THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS

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					                                             From the State Faculties
                                             Skin & Cancer Foundations
                                             Committee Reports
                                             Task Force Reports
                                             Treasurer’s Report and Financial Report




THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS
i       Australasian College of Dermatologists




The Australasian College of Dematologists
136 Pittwater Road Gladesville NSW 2111
PO Box 2065 Boronia Park NSW 2111

Phone
                                                        OF DERMATOLOGISTS
                                                 THE AUSTRALASIAN COLLEGE



61 2 9879 6177

Fax
61 2 9816 1174

Email
admin@dermcoll.asn.au

Web
www.dermcoll.asn.au
                                                                            Annual Report 2003/04         ii




Index
Message from the President                                                                           1
From the Honorary Secretary                                                                          4
Councillors 2004/05                                                                                  7
From the State Faculties                                                                             8
     Queensland                                                                                      9
     New South Wales                                                                                 11
     Victoria                                                                                       12
     South Australia                                                                                13
     Western Australia                                                                              14
New Zealand Dermatological Society                                                                  15
Current Membership                                                                                   17
New Fellows 2004/05                                                                                  17
College Awards                                                                                       17
In Memoriam                                                                                          17
The Chief Executive Officer                                                                         18
Board of Censors                                                                                    20
The Australasian Journal of Dermatology                                                             24
Skin & Cancer Foundations                                                                           26
   Skin and Cancer Foundation Queensland                                                            27
   Skin and Cancer Foundation Australia (New South Wales)                                           28
   Skin and Cancer Foundation Victoria                                                              30
Committee Reports                                                                                   32
     From the Research and Scientific Committee                                                     33
     Awards Committee                                                                               35
     Constitution Committee                                                                         36
     Ethics Committee                                                                               37
     Information Technology Committee                                                               38
     Medical Practice                                                                               39
     Professional Standards Committee                                                               40
     Public Affairs Committee                                                                       41
     Rural, Regional and Indigenous Services Committee                                              43
     Scientific Meetings Committee                                                                  44
     Scientific Research Fund Committee                                                             46
     Subspecialty Committee                                                                         47
     Undergraduate and GP Education Committee                                                       48
Task Force Reports                                                                                  52
     AMC Accreditation Review Task Force                                                            53
     Task Force on College Governance                                                               54
     Task Force on SSRS                                                                             55
     Task Force to Investigate the Possibility of Training in General Practice Dermatology          56
National Skin Cancer Steering Committee of Cancer Council Australia – College representatives       57
Report on the Northern Territory Healthy Skin Project                                               58
College Staff                                                                                       60
Donations to the Australasian College of Dermatologists                                             61
Donations made by the Australasian College of Dermatologists                                        65
Treasurer’s Report and Financial Report                                                             66
1     Australasian College of Dermatologists




Message from the President




Preamble
Throughout the last year, the Australasian College of Dermatologists (ACD) has been active in a large
number of areas, including an ongoing review of its governance structure, reassessment of all aspects
of its training and continuing professional development programs in preparation for the accreditation
review by the Australian Medical Council (AMC) in 2007, and expansion of dermatological services to
regional and rural Australia. It has also instigated a number of strategies to raise the awareness of
government, government bodies, the media and the general public that dermatologists are the only true
specialists in all aspects of skin health and disease.

College Governance
Following a report by academic lawyer, Kate Costello, which examined the current governance structure
of the College and made recommendations regarding modernising the way the College is structured
and administered, the College Council formed a task force under the chairmanship of Dr Anne Howard,
President Elect, to examine the report and to develop specific proposals to bring back to the Council. An
initial report was presented to the Interim Council Meeting in November 2004, and Council subsequently
approved a draft set of recommendations which was circulated to all Fellows of the College for
consideration and discussion. After consultation by Anne Howard and myself with all the State Faculties,
the task force will consider the recommendations further and report back to the Third Council Meeting
in May 2005. A report will then be prepared for discussion by Fellows at the Annual General Meeting in
May 2005.

Accreditation Review by the Australian Medical Council
The AMC has been directed by the Federal Government to undertake accreditation reviews of all of the
specialist medical colleges. This process has commenced with several colleges already accredited.
The ACD is due to have its accreditation review in 2007. However, preliminary accreditation, based on
written reports from the College, has already been granted. Over the last twelve months, the College has
continued a review of all aspects of its educational and assessment activities, including assessment of
overseas trained specialists (OTSs), in order to conform with the requirements of the AMC.
                                                                                   Annual Report 2004/05   2




   Training Program
   The Education Officer, Claudia Casson, in conjunction with the Board of Censors under the Censor-
   in-Chief, Warren Weightman, have been actively reviewing various aspects of the training program,
   particularly in view of the decision by the College in 2002 to expand its training program to five
   years from 2003. A new process of in-training assessment has been developed, based on modern
   educational theory, the practices of other Australian specialist medical colleges, and the requirements
   of the AMC. Separate processes of formative (i.e. continuous and developmental) and summative (i.e.
   judgemental) assessment have been introduced, with the overall aim of monitoring trainee progress,
   driving learning and providing feedback to trainees and supervisors. The program will be trialled
   during 2005 and evaluated to assess whether it has achieved its objectives.

   Continuing Professional Development (CPD) Program
   The Education Officer, in conjunction with the Professional Standards Committee, convened by Dr Kurt
   Gebauer, has been examining ways of expanding and updating the current CPD program, in order to
   conform with AMC expectations and requirements. A greater emphasis on self-directed educational
   activities, rather than simply attendance at didactic lectures, is planned. Practice audits and reviews
   are also under consideration. The College is mindful, not only of its responsibilities to the AMC and
   to the general public to develop an appropriate CPD program, but also that any program must be
   realistic and feasible for all Fellows to participate in, particularly those Fellows practising outside of
   major cities.

   National Trainee Selection Guide
   The Censor-in-Chief, together with the State Faculty Chairs, have continued an ongoing examination
   of the National Trainee Selection Guide and have developed procedures to ensure uniformity in the
   selection process in all States. It is recognised by all the State Faculties that strict adherence to the
   National Guide is essential to ensure consistency of practice and procedural fairness for applicants.

In 2003, College Council appointed a task force, chaired by the President, to oversee the development
of the various changes which the College needs to introduce to its educational activities, to prepare it
for the AMC accreditation review.

Overseas Trained Specialists (OTSs)
In the last twelve months the College, through its OTS interviewing panel, chaired by the Censor-in-Chief,
has interviewed a number of overseas trained doctors referred by the AMC for assessment of their
specialist qualifications in dermatology. The process has been carried out in accordance with current
AMC procedures. At this point in time there have not been any declared “Areas of Need” in dermatology,
hence no Area of Need assessments have been necessary. This is primarily due to the fact that the
College, through its State Faculties, has encouraged its Fellows to ensure that all major centres in each
State have at least some dermatological coverage by specialist dermatologists. However, the College
has procedures in place to carry out Area of Need assessments if required.

Promotional Activities
Throughout 2004/05, the College has increased promotion of itself and its Fellows to government,
government bodies, the media and the general public to emphasise that Fellows of the College are
the only true specialists in all aspects of skin health and disease. The College believes that it is the
right of the public to receive the best and most accurate information and best practice management
on all matters pertaining to the skin, including skin cancer prevention and management, and that
dermatologists are the best equipped practitioners to deliver this advice and service.
3     Australasian College of Dermatologists




Manpower Issues
Since the report of the Australian Medical Workforce Advisory Committee (AMWAC) on manpower issues
in specialist areas of medicine, the College has increased its training programs from 40 in 1995 to 60
this year. The College continues to look at ways of further increasing the number of training programs,
but this is limited by the fact that funding for such positions is required, in most instances, from State
Government sources. There are also limitations relating to adequate patient numbers and other facilities
to train individual trainees. In addition, it should be emphasised that most of the training of dermatology
trainees is done by Fellows of the College on a purely voluntary and pro bono basis.

All State Faculties have been actively encouraging their members to expand dermatological services
to rural and remote areas. This has seen increased numbers of dermatologists practicing full-time in
regional centres, and also a significant number of dermatologists attending more remote country towns
on a rotational basis, often accompanied by trainees. The College plans to actively pursue this strategy
further in forthcoming years to ensure, as best it can, that all Australians have access to specialist
dermatological services through Fellows of the College.

Northern Territory Healthy Skin Program
In September 2004, a number of Fellows of the College, headed by Dr Colin Parker, in conjunction with
health professionals from other areas of medicine, took part in the Northern Territory Healthy Skin Project,
the main aim of which is the eradication of scabies, and the long term serious medical problems which
can result, from the indigenous people of the Northern Territory. Further visits to remote areas of Arnhem
Land to continue the project are planned over the next two years.

Conclusion
The College recognises its responsibility to ensure a comprehensive training program for its trainees
and a continuing professional development program for its Fellows that enables all Fellows to maintain
excellent standards of practice in dermatology, whilst continuing to deliver expert dermatological
services to all members of the Australian community. It also plans to continue its promotional activities
to ensure that dermatologists are recognised as the only true experts in all aspects of skin health and
disease, and to further expand its coverage of rural and remote areas.




John Auld
                                                                                 Annual Report 2004/05   4




From the Honorary Secretary




It gives me great pleasure to provide this, my first, report as Honorary Secretary. I was elected to this
position at the First Council Meeting 2004/05, after my eight years as the Honorary Treasurer of College.
This has been an eventful year for College, with a number of important issues requiring consideration
and action.

The most important issue over the last twelve months has been the issue of College governance. This
process, as mentioned in the President’s report, was started at the Brisbane Annual Scientific Meeting
some two years ago, when Kate Costello discussed the issue of governance for not-for-profit organisations.
This prompted the establishment of a task force, chaired by Anne Howard, our President Elect, and
consisting of State Faculty representatives, to look at this issue. A final report has been developed and
this will be presented to the Third Council Meeting 2004/05 and discussed after our forthcoming Annual
General Meeting in Perth. Having completed the Australian Institute of Company Directors’ residential
course in September 2004, I have become more aware of the urgent need for change to College’s
corporate governance structure. It is important that College’s governance moves into the 21st century
with regular meetings of the Board of Directors (Council) of College, so that adequate attention can
be paid to all agenda items and decisions made with minimal delay. I am heartened by the positive
responses throughout the College, to the suggested changes put forward by this task force. Hopefully
these changes can be implemented within the next couple of years, and this will be a major advance
in streamlining our governance structure and improving its processes. These proposed governance
changes will also enable dealings with the federal government authorities, such as the AMC and ACCC,
to be undertaken without undue delay and, thus, enable rapid implementation of, or responses to, issues
of concern raised by these bodies.

The College will be assessed by the AMC in 2007, as to whether its educational programs are
accreditable. Preparation for this accreditation has already involved a great deal of work, particularly
for Warren Weightman and the Board of Censors. Claudia Casson, our Education Officer, has also been
5     Australasian College of Dermatologists




heavily involved in this process, which will hopefully culminate in our accreditation in 2007. This is an
arduous and costly process, with our accreditation being by no means a forgone conclusion. All Fellows
and, indeed, trainees of College will become increasingly involved in this whole process leading up to,
and during, the accreditation process of 2007.

The ACCC has also been asked by the government authorities to look at the various medical colleges.
We have already had two face-to-face meetings with the ACCC over the last twelve months and have
addressed the issues that they have raised. Fortunately, some of the issues raised previously with the
Royal Australasian College of Surgeons are not applicable to our smaller college. Nevertheless, we need
to be mindful of the requirements under the Trade Practices Act to enable us to continue with our ACCC
exemption, particularly as it relates to our monopoly on training dermatologists within Australia.

College finances have continued to improve with the able management of the Audit Committee,
convened by John Coates, and the administration of College under the leadership of Rodney Sheaves.
Our sound financial position has been aided by the successes of our Annual and Spring Meetings over
the last twelve months, as well as our good relationship with the Government with regard to our receipt
of a number of grants. An example is the grant supplied under the Support Scheme for Rural Specialists,
where Ann-Maree Kurzydlo and, subsequently, Michael Lee, have been involved with the provision of
CD-Roms to our rural Fellows, to enable them to partake of the CPDP points attainable at annual clinical
meetings of the various hospitals in New South Wales and also, more recently, in Queensland. Grant
applications require a considerable amount of work and, in this regard, we are fortunate in having such
able people in our administration.

Australian dermatology is grateful for the position that Professor Robin Marks holds as President of the
International League of Dermatological Societies. This position significantly raises the profile of Australian
dermatology, which was placed on the map with our hosting of the World Congress of Dermatology in
1997.

College welcomes the appointment of Rod Sinclair as Professor of Dermatology at the University of
Melbourne, succeeding Robin Marks. We are encouraged by developments in Queensland towards the
establishment of a new chair there. The Faculty must be congratulated on its untiring efforts to raise
support for this project.

College has commissioned S2i Communications as our public relations company to aid our Public Affairs
Committee in increasing the profile of dermatology amongst the general community. As you will read
from the report of the Public Affairs Committee, there have been a number of positive outcomes from
this association with S2i since their involvement began in September 2004. Positive publicity is the best
publicity, and I ask all Fellows to contact the College secretariat if they have any particular stories they
would like to raise, as these can be worked up through the Public Affairs Committee and our public
relations consultants, for public release.

Our College is a collection of individuals and I thank all of those College Fellows who have assisted in
the running of the College over the past twelve months. In particular, I want to thank all members of
Council and the State Faculty Chairs, as their help has proved invaluable to myself, and the College
administration, over that time.
                                                                                  Annual Report 2004/05   6




Finally, I want to thank particularly Rodney Sheaves, our CEO, without whom our College would not be
able to function as efficiently and as well as it does at present. He and the administrative team at College
(Rosie, Ros, Roopan, Caroline and Claudia) are a superb team who are a pleasure with whom to work.
They are also an extremely dedicated group of individuals, who are committed to the smooth-running
and efficiency of our College. They all have my heartfelt thanks for their dedication to this task.

I look forward to the next twelve months, as I believe there will be a number of issues which will need to
be attended to over that time. These include: the relocation of College to more appropriate premises;
consideration as to the implementation of governance change to College; and the processes towards
our AMC accreditation review in 2007.




Stephen Shumack
7    Australasian College of Dermatologists




Councillors 2004/05

Executive
President                                     John Auld
President Elect                               Anne Howard
Honorary Secretary                            Stephen Shumack
Honorary Treasurer                            John Coates
Chairman, Board of Censors                    Warren Weightman

Queensland
Brian De’Ambrosis
James Muir

New South Wales
Richard Armati
Pamela Brown
Robert Paver
Robert Salmon

Victoria
Robert Kelly
Adrian Mar
Mei Mui Tam

South Australia
Anne Lewis
Jeffrey Wayte

Western Australia
Alan Donnelly
Hock Cheng Chua
QUEENSLAND NEW SOUTH WALES VICTORIA
SOUTH AUSTRALIA WESTERN AUSTRALIA
            Queensland
                       WalesVictoria
            New South Wales
            South Australia
            Western Australia
                                       Annual Report 2004/05
                                       8
9     Australasian College of Dermatologists




Queensland




Chairman                                                Dr Brian De’Ambrosis
Honorary Secretary                                      Dr Michael Freeman
Honorary Treasurer                                      Dr Michael Freeman


There is a core group of Faculty members who consistently give a great deal of their time and energy
to College-related activities, for the benefit of all Faculty members. The AMA Queensland Health Expo
in July 2004, held at the Brisbane Convention Centre, was just one of the public relations events to
which these members gave their valuable time in manning the booth. Participating members included
Megan Andrews, Godfrey Wagner, Ian McColl, Michael Sharkey, Michael Freeman, Brian De’Ambrosis, and
registrars Jason Wu and Jack Shannon. Attendance at the AMAQ Health Expo assists in emphasising
the College’s pre-eminent position in the specialty of dermatology. In preparation for the 2005 AMAQ
Health Expo in July, Selim Ozluer is organising a roster including all members.

Even in retirement, Michael Donoghue has offered to be on the booth at the forthcoming Expo. This
is from a dermatologist who has provided many years in training registrars at the Princess Alexandra
Hospital, as well as being involved in the registrar examination process as a censor. After retiring from
PAH, he still continued to teach at the registrar training sessions on Wednesday evenings. Michael’s
commitment to dermatology and our College is exemplary.

The contributions of Jenny Byth and our SunSmart Liaison Committee – Megan Andrews, Margaret
Oziemski and Peter Sinclair – are to be applauded. Jenny and the Committee have put a great deal of
time and effort into creating a lecture on SunSmart, aimed at educating teachers, parents and students.
This lecture is available on CD for all members to use. Jenny has also sent the lecture to the Honorary
Secretary, Stephen Shumack, so that this valuable educational resource can be available for use by all
College members.
                                                                                 Annual Report 2004/05   10




The Queensland Faculty warmly congratulated John Coates on his appointment to the position of
Honorary Treasurer of the Australasian College of Dermatologists in May 2004.

Unfortunately, the Darwin registrar training position finished at the end of 2004. The Faculty thanks Dr
Bert Pruim for his efforts and commitment to registrar training during 2004.

On a positive note, the twelfth registrar training position for Queensland was replaced with Tony Egan’s
position in Drogheda, Ireland. The Queensland Faculty acknowledges and greatly appreciates Tony’s
organisation and supervision of this position. The South East Dermatology position has received further
funding for a twelve month period in 2005. I have been advised though that there will definitely be no
further funds available from the present funding source at any time beyond 2005. The Australian and
Queensland Executive and Queensland Members will approach both Federal and State Government
sources for funding after 2005.

The Faculty was able to secure, for twelve months only, a thirteenth Queensland registrar training post in
Gosport, UK. The position returns to the NSW Faculty in 2006.

The Australasian College of Dermatologists’ Biennial Spring Meeting is to be held in Cairns in September
2005. The meeting is being capably convened by Leith Banney and Neville Collins, together with
College’s CEO, Rodney Sheaves.

There are particular members of our Faculty who have contributed greatly to the 2004 year:

∑   John Auld – President
∑   Jim Muir – Censor, Faculty promotion work, media interviews, and organisation of clinical meetings
∑   Caroline Mercer – Chief Censor-elect
∑   Godfrey Wagner – Director of Training, registrar selection committee.

The contributions of the members of the registrar selection committee – John Auld, Ivan Robertson,
Lynda Spelman, Cathy Faulkner, Jim Muir, Brian De’Ambrosis, Judy Greaves (Medical Administration
representative) and Michael Hawkins (lay representative) – are also acknowledged.

The Faculty acknowledges the contribution of Mark Saywell in organising the Brisbane Hospitals
Dermatology Group’s Wednesday evening training sessions for the registrars, and also other Faculty
members who participate in these training evenings. We also thank those members involved in rural
visits: Jim Muir, Rob Miller, Troy Darben, Simon Yong-Gee and David Leslie. Thanks are also extended to
Lynda Spelman for organising an excellent Queensland Faculty dinner in 2004.

Michael Freeman is to be thanked for his remarkable work as Secretary/Treasurer. Faculty members
understand the large volume of work that Michael handles in this position and we greatly appreciate his
efforts.

I would also like to thank all members who have been involved with any College activity over the last
twelve months. We are only a small Faculty and it is important that all members become actively involved
in continuing the advancement of Faculty initiatives.

Finally, I congratulate Peter Sinclair on being elected to the position of Chairman for 2005, and wish him
all the very best for his term.
11      Australasian College of Dermatologists




New South Wales

Chair                                                   Dr Pamela Brown
Honorary Secretary                                      Dr Phillip Dwyer
Honorary Treasurer                                      Dr Andrea Jopp-McKay

New South Wales hosted the Annual Scientific Meeting in May 2004 at Darling Harbour. Dr John Sullivan
convened the meeting. Professor Hywel Williams, Professor of Dermato-Epidemiology at the University
of Nottingham, made evidence-based medicine pertinent and understandable. Dr Frank Powell from
University College, Dublin, Ireland, presented insights into mechanisms and management of some of the
medical dermatological problems. Professor Alan Menter, Dr Colin Morton and Professor Olle Larko were
sponsored speakers who shared their expertise with us.

We welcome Kate Dunlop, Adrian Lim, Li-Chuen Wong and Martin Wade as Fellows, and wish them well in
their future endeavours. Our congratulations to Li-Chuen Wong, who was awarded the President’s Medal
for Clinical Pharmacology, and Hannah Kuchel, who was awarded the Novartis Travelling Scholarship.

