ACD Annual Report 2019
2019Annual ReportTHE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019 1
ContentsCollege Board Membersand Faculty ChairsBOARD OF DIRECTORSFROM THE COLLEGE0303 President’s report04 CEO’s report06 College highlights and awards07 College Strategic PlanPILLAR 1 – SERVICE TO COMMUNITY08PILLAR 2 – EDUCATION SERVICES10PILLAR 3 – SERVICES TO MEMBERS12PILLAR 4 – ORGANISATIONAL EXCELLENCE14FINANCIAL REPORT1620 College Structure21 Current Committee Members2 THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019PresidentAssociate Professor David Francis MBBS FACDPresident-electDr Clare Tait MBBS (Hons) FRCP FACDImmediate Past PresidentDr Andrew Miller BSc (Med) MBBS (Hons) FACDDean of EducationDr Adriene Lee MBBS (Hons) BSc (Med) FACDBoard DirectorProfessor Ingrid M Winship MBChB,MD (Human Genetics) FRACP FACDBoard DirectorDr Eleni Yiasemides MBBS (Hons) MMed FACDBoard DirectorMiss Genevieve Dolan BSc (Hons) Psychology(Forensic)Board DirectorMr Phillip Hyde MTeach (Monash)MBA (Monash) BBus (Monash) AICD ASA FAMIFACULTY CHAIRSNew South WalesDr Keng Chen MBBS FACDQueenslandDr Amanda Godbolt MBBS FACDSouth AustraliaDr Romuald Czechowicz MBBS (Adel) FACDVictoriaDr Paul Curnow MBBS FACDWestern AustraliaDr Tony Caccetta MBBS (Hons) FACDACKNOWLEDGEMENTThe Australasian College of Dermatologists acknowledges the Wangal people, theTraditional Owners of the lands upon which the College head office is located. The Collegealso acknowledges and pays our respects to the Traditional Owners of the lands uponwhich Australian dermatology services are delivered, and Elders past, present andfuture; for they hold memories, traditions, cultures and hopes of Aboriginal and TorresStrait Islander peoples of Australia.
President’s reportIt is with great honour that Itook over the role as ACDPresident in May 2019. I wouldlike to sincerely thank Dr AndrewMiller who ably led College inhis two-year term as Presidentfrom 2017. Having workedwith Dr Miller on the Board ofDirectors during this period,I was fortunate to receive anexcellent handover allowing asmooth transition into this role.Other Board changes in 2019included Dr Clare Tait taking onthe President-elect position, andwelcoming of new Director DrEleni Yiasemides. It is a privilegeto be part of such a wellfunctioning and cohesive Board,all of whom are dedicated toensure the highest standard ofgovernance of College.With 2019 seeing thecompletion of the currentStrategic Plan, the Boardfocused on the developmentand finalisation of the nextPlan to 2023. The enthusiasmobserved across the Fellowshipthroughout this process wasencouraging; knowing thatour professional communityof dermatologists are activelyengaged in setting a vision forCollege is highly rewarding.With the Board approving theStrategy in mid-2019, mindswere turned to how it can befinanced and operationalised. Itbecame clear that investment inour College to secure our futureand relevance as a professionis needed. The Board approveda forecasted deficit budgetfor 2020 which included anexpansion of staffing required todeliver the plan – with this initialinvestment, we will in turn seethe benefits in member services,education and professionaldevelopment, and governmentand community advocacy,thereby strengthening our placeas the leaders in skin health.As President I have attendedmeetings of the Council ofPresidents of Medical Colleges(CPMC), an important avenuethrough which the issuesaffecting dermatologistscan be raised to the Federalgovernment and to ourspecialist colleagues. Ouradvocacy to increase fundingfor teledermatology, not only asa modality for delivery of carebut also to support workforceand training, continued tobe a key focus in 2019. TheCPMC meetings allowed fora discussion with the HealthMinister on this very issue, asdid a meeting at ParliamentHouse with the Minister forRegional Services. The CPMChas also been actively involvedwith the Australian IndigenousDoctors Association, who hasset best practice standardsfor specialist medical collegesin supporting Aboriginaland Torres Strait Islanderdoctors and improving culturalcompetency across the medicalworkforce. I am pleased toreport that your college is doingwell in our efforts to achievethese standards, noting thatthere is much work to be done.Finally, in 2019 the Boardreceived an increasing numberof requests to endorse or cosign statements on a range ofsocial or health-related issues.This raises many questionsabout our organisation’srole beyond training andsupporting dermatologists.The Board approved anEndorsement Policy whichprovides a framework bywhich decisions on suchcollaborative statements canbe made. As broader issuesaround our corporate social andenvironmental responsibilitycome into focus, the Boardlooks forward to greaterdialogue with Fellows andtrainees on our defining ourremit and purpose.I thank all Fellows andtrainees for your continuedcommitment and engagementwith College throughout 2019.Associate ProfessorDavid FrancisPresidentTHE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019 3
