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Annual Report 2014
ACEM ANNUAL REPORT 2014
CONTENTS
COUNCIL
Council2
President’s Report
3
CEO’s Report 4
Chair of Council of Advocacy, Practice and
Partnerships Report 5
Chair of Council of Education Report 6
ACEM Foundation Report 7
Faculty Reports 8
Executive
Anthony Cross (President)
Anthony Lawler (Vice President)
Alan Tankel (Honorary Secretary)
Didier Palmer (Honorary Treasurer)
Diane King (Censor-in-Chief)
Philip Richardson (Deputy Censor-in-Chief)
Australian Capital Territory
Suzanne Smallbane
New South Wales
Examinations Report 13
New Fellows 16
Andrew Bezzina
Sally McCarthy
Alan Tankel
Emergency Medicine Certificate and
Emergency Medicine Diploma
18
New Zealand
Awards 20
John Bonning
Scott Boyes
Vale21
Financial Report 23
Northern Territory
Didier Palmer
Queensland
Paul Cullen
Niall Small
South Australia
Thiruvenkatem Govindan
Tasmania
Anthony Lawler
Cover photos: Thank you to Sunshine Hospital, Victoria.
College Contact Details
34 Jeffcott Street,
West Melbourne Vic 3003,
Australia
Telephone: (03) 9320 0444
Fax: (03) 9320 0400
Email: [email protected]
Website: www.acem.org.au
Victoria
Anthony Cross
Diana Egerton-Warburton
Simon Judkins
Western Australia
Peter Allely
Yusuf Nagree
2
3
PRESIDENT’S REPORT
Anthony Cross
As President of ACEM, it is my
pleasure to present the Annual
Report for 2014. This has been a
year of significant achievement
for the College in terms of
advocacy and partnerships.
It has also been a year of
challenges for emergency
medicine as uncertainty
continues to circulate around a
health system ‘post-NEAT’ and
proposed budgetary measures
that are yet to fully play out.
The current strategic plan of the College
has five priority areas including education,
advocacy, member support, standards
and awareness. Throughout this year,
Fellows, trainees and staff have worked
tirelessly on various initiatives to address
these priorities. The strategic plan will
be refreshed at the end of this year to
ensure the College’s priorities are up to
date. A vast amount of work is carried
out to maintain the ‘business-as-usual’
activities of the College and it is important
to recognise this. On top of this, critical
initiatives such as the Curriculum Revision
Project, the redevelopment of the website
and member portals, Leadership and
Mentoring programs, online resources,
quality standards and Best of Web have
provided important support to members
whilst raising the advocacy profile of
the College.
Governance
1 July marked the first day of the College’s
new Governance structure. While such
matters may be remote to many Fellows
and of only limited interest, this has been
an important step for the College. The new
Board, formulated according to current
best practice, is dynamic, responsive and
able to draw on the legal and financial
expertise of members. The two Councils
(Council of Education and Council of
Advocacy, Practice and Partnership) are
relieved of Governance duties so they can
concentrate on their core work. Decision
making has been effectively streamlined.
Perhaps the most visible change, though,
is election of the President by the entire
Fellowship (rather than by Council) with a
clear succession plan to ensure stability.
Post-NEAT
ACEM has been in support of clinicallyappropriate access targets since its
inception in 2010. Although at times
contentious, these targets were seen as a
strategy for addressing a systemic problem
and an impetus for implementing changes
that would lead to better patient outcomes.
To this end they have had some success.
With the planned discontinuation of NEAT,
ACEM has been actively addressing the
concerns of Fellows who feel many of
the system improvements achieved over
the past few years will be compromised.
ACEM continues to advocate for ‘wholeof-system’ reform as part of our advocacy
efforts.
Hospital Overcrowding
Access to beds continues to attract
media scrutiny and ACEM has gained
considerable attention during the past year
via interviews, articles, presentations and
commentary. Many senior Fellows have
promoted the message of overcrowding so
successfully that community awareness
has been considerably heightened. No
longer seen as just an ED problem,
many members of the public have been
‘educated’ by the College about the
real cause of overcrowding. Recently
the College has also addressed the
implications of proposed co-payments for
GP and ED services. These areas remain
a major focus of ACEM as we seek to
work with state and federal governments
to address this complex and far-reaching
problem.
Alcohol Harm in EDs
In late 2013, ACEM embarked on an
important partnership with the Australian
National Preventive Health Authority to
investigate the incidence and impact of
alcohol-related ED presentations. This
project has significantly raised the profile
of ACEM and provided important data
to inform and guide public policy. The
research included surveys conducted
in both Australia and New Zealand and
the results were discussed at the AMA
National Alcohol Summit in October.
Senate Inquiry into Health
ACEM was recently invited to participate
in the Senate Inquiry into Health and
is developing relationships with high
level policy makers. These are important
opportunities for the College to represent
our view, experience and knowledge to
senior levels of government in the interests
of our patients.
Staff
I would like to thank the CEO of ACEM,
Alana Killen and the staff of the
College who assist in facilitating and
implementing the goals and objectives of
the organisation. They are a committed
team that works hard for the College.
The success of all the activities outlined
above, and countless others, is directly
attributable to the work that our College’s
professional staff do with and for the
Fellows and trainees.
ACEM is committed to actively
representing the membership on matters
directly and indirectly impacting emergency
medicine in Australia and New Zealand,
and we are fortunate to have the benefit of
enthusiastic and dedicated members who
generously donate their time, knowledge
and expertise to the cause of emergency
medicine in Australia and New Zealand.
Thank you on behalf of the ACEM Board
of Governance for your continued support
and I look forward to another productive,
challenging and exciting year in 2015.
Anthony Cross, President
CEO’S REPORT
Alana Killen
2014 was a significant year for
ACEM in a number of respects.
At the 2013 Annual General Meeting,
the College’s new constitution was
endorsed by its members. In July 2014,
ACEM’s new Board of Governance was
established, a board which includes two
non-Fellows selected for their skills and
expertise. ACEM was fortunate to secure
the skills of two extremely experienced
Directors, Michael Gorton AM, a lawyer
with significant expertise in the health
sector, and Tony Evans, an accountant
and knowledgeable board director. The
ACEM Board is now reflective of current
corporate governance principles and will
provide important strategic oversight to the
College’s operations.
In October this year, ACEM conducted the
first direct election for President. From
a potential cohort of 1812 Fellows, there
were 466 votes registered at the close of
polling. Although only a little over 25% of
the Fellowship exercised their right to elect
the next President, it is pleasing that the
process ran smoothly and efficiently. We
are optimistic that even more Fellows will
vote at the next election to be held in 2016.
The College’s new website was launched
in December last year after many months
of consultation and development. The
new platform provides trainees, Fellows
and the general public with a userfriendly experience that is more intuitive
and engaging. The feedback has been
very positive with many commenting on
the visual appeal and easier navigation
that has made the site not only more
contemporary, but more enjoyable to use.
The communications team have continued
to consider new and improved ways
to keep in touch with our Fellows and
trainees. We now have over 2,000
followers on Twitter and a Facebook page
which provides up-to-date information on
College activities and events. The regular
interviews with Fellows and trainees have
provided wonderful insights into the work
of our dedicated members.
The Curriculum Revision Project is about
to come to fruition with the new training
program to be launched in New Zealand
on 8 December to coincide with the
NZ training year. The program will be
introduced in Australia in February 2015
and this implementation is the culmination
of years of work by a large number of
Fellows, trainees, staff and community
representatives. It is an exciting new
chapter in the College’s journey and
reflects ACEM’s goal to train excellent
emergency medicine specialists, equipped
to work in diverse and challenging settings.
Throughout the year, there have been
substantial additions to the College’s
e-learning resource library. ACEM now
boasts an impressive collection of online
modules that provide both trainees and
Fellows with useful, relevant information
to guide and inform practice. The Best of
Web project aims to assess the best of
what is available on the internet against
specific criteria. The Indigenous Health
and Cultural Competence modules have
been widely recognised as excellent
resources for those wishing to enhance
their knowledge in this area. For those
who have not yet viewed these, a visit to
the ACEM website is well worth the effort.
These achievements and initiatives would
not be possible without the commitment
and dedication of those Fellows and
trainees who willingly give their time to
the College in the interests of supporting
emergency medicine in Australia, New
Zealand and in developing countries. This
work is complemented by professional
staff members who strive to work
collaboratively with ACEM members
to achieve the collective goals of the
organisation; a true team effort. I am
grateful to the hard-working staff of ACEM
for their dedication and loyalty to the
College and their desire to provide quality
outcomes in everything they do.
My sincere thanks to our President,
Anthony Cross, for his wise (and often
humorous) counsel and to the ACEM
Board of Governance for their vision and
guidance.
Alana Killen, Chief Executive Officer
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CHAIR OF COUNCIL OF ADVOCACY, PRACTICE AND PARTNERSHIPS
Anthony Lawler
The past year has been a
time of significant transition,
with the implementation
of the recommendations of
the governance review, as
supported by the membership
at the 2013 Annual General
Meeting. One substantial
outcome has been the
restructure of the former College
Council to become the new
Council of Advocacy, Practice
and Partnerships (CAPP),
coming into existence on 1 July
2014.
I would like to thank all Councillors for
their efforts and diligence in their focus on
preparing for the governance restructure.
The restructure has seen a number of
functions traditionally undertaken by
Council reassigned to more appropriate
bodies. As the overarching governance
body of ACEM, the newly installed
College Board has taken responsibility
for corporate governance functions, such
as financial and strategic oversight and
other fiduciary duties. The governance
of education now rests with the Council
of Education. The membership of CAPP
consists of the former Councillors, with
the exception of the Censor-in-Chief and
Deputy Censor-in-Chief. CAPP held its
inaugural meeting on 18 July 2014.
2015; and the ongoing effects of Access
Block, overcrowding and ambulance
ramping on the quality of ED patient care.
Practice activities include the
development and review of emergency
medicine-related policy, and the
development of other practical resources
for EDs. In 2014, these activities have
included a new Statement on Access Block
(S127) a resource for the Management
of Severe Influenza, Pandemic Influenza
and Emerging Respiratory Illnesses in
Australasian Emergency Departments;
and endorsing the WHO Guideline:
‘Classification and Minimum Standards for
Foreign Medical Teams in Sudden Onset
Disasters’.
Partnerships interests involve
collaboration with other specialist Colleges
and relevant agencies in joint policy
and clinical guideline development, and
representation on national or state based
government committees and advisory
bodies. ACEM’s founding membership of
Choosing Wisely Australia, membership
of the Aeromedical Society of Australasia,
joining the Alcohol Policy Coalition, as well
as sponsorship and organisation of ELS
skills workshops at the AIDA conference
are examples of partnership activities
supported by the CAPP in 2014.
• Oversee the activities of all advocacy,
practice and partnership committees of
the College.
Committees of Council and their
subcommittees, along with the statebased and New Zealand Faculties,
continue to undertake a range of these
advocacy, practice and partnership
activities. This utilises and reinforces
their areas of specific interests/expertise
and/or jurisdictional perspectives. These
committees and the faculties report back
and make recommendations for the CAPP
to consider in line with broader College
interests and strategic directions.
Advocacy interests include submissions,
responses to requests for comment or
clinical expert input and planned or ad hoc
media activities. Key areas of focus during
2014 have been the impact on Emergency
Departments of alcohol-related harms;
issues arising from the Australian Federal
Budget such as proposed introduction
of GP co-payments and the cessation of
the National Partnership Agreement on
Improving Public Hospital Services from
Looking ahead, the new CAPP is well
placed to enable the College to effectively
address the broad range of current and
emerging issues facing the specialty of
emergency medicine. Such issues include
the need for continued advocacy towards
safe, high quality patient care, improved
patient flow and effective resource
stewardship; strategic consideration of the
evolution of the EM workforce including
issues of workload, staffing models and
The responsibilities of the CAPP include to:
• Report to and advise the Board in
relation to all advocacy, practice
and partnership functions of the
College, including the development of
organisational strategy; and
geographical distribution; and proactive
promotion of the positive role of the
profession and College in the Australian
and New Zealand healthcare systems.
Tony Lawler, Chair, Council of
Advocacy, Practice and Partnerships
5
CHAIR OF COUNCIL OF EDUCATION
Diane King
The 2013/14 year was historic,
being the final year of the
Board of Education which has
functioned as a committee
of Council since the College’s
inception.
From 1 July the Council of Education (COE)
will be responsible for all of the functions
of education and training for the College.
It will be accountable to the ACEM Board
for these activities. In response to this
major governance change the Council of
Education has been considering a new
structure for its committees. The new
structure will streamline and decentralise
decision making, improve the quality of
our activities and enhance our strategic
planning capacity. There will be greater
opportunities for involvement of Fellows
and trainees in many aspects of this work.