We have been saddened by the death of two of our Fellows, Dr Emery Kocsard, a foundation Fellow of
College, and Dr Jean Lark and extend our sympathies to their families.

2005 has seen the first shared registrar position established at Liverpool. Ritu Gupta and Alexandra
Varol are job sharing. We were pleased to obtain continued funding by the Commonwealth to support
the registrar going to Griffith two days per week, particularly as we had lost funding for one registrar
position due to financial travails of SCFA. We hope that this position will be re-established in 2006. NSW
manpower needs are not being met by the current numbers of training positions, and we need to create
more to cope with the projected demand.

As part of the push by College to make our College more recognisable to the public and our medical
colleagues, we plan to participate in the Careers Day of the Australian Medical Students’ Association, and
will also be a part of the Cancer Council’s SunSmart program later this year.

Federally we have participated in discussions regarding the necessity for and the structure of the
five-year training program, proposed changes to College governance, and the preparations for AMC
accreditation.

There have been no changes to the NSW Executive or Councillors for 2005.
                                                                                  Annual Report 2004/05        12




Victoria

Chairman                                                 Dr Robert I. Kelly
Honorary Secretary                                       Dr Adrian Mar
Honorary Treasurer                                       Dr Mei Mui Tam

The Government has given a commitment to the continuation of MSOAP funding, which has enabled
the Faculty to maintain rural services to Leongatha and Burnie in Tasmania. All other rural services are
running well, thanks to the efforts of Mei Tam, who has taken on the role as the overall coordinator of the
country rotations. Richard Denisenko has retired recently and the Faculty is currently exploring options
of maintaining dermatological services to the Albury/Wodonga and Wangarrata areas.

Robin Marks has retired as Professor of Dermatology at St Vincent’s Hospital. Robin’s achievements
are enormous. He has created a very active, dynamic and productive department and has finished his
term with the department in a strong position. He plans to remain very active within dermatology which,
amongst many other things, includes his continuing work as the President of the International League of
Dermatological Societies. Rod Sinclair has been appointed as the new Professor. Rod has enormous
energy and enthusiasm and the department will, no doubt, prosper under his leadership.

Adriene Lee, Alex Chamberlain and Antoinette Ciconte deserve our
congratulations on passing their Fellowship examinations. Adriene Lee
was awarded the Australasian College of Dermatologists’ Travelling
Fellowship for her performance in the examinations.

The Faculty has a new registrar position based at Box Hill, thanks to the
efforts of John Su. This registrar will also work with Rosemary Nixon at the
Occupational Dermatology Research and Education Centre.                                     Robert Kelly, Chairman


The Faculty is continuing to have discussions with Medical Defence
Association of Victoria, to ensure that they are aware of issues that
confront our craft group. These discussions have proved to be useful and
have provided an avenue for ongoing dialogue to continually review our
medical defence cover.

Adrian Mar has announced that he is retiring as the Faculty Honorary
Secretary and will be passing on the job to Matheen Mohamed. Adrian
has done a remarkable job over the past four years. He has worked                   Adrian Mar, Honorary Secretary

tirelessly and has devoted countless hours to the task. The quality of his
work is of the highest standard.

Martin Haskett has been continuing to work hard as the Director Of
Training. This has been a busy job and we have all greatly benefited
from his efforts. Mei Tam is continuing to do a great job as Honorary
Treasurer. We are fortunate that Con Meehan has agreed to take up the
Chairmanship for the next two years.
                                                                                   Mei Mui Tam, Honorary Treasurer
13    Australasian College of Dermatologists




South Australia

Chairman                                                Dr Dudley Hill
Honorary Secretary                                      Dr Jeffrey Wayte
Honorary Treasurer                                      Dr Anne Lewis

2004 was a year of consolidation for the SA Faculty. We were pleased to welcome three new Fellows –
Leah Wilson, Stuart Murray and Shireen Sidhu – and look forward to the return in 2005 of Adam Sheridan,
after he has completed his training in Mohs’ surgery in Perth.

The Faculty has now established a regular rotation of clinical meetings at the three major teaching
hospitals: three are held at Royal Adelaide Hospital; and one each at Flinders Medical Centre and Queen
Elizabeth Hospital. In addition, we have established an annual Therapeutic Update Session at Flinders.
Guest speakers at our meetings in 2004 included a psychiatrist, Randall Long, mycologist, David Ellis
and Immunologist, David Gillis, and we enjoyed a visit from our President, John Auld.

A special meeting was held in August to consider the proposed governance changes for College, a
summary of which was sent to Anne Howard and her Committee.

Adelaide hosted the annual Australian Dermatopathology Meeting in August 2004, convened by Cathy
Reid and Craig James. Several local dermatologists provided a clinical flavour to what was a very
successful conference.

Jeff Wayte and Lachlan Warren have been given the task as co-convenors of the College ASM to be held
in Adelaide in 2007. They have already begun planning for what I am sure will be another successful
Adelaide meeting.

Planning is also underway for a Biennial Surgical Meeting, to be held in Adelaide from 29 September to
1 October 2006. This meeting will be aimed at updating surgical, laser and cosmetic surgery knowledge
and treatment for dermatologists, and we are fortunate to have Hugh Greenway from the Scripps Clinic
in San Diego as our guest speaker.

Jeff Wayte retires after three years as our Faculty Secretary
and Councillor. My grateful thanks to him for his contribution
and work during that time. His place will be taken by Cathy
Reid. My term as Faculty Chairman also has come to an end,
and we welcome Marshall Hanna to that role for the next two
years.




                                                                     L-R Anne Lewis, Honorary Secretary, Dudley Hill,
                                                                        Chairman, Jeff Wayte, Honorary Treasurer
                                                                                         Annual Report 2004/05            14




Western Australia

Chair                                                     Dr Judith Cole
Honorary Secretary                                        Dr Alan Donnelly
Honorary Treasurer                                        Dr Ernest Tan

With the re-election of the Gallop Labor Government in Western Australia earlier this month, comes
the promise of increased spending on health, with an additional $30 million dedicated to cancer care.
The aim is to improve cancer coordination and standards of care for cancer patients, with a particular
focus on improving cancer expertise and care to rural communities. Of interest to dermatologists, $1.2
million has been allocated to expand the State-wide Skin Cancer Prevention Program run by the Cancer
Council (WA). It is important that our Faculty works closely with the Cancer Council (WA) to ensure that
dermatologists are promoted as the experts in all aspects of skin cancer prevention and treatment.

There is still uncertainty as to the fate of our major teaching hospitals, with continued talks of
amalgamation, closure, and relocation. This has had an adverse effect on staff morale within the public
hospital sector. It is hoped that with the recent appointment of a new Director General of Health, a
sensible plan for the future will be forthcoming.

As a Faculty, the last twelve months has been a very busy period. The College Fellowship exams were
held at Sir Charles Gairdner Hospital in early August 2004. Just prior to the exams, our training programs
were inspected by the Board of Censors and received accreditation for a further four years. Dr Ernest
Tan and his committee have worked very hard over the past couple of years to prepare an excellent
scientific and social program for the ASM 2005 to be held in Perth this May. We are looking forward to
entertaining our interstate colleagues and international visitors.

Funding for the Medical Specialist Outreach Assistance Program (MSOAP) has been confirmed, and this
will allow us to continue to provide dermatology services in a number of rural areas which were previously
unserviced. Most dermatologists who visit country regions are now taking dermatology registrars with
them as part of the RASTS initiative. Our registrars find this a very valuable experience – not only is the
case mix often very different to that in a teaching hospital outpatient clinic, but the visits also give them
some valuable insight into private practice and life as a consultant dermatologist.

Changes in our Faculty include the recent retirement of
Dr Bruce Connor. Bruce has been the only dermatologist
providing superficial radiotherapy for our patients over recent
years and his expertise in this area will be greatly missed.
We wish Bruce well in his retirement and thank him for his
many years of excellent service to the field of dermatology
in Western Australia. At the same time, it is with pleasure
that we welcome Dr Jamie von Nida, the 2004 winner of the
Founders’ Medal for Procedural Dermatology, to our Faculty.


                                                                     L-R Ernest Tan, Honorary Treasurer, Judith Cole, Chair,
                                                                              Alan Donnelly, Honorary Secretary.
15    Australasian College of Dermatologists




The New Zealand Dermatological Society

Executive
President                                               Nicholas Birchall
President Elect                                         Kevin McKerrow
Secretary                                               Louise Reiche
Treasurer                                               Elizabeth Baird
Immediate Past President                                Ken McDonald
                                                        Paul Salmon
                                                        Amanda Oakley

Specialist Advisory Committee
Chairperson                                             Fergus Oliver
                                                        Paul Salmon
                                                        Marius Rademaker

The New Zealand Dermatology Society is small, with approximately 45 active members. While remaining
small has certain intrinsic benefits, there is an increasing potential for us to become marginalised and
dictated to as the external political forces for change in the medical profession gather momentum.
These changes, which are occurring internationally as well as locally, may be perceived as having no
intrinsic merit. However, unless we adapt, they have the potential to create long-term detrimental effects
on our ability to provide high quality specialist dermatology service.

The Executive are committed to determine the best path on which to align ourselves with the body that
the Society at large regards as the most appropriate to enable us to best represent our short and long-
term goals and, in particular, to best serve our patients. The growing relationship with the Australasian
College of Dermatologists is very important to us in this regard.

We have significant challenges ahead of us. Manpower issues are paramount and similar to those
experienced by many other medical specialities, with inadequate numbers of trainee positions available
and currently a low level of New Zealand trainees returning to work in New Zealand. Training requirements
are currently in the stage of being redrafted and are very generally similar to those in Australia. The
potential for some registrar training to be performed in a private practice setting is being explored. The
establishment of formalised overseas training positions still needs to be established.

Our use of the broad range of pharmaceuticals has been narrowed considerably since the introduction
of Pharmac, the New Zealand drug buying agency. Whilst they have obtained some rationalisation in the
industry, we have moved from one of the first countries to adopt new medications, to one where we often
go without. This situation is pertinent to many of the new dermatological drugs becoming available, for
instance topical tacrolimus and especially the biologics, to which it seems we may never have access
to due to their costs.

We have had to define our Scope of Practice for the New Zealand Medical Council. This was drafted
                                                                                  Annual Report 2004/05   16




carefully and provided a very comprehensive definition of dermatology practice. Our scopes, however,
have been challenged, in particular by the cosmetic plastic surgeons. We propose to stand firm and
defend our position, appreciating that dermatology surgical and cosmetic skills have broadened
significantly over the last ten to twenty years. The challenge remains to grow our speciality. We need
to lift the profile of dermatologists and the field of dermatology in general. This needs to be not only in
collaboration with our colleagues but, more importantly, by direct education of the public of our value.
These initiatives are currently underway.

I am sure many of the challenges we face are similar to those of the ACD. Thus, I believe it imperative
that we maintain a close dialogue on all of these issues in order to better enhance the development of
dermatology in this part of the world.

We look forward to seeing many of you at our next conference to be held at Waiheke Island, Auckland, in
February 2006. The theme of this conference will be on the interface of dermatology and other medical/
surgical specialities.
17      Australasian College of Dermatologists




Current Membership

Queensland                                               60
New South Wales                                         158
Victoria                                                 84
South Australia                                          31
Western Australia                                        30
New Zealand                                              10
                                                                 College Awards
Total                                                   373
                                                                 Silver Medal
Associate Members                                       29       Dr Maureen Rogers
Corresponding Members                                    17

                                                                 Awards from 2004 Examinations
New Fellows 2004/05
                                                                 Australasian College of Dermatologists’
Dr Alexander John Chamberlain                                    Travelling Fellowship for 2004
Dr Antoinette Carla Ciconte                                      Dr Adriene Yoke Lian Lee
Dr Catherine Jean Drummond
Dr Amanda Mary Godbolt                                           Founders’ Medal for Procedural Dermatology
                                                                 for 2004
Dr Adriene Yoke Lian Lee
                                                                 Dr Jamie Andrew von Nida
Dr Adrian Lim
Dr Stuart Conrad Murray                                          President’s Medal for Clinical Pharmacology
Dr Shireen Kaur Sidhu                                            for 2004
                                                                 Dr Li-Chuen Francesca Wong
Dr Jamie Andrew von Nida
Dr Martin Sutherland Wade
Dr Leah Monique Wilson
Dr Li-Chuen Francesca Wong

                                                              In Memoriam

                                                              Dr Robert Clarke-Jones – 30 November 2004
                                                              Dr Jean Lark – 17 January 2005
                                                              Dr Emery Kocsard – 19 February 2005




Newly inducted Fellows with Dr Stephen Lee,
the then Honorary Secretary, Dr John Auld, President,
and Dr Warren Weightman, Chief Censor
                                                                                  Annual Report 2004/05   18




The Chief Executive Officer’s Report




The major developments in 2004/05, reported elsewhere by the President and Honorary Secretary, have
had their administrative and logistical impact on the College office. Staff have been involved in supporting
the task forces on governance and GP education, as well as the development and implementation of
the five-year training program. We have also been actively involved in the implementation of the public
affairs strategy, working closely with College’s PR consultant.

If changes to College governance are approved by the membership, it will be possible to implement
the strategic plan adopted for College some three years ago. An annual business plan was prepared
to prioritise College objectives for the twelve months and to allocate resources accordingly. This is
in accordance with good corporate governance. However, it has not been possible to implement the
business plan, pending the review of governance.

Another issue which has taken up considerable time of College in the past, but which is negatively
impacting on effective management, is the College premises. College has outgrown the existing
building. There is insufficient space for staff and storage of material. Thanks to government grants,
we have been able to increase the College staff at little or no cost to members, in order to meet the
increased demands for service, resulting from a more activist approach to issues by the Council. The
best professional advice to College confirms that the premises is a poor investment and that College
could do better with its funds, as well as providing a more appropriate work environment and resources
for its staff.

It is timely, both physically and metaphorically, to get our house in order. The AMC review of the College’s
training programs is only two years away and the initial phases of the review will, in fact, commence
in August 2005. At the same time, the Australian Competition and Consumer Commission (ACCC) is
enquiring into the College’s processes, in order to determine whether, in terms of the Trade Practices
Act, College’s monopoly on dermatological training is in the public interest. Our processes are under
intense scrutiny, to ensure that they are equitable and transparent. Preparation for such reviews as the
ACCC take time.
19   Australasian College of Dermatologists




On another level, our relations with the Federal Government are better than ever: in the year 2004/05,
we have received three substantial grants from the Department of Health and Ageing. One was for
the Northern Territory Healthy Skin Project; another for further extension in 2005 of funding for the two
private practice training positions in Queensland and New South Wales; and a grant under the Support
Scheme for Rural Specialists to provide access to clinical meetings for rural-based Fellows. The
Department is also offering funding to support the development of a skin cancer training module for
overseas trained dermatologists who otherwise meet the assessment requirements of the College and
who are being considered for Area of Need positions.

The presence of Tony Abbott MP, as the guest of honour who opened our Annual Scientific Meeting in
Sydney in 2004, attests to the higher profile we now have in Canberra. We have been able to develop
a good relationship with middle and upper level management in the Department of Health, which has
facilitated positive responses to our requests for funding.

I am pleased to report that the Annual Scientific Meeting held in Sydney was a great success. It
attracted a record number of exhibitors and sponsors, with an outstanding financial result. This, of
course, enables College to subsidise the cost of these meetings to delegates and to support its other
community education activities.

Council has decided that College should hold a Biennial Surgical Meeting, to alternate with the Biennial
Spring Conference. This means that from 2005 there will be two scientific meetings a year, plus the
Biennial Training Conference in alternate years. This will undoubtedly put considerable pressure on
College resources in terms of organising and managing two meetings per year. Nevertheless, recent
Spring Conferences have shown that this concept is popular with members and I have no doubt that
the Cairns meeting, being organised by Leith Banney and Neville Collins in September 2005, will be as
successful as Ayers Rock was in 2003. It is clear that members appreciate a smaller, more informal and
family-friendly meeting held in the spring school holidays at a desirable location, as a counterpart to the
more formal and intense May conference. The first Biennial Surgical Meeting will be held in Adelaide
in September 2006.

Consistent with a higher profile to the Government, we have implemented a public relations strategy to
promote dermatologists to the wider community. College staff have been working closely with our PR
consultants to implement the strategy.

The College’s financial position continues to be extremely healthy. Our resources have grown
considerably as a result of successful scientific meetings, careful investment of surplus funds and
prudent management of expenditure.

The College management team are well known to most members. We are here to serve you and look
forward to being of assistance.




Rodney Sheaves
                                                                                 Annual Report 2004/05   20




The Board of Censors Reports

Chief Censor                                              Dr Warren Weightman
Censors                                                   Dr Gillian Marshman
                                                          Dr Chris Baker
                                                          Dr Shawn Richards
                                                          Dr Judy Cole
                                                          Dr Gayle Fischer
                                                          Dr James Muir


The main roles of the Board of Censors are to develop
a contemporary curriculum with ongoing review and
evaluation, to oversee the trainee appraisal process
which includes formative and summative assessments,
to be responsible for the summative assessment
in the form of the Clinical Sciences and Fellowship
examinations, and to periodically carry out inspections
of the training programs in each State to determine if
they meet the requirements of the curriculum.

1. Examinations
   The new Clinical Sciences and Pharmacology examinations were sat for the first time in 2004, with
   all three candidates passing the Clinical Sciences and all seven passing the Pharmacology exam.
   Trainees who started in the new five-year training program in 2003, who were unable to sit the
   Pharmacology exam in their first year, and trainees who started before 2003 who have taken one
   or more years off, have been allowed to sit the Pharmacology exam this year before they sit their
   Fellowship exam next year.

   The Fellowship examination consists of written papers in dermatological medicine and multiple choice
   question papers in dermatological medicine, procedural dermatology and clinical pharmacology.
   The clinical examinations are in procedural dermatology, dermatopathology, laboratory dermatology
   and clinical dermatology. The Board will continue the same format for the Fellowship exams, with
   the exception of not using microscopes for the Laboratory Dermatology part of the OSCE. They
   will be replaced with photographs. For the last few years there have been technical difficulties with
   the microscopes and problems with the slides clearing, as they needed to be prepared a few days
   before. All twelve candidates passed the written papers and twelve out of fourteen candidates
   passed the OSCE/Vivas, giving an overall pass rate of 86%.

   At the completion of the examination, the Chief Censor prepares detailed reports from submissions
   from all examiners. A general examination report is prepared and sent to trainees, Supervisors of
   Training, Directors of Training and Head of Departments. Detailed reports are prepared on failed
   trainees, which can be used in discussion with their local Censor and Director of Training. A report on
   the Examination Process has been prepared, which commented on the strengths and weaknesses
   of the OSCE stations and Vivas. This will be used to improve the clinical exams for 2005.
21     Australasian College of Dermatologists




     The Board is assessing the examinations to show they are valid and reliable. This is a requirement
     of the AMC accreditation process. It has continued to refine its examinations with the aim of making
     them more clinically orientated. This will demonstrate that we have face validity or that the exams
     test more closely what occurs in clinical practice. Blueprints, which record what topics are covered
     in each aspect of the exam, were started in 2004 and will demonstrate that the exams have content
     validity. Blueprints will direct what topics are chosen for each exam and that topics are not missed
     from one exam or from one year to another. Statistical analyses have been done for the Fellowship
     Vivas and OSCE for 2002, 2003 and 2004 to assess the reliability of these exams. This has shown
     that overall there is good reliability, although further sub-analysis on various components needs to
     be done.

     In 2004, the Board trialled the Ebel method to determine a fair pass mark for the Dermatology
     Medicine MCQ one best answer paper. This method assesses the difficulty and relevance of each
     question, combined with assessment of pass rates for borderline candidates. It has been showed to
     be a valid and reliable way of setting pass marks. For this paper, the old pass mark was very close
     to the mark determined by the Ebel method. It will be trialled again this year for the Dermatology
     Medicine MCQ and Procedural Dermatology one best answer exams. If it proves to be fair and
     reliable, it may be adopted as the primary method for setting pass marks for these exams.

     The Board of Censors ensure that the exams are fair and meet in February each year for an intensive
     two-day meeting, where drafts of potential questions for the forthcoming examination are discussed
     in detail, with unsatisfactory or ambiguous questions rewritten or deleted. A similar one-day meeting
     is held before the OSCE. The Board reviews the comments from the exit surveys which lead to further
     refinements in the written exams each year. It believes that its ongoing review and analysis of the
     examinations has led to examinations that are relevant, comprehensive and fair.

