways of improving the College's relationship with GPs and those responsible for their training, and to consider the ways in which College might become more involved in that training. The task force had been appointed because a number of Fellows had approached the Council suggesting that College needed to be more proactive in the area of structured course teaching of dermatology for GPs. There was concern because other bodies, such as the University of Wales, skin cancer clinic dermatology course, etc. were providing training in response to a demand which had not been recognised or met by College. The task force undertook a survey of members on this issue. Fifty-five percent of members responded. Of these, 84% agreed that College should be involved in a structured teaching program for GPs; and 74% felt that if College were not involved, its status and strength would be diminished. 70% felt that teaching as much as College could would not threaten the position of members; and 66% felt that engaging GPs, including skin cancer clinics, with teaching, would help the situation with skin cancer clinics. The task force noted discussions which the President had had with the President of the RACGP about the possibility of College working within the RACGP's CPD program and, with the approval of that College, to offer training to their members. Subsequently, Council resolved at its meeting on 13 November 2004, that a joint consultative committee should be established with the RACGP, to investigate further the option of a RACGP/ACD joint course in GP dermatology. The task force was reappointed to oversee this initiative, as well as to investigate further the possibility of using materials created for the University of Wales' Diploma in Dermatology. The task force will present a further report to the Third Council Meeting 2004/05, to be held in May 2005. 57 Australasian College of Dermatologists National Skin Cancer Steering Committee of Cancer Council Australia College Members Dr Peter Foley Dr Ian Hamann A passing of the baton was seen in 2004, with Ian Hamann and Peter Foley replacing Tony White and Peter Cowen, respectively, as the representatives of the College on the National Skin Cancer Steering Committee of Cancer Council Australia. This Committee is Chaired by Mr Craig Sinclair from the Cancer Council of Victoria, and has representatives from each of the State Cancer Councils, in addition to New Zealand representatives. The Committee acts as a peak body with regard to advice and recommendations on skin cancer, particularly prevention. It is very active in developing position statements, as well as acting as a skin cancer advocacy body with the media. A number of surveys are undertaken, including a primary school survey and the national sun survey, evaluating attitudes to sun exposure and skin cancer, as well as how Australians behave outdoors. It has developed position statements on solarium safety and monitors the activities of the solarium industry. SunSmart media statements at a State and National level are also provided. A commercial arm, which has an arrangement with Target, has the benefit that Target promotes the SunSmart message in-store and on national television. A new strategy is being developed with the Bureau of Meteorology and APRANSA to utilise the UV index in the media more effectively. A major step forward in the last twelve months has been the development of a Risks and Benefits of Sun Exposure position statement, emphasising the need to be sun smart and the importance of preventing skin cancer without causing vitamin D deficiency. Other position statements that have been developed include one on the use of SPF 30+ sunscreen, sun protection and babies, sunscreen use in cosmetics and comments on therapeutic exposure to light. Members of this Committee also receive copies of all media reports that relate to sun exposure and/or skin cancer. The Committee meets via teleconference on a monthly basis and, in general, has two face-to-face meetings per year: one in Sydney and one in Melbourne. This Committee takes very seriously the promotion of the SunSmart message and at all times works closely with the College in the development of position statements. It has been a very interesting learning experience to see how this Committee functions. With recent publications on the risk of sun exposure and vitamin D levels, as well as the risk of a number of malignancies, the role of this Committee becomes ever more important. Annual Report 2004/05 58 59 Australasian College of Dermatologists East Arnhem Healthy Skin Project Following substantial and protracted negotiations with the Commonwealth, College received approval in October 2004 to undertake a Healthy Skin Project in East Arnhem, Northern Territory. The project focuses on mass treatment of scabies for community members and builds on previous research and training undertaken by the College in the remote communities of the Top End of the Northern Territory, in association with the Royal Darwin Hospital and the Menzies School of Health Research. During the 1970s, scabies emerged as an endemic disease in remote Aboriginal communities and, in some communities, the prevalence in children has been as high as 50%. Scabies underlies 50-70% of streptococcal skin disease. Children in remote communities commonly have many skin sores, rather than one or two, which would raise alarm if it occurred in mainstream Australia. As a consequence, the rates of renal disease and rheumatic heart disease in these communities are among the highest in the world, and contribute significantly to mortality. On average, the life expectancy of an indigenous Australian is about 20 years less than for a non-indigenous person. The East Arnhem Healthy Skin Project aims to minimise skin infection as a contributor to premature mortality. The project will involve six communities of Galiwinku, Milingimbi, Ramingining, Gapuwiyak, Yirrkala and Nhulunbuy over a period of three years. The project is a collaboration between the participating Aboriginal communities, the Centre for International Child Health, Melbourne University Department of Paediatrics and Murdoch Children's Research Institute, the Co-operative Research Centre for Aboriginal Health, the Northern Territory Department of Health and Community Services, the Menzies School of Health Research, and the Australasian College of Dermatologists (ACD). The project commenced with a single mass treatment of scabies of all the members in these communities. The impact will be measured by evaluating a wide range of health outcomes. By working closely with Aboriginal health workers recruited from each community, the project will ultimately be integrated into routine service delivery. A number of Fellows and trainees of the College have volunteered their services to support the project. Working in pairs, they provide assistance with screening and standardisation of diagnosis and treatment of scabies and skin sores. They also assist with the training and education of indigenous staff. The grant, provided to College by the Commonwealth Government, covers travelling and accommodation expenditure for those participating, as well as capital expenditure on equipment, drugs and educational resources. The project has already received some media exposure. Imparja, the national indigenous television service, is interested in covering future aspects of the project. College wishes to thank, in particular, Dr Colin Parker, for his untiring effort in establishing and managing the project; as well as the volunteers to date, who include: Drs Lachlan Warren, Margaret Stewart, Martin Wade, Martin Haskett, Eileen Collins, Greg Goodman and Philip Lane. Annual Report 2004/05 60 College Staff Chief Executive Officer Rodney Sheaves Education Officer Claudia Casson Senior Administrative Officer Rosie Cavaleri Accounts and Administrative Officer Roopan Singh Administrative Officer - Media and Information