The Curriculum Revision Project (CRP)
is entering its final stages prior to
introduction of the new program in the
2015 training year. Many Fellows and
trainees have contributed to this ambitious
work over the past few years. This has
been extraordinarily difficult at times, and
the diligence shown to the many complex
aspects of this project is a testimony to
the professionalism and dedication of
the CRP team and all participants. There
is naturally some concern about such
large changes, but the efforts in defining
exactly what emergency medicine is
and does, along with the modernisation
of our assessment processes will stand
us in good stead for years to come. For
the first time trainees at each stage of
training will have clear signposts through
training, and the skills and knowledge
of an emergency physician will be well
documented. Training and assessment
will be significantly more embedded in
the workplace with our patients and
colleagues. The program will include a
quality framework that ensures ongoing
improvements will continue.
This year I acknowledge the CPD
Committee for its work in achieving a
new CPD program for specialists that is
user-friendly and simplified. We believe
that this will serve the College well in the
future as the need from external bodies
for increased accountability for clinical
competence emerges. The College’s
strategic commitment to rural and regional
training has been enhanced through the
Accreditation Committee by encouraging
network arrangements and increasing
flexibility for specific situations. This
will, in conjunction with the successful
non-specialist training program, assist in
continuing to extend the scope of
the emergency specialty beyond the
major centres.
While these major pieces of work have
dominated this year, the daily work of
the College continues unabated through
its committees. On behalf of the Board
of Education I thank the hardworking
education team at the College led by the
Director of Education Mary Lawson, for
the support and expertise provided in all
areas. All committees have been focused
on updating systems and processes in the
face of continued growth. This has been
particularly challenging for the Primary
and Fellowship Exams team this year due
to the record number of candidates while
preparing for new format exams.
Finally, I wish to acknowledge the
commitment and enthusiasm of all of those
who volunteer their time and knowledge to
the College - we are truly indebted to you.
Diane King, Censor-in-Chief and Chair
of Council of Education
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7
ACEM FOUNDATION
John Allen
The ACEM Foundation was established in
November 2012 and officially launched at
the 2013 Annual Scientific Meeting where
the inaugural Foundation Chair, Associate
Professor Joseph Epstein outlined the
objectives of the Foundation. The Board
of Directors for the ACEM Foundation
is: Associate Professor Joseph Epstein,
Professor David Taylor, Dr Gerard O’Reilly,
Dr John Vinen, Dr Peter Freeman, Alana
Killen (CEO, ACEM) and Dr Andrew Gosbell
(Deputy CEO, ACEM).
The Foundation Board established three
broad pillars of focus for Foundation
support being International Emergency
Medicine, Indigenous Scholarships for
advanced training in emergency medicine
and Research. Funding guidelines are
currently being developed to assist with
supporting as many initiatives as possible
in a consistent and prudent manner.
After a two year establishment phase
the Foundation is now poised for new
growth. A strategic plan was set by the
Foundation Board which will set a clear
pathway for philanthropic endeavours
seeking donations from within the
College’s network and beyond. To assist
with increasing the profile of emergency
medicine research, a Research Forum is
to be held in the first quarter of 2015 to
seek wide input into promoting a culture
of research. The Foundation will also be
hosting a keynote address at the 2014
Annual Scientific Meeting in December. A
Foundation logo has been developed and
will be in use from October 2014, a Twitter
account has been set up and a presence on
the ACEM website has been established
which incorporates an on-line donation
facility.
As part of a fundraising strategy, two taxtime appeals were conducted in 2013 and
2014 which successfully provided a base
for future fundraising. A bequest program
has also been developed for those people
considering leaving a gift in their Will.
Further marketing and communications
strategies are currently being formulated.
The Foundation was pleased to announce
the launch of the Scholarship for
Indigenous Advanced Emergency Medicine
Trainees (the Joseph Epstein Scholarship)
in October 2013. This scholarship aims
to encourage and support Aboriginal,
Torres Strait Islander and M ori doctors
undertaking advanced emergency medicine
training in the ACEM training program.
The Joseph Epstein Scholarship provides
financial support for advanced trainees
including funding for Annual Registration
fees and Fellowship Exam fees.
Recognition and thanks are expressed to
Bec McPhee who has diligently supported
the administration of the Foundation from
inception.
John Allen, Executive Director, ACEM
Foundation
From left to right: John Vinen, David Taylor,
Alana Killen (CEO), Gerard O’Reilly, Joseph
Epstein, Peter Freeman, John Allen and
Andrew Gosbell)
FACULTY REPORTS
Australian Capital
Territory
Canberra hospital introduced a streaming
model of care in late 2013 which
has significantly improved our NEAT
performance in an environment of ever
increasing presentations for emergency
care. Canberra continues to strive for an
effective “over capacity protocol” to be
implemented at a hospital wide level with
an expectation that this could be delivered
in the near future.
Calvary hospital emergency department
had a change in director, with the
departure of Dr Garry Wilkes and the
arrival of Dr Stuart Stapleton. The Faculty
would like to take this opportunity of
thanking Garry for all his work both within
the department and in helping to ensure
the success of EMET in the region.
The Faculty also bid farewell to Dr David
Elliott who had been working in the ACT
since 1998. His expertise and wisdom will
be much missed although his contribution
in terms of training of junior staff lives on
in the younger FACEM cohort of the ACT
Faculty. We wish him well.
Remodelling and renovation work at
The Canberra Hospital remains under
discussion with plans for expansion
and modernisation set for the coming
few years.
Education continues to be a focus
across both campuses with continual
improvement in registrar teaching, a focus
on SIM training and the development
of a SIM room at Calvary hospital. The
education of the junior medical staff
remains a large body of work due to
numbers of interns in the two departments.
The departmental website continues to
provide a highly functional central portal
for educational discussion as well as an
effective communication device for all
members of the emergency department
team.
The Faculty has continued to deliver
education to the region through the EMET
program. Education sessions have been
delivered at a frequency of one to two per
month over the last year and the feedback
indicates that they are well received.
Suzanne Smallbane, Councillor and
Faculty Chair
New South Wales
The New South Wales Faculty held
teleconferences in May and June. The
Faculty, in particular the previous Faculty
Chair, was closely involved with the
State Government Inquiry into Drugs and
Alcohol, and made written and in-person
submissions to State Parliament.
In regard to workforce, some initial
meetings between New South Wales
Ministry Workforce Branch and Faculty
representatives have been productive.
Several issues have been identified that
will need resolution over the next 12
months. Industrial issues relating to the
State Award and the current Emergency
Physicians Allowance have continued.
Faculty are seeking a review of the
conditions under which this is paid (six
monthly in arrears and only if certain
criteria and documentation are complete).
There is a further issue in relation to
equity of conditions for trainees rotating
to a metropolitan hospital from a rural or
regional home base. They do not receive
the same financial supports that registrars
rotating in the opposite direction receive
resulting in an impediment to recruitment
to the rural and regional centres.
8
9
FACULTY REPORTS CONT.
The NSW Faculty is considering methods
for increasing Fellows’ involvement with
the College. An email list to ensure that
Fellows are kept abreast of major issues
has been set up and development of a
NSW Faculty Moodle site was initiated.
It is intended that this will improve
involvement in discussion on relevant
issues and keep the Faculty informed
of progress on conference planning,
Fellowship Exam courses and Faculty
meetings.
The Peripheral Hospitals Emergency
Medicine Conference Group supported an
inaugural welcome dinner for new Fellows
of the College. Whilst attendance was
light, the night was seen as very successful
and useful both by new Fellows and by the
Faculty members who attended to provide
advice/information. The Evidence Review
in Emergency Medicine Conference was
very successful with significant positive
feedback. Plans are already well set for
2015, and a Spring Seminar will be held in
late September in Darwin.
Andrew Bezzina, Councillor and
Faculty Chair
New Zealand
Workforce planning has become a major
issue for our consideration. Whilst
previously (up to one or two years ago)
there were plenty of specialist vacancies
around the country, the job market has
tightened considerably. Rural hospitalists
are filling some gaps in rural hospitals, but
smaller non-metropolitan EDs still have
some shortages of FACEMs. HWNZ and
MCNZ are leading this workforce planning.
Increasingly (resident doctor) IMGs are
staying in NZ with a dramatic decrease in
NZ trained doctors leaving for overseas
leading to pressures for training positions.
Geographic maldistribution continues to
be a problem with high rates of IMGs
in emergency departments. There is an
expressed desire to promote strategies for
increased regional and rural placement of
NZ trained specialists.
A suite of quality measures (68 to be
exact) has been produced collaboratively
with the College Faculty and the Ministry
of Health as the next area of emphasis
to focus on following on from the Shorter
Stays in ED (6-hour, equivalent to NEAT
in Australia) target. The Faculty support
these measures, their introduction and
monitoring, and the Ministry has made it
clear that this is not just about reporting
and compliance, but true quality in
emergency medicine. There is however
going to be an administrative compliance
cost.
A trainee has formally joined the Faculty
Board for the first time and some national
clinical networks initiated – toxicology
and EDIT. Nationally, IT issues remain a
huge challenge with varying systems; few
properly supporting emergency department
processes and slow progress in all areas of
IT support.
Curriculum change and Workplace Based
Assessments are bedding in in most
departments around the country but remain
a challenge to complete within our current
workforce and time constraints.
MCNZ’s suggested changes to the
Statement on cultural competence,
the Statement on best practices when
providing care to M ori patients and their
whanau, and Orientation and induction
topic checklist appear to be quite
reasonable. Our response was we felt
that our cultural competence programmes
both meet MCNZ accreditation standards
and address the learning needs of
doctors working in the field of emergency
medicine. There has been a small but
noticeable increase in the demand for work
based assessments of potentially underperforming Fellows.
The NZCPHM Policy Statement on Climate
Change was referred to ACEM’s Public
Health Committee for consideration,
which commented that the document is
comprehensive and provides a very good
review of the literature and evidence base
for the global impact of climate change
on people’s health. Under the helpful
guidance of Andrew Gosbell the NZ Faculty
signed up in support of this statement.
John Bonning, Councillor and Faculty
Chair
Queensland
It is fair to say that we are in interesting
times in Queensland at the moment as the
National Health Reform Agenda continues
to unfold.
On a positive note we have seen significant
improvements in ED performance across
the state with noticeable improvements
in Access Block and strong performances
around the NEAT target in most regions.
This has certainly made the professional
workplace a more pleasant environment
for many FACEMs. The downside of
the reform agenda is the strong focus
on budget performance resulting in
uncertainty around job security and serious
challenges in being able to recruit to meet
workload demand in a few locations. This
will remain a keen area for interest and
observation by the Faculty over the next
12 months.
There is also significant uncertainty
around employment conditions within
public hospitals in Queensland with
the announcement by the Government
of the intention to shift all doctors to
standardised performance based fixed
term contracts. There are no details yet
around what this proposal will look like
however the time frames indicated by
the Government suggest that this should
unfold over the next few months. It is
difficult to know what the impact of this
will be. Simultaneously a report released
by the Queensland Auditor General into
Private Practice income contributions to
salaries for public hospital doctors has
been extremely unsettling for the State’s
medical workforce. Emergency physicians
have been highlighted as a special group
and we hope to have the opportunity to
work very closely with the Government to
find a mutually agreeable arrangement that
will strengthen the local workforce.
The highlight of the Faculty program
was the Autumn Symposium held in
Brisbane in May. As always a huge effort
was made by James Collier and Philip
Richardson who were this year joined by
Darren Powrie. The academic program
was excellent and well received by the
large number of FACEMs and trainees that
attended. A great effort yet again.
David Rosengren, Faculty Chair
10
South Australia
The South Australian Faculty continued
with a policy of rotating meetings across
the major metropolitan emergency
departments to encourage attendance.
Meetings took place in October 2013 and
June 2014, with meetings taking place
prior to Council meetings so that any
issues raised by FACEMs could be raised at
Council. Feedback from Council meetings
was communicated back to members. The
initial response for applicants to the Board
for South Australia was poor – only the
Chair and the Councillor applied. However
following internal discussions three
FACEMs applied to the Board.
The inaugural SA/NT biannual Scientific
Meeting took place in Darwin on
10-11 August and it is planned for these
meetings to take place biannually rotating
with Emergency Medicine South Australia
(EMSA). The South Australia Faculty
hosted the 2013 Annual Scientific Meeting
which went well. A Faculty training dinner
included representation from the College
where trainees were given a chance to
discuss WBAs and the future exam.
The Faculty Board decided to take a more
prominent role around NEAT targets
and mental health patients. The Faculty
Board was involved in changing the
processes to manage Forensic Mental
Health Patients. SASMOA, supported by
the College, worked with the Department
of Health to change the process around
Forensic Mental Health patients attending
emergency departments. The new process
involves a new liaison role for mental
health at court to reduce the number
of patients being sent to emergency
departments; and an escalation process
if they are sent to the emergency
department. There has been a substantial
improvement in the number of patients
presenting and the time that this group
of patients spends in the emergency
department.
The Faculty recently met with the College
of Psychiatrists to discuss a joint approach
to improve the care offered to long-staying
mental health patients in Emergency
Departments. Regular meetings have been
held with the South Australian Health
Minister who understands the issues
involved, although little has actually been
achieved.
Tom Soulsby, Faculty Chair
Tasmania
The Tasmania Faculty has had a busy year
with many Faculty members involved in
state-wide activities.