2. Training Program
     From 2003, the training program was increased to five years and the Basic Sciences examination
     was abolished. The Basic Sciences examination will remain permanently valid and holders will not
     be required to sit the Clinical Sciences paper in their first two years. The first two years are ‘basic
     training’ and the trainees must pass the Clinical Sciences and Pharmacology examinations within this
     time. Basic trainees who fail to pass these examinations, and/or have unsatisfactory trainee appraisal
     reports, will not be eligible to continue in the training program.

     Years 3 and 4 are ‘advanced training’ and, upon satisfactory completion of the requirements of the
     curriculum, they will be able to sit the Fellowship examination in their fourth year. If the examination
     is passed in the fourth year, then the fifth year will be a senior registrar year, with the ability to arrange
     specialised programs, pursue a special interest, either in Australia or overseas, work in private
     practice or to do research. If the examination is failed in the fourth year, then they will be able to do
     another year of hospital training and sit the examination in their fifth year.

     Further options and criteria for the fifth year are currently being prepared and will be presented to
     the Third Council Meeting 2004/05, to be held in May 2005. A task force has been established to
     identify positions in both private and hospital practice in each State, that trainees can choose from
     to create a fifth year. These positions will be a combination of work in private practice, public and
     private hospitals, and Skin and Cancer Foundations. It will allow trainees to gain valuable experience
     in private practice and pursue a special interest to enhance their training.
                                                                              Annual Report 2004/05   22




3. Accreditation
  The College’s training program will be accredited by the Australian Medical Council (AMC) in August
  2007, although the process will start in August 2005. The Board, in conjunction with our Education
  Officer, Claudia Casson, is making the required changes to our training program. In 2004, the focus
  was on assessment, both summative and formative, new methods for demonstrating the reliability
  and validity of the examinations, and a comprehensive review of the trainee appraisal process,
  leading to a new model being trialled in 2005. There was increasing trainee input in decision-making,
  with a trainee survey and a trainee representative committee formed. The position of Supervisor
  of Training was created, position descriptions developed for all roles in the training program, and
  support for the Supervisors of Training with the development of a comprehensive information manual
  and introduction of a one-day training workshop on essential teaching skills.

  The focus for 2005 is reviewing the goals and objectives of the training program and the curriculum,
  which will need to become more educationally-based. There will need to be more emphasis on the
  training and assessment of generic skills. A task force has been formed to review these issues.
  There will need to be workshops and widespread stakeholder consultation to develop these changes
  to the training program.

4. Feedback
  The Board is endeavouring to increase communication and feedback to trainees which previously
  was done through the Directors of Training. Last year a trainee survey was sent out to all current
  trainees and to those new Fellows who graduated in the last two-four years. The recommendations
  are being finalised and will be available shortly.

  In November, the Council approved a trainee representative group which is in the process of being
  formed. One representative will be able to attend the relevant parts of the Council and Board
  meetings and the group can give feedback to the Board of Censors at other times regarding issues
  that concern them. Trainees are sent the General Examination Report and have been provided with
  two sample essay questions to better understand what is required in the exam.

  Orientation manuals have been prepared for the Supervisors of Training, Directors of Training, and
  the Board of Censors. In the Supervisors of Training manual, updated descriptions for Supervisors
  of Training, Directors of Training, and the Heads of Departments have been prepared.

5. Trainee appraisal Process
  A process was started last year to review the trainee appraisal process and it has now been divided
  into formative and summative assessments which will be trialled this year. Previously these were
  combined, which led to problems with effective and worthwhile formative assessments. The aim of
  formative assessment is to enable trainees to become aware of their strengths and weaknesses,
  identify their learning needs, and with the assistance of their Supervisors, to take steps to address
  those needs. Confidential and non-threatening feedback is a crucial element of formative
  assessment.

  Supervisors of Training have now been appointed at each of the hospitals and training institutions
  and will provide on-the-job teaching and feedback to the trainees. These Supervisors of Training will
  need to undergo training. Workshops were held last May before the Annual Scientific Meeting and
  will be held yearly in the future.
23     Australasian College of Dermatologists




6. Accreditation of State Training Programs
     A health representative accompanied the inspection team that accredited the Western Australian
     training schemes in August last year. This will satisfy concerns from both the AMC and ACCC. Both
     the inspection team and the health representative felt that his involvement was beneficial, and
     several of the suggestions in his report were adopted for future accreditations.

7. National Trainee Selection Process
     National Trainee Selection guidelines were agreed to by all States. Application is online to the
     College for all candidates. The local State Faculties conduct the selection of candidates for the
     interview and provide detailed minutes of these meetings to College. The selection and interview
     committees consist of the State Faculty Chair, Heads of Departments, Director of Training, an
     independent representative from another medical specialty or training institution, a layperson and a
     representative of the local health jurisdiction.

     A human resources consultant was employed by the Victorian Faculty last year to contact referees
     and ask competency-based questions in the interview, with good results. It is planned to use a
     human resources consultant for all States’ trainee selection in 2005.

Summary
The Board of Censors continues to review all aspects of the training program and make the necessary
changes that will not only satisfy the AMC accreditation, but will improve the quality and standard of our
training and make it fair and educationally sound.

My term as Chief Censor is coming to a close in May this year and I would like to thank all those who
have helped and supported me during the last three years. In particular, I would like to thank all the
Censors who I have worked with. They have put in a tremendous amount of unpaid time and should
be applauded for their effort. Claudia Casson, College’s Education Officer, has been invaluable in her
advice and work in changing our training program.

Caroline Mercer succeeds me as Chief Censor and I am sure will continue the important work of the
Board. I have been honoured to be able to serve as Chief Censor and am confident that the changes
under my stewardship have led to a better training program.




Warren Weightman
                                                                                   Annual Report 2004/05   24




Report of the Australasian Journal of Dermatology




Editor                                                    Dr Delwyn Dyall-Smith
Assistant Editors                                         Dr Annette Callan
                                                          Dr Peter Foley
Board Members                                             Dr Hock Chua
                                                          Dr John Coates
                                                          Dr Diona Damian
                                                          Dr Steven Kossard
                                                          Dr Marius Rademaker
                                                          Dr Harvey Rotstein
                                                          Dr Priya Selva-Nayagam
                                                          Dr Lynda Spelman

The Australasian Journal of Dermatology is the official journal of the Australasian College of Dermatologists
and the New Zealand Dermatology Society and provides a forum for members of the Australasian
Dermatopathology Society to publish. It is in its 55th year of continuous publication.

This year we plan to change from hard copy submission of manuscripts to web-based electronic
submission and reviewing. The system is called Manuscript Central and is being created for the Journal
to our specifications. It is anticipated this will be ready to trial from 1 June 2005 and to change over to
this system on 1 July 2005. This will reduce the risks associated with the postal system for authors and
reviewers within Australia and overseas. Authors will find it harder to overlook essential requirements for
submission and will receive an automatic acknowledgment of receipt when correctly submitted. As this
is a web-based system, we anticipate figures will be of high standard. Problems with reading handwritten
25    Australasian College of Dermatologists




reviewer comments will be eliminated. We will be contacting our reviewers to invite them to continue on
the panel if they have Internet access. As Manuscript Central will be user-friendly and will simplify the
process of submitting reviewer reports, it is hoped that more Fellows will volunteer their services for the
extremely rewarding, CPDP-point generating and, now, greatly simplified job of reviewing manuscripts
for the Journal. Overall, the system should be faster and more efficient for authors and reviewers. It is
hoped that a working model will be available at the Annual Scientific Meeting to demonstrate the new
system to authors and reviewers.

We welcome Dr John Coates onto the Editorial Board as the College Treasurer, and thank Dr Stephen
Shumack for his years of service to the Board.

The number of manuscripts submitted in 2004 has continued to fall overall, with only 84 received, but
with an increased number (58) from Australia. Three were from New Zealand. Europe (including the UK,
Ireland and Turkey) continues to provide a steady stream of manuscripts (14). Seven originated from
Asia and India. The reduced number of submissions resulted in a page shortfall for the year of 70 pages
(volume 45 - 250 pages). The page extent has been maintained however at 320 pages for volume 46.

We were pleased to publish the Abstracts from scientific meetings held by College, the Australasian
Dermatopathology Society and the newly formed multidisciplinary Australian and New Zealand
Vulvovaginal Society. In 2005, there was also a supplement resulting from the sessions on photodynamic
therapy held at the 2004 Sydney College Annual Scientific Meeting. This was sponsored by Galderma. It
is important for Fellows to be kept up to date with new techniques in dermatology and this supplement
provides a hard copy of the presentations.

The Journal had an excellent year financially, mainly from increased advertising revenue as well as
maintaining paper and Synergy subscriptions. The advertising and marketing divisions of Blackwell
Publishing Asia work hard to achieve these targets.

The Editor acknowledges with thanks the support of the College Executive and Council and the
contributions of Board members, reviewers and authors.
SKIN AND CANCER FOUNDATION QUEENSLAND
     SKIN AND CANCER FOUNDATION AUSTRALIA

 Skin and Cancer Foundation Queensland                    X
 Skin and Cancer Foundation Australia (New South Wales)   X
 Skin and Cancer Foundation Victoria
                                                              Annual Report 2004/05
                                                              26
27    Australasian College of Dermatologists




Queensland Skin and Cancer Foundation

Over the last year, the Queensland Skin and Cancer Foundation (QSCF) has continued its core activity
of providing dermatological services to veterans at the Greenslopes Private Hospital (GPH), under an
arrangement with the Federal Government.

The Foundation continues to work closely and actively with the University of Queensland (UQ) to raise
sufficient funds to establish a Professorial Chair in Dermatology in Queensland. This position will be an
appointment of UQ based on the campus of Princess Alexandra Hospital (PAH) but also, it is anticipated,
at GPH in association with the QSCF. The Foundation has committed a large sum of money towards
supporting this proposal for a minimum period of five years, as has UQ. A search committee to identify
possible candidates for the position of Professor of Dermatology has been formed. It is planned to
seek out an appropriately qualified dermatologist, whose main interests are in clinical-based research,
particularly in skin cancer, and teaching. The establishment of the Chair is part of a wider plan to
establish a centre of excellence in dermatology in Queensland, provisionally named the Queensland
Institute of Dermatology (QID). This institute will encompass the Department of Dermatology at PAH, the
QSCF and the professorial unit with the eventual plan of co-locating the three entities in the one location
on the campus of PAH. The three entities will operate separately but their co-location will enable a great
interaction of patients which will have a number of benefits including:

∑ An increase in services for both public and private patients through the QSCF, particularly in the areas of
  advanced dermatological surgery and laser surgery, but also in sub-specialty areas of dermatology;
∑ The establishment of a large pool of patients who will be available for clinical trials through the
  professorial unit and the QSCF;
∑ An opportunity for the Foundation to greatly expand its development of subspecialty clinics in all
  aspects of dermatology and in advanced dermatological surgery and laser surgery; and
∑ An increase in registrar training positions in dermatology as part of the training program of the
  Australasian College of Dermatologists.

The establishment of the Chair of Dermatology in Queensland in 2005/06 is anticipated, whilst the
establishment of the QID, which will require the support and funding from the State Government, is less
certain, although negotiations are continuing to try and progress the matter. The Foundation remains
hopeful that this will eventuate in the next year, which would be a tremendous boost to dermatology in
Queensland.

I would like to acknowledge in this report the tremendous amount of work done by our secretary, Dr
Lynda Spelman, who has been active in the Foundation since its inception in 1995. Others who have
been involved in recent negotiations for the Foundation include Dr Robert Sinclair, Dr Greg Siller, and Dr
Brian De’Ambrosis.

The establishment of a Professorial Chair in Dermatology in Queensland has been a long-held dream
of Clinical Professor Graeme Beardmore, who first floated this idea at least 20 years ago. Considering
Queensland has the highest incidence of skin cancer of anywhere in the world, it would seem long
overdue to establish a Chair of Dermatology in Queensland, and the Queensland Skin and Cancer
Foundation is extremely pleased to be able to be actively involved in this initiative.
                                                                                   Annual Report 2004/05   28




Skin and Cancer Foundation Australia (New South Wales)




The Skin and Cancer Foundation Australia has had a turbulent year, with the resignation of a number
of key staff members, including Sue Purves, CFO, followed by Dr Margaret Stewart in July 2004. This
is, of itself, de-stabilising, but when combined with the recognition by the Board that there were urgent
financial issues that needed to be addressed to ensure continued functioning of the institution, this
created significant instability and stress. These pressures have resulted in the curtailment of some of
the Foundation’s benevolent activities in the area of research support, and the loss of funding for one
registrar position. We hope that these are short-term measures only, as under the guidance of the Board
of Directors, the efforts of Mr Rob Wilson our new CFO, with the good will and continuing hard work of
the dermatologists and nursing staff at the Foundation, we are making progress in addressing these
problems.

We were delighted when Her Excellency Professor Marie Bashir AC, Governor of New South Wales
agreed to be the Patron of the Skin and Cancer Foundation.

Notwithstanding our inability to support as many projects this year as we have in the past, we do continue
to support and be involved in the Scabies Eradication Project on Groote Eylandt. This project has been
co-ordinated by Dr Nellie Jang. Dr Sally de Zwaan continues with her PhD project and is hopeful of
completing it by the end of the year. The Foundation still supports four of the twenty registrar positions in
NSW and we have obtained a further twelve months funding to support a registrar position where training
occurs in the context of private practice. This registrar spends two days a week with Dr Irene Grigoris
in Griffith, in addition to working at the Foundation. At both Westmead and Darlinghurst facilities, there
is a continued close association with Westmead Hospital and St Vincent’s Hospital.

The Foundation’s clinical and dermatopathological activities continue to grow. We continue to provide
general dermatology clinics, Mohs’ surgery, non-Mohs’ surgery, laser surgery, patch testing and other
specialised assessment of contact dermatitis, phototherapy, oral medicine and psychodermatology.
In 2004, Karyn Lun completed her Mohs’ Fellowship at Westmead. Mohs’ surgery is offered at both
Westmead and Darlinghurst. Dr Kerry Crotty, who has both dermatological and pathology specialist
qualifications, has joined A/Professor Steve Kossard’s team at the Foundation. Martin Wade passed his
final exams and is welcomed as a Fellow of College.
29    Australasian College of Dermatologists




Executive
Chairman                                                Mr Roger Gibson
Dermatologist                                           Dr Joseph Krivanek
Company Director                                        Mr David Paddon
Dermatologist
representing Australasian College of Dermatologists     Dr Robert Rosen
Dermatologist                                           Dr David Wong
Dermatologist                                           Dr Ian Hamann
Dermatologist                                           Dr John Doyle
Dermatologist                                           Dr Stephen Shumack


Senior Managementr Pam Brown                            Honorary Medical Director, Westmead
Dr Robert Paver                                         Honorary Medical Director, Westmead
Dr Pam Brown                                            Honorary Medical Director, Westmead
A/Prof Steven Kossard                                   Director of Dermatopaathology
Mr Rob Wilson                                           Chief Financial Officer, Company Secretary
Ms Geri McLaren                                         Director of Nursing, Darlinghurst
Ms Suellen Fulton                                       Director of Nursing Westmead


Consultants
There are 39 consultants who work at one or both of the facilities.

All of the above, including the administrative and nursing staff who contribute to the workings of the
Foundation, contribute to achieving the Foundation’s goals of achieving excellence in teaching, training,
education, research and clinical practice.
                                                                                Annual Report 2004/05   30




Skin and Cancer Foundation Victoria

Committee of Management
President                                              Dr James Butler
                                                       Dr Christopher Baker
                                                       Dr Peter Foley
                                                       Dr Gregory Goodman
                                                       Mr Martin Goodrich
                                                       Dr Philip Lane
                                                       Dr Chris McCormack
                                                       Prof. Robin Marks
                                                       Mr David Payes
                                                       Dr Michael Rich
Business Manager                                       Mr Joe Mercuri

Now in its seventeenth year, the Skin and Cancer Foundation Inc (Victoria) has established a history of
strong growth and continued diversity.

The past year has seen the Foundation consolidate its position as Victoria’s leading provider of skin
cancer and other dermatological treatment services. We now provide a wide spectrum of services in
skin cancer treatment that encompasses diagnostic as well as surgical and therapeutic treatments.
Considerable advances in the new therapeutic modalities means that patients at the Foundation, while
having access to traditional dermatological surgery and plastic surgery procedures, may also be given
less invasive therapeutic treatments, including photodynamic therapy (PDT), radiotherapy and immune
stimulator creams.

An exciting development has been the introduction of a clinic for organ transplant patients, who have a
higher propensity to develop multiple skin cancers due to immuno-suppressed medications. This clinic
commenced under the auspices of Dr Alvin Chong in early 2004, and has the advantage of running in
tandem on Wednesday mornings with Professor Robin Marks’ Skin Cancer Assessment Clinic. At the
same time, we were pleased to realise the establishment of a male genital dermatology clinic, which
will be referred to as the “D.G. Clinic” so as not to appear to be a sexual health facility and to ensure
discretion and confidentiality. Dr Tony Hall oversees this clinic.

The Foundation has continued its considerable involvement in the training of dermatology trainees and
other medical practitioners. Victoria will have 16 dermatology trainees going into 2005, all of whom rely
in varying degrees on the Foundation for provision of clinics and other training infrastructure for the
completion of their course of training. We’ve also been delighted to host a number of visiting experts
who have presented at conferences and, as in the case of A/Professor Alexandra Geusau from the
Medical University of Vienna, have run clinics at the Foundation and shared their expertise.

In conjunction with Dr Douglas Gin and the Department of Dermatology at the Alfred Hospital, a combined
conference for general practitioners was held in March, which attracted a record number of attendees. A
31    Australasian College of Dermatologists




key supplement to this conference was the provision of a number of “hands on” procedures workshops,
coordinated by Dr Adrian Mar. The weekend’s success underpinned a significant and growing demand
from the medical community to tap into the high quality of skill training that can be accessed through
dermatologists.

In a matter not unrelated to this, the Foundation is observing, with some concern, the proliferation of
centres in Victoria and interstate which are providing skin treatment services with varying levels of
competence and appropriateness. The Foundation is exploring ways in which it can augment its own
training services and provide additional guidance to medical students and general practitioners as a way
of setting a “gold standard” of diagnosis and treatment of skin cancer and other skin conditions.

The Foundation continues to raise its profile and the community’s awareness of skin care issues through
a range of events such as the Friends of the Foundation breakfast. It was held this year at the Sofitel
Hotel, and was attended by almost 300 guests. We owe a debt of gratitude to our guest speaker and
Foundation patient, Mr John Bertrand, AO, who gave of his time so generously and who, with Dr Rosemary
Nixon, did such a commendable job in both entertaining our guests as well as espousing the important
work being carried out by our staff and member dermatologists.

We acknowledge two very important contributions to the Foundation as the year ends: Professor Robin
Marks will retire as Professor of Dermatology after 10 years of exemplary service; and, similarly, Peter
Garamszegi has left his position as CEO early in the new year after 12 years of service. These two
people have played critical roles in the development and advancement of the Foundation. Professor
Marks will remain heavily involved in the Foundation. We also congratulate Professor Rodney Sinclair
on his election to the role of Chair of Dermatology and look forward to his important contribution. The
Foundation welcomes Mr Joe Mercuri, who was appointed as Business Manager in February 2005.

Our members continue to give strong support in many different ways and we are delighted at the number
of new dermatology graduates who have taken up membership and added to the support base over
the past year. The Foundation continues to address the need for new accommodation as the range and
breadth of activities grows rapidly. These are indeed exciting times, and our plans for 2005 will be both
challenging and rewarding.

Finally, we have received significant support from patients, philanthropic trusts, corporate supporters
and the general community. I trust that this is in recognition of the important work carried out at the
Foundation, and on behalf of our member dermatologists and staff, pledge to continue our efforts in
promoting excellence in all aspects of our dermatological involvements.
FROM THE RESEARCH & SCIENTIFIC COMMITTEE
   AWARDS COMMITTEE          CONSTITUTION
        From the Research & Scientific Committee   X
             Awards Committee                      X
             Constitution Committee                X
             Ethics Committee                      X
                                                   Annual Report 2004/05
                                                   32
33     Australasian College of Dermatologists




From the Research and Scientific Committee

Convenor
Dr Alan Watson

Members
Dr Megan Andrews
Dr Judy Cole
Dr Peter Foley
Dr Todd Wiadrowski

This Committee provides advice to Council on matters that cover all aspects of dermatology. Requests
for comment and advice are from the media, general public, pharmaceutical companies, individual
members of College, other specialist medical bodies and government institutions. This may involve
assistance with position statements, advice regarding safety issues, usage and availability of certain
drugs, assistance with public education brochures and information on the College website.