Management Roslyn Warnes Reception Caroline Daly 61 DONATIONS TO THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Donations to the Australasian College of Dermatologists Donations made by the Australasian College of Dermatologists Australasian College of Dermatologists Annual Report 2004/05 62 Donations made to the Australasian College of Dermatologists 1 March 2004 TO 28 February 2005 Australasian College of Dermatologists' Travelling Fellowship $ 7,000.00 sponsored by Galderma Australia Pty Ltd (2004 recipient: Adriene Lee) Australian Dermatology Research and Education Foundation $ 12,000.00 Ego Dermatology Fellowship $ 5,000.00 (2004 recipient: Gayle Ross) Fred Bauer Estate * Fred Bauer Research Fund $ 5,000.00 Fred Bauer Grants * F. Florance-Ewan Murray Will Grant $ 750.00 (2004 recipient: Steven Kossard) * F. & E. Bauer Grant $ 2,000.00 (2004 recipient: Steven Gilmore) John Fewings Memorial Prize $ 1,000.00 (Skin and Cancer Foundation Victoria) (2004 recipient: Rosemary Nixon) Novartis Pharmaceuticals – Townsville (Neville Collins) $ 500.00 Novartis Dermatology Research Fellowship $ 40,000.00 (2005 recipient: Hanna Kuchel) Roche Travelling Scholarship $ 40,000.00 (2005 recipient: Edward Upjohn) Schering-Plough Award $ 10,000.00 (2004 recipients: Sophie Bakis, Alex Chamberlain, Elizabeth Dawes-Higgs, Hanna Kuchel, Helen Saunders) Scientific Research Fund Galderma Australia Pty Ltd (Christmas donation) $ 6,000.00 Johnson & Johnson Pacific (Stephen Shumack) $ 1,000.00 Novartis Pharmaceuticals (David Wong) $ 700.00 Entertainment Book proceeds $ 456.00 Jo-Ann See (pharmacy-sponsored event) $ 275.00 MTAG Pty Ltd (Andrea Jopp-McKay) $ 200.00 Psychmetrics Pty Ltd (Andrea Jopp-McKay) $ 100.00 63 Australasian College of Dermatologists Christopher Anderson $ 100.00 David Francis $ 100.00 Richard Armati $ 100.00 Peter Frederisken $ 100.00 John Auld $ 100.00 Michael Freeman $ 100.00 Leith Banney $ 100.00 Paul Freeman $ 100.00 Ross Barnetson $ 100.00 Susanne Freeman $ 100.00 Lance Bear $ 100.00 Stephen Gilmore $ 100.00 Graeme Beardmore $ 100.00 Tanya Gilmour $ 100.00 Karen Behne $ 100.00 Amanda Godbolt $ 100.00 Narelle Bleasel $ 100.00 Gregory Goodman $ 100.00 Tanja Bohl $ 100.00 Elizabeth Gow $ 100.00 Roland Brand $ 100.00 Noel Grieve $ 100.00 Barbara Breadon $ 100.00 Irene Grigoris $ 100.00 Pamela Brown $ 100.00 Ken Gudmundsen $ 100.00 J. Carol Burford $ 100.00 Lloyd Hale $ 100.00 James Butler $ 100.00 Anthony Hall $ 100.00 Jennifer Byth $ 100.00 Ian Hamann $ 100.00 Annette Callen $ 100.00 Rodney Hannaford $ 100.00 Jill Cargnello $ 100.00 Martin Haskett $ 100.00 Terence Casey $ 100.00 Mark Healsmith $ 100.00 Alex Chamberlain $ 100.00 Sylvia Heiman $ 100.00 John Chapman $ 100.00 Dudley Hill $ 100.00 Paul Chee $ 100.00 Russell Hills $ 100.00 Alvin Chong $ 100.00 Kenneth Ho $ 100.00 Christopher Clay $ 100.00 Gary Holmes $ 100.00 John Coates $ 100.00 Deborah Holt $ 100.00 Neville Collins $ 100.00 Shyamala Huilgol $ 100.00 Belle Cominos $ 100.00 Michelle Hunt $ 100.00 Christopher Commens $ 100.00 Frank Isaacs $ 100.00 Sandra Congdon $ 100.00 Andrea Jopp-McKay $ 100.00 Natasha Cook $ 100.00 Christopher Kearney $ 100.00 Peter Cowen $ 100.00 John W. Kelly $ 100.00 Gregory Crosland $ 100.00 Robert I. Kelly $ 100.00 Kerry Crotty $ 100.00 Joseph Konya $ 100.00 Diona Damian $ 100.00 Steven Kossard $ 100.00 Troy Darben $ 100.00 Joseph Krivanek $ 100.00 Derek Davies $ 100.00 Ajay Kumar $ 100.00 John De Launey $ 100.00 Daniel Lanzer $ 100.00 Brian De'Ambrosis $ 100.00 Barry Lauritz $ 100.00 Emilija Doherty $ 100.00 John Le Guay $ 100.00 Nicholas Downes $ 100.00 Adriene Lee $ 100.00 Christopher Duguid $ 100.00 Choo-Tian Lee $ 100.00 Phillip Dwyer $ 100.00 Simon Lee $ 100.00 Delwyn Dyall-Smith $ 100.00 Stephen Lee $ 100.00 Timothy Elliott $ 100.00 David Leslie $ 100.00 Catherine Faulkner $ 100.00 Michael Li $ 100.00 Peter Fergin $ 100.00 Adrian Lim $ 100.00 Gayle Fischer $ 100.00 Edmund Lobel $ 100.00 Peter Foley $ 100.00 Michelle Lowes $ 100.00 Jennifer Foo $ 65.00 Karyn Lun $ 100.00 Annual Report 2004/05 64 Andrew Mackenzie-Wood $ 100.00 Ivan Simmons $ 100.00 Adrian Mar $ 100.00 Peter A. Sinclair $ 100.00 Gillian Marshman $ 100.00 Peter R. Sinclair $ 100.00 Christopher McCormack $ 100.00 Robert J. Sinclair $ 100.00 Ian McCrossin $ 100.00 Rodney Sinclair $ 100.00 Robert McDonald $ 100.00 Gian Singh $ 100.00 Peta McLaran $ 100.00 John Sippe $ 100.00 Caroline Mercer $ 100.00 Lynda Spelman $ 100.00 Andrew Miller $ 100.00 Duncan Stanford $ 100.00 Robert MacD. Miller $ 100.00 Robert Stephens $ 100.00 Vanessa Morgan $ 100.00 Margaret Stewart $ 100.00 Catherine Morrow $ 100.00 John Su $ 100.00 Andrew Moss $ 100.00 John Sullivan $ 100.00 James Muir $ 100.00 Phillip Swarbrick $ 100.00 Stuart Murray $ 100.00 Michael Symons $ 100.00 Robert Needham $ 100.00 Mei Mui Tam $ 100.00 Jenny Nicolopoulos $ 100.00 Ernest Tan $ 100.00 Rosemary Nixon $ 100.00 Bruce Tate $ 100.00 Timothy O'Brien $ 100.00 Frances Tefany $ 100.00 Vincent O'Brien $ 100.00 Christopher Tyson $ 100.00 Rodney O'Keefe $ 100.00 George Varigos $ 100.00 Anne O'Neill $ 100.00 Carl Vinciullo $ 100.00 Colin Ong $ 100.00 Jamie von Nida $ 100.00 David Orchard $ 100.00 Martin Wade $ 100.00 Margaret Oziemski $ 100.00 Godfrey Wagner $ 100.00 Selim Ozluer $ 100.00 Eric Waine $ 100.00 John Pagliaro $ 100.00 Lachlan Warren $ 100.00 Kurosh Parsi $ 100.00 Frances Watkins $ 100.00 Anita Patel $ 100.00 Alan Watson $ 100.00 Robert Paver $ 100.00 Geoffrey Watt $ 100.00 Roderick Peek $ 100.00 Jeffrey Wayte $ 100.00 Linda Pepall $ 100.00 Michael Webster $ 100.00 Michael Pitney $ 100.00 Annette Wegman $ 100.00 Christopher Quirk $ 100.00 Warren Weightman $ 100.00 Peter Randell $ 100.00 Jennifer Wells $ 100.00 Sophie Reid $ 100.00 Belinda Welsh $ 100.00 John Relic $ 100.00 H. Anthony White $ 100.00 Michael Rich $ 100.00 Margot Whitfeld $ 100.00 Shawn Richards $ 100.00 Todd Wiadrowski $ 100.00 Christine Riordan $ 100.00 Richard Wittal $ 100.00 Ivan Robertson $ 100.00 David Wong $ 100.00 Jacqueline Robinson $ 100.00 Deanna Wong $ 100.00 Maureen Rogers $ 100.00 Kenneth Wong $ 100.00 James Rohr $ 100.00 Glenda Wood $ 100.00 Diana Rubel $ 100.00 Jane Woods $ 100.00 Robert Salmon $ 100.00 Jennifer Yip $ 100.00 Michael Sharkey $ 100.00 Simon Yong-Gee $ 100.00 Stephen Shumack $ 100.00 Sam Zagarella $ 100.00 Shireen Sidhu $ 100.00 65 Australasian College of Dermatologists Annual Scientific Meeting May 2004 – Sponsors Roche Products Pty Ltd Galderma Australia Pty Ltd Biogen Idec Douglas Pharmaceuticals 3M Pharmaceuticals Neutrogena (Johnson & Johnson Pacific) L'Oreal Novartis Pharmaceuticals Hamilton Laboratories Allergan Sponsored Subscriptions of The Australasian Journal of Dermatology for 2004 Douglas Pharmaceuticals Pty Ltd The Mole Biogen Idec (autumn issue, No. 60, 2004) Galderma Australia Pty Ltd (winter issue, No. 61, 2004) Neutrogena (Johnson & Johnson Pacific) (spring issue No. 62, 2004) Douglas Pharmaceuticals (summer issue No. 63, 2004/05) Donations made by the Australasian College of Dermatologists 1 March 2004 TO 28 February 2005 Trans-Tasman Exchange Scholarship for 2004 $ 2,000.00 (Alex Chamberlain) Annual Report 2004/05 66 Treasurer's Report (Audit Committee) Convenor John Coates Members Dr Alan Donnelly Dr Jeremy Horton Dr Andrew Miller Dr Ivan Simmons Mr Rodney Sheaves (Chief Executive Officer) The objectives of the Audit Committee are to advise the Executive and Council on all financial matters; to consider the financial implications of all policies and programs and to make recommendations to the Executive and Council accordingly; and to take responsibility for financial advice to College on any appropriate matter. The Committee recognises that it has an important role in ensuring that the College lives within its means; that it must review the budgetary consequences of any new projects considered by Council; and that it should be pro-active in seeking new sources of income generation, while recognising the financial