The highlight was clearly the state
scientific meeting “Emergency Tasmania
2014” held at the wonderful Cradle
Mountain Hotel in August. Mother Nature
kicked in by dumping several inches of
snow, making for a beautiful backdrop.
This meeting was combined with the
College of Emergency Nursing Australasia
(CENA). We had a highly successful
turn-out with over 120 delegates with one
third flying in from all over Australia and
New Zealand. There were clinical topics
as well as a focus on research, safety
and quality. Sim Wars was a big hit and
was deservedly won by the expert team
from the Launceston General Hospital.
The recent disaster relief efforts in the
Philippines after typhoon Haiyan focused
on the tragedy but at the same time was
inspiring.
Our latest Faculty meeting touched on
many issues. The Councillor’s report
provided feedback regarding national
College matters with emphasis on ACEM’s
changes and governance restructure.
There was discussion about coordinating
a state-wide emergency medicine training
program with rotation of trainees. It
seems Tasmania now has the critical
numbers of trainees to make this a feasible
undertaking. There was information
shared about the new less formal
emergency department network including
the DEMs and NUMs in the state. It is
anticipated this meeting will take place
about 3-4 times a year with a focus on
strategy, policy and other pragmatic issues.
Lastly there was an update of our statewide IT system replacement along with
information about clinical redesign.
State-wide budget challenges have
become an even greater area of emphasis
with the new government. It is a noble
endeavour to be judicious with limited
resources in order to maximise health
outcomes. There is no doubt there are
opportunities for increased efficiency in
any health system and we certainly hope
that this is done thoroughly and carefully.
The government is currently undertaking a
comprehensive review of health services,
but implementation of any meaningful
reforms has traditionally been the biggest
hurdle for any of our state governments.
The state Faculty will be acting in an
advocacy role during this review.
Overall Access Block has been a
substantial issue at all public hospitals in
Tasmania. But there is good news on the
staffing front. There certainly are more
FACEMs around and we are filling up our
staffing needs.
11
The Tasmanian Faculty conducted another
state-wide “TasFAST Introduction to ED
Ultrasound Workshop” in May of 2014
which focused on new applications of
point-of-care ultrasound over two days.
We are already putting thought to our
next state-wide emergency medicine
conference and gather that it will be quite
difficult to top our most recent event at
Cradle Mountain. Hope to see you there.
Brian Doyle, Faculty Chair
Victoria
The Victorian Faculty continues to be
actively involved with key stakeholder
groups in relation to the provision of
high quality emergency care in a safe
environment.
Areas where the Faculty has been
heavily active include membership on the
Victorian Emergency Access Reference
Committee and regular meetings with the
Department of Health to discuss workforce
issues and Access Block. Access Block
and NEAT remain a major concern for
most FACEMs in Victoria. Demand for
acute care continues to rise and, despite
some individual departments seeing
significant improvements in NEAT, most
metro hospitals still regularly fail to
come close to the current KPI. Workforce
issues are also paramount. Despite many
emergency departments falling well below
ACEM benchmarks, the current financial
challenges many health services have do
not support new opportunities for FACEMs.
The Faculty has also been involved with
the Ambulance Taskforce with regards
to improving ambulance off stretcher
times. New procedures and standards
were put in place from 1 July 2014 with all
emergency departments expected to see
90% of AV arrivals offloaded and crews
cleared in less than forty minutes. Initial
improvements were encouraging however
winter demand overwhelmed those gains.
FACEM involvement in both DOH bodies
and the Auditor General’s review will see
legislative changes implemented in the
area of violence in the health services.
With the ED Directors Group Meeting as
well as the ED Regional Teaching rounds
which occurred quarterly, the Victoria
Faculty is now focusing on resetting the
direction of the Faculty. This may include
areas such as mentoring and a strategic
meeting is planned for 9 October.
The Faculty has been proactive in ensuring
that there is ACEM representation and
presence during media releases with
regards to emergency medicine.
Many of the efforts of the Faculty this year
have been focused on the 2014 ASM to be
hosted in Melbourne in December.
Shyaman Menon, Faculty Chair
Western Australia
The Western Australian Faculty of ACEM
consisted of the following Board members:
Dr Robert Graydon, Chair; Dr Jim Cooper,
Secretary and Dr Matthew Summerscales,
Treasurer. Ex-officio members were
Councillors Professor Yusuf Nagree and
Dr Peter Allely, and WA Censor, Dr David
Cruse.
The biggest issue confronting Fellows in
WA pertains to the considerable changes
in the hospitals in Perth metropolitan
area. The Fiona Stanley Hospital is due to
open its emergency department in early
2015, while Fremantle Hospital Emergency
Department is closing at the same time.
Royal Perth Hospital is being down sized.
Swan District Hospital is closing in late
2015, to be replaced by St John of God
Midland Hospital, a private provider of
public hospital services. All of these
changes have resulted in considerable
uncertainty about continuity and place
of employment for Fellows. There is also
concern being expressed about the limited
metropolitan availability of staff specialist
positions for Fellows due to graduate over
the next several years.
The other major issue confronting EDs this
past year has been the ongoing problem
with mental health patients and the
lack of mental health beds. Faculty was
represented by Dr Robert Graydon and
Associate Professor David Mountain at
a meeting with the Minister for Mental
Health. However, the situation persists
with ongoing difficulties in sourcing beds
for mental health patients and deficiencies
in community based mental health support
services.
Fellows are now supplying consultant
services to all major regional centres in
the state. A new service, the Emergency
Telehealth Service commenced operations
in 2012 and is now supplying a FACEM
consultant workforce via videoconferencing systems to over 40 remote
and rural EDs in WA. This system has
proven to be very successful and attracted
the attention of health authorities in other
Australian states.
I would like to thank Faculty Board
members for their support during my term
as Chair. I wish David Mountain all the
best as he takes over the position of Chair.
Robert Graydon, Faculty Chair
13
EXAMINATIONS
52nd Fellowship
Examination
2013.2
Clinicals only:
The Buchanan Prize was awarded to Mya
Cubitt and Theresa Chow.
Writtens and Clinicals:
Successful Candidates:
Gillian Adams, Katherine Arenson, Lynne
Aspinall, Tanya Bautovich, John Brooks,
Luke Burman, Julian Casey, Theresa Chow,
Huw Clark, Thomas Clark, Penny Conor,
Jenny Cross, Mya Cubitt, John Dewing,
Julie Dockerty, Scott Flannagan, Julia
George, Susie Gowers, Donald Hannam,
Belinda Hokin, Adam Holyoak, Nadine
Huddle, Kate Hughes, Nadia Husain,
Muhammad Ihsan, Andy Ketchin, Gabriela
King, Kristina Klein, Emma Ku, Sanjeewa
Kulawickrama, John Larkin, Martin
Leung, Melanie Lloyd, Ka Mei Lo, Vikram
Ray Lopez, Wei Lum, Caroline Macari,
Mlungisi Mahlangu, Yusuf Mamoojee,
Domini Martin, Stephen McIlveen, Karen
McKenna, Robert McMahon, Richard
McNulty, Robert Melvin, John Meneer,
Clare Mitchell, Lucy Modra, Anna
Mulvaney, Belinda Murphy, Aimee Murphy,
Michael O’Flynn, Kate O’Mahony, Brian
O’Riordan, Jeremy Pallot, Nadia Peoples,
Julia Peters, Joshua Power, Aashish
Raj, Yigal Reuben, Megan Robb, Amy
Robotham, Bevan Roodenburg, Louisa
Saunders, Quentin Shaw, Brett Shaw,
Benjamin Smedley, Mary Stevens, Andrew
Stevenson, Philip Stokes, Shane Tan,
Georgina Tate, Andrew Toffoli, Karthikeyan
Velusamy, Thomas Wallis, Nathan
Watkins, Frances Werner, Tanya Whitley,
Luis Winoto, Erik Wood, Vivien Wurm,
Kris Yuen.
Examiners:
Writtens only:
Peter Aitken, Shahina Braganza, Adam
Chan, David Eddey, Lou Finnel, Richard
Harrod, Wayne Hazell, Jennie Martin, Sally
McCarthy, Mark Miller, Tonia Nicholson,
Paul Pielage, Kate Porges, Stephen
Priestley, Pam Rosengarten, Ian Summers,
James Taylor.
Shalini Arunanthy, Sheila Bryan, Chris
Curry, Gina De Cleene, Tony Lawler, Greg
McDonald, Kim Yates.
Philip Aplin, Sylvia Andrew-Starkey,
Neil Banham, Michael Bastick, George
Braitberg, Simon Brown, Betty Chan,
Matthew Chu, Herman Chua, Sean
Clark, James Collier, Bill Croker, Deanne
Crosbie, David Cruse, Jennifer Davidson,
Steve Dunjey, Diana Egerton-Warburton,
Bernard Foley, Chris Gavaghan, David
Green, Barry Gunn, Ruth Hew, Anna
Holdgate, Trevor Jackson, Tony Joseph,
Philippa Keir, Sean Lawrence, Debbie
Leach, Belinda Leigh, David Lightfoot,
John Maguire, David Mountain, Richard
Mulcahy, Lindsay Murray, Yuresh Naidoo,
Debra O’Brien, Nadi Pandithage, Bhavani
Peddinti, David Richards, Drew Richardson,
Philip Richardson, Andrew Singer, David
Symmons, Graeme Thomson, Eric Van
Puymbroeck, Mark Webb, Garry Wilkes.
Peer Support Examiners:
George Braitberg, Matthew Chu, David
Green, Greg McDonald, Graeme Thomson.
Observers:
Sean Arendse, Swee Cham, Simon Chu,
Andis Graudins, Jennie Hutton, Victor Lee,
Gyanendra Malla, Shyaman Menon.
53rd Fellowship
Examination
2014.1
The Buchanan Prize was awarded to
Kimberley Poole.
George Allen, Sarah Bowker, Rebecca Box,
Christine Brabyn, Evan Cameron, Oliver
Clowry, Ohad Dar, Felicity Day, Raymund
De La Cruz, Rahul Deshpande, Florante
Elizaga, Anna Fairbairn, Munawar Farooq,
Eve Foreman, Rose Forster, Robert Giles,
Jocelyn Griffiths, Cindy Hastings, Belinda
Hibble, Kathleen Hyland, David Johnson,
Rhulameh Latona, James Le Fevre, Leana
Louw, Lucy Lutze, Natalie Ly, Bjorn Makein,
Peter McCanny, Donna Mills, Bahati
Moseti, Anita Ng, Petra Niclasen, Julie
O’Driscoll, Ameet Parekh, Andrew Perry,
Fernando Pisani, Kimberly Poole, Pourya
Pouryahya, Dominik Rutz, Stephanie
Schlueter, Chandika Seneviratne, Viktoriya
Seppi, Kirsty Short, Timothy Stewart, Yulia
Sugeng, Timothy Tan, Michelle Thornhill,
Roger Tong, Annabel Trust, Rachel Turner,
Anthony Van Assche, Tracy Walczynski,
Travis Westcott, Dan Weston, Gregory
White, Jennifer Williams, Min-Hua Wu,
Atheer Zaraga.
14
EXAMINATIONS CONT.
Examiners:
Writtens only:
Andis Graudins, Bill Croker, Craig Hore,
David Green, David Richards, Drew
Richardson, Gary Browne, James Collier,
Lou Finnel, Nadi Pandithage, Neil Banham,
Philip Aplin, Pip Keir, Richard Harrod, Ruth
Hew, Tonia Nicholson, Tony Lawler.
Clinicals only:
Michael Bastick, George Braitberg,
Jennifer Brookes, Sheila Bryan, Matthew
Chu, Bob Dunn, Wayne Hazell, David
Lightfoot, Eric Van Puymbroeck.
Writtens and Clinicals:
Deanne Crosbie, David Cruse, Gina
De Cleene, Bernard Foley, Barry Gunn,
Chan Huynh, Fergus Kerr, Diane King,
David Mountain, Debra O’Brien, Bhavani
Peddinti, Andrew Singer, David Symmons,
Gary Wilkes.
Ian Rogers, Pam Rosengarten, Greg
McDonald, Graeme Thomson, Matthew
Chu, George Braitberg.
New Examiners :
Jo Dalgleish, Geoff Hawking, John
Kennedy, Marian Lee, Don Liew, Adam
McLeay, Jake Mallon, Terri Prest, Sharyn
Smith, Chris Trethewy.
Observers:
Geoff Mifsud, Edmund Park, James
Mallows.