Some issues considered in the past twelve months have included:

1. Media Issues
     There is a constant stream of requests for assistance from print media, radio and television, for
     comment on various issues or assistance in preparation of articles on skin conditions. Common
     requests handled by the Committee, most often by the Convenor, have included a number of aspects
     of acne causation, frequency and treatment, moisturisers, anti-ageing preparations and general skin
     care.

2. Isotretinoin
     As usual, this drug has occupied the attention of the Committee on a number of fronts. Firstly, from
     the pregnancy prevention point of view, the current guidelines are being reviewed by the RANZCOG
     and, as there has been a compulsory tightening of guidelines and restrictions in the US recently,
     further developments are likely here.

     Secondly, the issue of depression with isotretinoin was kept under regular review, and the issue was
     further brought to a head by a finding in the New South Wales Coroner’s Report on the death of a
     young girl from suicide after previously taking isotretinoin. The Committee advised Council on issues
     in the report that seem to be impracticable, but the assistance of the Royal Australian and New
     Zealand College of Psychiatrists will also have to be taken into account. At this stage, the position
     statement of 2003 put out by the College, is adequate.

     Thirdly, in response to a College member, the Committee looked at the frequency of lipid testing
     during a course of isotretinoin for acne. Product information, which was registered some twenty years
     ago, still suggests monthly lipid testing. It was felt that this was not necessary and that following initial
     follow-up lipid testing, testing thereafter should be as deemed appropriate for each individual.
                                                                                 Annual Report 2004/05   34




3. New Biologic Agents For Psoriasis
  With the registration of alefacept and efalizumab, the need to gain access to these expensive
  medications for severe psoriatics became necessary. The Committee therefore assisted in the
  production of guidelines for determining a patient population and response rate that would justify
  the use of these agents as a pharmaceutical benefit.

4. Cancer Council of Australia Position Statements on Vitamin D and Sun Protection
   Strategies
  There has been continued input throughout the year on the position that Cancer Council Australia
  and the College should adopt with regard to sun protection and the risk of vitamin D deficiency. This
  has led to a number of draft statements, including the most recent one, which acknowledges the
  possible risk to certain elements of the Australian population with regard to vitamin D deficiency, e.g.
  institutionalised elderly, babies of vitamin D deficient mothers, dark skinned people who cover their
  skin for religious or cultural reasons, particularly when people from these groups are living in the
  southern most parts of Australia.

  It is recommended that the overall message is still one of sun protection, minimisation of exposure
  and, where necessary, replacement with oral vitamin D supplements.

5. RANZCR Draft Paper on Record Storage for Previous Recipients of Radiotherapy
  Dr Peter Foley kindly provided useful input here. This may affect the requirements for storage by any
  dermatologist who previously administered radiotherapy, i.e. records of dosimetry, site, frequency and
  outcome of radiotherapy should be retained for up to 15 years.

6. Queensland SunSmart Campaign
  The Committee was given the opportunity to review an excellent PowerPoint presentation created by
  the Queensland Faculty for College members’ use in talks to schools for either teachers or parent
  bodies. Although this was designed for use in Queensland, it was felt that relatively little modification
  would be required for use in other States.

7. Miscellaneous
  The Committee commented on a number of other issues at the request of the College’s Honorary
  Secretary, e.g. leadership and learning programs (a drug company initiative for GP education),
  advisability of nominating a member for the PBAC, and advice regarding non-PBAC listed anti-acne
  hormonal preparations.
35    Australasian College of Dermatologists




The Awards Committee Reports

Convenor
Dr William Land

Members
Dr John Brenan
Dr Sandra Congdon
Dr Nicholas Downes
Dr James Rohr
Dr Ivan Simmons

The function of this Committee is to consider and assess proposals made to it for recognition of Fellows
for their services to the Australasian College of Dermatologists, dermatology in general, and to the wider
Australian community.

Following appraisal by the Committee, recommendations are made to Council for the appropriate
recognition.

Proposals for awards that are sought from Fellows should be accompanied by a short curriculum vitae,
as well as an indication of why the award is thought to be merited. Such proposals should be marked
“In Confidence” and directed to the Convenor of the Committee by the Honorary Secretary of College.
                                                                                 Annual Report 2004/05   36




A Report from the Constitution Committee

Convenor
Dr James Rohr

Members
Dr Richard Armati
Dr Gregory Crosland
Dr Nicholas Downs
Dr David Francis
Dr Dudley Hill
Dr William Land, AM
Dr Stephen Lee
Dr William Regan, AM
Dr David Wong

This Committee acts in an advisory capacity to Council in relation to the Memorandum and Articles of
Association. The Committee had a full meeting during the Annual Scientific Meeting held in Sydney in
2004.

The Committee has continued to update Regulations of Council. Perhaps the most important of these
new Regulations is that of Regulation 25(e), where at least one month before the First Council Meeting,
Council in writing to all Fellows shall call for nominations of Committees. A list of current Committees
and their membership will be included with the letter.

The Committee has given advice to Council on other matters, including the annual subscription and the
possibility of life membership as a new category in College membership.

The Committee has devoted considerable time to formulate its views concerning governance structural
review. The Committee is in agreement with Council that we should proceed very slowly in this direction,
and that all Fellows should be fully informed about these issues as has happened. The Committee is in
agreement the size of College Council needs to be reduced. It stresses that any new Council formation
must maintain our existing strengths, which include the wonderful esprit de corp, quality training,
broad representation around Australia, and very good management. The Committee could not reach
agreement on a reasonable mechanism for the election of the President Elect. Eventually, these issues
will be decided by an Annual General Meeting and all Fellows can be fully involved. It is particularly
important that all Fellows have up-to-date copies of the Memorandum and Articles of Association and
Regulations of Council, in view of these proposed structural changes.

I would like to thank all Fellows of the Committee for their help throughout the year.
37    Australasian College of Dermatologists




From the Ethics Committee

Convenor
Associate Professor Christopher Commens

Members
Dr Jennifer Byth
Dr Hock Cheng Chua
Dr Andrea Jopp-MacKay
Dr Josephine Yeatman
Dr Lachlan Warren

For another year this Committee has not received any formal complaints about Fellows. Nor have we
received any informal information regarding complaints of Fellows’ behaviour.

The Committee has reviewed the Medical Industry Association Codes of Practice and has made a
number of suggestions in an attempt to make this document more accountable and specific.

We have deliberated on the Declarations of Interest from the Councillors and Executive members.
Members of the Ethics Committee do have concerns about the competing interests of some Councillors
and Executive members. However, we also recognise that it is very difficult in a small College to not have
some association with industry. It is the belief of the majority on the Ethics Committee that members of
the Executive should cut all ties with industry prior to and during their Executive duties.
                                                                                    Annual Report 2004/05   38




The Information Technology Committee Reports

Convenor
Dr Christopher Clay

Members
Dr Jennifer Byth
Dr Ian Hamann
Dr Ian McColl
Dr Christopher Tyson
Dr George Varigos
Dr Anthony White

Information technology has become a routine aspect of College operations. The College website is
now an information hub for College Fellows and a source of information for the public, other medical
and health practitioners, trainees, and intending trainees. These functions are likely to increase in the
coming years.

Continuing professional development can now be entered online and many Fellows will have registered
their points using the website. Applications for training positions are also exclusively online. The New
South Wales, Queensland, and Western Australian Faculties now have separate areas on the site. Much
of the ongoing assessment of trainees is done online. This facilitates administrative activities and
reduces the cost of administration.

A major activity for the Committee this year was consideration of a report on HealthConnect Business
Architecture and creating a College response. There are a number of initiatives that have considerable
potential impact on the daily lives of office dermatologists. It is important that we continue to point out to
Government departments the cost of implementing initiatives such as online centralised health records
for all Australians. The proposed system would require that all health care providers are online and using
electronic records, or at least have the capacity to produce electronic summaries of patient interactions.
This is the way of the future, but the Government will need to resource dermatologists adequately to
undertake these functions.

As information technology becomes more routine in the medical world, the function of the IT Committee
is changing. For the foreseeable future, the bulk of the work will be commenting on proposals from
Government and various other bodies such as the AMC. There is likely to be a period of fairly intense
activity in the near future as Health Online is realised. Attention to the detail of moving the administrative
activities of College online is likely to be increasingly managed by the secretariat. I would like to thank
members of the committee for their assistance over the year, and Rodney Sheaves for a considerable
amount of work on the website.
39     Australasian College of Dermatologists




Report of the Medical Practice Committee

Convenor
Dr James Butler

Members
Dr Greg Crosland
Dr Zoran Gaspar
Dr Martin Haskett
Dr Anne Lewis
Dr Peter Sinclair

During 2004, representatives of the Medical Practice Committee participated in negotiations via
the Australian Medical Association (AMA) Skin Group. The issues raised with the Medical Benefits
Consultative Committee were as follows:

1. Laser Item Numbers
     The item numbers for photocoagulation laser were revamped for the November 2004 Medicare
     Benefits Schedule, to make them useable. We are indebted to Dr Philip Bekhor for his support in this
     area.

2. Excision item numbers for non-melanoma skin cancer
     The item numbers have been rewritten and expanded to allow for re-excision of residual skin cancer.
     The re-excision item carries a different number and includes whether it is re-excision by the same or
     different practitioner.

3. Item number for body map imaging for high risk patients for melanoma
     Discussion continues on this issue and hopefully an item number will be created in the near future.

4. Flap Item Numbers
     An extensive review is being undertaken of the usage of various groups of flap item numbers. Some
     revision of item numbers can possibly be expected in November 2005.
                                                                                 Annual Report 2004/05   40




From the Professional Standards Committee

Convenor
Dr Kurt Gebauer

Members
Dr Pam Brown
Dr Greg Crosland
Dr Lloyd Hale
Dr Jennifer Menz
Dr Godfrey Wagner
Dr David Young (NZ)

Over the past few years there have been many changes to our College’s continuing professional
development program. The last six to twelve months have been of consolidation of previous changes.
Additionally, Committee members as well as the Education Officer have been reviewing other College
programs. We have been most mindful of the Australian Medical Council’s ongoing accreditation of other
colleges and their programs.

It is expected that some time towards the end of this year, there will be a raft of suggested additions to
our program which will expand the options that will be available to College members participating in CPD.
Some of these additional units will be required directly as a result of the forthcoming AMC review.
41    Australasian College of Dermatologists




The Public Affairs Committee Reports

Convenor
Dr Christopher Quirk

Members
Dr Pam Brown
Dr Judy Cole
Dr Alan Cooper
Dr Brian De’Ambrosis
A/Professor John Kelly
Dr Robert I. Kelly
Dr James Muir
Dr Rosemary Nixon
Dr David Wong
Dr Stephen Shumack (ex officio)

At the First Council Meeting 2004/05, held on 19 May 2004, Council resolved that the Executive, in
association with the Public Affairs Committee and the Chief Executive Officer, should consult media
companies to develop a strategy which would raise College’s public profile.

Subsequently, Council approved by postal vote, the appointment of S2i Communications as College’s PR
consultant. S2i Communications is a company based in Sydney with skills in public affairs, advertising,
corporate affairs and research. It has undertaken work for a number of major corporations and also is
the media consultant for the Royal College of Pathologists of Australasia.

The Public Affairs Committee has refined a strategy in consultation with S2i, which is now being
implemented. College’s objective is to promote awareness of the scope of dermatologists’ expertise
in the provision of skin health care, especially skin cancer, to consumers, other health professionals
and to the Government. This is being pursued through a communications strategy which has three
components:
1. Scientific leadership – research – expert commentary
2. Community education – all media
3. Professional protection – reactive media relations and crisis management
The key messages of the campaign are:
∑ Dermatology – the science of skin, hair and nails
∑ Skin health is of concern to all ages and groups
∑ The dermatologist brand – a dermatologist is the peak trained professional in skin health care.
Since the appointment of S2i communications in September 2004, the following initiatives have been
undertaken:
                                                                                     Annual Report 2004/05   42




ACD logo design                                               ∑ Television coverage
The ACD media logo was designed, as a more                      Channel Ten news – “First at Five”, 20
accessible alternative to the official crest.                   January 2005
                                                                Channel Nine news – Late news, 20 January
ACD Media Kit / CVs                                             2005
CV template designed, and assistance with media            Other councils are being approached with regards
kit development.                                           to a continued program for November 2005.

ACD Advertising and Fact Files                             Media Releases
ACD advertorials and fact files were reviewed and          ∑ Cottesloe Cares
re-written to serve as a resource available to all         ∑ The Skin Cancer Crisis
Fellows who wish to undertake direct advertising           ∑ Anna’s Story – Solarium release in conjunction
or provide fact files for their patients. The fact files     with Cancer Council
have also been placed on the College website.              ∑ The Dread of the Sunbed – Supporting WHO
                                                             advisory
Northern Territory / Arnhem Land Scabies
Eradication Program                        Andrew Ettinghausen “Escape with ET”
Media luncheon held in October 2004, which proposal – currently under negotiation.
resulted in immediate radio coverage in WA, and
the agreement for Impaja coverage April 2005 to            Ambassadors Proposal
encourage Aboriginal support for the project.              Approaches to Bec Cartwright, Ken Sutcliffe, Scott
                                                           Cam, Jennifer Hawkins, Brett Lee, reality TV show
PathWay                                                    stars, etc. to be “Healthy Skin Ambassadors”.
“A dangerous place in the sun” – the Skin Cancer
Crisis report in the summer 2004 edition of PathWay        Response to “Sixty Minutes”
magazine.                                                  Letter to the Editor following Skin Cancer expose
                                                           20 February 2005.
World Psoriasis Day                                        Letter to Sixty Minutes/Channel Nine regarding the
Liaised with representatives regarding World               rights to replay the segment during SunSmart /
Psoriasis Day to ascertain ACD involvement. ACD            dermatologists visits to schools.
involvement was deemed to be inappropriate as the          Joint proposal with Cancer Council regarding
day was sponsored by a specific pharmaceutical             usage of footage.
company.
                                                           Cancer Council
UV Index Beach Sign Initiative                             Ongoing liaison with the Cancer Councils Australia
The conception of the idea, proposals to Councils,         regarding ACD input into media releases. Most
execution of the beach sign initiative at Cottesloe        recent release with ACD input – Solaria (Anna’s
Beach, 20 January 2005.          Media coverage            story).
included:
    ∑ Press                                                “Healthy Skin” Proposal
      The Australian, Saturday 22 January 2005             Regular dermatologist column, featuring Dr
      Sunday Times, Sunday 23 January 2005                 Natasha Cook, assessing common dermatological
      Post Newspaper (distributed free to 91,000           problems. Being proposed to “Sun Herald” and
      homes across Perth), 29 January 2005                 syndicate.
    ∑ Radio interviews
      100.9 FM – Lisa Herbert                              Media Training
      Nova – Lucy                                          Media training is currently being arranged for ACD-
      6 PR – Harvey Deegan interview                       selected Fellows.
43    Australasian College of Dermatologists




A Report from the Rural, Regional and Indigenous
Services Committee
Convenor
Dr Ian Hamann

Members
Dr Christopher Clay
Dr Lloyd Hale
Dr James Muir
Dr Vincent O’Brien
Dr Colin Parker

This Committee has a representative from each State Faculty, as rural dermatology has varying needs
based on the size of the State and the number of dermatologists available to service rural communities.
Dr Colin Parker provides our Committee, and College, with invaluable advice and commitment to
indigenous skin disease. This has culminated most recently in College’s participation in the Northern
Territory Healthy Skin Project.
This last year, Drs Deborah Holt and Robert Salmon have resigned from the Committee, and we thank
them for their participation and input.
The main aim of this Committee is to see a more equitable distribution of dermatological services to
rural communities. The Committee acts to liaise between College and the State Faculties, particularly
in its supervision of the Federal Government-funded Medical Specialists Outreach Assistance Program
(MSOAP) and the RASTS project, which provides some funding for rural visits by registrars.
Whilst providing valuable funding for increased dermatological services, these projects have had their
problems. Most recently, MSOAP funding has been downgraded to services already running in the
Riverland, SA and Griffith and the Mid-North Coast of NSW. College and this Committee have been
involved in negotiations to try and salvage these projects.
Visits to Alice Springs have ceased for the time being, but the South Australian Faculty is now servicing
Darwin.
Victoria, Queensland and Western Australia have all successfully established new services to rural
areas. These include services to Leongatha, Bendigo and Portland in Victoria. It is especially pleasing
to see Bendigo attracting some recent graduates. Shepparton remains as a major centre without
dermatological services.
Both the Victorian and NSW Faculties are concerned about the lack of dermatological services in Albury,
since the retirement of Dr Richard Denisenko. Initial approaches for funding by the Victorian Faculty
have been unsuccessful, but the area is listed as a priority for funding with the Rural Doctors Network in
NSW, and MSOAP funding should soon be forthcoming.
Dr Jim Muir’s telederm website has now gone ‘national’ and we congratulate him on his efforts to see
this project through. The website is a valuable resource for rural doctors and a great promotional tool
for the speciality of dermatology.
In NSW, we remain short of dermatologists in virtually all rural areas, despite new visiting services to
Wagga, Cooma, Armidale, Taree and Port Macquarie. Orange now has its own resident dermatologist.
The Committee has proposed preparing a list of all available rural opportunities for new, and established,
dermatologists. We remain committed to promoting rural dermatology.
                                                                               Annual Report 2004/05   44




From the Scientific Meetings Committee

Convenor
Dr Anne Howard

Members
Dr Leith Banney
Dr Neville Collins
Dr Peter Foley
Dr Kurt Gebauer
Dr Shyamala Huilgol
Dr Rosemary Nixon
Dr Lynda Spelman
Dr John Sullivan
Dr Ernest Tan
Dr Lachlan Warren
Dr Jeffrey Wayte

2004/05 has been a busy year for this Committee, which helps to plan and co-ordinate all aspects of
our scientific meetings.

Manual for Convenors
Our CEO, Rodney Sheaves, has prepared a manual for convenors, which was approved by the Committee
and will be given to all new meeting convenors. It sets out a timetable of what happens when, and should
be very useful.

Curriculum Issues
Dr Rosemary Nixon, with College’s assistance, has produced a list of topics for discussion at meetings,
based on past meetings from 1990-2004. This has been passed on to the Professional Standards
Committee for comment; we would like to see that important topics are covered at regular intervals.

Sydney ASM 2004
Dr John Sullivan and team are to be congratulated on a very successful meeting.          Feedback was
discussed by the Committee. Convenors need to make sure sessions run on time!

Future meetings
Dr Ernest Tan and colleagues have the Perth ASM well in hand, including the social program. Dr Leith
Banney and Dr Neville Collins have been working hard on an exciting program for Cairns in September
2005, and Dr Peter Foley is in charge of the Melbourne 2006 ASM. Dr Dudley Hill has offered to run an
inaugural Spring Surgical Meeting in Adelaide in 2006, with emphasis on hands-on skills, with Dr Hugh
Greenway as the visiting speaker.

Thus, there will probably be two meetings each year from now on!
45      Australasian College of Dermatologists




Eligibility to attend meetings
Those enrolled in the College CPD program may attend meetings, and the opening for this has been
extended by Council recently.

Visiting speakers
These need to be booked quite early and approved by Council. A request has gone out via e-bulletin
for ‘good’ speakers and we’ve had a number of replies; more are always welcome!




Federal Minister for Health Tony Abbott opened College’s Annual Scientific
Meeting held in Sydney, May 2004
                                                                                 Annual Report 2004/05   46




From the Scientific Research Fund Committee

Convenor
Dr Alan Watson

Members
Dr Graeme Beardmore
Dr Delwyn Dyall-Smith
Dr Noel Grieve
Dr Peter Hersey
Dr John McNeill
Dr David Weedon

This Committee oversees applications for funding from the College’s main tax deductible Research
Fund. Funding is provided by direct donations from the general public and College Fellows, as well as
payment for clinical research carried out by College members.

The Committee consists of both practising dermatologists, drawn from College membership, and non-
dermatologists working in the research community.