consequences of any expansion in College activities. During the year 2004/05, the Committee held one teleconference and a face-to-face meeting during the Annual Scientific Meeting in Sydney. The Committee reviewed the progress of the College budget; made recommendations regarding subscription fees, trainee levies and examination fees; prepared budgets for the College and for the Annual Scientific Meeting in Perth, the Biennial Spring Conference in Cairns and the Biennial Training Conference in Melbourne, for Council's adoption; reviewed the College's insurances; made recommendations to Council on travel, accommodation and per diem allowances for Council members while on official business; reviewed College credit cards; and sought advice from the Auditor regarding College's tax status. The Committee made recommendations regarding the terms and conditions of the appointment of the CEO; and also reviewed the budgetary implications of the appointment of a College PR consultant. The Committee has reviewed the audited accounts for the financial year 2004/05. The Committee is pleased to report that the College has achieved an increased surplus in 2004/05. The surpluses generated by College each year continue to increase. The Annual Scientific Meeting held in Sydney, generated a substantial surplus. These monies underwrite the College's educational activities and other programs. It is a measure of College's good standing with the Commonwealth government that we received increased grants during the year to undertake educational and training projects. 67 Australasian College of Dermatologists The performance of College's investment portfolios continued to improve, building on the recovery which occurred in 2004 following the downturn in the years 2002 and 2003. The investments will be subject to further review by the Committee in 2005/06. The College's other major investment, its premises at Gladesville, NSW, has been the subject of ongoing consideration by the Committee, at the direction of Council. The Committee supports the opinion of the Auditor that the building remains a poor investment for College, apart from being inadequate as its premises. At the request of Council, the Auditor has reviewed the options for the future of the building as a long-term cash flow analysis. In terms of good governance, and as a means of risk management, the Audit Committee should include a non-College member with financial and accounting expertise. The Committee is particularly conscious of the need for independent and objective financial advice on College's portfolios. This is consistent with the recommendation of Kate Costello, the governance consultant employed by Council to review the College's governance. This matter will be considered by the Council. The financial situation of the College continues to be extremely healthy. Our assets are strong and appreciating. The Committee commends the work of the Chief Executive Officer and the Administrative Officer, Roopan Singh, in generating increased income from non-member sources and for prudent management of the College's expenditure. It is important that we husband our resources carefully. There will be major issues facing the College in the next two to three years, which will have a financial impact. These include the accreditation review by the Australian Medical Council, continuing implementation of the new training program and increased monitoring of College by outside agencies such as the ACCC and the Productivity Commission. At the same time, rising litigiousness within the community generally, means that College needs to be financially prepared for any possible legal action arising out of its processes. The best way to minimise the risk is to ensure that our processes are clear and well- understood and that we proceed in accordance with them in ways that are equitable, transparent and fully accountable. Annual Report 2004/05 68 Treasurer's Report and Financial Report THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS AND ITS CONTROLLED ENTITIES A.C.N 000 551 824 The year ended 28 February 2005 69 Australasian College of Dermatologists Report of the Council Your Councillors present their report together with the financial report of the Australasian College of Dermatologists ("the College") and of the consolidated entity, being the College and its Faculties, for the year ended 28th February 2005. Members of the Council The Councillors of the College at any time during or since the end of the financial year are: Executives Meetings Attended J. Auld President MBBS, FACD 3 Dr A. Howard President Elect MBBS, FRACP, FACD 3 Dr J. Butler Immediate Past President MBBS, FRACP, FACD (Retired 18.05.04) 1 Dr S. Lee Honorary Secretary MBBS, FACD, DDM (Retired 18.05.04) 1 Dr S. Shumack Honorary Treasurer MBBS, FACD, GAICD (Retired 18.05.04) 1 Dr S. Shumack Honorary Secretary MBBS, FACD, FAICD (Elected 19.05.04) 2 Dr J. Coates Honorary Treasurer MBBS, FACD (Elected 18.05.04) 2 Dr W. Weightman Chief Censor MBBS, FRACP, FACD 3 Queensland Dr B. De'Ambrosis, MBBS, FACD 3 Dr J. Muir FACD 3 3 Western Australia Dr J. Cole MBBS, FACD (Retired 18.05.04) 0 Dr A.M. Donnelly MBBS, FACD 3 Dr. H.C. Chua MBBS, FACD (Elected 18.05.04) 2 New South Wales Dr D. Cook MBBS, DRACOG, DA, FACD (Retired 18.05.04) 1 Dr J-A. See MBBS, FACD (Retired 18.05.04) 1 Dr I. Hamman MBBS, D.(Obs) RACOG, FACD (Retired 18.05.04) 1 Dr R. D. Paver MBBS, FACD 3 Dr R. Armati MBBS, FRACP, FACD (Elected 18.05.04) 2 Dr P. Brown MBBS, FRACP, FACD (Elected 18.05.04) 2 Dr R. Salmon MBBS, FACD (Elected 18.05.04) 2 Annual Report 2004/05 70 Report of the Council (Cont'd) Victoria Meetings Attended Dr J. Horton B.Sc, MRCP, FACD (Retired 18.05.04) 1 Dr A. Mar MBBS, FACD 3 Dr R. Kelly MBBS, FACD 3 Dr M. Tam MBBS, FACD (Elected 18.05.04) 2 South Australia Dr J. Wayte MBBS, FACD 3 Dr A. Lewis MBBS, FACD 2 There were three meetings of Councillors held during the financial year. The number of meetings attended by each member of the Council during the year is as shown. Principal Activities The principal activities of the College and its Faculties during the year were: (a) Promotion of Dermatological Research and Training; and (b) Organisation of scientific meetings; and (c) Conduct of examinations and awarding of diplomas to successful candidates. Review and Results of Operations The operating profit of the College and the consolidated entity for the financial year is as follows: This Year Last Year $ $ Operating profit from College operations 387,504 328,301 Operating profit from Faculties operations 42,263 16,234 429,767 344,535 The results for the year have been significantly affected by: a) The 2004 Annual Scientific Meeting, resulting in a surplus of $410,427. b) College's investment portfolio with Westpac Banking Corporation has been marked up by $142,113, compared with a mark up in 2004 of $111,347, as a result of an improvement in investment performance for 2004/05. Additional funds totalling $300,000 have been invested with Westpac and the existing portfolio has been reinvested in a new investment product of the bank – BT Wrap Investment. c) The liability of the College's Journal Fund has decreased by $21,756. As at 28 February 2005, the Journal Fund owes College $28,296 represented in both current and previous year funding costs. d) The College has been the recipient of major Government grants, including NT Healthy Skin Project, Networked Dermatology Training Project and continuation of RASTS. e) Expenditure on administrative items has been managed prudently within budget. f) There has been increased expenditure on the College public affairs and marketing over the previous year, reflecting increased activity in accordance with educational and community objectives. g) Interest earned on College bank accounts and portfolio investment has increased significantly over the previous year. 71 Australasian College of Dermatologists Report of the Council (Cont'd) Events