Buonajuti, Luke Burgess, Christopher
Carlson, Stephen Chalk, Jonathan Cheah,
Chun-Kuan Chiang, Jonathan Claydon,
Joanne Crogan, Maitri Deep, Ajey Dixit,
Frances Dolman, Mohamed Fayed, Bryan
Foong, Krunal Gajjar, Christopher Garwood,
Sharon Gerlac, Robert Grant, Alistair
Hamilton, Sara Hammond, Timothy Harding,
Jonathan Henry, Simon Heppell, Thomas
Holland, Kate Hooper, Ahmed Hosni, Emily
Hunter, Sebastian Karalus, Claire-Marie
Karrasch, Jonathan Kavanagh-Patel,
Nicholas King, Eleanor Kitcatt, Lauren
Klima, Louise Knights, Jasmine Koh, Poh
Yue Kok, Andrew Kozman, Ankur Kumar,
Joseph Kwang, Angela La Macchia,
Daniel Lazarovits, An Le, Wanqing Leong,
Ashley Loughman, Sherard Maine, Vivek
Manda, Joseph Marwood, Ruaraidh
McRitchie, Joanna Minchin, Fadzlin
Mohd Fadzil, Nicholas Moore, Daniel
Morcombe, Andrew Murray, Philip Naidoo,
Nor Hanaa Nazimuddin, Soong Jian Ng,
Adrian, Nightingale, Aditee Parab, Hemal
Patel, Carly Penfound, Samuel Peschardt,
Kimberley Pollack, Nathan Pratley, Anne
Pringle, Joel Przybylko, Saqib Rana, Yelena
Raser, Syamnadh Ravindranath, Naomi
Reeves, Jessica Ross, Pradeep Sanjamala,
Narayana Rajkumar Satyavolu Subr,
Danielle Scarfe, Bryan Schnabel, Rebecca
Shaw, Sivasampavan Sivasubramania,
Luke Smith, David Spencer, Richard Jarratt
Stephenson, David Stockdale, Jennifer
Tobin, Samuel Vidler, Amy Wain, Vidyesh
Wakade, Ellen Walters, Ryan Watts, Emma
Whyte, Zongyi Xu, Holly Young, James
Young-Jamieson.
Examiners:
52nd Primary Examination
2013.2
The Joseph Epstein Prize was awarded to
Alana Bond and Laura Brown.
Mohammed Abdallah, Irshath Ahamed
Abdul Raheem, Matthew Adamson,
Sunil Agrawal, Scott Allison, Faowaz
Al-Shammary, Thomas Antonio, Patrick
Armstrong, Amna Asif, Nicholas Bailey,
Mansueto Bautista, Sarah Beatty,
Benjamin Biles, Alana Bond, Jennifer
Botha, Matthew Brandon, Lucy Bransom,
Laura Brown, Anthony Buddle, Marnix
Sylvia Andrew-Starkey, Philip Aplin,
Michael Bastick, Jennifer Brookes, Sheila
Bryan, James Collier, Bill Croker, Deanne
Crosbie, David Cruse, Jennifer Davidson,
Gina De Cleene, David Eddey, Diana
Egerton-Warburton, Lou Finnel, Bernard
Foley, Chris Gavaghan, Mark Gillett, Barry
Gunn, Ruth Hew, Anna Holdgate, Trevor
Jackson, Philippa Keir, Fergus Kerr, Debbie
Leach, Belinda Leigh, David Lightfoot, Sally
McCarthy, Mark Miller, David Mountain,
Richard Mulcahy, Yuresh Naidoo, Tonia
Nicholson, Debra O’Brien, Paul Pielage,
Michael Ragg, Philip Richardson, Andrew
Singer, Ian Summers, James Taylor, Garry
Wilkes.
George Braitberg, Matthew Chu, Richard
Harrod, Diane King, Ian Rogers, Pamela
Rosengarten.
MCQ Invigilators:
Emma Batistich, Mike Cameron, Herman
Chua, Deanne Crosbie, David Cruse,
Andrew Giles, Barry Gunn, Caroline
Hwang, David Lightfoot, John Kennedy,
Jake Mallon, James Mallows, Shyaman
Menon, David Peak, Darren Powrie, Peter
Smith, Heidi Wade.
Viva Invigilators:
Hussein Alabodi, Deb Bernstein, Rachel
Coutts, Simon Craig, Kent Hoi, Divya
Karna, Cynthia Lim, Philip Prathiepan,
Eleanor Rosario, Matt Ryan.
New Examiners:
Shahina Braganza, Sean Clark, Shyaman
Menon, Kate Porges.
53rd Primary Examination
2014.1
The Joseph Epstein Prize was awarded to
Joseph Norton.
Louisa Abraham, Jana Alexander, Baraa
Al-Khazrajee, Louis Al-Saleem, Puminda
Amaratunga, Aline Archambeau, Anita
Avesta, Shaun Baxter, Becky Beaton,
Bronwyn Bebee, Yolanda Benard, Bhawjeet
Singh Bhatia, Matt Bode, Helen Brennecke,
Lisa Brichko, Edward Briggs, Philip
Brooks, Thomas Brough, Alex Brueton,
Ellie Butler, Ben Carruthers, Hollie Casey,
Natalie Chalder, Robin Chapman, Shirley
Cheang, Ann-Marie Chesshire, Samuel
Chieng, Andrew Chow, Jessica Clark,
Thomas Cordery, Jacinta Dawson, Peter
Del Mar, Johanna Doherty, Amy Doldissen,
Alexander El Kheir, Kelly Ellis, Joe Ellston,
Juan Emanuels Ulloa, Luke English, Eggert
Eyjolfsson, Aidan Fenoglio, Gordon Fowler,
Sandeep Gadgil, Andrew Germann, Laurin
Glasby, Rory Gleadhill, Richard Goldsmith,
Jain Goldy, Cindy Grobler, Vishal Gupta,
Mustafa Haidermota, Rhiannon Harris,
Sophie Hawkins, Morwenna Haywood,
Janice Haywood-Gray, Deborah Heys,
15
EXAMINATIONS CONT.
Joel Hodder, Saskia Hor, Jeram Hyde,
Jonathan Insermini, Tennika Jacobs,
Mahmoud Jafari Giv, Peter Jenkins,
Nicholas Johnson, Arash Kaghazian,
Nagarajan Kailainathan, Keshav Khullar,
Chris Knight, Rob Knoeckel, Benjamin
Land, Wei Shen Lee, William Lin, Rachel
Lind, Deborah Loganathan, Karen Louis,
Michelle Luo, Lauren Macdowall, Amit
Malik, Ayesha Marshall, Sanneil Mathias,
Alex Matthews, Sarah McCabe, Gemma
McMichen, Junaid Mehmood, Andrew
Miller, Seyedbehzad Mirmiran, Thea
Morris, Karim Moussa, Elyot Murchie,
Pallavi Nanaware, Alexander Naylor, Oleg
Nizelnik, Joseph Norton, Sze Chen Ooi,
Lucy Owen, Scott Paget, Yana Pearson,
Elissa Pearton, Rachelle Pound, Satra
Pouya, Megan Purvey, Sanjna Rajasegaran,
Paulina Richard, Nicole Ring, Jessica
Robinson, Michelle Rogers, Iravan Sahgal,
Behni Samadi, Grace Schwartz, Emily
Seward, Adam Shanley, Helen Shaw,
Joanna Short, Abhinav Singh, Hugh
Singleton, Sandy Sivanandan, Edward
Sixsmith, Ayman Sofiyan, Todd Steggles,
Ross Sutherland, Colleen Taylor, Bernadine
Taylor, Ruth Taylor, Ajith Thampi, James
Then, Rhys Thomas, Matthew Thomas,
Amrita Varma, Rodrigo von Kruger, Abrar
Waliuddin, Natalie Walker, Stephen
Walsh, Sudath Weerapperuma, Stephen
Whebell, Vanessa Whiting, Laura
Wilkinson, Myat Win, Lucy Winterbottom,
Anthony Young, Hassan Zahoor, Raya
Zoneff, John Zorbas.
Examiners:
Sylvia Andrew-Starkey, Philip Aplin,
Neil Banham, Michael Bastick, Jennifer
Brookes, Simon Brown, Sheila Bryan,
Adam Chan, Betty Chan, Simon Chu,
Herman Chua, Sean Clark, James Collier,
Deanne Crosbie, David Cruse, Gina De
Cleene, Steve Dunjey, Bernard Foley, Chris
Gavaghan, Andis Graudins, Barry Gunn,
Wayne Hazell, Ruth Hew, Trevor Jackson,
Tony Joseph, Sean Lawrence, Debbie
Leach, Victor Lee, David Lightfoot, John
Maguire, Jennie Martin, David Mountain,
Lindsay Murray, Yuresh Naidoo, Debra
O’Brien, Michael Ragg, Drew Richardson,
Philip Richardson, Andrew Singer, Ian
Summers, Garry Wilkes. In Reserve: Bill
Croker.
Matthew Chu, Richard Harrod, Diane King,
Greg McDonald, Ian Rogers.
New Examiners:
Anthony Cross, Jo Dalgleish, Geoff
Hawking, John Kennedy, Marian Lee, Don
Liew, Jake Mallon, Adam McLeay, Terri
Prest, Sharyn Smith, Chris Trethewy.
MCQ Invigilators:
Phil Aplin, Emma Batistich, Andrea Bell,
Mike Cameron, Jason Chan, Herman
Chua, David Cruse, James Fordyce, Paul
Gee, Barry Gunn, Mark Hussey, Darren
Khodaverdi, Michael King, Paul Labana,
David Lightfoot, John Merchant, Richard
Mulcahy, Chuk Nwufoh, David Peak,
Suzanne Peddie, Darren Powrie, Matt
Ryan, Peter Smith, Jessamine Soderstrom,
Julian Willcocks.
Viva Invigilators:
Judy Alford, Andrea Bell, Katie
Bluett, Andrew Finckh, Alex Ho, Kalai
Kanagasingham, Ezila Kapilan, Julie Kiel,
Zoe Knights, Paul Labana, Ien Ly, Adam
Reid, Sarah Tyrrell, Jacqui Weeden,
Stephen Wu.
NEW FELLOWS
Congratulations to the following
Fellows who were elected to
Fellowship since the last Annual
Report (1 July 2013 to 30 June
2014):
ARCHER, Edward
ARORA, Shalini
ASPINALL, Lynne
AUNG-HOLEBROOK, Thiri
BARNETT, Kate
BERLING, Ingrid
BIRD, Cheryl-Ann
BRABYN, Christine
BRADY, Suzanne
BRAHM, Julie
BRAINARD, Andrew
BROOKS, John
BROWNE, Alexander
BULLER, Sarah
BUNWAREE, Rubina
BURMAN, Luke
CASEY, Julian
CHEEK, John
CHOW, Theresa
CHURCHMAN, Andrew
CLARK, Huw
CLARK, Tom
CLAYDEN, Vanessa
CLOWRY, Oliver
COGGINS, Andrew
CONOR, Penny
CROSS, Jenny
DAR, Ohad
DAVIDSON, Sarah
DAY, Rebecca
DESHPANDE, Rahul
DIBBLE, Colin
DIETERICH, Jessica
DOCKERTY, Julie
DUNN, Kirsty
DUTSON, Jane
ECKHOLDT, Patricia
FAIRBAIRN, Anna
FLANNAGAN, Scott
FLORENCE, Christopher
GEORGE, Julia
GOWERS, Susie
GREVEN-GARCIA, Renee
HANNAY, David
HASSAN, Emad
HEANEY, Michael
HEBEL, Chris
HEYWOOD, Ula
HILL, Paul
HOKIN, Belinda
HOST, Cassandra
HUSAIN, Nadia
IHSAN, Muhammad
JAIN, Nitin
JANSZ, Yawane
KALAVA, Shashi Kanth
KAMONA, Sinan
KENNY, Suzanne
KETCHIN, Andy
KIRCHOFF, Julie
KLEIN, Kristina
KULAWICKRAMA, Sanjeewa
LARKIN, John
LAWREY, Emma
LEONNY, Sheravika
LEUNG, Martin
LIPP, Trent
LIVESAY, Georgia
LO, Ka Mei
LOKUGE, Amaali
LOPEZ, Vikram Ray
LORAN, Matthew
LUM, Wei
MACARI, Caroline
MACLEAN, Alastair
MACQUEEN, Jennifer
MAGUIRE, Hannah
16
NEW FELLOWS CONT.