CEO’s reportIfeel the College went fromstrength to strength in2019. In May the Presidentchangeover occurred. A/ProfDavid Francis has providedgreat leadership to date inleading College to its newStrategic Plan, and, with theelection of Dr Clare Tate, whowas already a Director toPresident Elect, this has addednotably to leadership continuityat Board level. Thanks to DrAndrew Miller for his two-yearterm. His dual role as Presidentand on the AMA FederalCouncil brought an astutenessto the issues emerging throughhis term. The MBS review,for example, saw Collegemake many important stridesforward. The creation of Mohsitem numbers overseen bythe College is one area whereCollege is now in a strongerposition to control outcomes.The culture in Collegecontinues to strengthen. Iam privileged to have a goodworking relationship with the4 THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019Board, who are united andprovide clear direction. Thereis increased evidence of Fellowparticipation in College affairs.College is a more open andflexible organisation due thisstrong co-operative effortbetween the Board, CEO, andour staff.During 2019, and the framingof our new Strategic Plan,significant effort was put intohow to operationalise thestrategy. I wish to acknowledgeand thank Dr Haley Bennettfor her outstanding work andleadership in 2019. A wholenew operating frameworkwas completed with a budgetrequest approved for 2020.I greatly look forward to newposition recruitment for 2020,to complement work to dateand provide impetus for furtherprogress.A Member and MarketingManager is agreed for 2020recruitment. College needs tobetter understand the specificrequirements of our members.Enabling our special interestgroups to thrive and generateinnovations and knowledge willhelp us to assert the relevanceof dermatology to patients,communities, governments,hospitals, primary careproviders and our specialistmedical colleagues.Early in 2019 the Boardagreed to create a DeputyCEO position to which HaleyBennett was recruited. This hasadded leadership and additionalmanagerial capability to theCollege staff. Haley heads upthe Policy and EngagementTeam. When I joined in2014 there were no policy,community engagement, media,social media or member andmarketing capabilities to theextent required.College advocacy andvisibility as the first port ofcall for all matters skin hascontinued to strengthen.College tackles the steadyflow and myriad of governmentreviews with thoughtful andcareful responses.On the meetings front, the firsthalf of 2019 was the culminationof our bid for the 2023 WorldCongress, for which we wereunsuccessful in Milan. Theprocess over more than two anda half years raised AustralianDermatology’s profile andhas now created impetus toadopt an International Strategyfor College. During the bidprocesses we made many firmfriends. A small delegation fromCambodia were invited to ourvery successful Melbourne ASMand we were invited to speakin Cambodia in December2019 which we did. Our cooperation with our Pacific andAsian neighbours remains animportant part of our forwardplanning.The College remains ingood financial shape. Duringthe year, our external courserevenue did not hit targets, butoperating savings deliveredan on-budget result. Ourinvestments performed better
The culture in College continuesto strengthen. I am privilegedto have a good workingrelationship with the Board, whoare united and provide cleardirection. There is increasedevidence of Fellow participationin College affairs. Collegeis a more open and flexibleorganisation due this strongco-operative effort between theBoard, CEO, and our staff.as 2019, however our returnswere modest compared towhat might have been possiblehad our settings for risk beendifferent. This remains thechallenge for the InvestmentCommittee that was establishedduring the year.The Board has had severaldiscussions about clearlydefining the purpose for eachfund to be more than selfinsurance. As we hold a fullsuite of insurances, our equitymust better work for theorganisation and its future.One key financial decisionwas to review trainee fees,but to not include overheadcharges to the cost of thetraining program, therebyavoiding further trainee feeincreases. Whilst the principlethat learners should pay for thelearning provided at full cost,this need was balanced with arequirement that ideally traineesjoin College as Fellows feelingthat they were fairly treatedduring their training, includingthe financial charging regime.Two trainee-focussedinitiatives reported in 2019 andcommenced implementation.A new exam marking regimenwas tested in parallel withthe existing norm-referencedsystem. Two separate traineewelfare reports by Dr CateScarff and Leonie Naegelmakercreated a firm focus on traineewell-being in all its forms. Theexams were found to havecreated a negatively competitiveenvironment working counterto learning and sharing ofknowledge. The changesproposed to exam markingshould remove this. Add theemployment of Dr Cate Scarff,dermatologist, joining as staffpart time, and 2 part time wellbeing officers recruited, Collegehas significantly strengthenedtrainee support.It is a pleasure to contributetowards the leadership of theCollege with the Board and thestrong support of committedstaff.Tim WillsChief Executive OfficerTHE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019 5