subsequent to Balance Date There has not arisen in the interval between the end of the financial year and the date of this report any item, transaction or event of a material and unusual nature likely, in the opinion of the Councillors to affect significantly the operations of the College and its Faculties, the results of those operations, or the state of affairs of the College and its Faculties in subsequent financial years. Directors' interest and Benefits No Councillor has received any remuneration during the year other than reimbursement of expenses incurred to attend the meetings of the Council. No Councillor has received or become entitled to receive during or since the financial year, a benefit because of a contract made by the College or Faculty with a Councillor, a firm of which a Councillor is a member or an entity in which a Councillor has a substantial financial interest. Indemnification and Insurance of Officers and Auditors Since the end of the previous financial year the College has not, in respect of any person who is or has been an officer or auditor of the College or of a related body corporate: • indemnified or made any relevant agreement for indemnifying against a liability incurred as an officer or auditor, including costs and expenses in successfully defending legal proceedings; or • paid or agreed to pay a premium in respect of a contract insuring against a liability incurred as an officer or auditor for the costs or expenses to defend legal proceedings. With the exception of the following matters: Since the end of the previous financial year, the College has paid insurance premiums in respect of Directors' and Officers' Liability for any past present or future director, secretary, executive or employee of the Australasian College of Dermatologists and all State Faculties. The insurance premiums relate to: • costs and expenses incurred by the relevant officers in defending proceedings, whether civil or criminal and whatever their outcome; and • other liabilities that may arise from their position, with the exception of conduct involving a wilful breach of duty or improper use of information or position to gain a personal advantage. The premium paid has not been disclosed as it is subject to the confidentiality provisions of the insurance policy. Signed in accordance with a resolution of the members of the Council. Dated at Boronia Park this 15th day of April, 2005. Dr. J. Auld - President Dr. J. Coates - Treasurer Annual Report 2004/05 72 Statements of Financial Performance for the year ended 28th February, 2005 Notes Consolidated College 2005 2004 2005 2004 $ $ $ $ Revenue from members 675,036 555,211 633,525 533,878 Revenue from meetings, trade exhibitions and courses 784,319 878,912 784,319 869,637 Training projects revenue 128,468 132,772 128,468 132,772 Donations and grants received 40,746 45,467 18,500 24,500 Revenue from sale of books & brochures 17,670 7,211 17,670 7,211 Proceeds on sale of investments 3 1,611,527 - 1,611,527 - Interest revenue 58,649 43,092 50,666 37,193 Investment revenue 83,208 89,645 83,208 89,645 Other revenues 2 169,867 139,374 142,113 111,347 Total revenue from ordinary activities 3,569,490 1,891,684 3,469,996 1,806,183 Annual scientific meetings and trade exhibition expenditure 364,142 506,487 364,142 506,487 Cost of investment sold 3 1,594,431 - 1,594,431 - Training projects expenditure 50,898 40,057 81,808 40,057 Donations and public education 113,695 68,175 91,653 43,107 Employee expenses 326,439 284,102 326,439 284,102 Depreciation expense 3 46,127 40,525 45,949 40,288 Borrowing cost 3 23,544 19,199 23,544 19,199 Other expenses from ordinary activities 620,447 588,604 554,526 544,642 Net Profit 429,767 344,535 387,504 328,301 The statements of financial position are to be read in conjunction with the notes to the financial statements. 73 Australasian College of Dermatologists Statements of Financial Position as at 28th February, 2005 Notes Consolidated College 2005 2004 2005 2004 $ $ $ $ Current Assets Cash assets 4 1,491,749 1,276,625 1,275,348 1,234,552 Receivables 5 123,240 156,776 121,480 154,579 Other financial assets 6 - 139,508 - - Other 7 48,708 26,744 48,708 26,744 Total Current Assets 1,663,697 1,599,653 1,445,536 1,415,875 Non-Current Assets Other financial assets 6 2,032,394 1,501,252 2,032,394 1,501,252 Property, plant & equipment 8 802,577 843,720 802,047 843,012 Total Non-Current Assets 2,834,971 2,344,972 2,834,441 2,344,264 Total Assets 4,498,668 3,944,625 4,279,977 3,760,139 Current Liabilities Payables 9 166,205 127,482 173,807 126,542 Interest bearing liabilities 10 466,092 442,547 466,092 442,547 Provisions 11 42,240 33,441 42,240 33,441 Other 12 934,369 881,160 923,218 870,493 Total Current Liabilities 1,608,906 1,484,630 1,605,357 1,473,023 Total Liabilities 1,608,906 1,484,630 1,605,357 1,473,023 Net Assets 2,889,762 2,459,995 2,674,620 2,287,116 Equity 1(m) Retained profit 13 2,799,709 2,369,942 2,584,567 2,197,063 Asset revaluation reserve 14 90,053 90,053 90,053 90,053 Total Equity 2,889,762 2,459,995 2,674,620 2,287,116 The statements of financial position are to be read in conjunction with the notes to the financial statements. Annual Report 2004/05 74 Statements of Cash Flows for the year ended February, 28th 2005 Notes Consolidated College 2005 2004 2005 2004 $ $ $ $ Cash Flows from Operating Activities Receipts from members Subscriptions 660,891 611,075 614,699 575,874 Building levy 15,950 14,025 15,950 14,025 Examinations income 79,850 36,625 79,850 36,625 Interest received & trust distributions 144,010 130,367 136,027 124,468 Donations and grants income 187,546 160,384 163,462 137,940 Proceeds on meetings, exhibitions and training projects 972,474 1,169,725 963,585 1,156,737 Sundry income 43,853 38,765 19,437 7,933 Payments for meetings, exhibitions and training projects (499,306) (629,011) (490,504) (618,821) Cash operating expenses (808,008) (702,198) (750,474) (661,732) Payments to employees (318,322) (271,657) (318,322) (271,657) Donations and public education expenses (77,011) (73,238) (52,865) (46,383) Net cash provided by operating activities 15(b) 401,927 484,862 380,845 455,009 Cash flows from Investing Activities Payments for property, plant and equipment (4,984) (44,238) (4,984) (44,238) Proceeds on sale of investments 1,773,185 - 1,611,527 - Payments for investments (1,983,460) (189,070) (1,983,460) (80,458) Net cash used in investing activities (215,259) (233,308) (376,917) (124,696) Cash flows from Financing Activities Proceeds from borrowings from controlled funds 28,756 14,218 37,168 14,124 Repayment of borrowings to controlled funds (300) - (300) - Net cash provided by investing activities 28,456 14,218 36,868 14,124 Net increase in cash held 215,124 265,772 40,796 344,437 Cash at beginning of the year 1,276,625 1,010,853 1,234,552 890,115 Cash at the end of the year 15(a) 1,491,749 1,276,625 1,275,348 1,234,552 The statements of financial position are to be read in conjunction with the notes to the financial statements. 