The Committee has dealt with a variety of varied research grants in the previous twelve months
including:

   1. Grants following the presentation of papers at the Annual Scientific Meeting in Sydney 2004 for
      papers on “Urticarial Dermatitis” and “Computational Dermatology”.
   2. Recommendations for the Fred Bauer Research Grant which included research on isolated dermal
      melanoma metastasis.
   3. Granting of funds to assist research on the bacterial flora of patients with rosacea.
   4. Funding from the Fred Bauer Research Fund for colour photography for articles on “Congenital
      haemangiomata”, Blue rubber bleb naevus syndrome” and “Fixed drug eruption with Interferon
      Beta 1B”.
   5. Support for a clinical study on vulval itch.

Thanks are particularly due to the non-College members of this Committee who provide valuable
assistance and advice.
47   Australasian College of Dermatologists




The Subspecialty Committee Reports

Convenor
Dr Philip Bekhor

Members
Dr Brian De’Ambrosis
Dr Timothy Elliott
Dr Anne Halbert
Dr Rosemary Nixon
Dr Robert Sinclair

The Subspecialty Committee representing surgery, laser, Mohs’, contact dermatitis and paediatric
dermatology, has not been requested to undertake any formal tasks since the last report.

Media inquiries referred by the national College office have been dealt with and an opinion was also
provided to the Victorian Faculty in response to a medico-legal inquiry.
                                                                                    Annual Report 2004/05   48




Undergraduate and GP Education Committee

Convenor
Professor Rodney Sinclair

Members
Dr Kurt Gebauer
Dr Andrew Jevtic
A/Professor John Kelly
Dr Adrian Mar
Professor Robin Marks
Dr Gillian Marshman
Dr Graham Stephenson
Dr Jeffrey Wayte

In my role as Convenor of the Undergraduate and GP Education Committee, I attended the Medical
Education Conference 2005 in Canberra, in March of this year. This was a meeting co-sponsored
by the Committee of Deans of Australian Medical Schools, the Australian Medical Council and the
Commonwealth Department of Health and Ageing. Attendance at the conference was by invitation
only, and the Australasian College of Dermatologists was invited to send one delegate. Other attending
delegates were representing medical schools, specialist medical colleges and a bewildering array of
state and commonwealth government organisations and statutory bodies.

Much of the impetus for this meeting derives from the anticipated critical medical workforce shortage
and the Doherty Report published in 1988.

Crisis in Health Workforce
In the 1990s, the Government believed that the MBS budget was spiralling out of control due to an
oversupply of doctors and practitioner over-servicing. Medical school intakes in the late 1980s were cut
from approximately 1,200 nationally to 800. Subsequently, the modelling upon which these assumptions
were based has been shown to be flawed, as it was based on absolute doctor numbers rather than full-
time equivalent doctors.

Whilst this is one of the factors contributing to the perceived crisis in the medical workforce, it is not the
only one. Postgraduate training takes longer. Recent legislation to restrict provider number availability,
means there is now a minimum of 10 years from entry into medical school until a graduate is ready to see
patients independently. Doctors are working fewer hours and retire earlier. Over 50% of graduates from
Australian medical schools are female, and many take time out from the workforce for family reasons.
On re-entry into the workforce, a proportion will continue to work part-time.

The workforce shortage is also compounded by a mismatch between the disciplines in which doctors
specialise and community requirements. There is a tendency for ‘super sub-specialisation’. There are
relatively few general physician and general surgeon graduates. We seem to have a preponderance of
cardiologists. This reflects the mismatch between requirements within public hospitals, where most of the
49    Australasian College of Dermatologists




acute medical services are provided, and the broader community, where private medicine is practiced
and chronic illness dominates. As an illustration, the Commonwealth Chief Medical Officer, Professor
John Horvath, pointed out that 96% of all dermatology is practiced in a private practice setting.

While the medical manpower shortage threatens to affect all sectors of health care, it is most pronounced
in rural Australia, and this has been the key driver for political reform.

Amongst the strategies to redress the shortage of doctors and, in particular, rural doctors, a number
of rural medical schools have been created and this year 1,700 students will enter medical students
around the country. Twenty percent of all Australian medical students are bonded to work in country
areas for a number of years following graduation. As these students won’t reach active clinical service
for at least 10 years, other strategies are also being investigated. These include: reducing the training
time; importing doctors from overseas; reversing the “brain drain” of Australian graduates overseas;
increasing productivity of the existing medical workforce with reductions in red-tape; and increasing
participation in the workforce by encouraging doctors to work more hours, or for doctors who have left
the workforce to re-enter the workforce through up-skilling and retraining. Whilst modifying consumer
behaviour to reduce the demand for doctors was discussed, it was not felt that an effective strategy
could be developed around this goal.

One message that was repeated by many speakers, was that if the desire is to reduce the length of
training, then there is a need to develop a radically different model of training.

The Doherty Report 1988
In the late 1980s, there was an increase in recognition that medical education was dominated by the
teaching hospital environment, yet teaching hospitals were, in the main, tertiary referral centres and, as
a result, had become overly-specialised and did not match community medicine and training needs.
The Doherty Report articulated this and led to a changing paradigm for medical education, with a shift
in focus to community-based learning. Around that time, the Newcastle Medical School published the
outcomes of their “radical” curriculum, and all the medical schools in the country have now changed their
approach to medical education, incorporating new educational principles and focus into their curriculum.
Some of these new educational principles include active learning, lifelong learning, postgraduate entry
into medical schools, increased indigenous and rural entrants to medical schools, more time for the
medical students in community health centres, private consulting suites, private hospitals, GP practices
and consequently less time spent in the dissecting room. New basic sciences, such as molecular
biology, evidence-based medicine, and safety and quality, have also been introduced into the medical
curriculum.

With the recognition that more than 50% of medical graduates specialise and only around 30% become
general practitioners, the goal of undergraduate education was no longer to produce a general
practitioner, but to produce someone with the competency to perform the duties required of an intern.

Legislation introduced by Michael Wooldridge to restrict provider numbers to new graduates, negated
the main function of the intern year as a pre-registration year. The intern year is now linked together
with the postgraduate year 2, in what is termed pre-vocational training. This is considered an integral
part of medical education and also provides new graduates with an opportunity to explore a variety of
disciplines, some of which they may not have been exposed to during the undergraduate years, and to
choose a career path.
                                                                                   Annual Report 2004/05   50




While medical schools have the sole responsibility for educating medical students and to promote the
university goals of scholarship and research, it is now recognised there are other stakeholders invested
in medical student education. These stakeholders include: policy makers trying to plan the medical
workforce; health managers trying to manage the medical workforce; the community who are consumers
of health services; the academic institutions; and the health professionals themselves. Other vested
interest groups, such as indigenous people, also want a say.

There is now a desire driven by Government for broad engagement amongst the various stakeholders in
re-jigging the educational process, so that it is responsive to the needs of the community. The medical
schools, and to some degree the medical colleges, are being encouraged by Government to allow this.

One consequence of this is that the Royal Australasian College of Surgeons (RACS) has recently been
challenged as the sole provider of postgraduate surgical training. Various universities investigated
whether they could take over this role and perhaps shorten the duration of training. Implicit in this is that
RACS may not be the sole arbitrator of minimum standards of expertise required by the community. It
has been suggested that improved community access to surgical services may be more important than
achieving the highest possible standards in training.

One aspect that was very reassuring for dermatology was that Professor John Horvath, the Commonwealth
Chief Medical Officer, highlighted the fact that dermatologists were the only group that funded additional
registrar training positions in private practice in two cities in Australia. He indicated that he was aware
of dermatologists’ endeavours to increase the number of dermatology graduates and their endeavours
to expose trainees to a private practice environment.

Another encouraging aspect of this conference was the desire by State Governments to engage in the
process of ensuring there is adequate medical manpower, not only in the public hospital system, but
also in the broader community. They are aware that currently available trainee positions are determined,
in the main, by the requirements of servicing public hospital patient populations, rather than the needs
of the broader community, and that this leads to skill excesses in certain areas and deficits in others.
Of course, whether this will translate into increased funding allocations for the training of dermatology
registrars is yet to be seen.

Agreed Outcomes
There was a general recognition by conference participants that medical education and medical
practice are continuum. There are a lot of stakeholders that would like input into medical education
at all levels. It is impossible to separate medical education and medical workforce issues. There is a
lack of alignment between education and service delivery. Governments are not yet good at predicting
medical workforce needs due to the dynamic nature of medicine. There have been unanticipated effects
of both planned and also knee-jerk changes to the health system (such as provider number legislation
and graduate entry) that have been detrimental to workforce needs. Changes to the medical education
system will require investment, time, infrastructure, and for new innovations to be piloted before they are
implemented. There are a finite number of core skills required of doctors:

•   Communication
•   Clinical competence
•   Flexibility
•   Teaching
•   Team work
•   Self regulation
•   Social responsibility.
51    Australasian College of Dermatologists




Medical education faces a number of key challenges:

1. To link the changes in health and illness in the community to changes in the medical curriculum.
2. To re-evaluate the need for generalists versus sub-specialists.
3. To link the various stages of medical education so that there is recognition of prior training, common
   entry criteria and common continuing professional development programs.
4. To understand the education vocabulary and rationale so that we can incorporate education
   innovations into medical education delivery.

Common Goals
It was decided at the conference to progress the establishment of a National Health Care Education
Council. This council would be established and funded by the Australian Medical Deans Council and
report to the Australian Health Ministers’ Council. It would be independently incorporated and its
membership would include all the stakeholders such as universities, consumers, medical colleges,
teachers, government, students, regulators, unions, etc. The goals of the National Health Care Education
Council would be to develop a policy framework, to gather information, to promote collaboration, to
develop an implementation strategy and source funding for implementation, and to link back to the
various government agencies already involved in health care education.

The National Health Care Education Council could also be involved in helping to further define desired
competencies and curriculum content required for different stages within the training progress. Implicit
in that would be an analysis of the appropriate integration of basic sciences into the curriculum at
appropriate depth and timing.

The National Health Care Education Council would also be involved in linking the university and specialist
colleges, so that there was better communication of educational outcomes and better fluency between
the various programs and transition from undergraduate to postgraduate education.

The National Health Care Education Council could also review the utilisation of potential teaching
environments. Currently there are a wide range of teaching sites that are currently underutilised, that
could be easily incorporated to enhance medical education.

The National Health Care Education Council would also play a role in marrying medical education
with health workforce needs. This would involve: a review of admission policies into medical schools,
reviewing the role of the prevocational periods; looking at various models of specialty training; and
developing special models of education and service delivery for areas of need, such as indigenous
health, mental health and aged care.

The National Health Care Education Council would also ensure that the wider health care sector
recognises that education and research are intrinsic components of health service planning and delivery,
and may also engage in defining good medical practice.

Dermatology intersects with aspects of medical education at a variety of nodes. They also have the
potential to make a contribution to developing health education strategies and ensuring that outcomes
meet the needs of the multitude of stakeholders. It appears there will be a new body that dermatologists
will be required to interact with and a new jargon we will need to master.
AMC ACCREDITATION REVIEW TASK FORCE
   TASK FORCE ON COLLEGE GOVERNANCE
         AMC Accreditation Review Task Force
    Task Force on College Governance
         Task Force on SSRS
         Task Force to Investigate the Possibility of Training in General Practice Dermatology
                                                                                                 Annual Report 2004/05
                                                                                                 52
53    Australasian College of Dermatologists




AMC Accreditation Review Task Force

The Australian Medical Council (AMC) has been given a brief by the Federal Government to accredit
the educational programs and other activities of all of the specialist medical colleges. The Australasian
College of Dermatologists (ACD) is due to be reviewed for accreditation in 2007. The review will include,
not only an examination of the training program, but also examination of the continuing professional
development (CPD) program, procedures for the selection of trainees for training programs, and the
processes by which the College deals with overseas trained specialists wishing to practice in Australia
as dermatologists.

In 2003, the College Council appointed a task force to oversee preparation for this review. The task
force comprises:

Chair
Dr John Auld

Members
Dr Anne Howard
Dr Warren Weightman
Dr Caroline Mercer
Dr Kurt Gebauer
Mr Rodney Sheaves
Ms Claudia Casson

The task force has had several teleconferences since its inception, during which plans and current
developments have been discussed. The role of the task force is not in any way to take over or interfere
with the work of the Board of Censors or the Professional Standards Committee in the development of
their individual programs, but rather to act as an overseeing body to review and critically evaluate the
work of all the parties involved, in order to ensure that the College is ready for its accreditation review
in 2007.

The College has already received provisional accreditation of its various educational activities from the
AMC based on written reports, but recognises that a significant number of further changes are needed
to satisfy AMC requirements. It is also recognised that the accreditation review will be extremely detailed
and rigorous, and the aim of the task force is to ensure that the College is fully and adequately prepared
for this, with the aim of receiving no less than full accreditation.

I would like to acknowledge in this report the tremendous work of our Education Officer, Claudia Casson.
Her expertise has already proven to be invaluable in rewriting the Training Program Handbook and will
be essential in the preparatory work for our accreditation review. I would also like to acknowledge the
dedication and hard work of all members of the Board of Censors and Dr Kurt Gebauer.
                                                                                 Annual Report 2004/05   54




Task Force on College Governance

Chair
Dr Anne Howard

Members
Dr Pam Brown
Dr Judy Cole
Dr Brian De’Ambrosis
Dr Robert I. Kelly
Dr Cathy Reid

The task force was formed to examine the report on College governance, produced by Kate Costello on
request of Council. The report was scrutinised by members, including founding Fellows, the Constitution
Committee, former Honorary Secretaries, and our task force canvassed views in all States. There is an
overall feeling that our Council as it is, is too large and unwieldy to conform with modern governance
requirements.

The task force came up with our recommendations which were presented to Council in November 2004,
then set out for general members in the summer 2004 issue of The Mole. The main recommendation
is that of replacing the Executive and Council with a Board of eight to ten members, with probably one
from each State, plus a President, President-Elect and Chief Censor. One of the Board members will
be the Honorary Secretary and one the Honorary Treasurer (and chair of the Audit Committee). The
Board members (directors) will each have a portfolio of tasks. The Board will meet monthly, mostly with
teleconferences, but with around four face-to-face meetings rotated so that they are held in each State
at least every two years. Prompt feedback to members will be emphasised.

The exact make-up of the Board is still to be debated, as well as the method of election of the President-
Elect.

Members are referred to issue 63 of The Mole or the College website for a more detailed report of the
task force’s recommendations. The issue will be up for discussion at the next AGM in May 2005, then
possible voting at a later date.

Thanks go to the hard-working members of the task force.
55    Australasian College of Dermatologists




Task Force on the Support Scheme for Rural Specialists
(SSRS)
Chair
Dr Kurt Gebauer

Members
Dr Christopher Clay
Dr Lloyd Hale
Dr Ian Hamann
Dr Stephen Shumack

A significant proportion of this Committee have been participating in the LEAP Project (Learning Education
and Professionalism). LEAP is a federally-funded project to help nationally standardise aspects of
continual professional development. This program is being co-ordinated through the Royal Australian and
New Zealand College of Obstetricians and Gynaecologists. Presently, roughly 200 participants from eight
medical Colleges have registered in this program. Of these, 21 are from our College.

This program is particularly mindful of rural specialist practitioners. Activities are being developed using
evidenced-based medicine, as well as adult learning concepts, to create a framework for CPD that is
uniformly acceptable across many colleges, as well as to rural specialists. A number of workshops have
been run in rural areas, particularly on the east coast. Assistance is provided to attendees and registrants.
As well, a number of computer-based programs are being developed.

The LEAP concept is in its first year and is very much a work in evolution. I will keep you informed as to
how the program evolves.
                                                                                  Annual Report 2004/05   56




Task Force to investigate the possibility of training in
General Practice Dermatology
Chair
Dr Robert Paver

Members
Professor Ross Barnetson
Dr Adrian Mar
Dr James Muir
Dr Robert Salmon

At the First Council Meeting 2004/05 in May 2004, Council established a task force to consider possible
ways of improving the College’s relationship with GPs and those responsible for their training, and to
consider the ways in which College might become more involved in that training.

The task force had been appointed because a number of Fellows had approached the Council
suggesting that College needed to be more proactive in the area of structured course teaching of
dermatology for GPs. There was concern because other bodies, such as the University of Wales, skin
cancer clinic dermatology course, etc. were providing training in response to a demand which had not
been recognised or met by College.

The task force undertook a survey of members on this issue. Fifty-five percent of members responded.
Of these, 84% agreed that College should be involved in a structured teaching program for GPs; and 74%
felt that if College were not involved, its status and strength would be diminished. 70% felt that teaching
as much as College could would not threaten the position of members; and 66% felt that engaging GPs,
including skin cancer clinics, with teaching, would help the situation with skin cancer clinics.

The task force noted discussions which the President had had with the President of the RACGP about the
possibility of College working within the RACGP’s CPD program and, with the approval of that College,
to offer training to their members.

Subsequently, Council resolved at its meeting on 13 November 2004, that a joint consultative committee
should be established with the RACGP, to investigate further the option of a RACGP/ACD joint course
in GP dermatology. The task force was reappointed to oversee this initiative, as well as to investigate
further the possibility of using materials created for the University of Wales’ Diploma in Dermatology.

The task force will present a further report to the Third Council Meeting 2004/05, to be held in May
2005.
57    Australasian College of Dermatologists




National Skin Cancer Steering Committee of Cancer
Council Australia
College Members
Dr Peter Foley
Dr Ian Hamann

A passing of the baton was seen in 2004, with Ian Hamann and Peter Foley replacing Tony White and
Peter Cowen, respectively, as the representatives of the College on the National Skin Cancer Steering
Committee of Cancer Council Australia. This Committee is Chaired by Mr Craig Sinclair from the Cancer
Council of Victoria, and has representatives from each of the State Cancer Councils, in addition to New
Zealand representatives.

The Committee acts as a peak body with regard to advice and recommendations on skin cancer,
particularly prevention. It is very active in developing position statements, as well as acting as a skin
cancer advocacy body with the media. A number of surveys are undertaken, including a primary school
survey and the national sun survey, evaluating attitudes to sun exposure and skin cancer, as well as how
Australians behave outdoors. It has developed position statements on solarium safety and monitors
the activities of the solarium industry. SunSmart media statements at a State and National level are
also provided. A commercial arm, which has an arrangement with Target, has the benefit that Target
promotes the SunSmart message in-store and on national television. A new strategy is being developed
with the Bureau of Meteorology and APRANSA to utilise the UV index in the media more effectively.

A major step forward in the last twelve months has been the development of a Risks and Benefits of Sun
Exposure position statement, emphasising the need to be sun smart and the importance of preventing
skin cancer without causing vitamin D deficiency. Other position statements that have been developed
include one on the use of SPF 30+ sunscreen, sun protection and babies, sunscreen use in cosmetics
and comments on therapeutic exposure to light.

Members of this Committee also receive copies of all media reports that relate to sun exposure and/or
skin cancer.

The Committee meets via teleconference on a monthly basis and, in general, has two face-to-face
meetings per year: one in Sydney and one in Melbourne.

This Committee takes very seriously the promotion of the SunSmart message and at all times works
closely with the College in the development of position statements. It has been a very interesting
learning experience to see how this Committee functions. With recent publications on the risk of sun
exposure and vitamin D levels, as well as the risk of a number of malignancies, the role of this Committee
becomes ever more important.
Annual Report 2004/05   58
59    Australasian College of Dermatologists




East Arnhem Healthy Skin Project

Following substantial and protracted negotiations with the Commonwealth, College received approval in
October 2004 to undertake a Healthy Skin Project in East Arnhem, Northern Territory.
The project focuses on mass treatment of scabies for community members and builds on previous
research and training undertaken by the College in the remote communities of the Top End of the
Northern Territory, in association with the Royal Darwin Hospital and the Menzies School of Health
Research.

During the 1970s, scabies emerged as an endemic disease in remote Aboriginal communities and, in
some communities, the prevalence in children has been as high as 50%. Scabies underlies 50-70% of
streptococcal skin disease. Children in remote communities commonly have many skin sores, rather
than one or two, which would raise alarm if it occurred in mainstream Australia. As a consequence,
the rates of renal disease and rheumatic heart disease in these communities are among the highest
in the world, and contribute significantly to mortality. On average, the life expectancy of an indigenous
Australian is about 20 years less than for a non-indigenous person. The East Arnhem Healthy Skin Project
aims to minimise skin infection as a contributor to premature mortality.