MAHLANGU, Mlungisi
MARKULI, Laksh
MASILAMANY, Maheswaran
MATHESON, Victoria
MCCUTCHEON, David
MCKAY, Simon
MCKENNA, Karen
MCMAHON, Robert
MCNULTY, Richard
MCRAE, Melissa
MENEER, John
MILLIGAN, James
MILLS, Donna
MOON, Samuel
MURDOCH, Ian
MURPHY, Belinda
NG, Joseph
NOLAN, Francis
O’FLYNN, Michael
O’GORMAN, Jadwiga
O’MAHONY, Kate
O’NEILL, John
O’RIORDAN, Brian
PALLOT, Jeremy
PERRY, Andrew
PETERS, Julia
PETTRONE, Kristen
PISANI, Fernando
PORTER, Crispin
POURYAHYA, Pourya
PRESS, Gregory
PRINCE, Gaynor
PRITCHARD, Dean
RAGHAVAN, Mohan
RAGHUPATI, Rajan
RAJ, Aashish
READ, Hamish
REED, Mary
REUBEN, Yigal
RICHARDSON, Elspeth
ROBB, Megan
ROBOTHAM, Amy
ROSS, Steven
ROZUM, Jennifer
SANDLEBACK, Brad
SAUNDERS, Louisa
SEPPI, Viktoriya
SHAFQAT, Asim
SHAW, Brett
SHAW, Quentin
SHIRRAN, Mark
SMEDLEY, Benjamin
SMITH, Richard
SPILLER, Andrew
STEFANSSON, Bergur
STEVENSON, Andrew
STIRLING, Scott
STOKES, Philip
SWE, Yemin
TAN, Shane
TAN, Timothy
TANDON, Rishi
TATE, Georgina
TAYLOR, Rosalind
THORNHILL, Michelle
TONG, Roger
VAN ASSCHE, Anthony
VELUSAMY, Karthikeyan
WALLIS, Thomas
WATKINS, Nathan
WELGAMA, Udeni
WHITLEY, Tanya
WINOTO, Luis
WOOD, Danielle
WOOD, Erik
WURM, Vivien
YEE, Kenny
YEO, Susan
YOUNG, Kate
YUEN, Kris
ZARAGA, Atheer
ZOLLO, Cristina
17
18
EMERGENCY MEDICINE CERTIFICATE AND EMERGENCY MEDICINE DIPLOMA
In 2011 ACEM commenced the
six month Emergency Medicine
Certificate (EMC) course for
doctors working in emergency
departments.
In 2012 the Emergency Medicine Diploma
(EMD) was introduced as an 18 month
course for doctors working in emergency
departments. Both the EMC and EMD
are a combination of online learning and
supervised clinical experience with a
requirement of direct supervision by an
emergency medicine physician for at least
30% of workplace practice. EMC and EMD
candidates are required to complete online
learning modules in addition to Workplace
Based Assessments, EM skills workshops
and a final online MCQ exam.
During the period 1 July 2013 to 30 June
2014 ACEM enrolled an additional 169
EMC and 16 EMD candidates.
As at 30 June 2014, a total of 196
candidates have completed the EMC
and six have completed the EMD. A
further 232 EMC candidates and 38 EMD
candidates are progressing through their
respective courses. 396 FACEMs and three
Diploma graduates have now completed
the Clinical Teaching Course.
Region
EMC CANDIDATES BY REGION as at 30 June 2014
Enrolled
Completed
Withdrawn
In progress
ACT
8305
NSW125
59
7
59
NT26 12 3 11
NZ31 12 3 16
QLD92 48 2 42
SA
319121
TAS
9612
VIC75 32 4 39
WA50 15 3 32
Tonga
5005
TOTAL452
Region
196
24
232
EMD CANDIDATES BY REGION as at 30 June 2014
Enrolled
Completed
Withdrawn
In progress
ACT
1001
NSW
6006
NT3003
NZ1001
QLD
121011
SA7214
TAS
1001
VIC8206
WA
6105
TOTAL
456138
EMERGENCY MEDICINE CERTIFICATE GRADUATES
Congratulations to the following
Fellows who successfully
graduated in the Emergency
Medicine Certificate.
ANAND, Rashi
ANTHONY, Nichola
BABU, Avinash
BAGHURST, Timothy
BANDARA, Neranja
BANKS, David
BANNER, Jasmine
BARNETT, Kaylee
BEHL, Richa
BOTT, Jeremy
BUCHHOLZ, Samantha
BURBIDGE, Hilary
BUTT, Eliza
CALLAHAN, Tom
CHONG, Fu Wen
CLARK, Martin
CLARKE, Robert
COLE, Paul
CONN, Jeffrey
COORAY, Dimantha
COSGRIFF, Peter
DELLALIAN, Chris
DIAMOND, Steven
DU PLESSIS, Jacobus
DUNGWORTH, Jessica
ELARNAOUTY, Ayman
FOSS, Clare
GALLAGHER, Grainne
GILL, Samreet
GOOLAM, Rashid
GOYAL, Rakesh
GRAHAM, Katie
GUNATHILAKE, Yasassri
HAGEN, Sharon
HERRON, Craig
HIGGIE, David
HITE, Dominique
HUTCHISON, Julia
INGRAM, Neil
IQBAL, Asad
IRRUM, Noshine
JAMIESON, Jodie
JAYAWARDANA, Ravi
JOHANSEN, Kristen
JOHN, Shawny
KALUPAHANA MESTRIGE, Dinusha
KANDANA LIYANAGE, Radeeka
KARUNANAYAKE, Dominic
KENNEDY, Gaylene
KERR, Charles
KHAN, Salman
KILFOYLE, Nina
LESLIE, Brendan
LOPEZ, Claudia
MADAGAMMANA, Kanchana
MASON, Andrew
MERRY, Lindsay
MOHD NOH, Putra
MUKHERJEE, Debraj
MUNASINGHE, Rusiru
MUNRO, Paula
NOOR, Attikah
OO, Kyaw Tun
PANDHAL, Navdeep
PUGH, Jack
PURCELL-JONES, Megan
RANKMORE, Daniel
RUTHERFORD, Ian
SAMRA, David
SANCHEZ BORDON, Alfredo
SAULIGA, Seru
SCOTT, Peter
SCOTT, Clinton
SIVAKAMY, Ayngkaran
SKYRME, Laura
SMAJIC, Aida
SMIT, Jolmer
SNOW, Arthur
STEHR, Katja
STIRZAKER, Mary
SUPPIAH, Kalaivani
SWAMIDAS, Sreeja
TAN, Jackie
THOMAS, Russell
THOMAS, Mary Patricia
TRAILL, Santha
TRIDGELL, Michele
TWINEM, Gillian
VENKATESH PRASAN, Shilpa
VIJAY, Sushrut
VILLEPIN, Cadressen
WALLACE, John
WANI, Suhail
WIN, Myat
WOLF, Rebecca
WYLLIE, Peter
YAPA, Amila
ZHAO, Sisi
19
20
AWARDS
Edward Brentnall Award
John Gilroy Potts Award
The Edward Brentnall Award is named in
recognition of the outstanding contribution
made by Foundation Fellow, Dr Edward
Brentnall to the Australasian College for
Emergency Medicine. The award is made
annually to an ACEM Fellow or trainee for
a published paper relating to public health
or disaster.
The John Gilroy Potts Award is an award
made to the author of an article published
in a refereed journal, the content of
which made a significant contribution to
emergency medicine. In 2014, the award
was presented to Ed Oakley for an article
entitled ‘Nasogastric hydration versus
intravenous hydration for infants with
bronchiolitis: a randomised trial’.
The 2014 Edward Brentnall Award was
awarded to David Taylor for an article
entitled ‘Lateral versus anterior thoracic
thrusts in the generation of airway
pressure in anaesthetised pigs’.
Morson Taylor Research
Award
The Morson Taylor Research Award is
made by the Australasian College for
Emergency Medicine Foundation to foster
research in emergency medicine.
The Morson Taylor Research Award for
2014 was awarded to David Taylor for a
study entitled ‘IV midazolam-droperidol
(combination), droperidol (only) or
olanzapine (only) for the acutely agitated
patient: multi-centre, randomised, doubleblind, controlled trial’.
International
Development Fund Grant
The International Development Fund Grant
is made to projects for the development of
emergency care in the developing world
through teaching, training and capacity
building.
In 2014 the grant was awarded to two
recipients, Megan Cox for the ‘University
of Botswana Resuscitation Training Project
Assistance’ and Graham Jay for the
‘Advanced Paediatric Emergency Medicine
Course (Fiji)’.
Teaching Excellence
Award
The Teaching Excellence Award is
awarded to Fellows at the discretion of
the Council of the College in recognition
of distinguished and extensive service in
teaching and learning for the College. The
College is delighted to record that the
Teaching Excellence Award was presented
at the College Ceremony in November 2014
to Diana Egerton-Warburton, James Hayes,
Anna Holdgate and Michelle Johnston.
Toni Medcalf Community
Service Award
Toni Medcalf was an Australasian College
for Emergency Medicine trainee with a
passionate interest in education. She
was an active participant in Advanced
Paediatric Life Support and Instructor
courses and volunteered her time
extensively in regional and rural settings
across Australia and the Pacific.
This award seeks to recognise the
outstanding personal contribution of
one provisional or advanced trainee
towards improving health outcomes for
the community. The Toni Medcalf Award
highlights the importance of voluntary
service which is the cornerstone of the
ACEM philosophy and seeks to celebrate
the significant achievements of an ACEM
trainee.
In its inaugural year of 2013, the award
was presented to Stephen Luke for his
dedication as a volunteer worker with
St John’s Ambulance for the past 22
years which included acting as the state
operations coordinator during the 2009
Black Saturday bushfires. He was a
member of the ACEM Pre-Hospital and
Retrieval Medicine committee working
group that updated the Victorian Code of
Practice for running safer music festivals
and events and co-authored the St John
submission to the Victorian Government’s
Towards a more disaster resilient and
safer Victoria green paper. He has also
worked at many local and major public
events, including head doctor roles at
Ironman Melbourne, Melbourne Marathon,
Tough Mudder and numerous other music
festivals and endurance events.
VALE
Dr Paul CUNNINGHAM
Fellow of ACEM
5 July 1952 - 4 December 2013
Paul Cunningham worked in biomedical
engineering before turning to medicine.
As an emergency physician he worked
at Concord and Sydney Hospitals before
setting up Sydney’s first private ED at the
Masonic Hospital at Ashfield.
Paul could never refrain from taking action
when he felt something was being done
wrongly. He moved on from the Masonic
and was Director of ED at Ryde, and then
obtained a degree in education, worked
to set up simulation and ‘detect’ training
at Ryde before lecturing at University of
Wollongong.
Paul loved his children, Laura, Xan and
Katie Rose. He enjoyed golf, cycling and
motor cycling and had an encyclopaedic
knowledge of sport, film and music. He
was intelligent and would strip a complex
issue to its essentials. He was one of
the first to note the correlation between
decline in beds per thousand population
and Access Block, which seems so obvious
in retrospect.
There is a plaque to be unveiled at the Sim
Centre at Ryde, which is dedicated to the
memory of Paul, saying; “His determination
made it possible”.
21
22
23
Financial Report
for the year ended 30 June 2014
CONTENTS
Financial Report Page
Councillors’ Report
25
Auditor’s Independence Declaration
28
Statement of Income and Expenditure and
Other Comprehensive Income
29
Statement of Financial Position
30
Statement of Changes in Equity
31
Statement of Cash Flows
32
Notes to the Financial Statements
33
Councillors’ Declaration
44
Independent Audit Report
45
24
25
COUNCILLORS’ REPORT
The Directors of The Australasian College for Emergency Medicine present the Annual Financial Report on
the Company for the financial year ended 30 June 2014.
Directors
The names, qualifications and special roles (if relevant) of each person who has been a director during the year and to the date of this
report are:
Name
Qualification
Attended
Council Meetings
Meetings Attended
Dr Sam Alfred (to December 2013)
MBBS, FACEM
1 of 2
Dr Peter Allely (from November 2013)
MBBS, FACEM, FCEM
2 of 2
Clinical Associate Prof. Andrew Bezzina
(from November 2013)
MBBS, FACEM, DipRACOG
2 of 2
Dr John Bonning
BHB, MBChB, FACEM
3 of 4
Dr Scott Boyes
MBChB, FACEM
4 of 4
Dr Anthony Cross (President)
MBBS, DRANZCOG, FACEM, FCICM
4 of 4
Dr Paul Cullen (from November 2013) BMed, FACEM
2 of 2
Dr Diana Egerton-Warburton MBBS, FACEM, MClin Epidem
4 of 4
Dr Thiruvenkatam Govindan
(from November 2013) MBBS, FACEM, FCEM, CCPU
2 of 2
Dr Simon Judkins MBBS, FACEM
4 of 4
Dr Diane King (Censor in Chief) MBBS, FACEM
4 of 4
6 of 6
Associate Prof. Anthony Lawler MBBS, BMedSci, FACEM
4 of 4
1 of 6
Dr Chris May (to November 2013)
MBBS, FRACGP, FACEM
2 of 2
2 of 3
Dr Sally McCarthy
MBBS, FACEM, MBA
4 of 4
Associate Prof. David Mountain
(to November 2013)
MBBS, FACEM
2 of 2
Dr Yusuf Nagree MBBS, FACEM, GradDip CompSci, MBA
4 of 4
Dr Didier Palmer
(Executive from November 2013)
MBBcH, MRCGP, MRCP, FRCS, FCEM, FACEM
4 of 4
Dr Kate Porges (to November 2013)
MBBS, MPH, FACEM
2 of 2
Dr Philip Richardson (Deputy Censor
in Chief)
MBChB, FACEM, LL.B
3 of 4
Dr Andrew Singer (to November 2013)
MBBS, FACEM
2 of 2
Dr Niall Small MBChB, MRCGP, FACEM
4 of 4
Dr Suzanne Smallbane
(from November 2013) BMedSci, MBBS, FRACGP, FACEM, MHA
1 of 2
Dr Alan Tankel BSc, MBChB, FACEM
4 of 4
Directors have been in office since the start of the financial year to the date of this report unless otherwise stated.