75 Australasian College of Dermatologists Notes to the Financial Statements for the year ended February, 28th 2005 1. Statement of Significant Accounting Policies The significant policies which have been adopted in the preparation of this financial report are: (a) Basis of preparation The financial report is a general purpose financial report which has been prepared in accordance with Accounting Standards, Urgent Issues Group Consensus Views, other authoritative pronouncements of the Australian Accounting Standards Board and the Corporations Act 2001. It has been prepared on the basis of historical costs and except where stated, does not take into account changing money values or fair values of assets. These accounting policies have been consistently applied by each entity in the consolidated entity, and except where there is a change in accounting policy, are consistent with those of the previous year. Where necessary, comparative information has been reclassified to achieve consistency in disclosure with current financial year amounts and other disclosures. The following is a summary of the material accounting policies adopted by the College in the preparation of the financial report. (b) Income tax The tax exempt status of the College and its Faculties is being reviewed on an annual basis in accordance with Taxation Offie guidelines, taking into account activities of the College and its Faculties which fall within the exemption criteria. The Council has determined that the College retains its tax-exempt status during the financial year. No income tax liability has arisen to date. (c) Principles of consolidation The consolidated financial statements include the financial statements of the College and all of its Faculties. Control exists as the College has the capacity to dominate the decision making in relation to the financial and operating policies of the Faculties so that the Faculties operate with the College to achieve its objective. The financial statements of the Faculties have been centralised and are maintained by the Accounts and Administrative Officer of the College. This administration centralisation was necessitated by the impact of the GST and the new tax regime. The controlled entities are: New South Wales Faculty Queensland Faculty Western Australian Faculty South Australian Faculty Victorian Faculty The inter-entity balances resulting from transactions with or between controlled entities are eliminated in full on consolidation. Annual Report 2004/05 76 Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd) (d) Property, plant and equipment Property, plant and equipment, except for buildings are recorded at their cost of acquisition. All fixed assets including building but excluding freehold land have limited useful lives and are depreciated using the straight line method over their estimated useful lives from the time the asset is completed and ready for use. Depreciation rates are reviewed annually for appropriateness and depreciation is recognised as an expense. When changes are made, adjustments are reflected prospectively in current and future periods only. The depreciation rates used for each class of assets are: Class of Fixed Asset Depreciation Rate Building 2.5% Plant and Equipment 10% - 40% Library 17% (e) Recoverable amount of non-current assets valued on cost basis The carrying amounts of non-current assets valued on the cost basis are reviewed to determine whether they are in excess of their recoverable amount at balance date. If the carrying amount of a non-current asset exceeds its recoverable amount, the asset is written down to the lower amount. The write-down is expensed in the reporting period in which it occurs. Where a group of assets working together supports the generation of cash inflows, recoverable amount is assessed in relation to that group of assets. In assessing recoverable amounts, the relevant cash flows have not been discounted to their present value. (f) Investments Other Entities Investments in other listed entities are measured at fair value, being quoted market prices at reporting date. Investments in other unlisted entities are carried at the lower of cost and recoverable amount. (g) Revaluation of non-current assets Classes of non-current assets measured at fair value are revalued with sufficient regularity to ensure the carrying amount of each non-current asset does not differ materially from fair value at reporting date. Independent valuations or directors valuations are obtained at least every three years. Revaluation increments, on a class of assets basis, are recognised in the asset revaluation reserve except for the amounts reversing a decrement previously recognised as an expense, which are recognised as revenues. Revaluation decrements are only offset against revaluation increments relating to the same class of assets and any excess is recognised as an expense. (h) Employee benefits Liabilities for employee benefits for salaries, wages and annual leave represent present obligations resulting from employees' services provided to reporting date, calculated at undiscounted amounts based on remuneration wage and salary rates that the College expects to pay as at reporting date including related on-costs, such as workers compensation insurance and superannuation. The provision for employee benefits to long service leave represents the present value of the estimated future cash outflows to be made resulting from employees' services provided to reporting date. The provision is calculated using expected future increases in wages and salary rates including related on-costs and expected settlement dates based on turnover history. 77 Australasian College of Dermatologists Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd) Contributions are made by the company to employees' superannuation funds and are recognised as expenses when incurred. (i) Borrowing costs Borrowing costs include interest relating to borrowings from controlled funds. (j) Payables Liabilities are recognised for amounts to be paid in the future for goods and services received, whether or not billed to the College or its faculties. Trade accounts payable are normally settled within 60 days. (k) Revenue Revenues are recognised at fair value of the consideration received net of the amount of goods and services tax (GST) payable to the taxation authority. All revenue, including interest and investment revenue, is recognised as it accrues. (l) Goods and services tax (GST) Revenues, expenses and assets are recognised net of the amount of GST, except where the amount of GST incurred is not recoverable from the Australian Taxation Office (ATO). In these circumstances the GST is recognised as part of the cost of the acquisition of the asset or as part of an item of the expense. Receivables and payables are stated with the amount of GST included. The net amount of GST recoverable from, or payable to, the ATO is included as a current asset or liability in the balance sheet. Cash flows are included in the statement of cash flows on a gross basis. The GST components of the cash flows arising from investing and financing activities, which are recoverable from, or payable to, the ATO are classified as operating cash flows. (m) Members' guarantee The company is limited by guarantee. If the company is wound up, the Articles of Association state that each member is required to contribute a maximum of $20 each towards meeting any outstanding obligations of the company. At 28th February, 2005 the number of members was 373 (29/2/04: 362). Consolidated College 2005 2004 2005 2004 $ $ $ $ 2. Revenue from Ordinary Activities Other revenues: From operating activities Write-up in value of investments 142,113 111,347 142,113 111,347 Sundry revenue 27,754 28,027 - - Total other revenues 169,867 139,374 142,113 111,347 Annual Report 2004/05 78 Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd) Consolidated College 2005 2004 2005 2004 $ $ $ $ 3. Profit from Ordinary Activities a) Individually significant items included in Profit/(loss) from ordinary activities before income tax expense Proceeds on sale of investments 1,611,527 - 1,611,527 - Cost of investment sold 1,594,431 - 1,594,431 - Write-up in value of investments 142,113 111,347 142,113 111,347 Subscriptions & trainee levies 580,686 505,836 539,175 484,503 Meetings revenue 774,569 860,112 774,569 860,112 b) Operating Profit from ordinary activities has been arrived at aftercharging/(crediting) the following items: Depreciation of plant and equipment 46,127 40,525 45,949 40,288 Borrowing costs Interest paid to controlled funds 23,544 19,199 23,544 19,199 Net expense from movements in provision for: Employee entitlements 8,797 9,028 8,797 9,028 Net profit on sale of investments 17,096 - 17,096 - c) Auditors remuneration Auditors – Hall Consulting Group Audit services – financial report 8,450 8,350 