The project will involve six communities of Galiwinku, Milingimbi, Ramingining, Gapuwiyak, Yirrkala
and Nhulunbuy over a period of three years. The project is a collaboration between the participating
Aboriginal communities, the Centre for International Child Health, Melbourne University Department of
Paediatrics and Murdoch Children’s Research Institute, the Co-operative Research Centre for Aboriginal
Health, the Northern Territory Department of Health and Community Services, the Menzies School of
Health Research, and the Australasian College of Dermatologists (ACD).

The project commenced with a single mass treatment of scabies of all the members in these communities.
The impact will be measured by evaluating a wide range of health outcomes. By working closely with
Aboriginal health workers recruited from each community, the project will ultimately be integrated into
routine service delivery.

A number of Fellows and trainees of the College have volunteered their services to support the project.
Working in pairs, they provide assistance with screening and standardisation of diagnosis and treatment
of scabies and skin sores. They also assist with the training and education of indigenous staff.

The grant, provided to College by the Commonwealth Government, covers travelling and accommodation
expenditure for those participating, as well as capital expenditure on equipment, drugs and educational
resources.

The project has already received some media exposure. Imparja, the national indigenous television
service, is interested in covering future aspects of the project.

College wishes to thank, in particular, Dr Colin Parker, for his untiring effort in establishing and managing
the project; as well as the volunteers to date, who include: Drs Lachlan Warren, Margaret Stewart, Martin
Wade, Martin Haskett, Eileen Collins, Greg Goodman and Philip Lane.
                                                                            Annual Report 2004/05   60




College Staff

Chief Executive Officer                                     Rodney Sheaves
Education Officer                                           Claudia Casson
Senior Administrative Officer                               Rosie Cavaleri
Accounts and Administrative Officer                         Roopan Singh
Administrative Officer - Media and Information Management   Roslyn Warnes
Reception                                                   Caroline Daly
                                                                               61




DONATIONS TO THE AUSTRALASIAN COLLEGE OF
                         DERMATOLOGISTS
                Donations to the Australasian College of Dermatologists
                Donations made by the Australasian College of Dermatologists
                                                                               Australasian College of Dermatologists
                                                                Annual Report 2004/05   62




Donations made to the Australasian College of
Dermatologists
1 March 2004 TO 28 February 2005
Australasian College of Dermatologists’ Travelling Fellowship                $ 7,000.00
sponsored by Galderma Australia Pty Ltd
(2004 recipient: Adriene Lee)

Australian Dermatology Research and Education Foundation                     $ 12,000.00

Ego Dermatology Fellowship                                                   $ 5,000.00
(2004 recipient: Gayle Ross)

Fred Bauer Estate
* Fred Bauer Research Fund                                                   $ 5,000.00

Fred Bauer Grants
* F. Florance-Ewan Murray Will Grant                                         $    750.00
  (2004 recipient: Steven Kossard)
* F. & E. Bauer Grant                                                        $ 2,000.00
  (2004 recipient: Steven Gilmore)

John Fewings Memorial Prize                                                  $ 1,000.00
(Skin and Cancer Foundation Victoria)
(2004 recipient: Rosemary Nixon)

Novartis Pharmaceuticals – Townsville (Neville Collins)                      $    500.00

Novartis Dermatology Research Fellowship                                     $ 40,000.00
(2005 recipient: Hanna Kuchel)

Roche Travelling Scholarship                                                 $ 40,000.00
(2005 recipient: Edward Upjohn)

Schering-Plough Award                                                        $ 10,000.00
(2004 recipients: Sophie Bakis, Alex Chamberlain,
Elizabeth Dawes-Higgs, Hanna Kuchel, Helen Saunders)



Scientific Research Fund
Galderma Australia Pty Ltd (Christmas donation)                              $ 6,000.00
Johnson & Johnson Pacific (Stephen Shumack)                                  $ 1,000.00
Novartis Pharmaceuticals (David Wong)                                        $   700.00
Entertainment Book proceeds                                                  $   456.00
Jo-Ann See (pharmacy-sponsored event)                                        $   275.00
MTAG Pty Ltd (Andrea Jopp-McKay)                                             $   200.00
Psychmetrics Pty Ltd (Andrea Jopp-McKay)                                     $   100.00
63   Australasian College of Dermatologists




Christopher Anderson                          $   100.00   David Francis         $   100.00
Richard Armati                                $   100.00   Peter Frederisken     $   100.00
John Auld                                     $   100.00   Michael Freeman       $   100.00
Leith Banney                                  $   100.00   Paul Freeman          $   100.00
Ross Barnetson                                $   100.00   Susanne Freeman       $   100.00
Lance Bear                                    $   100.00   Stephen Gilmore       $   100.00
Graeme Beardmore                              $   100.00   Tanya Gilmour         $   100.00
Karen Behne                                   $   100.00   Amanda Godbolt        $   100.00
Narelle Bleasel                               $   100.00   Gregory Goodman       $   100.00
Tanja Bohl                                    $   100.00   Elizabeth Gow         $   100.00
Roland Brand                                  $   100.00   Noel Grieve           $   100.00
Barbara Breadon                               $   100.00   Irene Grigoris        $   100.00
Pamela Brown                                  $   100.00   Ken Gudmundsen        $   100.00
J. Carol Burford                              $   100.00   Lloyd Hale            $   100.00
James Butler                                  $   100.00   Anthony Hall          $   100.00
Jennifer Byth                                 $   100.00   Ian Hamann            $   100.00
Annette Callen                                $   100.00   Rodney Hannaford      $   100.00
Jill Cargnello                                $   100.00   Martin Haskett        $   100.00
Terence Casey                                 $   100.00   Mark Healsmith        $   100.00
Alex Chamberlain                              $   100.00   Sylvia Heiman         $   100.00
John Chapman                                  $   100.00   Dudley Hill           $   100.00
Paul Chee                                     $   100.00   Russell Hills         $   100.00
Alvin Chong                                   $   100.00   Kenneth Ho            $   100.00
Christopher Clay                              $   100.00   Gary Holmes           $   100.00
John Coates                                   $   100.00   Deborah Holt          $   100.00
Neville Collins                               $   100.00   Shyamala Huilgol      $   100.00
Belle Cominos                                 $   100.00   Michelle Hunt         $   100.00
Christopher Commens                           $   100.00   Frank Isaacs          $   100.00
Sandra Congdon                                $   100.00   Andrea Jopp-McKay     $   100.00
Natasha Cook                                  $   100.00   Christopher Kearney   $   100.00
Peter Cowen                                   $   100.00   John W. Kelly         $   100.00
Gregory Crosland                              $   100.00   Robert I. Kelly       $   100.00
Kerry Crotty                                  $   100.00   Joseph Konya          $   100.00
Diona Damian                                  $   100.00   Steven Kossard        $   100.00
Troy Darben                                   $   100.00   Joseph Krivanek       $   100.00
Derek Davies                                  $   100.00   Ajay Kumar            $   100.00
John De Launey                                $   100.00   Daniel Lanzer         $   100.00
Brian De’Ambrosis                             $   100.00   Barry Lauritz         $   100.00
Emilija Doherty                               $   100.00   John Le Guay          $   100.00
Nicholas Downes                               $   100.00   Adriene Lee           $   100.00
Christopher Duguid                            $   100.00   Choo-Tian Lee         $   100.00
Phillip Dwyer                                 $   100.00   Simon Lee             $   100.00
Delwyn Dyall-Smith                            $   100.00   Stephen Lee           $   100.00
Timothy Elliott                               $   100.00   David Leslie          $   100.00
Catherine Faulkner                            $   100.00   Michael Li            $   100.00
Peter Fergin                                  $   100.00   Adrian Lim            $   100.00
Gayle Fischer                                 $   100.00   Edmund Lobel          $   100.00
Peter Foley                                   $   100.00   Michelle Lowes        $   100.00
Jennifer Foo                                  $    65.00   Karyn Lun             $   100.00
                                                          Annual Report 2004/05   64




Andrew Mackenzie-Wood   $   100.00   Ivan Simmons                       $     100.00
Adrian Mar              $   100.00   Peter A. Sinclair                  $     100.00
Gillian Marshman        $   100.00   Peter R. Sinclair                  $     100.00
Christopher McCormack   $   100.00   Robert J. Sinclair                 $     100.00
Ian McCrossin           $   100.00   Rodney Sinclair                    $     100.00
Robert McDonald         $   100.00   Gian Singh                         $     100.00
Peta McLaran            $   100.00   John Sippe                         $     100.00
Caroline Mercer         $   100.00   Lynda Spelman                      $     100.00
Andrew Miller           $   100.00   Duncan Stanford                    $     100.00
Robert MacD. Miller     $   100.00   Robert Stephens                    $     100.00
Vanessa Morgan          $   100.00   Margaret Stewart                   $     100.00
Catherine Morrow        $   100.00   John Su                            $     100.00
Andrew Moss             $   100.00   John Sullivan                      $     100.00
James Muir              $   100.00   Phillip Swarbrick                  $     100.00
Stuart Murray           $   100.00   Michael Symons                     $     100.00
Robert Needham          $   100.00   Mei Mui Tam                        $     100.00
Jenny Nicolopoulos      $   100.00   Ernest Tan                         $     100.00
Rosemary Nixon          $   100.00   Bruce Tate                         $     100.00
Timothy O’Brien         $   100.00   Frances Tefany                     $     100.00
Vincent O’Brien         $   100.00   Christopher Tyson                  $     100.00
Rodney O’Keefe          $   100.00   George Varigos                     $     100.00
Anne O’Neill            $   100.00   Carl Vinciullo                     $     100.00
Colin Ong               $   100.00   Jamie von Nida                     $     100.00
David Orchard           $   100.00   Martin Wade                        $     100.00
Margaret Oziemski       $   100.00   Godfrey Wagner                     $     100.00
Selim Ozluer            $   100.00   Eric Waine                         $     100.00
John Pagliaro           $   100.00   Lachlan Warren                     $     100.00
Kurosh Parsi            $   100.00   Frances Watkins                    $     100.00
Anita Patel             $   100.00   Alan Watson                        $     100.00
Robert Paver            $   100.00   Geoffrey Watt                      $     100.00
Roderick Peek           $   100.00   Jeffrey Wayte                      $     100.00
Linda Pepall            $   100.00   Michael Webster                    $     100.00
Michael Pitney          $   100.00   Annette Wegman                     $     100.00
Christopher Quirk       $   100.00   Warren Weightman                   $     100.00
Peter Randell           $   100.00   Jennifer Wells                     $     100.00
Sophie Reid             $   100.00   Belinda Welsh                      $     100.00
John Relic              $   100.00   H. Anthony White                   $     100.00
Michael Rich            $   100.00   Margot Whitfeld                    $     100.00
Shawn Richards          $   100.00   Todd Wiadrowski                    $     100.00
Christine Riordan       $   100.00   Richard Wittal                     $     100.00
Ivan Robertson          $   100.00   David Wong                         $     100.00
Jacqueline Robinson     $   100.00   Deanna Wong                        $     100.00
Maureen Rogers          $   100.00   Kenneth Wong                       $     100.00
James Rohr              $   100.00   Glenda Wood                        $     100.00
Diana Rubel             $   100.00   Jane Woods                         $     100.00
Robert Salmon           $   100.00   Jennifer Yip                       $     100.00
Michael Sharkey         $   100.00   Simon Yong-Gee                     $     100.00
Stephen Shumack         $   100.00   Sam Zagarella                      $     100.00
Shireen Sidhu           $   100.00
65   Australasian College of Dermatologists




Annual Scientific Meeting May 2004 – Sponsors
Roche Products Pty Ltd
Galderma Australia Pty Ltd
Biogen Idec
Douglas Pharmaceuticals
3M Pharmaceuticals
Neutrogena (Johnson & Johnson Pacific)
L’Oreal
Novartis Pharmaceuticals
Hamilton Laboratories
Allergan

Sponsored Subscriptions of The Australasian Journal of Dermatology for 2004
Douglas Pharmaceuticals Pty Ltd

The Mole
Biogen Idec (autumn issue, No. 60, 2004)
Galderma Australia Pty Ltd (winter issue, No. 61, 2004)
Neutrogena (Johnson & Johnson Pacific) (spring issue No. 62, 2004)
Douglas Pharmaceuticals (summer issue No. 63, 2004/05)




Donations made by the Australasian College of
Dermatologists
1 March 2004 TO 28 February 2005
Trans-Tasman Exchange Scholarship for 2004                             $ 2,000.00
(Alex Chamberlain)
                                                                                Annual Report 2004/05   66




Treasurer's Report (Audit Committee)

Convenor
John Coates

Members
Dr Alan Donnelly
Dr Jeremy Horton
Dr Andrew Miller
Dr Ivan Simmons
Mr Rodney Sheaves (Chief Executive Officer)

The objectives of the Audit Committee are to advise the Executive and Council on all financial matters;
to consider the financial implications of all policies and programs and to make recommendations to
the Executive and Council accordingly; and to take responsibility for financial advice to College on any
appropriate matter.

The Committee recognises that it has an important role in ensuring that the College lives within its
means; that it must review the budgetary consequences of any new projects considered by Council; and
that it should be pro-active in seeking new sources of income generation, while recognising the financial
consequences of any expansion in College activities.

During the year 2004/05, the Committee held one teleconference and a face-to-face meeting during
the Annual Scientific Meeting in Sydney. The Committee reviewed the progress of the College budget;
made recommendations regarding subscription fees, trainee levies and examination fees; prepared
budgets for the College and for the Annual Scientific Meeting in Perth, the Biennial Spring Conference in
Cairns and the Biennial Training Conference in Melbourne, for Council’s adoption; reviewed the College’s
insurances; made recommendations to Council on travel, accommodation and per diem allowances for
Council members while on official business; reviewed College credit cards; and sought advice from the
Auditor regarding College’s tax status.

The Committee made recommendations regarding the terms and conditions of the appointment of the
CEO; and also reviewed the budgetary implications of the appointment of a College PR consultant.

The Committee has reviewed the audited accounts for the financial year 2004/05. The Committee
is pleased to report that the College has achieved an increased surplus in 2004/05. The surpluses
generated by College each year continue to increase. The Annual Scientific Meeting held in Sydney,
generated a substantial surplus. These monies underwrite the College’s educational activities and other
programs.

It is a measure of College’s good standing with the Commonwealth government that we received
increased grants during the year to undertake educational and training projects.
67    Australasian College of Dermatologists




The performance of College’s investment portfolios continued to improve, building on the recovery which
occurred in 2004 following the downturn in the years 2002 and 2003. The investments will be subject to
further review by the Committee in 2005/06.

The College’s other major investment, its premises at Gladesville, NSW, has been the subject of ongoing
consideration by the Committee, at the direction of Council. The Committee supports the opinion of
the Auditor that the building remains a poor investment for College, apart from being inadequate as its
premises. At the request of Council, the Auditor has reviewed the options for the future of the building
as a long-term cash flow analysis.

In terms of good governance, and as a means of risk management, the Audit Committee should include
a non-College member with financial and accounting expertise. The Committee is particularly conscious
of the need for independent and objective financial advice on College’s portfolios. This is consistent
with the recommendation of Kate Costello, the governance consultant employed by Council to review
the College’s governance. This matter will be considered by the Council.

The financial situation of the College continues to be extremely healthy. Our assets are strong and
appreciating. The Committee commends the work of the Chief Executive Officer and the Administrative
Officer, Roopan Singh, in generating increased income from non-member sources and for prudent
management of the College’s expenditure. It is important that we husband our resources carefully. There
will be major issues facing the College in the next two to three years, which will have a financial impact.
These include the accreditation review by the Australian Medical Council, continuing implementation
of the new training program and increased monitoring of College by outside agencies such as the
ACCC and the Productivity Commission. At the same time, rising litigiousness within the community
generally, means that College needs to be financially prepared for any possible legal action arising out
of its processes. The best way to minimise the risk is to ensure that our processes are clear and well-
understood and that we proceed in accordance with them in ways that are equitable, transparent and
fully accountable.
                                                                                  Annual Report 2004/05   68




      Treasurer’s Report and Financial Report




THE AUSTRALASIAN COLLEGE OF DERMATOLOGISTS


                                                AND ITS CONTROLLED ENTITIES

                                                A.C.N 000 551 824

                                                The year ended 28 February 2005
69    Australasian College of Dermatologists




Report of the Council

Your Councillors present their report together with the financial report of the Australasian College of
Dermatologists (“the College”) and of the consolidated entity, being the College and its Faculties, for the
year ended 28th February 2005.

Members of the Council
The Councillors of the College at any time during or since the end of the financial year are:

Executives                                                                                Meetings Attended
J. Auld               President                 MBBS, FACD                                           3
Dr A. Howard          President Elect           MBBS, FRACP, FACD                                    3
Dr J. Butler          Immediate Past President MBBS, FRACP, FACD                 (Retired 18.05.04) 1
Dr S. Lee             Honorary Secretary        MBBS, FACD, DDM                  (Retired 18.05.04) 1
Dr S. Shumack         Honorary Treasurer        MBBS, FACD, GAICD                (Retired 18.05.04) 1
Dr S. Shumack         Honorary Secretary        MBBS, FACD, FAICD                (Elected 19.05.04) 2
Dr J. Coates          Honorary Treasurer        MBBS, FACD                       (Elected 18.05.04) 2
Dr W. Weightman       Chief Censor              MBBS, FRACP, FACD                                    3

Queensland
Dr B. De’Ambrosis,                              MBBS, FACD                                           3
Dr J. Muir                                      FACD                                                 3
                      3
Western Australia
Dr J. Cole                                      MBBS, FACD                       (Retired 18.05.04) 0
Dr A.M. Donnelly                                MBBS, FACD                                           3
Dr. H.C. Chua                                   MBBS, FACD                       (Elected 18.05.04) 2


New South Wales
Dr D. Cook                                      MBBS, DRACOG, DA, FACD           (Retired 18.05.04) 1
Dr J-A. See                                     MBBS, FACD                       (Retired 18.05.04) 1
Dr I. Hamman                                    MBBS, D.(Obs) RACOG, FACD        (Retired 18.05.04) 1
Dr R. D. Paver                                  MBBS, FACD                                           3
Dr R. Armati                                    MBBS, FRACP, FACD                (Elected 18.05.04) 2
Dr P. Brown                                     MBBS, FRACP, FACD                (Elected 18.05.04) 2
Dr R. Salmon                                    MBBS, FACD                       (Elected 18.05.04) 2
                                                                                    Annual Report 2004/05      70




                                                                                     Report of the Council (Cont'd)
Victoria                                                                                       Meetings Attended
Dr J. Horton                                    B.Sc, MRCP, FACD             (Retired 18.05.04)          1
Dr A. Mar                                       MBBS, FACD                                              3
Dr R. Kelly                                     MBBS, FACD                                              3
Dr M. Tam                                       MBBS, FACD                   (Elected 18.05.04)         2


South Australia
Dr J. Wayte                                     MBBS, FACD                                              3
Dr A. Lewis                                     MBBS, FACD                                              2


There were three meetings of Councillors held during the financial year. The number of meetings
attended by each member of the Council during the year is as shown.

Principal Activities
The principal activities of the College and its Faculties during the year were:
(a) Promotion of Dermatological Research and Training; and
(b) Organisation of scientific meetings; and
(c) Conduct of examinations and awarding of diplomas to successful candidates.

Review and Results of Operations
The operating profit of the College and the consolidated entity for the financial year is as follows:

                                                    This Year         Last Year
                                                        $                  $
Operating profit from College operations             387,504           328,301
Operating profit from Faculties operations            42,263             16,234
                                                     429,767           344,535

The results for the year have been significantly affected by:
a) The 2004 Annual Scientific Meeting, resulting in a surplus of $410,427.
b) College’s investment portfolio with Westpac Banking Corporation has been marked up by $142,113,
   compared with a mark up in 2004 of $111,347, as a result of an improvement in investment performance
   for 2004/05. Additional funds totalling $300,000 have been invested with Westpac and the existing
   portfolio has been reinvested in a new investment product of the bank – BT Wrap Investment.
c) The liability of the College’s Journal Fund has decreased by $21,756. As at 28 February 2005, the
   Journal Fund owes College $28,296 represented in both current and previous year funding costs.
d) The College has been the recipient of major Government grants, including NT Healthy Skin Project,
   Networked Dermatology Training Project and continuation of RASTS.
e) Expenditure on administrative items has been managed prudently within budget.
f)   There has been increased expenditure on the College public affairs and marketing over the previous
     year, reflecting increased activity in accordance with educational and community objectives.
g) Interest earned on College bank accounts and portfolio investment has increased significantly over
   the previous year.
    71     Australasian College of Dermatologists




Report of the Council (Cont'd)

Events subsequent to Balance Date
There has not arisen in the interval between the end of the financial year and the date of this report any
item, transaction or event of a material and unusual nature likely, in the opinion of the Councillors to
affect significantly the operations of the College and its Faculties, the results of those operations, or the
state of affairs of the College and its Faculties in subsequent financial years.