College highlightsFELLOWSPRACTICINGNEW FELLOWS SUCCESSFUL IN THE 2019FELLOWSHIP EXAMINATION PROCESSDr Alvand AmiriDr Eleni AnthonyDr Fatemeh ArianejadDr Jessica BaleDr Lisa ByromDr Su-Ling ChanDr Alvin ChiaDr Niranthari ChinniahDr Matthew ChoDr Sudipta DalyDr Joshua ElakisDr Adam HarrisDr Georgina HarveyDr Heba JibrealDr Janet KimDr Andrew LeeDr Jane LiDr Alicia O’ConnorDr Louise O’HalloranDr Niamh O’SullivanDr Aaron RobinsonDr Dana SlapeNON-PRACTICINGNew South Wales20329Queensland9512South Australia437Victoria15615Western Australia516Total Australia54869Overseas206Total643TRAINEESNew South Wales37Queensland28South Australia10Victoria30Western Australia7Total11228NEW FELLOWS ELECTED IN 2019 UNDERCLAUSE 3.2 OF THE COLLEGE’SCONSTITUTION95Dr Arif AslamDr Anisha Kaur Bhullar Kartar SinghDr Tanumay RaychaudhuryMEMBERSHIP SUMMARYTrainees10514330WANSWNSWIN SWSAQLDSANSWVICNSWWAWAVICNSW1566 THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019203FellowsDr J Robert KellyDr Richard DenisenkoDr Miles HursthouseDr Anthony CroninDr Brian EntwisleDr Julie WesleyDr Wallace De LauneyDr Eric TaftHonorary FellowProfessor Klaus WolffAssociate MembersDr Edward ClearyDr Amanda GrampDr Abe /09/20192/10/20196/10/2019We awardedin 2019SILVER MEDALA/Prof Andrew Miller AMCERTIFICATE OF MERITORIOUS SERVICEA/Prof Geoff CainsDr Peter CowenDr Anne LewisDr Cornelius MeehanCl A/Prof Saxon SmithDr Julie Wesley (posthumous)BELISARIO AWARD FOR ACADEMICDERMATOLOGYProf Shyamala HuilgolMERVYN GOLD OAM AWARDDr Irene GrigorisACD INTERNATIONAL OUTREACH AWARDProf Prasad KumarasinngheASSOCIATE MEMBERSProf Catriona McLean AOPRESIDENTIAL CITATIONDr David Burdon-JonesA/Prof Alvin ChongDr Kerry CrottyDr Rodney HannafordDr Vanessa MorganDr Hugh RobertsDr Catherine ScarffADRIAN JOHNSON AWARD FOR 2019Dr William Cranwell ‘Treatment of alopeciaareata: An Australian expert consensusstatement’.EILEEN COLLINS MEMORIAL PRIZE FOR 2019Dr Linda Chan ‘The oncological survivaland prognosis of individuals receiving PD-1inhibitor immuologic cutaneous adverseevents: A prospective study’.
College Strategic Plan2015-2019GOVERNANCEMission: To lead the achivementof first class dermatology care andskin health for our communities.Governance improvementVision: To be a well respectivelead in the Asia-Pacific regionfor dermatological training,continuing education,scientific advancementand advice.OrganisationalexcellenceFinancial viabilityServices to CommunityStrategy & RiskCertified quality agencyEducation ServicesServices to MembersWorkforce to meet needQuality Trainee EducationCPD improvementsPublic EngagementEducation delivery, National approachMember engagement and growthRaise community awareness of dermatologyTrainee support, Online learning,Post-fellowship trainingStrategic relationshipsBest practice dermatologyEducation for primary care cliniciansScientific and academic advancementLeadership in Skin Health careStrengthen supervisor qualityAdvocacy, communicationsStakeholders – Who informs our work?Management – Supporting the College Individuals/Patients ; Communities Dermatology Patient support Groups State, Federal Government Hospitals and health services Fellows & Trainees Medical Students Other specialist doctors & health professionals Universities & Education providers Members; Associates; Honorary Regulatory bodies Wiley/Contractors Device and pharmaceutical industrySYSTEMS AND PROCESSESInformation & Resources; Advice & Support;Communication; Surveys; Select trainees/assessIMGs; Education Program; ManagementDesign; Delivery; Quality; Submissions& Communication; Media & Campaigns;Marketing & PR; FundraisingINFRASTRUCTUREAssets; IP; IT; Info Management/Systems; HR; Finance; Legal QualityTHE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019 7
Pillar 1 – Serviceto CommunityDefining community need in specialistdermatology care and implementingeffective strategies to meet this needcontinues to underpin College’s workwithin this pillar. It is pleasing to see asthis Strategic Planning period comes toa close the significant progress that hasbeen made over the last five years.8 THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019ENABLING DERMATOLOGY INRURAL AND REGIONAL AUSTRALIAGrowing the specialist dermatologyworkforce such that care can be deliveredwhen and where is it needed requires usto set long term goals based on strongevidence. This year, we commissioned aproject to investigate barriers and enablersto expand the presence of dermatologyin regional and rural Australia. A reviewof the literature supported by Fellowand Trainee surveying and structuredinterviewing resulted in a comprehensivereport, giving us a robust