995 1,245 Audit services – project audit 3,500 1,500 2,000 1,500 Other services – taxation and GST advice 12,225 6,600 12,225 6,600 24,175 16,450 15,220 9,345 4. Cash Assets Cash on hand 700 700 300 300 Cash at bank - Westpac Bank 196,103 156,992 137,233 115,319 Cash at bank – RASTS Program 88,084 47,629 88,084 47,629 Cash at bank – CMA Investor Option 348,894 871,304 348,894 871,304 Cash at bank – NT Healthy Skin Project 49,125 - 49,125 - Cash at bank – Network Derm Training 38,500 - 38,500 - Bank short term deposits 770,343 200,000 613,212 200,000 1,491,749 1,276,625 1,275,348 1,234,552 The bank short term deposits mature within 60 days and pay interest at a weighted average interest rate of 5.61% (2004: 5.29% ) 79 Australasian College of Dermatologists Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd) Consolidated College 2005 2004 2005 2004 $ $ $ $ 5. Receivables Current GST Receivable - 707 - 817 Trade Debtors 85,691 96,764 83,931 94,364 Unsecured Loans – Faculties - - - 93 Unsecured Loans – Controlled Funds: Journal Fund 28,296 50,052 28,296 50,052 F.C. Florance Bequest 9,253 9,253 9,253 9,253 123,240 156,776 121,480 154,579 6. Other Financial Assets Current Investments in Other Entities Term deposits - 139,508 - - Non-Current Investments in Other Companies at Market Value Westpac Personal Portfolio - 1,501,252 - 1,501,252 Westpac BT Wrap Investment 2,032,394 - 2,032,394 - 2,032,394 1,501,252 2,032,394 1,501,252 7. Other Prepayments 48,491 24,374 48,491 24,374 Accrued income 217 2,370 217 2,370 48,708 26,744 48,708 26,744 8. Property, Plant & Equipment Land & Building – at valuation 1.3.03 775,000 775,000 775,000 775,000 Less: Building accumulated depreciation 21,250 10,625 21,250 10,625 753,750 764,375 753,750 764,375 Furniture & Equipment – at cost 264,592 259,608 251,569 246,585 Less: Accumulated depreciation 221,726 190,105 209,233 177,790 42,866 69,503 42,336 68,795 Library – at cost 22,830 22,830 22,830 22,830 Less: Accumulated depreciation 16,869 12,988 16,869 12,988 5,961 9,842 5,961 9,842 Total 802,577 843,720 802,047 843,012 Councillors have valued the property at 136 Pittwater Road, Gladesville at 1 March 2003. The valuation was based on the estimated fair value of the property as per report prepared by R.E.A. Australasia Pty Ltd registered valuers and property consultants. Annual Report 2004/05 80 Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd) Consolidated College 2005 2004 2005 2004 $ $ $ $ 8. Property, Plant & Equipment cont. Reconciliations Reconciliations of the carrying amounts for each class of property, plant and equipment are set out below: Freehold Land & Building Carrying amount at beginning of year 764,375 577,162 764,375 577,162 Transfer from Property Improvements - 107,785 - 107,785 Revaluation increment - 90,053 - 90,053 Depreciation of building (10,625) (10,625) (10,625) (10,625) Carrying amount at end of year 753,750 764,375 753,750 764,375 Furniture & Equipment Carrying amount at beginning of year 69,503 51,284 68,795 50,339 Additions 4,984 44,238 4,984 44,238 Depreciation (31,620) (26,019) (31,443) (25,782) Carrying amount at end of year 42,867 69,503 42,336 68,795 Library Costs Carrying amount at beginning of year 9,842 13,723 9,842 13,723 Depreciation (3,881) (3,881) (3,881) (3,881) Carrying amount at end of year 5,961 9,842 5,961 9,842 9. Payables Current Trade creditors 65,344 56,119 64,444 55,179 Sundry creditors 22,747 - 22,747 - GST liability 51 - 233 - Unsecured Loans – Faculties - - 8,320 - Unsecured Loans – Controlled Funds Fred Bauer Foundation 2,227 2,227 2,227 2,227 Scientific Research Fund 9,492 9,792 9,492 9,792 Travelling Scholarship Fund 66,344 59,344 66,344 59,344 166,205 127,482 173,807 126,542 10. Interest Bearing Liabilities Current Unsecured Loans – controlled funds Endowment Fund 226,056 214,637 226,056 214,637 Ewan Murray Will Bequest 175,390 166,531 175,390 166,531 Alision Madge Rosanove Fund 63,979 60,747 63,979 60,747 Surgical Society 667 632 667 632 466,092 442,547 466,092 442,547 Interest is payable by the College on the loans provided by controlled funds at the average interest rate of Westpac Bank for the year. Interest was charged this year at 5.32 % (2004: 4.535%). 81 Australasian College of Dermatologists Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd) Consolidated College 2005 2004 2005 2004 $ $ $ $ 11. Provisions Employee benefits Aggregate liability for employee benefits, including on-costs Current Provision for annual leave 17,359 11,585 17,359 11,585 Provision for long service leave 24,881 21,856 24,881 21,856 42,240 33,441 42,240 33,441 Number of employees at year end 5 4 5 4 12. Other Liabilities Current Accrued charges 9,613 - 9,613 - Net income in advance - meetings 460,306 436,836 460,306 436,836 Annual subscriptions in advance 464,450 444,324 453,299 433,657 934,369 881,160 923,218 870,493 13. Retained Profit Retained profit at beginning of the year 2,369,942 2,025,407 2,197,063 1,868,762 Net profit for the year 429,767 344,535 387,504 328,301 Retained profit at the end of the year 2,799,709 2,369,942 2,584,567 2,197,063 14. Reserves Asset revaluation 90,053 90,053 90,053 90,053 Annual Report 2004/05 82 Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd) Consolidated College 2005 2004 2005 2004 $ $ $ $ 15. Notes to the Statements of Cash Flows a) Reconciliation of cash For the purpose of the statement of cash flows, cash includes cash on hand and at bank and short-term deposits at call, net of outstanding bank overdrafts. Cash at the end of the financial year as shown in the statements of cash flows is reconciled to the related items in the statement of financial position as follows: Cash Assets (Note 4) 1,491,749 1,276,625 1,275,348 1,234,552 b) Reconciliation of profit from ordinary activities after income tax to net cash provided by operating activities. Profit from ordinary activities after income tax 429,767 344,535 387,504 328,301 Add/(Less) Non-cash items: Depreciation expense 46,127 40,525 45,949 40,288 Write-up in value of investment (142,113) (111,347) (142,113) (111,347) Capital gain on sale of investments (17,096) - (17,096) - Interest expense 23,544 19,199 23,544 19,199 Net cash provided by operating activities before change in assets and liabilities 340,229 292,912 297,788 276,441 Changes in Assets and Liabilities: Increase in subscriptions in advance 20,125 49,686 19,642 39,019 Increase in meetings income in advance 23,470 104,369 23,470 104,369 Decrease (increase) in receivables (8,214) 49,307 13,404 47,262 Decrease in prepayments (24,118) (15,040) (24,118) (15,040) Increase in creditors 31,974 6,350 32,016 6,840 Increase (decrease) in accruals 9,613 (2,030) 9,613 (2,030) Increase (decrease) in GST liability 51 (9,719) 233 (10,879) Increase in provisions 8,797 9,027 8,797 9,027 Net cash provided by operating activities 401,927 484,862 380,845 455,009 (c) There were no non-cash financing or investing activities during the year. 83 Australasian College of Dermatologists Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd) 16. International Financial Reporting Standards For reporting periods beginning on or after 1 January 2005, the College and its faculties must comply with Australian equivalents to International Financial Reporting Standards (AIFRS) as issued by the Australian Accounting Standards Board. This financial report has been prepared in accordance with Australian accounting standards and other financial reporting requirements (Australian GAAP) applicable for reporting periods ending on 28 February 2005. The Council is in the process of establishing a formal project to achieve transition to IFRS reporting, beginning with the year ending 28 February 2006. The differences between Australian Generally Accepted Accounting Principles (Australian GAAP) and Australian equivalents to International Financial Reporting Standards (AIFRS) identified to date as potentially having a significant impact on the consolidated