bs_bs_banner
Letter to the Editor
4
Women’s Hospital, 3Murdoch Children’s Research Institute, Department of Obstetrics and Gynaecology, The University of Melbourne, 5Department of Microbiology, Royal Melbourne Hospital, 6Department of Microbiology, Dorevitch Pathology,
References 1 Daley AJ, Isaacs D, the Australian Study Group for Neonatal Infections. Ten year study on the effect of intrapartum antibiotic prophylaxis on early onset Group B Streptococcus and Escherichia coli neonatal sepsis in Australasia. Pediatr Infect Dis J 2004; 23: 630–4. 2 Garland SM, Fliegner JR. Group B streptococcus (GBS) and neonatal infections: the case for intrapartum
Melbourne, and 7Department of Medicine, La Trobe Regional Hospital, Traralgon, Victoria, Australia
chemoprophylaxis. Aust N Z J Obstet Gynaecol 1991; 31: 119–22. 3 Palasanthiran P, Starr M, Jones C, Giles M, eds. Management of Perinatal Infections, 2nd edn. Sydney: Australasian Society for Infectious Diseases; 2014. 4 Antibiotic Expert Group. Therapeutic Guidelines: Antibiotic. Version 15. Melbourne: Therapeutic Guidelines Limited; 2014. 5 Solensky R. Hypersensitivity reactions to beta-lactam antibiotics. Clin Rev Allergy Immunol 2003; 24: 201–19.
Impaired doctors: the Royal Australasian College of Physicians’ support for Fellows in difficulty Beran1 reported difficulty in discovering what the Royal Australasian College of Physicians (RACP) is doing in relation to impaired practitioners. As members of an RACP working group on Fellows in difficulty, we would like to reassure him that the RACP is active in this area. The RACP has processes for advising Fellows who need retraining and remediation for identified deficits in clinical skills. Fellows who seek the assistance of the RACP are referred to the relevant specialist training committee for advice. The RACP is currently further exploring resource development in relation to assisting Fellows who are experiencing difficulty, which may go beyond issues to do with a specific skill deficit. A scoping paper commissioned by the RACP Board in 2012 examined the spectrum of difficulty, including the determinants of physician performance, predictors of risk of poor performance and
6 Campagna JD, Bond MC, Schabelman E, Hayes BD. The use of cephalosporins in penicillin-allergic patients: a literature review. J Emerg Med 2012; 42: 612–20. 7 Garland SM, Cottrill E, Markowski L, Pearce C, Clifford V, Ndisang D et al. for the Australasian Group for Antimicrobial Resistance – GBS Resistance Study Group. Antimicrobial resistance in group B streptococcus: the Australian experience. J Med Microbiol 2011; 60: 230–5.
managing physician performance. The Fellowship Committee of the RACP Board subsequently established a working group tasked to explore these issues further. One of the findings of the working group was that there are several support systems for Fellows already in place outside the RACP, through doctors’ health services, employers, insurers and national bodies. A list of relevant services is available on the RACP website (www.racp .edu.au/page/physiciansupport). The working group considered that there were possibilities for further support for Fellows, and it has made several recommendations in its final report to the Fellowship Committee presented in February 2015. Received 27 January 2015; accepted 28 January 2015. doi:10.1111/imj.12717
B. B. Taylor1 and T. G. Donald2 2
1 Wellington, New Zealand, and Adelaide, South Australia, Australia, Fellows in Difficulty Working Group
Reference 1 Beran RG. Mandatory notification of impaired doctors. Intern Med J 2014; 44: 1161–5.
© 2015 Royal Australasian College of Physicians
466
Copyright of Internal Medicine Journal is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
Letter to the Editor
4
Women’s Hospital, 3Murdoch Children’s Research Institute, Department of Obstetrics and Gynaecology, The University of Melbourne, 5Department of Microbiology, Royal Melbourne Hospital, 6Department of Microbiology, Dorevitch Pathology,
References 1 Daley AJ, Isaacs D, the Australian Study Group for Neonatal Infections. Ten year study on the effect of intrapartum antibiotic prophylaxis on early onset Group B Streptococcus and Escherichia coli neonatal sepsis in Australasia. Pediatr Infect Dis J 2004; 23: 630–4. 2 Garland SM, Fliegner JR. Group B streptococcus (GBS) and neonatal infections: the case for intrapartum
Melbourne, and 7Department of Medicine, La Trobe Regional Hospital, Traralgon, Victoria, Australia
chemoprophylaxis. Aust N Z J Obstet Gynaecol 1991; 31: 119–22. 3 Palasanthiran P, Starr M, Jones C, Giles M, eds. Management of Perinatal Infections, 2nd edn. Sydney: Australasian Society for Infectious Diseases; 2014. 4 Antibiotic Expert Group. Therapeutic Guidelines: Antibiotic. Version 15. Melbourne: Therapeutic Guidelines Limited; 2014. 5 Solensky R. Hypersensitivity reactions to beta-lactam antibiotics. Clin Rev Allergy Immunol 2003; 24: 201–19.
Impaired doctors: the Royal Australasian College of Physicians’ support for Fellows in difficulty Beran1 reported difficulty in discovering what the Royal Australasian College of Physicians (RACP) is doing in relation to impaired practitioners. As members of an RACP working group on Fellows in difficulty, we would like to reassure him that the RACP is active in this area. The RACP has processes for advising Fellows who need retraining and remediation for identified deficits in clinical skills. Fellows who seek the assistance of the RACP are referred to the relevant specialist training committee for advice. The RACP is currently further exploring resource development in relation to assisting Fellows who are experiencing difficulty, which may go beyond issues to do with a specific skill deficit. A scoping paper commissioned by the RACP Board in 2012 examined the spectrum of difficulty, including the determinants of physician performance, predictors of risk of poor performance and
6 Campagna JD, Bond MC, Schabelman E, Hayes BD. The use of cephalosporins in penicillin-allergic patients: a literature review. J Emerg Med 2012; 42: 612–20. 7 Garland SM, Cottrill E, Markowski L, Pearce C, Clifford V, Ndisang D et al. for the Australasian Group for Antimicrobial Resistance – GBS Resistance Study Group. Antimicrobial resistance in group B streptococcus: the Australian experience. J Med Microbiol 2011; 60: 230–5.
managing physician performance. The Fellowship Committee of the RACP Board subsequently established a working group tasked to explore these issues further. One of the findings of the working group was that there are several support systems for Fellows already in place outside the RACP, through doctors’ health services, employers, insurers and national bodies. A list of relevant services is available on the RACP website (www.racp .edu.au/page/physiciansupport). The working group considered that there were possibilities for further support for Fellows, and it has made several recommendations in its final report to the Fellowship Committee presented in February 2015. Received 27 January 2015; accepted 28 January 2015. doi:10.1111/imj.12717
B. B. Taylor1 and T. G. Donald2 2
1 Wellington, New Zealand, and Adelaide, South Australia, Australia, Fellows in Difficulty Working Group
Reference 1 Beran RG. Mandatory notification of impaired doctors. Intern Med J 2014; 44: 1161–5.
© 2015 Royal Australasian College of Physicians
466
Copyright of Internal Medicine Journal is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