evidence base.What was revealed was a passion forrural dermatology in those living andworking regionally, and dedicated supportstructures from College will be a key driverin improving attraction and retention ofdermatologists. Also commenced thisyear was detailed mapping of dermatologyservices across the country to identifyservice gaps and new opportunities forregional training. These data will informCollege’s Regional and Rural WorkforceStrategy, to be developed with theRegional and Rural Services Committeewho as of mid-2019 report directly to theBoard of Directors.A supplementary method fordermatologists to deliver care toregional patients is via telehealth, andthis modality is also an effective trainingtool for dermatology registrars. Ouradvocacy to government focused onfunding for teledermatology and was thesubject of College’s submission to theFederal budget. We proposed a pilot forregistrar training using teledermatologyas a contributing solution to workforceexpansion and inequitable patient accessto specialist care. The proposal led toa face to face Ministerial meeting atParliament House, helping to establishand grow relationships in Canberra. Weawait the results of the 2020-21 Federalbudget, delayed until Oct 2020.ADVANCING INDIGENOUS HEALTHIn Aboriginal and Torres Strait Islanderhealth, we are delighted to report thatDr Dana Slape was successful in her2019 Fellowship examinations and will beAustralia’s first Indigenous dermatologistupon conferring of Fellowship in 2020.Dr Slape has been unwavering in herdedication and invaluable contributionto College’s Aboriginal and Torres StraitIslander Affairs Committee, helping us torefine and strengthen our work to improveskin health outcomes for Aboriginal andTorres Strait Islander patients. College wasa sponsor of the Australian IndigenousDoctors Association (AIDA) conference
Dr Dana Slape was successful in her2019 Fellowship examinations andwill be Australia’s first Indigenousdermatologist upon conferring ofFellowship in 2020.in October 2019, with several members of the Committee hosting askin suturing workshop along with the College President A/Prof DavidFrancis. We continue to work closely with AIDA and strive to meet theirbest practice standards in our education and training and in fostering theAboriginal and Torres Strait Islander dermatology workforce.ADVOCACY AND PATIENT SUPPORT GROUP ENGAGEMENTIn the community sphere, we continue to support our Fellows’community advocacy and strengthen our engagement with dermatologypatient support groups. Under the excellent guidance of our CommunityEngagement Advisory Committee, we released a white paper on thedermatology patient experience with navigating the health care system,entitled ‘More Than Skin Deep: Skin diseases in Australia.’ Launching aspart of College’s World Skin Health Day campaign, the paper exploredfour consistent themes that emerged throughout our conversations withpatients: challenges in accessing help; long wait times before seeinga dermatologist; financial burden when dealing with chronic diseases;and stigma and discrimination associated with skin conditions. Thepaper delved into these themes to understand patient experiences andconsider solutions.The paper highlighted that the general lack of understanding acrossthe community about what dermatology is and what a dermatologistdoes reinforces the need for our continued efforts with publicengagement. This year saw a considerable ramping up of social media,with the implementation of our first ever targeted social media strategyacross several platforms. By having a planned approach, we were ableto engage widely – providing information on specific skin conditions,promoting patient support groups and Awareness Days, highlighting newdermatology research findings, and sharing relevant media stories.On the media and marketing front, College ran three phased marketingcampaigns throughout 2019, focusing on cosmetic, surgical andrural dermatology, in addition to an iterative proactive media plan andresponse to media enquiries. For National Skin Cancer Action Week,run each year in partnership with Cancer Council Australia, a media andsocial media campaign highlighted the need for improved sun protectionbehaviour in teenagers. A successful media event was held in Bondiwith A/Prof Francis speaking with Cancer Council’s Anita Dessaix, andwas covered by Channels Seven, Nine, 10, SBS and WIN television; andseveral radio syndications.THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS Annual Report 2019 9
Pillar 2 – EducationServicesIn the final year of theCollege Strategic Plan,College has workedto sign off many of thecomponents of theStrategic Plan
President Associate Professor David Francis MBBS FACD President-elect Dr Clare Tait MBBS (Hons) FRCP FACD Immediate Past President Dr Andrew Miller BSc (Med) MBBS (Hons) FACD . The MBS review, for example, saw College make many important strides forward. The creation of Mohs . Dermatology
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