entity's financial performance and financial position are summarised below. The summary should not be taken as an exhaustive list of all differences between current Australian GAAP and AIFRS. No attempt has been made to identify all disclosure, presentation or classification differences that would affect the manner in which transactions or events are presented. The College has not completed its project to assess the impact of adoption of AIFRS and has not quantified the effects of all the differences discussed below. The key potential implications on the company of conversion to AIFRS, identified to date, are summarised below: • Financial instruments must be recognised in the statement of financial position and most financial assets must be carried at fair value. Investments in marketable securities are likely to be designated as "available for sale" assets with any increments in the fair value recognised directly in equity until disposed. • Impairment of assets will be determined on a discounted basis, with strict tests for determining whether cash generating operations have been impaired. The impact of a more rigorous impairment test may result in additional write downs either on transition or ongoing. Any write downs will also impact the ongoing depreciation charge (where applicable); and • If the tax-exempt status of the College is assessed as not appropriate in subsequent years, income tax will be calculated based on the 'balance sheet' approach, which will result in more deferred tax assets and liabilities as the tax effect follows the underlying transaction. • Investment property may be measured at fair value with changes in fair value recognised in the Statement of Financial Performance, or at cost (without revaluation), whereas it is currently recognised at revalued amount under AASB 1041 "Revaluation of Non-Current Assets". 17. Statement of Operations of Segments The College and its Faculties operate predominantly in one business segment and one geographical segment, being the advancement of dermatology in Australia. Annual Report 2004/05 84 Declaration by Council In the opinion of the members of the Council of The Australasian College of Dermatologists: (a) The financial statements and notes are in accordance with the Corporations Act 2001, including: (i.) giving a true and fair view of the financial position of the College and consolidated entity as at 28th February 2005 and of their performance as represented by the results of their operations and their cash flows for the financial year ended on that date; and (ii.) complying with Australian Accounting Standards and the Corporation Regulations 2001; and (b) There are reasonable grounds to believe that the College will be able to pay its debts as and when they become due and payable. Signed in accordance with a resolution of the Council. Dated at Boronia Park this 15th day of April, 2005. Dr. J. Auld - President Dr. J. Coates - Treasurer 85 Australasian College of Dermatologists Independent Audit Report to the members of the Australasian College of Dermatologists Scope We have audited the financial report of The Australasian College of Dermatologists for the financial year ended 28th February 2005, consisting of the statements of financial performance, statements of financial position, statements of cash flows, accompanying notes and the Declaration by the Council. The financial report includes the consolidated financial statements of the consolidated entity, comprising the College and the Faculties it controlled at the end of the year or from time to time during the financial year. The members of the Council are responsible for the financial report. We have conducted an independent audit of this financial report in order to express an opinion on it to the members of the Australasian College of Dermatologists. Our audit has been conducted in accordance with Australian Auditing Standards to provide reasonable assurance whether the financial report is free of material misstatement. Our procedures included examination, on a test basis, of evidence supporting the amounts and other disclosures in the financial report, and the evaluation of accounting policies and significant accounting estimates. These procedures have been undertaken to form an opinion whether, in all material respects, the financial report is presented fairly in accordance with Accounting Standards and other mandatory professional reporting requirements in Australia and statutory requirements so as to present a view which is consistent with our understanding of the Company's and consolidated entity's financial position and performance as represented by the results of their operations and their cash flows. The audit opinion expressed in this report has been formed on the above basis. Audit Opinion In our opinion, the financial report of The Australasian College of Dermatologists is in accordance with: (a) the Corporations Act 2001, including (i) giving a true and fair view of the Company's and consolidated entity's financial position as at 28th February 2005 and of their performance for the year ended on that date; and (ii) complying with Accounting Standards in Australia and the Corporations Regulations 2001; and (b) other mandatory professional reporting requirements in Australia. Hall Consulting Group Chartered Accountants Level 4, 71-73 Archer Street, Chatswood NSW 2057 Christopher John Hall Partner 15th April, 2005. Annual Report 2004/05 86 Compilation Report to the Australasian College of Dermatologists Scope On the basis of the information provided by the Council of the College we have compiled, in accordance with APS 9 "Statement on Compilation of Financial Reports" the special purpose financial report comprising the Balance Sheet and Income & Expenditure Statement of the special funds controlled by the College and the Detailed Profit and Loss Statement of the College and consolidated entity. The Directors are solely responsible for the information contained in the special purpose financial report. Our procedures use accounting expertise to collect, classify and summarise the financial information, which the directors provided into a financial report. Our procedures do not include verification or validation procedures. No audit or review has been performed and accordingly no assurance is expressed. To the extent permitted by law, we do not accept liability for any loss or damage which any person, other than the company may suffer arising from any negligence on our part. No person should rely on the special purpose financial report without having an audit or review conducted. The special purpose financial report was prepared for the benefit of the company and its members. We do not accept responsibility to any other person for the contents of the special purpose financial report. Hall Consulting Group Chartered Accountants Level 4, 71-73 Archer Street, Chatswood NSW 2057 Christopher John Hall Partner 15th April, 2005. 