Executive Council 6 of 6
2 of 3
4 of 6
6 of 6
26
COUNCILLORS’ REPORT CONT.
Result of Operations
Key Performance Measures
The net surplus of the College for this year was $1,196,667 (2013 $1,332,281).
1. Education: facilitate and support the education and
training of emergency medicine professionals
The financial year results have been prepared on an accrual
accounting basis and are therefore fully comparable. The College’s
net assets were $17,066,912 at 30 June 2014 (2013 - $15,852,485).
1.1Improve alignment of programs with member needs:
• Implement the Curriculum Revision Project
• Continuing Professional Development (CPD) program plan
developed
The main focus of the College continued to be the support of
emergency medicine training, assessment, CPD services, advocacy
on behalf of members, and publication of general practice
standards. The Department of Health (DOH) funded “More Doctors
for Emergency Departments 2011-2013”, and the Australian
National Preventive Health Agency (ANPHA) funded “Alcohol Harm
in Emergency Departments” projects continued to be administered.
• Increase in ACEM qualified emergency medicine
professionals
• Increase in ACEM qualified emergency medicine
professionals in rural and remote hospitals
• Increase in number of candidates enrolled in non-specialist
programs.
The College invested in infrastructure to support future growth by
developing and launching a new website and IT system to improve
services to Fellows and trainees. The building at 34 Jeffcott Street
commenced redevelopment to accommodate staff growth and to
increase space available for member activities.
1.2 Enhance access to materials and programs:
• Learning modules developed and made available for
trainees
• At least one training course conducted at each major
meeting.
Review of Operations
Principal Activities and Objectives
The College’s principal activity and long term objective is to
promote excellence in the delivery of quality emergency medical
care to the community. To achieve this, the College aims to
become the trusted, pre-eminent body for ensuring the provision of
standards and quality emergency care to the community through a
committed, expert, flexible patient-focused membership.
2. Advocacy: participate in policy debate as a trusted,
authoritative source of advice and research
The College has developed a strategic plan to enable it to respond
effectively on behalf of members to challenges and opportunities
within emergency medicine and the wider health sector.
2.1Be proactive and coordinated in advocacy efforts:
• Increase in number of position statements and associated
media releases
• Increase in number of submissions related to emergency
medical care in Australia and New Zealand
The College’s short term objectives are to provide excellent
service to its members, redesign training programs with the
implementation of the Curriculum Review Project, successfully
manage the DOH funded project “More Doctors for Emergency
Departments 2011-2013”, and to continue to improve IT systems.
• ACEM Foundation established as an active entity to support
funding for research, international programs and indigenous
scholarships.
2.2 Extend influence through relationships:
To achieve these objectives, the College has adopted the following
5 strategies for the period 2012-2015:
• Increase collaboration with third parties in a range of policy
issues
• Increase in external funding for research and project
initiatives
1. Education: facilitate and support the education and training of
emergency medicine professionals
• Increase ACEM’s presence on government boards, inquiries
and panels.
2. Advocacy: participate in policy debate as a trusted,
authoritative source of advice and research
3. Member Support: represent, support and protect the interests
of members in their professional life
3. Member Support: represent, support and protect the
interests of members in their professional life
3.1Improve engagement with members:
4. Standards: set and maintain standards for the provision of
quality emergency medicine care in Australasia
• Annual member’s survey completed and evaluated
• Member engagement strategy developed
5. Awareness: promote emergency medicine as a specialist
practice, body of knowledge and career.
• Conduct regional information sessions in each state and
territory of Australia and New Zealand
• Improve social media presence.
27
3.2 Broaden and enhance service offerings to members:
• Development and implementation of International Medical
Graduate program
• Development and implementation of Rural, Regional and
Remote program.
4. Standards: set and maintain standards for the provision
of quality emergency care in Australasia
4.1Ensure adequacy and relevance of professional standards
for practice:
• Policy register established
• Gap analysis conducted and new standards developed
• Existing standards revised and updated.
4.2 Work with partners to promote adherence to standards:
• Increase in number of joint standard documents developed
• Increase in reference to standards in external documents.
5. Awareness: promote emergency medicine as a
specialist practice, body of knowledge and career
5.1 Raise the profile and image of emergency medicine:
• Improvement in impact factor and reader satisfaction for
Emergency Medicine Australasia (EMA)
• Increase publication of College research and advocacy
activities
• Increase in the number of trainees applying for emergency
medicine training programs.
5.2 Build a high quality and accessible body of knowledge:
• Accessible interface leading to increased number of hits to
ACEM website enhancing dissemination of research and
standards.
Dividend
The College’s memorandum of association prohibits the payment of
a dividend.
Likely Developments
The College has undergone a review of governance with a resultant
restructure taking place from 1 July 2014. The restructure is
intended to improve management and governance practices.
Otherwise, the College expects to maintain its present operations.
Significant Changes in the State of
Affairs
There were no significant changes in the College’s state of affairs
during the financial year that are not otherwise disclosed in this
Report or the Financial Statements.
Events subsequent to Balance Date
No matters or circumstances have arisen since the end of the
financial year and the date of this report which have significantly
affected or are likely, in the opinion of the Councillors, to
significantly affect:
(i)
The operations of the College
(ii)
The results of those operations; or
(iii) The state of affairs of the College in subsequent
financial years
Environmental Regulation and
Performance
The College is not subject to any particular or significant
environmental regulation.
Indemnification and Insurance of
Councillors
The College holds appropriate insurance for the Councillor’s
liabilities.
Councillor Benefits
No Councillor, since the end of the previous financial period, has
received or has become entitled to receive a benefit by reason of
a contract made by the College or a related corporation with a
member of the Council or a firm of which a Councillor is a member
or with a company in which a Councillor has a substantial financial
interest.
Court Proceedings
No person has applied for leave of the court to bring proceedings
on behalf of the College or intervene in any proceedings to which
the College is a party for the purpose of taking responsibility on
behalf of the College for all or any part of those proceedings. The
College was not a party to any such proceedings during the year.
Members’ Liability
The Company is incorporated under the Corporations Act 2001 and
is a company limited by guarantee. If the Company is wound up,
the constitution states that each member is required to contribute a
maximum of $10 each towards meeting any outstanding obligations
of the entity. At 30 June 2014, the total amount that members of
the company are liable to contribute if the company is wound up is
$17,880 (2013: $16,980).
28
The lead auditor’s independence declaration for the year ended
30 June 2014 has been received.
I declare that, to the best of my knowledge and belief, during the
year ended 30 June 2014, there have been no contraventions of any
applicable code of professional conduct in relation to the audit.
Signed in accordance with a resolution of the Board of Directors.
Dr Anthony Cross
Director Dated this 10th day of November 2014
Saward Dawson Chartered Accountants
Peter Shields
Partner
Dated this 10th day of November 2014
Blackburn VIC
29
STATEMENT OF INCOME AND EXPENDITURE AND
OTHER COMPREHENSIVE INCOME FOR THE YEAR ENDED 30 JUNE 2014
Note2014
2013
$
Revenue
327,289,671
$
24,414,567
Audit, legal and consultancy expenses
(1,162,493)
(533,617)
Committee meeting expenses
(1,605,590)
(1,389,453)
Computer expenses
(287,475)
(407,519)
Depreciation and amortisation expenses
4
(514,628)
(416,649)
DOH direct project expenses
(15,630,293)
(14,951,635)
Employee benefits expenses
(4,757,060)
(3,788,810)
Exam expenses
(431,360)
(231,034)
4
(26,390)
-
Occupancy expenses
(101,360)
(96,002)
Office expenses
(686,469)
(608,244)
Publication expenses
(451,511)
(356,155)
Impairment of investments
Donations(101,455)
Awards
(3,661)
4(148,318)
(64,430)
Other expenses
(188,602)
(235,077)
Surplus for the year
1,196,6671,332,281
Other comprehensive income:
Items that may be reclassified subsequently to profit or loss:
Revaluation of financial assets
Other comprehensive income for the year
(17,760)
- (17,760)
Total comprehensive income for the year
The accompanying notes form part of these financial statements.
-
1,196,6671,314,521
30
STATEMENT OF FINANCIAL POSITION AS AT 30 JUNE 2014
Note2014
2013
2012
restated restated
$
$
$
(a)
ASSETS
Current assets
Cash and cash equivalents
5
16,206,154
17,648,963
24,004,006
Trade and other receivables
6
1,808,864
1,881,156
1,275,688
Financial assets
8
4,218,544
7,684,872
-
Other assets
7
305,432
334,213
106,416
Total current assets
22,538,99427,549,204 25,386,110
Non current assets
6
16,732
20,750
88,883
Financial assets
8
39,588
48,219
3,883,442
Property, plant and equipment
9
5,263,167
5,056,248
5,055,551
10
434,863
3,264
20,061
Intangible assets
Total non current assets
5,754,3505,128,481 9,047,937
TOTAL ASSETS
28,293,34432,677,685 34,434,047
LIABILITIES
Current liabilities
Trade and other payables
Provisions
Other liabilities
11
5,310,622
13a270,544
12
Total current liabilities
5,595,170
4,546,488
4,302,267
240,317
12,025,716
159,791
15,425,164
11,176,33616,812,521 19,887,222
Non current liabilities
Provision for employee benefits: long service leave
13b
50,096
12,679
8,861
Total non current liabilities
50,09612,679 8,861
TOTAL LIABILITIES
11,226,43216,825,200 19,896,083
NET ASSETS
17,066,91215,852,485 14,537,964
EQUITY
Reserves
1456,916
Accumulated surpluses
17,009,996
46,874
15,805,611
64,634
14,473,330
17,066,91215,852,485 14,537,964
TOTAL EQUITY
17,066,91215,852,485 14,537,964
(a) In 2014, the accounting policy was amended such that trainee annual registration fees are recognised on a straight-line basis.
See Note 2 for further details.
31
STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 30 JUNE 2014
2014 Financial Assets
Accumulated Revaluation
Specific
surplusesreserve Reserve
$
$
$
Balance at 1 July 2013
Transfer to/(from) reserve
Reclassification of financial asset revaluation
reserve to profit or loss
Balance at 30 June 2014
15,805,611 (17,760)
64,63415,852,485
1,196,667
-
-
1,196,667
7,718
-
(7,718)
-
-
17,760
-
17,760
17,009,996
-
56,91617,066,912
2013 Financial Assets
Accumulated Revaluation
Specific
surplusesreserve Reserve
$
$
$
Balance at 1 July 2012
Total
$
15,200,236
-
Total
$
64,63415,264,870
Retrospective adjustment to opening balance
due to change in accounting policy
(726,906)
-
-
(726,906)
1,332,281
-
-
1,332,281
-
(17,760)
-
(17,760)
Revaluation increment/(decrement)
15,805,611 (17,760)
64,63415,852,485
32
STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 30 JUNE 2014
Note2014
$
2013
$
CASH FLOWS FROM OPERATING ACTIVITIES:
Receipts from Fellows and trainees
9,677,946
6,426,368
Receipts from DOH project funding
12,759,011
15,391,162
Receipts from investments
8,403
72,009
Payments to suppliers and employees (including DOH project payments)
(27,357,266)
(25,345,214)
Interest income
444,878
885,300
Other income
761,316
386,357
Net cash provided by/(used in) operating activities16
(3,705,712)(2,184,018)
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of plant and equipment
(739,038)
(400,555)
Sale of available for sale investments
-
3,400,690
Redemption/(placement) of funds on term deposit
3,466,329
(7,171,160)
Payment for intangible assets
(464,388)
-
Net cash provided by/(used by) investing activities
2,262,903
(4,171,025)
Net increase/(decrease) in cash and cash equivalents held
(1,442,809)
(6,355,043)
Cash and cash equivalents at beginning of year
17,648,963
24,004,006
Cash and cash equivalents at end of financial year5
16,206,15417,648,963
The accompanying notes form part of these financial statements.
33
NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2014
1 Summary of Significant Accounting
Policies
1a Basis of preparation
The Australasian College for Emergency Medicine (the
company) applies Australian Accounting Standards –
Reduced Disclosure Requirements as set out in AASB
1053: Application of Tiers of Australian Accounting
Standards and AASB 2010–2: Amendments to
Australian Accounting Standards arising from Reduced
Disclosure Requirements.
The financial statements are general purpose financial
statements that have been prepared in accordance with
Australian Accounting Standards Reduced Disclosure
Requirements of the Australian Accounting Standards
Board (AASB), the Corporations Act 2001, Australian
Charities and Not for profits Commission Act 2012, and
Australian Charities and Not for profits Commission
Regulation 2013. The company is a not for profit entity
for financial reporting purposes under Australian
Accounting Standards.
Australian Accounting Standards set out accounting
policies that the AASB has concluded would result in
financial statements containing relevant and reliable
information about transactions, events and conditions.
Material accounting policies adopted in the preparation
of these financial statements are presented below and
have been consistently applied unless otherwise stated.