Directors' interest and Benefits
No Councillor has received any remuneration during the year other than reimbursement of expenses
incurred to attend the meetings of the Council.

No Councillor has received or become entitled to receive during or since the financial year, a benefit
because of a contract made by the College or Faculty with a Councillor, a firm of which a Councillor is a
member or an entity in which a Councillor has a substantial financial interest.

Indemnification and Insurance of Officers and Auditors
Since the end of the previous financial year the College has not, in respect of any person who is or has
been an officer or auditor of the College or of a related body corporate:
•        indemnified or made any relevant agreement for indemnifying against a liability incurred as an officer
         or auditor, including costs and expenses in successfully defending legal proceedings; or
•        paid or agreed to pay a premium in respect of a contract insuring against a liability incurred as an
         officer or auditor for the costs or expenses to defend legal proceedings.
With the exception of the following matters:
Since the end of the previous financial year, the College has paid insurance premiums in respect of
Directors’ and Officers’ Liability for any past present or future director, secretary, executive or employee
of the Australasian College of Dermatologists and all State Faculties. The insurance premiums relate to:
•        costs and expenses incurred by the relevant officers in defending proceedings, whether civil or
         criminal and whatever their outcome; and
•        other liabilities that may arise from their position, with the exception of conduct involving a wilful
         breach of duty or improper use of information or position to gain a personal advantage.
The premium paid has not been disclosed as it is subject to the confidentiality provisions of the insurance
policy.


Signed in accordance with a resolution of the members of the Council.

Dated at Boronia Park this 15th day of April, 2005.




Dr. J. Auld - President




Dr. J. Coates - Treasurer
                                                                                                Annual Report 2004/05       72




Statements of Financial Performance for the year ended
28th February, 2005
                                                    Notes              Consolidated                    College
                                                                     2005       2004               2005       2004
                                                                       $          $                  $          $

Revenue from members                                              675,036        555,211        633,525        533,878
Revenue from meetings,
trade exhibitions and courses                                      784,319       878,912         784,319       869,637
Training projects revenue                                         128,468        132,772        128,468        132,772
Donations and grants received                                       40,746        45,467          18,500        24,500
Revenue from sale of books & brochures                               17,670         7,211          17,670          7,211
Proceeds on sale of investments                        3         1,611,527              -      1,611,527               -
Interest revenue                                                    58,649        43,092          50,666         37,193
Investment revenue                                                  83,208        89,645          83,208        89,645
Other revenues                                         2           169,867       139,374         142,113        111,347

Total revenue from ordinary activities                          3,569,490      1,891,684      3,469,996       1,806,183

Annual scientific meetings
and trade exhibition expenditure                                   364,142      506,487          364,142       506,487
Cost of investment sold                                3         1,594,431             -       1,594,431              -
Training projects expenditure                                       50,898       40,057           81,808        40,057
Donations and public education                                     113,695        68,175          91,653         43,107
Employee expenses                                                 326,439       284,102         326,439        284,102
Depreciation expense                                   3            46,127       40,525           45,949        40,288
Borrowing cost                                         3            23,544        19,199          23,544         19,199
Other expenses from ordinary activities                           620,447       588,604         554,526        544,642
Net Profit                                                         429,767      344,535          387,504        328,301




                 The statements of financial position are to be read in conjunction with the notes to the financial statements.
73     Australasian College of Dermatologists




Statements of Financial Position as at 28th February,
2005
                                                         Notes              Consolidated                    College
                                                                          2005       2004               2005       2004
                                                                            $          $                  $          $
Current Assets
Cash assets                                                  4       1,491,749       1,276,625     1,275,348     1,234,552
Receivables                                                  5        123,240           156,776      121,480       154,579
Other financial assets                                       6               -         139,508             -             -
Other                                                        7          48,708           26,744       48,708        26,744
Total Current Assets                                                 1,663,697       1,599,653     1,445,536      1,415,875

Non-Current Assets
Other financial assets                                       6      2,032,394        1,501,252    2,032,394      1,501,252
Property, plant & equipment                                  8        802,577         843,720       802,047        843,012
Total Non-Current Assets                                             2,834,971      2,344,972      2,834,441     2,344,264

Total Assets                                                        4,498,668       3,944,625      4,279,977     3,760,139

Current Liabilities
Payables                                                     9        166,205          127,482       173,807      126,542
Interest bearing liabilities                                10        466,092         442,547        466,092      442,547
Provisions                                                  11         42,240           33,441        42,240       33,441
Other                                                       12        934,369          881,160       923,218      870,493
Total Current Liabilities                                           1,608,906       1,484,630      1,605,357     1,473,023

Total Liabilities                                                   1,608,906       1,484,630      1,605,357     1,473,023

Net Assets                                                          2,889,762       2,459,995      2,674,620      2,287,116


Equity                                                     1(m)
Retained profit                                             13      2,799,709       2,369,942      2,584,567     2,197,063
Asset revaluation reserve                                   14         90,053          90,053         90,053       90,053
Total Equity                                                        2,889,762       2,459,995      2,674,620     2,287,116




The statements of financial position are to be read in conjunction with the notes to the financial statements.
                                                                                                Annual Report 2004/05       74




Statements of Cash Flows for the year ended February,
28th 2005
                                                    Notes              Consolidated                    College
                                                                     2005       2004               2005       2004
                                                                       $          $                  $          $
Cash Flows from Operating Activities
Receipts from members
  Subscriptions                                                   660,891         611,075       614,699         575,874
  Building levy                                                    15,950          14,025        15,950          14,025
Examinations income                                                79,850         36,625         79,850          36,625
Interest received & trust distributions                           144,010        130,367        136,027         124,468
Donations and grants income                                       187,546        160,384        163,462         137,940
Proceeds on meetings, exhibitions
and training projects                                             972,474       1,169,725       963,585        1,156,737
Sundry income                                                      43,853          38,765        19,437            7,933
Payments for meetings, exhibitions
and training projects                                           (499,306)       (629,011)     (490,504)        (618,821)
Cash operating expenses                                         (808,008)       (702,198)      (750,474)      (661,732)
Payments to employees                                            (318,322)      (271,657)     (318,322)       (271,657)
Donations and public education expenses                            (77,011)      (73,238)       (52,865)        (46,383)
Net cash provided by operating activities            15(b)        401,927        484,862        380,845        455,009

Cash flows from Investing Activities
Payments for property, plant and equipment                          (4,984)      (44,238)      (4,984)         (44,238)
Proceeds on sale of investments                                  1,773,185              - 1,611,527                   -
Payments for investments                                      (1,983,460)       (189,070) (1,983,460)          (80,458)
Net cash used in investing activities                           (215,259)      (233,308)       (376,917)      (124,696)

Cash flows from Financing Activities
Proceeds from borrowings
from controlled funds                                              28,756           14,218        37,168          14,124
Repayment of borrowings to controlled funds                         (300)                -         (300)               -

Net cash provided by investing activities                          28,456           14,218       36,868           14,124

Net increase in cash held                                          215,124       265,772         40,796        344,437

Cash at beginning of the year                                   1,276,625       1,010,853     1,234,552         890,115

Cash at the end of the year                          15(a)       1,491,749      1,276,625     1,275,348       1,234,552




                 The statements of financial position are to be read in conjunction with the notes to the financial statements.
75    Australasian College of Dermatologists




Notes to the Financial Statements for the year ended
February, 28th 2005
1. Statement of Significant Accounting Policies
The significant policies which have been adopted in the preparation of this financial report are:

(a) Basis of preparation
The financial report is a general purpose financial report which has been prepared in accordance with
Accounting Standards, Urgent Issues Group Consensus Views, other authoritative pronouncements of
the Australian Accounting Standards Board and the Corporations Act 2001. It has been prepared on the
basis of historical costs and except where stated, does not take into account changing money values
or fair values of assets.

These accounting policies have been consistently applied by each entity in the consolidated entity, and
except where there is a change in accounting policy, are consistent with those of the previous year.

Where necessary, comparative information has been reclassified to achieve consistency in disclosure
with current financial year amounts and other disclosures.

The following is a summary of the material accounting policies adopted by the College in the preparation
of the financial report.

(b) Income tax
The tax exempt status of the College and its Faculties is being reviewed on an annual basis in accordance
with Taxation Offie guidelines, taking into account activities of the College and its Faculties which fall
within the exemption criteria. The Council has determined that the College retains its tax-exempt status
during the financial year. No income tax liability has arisen to date.

(c) Principles of consolidation
The consolidated financial statements include the financial statements of the College and all of its
Faculties. Control exists as the College has the capacity to dominate the decision making in relation
to the financial and operating policies of the Faculties so that the Faculties operate with the College to
achieve its objective. The financial statements of the Faculties have been centralised and are maintained
by the Accounts and Administrative Officer of the College. This administration centralisation was
necessitated by the impact of the GST and the new tax regime.

The controlled entities are:       New South Wales Faculty
                                   Queensland Faculty
                                   Western Australian Faculty
                                   South Australian Faculty
                                   Victorian Faculty

The inter-entity balances resulting from transactions with or between controlled entities are eliminated
in full on consolidation.
                                                                                        Annual Report 2004/05       76




                                      Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd)

(d) Property, plant and equipment
Property, plant and equipment, except for buildings are recorded at their cost of acquisition. All fixed
assets including building but excluding freehold land have limited useful lives and are depreciated using
the straight line method over their estimated useful lives from the time the asset is completed and ready
for use. Depreciation rates are reviewed annually for appropriateness and depreciation is recognised
as an expense. When changes are made, adjustments are reflected prospectively in current and future
periods only.

The depreciation rates used for each class of assets are:
     Class of Fixed Asset          Depreciation Rate
     Building                      2.5%
     Plant and Equipment           10% - 40%
     Library                       17%

(e) Recoverable amount of non-current assets valued on cost basis
The carrying amounts of non-current assets valued on the cost basis are reviewed to determine whether
they are in excess of their recoverable amount at balance date. If the carrying amount of a non-current
asset exceeds its recoverable amount, the asset is written down to the lower amount. The write-down is
expensed in the reporting period in which it occurs. Where a group of assets working together supports
the generation of cash inflows, recoverable amount is assessed in relation to that group of assets. In
assessing recoverable amounts, the relevant cash flows have not been discounted to their present
value.

(f) Investments
Other Entities
Investments in other listed entities are measured at fair value, being quoted market prices at reporting
date. Investments in other unlisted entities are carried at the lower of cost and recoverable amount.

(g) Revaluation of non-current assets
Classes of non-current assets measured at fair value are revalued with sufficient regularity to ensure
the carrying amount of each non-current asset does not differ materially from fair value at reporting
date. Independent valuations or directors valuations are obtained at least every three years. Revaluation
increments, on a class of assets basis, are recognised in the asset revaluation reserve except for
the amounts reversing a decrement previously recognised as an expense, which are recognised as
revenues. Revaluation decrements are only offset against revaluation increments relating to the same
class of assets and any excess is recognised as an expense.

(h) Employee benefits
Liabilities for employee benefits for salaries, wages and annual leave represent present obligations
resulting from employees’ services provided to reporting date, calculated at undiscounted amounts
based on remuneration wage and salary rates that the College expects to pay as at reporting date
including related on-costs, such as workers compensation insurance and superannuation. The provision
for employee benefits to long service leave represents the present value of the estimated future cash
outflows to be made resulting from employees’ services provided to reporting date. The provision is
calculated using expected future increases in wages and salary rates including related on-costs and
expected settlement dates based on turnover history.
77     Australasian College of Dermatologists




Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd)


Contributions are made by the company to employees’ superannuation funds and are recognised as
expenses when incurred.

(i) Borrowing costs
Borrowing costs include interest relating to borrowings from controlled funds.

(j) Payables
Liabilities are recognised for amounts to be paid in the future for goods and services received, whether
or not billed to the College or its faculties. Trade accounts payable are normally settled within 60 days.

(k) Revenue
Revenues are recognised at fair value of the consideration received net of the amount of goods and
services tax (GST) payable to the taxation authority. All revenue, including interest and investment
revenue, is recognised as it accrues.

(l) Goods and services tax (GST)
Revenues, expenses and assets are recognised net of the amount of GST, except where the amount
of GST incurred is not recoverable from the Australian Taxation Office (ATO). In these circumstances
the GST is recognised as part of the cost of the acquisition of the asset or as part of an item of the
expense. Receivables and payables are stated with the amount of GST included. The net amount of GST
recoverable from, or payable to, the ATO is included as a current asset or liability in the balance sheet.
Cash flows are included in the statement of cash flows on a gross basis. The GST components of the
cash flows arising from investing and financing activities, which are recoverable from, or payable to, the
ATO are classified as operating cash flows.

(m) Members’ guarantee
The company is limited by guarantee. If the company is wound up, the Articles of Association state
that each member is required to contribute a maximum of $20 each towards meeting any outstanding
obligations of the company. At 28th February, 2005 the number of members was 373 (29/2/04: 362).


                                                                         Consolidated              College
                                                                       2005       2004         2005       2004
                                                                         $          $            $          $
2. Revenue from Ordinary Activities
Other revenues: From operating activities
Write-up in value of investments                                     142,113        111,347   142,113   111,347
Sundry revenue                                                        27,754        28,027          -         -
Total other revenues                                                169,867         139,374   142,113   111,347
                                                                                           Annual Report 2004/05       78




                                         Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd)


                                                                   Consolidated                   College
                                                                 2005       2004              2005       2004
                                                                   $          $                 $          $
3. Profit from Ordinary Activities
a) Individually significant items included in
   Profit/(loss) from ordinary activities before
   income tax expense
Proceeds on sale of investments                              1,611,527              -     1,611,527              -
Cost of investment sold                                      1,594,431              -     1,594,431              -
Write-up in value of investments                                142,113       111,347        142,113       111,347
Subscriptions & trainee levies                                580,686        505,836        539,175       484,503
Meetings revenue                                               774,569        860,112       774,569        860,112

b) Operating Profit from ordinary activities
   has been arrived at aftercharging/(crediting)
   the following items:
Depreciation of plant and equipment                             46,127         40,525        45,949        40,288
Borrowing costs
     Interest paid to controlled funds                         23,544           19,199       23,544          19,199
Net expense from movements in provision for:
    Employee entitlements                                        8,797          9,028          8,797         9,028
Net profit on sale of investments                               17,096              -         17,096             -

c) Auditors remuneration
Auditors – Hall Consulting Group
    Audit services – financial report                            8,450          8,350           995           1,245
    Audit services – project audit                               3,500          1,500         2,000          1,500
    Other services – taxation and GST advice                    12,225          6,600        12,225          6,600
                                                                24,175         16,450        15,220          9,345

4. Cash Assets
Cash on hand                                                       700            700            300          300
   Cash at bank - Westpac Bank                                 196,103        156,992        137,233       115,319
   Cash at bank – RASTS Program                                 88,084         47,629         88,084       47,629
   Cash at bank – CMA Investor Option                         348,894         871,304       348,894       871,304
   Cash at bank – NT Healthy Skin Project                       49,125              -         49,125             -
   Cash at bank – Network Derm Training                         38,500              -        38,500              -
   Bank short term deposits                                   770,343        200,000        613,212      200,000
                                                             1,491,749      1,276,625     1,275,348     1,234,552

The bank short term deposits mature within 60 days and pay interest at a weighted average interest rate
of 5.61% (2004: 5.29% )
79      Australasian College of Dermatologists




Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd)

                                                                         Consolidated                  College
                                                                       2005       2004             2005       2004
                                                                         $          $                $          $
5. Receivables
Current
GST Receivable                                                             -             707            -         817
Trade Debtors                                                         85,691          96,764       83,931     94,364
Unsecured Loans – Faculties                                                -               -            -         93
Unsecured Loans – Controlled Funds:
    Journal Fund                                                     28,296           50,052      28,296      50,052
    F.C. Florance Bequest                                             9,253            9,253       9,253       9,253
                                                                    123,240          156,776      121,480    154,579

6. Other Financial Assets
Current
Investments in Other Entities
    Term deposits                                                           -        139,508            -           -

Non-Current
Investments in Other Companies at Market Value
    Westpac Personal Portfolio                                            -         1,501,252           -   1,501,252
    Westpac BT Wrap Investment                                    2,032,394                 -   2,032,394           -
                                                                  2,032,394         1,501,252   2,032,394   1,501,252

7. Other
Prepayments                                                           48,491          24,374       48,491     24,374
Accrued income                                                           217           2,370          217      2,370
                                                                     48,708           26,744      48,708      26,744

8. Property, Plant & Equipment
Land & Building – at valuation 1.3.03                               775,000         775,000      775,000    775,000
Less: Building accumulated depreciation                              21,250           10,625      21,250      10,625
                                                                    753,750         764,375      753,750    764,375
Furniture & Equipment – at cost                                     264,592         259,608      251,569    246,585
Less: Accumulated depreciation                                      221,726          190,105     209,233     177,790
                                                                     42,866          69,503       42,336      68,795
Library – at cost                                                    22,830          22,830       22,830     22,830
Less: Accumulated depreciation                                       16,869          12,988       16,869     12,988
                                                                      5,961           9,842        5,961      9,842
Total                                                               802,577         843,720      802,047     843,012

Councillors have valued the property at 136 Pittwater Road, Gladesville at 1 March 2003. The valuation
was based on the estimated fair value of the property as per report prepared by R.E.A. Australasia Pty
Ltd registered valuers and property consultants.
                                                                                         Annual Report 2004/05       80




                                       Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd)

                                                                 Consolidated                   College
                                                               2005       2004              2005       2004
                                                                 $          $                 $          $
8. Property, Plant & Equipment cont.
Reconciliations
Reconciliations of the carrying amounts for
each class of property, plant and equipment
are set out below:
Freehold Land & Building
Carrying amount at beginning of year                        764,375         577,162       764,375        577,162
Transfer from Property Improvements                                -        107,785              -       107,785
Revaluation increment                                              -        90,053               -       90,053
Depreciation of building                                    (10,625)       (10,625)       (10,625)      (10,625)
Carrying amount at end of year                              753,750        764,375        753,750       764,375
Furniture & Equipment
Carrying amount at beginning of year                         69,503          51,284        68,795        50,339
Additions                                                     4,984         44,238          4,984        44,238
Depreciation                                                (31,620)       (26,019)       (31,443)      (25,782)
Carrying amount at end of year                               42,867         69,503         42,336        68,795
Library Costs
Carrying amount at beginning of year                           9,842         13,723         9,842         13,723
Depreciation                                                  (3,881)        (3,881)       (3,881)        (3,881)
Carrying amount at end of year                                  5,961         9,842          5,961         9,842

9. Payables
Current
Trade creditors                                              65,344           56,119       64,444         55,179
Sundry creditors                                             22,747                -       22,747              -
GST liability                                                    51                -          233              -
Unsecured Loans – Faculties                                       -                -        8,320              -
Unsecured Loans – Controlled Funds
    Fred Bauer Foundation                                     2,227           2,227         2,227         2,227
    Scientific Research Fund                                  9,492           9,792         9,492         9,792
    Travelling Scholarship Fund                              66,344          59,344        66,344        59,344
                                                            166,205         127,482       173,807       126,542

10. Interest Bearing Liabilities
Current
Unsecured Loans – controlled funds
    Endowment Fund                                          226,056        214,637       226,056        214,637
    Ewan Murray Will Bequest                                175,390        166,531       175,390        166,531
    Alision Madge Rosanove Fund                              63,979         60,747        63,979         60,747
    Surgical Society                                            667            632           667            632
                                                            466,092        442,547       466,092        442,547

Interest is payable by the College on the loans provided by controlled funds at the average interest rate
of Westpac Bank for the year. Interest was charged this year at 5.32 % (2004: 4.535%).
81     Australasian College of Dermatologists




Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd)