87 Australasian College of Dermatologists Special Funds controlled by the College Income and expenditure statement for the year ended 28th February, 2005 2005 2004 $ $ Endowment Fund Interest received 11,419 9,311 Net surplus for the year 11,419 9.311 Retained surplus at the beginning of the year 214,637 205,326 Retained surplus at the end of the year 226,056 214,637 Alison Madge Rosanove Fund Interest received 3,232 2,635 Net surplus for the year 3,232 2,635 Retained surplus at the beginning of the year 60,747 58,112 Retained surplus at the end of the year 63,979 60,747 F.C. Florance Bequest Dividends 19,402 35,718 Interest received 976 862 Trust distributions 84,235 91,595 Write-up in value of investment 236,636 155,607 Foreign source income 1,382 610 Net capital gain 27,760 - 370,391 284,392 Less Grants paid (46,285) (26,231) Net capital loss - (29,959) Direct investment expenses (19,493) (16,429) Sundry investment expenses (323) (539) Net surplus for the year 304,290 211,234 Retained surplus at the beginning of the year 2,168,274 1,957,040 Retained surplus at the end of the year 2,472,564 2,168,274 Fred Bauer Foundation Interest received 3,747 3,072 Less Grants paid - (3,018) Net surplus for the year 3,747 54 Retained surplus at the beginning of the year 70,791 70,737 Retained surplus at the end of the year 74,538 70,791 Annual Report 2004/05 88 Special Funds controlled by the College Income and expenditure statement for the year ended 28th February, 2005 (Cont'd) 2005 2004 $ $ Journal Fund Donations received 50 30,550 Levies received 31,850 - Royalties received 25,036 12,567 Interest received 258 241 57,194 43,358 Less Editorial fee (10,000) (10,000) Printing, distribution, postage (25,180) (18,899) Bank charges (132) (132) Net surplus for the year 21,882 14,327 Accumulated deficiency at the beginning of the year (28,416) (42,743) Accumulated deficiency at the end of the year (6,534) (28,416) Ewan Murray Interest received 8,859 7,225 Net surplus for the year 8,859 7,225 Retained surplus at the beginning of the year 166,531 159,306 Retained surplus at the end of the year 175,390 166,531 Scientific Research Fund Donations and grants received 32,790 43,990 Entertainment books sale 456 419 Interest received 2,625 3,258 35,871 47,667 Less Publishing & printing Cost (2,000) - Grants paid (21,560) (56,000) Net surplus for the year 12,311 (8,333) Retained surplus at the beginning of the year 60,924 69,257 Retained surplus at the end of the year 73,235 60,924 Surgical Society Fund Subscriptions received 3,460 2,600 Interest received 2,047 1,530 Net surplus for the year 5,507 4,130 Retained surplus at the beginning of the year 37,469 33,339 Retained surplus at the end of the year 42,976 37,469 Travelling Scholarship Fund Donations received 87,000 86,500 Less Grants paid (80,000) (86,500) Net surplus for the year 7,000 - Retained surplus at the beginning of the year 59,344 59,344 Retained surplus at the end of the year 66,344 59,344 89 Australasian College of Dermatologists Special Funds controlled by the College Balance Sheet as at 28th February, 2005 2005 2004 $ $ Endowment Fund Current Assets: Receivables (College) 226,056 214,637 Net Assets 226,056 214,637 Alison Madge Rosanove Fund Current Assets: Receivables (College) 63,979 60,747 Net Assets 63,979 60,747 F.C. Florance Bequest Current Assets: Cash at bank 194,772 121,049 Accrued income 4,595 2,547 Westpac Portfolio No2 – at market value 1,404,839 1,304,302 Westpac Personal Portfolio - at market value - 749,629 Westpac BT Wrap Investment - at market value 877,611 - 2,481,817 2,177,527 Less Current Liabilities: Creditors (College) (9,253) (9,253) Net Assets 2,472,564 2,168,274 Fred Bauer Foundation Current Assets: Investments 72,311 68,564 Receivables (College) 2,227 2,227 Net Assets 74,538 70,791 Journal Fund Current Assets: Cash 21,112 20,986 Receivables 650 650 21,762 21,636 Less Current Liability: Creditors (College) (28,296) (50,052) Net Assets (6,534) (28,416) Annual Report 2004/05 90 Special Funds controlled by the College Balance Sheet as at 28th February, 2005 (Cont'd) 2005 2004 $ $ Ewan Murray Current Assets: Receivables (College) 175,390 166,531 Net Assets 175,390 166,531 Scientific Research Fund Current Assets: Investments 64,393 51,782 Receivable (College) 9,492 9,792 73,885 61,574 Less Current Liability: Creditors (650) (650) Net Assets 73,235 60,924 Surgical Society Fund Current Assets: Receivables (College) 667 632 Investments 42,309 36,837 Net Assets 42,976 37,469 Travelling Scholarship Fund Current Assets: Receivables (College) 66,344 59,344 Net Assets 66,344 59,344 Total Net Assets of the Special Funds controlled by the College 3,188,548 2,810,301 91 Australasian College of Dermatologists Detailed profit and loss statement for the year ended 28th February, 2005 Consolidated College 2005 2004 2005 2004 $ $ $ $ Income Subscriptions & trainee levy 580,686 505,836 539,175 484,503 Building levies received 14,500 12,750 14,500 12,750 Examination fees 77,100 33,000 77,100 33,000 Entrance levies received 2,750 3,625 2,750 3,625 Interest received 58,649 43,092 50,666 37,193 Meetings revenue 774,569 860,112 774,569 860,112 Training conference/courses 9,750 9,525 9,750 9,525 SSRS - support scheme for rural specialists 42,400 51,491 42,400 51,491 RASTS – rural advanced specialist training support 45,000 50,000 45,000 50,000 Unit trust distributions Westpac portfolio 83,208 89,645 83,208 89,645 Sundry income/Faculties meeting sponsorship 7,500 28,469 - - Donations/grants received 40,746 45,467 18,500 24,500 Commonwealth Grant Networked training - 2,500 - 2,500 Networked training – Mandala Consulting - 18,281 - 18,281 Healthy Skin Program Project 22,068 - 22,068 - OTS assessments/CPDP 19,000 10,500 19,000 10,500 Social functions 1,545 8,833 - - Write-up in value of investments 142,113 111,347 142,113 111,347 Capital gain on sale of investments 17,096 - 17,096 - Revenue from sale of books/brochures 36,379 7,211 17,670 7,211 1,975,059 1,891,684 1,875,565 1,806,183 Expenditure Accountancy & audit fees 24,175 16,450 15,220 9,345 Advertising - 5, 484 - 5,484 Bank charges and merchant fees 19,909 27,695 19,194 26,985 Cleaning & gardening 5,087 4,503 5,087 4,503 Computer software & maintenance 11,519 18,879 11,519 18,879 Consultancy fees 148,333 128,957 148,333 128,957 Depreciation 46,127 40,525 45,949 40,288 Direct investment expenses 14,415 10,030 14,415 10,030 Donations 3,000 17,550 2,000 10,350 Electricity 3,212 2,405 3,212 2,405 Employee annual leave provided 5,773 1,613 5,773 1,613 Long service leave provided 3,025 7,415 3,025 7,415 Employee training and recruitment 441 9,766 441 9,766 Board of Censors expenses Training and accreditation 20,029 - 20,029 - Exam expenses 47,199 65,348 47,199 65,093 Annual Report 2004/05 92 Detailed profit and loss statement for the year ended 28th February, 2005 (Cont'd) Consolidated College 2005 2004 2005 2004 $ $ $ $ Filing fees 645 300 645 300 General expenses 6,716 12,751 5,183 11,658 ILDS scholarship and grants 22,546 26,545 22,546 26,545 Insurance 26,242 20,728 26,242 20,728 Interest paid 23,544 19,199 23,544 19,199 Leasing/marketing premises 10,929 - 10,929 - Legal fees 45,955 32,761 45,955 32,761 Library costs 4,241 9,442 4,241 9,442 Meeting expenses CPMC 7,935 8,549 7,935 8,549 Faculties meeting and social functions 9,945 17,133 - - Meetings expenses 364,142 506,487 364,142 506,487 Website & database cost 28,426 31,527 28,426 31,527 Networked Training – Mandala Consulting. - 29,921 - 29,921 NT training project - 750 - 750 RASTS – rural advanced specialist training support 9,991 4,985 9,991 4,985 Healthy skin project 22,068 414 22,068 414 SSRS - support scheme for rural specialists 12,567 3,615 12,567 3,615 Office expenses 13,328 11,573 13,328 11,573 Postage 13,521 14,524 13,043 14,524 Printing & stationery 31,363 31,423 31,145 31,070 Property repairs & maintenance 2,643 2,703 2,643 2,703 Public affairs & marketing 43,412 - 43,412 - Public education 63,042 41,183 42,000 23,315 Rates & taxes 2,929 2,926 2,929 2,926 Salaries & wages 283,043 243,501 283,043 243,501 Security costs 722 1,429 722 1,429 Faculties secretarial services - 3,743 - - Registrar's travel expenses 10,268 - - - Subscriptions 5,561 1,803 5,561 1,803 Superannuation contributions 34,157 21,807 34,157 21,807 Telephone & internet cost 23,301 23,107 23,301 23,107 Trainee application cost 10,933 - 10,933 - Training conferences & courses 6,272 372 6,272 372 Training – executives 10,881 - 10,881 - Travelling & accommodation 29,921 55,580 27,022 42,010 Corporate Governance 11,859 9,748 11,859 9,748 1,545,292 1,547,149 1,488,061 1,477,882 Net Profit for the year 429,767 344,535 387,504 328,301 Retained profit at the beginning of the year 2,369,942 2,025,407 2,197,063 1,868,762 Retained Profit at the end of the year 2,799,709 2,369,942 2,584,567 2,197,063 Executive Editor Stephen Shumack Editorial Commitee Rodney Sheaves Ros Warnes
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