The financial statements, except for cash flow
information, have been prepared on an accruals
basis and are based on historical costs modified,
where applicable, by the measurement at fair value
of selected non current assets, financial assets and
financial liabilities. The amounts presented in the
financial statements have been rounded to the nearest
dollar.
The financial statements were authorised for issue
on the same date as the signing of the Councillors’
Declaration by the Councillors of the company.
1b Comparative figures
When required by Accounting Standards, comparative
figures have been adjusted to conform to changes in
presentation for the current financial year.
1c Property, plant and equipment
Each class of property, plant and equipment is carried
at cost less, where applicable, any accumulated
depreciation and impairment losses.
Freehold land and buildings are measured at cost less
depreciation and impairment losses. The carrying
amounts of all assets are reviewed annually by the
Councillors to ensure that they are not in excess of their
recoverable amounts.
Plant and equipment
Plant and equipment are measured on the cost basis
less depreciation and impairment losses. Cost includes
expenditure that is directly attributable to the asset.
Depreciation
Buildings (excluding freehold land) are depreciated on
a straight line basis over the asset’s useful life to the
company commencing from the time the asset is held
ready for use. All other assets are depreciated on a
diminishing values basis over the asset’s useful life to
the company commencing from the time the asset is
held ready for use.
The depreciation rates used for each class of
depreciable assets are:
Class of Fixed Asset
Depreciation Rate
Buildings5%
Plant and Equipment
2 – 50%
Computer Equipment
20 – 67%
Computer Software
33%
Leasehold Improvements
50%
Library15%
Website20%
Anatomy Models
10 – 21.42%
The assets’ residual values, depreciation methods and
useful lives are reviewed, and adjusted if appropriate,
at the end of each reporting period.
Each asset class’s carrying amount is written down
immediately to its recoverable amount if the class’s
carrying amount is greater than its estimated
recoverable amount.
Gains and losses on disposals are determined by
comparing proceeds with the carrying amount. These
gains or losses are included in the Statement of
Comprehensive Income. When revalued assets are sold
amounts included in the revaluation surplus relating to
those assets are transferred to retained earnings.
34
NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2014 CONT.
1d Financial instruments
Initial recognition and measurement
Financial assets are recognised when the company
becomes a party to the contractual provisions of the
instrument. This is the equivalent to the date that the
company commits itself to either the purchase or sale
of the asset.
Financial instruments are initially measured at fair
value plus transaction costs, except where the
instrument is classified ‘at fair value through profit or
loss’ in which case transaction costs are expensed to
profit or loss immediately.
Classification and subsequent measurement
(i) Held to maturity investments
Held to maturity investments are non derivative
financial assets that have fixed maturities and fixed
or determinable payments, and it is the company’s
intention to hold these investments to maturity. They
are subsequently measured at amortised cost.
Held to maturity investments are included in non
current assets, except for those which are expected to
be realised within twelve months after the end of the
reporting period, which will be classified as current
assets.
If during the period the company sold or reclassified
more than an insignificant amount of the held to
maturity investments before maturity, the entire held
to maturity investments category would be tainted and
reclassified as available for sale.
(ii) Available for sale financial assets
Available for sale financial assets are non derivative
financial assets that are either not suitable to be
classified into other categories of financial assets
due to their nature, or they are designated as such by
management. They comprise investments in the equity
of other entities where there is neither a fixed maturity
nor fixed or determinable payments.
Available for sale financial assets are included in non
current assets, except for those which are expected to
be disposed of within 12 months after the end of the
reporting period, which will be classified as current
assets.
Impairment of financial assets
At the end of each reporting period, the company
assesses whether there is objective evidence that a
financial asset has been impaired. A financial asset (or
a group of financial assets) is deemed to be impaired if,
and only if, there is objective evidence of impairment as
a result of one or more events (a “loss event”) having
occurred, which has an impact on the estimated future
cash flows of the financial asset(s).
1e Impairment of non financial assets
At the end of each reporting period, the company
assesses whether there is any indication that an
asset may be impaired. If such an indication exists,
an impairment test is carried out on the asset by
comparing the recoverable amount of the asset, being
the higher of the asset’s fair value less costs to sell and
value in use, to the asset’s carrying amount. Any excess
of the asset’s carrying amount over its recoverable
amount is recognised immediately in profit or loss,
unless the asset is carried at a revalued amount in
accordance with another Standard. Any impairment loss
of a revalued asset is treated as a revaluation decrease
in accordance with that other Standard.
Where it is not possible to estimate the recoverable
amount of an individual asset, the company estimates
the recoverable amount of the cash generating unit to
which the asset belongs.
Where the future economic benefits of the asset are not
primarily dependent upon the asset’s ability to generate
net cash inflows and when the company would, if
deprived of the asset, replace its remaining future
economic benefits, value in use is determined as the
depreciated replacement cost of an asset.
1fIntangibles
Software
Software is initially recorded at cost. Software has a
finite life and is carried at cost less any accumulated
amortisation and impairment losses. It has an
estimated useful life of between one and three years. It
is assessed annually for impairment.
1g Cash and cash equivalents
Cash and cash equivalents include cash on hand,
deposits held at call with banks, other short term
highly liquid investments with original maturities of
three months or less which are convertible to a known
amount of cash and subject to an insignificant risk of
change in value.
1h Employee benefits
Provision is made for the company’s liability for
employee benefits arising from services rendered by
employees to the end of the reporting year. Employee
benefits that are expected to be settled within one year
have been measured at the amounts expected to be
paid when the liability is settled.
35
1i
Employee benefits payable later than one year have
been measured at the present value of the estimated
future cash outflows to be made for those benefits.
In determining the liability consideration is given to
employee wage increases and the probability that the
employee may not satisfy vesting requirements. Those
cash outflows are discounted using market yields on
national government bonds with terms to maturity that
match the expected timing of cashflows.
service has been delivered to the contributor, otherwise
the grant is recognised as income on receipt.
Contributions are made by the company to employee
superannuation funds and are recorded as expenses
when incurred.
Interest revenue is recognised using the effective
interest rate method, which for floating rate financial
assets is the rate inherent in the instrument.
Subscriptions, exam fees, trainee annual
registration fees and entrance fees
Trade and other payables represent the liability
outstanding at the end of the reporting period for
goods and services received by the company during
the reporting period which remain unpaid. The balance
is recognised as a current liability with the amounts
normally paid within 30 days of recognition of the
liability.
1j
Income tax
No provision for income tax has been raised as the
company is exempt from income tax under Div 50 of
the Income Tax Assessment Act 1997. The Australasian
College for Emergency Medicine is a charitable entity
registered with the Australian Charities and Not for
profits Commission.
1kLeases
Lease payments for operating leases, where
substantially all of the risks and benefits remain with
the lessor, are charged as expenses on a straight line
basis over the life of the lease term.
1l
Revenue and other income
Grant revenue
Grant revenue is recognised in the Statement of Income
and Expenditure and Other Comprehensive Income
when the entity obtains control of the grant and it is
probable that the economic benefits gained from the
grant will flow to the company and the amount of
the grant can be measured reliably. If conditions are
attached to the grant which must be satisfied before
the company is eligible to receive the contribution, the
recognition of the grant as revenue will be deferred
until those conditions are satisfied.
When grant revenue is received whereby the entity
incurs an obligation to deliver economic value directly
back to the contributor, this is considered a reciprocal
transaction and the grant revenue is recognised in the
Statement of Financial Position as a liability until the
The Australasian College for Emergency Medicine has
received Australian Government funding under the
“More Doctors for Emergency Departments 2011-2013”
initiative, as well as funding for the “Alcohol Harm in
Emergency Departments” project.
Interest revenue
Revenue from subscriptions, exam fees, and entrance
fees have been recognised on an accrual basis. This
revenue is recognised when the service has been
provided. The provision of membership subscriptions
and trainee annual registration fees are recognised on a
straight-line basis over the financial year. See note 2 for
details on this accounting policy.
1m 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 Tax
Office. In these circumstances the GST is recognised
as part of the cost of acquisition of the asset or as part
of an item of the expense. Receivables and payables in
the Statement of Financial Position are shown inclusive
of GST.
Cash flows are presented in the Statement of Cash
Flows on a gross basis, except for the GST component
of investing and financing activities, which are
disclosed as operating cash flows.
1n Critical accounting estimates and
judgments
The Councillors evaluate estimates and judgments
incorporated into the financial statements based
on historical knowledge and best available current
information. Estimates assume a reasonable
expectation of future events and are based on current
trends and economic data, obtained both externally and
within the company.
Key judgements – provision for impairment of
receivables
The value of the provision for impairment of receivables
is estimated by considering the ageing of receivables,
communication with the debtors and prior history.
1o Fair value of assets and liabilities
The company measures some of its assets at fair value
on a recurring basis.
Fair value is the price the organisation would receive
to sell an asset or would have to pay to transfer a
liability in an orderly (i.e. unforced) transaction between
independent, knowledgeable and willing market
participants at the measurement date.
As fair value is a market based measure, the closest
equivalent observable market pricing information
is used to determine fair value. Adjustments to
market values may be made having regard to the
characteristics of the specific asset or liability. The
fair values of assets and liabilities that are not traded
in an active market are determined using one or more
valuation techniques. These valuation techniques
maximise, to the extent possible, the use of observable
market data.
To the extent possible, market information is extracted
from either the principal market for the asset or liability
(i.e. the market with the greatest volume and level of
activity for the asset or liability) or, in the absence of
such a market, the most advantageous market available
to the entity at reporting date (i.e. the market that
maximises the receipts from the sale of the asset or
minimises the payment made to transfer the liability,
after taking into account transaction costs and transport
costs).
For non financial assets, the fair value measurement
also takes into account a market participant’s ability to
use the asset in its highest and best use, or to sell it to
another market participant that would use the asset in
its highest and best use.
36
37
2 Change in Accounting Policy
In previous years, the company recognised trainee annual registration fees when invoiced. For the 2014 year, the company has
recognised this income on a straight-line basis over the financial year. This provides a more accurate recognition policy around trainee
annual registration fees.
2013 restatement
Previously 2013
2013
statedAdjustmentRestated
$ $$
Statement of Comprehensive Income
Revenue
24,487,131
1,404,846
(72,564)24,414,567
(72,564)
1,332,282
3,747,016
799,471
4,546,487
16,605,083
(799,471)
15,805,612
2012 restatement
Previously 2012
2012
statedAdjustmentRestated
$ $$
3,575,361
726,906
4,302,267
15,200,236
(726,906)
14,473,330
38
3 Revenue from continuing operations
Note2014 2013
$ $
Sales revenue
4 Result for the Year
T he following expense items are relevant in explaining financial
performance:
2014 2013
$ $
Fellowship fees
2,407,613
2,119,033
Advertising revenue
191,120
163,099
Depreciation of property,
plant and equipment
502,176
399,852
Exam fees 1,808,153
2,010,241
Amortisation of website costs
12,452
16,797
Trainee fees
2,079,726
1,841,431
26,390
-
Sundry subscription fees
457,766
433,902
Loss on sale of asset
50,280
-
CPD fees (non Fellows)
73,460
68,240
DOH Project income 19,189,558
17,170,899
ANPHA Project Income
110,447
-
Surplus on sale of
financial assets
103
96,938
Total sales revenue26,317,946
23,903,783
Awards148,318
64,430
5 Cash and Cash Equivalents
2014 2013
$ $
Cash on hand
300
255
Other revenue
Cash at bank
403,117
437,161
Investment distribution Short term bank deposits 15,802,737
17,211,547
Total cash and
cash equivalent16,206,154
17,648,963
8,403
72,009
3a
458,254
181,704
Other income
505,068
257,071
Bank interest
Total other revenue971,725
Total revenue27,289,671
510,784
24,414,567
3a Interest revenue from bank accounts
Interest revenue consists of interest earned from the company’s
bank accounts. Interest revenue earned on the DOH bank accounts
is considered to be project funding and is deferred to be spent in
accordance with the requirements of the funding agreement terms.
Interest earned on the ANPHA bank accounts is considered to be
project funding and is deferred to be spent in accordance with the
requirements of the funding agreement terms.