                                                                         Consolidated                   College
                                                                       2005       2004              2005       2004
                                                                         $          $                 $          $
11. Provisions
Employee benefits
Aggregate liability for employee benefits,
including on-costs
Current
Provision for annual leave                                            17,359           11,585      17,359     11,585
Provision for long service leave                                     24,881            21,856     24,881      21,856
                                                                     42,240            33,441     42,240      33,441
Number of employees at year end                                             5              4           5           4

12. Other Liabilities
Current
Accrued charges                                                       9,613                -       9,613           -
Net income in advance - meetings                                    460,306          436,836     460,306     436,836
Annual subscriptions in advance                                     464,450          444,324     453,299     433,657
                                                                    934,369           881,160     923,218    870,493

13. Retained Profit
Retained profit at beginning of the year                          2,369,942         2,025,407   2,197,063   1,868,762
Net profit for the year                                             429,767           344,535    387,504      328,301
Retained profit at the end of the year                            2,799,709         2,369,942   2,584,567   2,197,063

14. Reserves
Asset revaluation                                                    90,053           90,053      90,053      90,053
                                                                                        Annual Report 2004/05       82




                                      Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd)

                                                                Consolidated                   College
                                                              2005       2004              2005       2004
                                                                $          $                 $          $

15. Notes to the Statements of Cash Flows
a) Reconciliation of cash
   For the purpose of the statement of cash
   flows, cash includes cash on hand and at
   bank and short-term deposits at call, net of
   outstanding bank overdrafts. Cash at the
   end of the financial year as shown in the
   statements of cash flows is reconciled to
   the related items in the statement of
   financial position as follows:
Cash Assets (Note 4)                                      1,491,749      1,276,625     1,275,348     1,234,552

b) Reconciliation of profit from ordinary
   activities after income tax to net cash provided
   by operating activities.
Profit from ordinary activities after income tax           429,767        344,535        387,504       328,301

Add/(Less) Non-cash items:
   Depreciation expense                                      46,127         40,525        45,949         40,288
   Write-up in value of investment                         (142,113)      (111,347)     (142,113)      (111,347)
   Capital gain on sale of investments                      (17,096)              -      (17,096)              -
   Interest expense                                          23,544          19,199       23,544          19,199

Net cash provided by operating activities before
change in assets and liabilities                           340,229        292,912        297,788       276,441
Changes in Assets and Liabilities:
   Increase in subscriptions in advance                      20,125        49,686         19,642         39,019
   Increase in meetings income in advance                    23,470       104,369         23,470       104,369
   Decrease (increase) in receivables                        (8,214)        49,307        13,404         47,262
   Decrease in prepayments                                  (24,118)      (15,040)       (24,118)      (15,040)
   Increase in creditors                                      31,974         6,350        32,016          6,840
   Increase (decrease) in accruals                             9,613       (2,030)         9,613        (2,030)
   Increase (decrease) in GST liability                           51        (9,719)          233       (10,879)
   Increase in provisions                                      8,797         9,027         8,797          9,027
Net cash provided by operating activities                  401,927        484,862       380,845        455,009

(c) There were no non-cash financing or investing activities during the year.
83     Australasian College of Dermatologists




Notes to the Financial Statements for the year ended February, 28th 2005 (Cont'd)

16. International Financial Reporting Standards
For reporting periods beginning on or after 1 January 2005, the College and its faculties must comply
with Australian equivalents to International Financial Reporting Standards (AIFRS) as issued by the
Australian Accounting Standards Board. This financial report has been prepared in accordance with
Australian accounting standards and other financial reporting requirements (Australian GAAP) applicable
for reporting periods ending on 28 February 2005. The Council is in the process of establishing a formal
project to achieve transition to IFRS reporting, beginning with the year ending 28 February 2006.

The differences between Australian Generally Accepted Accounting Principles (Australian GAAP) and
Australian equivalents to International Financial Reporting Standards (AIFRS) identified to date as
potentially having a significant impact on the consolidated entity’s financial performance and financial
position are summarised below. The summary should not be taken as an exhaustive list of all differences
between current Australian GAAP and AIFRS. No attempt has been made to identify all disclosure,
presentation or classification differences that would affect the manner in which transactions or events
are presented. The College has not completed its project to assess the impact of adoption of AIFRS and
has not quantified the effects of all the differences discussed below.

The key potential implications on the company of conversion to AIFRS, identified to date, are summarised
below:

• Financial instruments must be recognised in the statement of financial position and most financial
  assets must be carried at fair value. Investments in marketable securities are likely to be designated
  as “available for sale” assets with any increments in the fair value recognised directly in equity until
  disposed.
• Impairment of assets will be determined on a discounted basis, with strict tests for determining whether
  cash generating operations have been impaired. The impact of a more rigorous impairment test may
  result in additional write downs either on transition or ongoing. Any write downs will also impact the
  ongoing depreciation charge (where applicable); and
• If the tax-exempt status of the College is assessed as not appropriate in subsequent years, income tax
  will be calculated based on the ‘balance sheet’ approach, which will result in more deferred tax assets
  and liabilities as the tax effect follows the underlying transaction.
• Investment property may be measured at fair value with changes in fair value recognised in the
  Statement of Financial Performance, or at cost (without revaluation), whereas it is currently recognised
  at revalued amount under AASB 1041 “Revaluation of Non-Current Assets”.

17.   Statement of Operations of Segments
The College and its Faculties operate predominantly in one business segment and one geographical
segment, being the advancement of dermatology in Australia.
                                                                                   Annual Report 2004/05   84




Declaration by Council

In the opinion of the members of the Council of The Australasian College of Dermatologists:

(a) The financial statements and notes are in accordance with the Corporations Act 2001, including:
      (i.) giving a true and fair view of the financial position of the College and consolidated entity as at
           28th February 2005 and of their performance as represented by the results of their operations
           and their cash flows for the financial year ended on that date; and
      (ii.) complying with Australian Accounting Standards and the Corporation Regulations 2001; and

(b) There are reasonable grounds to believe that the College will be able to pay its debts as and when
    they become due and payable.


Signed in accordance with a resolution of the Council.

Dated at Boronia Park this 15th day of April, 2005.




Dr. J. Auld - President




Dr. J. Coates - Treasurer
85    Australasian College of Dermatologists




Independent Audit Report to the members of the
Australasian College of Dermatologists
Scope
We have audited the financial report of The Australasian College of Dermatologists for the financial year
ended 28th February 2005, consisting of the statements of financial performance, statements of financial
position, statements of cash flows, accompanying notes and the Declaration by the Council. The financial
report includes the consolidated financial statements of the consolidated entity, comprising the College
and the Faculties it controlled at the end of the year or from time to time during the financial year. The
members of the Council are responsible for the financial report. We have conducted an independent
audit of this financial report in order to express an opinion on it to the members of the Australasian
College of Dermatologists.

Our audit has been conducted in accordance with Australian Auditing Standards to provide reasonable
assurance whether the financial report is free of material misstatement. Our procedures included
examination, on a test basis, of evidence supporting the amounts and other disclosures in the financial
report, and the evaluation of accounting policies and significant accounting estimates. These procedures
have been undertaken to form an opinion whether, in all material respects, the financial report is
presented fairly in accordance with Accounting Standards and other mandatory professional reporting
requirements in Australia and statutory requirements so as to present a view which is consistent with
our understanding of the Company’s and consolidated entity’s financial position and performance as
represented by the results of their operations and their cash flows.

The audit opinion expressed in this report has been formed on the above basis.

Audit Opinion
In our opinion, the financial report of The Australasian College of Dermatologists is in accordance with:
(a) the Corporations Act 2001, including
      (i) giving a true and fair view of the Company’s and consolidated entity’s financial position as at
          28th February 2005 and of their performance for the year ended on that date; and
      (ii) complying with Accounting Standards in Australia and the Corporations Regulations 2001; and
(b) other mandatory professional reporting requirements in Australia.


Hall Consulting Group
Chartered Accountants
Level 4, 71-73 Archer Street, Chatswood NSW 2057




Christopher John Hall
Partner
15th April, 2005.
                                                                                Annual Report 2004/05   86




Compilation Report to the Australasian College of
Dermatologists
Scope
On the basis of the information provided by the Council of the College we have compiled, in
accordance with APS 9 “Statement on Compilation of Financial Reports” the special purpose financial
report comprising the Balance Sheet and Income & Expenditure Statement of the special funds
controlled by the College and the Detailed Profit and Loss Statement of the College and consolidated
entity.

The Directors are solely responsible for the information contained in the special purpose financial
report.

Our procedures use accounting expertise to collect, classify and summarise the financial information,
which the directors provided into a financial report. Our procedures do not include verification or
validation procedures. No audit or review has been performed and accordingly no assurance is
expressed.

To the extent permitted by law, we do not accept liability for any loss or damage which any person,
other than the company may suffer arising from any negligence on our part. No person should rely on
the special purpose financial report without having an audit or review conducted.

The special purpose financial report was prepared for the benefit of the company and its members.
We do not accept responsibility to any other person for the contents of the special purpose financial
report.


Hall Consulting Group
Chartered Accountants
Level 4, 71-73 Archer Street, Chatswood NSW 2057




Christopher John Hall
Partner
15th April, 2005.
87    Australasian College of Dermatologists




Special Funds controlled by the College
Income and expenditure statement for the year ended
28th February, 2005
                                                    2005       2004
                                                      $          $
Endowment Fund
Interest received                                 11,419       9,311
Net surplus for the year                          11,419       9.311
Retained surplus at the beginning of the year    214,637    205,326
Retained surplus at the end of the year          226,056     214,637

Alison Madge Rosanove Fund
Interest received                                   3,232      2,635
Net surplus for the year                            3,232      2,635
Retained surplus at the beginning of the year      60,747      58,112
Retained surplus at the end of the year           63,979      60,747

F.C. Florance Bequest
Dividends                                         19,402      35,718
Interest received                                    976         862
Trust distributions                               84,235      91,595
Write-up in value of investment                  236,636     155,607
Foreign source income                              1,382         610
Net capital gain                                  27,760           -
                                                 370,391    284,392
Less Grants paid                                 (46,285)   (26,231)
    Net capital loss                                    -   (29,959)
    Direct investment expenses                   (19,493)    (16,429)
    Sundry investment expenses                      (323)       (539)
Net surplus for the year                         304,290      211,234
Retained surplus at the beginning of the year   2,168,274   1,957,040
Retained surplus at the end of the year         2,472,564   2,168,274

Fred Bauer Foundation
Interest received                                   3,747      3,072
Less Grants paid                                        -     (3,018)
Net surplus for the year                            3,747         54
Retained surplus at the beginning of the year      70,791     70,737
Retained surplus at the end of the year           74,538      70,791
                                                                                              Annual Report 2004/05      88




    Special Funds controlled by the College Income and expenditure statement for the year ended 28th February, 2005 (Cont'd)

                                                                            2005                        2004
                                                                              $                           $
Journal Fund
Donations received                                                             50                      30,550
Levies received                                                           31,850                             -
Royalties received                                                        25,036                        12,567
Interest received                                                            258                           241
                                                                           57,194                      43,358
Less Editorial fee                                                       (10,000)                    (10,000)
     Printing, distribution, postage                                     (25,180)                    (18,899)
     Bank charges                                                            (132)                       (132)
Net surplus for the year                                                  21,882                        14,327
Accumulated deficiency at the beginning of the year                      (28,416)                     (42,743)
Accumulated deficiency at the end of the year                             (6,534)                     (28,416)

Ewan Murray
Interest received                                                           8,859                        7,225
Net surplus for the year                                                    8,859                        7,225
Retained surplus at the beginning of the year                            166,531                      159,306
Retained surplus at the end of the year                                  175,390                      166,531

Scientific Research Fund
Donations and grants received                                             32,790                      43,990
Entertainment books sale                                                     456                          419
Interest received                                                          2,625                        3,258
                                                                          35,871                       47,667
Less Publishing & printing Cost                                           (2,000)                           -
     Grants paid                                                         (21,560)                    (56,000)
Net surplus for the year                                                   12,311                      (8,333)
Retained surplus at the beginning of the year                             60,924                       69,257
Retained surplus at the end of the year                                   73,235                       60,924

Surgical Society Fund
Subscriptions received                                                      3,460                       2,600
Interest received                                                           2,047                       1,530
Net surplus for the year                                                    5,507                       4,130
Retained surplus at the beginning of the year                              37,469                      33,339
Retained surplus at the end of the year                                   42,976                       37,469

Travelling Scholarship Fund
Donations received                                                         87,000                     86,500
Less Grants paid                                                         (80,000)                    (86,500)
Net surplus for the year                                                   7,000                            -
Retained surplus at the beginning of the year                             59,344                       59,344
Retained surplus at the end of the year                                   66,344                       59,344
89    Australasian College of Dermatologists




Special Funds controlled by the College
Balance Sheet as at 28th February, 2005

                                                   2005         2004
                                                     $            $
Endowment Fund
Current Assets:
Receivables (College)                           226,056       214,637
Net Assets                                      226,056       214,637

Alison Madge Rosanove Fund
Current Assets:
Receivables (College)                            63,979        60,747
Net Assets                                       63,979        60,747

F.C. Florance Bequest
Current Assets:
Cash at bank                                     194,772       121,049
Accrued income                                     4,595         2,547
Westpac Portfolio No2 – at market value        1,404,839    1,304,302
Westpac Personal Portfolio - at market value            -     749,629
Westpac BT Wrap Investment - at market value      877,611            -
                                               2,481,817     2,177,527
Less Current Liabilities:
     Creditors (College)                         (9,253)      (9,253)
Net Assets                                     2,472,564    2,168,274

Fred Bauer Foundation
Current Assets:
Investments                                       72,311      68,564
Receivables (College)                              2,227       2,227
Net Assets                                        74,538       70,791

Journal Fund
Current Assets:
Cash                                              21,112      20,986
Receivables                                          650         650
                                                  21,762      21,636
Less Current Liability:
Creditors (College)                             (28,296)     (50,052)
Net Assets                                       (6,534)     (28,416)
                                                                                        Annual Report 2004/05      90




                              Special Funds controlled by the College Balance Sheet as at 28th February, 2005 (Cont'd)

                                                                                2005                   2004
                                                                                  $                      $
Ewan Murray
Current Assets:
Receivables (College)                                                          175,390                166,531
Net Assets                                                                     175,390                166,531

Scientific Research Fund
Current Assets:
Investments                                                                     64,393                 51,782
Receivable (College)                                                             9,492                  9,792
                                                                                73,885                 61,574
Less Current Liability:
Creditors                                                                         (650)                 (650)
Net Assets                                                                      73,235                60,924

Surgical Society Fund
Current Assets:
Receivables (College)                                                              667                    632
Investments                                                                     42,309                36,837
Net Assets                                                                      42,976                 37,469

Travelling Scholarship Fund
Current Assets:
Receivables (College)                                                           66,344                59,344
Net Assets                                                                      66,344                59,344
Total Net Assets of the Special Funds controlled by the College              3,188,548              2,810,301
91    Australasian College of Dermatologists




Detailed profit and loss statement for the year ended
28th February, 2005
                                                          Consolidated               College
                                                        2005       2004          2005       2004
                                                          $          $             $          $
Income
Subscriptions & trainee levy                          580,686    505,836       539,175     484,503
Building levies received                               14,500      12,750       14,500       12,750
Examination fees                                        77,100    33,000         77,100     33,000
Entrance levies received                                 2,750      3,625         2,750       3,625
Interest received                                      58,649     43,092        50,666       37,193
Meetings revenue                                      774,569     860,112      774,569      860,112
Training conference/courses                              9,750      9,525         9,750       9,525
SSRS - support scheme for rural specialists            42,400       51,491      42,400        51,491
RASTS – rural advanced specialist training support     45,000     50,000        45,000      50,000
Unit trust distributions Westpac portfolio             83,208     89,645        83,208      89,645
Sundry income/Faculties meeting sponsorship              7,500    28,469              -            -
Donations/grants received                              40,746     45,467        18,500      24,500
Commonwealth Grant
      Networked training                                     -      2,500              -      2,500
      Networked training – Mandala Consulting                -      18,281             -      18,281
      Healthy Skin Program Project                     22,068             -     22,068              -
OTS assessments/CPDP                                    19,000     10,500        19,000      10,500
Social functions                                         1,545      8,833              -            -
Write-up in value of investments                       142,113     111,347      142,113      111,347
Capital gain on sale of investments                     17,096            -      17,096             -
Revenue from sale of books/brochures                   36,379         7,211       17,670        7,211
                                                     1,975,059   1,891,684    1,875,565    1,806,183

Expenditure
Accountancy & audit fees                               24,175      16,450       15,220         9,345
Advertising                                                  -     5, 484             -        5,484
Bank charges and merchant fees                         19,909      27,695        19,194      26,985
Cleaning & gardening                                     5,087      4,503         5,087        4,503
Computer software & maintenance                         11,519     18,879        11,519       18,879
Consultancy fees                                      148,333     128,957      148,333      128,957
Depreciation                                           46,127      40,525       45,949       40,288
Direct investment expenses                              14,415     10,030        14,415      10,030
Donations                                               3,000       17,550       2,000       10,350
Electricity                                              3,212      2,405         3,212        2,405
Employee annual leave provided                           5,773        1,613       5,773         1,613
Long service leave provided                              3,025        7,415       3,025         7,415
Employee training and recruitment                          441       9,766          441        9,766
Board of Censors expenses
      Training and accreditation                       20,029           -       20,029            -
      Exam expenses                                     47,199     65,348        47,199      65,093
                                                                                            Annual Report 2004/05       92




                                         Detailed profit and loss statement for the year ended 28th February, 2005 (Cont'd)

                                                                    Consolidated                   College
                                                                  2005       2004              2005       2004
                                                                    $          $                 $          $

Filing fees                                                        645              300          645            300
General expenses                                                 6,716           12,751        5,183         11,658
ILDS scholarship and grants                                    22,546          26,545        22,546         26,545
Insurance                                                      26,242          20,728        26,242         20,728
Interest paid                                                  23,544            19,199      23,544          19,199
Leasing/marketing premises                                     10,929                  -     10,929                -
Legal fees                                                     45,955           32,761       45,955          32,761
Library costs                                                    4,241           9,442         4,241         9,442
Meeting expenses CPMC                                            7,935           8,549         7,935         8,549
Faculties meeting and social functions                           9,945           17,133            -               -
Meetings expenses                                             364,142         506,487       364,142        506,487
Website & database cost                                        28,426          31,527        28,426         31,527
Networked Training – Mandala Consulting.                             -         29,921              -        29,921
NT training project                                                  -              750            -            750
RASTS – rural advanced specialist training support               9,991           4,985         9,991         4,985
Healthy skin project                                           22,068                414     22,068              414
SSRS - support scheme for rural specialists                    12,567             3,615      12,567           3,615
Office expenses                                                13,328            11,573      13,328          11,573
Postage                                                         13,521          14,524       13,043         14,524
Printing & stationery                                          31,363          31,423         31,145        31,070
Property repairs & maintenance                                   2,643           2,703         2,643          2,703
Public affairs & marketing                                     43,412                  -     43,412                -
Public education                                               63,042            41,183      42,000         23,315
Rates & taxes                                                    2,929           2,926         2,929         2,926
Salaries & wages                                              283,043         243,501       283,043        243,501
Security costs                                                     722            1,429          722          1,429
Faculties secretarial services                                       -            3,743            -               -
Registrar’s travel expenses                                    10,268                  -           -               -
Subscriptions                                                    5,561            1,803        5,561          1,803
Superannuation contributions                                    34,157         21,807         34,157        21,807
Telephone & internet cost                                      23,301          23,107        23,301         23,107
Trainee application cost                                       10,933                  -     10,933                -
Training conferences & courses                                   6,272              372        6,272            372
Training – executives                                           10,881                 -      10,881               -
Travelling & accommodation                                     29,921          55,580        27,022         42,010
Corporate Governance                                           11,859             9,748       11,859          9,748
                                                             1,545,292       1,547,149     1,488,061      1,477,882

Net Profit for the year                                        429,767       344,535         387,504       328,301

Retained profit at the beginning of the year                2,369,942       2,025,407      2,197,063     1,868,762

Retained Profit at the end of the year                       2,799,709     2,369,942       2,584,567     2,197,063
Executive Editor     Stephen Shumack
Editorial Commitee   Rodney Sheaves
                     Ros Warnes

				
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