6 Trade and Other Receivables
2014 2013
$ $
CURRENT
Trade receivables
Provision for impairment
6a
1,740,365
1,894,332
(1,501)
(60,903)
1,738,864 1,833,429
Annual Conference seed funding
70,000
Total current trade and
other receivables1,808,864
47,727
1,881,156
NON CURRENT
Lease security deposit
14,732
18,750
Cabcharge Bond
2,000
2,000
Total non current trade and
other receivables16,732
20,750
39
9 Property, Plant and Equipment
6a Provision for impairment of receivables
Movement in provision for impairment of receivables is as
follows:
2014 2013
$ $
2014 2013
$ $
LAND AND BUILDINGS
Freehold land
Provision for the year
(60,903)
(9,790)
Provision used
59,402
(51,113)
At cost
Balance at end of the year
(1,501)
(60,903)
Building
At cost
7 Other Assets
2014 2013
$ $
CURRENT
Prepayments141,849
192,397
Accrued income
141,816
163,583
Total other current assets 305,432
334,213
8 Other Financial Assets
1,435,741
1,435,741
3,776,556
3,770,985
Accumulated depreciation (1,040,345)
(697,360)
Total buildings2,736,211
3,073,625
Total land and buildings4,171,952
4,509,366
PLANT AND EQUIPMENT
Capital Works in Progress
At cost
803,765
89,283
Plant and Equipment
At cost
516,690
563,354
Accumulated depreciation
(353,876)
(354,736)
Total plant and equipment 162,814
2014 2013
$ $
208,618
Computer Equipment
At cost
421,757
550,197
CURRENT
(321,520)
(372,649)
Held to maturity
financial assets
Total computer equipment 100,237
Term deposit
4,218,544
177,548
Leasehold Improvements
7,684,872
At cost
88,075
88,075
(86,541)
(40,297)
NON CURRENT
Total leasehold
improvements1,534 47,778
Available for sale managed
investment funds
39,588
48,219
Anatomy Models
At cost
59,537
57,851
(36,672)
(34,196)
Total anatomy models22,865
23,655
Total plant and equipment 1,091,215
546,882
Total Property, Plant
and Equipment5,263,167
5,056,248
40
9 Property, Plant and Equipment cont.
Movements in Carrying Amounts
Movement in the carrying amounts for each class of property, plant and equipment between the beginning and the end of the
current financial year:
Capital Works
Land and
Leasehold
Plant and
Computer
Anatomy
Total
in Progress
Buildings improvements Equipment
Equipment
Models
$ $ $ $ $ $$
Balance at the beginning
of year
89,283
Additions
4,509,366
714,482
47,778
5,571
208,618
-
3,924
177,548
23,655
33,713
5,056,248
1,686759,376
Disposals
– written down value
-
-
-
(24,968)
(25,313)
-
(50,281)
Depreciation expense
-
(342,985)
(46,244)
(24,760)
(85,711)
(2,476)
(502,176)
100,237
22,8655,263,167
Balance at
30 June 2014
803,765 4,171,952
1,534 162,814
10 Intangible Assets
11 Trade and Other Payables
2014
2013
$$
Note2014
2013
$
Website
CURRENT
Cost459,047
Subscriptions and
levies in advance
Accumulated amortisation
(368,702)
Total Website90,345
359,514
(356,250)
3,264
Member Portal
$
11a
4,484,466
3,805,455
Trade payables
716,579
693,103
Accrued expenses
143,968
30,850
Cost344,518
-
GST payable/(receivable)
(167,985)
(56,423)
Total Member Portal344,518
-
Other payables
133,594
73,502
Total Intangibles434,863
3,264
Movements in Carrying Amounts
Movement in the carrying amounts for each class of intangible
assets between the beginning and the end of the current
financial year:
WebsiteMember
Total
Portal
$$ $
Balance at the beginning
of year
3,264
Additions
99,533344,518
Amortisation expense (12,452)
Balance at
30 June 2014
-
-
90,345344,518
3,264
444,051
(12,452)
434,863
Total Trade and
Other Payables5,310,622
4,546,487
11a Subscriptions and levies in advance
In 2014, the accounting policy was amended such that trainee
annual registration fees are recognised on a straight-line
basis. See note 2 for further details.
41
12 Other Liabilities
13Provisions
2014
2013
$$
CURRENT
13a Analysis of total provisions
2014
2013
$$
CURRENT
DOH funding (received
in advance)
12a
5,320,369
11,744,433
ANPHA funding (received
in advance)
Provision for employee benefits:
annual leave
230,478
193,058
12a
243,940
227,272
Ministerial Taskforce funding
(received in advance)
long service leave
40,066
47,259
30,861
54,011
Total Other Liabilities5,595,170 12,025,716
Government Funding has been received for the “More
Doctors for Emergency Departments 2011-2013” Project (DOH
Project) and the “Alcohol Harm in Emergency Departments”
Project (ANPHA Project). Interest revenue earned on these
bank accounts is considered to be project funding and is
represented within funding received. Funding is recognised as
income upon expenditure.
2014
To 30 June
2014
$$
DOH Project
DOH funding 12,765,494
45,062,143
DOH expenses (19,189,558)
(39,741,774)
Balance of funding(6,424,064)
5,320,369
ANPHA project
ANPHA funding
127,115
354,387
ANPHA expenses
(110,447)
(110,447)
Balance of funding16,668 243,940
240,317
NON CURRENT
long service leave
12a Government funding
270,544
50,096
320,640
12,679
252,996
13b Provision for Long term Employee Benefits
Provision for employee benefits represents amounts accrued
for annual leave and long service leave.
The current portion of this provision includes the total amount
accrued for annual leave entitlements and the amounts
accrued for long service leave entitlements that have vested
due to employees having completed the required period of
service. Based on past experience, the company does not
expect the full amount of annual leave or long service leave
balances classified as current liabilities to be settled within
the next twelve months. However, these amounts must be
classified as current liabilities since the company does not
have an unconditional right to defer the settlement of these
amounts in the event that employees wish to use their leave
entitlement.
The non current portion of this provision includes amounts
accrued for long service leave entitlements that have not
yet vested in relation to those employees who have not yet
completed the required period of service. In calculating the
present value of future cash flows in respect of long service
leave, the probability of long service leave being taken is
based on historical data. The measurement and recognition
criteria relating to employee benefits have been included in
Note 1.
13c Movement in carrying amounts
Employee provisions
$
Opening balance at 1 July 2013
252,996
Additional provisions
328,011
Provisions used
(260,367)
320,640
42
14Reserves
Specific reserve
The specific reserve records funds set aside for specific
purposes of The Australian College for Emergency Medicine.
In the previous reporting period, the company set aside funds
for future ultrasound conference and education development
projects.
15 Capital and Leasing Commitments
16 Reconciliation of result for the
year to cashflows from operating
activities
2014
2013
$$
1,196,667
1,332,282
Non cash flows in surplus: Amortisation12,452
16,797
Operating lease commitments
Depreciation502,176
399,858
Non cancellable operating leases contracted for but not
capitalised in the financial statements.
Provision for doubtful debt
(59,402)
51,113
(Gain)/loss on disposal of
non current asset
50,280
(96,939)
26,391
-
2014
2013
$$
No later than 1 year
42,630
93,459
Between 1 year and 5 years
-
165,699
Total operating lease
committments42,630 259,158
Operating leases have been taken out for three separate
office leases located at 7 Jeffcott Street, West Melbourne.
Lease payments are increased on an annual basis to reflect
market rentals.
Changes in assets
and liabilities:
(Increase)/decrease in trade
and other receivables
135,712
(675,332)
(Increase)/decrease in
other assets
28,780
(140,914)
Increase/(decrease) in creditors,
accruals and GST
85,125
(356,563)
Increase/(decrease) in unexpired
grants and income in advance (5,751,536)
(2,798,664)
Increase/(decrease) in provisions
67,643
Cashflow (outflow)/inflow
from operations(3,705,712)
84,344
(2,184,018)
17 Interests of Key Management
Personnel
The total remuneration paid to key management personnel of
The Australasian College for Emergency Medicine during the
year is as follows:
Key management
personnel remuneration
841,398
603,835
43
18 Financial Risk Management
19 Related Party Transactions
The main risks that The Australasian College for Emergency
Medicine is exposed to through its financial instruments
are credit risk, liquidity risk and market risk consisting
of interest rate risk and equity price risk. The company’s
financial instruments consist mainly of deposits with banks,
local money market instruments, short term investments,
accounts receivable and payable, leases, and reciprocal
grant funding received. The totals for each category of
financial instruments, measured in accordance with AASB
139 as detailed in the accounting policies to these financial
statements, are as follows:
Note2014 2013
$ $
Financial Assets
Cash and cash equivalents 16,206,154
17,648,963
1,825,596
1,901,906
Held to maturity investments 1
4,218,544
7,684,872
39,588
48,219
Available for sale
financial assets
2
Total financial assets22,289,882
27,283,960
Financial Liabilities
Financial liabilities at
amortised cost:
5,310,622
4,546,488
Ministerial Taskforce
funding (received in advance)
30,861
54,011
DOH funding (received
in advance)
5,320,369
11,744,433
ANPHA funding (received
in advance)
243,940
227,272
Total financial liabilities10,905,792
16,572,204
Fair value estimation
1. Fair values of held to maturity investments are based
on quoted market prices at the ending of the reporting
period.
2. For listed available for sale financial assets, the fair
values have been based on closing quoted bid prices at
the end of the reporting period.
The Australasian College for Emergency Medicine has agreed
to fund the secretariat costs for IFEM. In the 2014 financial
year, the company contributed a total of $121,764 towards
the cost of administration. A management fee of $20,000 was
received for administrative tasks performed.
20 Fair Value Measurement
The company has the following assets, as set out in the
table below, that are measured at fair value on a recurring
basis after their initial recognition. The company does
not subsequently measure any liabilities at fair value on
a recurring basis and has no assets or liabilities that are
measured at fair value on a non recurring basis.
2014 2013
$ $
Recurring fair value
measurements
Financial assets held at
fair value through
profit and loss
Managed investments
39,588
Total39,588
48,219
48,219
(i) Managed investments, held at fair value through profit and loss,
are recorded at the closing values at 30 June 2014.
21 Company (College) Details
The registered office and principal place of business of the
College is:
34 Jeffcott Street
West Melbourne
Victoria 3003
COUNCILLORS’ DECLARATION
The Councillors of the company declare that:
1. The financial statements and notes, as set out on pages
6 to 26, are in accordance with the Australian Charities
and Not for profits Commission Act 2012 and:
(a)
comply with Australian Accounting Standards
Reduced Disclosure Requirements; and
(b)
give a true and fair view of the financial position a
s at 30 June 2014 and of the performance for the
year ended on that date of the entity.
2. In the Councillors’ opinion, there are reasonable grounds
to believe that the entity will be able to pay its debts as
and when they become due and payable.
This declaration is made in accordance with a resolution
of the Board of Councillors.
Dr Anthony Cross
Councillor
Dated 10 November 2014
44
45
INDEPENDENT AUDIT REPORT TO THE MEMBERS OF
THE AUSTRALASIAN COLLEGE FOR EMERGENCY MEDICINE
Report on the Financial Report
Opinion
The Australasian College for Emergency Medicine
ABN: 76 009 090 715
In our opinion the financial report of The Australasian College for
Emergency Medicine:
Independent Audit Report to the members of The
Australasian College for Emergency Medicine
(a) giving a true and fair view of the company’s financial position
as at 30 June 2014 and of its performance for the year ended
on that date; and
Report on the Financial Report
We have audited the accompanying financial report of The
Australasian College for Emergency Medicine, which comprises the
statement of financial position as at 30 June 2014, the statement
of income and expenditure and other comprehensive income,
statement of changes in equity and statement of cash flows for
the year then ended, notes comprising a summary of significant
accounting policies and other explanatory information, and the
councillor’s declaration.
Councillors’ Responsibility for the Financial Report
The Councillors of the company are responsible for the preparation
of the financial report that gives a true and fair view in accordance
with Australian Accounting Standards and the Australian Charities
and Not-for-profits Commission Act 2012 and for such internal
control as the Councillors determine is necessary to enable the
preparation of the financial report that gives a true and fair view
and is free from material misstatement, whether due to fraud or
error.
Auditor’s Responsibility
Our responsibility is to express an opinion on the financial report
based on our audit. We conducted our audit in accordance with
Australian Auditing Standards. Those standards require that
we comply with relevant ethical requirements relating to audit
engagements and plan and perform the audit to obtain reasonable
assurance about whether the financial report is free from material
misstatement.
An audit involves performing procedures to obtain audit evidence
about the amounts and disclosures in the financial report. The
procedures selected depend on the auditor’s judgement, including
the assessment of the risks of material misstatement of the
financial report, whether due to fraud or error. In making those risk
assessments, the auditor considers internal control relevant to the
company’s preparation of the financial report that gives a true and
fair view in order to design audit procedures that are appropriate in
the circumstances, but not for the purpose of expressing an opinion
on the effectiveness of the company’s internal control. An audit
also includes evaluating the appropriateness of accounting policies
used and the reasonableness of accounting estimates made by the
Councillors, as well as evaluating the overall presentation of the
financial report.
We believe that the audit evidence we have obtained is sufficient
and appropriate to provide a basis for our audit opinion.
(b) complying with Australian Accounting Standards - Reduced
Disclosure Requirements (including Australian Accounting
Interpretations) and the Australian Charities and Not-for-profits
Commission Act 2012.
Peter Shields
Dated 10 November 2014
Blackburn VIC
AUSTRALASIAN
COLLEGE
FOR
EMERGENCY
MEDICINE
ABN 76 009 090 715
Postal Address:
34 Jeffcott Street,
West Melbourne, Vic. 3003
Australia
Tel: +61 (0)3 9320 0444
Fax: +61 (0)3 9320 0400
Email: [email protected]
Website: www.acem.org.au
© Copyright – Australasian College for Emergency Medicine
All rights reserved

tanya putra

Transcription

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